Current Trauma Status Report - Southern Nevada Health District

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Hospital Resources There are 12 hospitals in Clark County, all of which have emergency departments, and one of which has a trauma center. Exhibit 35 – List of Clark County EDs and Trauma Center Clark County Emergency Departments & Trauma Center Emergency Departments Boulder City Hospital Desert Springs Hospital Lake Mead Hospital Mountain View Hospital Southern Hills Hospital (Opening 3/1/04) Spring Valley Hospital St. Rose Dominican Hospital - Rose de Lima St. Rose Dominican Hospital - Siena Summerlin Hospital Sunrise Hospital University Medical Center Valley Hospital Medical Center Trauma Center University Medical Center Please see the Appendix for a map displaying the 12 hospital s and the trauma center in Clark County. Due to population growth, four new hospitals recently opened in the region (Summerlin, Spring Valley, St. Rose Dominican-Siena Campus and Southern Hills). Three new hospitals are also being built: a UHS hospital on the northwest side of Las Vegas is scheduled to open in 2005, Mountain View Hospital in Mesquite is expected to open during the summer of 2004, and in 2006, St. Rose Dominican-St. Martin Campus will open. In addition, many hospital EDs are undergoing expansion. This facility expansion has increased the pressure to hire hospital personnel. The volume of visits to the ED for each hospital in the Clark County region is presented below. This data was provided by the Nevada Division of Health Care Financ ing and Policy. From 1999 to 2001 the total volume rose by 2.3 percent increase for 2000 and 7.7 percent increase for 2001. However, in 2002 the overall growth rate was flat. Exhibit 36 – ED Volume by Hospital ED Volume by Hospital in Clark County, 2000-2002 Hospital 2000 Percent Change 2001 Percent Change 2002 Percent Change Boulder City Hospital 4,818 -4.5% 4,791 -0.6% 4,858 1.4% Desert Springs Hospital 33,127 -12.3% 35,211 6.3% 34,901 -0.9% Lake Mead Hospital Medical Center 31,826 15.7% 30,827 -3.1% 30,485 -1.1% Mountain View Hospital 29,407 10.6% 38,163 29.8% 38,096 -0.2% Saint Rose Dominican Hospital - de Lima 27,007 -11.0% 25,792 -4.5% 26,258 1.8% Saint Rose Dominican Hospital - Siena 9,178 - 27,356 198.1% 31,680 15.8% Summerlin Hospital Medical Center 23,192 19.8% 26,310 13.4% 27,096 3.0% Sunrise Hospital and Medical Center 1 73,936 2.3% 70,066 -5.2% 67,840 -3.2% University Medical Center 1 99,845 -3.0% 104,109 4.3% 104,027 -0.1% Valley Hospital Medical Center 32,905 -6.3% 30,921 -6.0% 28,737 -7.1% Total 365,241 2.3% 393,546 7.7% 393,978 0.1% 1 Includes adult and pediatric ED volume. Note: Spring Valley Hospital and Southern Hills Hospital opened in 2003 and 2004, respectively. Source: Nevada Division of Health Care Financing and Policy Page 49
As part of The Abaris Group’s trauma system assessment study, each hospital’s ED management team was visited on site. Part of the visit included a request for general information about the hospital and ED. Two EDs did not participate in the survey and Southern Hills Hospital and Medical Center did not open until March 2004. The following table presents the data submitted. Hospital and Emergency Department Statistics Desert Springs Hospital Medical Center Lake Mead Hospital Medical Center Exhibit 37 – Hospital and ED Statistics St. Rose Dominican Hospital - de Lima St. Rose Dominican Hospital - Siena Statistic Boulder City Hospital MountainView Hospital Sunrise Hospital and Medical Center University Medical Center Hospital Information Hospital Admissions, 2002 - - 8,757 14,763 8,714 13,504 Opened 3/04 36,856 30,176 30,176 19,416 Hospital Admissions, 2003 - - 8,383 14,932 8,681 15,643 Opened 3/04 36,188 30,223 30,223 20,327 Licensed Beds 20 385 198 199 138 214 130 701 544 544 406 Available Beds 20 385 198 199 138 214 130 669 544 544 382 ICU Beds 2 34 10 24 10 26 22 Did not Did not 116 84 84 50 25 (ICU participate. participate. Other critical care (define) - 27 (IMC) 10 (IMC) 36 (IMC/HCU) 20 (IMC) 34 (IMC) Stepdown) 25 (IMC) 47 IMC 47 IMC 28 IMC PICU Beds - - - 0 0 6 0 13 14 14 - Med/Surg Beds 16 120 98 108 66 96 58 96 290 290 139 OR Suites 2 9 6 10 6 8 8 24 25 25 11 Southern Hills Hospital and Medical Center Spring Valley Hospital Medical Center Summerlin Hospital Medical Center ED Information Adult ED Pediatric Adult ED Pediatric ED Volume, 2002 4,858 34,897 25,634 33,714 27,990 33,188 Opened 3/04 44,676 29,169 67,824 28,507 28,737 ED Volume, 2003 5,950 35,768 25,511 37,957 29,106 36,643 Opened 3/04 46,840 25,809 70,735 30,869 