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2010 Community Report - Lawnwood Regional Medical Center

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<strong>2010</strong><br />

COMMUNIT Y REPORT<br />

<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong><br />

& Heart Institute<br />

Ethan Stabile age 3<br />

ER Patient<br />

“I got an xray the one time I<br />

swallowed a penny. They had to<br />

take a picture of my belly and I<br />

saw it in there. I won’t swallow a<br />

penny again.”<br />

When Seconds Count, Count On Us...


O u r C o m m i t m e n t T o E x c e l l e n c e<br />

A Message From Our CEO<br />

Dear Neighbor,<br />

<strong>2010</strong> promises to be an exciting year of healthcare excellence<br />

for <strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> and Heart Institute. At<br />

<strong>Lawnwood</strong>, that means we’ll continue to bring breakthroughs<br />

in cardiac and women’s services to the area, as well as the latest<br />

diagnostic tools and procedures, to care for you and your family.<br />

In this community report, we focus on a few of these exciting developments, including the<br />

opening of <strong>Lawnwood</strong>’s Provisional Level II Trauma <strong>Center</strong>—that will become a permanent<br />

lifeline for Treasure Coast residents after we meet the marks for a state survey process in the<br />

coming months.<br />

With over 500 lives saved, our trauma team worked hard this past year and continues to grow.<br />

<strong>Lawnwood</strong> is adding trauma surgeons, orthopedics and plastic surgeons, plus millions of<br />

dollars in equipment and specialty physician coverage so that we are primed to become the<br />

Treasure Coast’s only trauma center, all for the benefit of the patients we serve. Our trauma<br />

orthopedic and neurosurgeons comprise <strong>Lawnwood</strong>’s new Orthopedic and Spine Institute,<br />

where the same trauma surgeons who handle the most complex injuries, also see new<br />

patients for general orthopedic health issues.<br />

<strong>Lawnwood</strong> continues to make strides in cardiac care, having the most experienced program<br />

and physicians in the Treasure Coast. This year, our cardiologists are offering a new lifesaving<br />

alternative cardiac procedure called valvuloplasty, for patients who are at high risk<br />

for open heart surgery. We are decorated as a Blue Cross/Blue Shield <strong>Center</strong> of Distinction<br />

for Cardiac Care ®, celebrating our 11th anniversary and look forward to the future with<br />

excitement. As a primary stroke center, we provide comprehensive care from the onset of the<br />

stroke to rehabilitation, to get you back on your feet again.<br />

We hope you find the information in this report useful to you and your family. It is our<br />

commitment always to be your partner in community health and wellness, and we are proud<br />

to serve the residents of the Treasure Coast.<br />

These advancements are all part of our continual efforts to bring the highest quality care to<br />

the community.<br />

Sincerely,<br />

Rodney Smith, CEO<br />

<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> & Heart Institute<br />

Cover photo taken at <strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> & Heart Institute- Emergency Room


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 & H e a r t I n s t i t u t e<br />

<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> & Heart Institute – Fort Pierce, FL<br />

<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> & Heart Institute Leadership<br />

Rodney R. Smith – Chief Executive Officer<br />

Robert Dunwoody – Chief Financial Officer<br />

Brenda Dupree– Chief Nursing Officer<br />

Jim Beatty – Chief Operating Officer<br />

“I have been a Cardiovascular Intensive Care Nurse for 23 years.<br />

I honestly can say that I am blessed to help others and make a<br />

difference on a daily basis. Of course, along the way, I faced challenges,<br />

have seen a lot of miracles and experienced some heartbreaks too.<br />

The one thing that always keeps me going, loving what I do & brings<br />

a smile to my face… is MY team. You are only a good as your team.<br />

I am so incredibly grateful because I have the pleasure of working<br />

with the best team anyone could ever ask for!<br />

“<br />

– Cherie A.Voyten, RN, BSN, CCRN<br />

Clinical Coordinator of CVICU at <strong>Lawnwood</strong><br />

<strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> & Heart Institute<br />

