Current Trauma Status Report - Southern Nevada Health District

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The Abaris Group extracted two variables from the table above, ED volume and ED treatment stations. During 2003, the hospitals reported an overall increase in ED visits of 6.4 percent for the 11 reporting EDs. Exhibit 38 – ED Volume by Hospital ED Volume by Hospital in Clark County, 2002 and 2003 Hospital 2002 2003 Percent Change Boulder City Hospital 4,858 5,950 22.5% Desert Springs Hospital Medical Center 34,897 35,768 2.5% Lake Mead Hospital Medical Center 25,634 25,511 -0.5% Mountain View Hospital 33,714 37,957 12.6% St. Rose Dominican Hospital - de Lima 27,990 29,106 4.0% St. Rose Dominican Hospital - Siena 33,188 36,643 10.4% Southern Hills Hospital and Medical Center 1 - - - Spring Valley Hospital Medical Center 2 - - - Summerlin Hospital Medical Center 2 - - - Sunrise Hospital and Medical Center, Adult 44,676 46,840 4.8% Sunrise Hospital and Medical Center, Pediatric 23,185 25,809 11.3% University Medical Center, Adult 67,824 70,735 4.3% University Medical Center, Pediatric 28,507 30,869 8.3% Valley Hospital Medical Center 28,737 30,767 7.1% Total 353,210 375,955 6.4% 1 Opened in March 2004. 2 Did not participate in the survey. Note: The 2002 ED volumes reported by the individual hospitals vary in some cases from those reported by the Nevada Division of Health Care Financing and Policy. The discrepancy is due to minor differences in inclusion criteria between the two sources. Source: Individual hospitals The following table presents the number of ED treatment stations or ED beds by hospital and the ratio of visits per ED treatment station. It is interesting to note that the national average for the number of patients per ED treatment station is 1,700 to 2,000. All reporting hospitals were below this average in 2003. Exhibit 39 – ED Visits per ED Treatment Station ED Visits per Treatment Station by Hospital Hospital 2003 ED Visits ED Stations Visits/ED Stations Boulder City Hospital 5,950 6 992 Desert Springs Hospital Medical Center 35,768 32 1,118 Lake Mead Hospital Medical Center 25,511 20 1,276 Mountain View Hospital 37,957 22 1,725 St. Rose Dominican Hospital - de Lima 29,106 21 1,386 St. Rose Dominican Hospital - Siena 36,643 28 1,309 Southern Hills Hospital and Medical Center 1 - 30 - Spring Valley Hospital Medical Center 2 - - - Summerlin Hospital Medical Center 2 - - - Sunrise Hospital and Medical Center, Adult 46,840 48 976 Sunrise Hospital and Medical Center, Pediatric 25,809 21 1,229 University Medical Center, Adult 70,735 50 1,415 University Medical Center, Pediatric 30,869 22 1,403 Valley Hospital Medical Center 3 30,767 28 1,099 Total 375,955 328 1,146 1 Opened in March 2004. 2 Did not participate in the survey. 3 28 ED treatment stations during 2003; 44 as of 3/04; 55 as of 6/04 Source: Individual hospitals Page 51
The table below summarizes the key capacity statistics from Exhibit 32 – Hospital and ED Statistics. Exhibit 40 – Hospital Capacity Summary Hospital and Emergency Department Capacity Statistics Desert Springs Hospital Medical Lake Mead Hospital Medical St. Rose Dominican Hospital St. Rose Dominican Hospital Statistic Boulder City Hospital Center Center MountainView Hospital - de Lima - Siena Center Center Center Sunrise Hospital and Medical Center University Medical Center 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 22 116 84 84 50 25 (ICU Did not Did not Other critical care (define) - 27 (IMC) 10 (IMC) 36 (IMC/HCU) 20 (IMC) 34 (IMC) Stepdown) participate participate 25 (IMC) 47 IMC 47 IMC 28 IMC Med/Surg Beds 16 120 98 108 66 96 58 96 290 290 139 Southern Hills Hospital and Medical Spring Valley Hospital Medical Summerlin Hospital Medical ED Treatment Stations 6 32 20 22 21 28 30 48 (adult) 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. 21 (pediatric) 50 (adult) Valley Hospital Medical Center 22 (pediatric) 44 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 Available beds assumed = licensed beds Also has 47 long term beds MountainView Hospital Sunrise Hospital and Medical Center Hospital beds include 29 pediatric 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 Desert Springs Hospital Medical Center St. Rose Dominican Hospital - de Lima Available beds = Licensed minus 32 closed Valley Hospital Medical Center Available beds assumed = licensed beds Available beds assumed = licensed beds 28 ED tx stations in '03; 44 as of 3/04; 55 as of 6/04 ED treatment stations reported as 32 with 6 hold beds Also has Critical Care Overflow with 8 beds Source: Individual hospitals Page 52
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 and 50: A different view of the 2002 trauma
Page 51: As part of The Abaris Group’s tra
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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