30,767 ED Treatment Stations 6 32 20 22 21 28 30 48 21 50 22 44 ED Admissions to OR, 2002 - 422 - - 213 299 Opened 3/04 - - - - 162 Did not Did not ED Admissions to OR, 2003 - 85 - - 194 354 Opened 3/04 - - - - 152 participate. participate. ED Admissions to Hospital, 2002 878 9,585 4,919 9,578 6,110 7,852 Opened 3/04 18,012 2,624 14,903 2,686 9,327 ED Admissions to Hospital, 2003 824 9,612 4,421 10,046 6,549 8,476 Opened 3/04 19,276 2,993 15,453 2,546 10,585 ED Transfers, 2002 165 708 - 606 591 601 Opened 3/04 690 0 908 31 1,224 ED Transfers, 2003 196 799 - 677 685 472 Opened 3/04 879 0 736 60 1,199 ED Diversion Hours, 2002 0 1,212 360 1,146 514 1,565 Opened 3/04 Opened 10/03 462 1,610 0 1,122 0 856 ED Diversion Hours, 2003 0 1,431 678 1,801 775 2,601 Opened 3/04 460 1,138 865 0 1,321 0 991 Notes: A dash indicates a value was not reported or not applicable. In the category of other critical care beds, IMC stands for Intermediate Care and HCU stands for High Care Unit. Valley Hospital Medical Center Individual hospital notes: Boulder City Hospital Lake Mead Hospital Medical Center St. Rose Dominican Hospital - Siena University Medical Center Available beds assumed = licensed beds Available beds assumed = licensed beds Available beds assumed = licensed beds 2002 and 2003 hospital admissions are fiscal year Also has 47 long term beds MountainView Hospital Sunrise Hospital and Medical Center Available beds assumed = licensed beds Also has 2 overflow med/surg beds OR suites are 7 general, 1 cysto, and 2 open heart Beds include 12 PIMC, 46 total pediatric inpatient beds Hospital beds include 29 pediatric beds Desert Springs Hospital Medical Center St. Rose Dominican Hospital - de Lima Available beds = Licensed minus 32 closed Main OR is 18 suites; endoscopy is 4; trauma is 3 Available beds assumed = licensed beds Available beds assumed = licensed beds ED transfers include those to mental health facilities ED treatment stations reported as 32 with 6 hold beds Also has Critical Care Overflow with 8 beds Valley Hospital Medical Center 28 ED tx stations in '03; 44 as of 3/04; 55 as of 6/04 Source: Individual hospitals; diversion data from CCHD Page 50
Page 1 and 2: SOUTHERN NEVADA CURRENT TRAUMA STAT
Page 3 and 4: Table of Contents Executive Summary
Page 5 and 6: Chronology of Trauma Care in Southe
Page 7 and 8: Exhibit 33 - Map Displaying Trauma
Page 9 and 10: • From January through April 2004
Page 11 and 12: Clearly trauma center staffing and
Page 13 and 14: A series of focus groups was also c
Page 15 and 16: • Information Management • Fina
Page 17 and 18: (This study did not attempt to meas
Page 19 and 20: County Health District Board of Hea
Page 21 and 22: on an average length of stay of 3.4
Page 23 and 24: Exhibit 8 - Projected Population Ch
Page 25 and 26: Trauma Stakeholder Interview Result
Page 27 and 28: three years, and felt that a Level
Page 29 and 30: EMS providers ranked Acute Care Fac
Page 31 and 32: Town Hall Meeting Comments A series
Page 33 and 34: (CAAS) and the air ambulance provid
Page 35 and 36: Triage Criteria The determination o
Page 37 and 38: With the exception of the year 2000
Page 39 and 40: Exhibit 20 - Trauma Patients by Age
Page 41 and 42: The following chart shows that abou
Page 43 and 44: Exhibit 27 - Trauma Ground Transpor
Page 45 and 46: E codes enable the classification o
Page 47 and 48: The day of the week with the greate
Page 49: A different view of the 2002 trauma
Page 53 and 54: The table below summarizes the key
Page 55 and 56: All EMS and ED stakeholders appear
Page 57 and 58: Exhibit 43 - Specialty Physician Co
Page 59 and 60: Clark County Health District has id
Page 61 and 62: Trauma Center Standards by Level Th
Page 63 and 64: Nevada Trauma Registry Submission R
Page 65 and 66: Trauma Center Capacity Benchmark Da
Page 67 and 68: ED Diversion Hours by Hospital ED D
Page 69 and 70: • This region would not pass a ta
Page 71 and 72: • Instead of calling it a tax, we
Page 73 and 74: Mesquite Town Hall Meeting The foll
Page 75 and 76: North Las Vegas Town Hall Meeting T
Page 77 and 78: Las Vegas Town Hall Meeting The fol
Page 79 and 80: Trauma Center Funding Comparison St
Page 81 and 82: Los Angeles County, CA Los Angeles
Page 83 and 84: Chronology of Trauma Care in Southe
Page 85 and 86: January 22, 1999 December 10, 2001
Page 87 and 88: List of Trauma System Assessment St
Page 89 and 90: Southern Nevada Trauma System Asses
Page 91 and 92: to hospitals that accept Medicare r
Page 93 and 94: ehabilitation - services that seek

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