– 1 –


O u r C o m m i t m e n t T o E x c e l l e n c e<br />

<strong>Community</strong> Impact Summary*<br />

<strong>Lawnwood</strong>’s St atistics<br />

Total Patients Treated<br />

Annual Hospital Admissions<br />

Annual Emergency Visits<br />

OB Deliveries<br />

Total Medicaid Patients Treated<br />

Medicaid Market Share 1<br />

Total Uninsured Patients Treated 2<br />

Uninsured Care Market Share 1<br />

80,633<br />

17,025<br />

49,985<br />

1,199<br />

26,400<br />

50%<br />

15,720<br />

57%<br />

(1) does not include outpatients (2) excludes Medicaid patients treated<br />

HCA East Florida Facilities and Ser vices<br />

Hospitals<br />

Surgery <strong>Center</strong>s<br />

Diagnostic Imaging <strong>Center</strong>s<br />

Psychiatric Care Facilities<br />

<strong>Regional</strong> Laboratory<br />

Graduate <strong>Medical</strong> Education Program<br />

Number of Licensed Beds<br />

12<br />

12<br />

6<br />

4<br />

1<br />

6<br />

3,394<br />

HCA East Florida Hospit al Family<br />

Total Employees<br />

Total Physicians<br />

Total Volunteers<br />

13,260<br />

4,333<br />

1,749<br />

*<strong>Report</strong> reflects fiscal year 2009<br />

Bringing State-Of-The-Art<br />

Technology To South Florida<br />

Our 64-slice CT Scanner is used to read<br />

trauma patients within 10 minutes of<br />

arrival. Trauma surgeons are looking at<br />

this technology for head injuries or internal<br />

bleeding not detected by the naked eye.<br />

– 2 –


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 & H e a r t I n s t i t u t e<br />

<strong>Lawnwood</strong>’s Economic Impact<br />

Total Salaries & Benefits<br />

Cost of Charity & Uncompensated Care<br />

Taxes Paid:<br />

Federal Income Tax<br />

State Income Tax<br />

Indigent Care Tax<br />

Property Tax<br />

Sales Tax<br />

Unemployment Tax<br />

Other Local Tax<br />

TOTAL Taxes<br />

Capital Investment 1<br />

Total Local Vendor Support<br />

Minority & Women Owned Business Support<br />

Physician Specialty Coverage in the ED<br />

TOTAL Economic Impact<br />

$ 96,126,000<br />

$ 23,450,000<br />

$ 6,373,000<br />

$ 1,209,000<br />

$ 3,126,000<br />

$ 1,079,000<br />

$ 841,000<br />

$ 76,000<br />

$ 19,000<br />

$ 12,723,000<br />

$ 7,415,000<br />

$ 16,910,000<br />

$ 323,000<br />

$ 7,071,000<br />

$ 163,695,000<br />

(1) 5 year annual average<br />

Capital Investment<br />

5%<br />

Total Local<br />

Vendor Support<br />

10%<br />

Physician Specialty Coverage<br />

for Emergency Care<br />

4%<br />

Total Taxes<br />

8%<br />

Total Cost of Charity<br />

& Uncompensated Care<br />

14%<br />

Total Salaries<br />

& Benefits<br />

59%<br />

– 3 –


O u r C o m m i t m e n t T o E x c e l l e n c e<br />

A partial list of the<br />

organizations benefiting<br />

from <strong>Lawnwood</strong> <strong>Regional</strong><br />

<strong>Medical</strong> <strong>Center</strong>’s involvement:<br />

Access To Healthcare<br />

Alzheimer’s Association<br />

American Cancer Society<br />

American Diabetes Association<br />

American Stroke Association<br />

Big Brothers, Big Sisters of<br />

St. Lucie County<br />

CASTLE Child Abuse Services<br />

Economic Development Council of<br />

St. Lucie County<br />

Florida State University Foundation<br />

Healthy Kids<br />

Hospice of Okeechobee<br />

Hospice of the Treasure Coast<br />

Indian River State College<br />

Health Career Expansion<br />

March of Dimes<br />

New Horizons Children’s<br />

Behavioral Summit<br />

GIVING BACK TO OUR COMMUNITY<br />

<strong>Community</strong> Support<br />

<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> & Heart Institute is an affiliate of<br />

HCA East Florida. Our employees provide both financial and volunteer<br />

support to countless civic organizations, schools, colleges, city projects<br />

and nonprofit and charitable organizations in their communities.<br />

Uninsured/Underinsured Patient Education<br />

HCA East Florida Hospitals are committed to helping uninsured/<br />

underinsured patients qualify for local and state health benefits. Each<br />

hospital offers on-site benefit education and Medicaid enrollment<br />

assistance.<br />

Step Up for Students<br />

Since 2005, HCA has redirected corporate income tax to the Step Up<br />

for Students program. Through this gift, low-income students receive<br />

a K-12 scholarship enabling them to receive a quality education<br />

tailored for their specific needs. It is well documented that a “one size<br />

fits all” education is not the best approach for every student. Families<br />

with the means may choose the perfect school for<br />

their child, but that’s simply not an option for many<br />

people. Through this program children who qualify<br />

for the National School Lunch Program can receive<br />

scholarships. Qualifying parents can use these grants<br />

to send their child to the public or private school that<br />

best meets their child’s needs.<br />

Antonio Trigo A Step Up For Students Scholarship provided Antonio with the opportunity to attend a school<br />

that could meet his learning needs and he has excelled. Now in the ninth grade, Antonio is attending Miami<br />

Union Academy on the scholarship program and he is continuing to shine. Although he is a few years away from<br />

high school graduation, he has already begun to think about his future. He plans to attend college and pursue a<br />

degree in pathology.<br />

Port St. Lucie Police Athletic League<br />

St. Lucie County<br />

Chamber of Commerce<br />

Step Up for Students Program 1<br />

# of Low-Income Student Scholarships<br />

$45,475,000<br />

12,175<br />

St. Lucie County<br />

Fire Rescue Charities<br />

(1) Represents 5 year contribution for HCA Hospitals in the state of Florida.<br />

St. Lucie County<br />

Health Department Teen Clinic<br />

United Way of St. Lucie County<br />

WPSL Christmas Kids<br />

–4 –<br />

Flu Vaccine<br />

Legendary Coach Don Shula<br />

and his wife Mary Anne educate<br />

the community about the<br />

importance of getting the flu<br />

vaccine in a Public Service<br />

Announcement sponsored<br />

by HCA East Florida.


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 & H e a r t I n s t i t u t e<br />

Awards and Recognition<br />

<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> and Heart Institute received the American Stroke Association’s<br />

“Get with the Guidelines SM ” (GWTG–Stroke) Gold Performance Achievement recognizing <strong>Lawnwood</strong> for<br />

its commitment and success in implementing a higher standard of stroke care by ensuring that stroke<br />

patients receive treatment according to evidence-based guidelines. Primary Stroke <strong>Center</strong> <strong>Lawnwood</strong><br />

treated over 500 trauma patients in its first 6 months as a Provisional Level II Trauma <strong>Center</strong> since the<br />

opening on May 1, 2009. Serving the most-critically injured, The Treasure Coast Trauma <strong>Center</strong> now<br />

provides a much-needed center closer to home.<br />

<strong>Lawnwood</strong> was recognized for the integral role it has played in the Gift of Life Donation Initiative, assisting<br />

hospitals throughout the nation with organ donations. We are the only hospital in South Florida and the<br />

Treasure Coast to receive such an honor.<br />

In <strong>2010</strong>, <strong>Lawnwood</strong> <strong>Regional</strong>’s Heart Institute is a Blue Cross Blue Distinction <strong>Center</strong>s for Cardiac Care ®<br />

This designation demonstrates our commitment to quality care, resulting in better overall outcomes for<br />

cardiac patients.<br />

Major publications like Forbes, rank <strong>Lawnwood</strong> as one of the top hospitals in the nation for best outcomes.<br />

Our low complication and mortality rates for a variety of cardiac and general surgery procedures place<br />

<strong>Lawnwood</strong> at the top in the region.<br />

Hurricane Preparedness<br />

Primary<br />

Stroke <strong>Center</strong><br />

Certification<br />

Consult-A-Nurse ® Healthcare Referral & Information<br />

Volunteering<br />

For Cardiac Care<br />

American Trauma<br />

Society Member<br />

Each year Florida residents and visitors need to be ready for the effects of a hurricane or other natural<br />

disasters. For that reason, HCA East Florida arranges for comprehensive hurricane preparedness plans<br />

to ensure that our patients and staff who care for them are safe before, during and after the storm. Our<br />

hospitals have arrangements and contracts in place with vendors from around the state and nation<br />

to provide support, from on-site security, if needed, to medical supplies, additional generators, food,<br />

fuel, emergency transportation, building supplies and construction crews who can be dispatched<br />

immediately following the storm to make needed repairs to keep our hospitals operational.<br />

Consult-A-Nurse® is a free service from our HCA Hospitals designed to provide you with<br />

physician referrals and health information. Our nurses are available 24 hours a day by phone at<br />

1-866-4-HCA-DOCs (1-866-442-2362).<br />

Physician Referral – Our service makes finding a doctor easier by providing information about physicians<br />

affiliated with HCA hospitals, including medical specialty, skills and experience, physicians who are<br />

accepting new patients and office hours and location.<br />

Health Information – Our registered nurses 1 provide consultation and answer health-related questions.<br />

They do not diagnose conditions but provide information on many health subjects.<br />

(1) Please note that our Registered Nurses are licensed by the State of Florida and any health information is intended for individuals within the state.<br />

You should always consult with a physician in your area on any information provided.<br />

In 2009, HCA East Florida hospital employees and volunteers dedicated 284,550 hours of patient and<br />

family support. Events include participation in building homes with Habitat for Humanity, Making Strides<br />

for the American Cancer Society, and promoting wellness and education through complimentary health<br />

screenings and lectures. We sponsor the Team Storm Riders cycling team ranked 49th in the country for<br />

raising funds for the National Multiple Sclerosis Society, with riding members from our hospitals’ staff<br />

and physicians.<br />

– 5 –


O u r C o m m i t m e n t T o E x c e l l e n c e<br />

Quality & Patient Safety<br />

“Putting Patients First” is the foundation of our culture and passion for quality healthcare. Many of the<br />

initiatives we implement serve as national models for the industry today.<br />

n<br />

n<br />

n<br />

n<br />

hCareElectronic Health Record (EHR) - With EHR, access to patient health information is<br />

simplified by improving the quality, effectiveness and efficiency of healthcare by immediately<br />

providing clinicians with accurate information needed to<br />

provide optimum patient care. It is our belief that EHR will be<br />

one of the most fundamental support systems for optimizing<br />

the quality of healthcare that we provide in our facilities.<br />

hCare Hub/Mobility Physician Portal - The hCare hub portal<br />

integrates the Electronic <strong>Medical</strong> Record of our physician<br />

practices to our hospitals with the portal interface, allowing<br />

physicians access to their patients’ clinical records, allowing for<br />

more efficient use of their time and resources with information<br />

at their fingertips, both on their office computers and via smart<br />

phone mobile technology.<br />

eMAR Technology<br />

Computerized Physician Order Entry (CPOE) - CPOE is a patient safety technology that allows<br />

physicians to place orders directly into the clinical information system, checking each order<br />

against the patient’s allergies and other pertinent clinical information. Physicians are alerted to<br />

any potential contraindications or interactions at the time the orders are placed. HCA East Florida<br />

is moving to a streamlined process that eliminates opportunities for medical error. In addition<br />

to the safety checks, physician orders go immediately to the department(s) that will implement/<br />

initiate the order, leading to more timely and efficient patient care. The system also reduces the<br />

possibility of incorrect orders due to clinicians not having to interpret written/verbal orders. We<br />

have implemented this system in all of our hospitals’ Emergency Departments and as a hospitalwide<br />

pilot at St. Lucie <strong>Medical</strong> <strong>Center</strong>.<br />

Electronic Bar-Coded Medication Administration (eMAR) - HCA East Florida has implemented<br />

eMAR in all of our hospitals to reduce the risk of medication errors. The critical components of this<br />

safety technology are bar-coded armbands, bar-coded medications, and safety checks within the<br />

eMAR software.<br />

“The nurse gave me a shot when I was sick.<br />

I had a hard time breathing and they put<br />

a mask on me with an elephant on it to<br />

make me laugh.<br />

“<br />

– Ethan Stabile, Age 3<br />

ER Patient<br />

– 6 –


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 & H e a r t I n s t i t u t e<br />

n<br />

n<br />

n<br />

n<br />

Each patient receives an armband with their own unique bar code. Before a medication is<br />

administered, the bar code on the patient armband and the bar code on the medication is scanned<br />

allowing the nurse, or therapist, to verify the right patient is receiving the right drug in the right<br />

dose at the right time. The software checks each medication against the patient’s drug history<br />

and lab results. If conflicts or potential drug interactions are identified, warnings alert the nurse to<br />

double check, verify and/or call the doctor before administering the medication.<br />

HCA’s results with eMAR have been instrumental in encouraging the FDA to develop a standardized<br />

bar code system for use throughout the pharmaceutical industry and at all hospitals to reduce the<br />

risk of medication errors that can seriously harm patients.<br />

Picture Archiving and Communications Systems (PACs) & MUSE - The PACs system stores digital<br />

versions of patients’ clinical images such as CT and PET scans, MRIs and XRays so that they can<br />

be readily accessed by our clinicians at the hospital or remotely. The MUSE system digitizes EKG<br />

tracings also allowing for easy access for clinicians.<br />

Voice Recognition System - This system creates efficiency in our radiology departments by<br />

allowing our physicians to report their clinical findings directly on a system that recognizes their<br />

voice, eliminating the delays often caused by transcriptions. The report then gets reviewed on<br />

screen by the radiologist where it can be corrected, signed and sent for utilization by other clinicians<br />

usually within a 30 minute time frame.<br />

Emergency Department Management Module (EDM) - The Emergency Department<br />

Management Module (EDM) is used to manage the flow of patients through the emergency<br />

department from the patient’s arrival into the department through their departure. Both CPOE and<br />

eMAR fully integrate into EDM allowing for streamlined communication of orders and medication<br />

administration between physicians and ED staff. EDM is also the technology that allows HCA East<br />

Florida to measure and track ER wait times accurately and in a timely manner.<br />

Telehealth - HCA East Florida Division is piloting at JFK <strong>Medical</strong> <strong>Center</strong> the ability to monitor patients<br />

from a distance using electronic devices to record and send measurements of patient vital signs.<br />

Telehealth technologies are evolving to provide both patients and healthcare professionals with<br />

real-time interactive health systems that can engage both patients and their care management<br />

teams more fully in the treatment of their conditions. Upon discharge, patients are monitored and<br />

managed from home.<br />

“<br />

Physicians who served in the War<br />

on Terror in Iraq and Afghanistan<br />

see the worst combat traumas<br />

imaginable. The war zone makes<br />

us more experienced to handle the<br />

everyday worst nightmare here in<br />

America.<br />

– Danny Jazarevic, MD, PhD<br />

“<br />

Chief Trauma Surgeon<br />

– 7 –


O u r C o m m i t m e n t T o E x c e l l e n c e<br />

SPECIALIZED CARE<br />

Emergency Department Excellence<br />

For the last few years, the entire HCA East Florida Division has been<br />

working diligently to improve the effectiveness and efficiency of its<br />

Emergency Rooms. Our strong focus on enhancing care and improving ER<br />

processes has dramatically reduced wait times to below national averages.<br />

In fact, we’re so successful, average ER wait times are available to the<br />

public. Using various innovative methods local residents have immediate<br />

access to average ER wait times. Patients have easy access to an estimate<br />

of how long they will have to wait to receive care in the ER, therefore<br />

providing them with the resources to make informed medical decisions<br />

about their urgent needs when seconds count. Wait times for all of our<br />

hospitals are updated every 30 minutes and are available on:<br />

• Via text message: Text “ER” to 23000 • iPhone Web Application: http://er.hcaeastflorida.com<br />

• iPhone “iTriage” Application: AppStore • Roadside Digital Billboards throughout our region.<br />

<strong>Lawnwood</strong> Heart Institute<br />

<strong>Lawnwood</strong> Heart Institute is a nationally recognized cardiac center located in the heart of the Treasure<br />

Coast. A team of renowned cardiologists are excelling as a Blue Cross Blue Shield <strong>Center</strong> of Distinction for<br />

Cardiac Care, showing the lowest mortality rates and best outcomes in the region. We are opening our<br />

patients options up with newly offered procedures, like Cardiologist’s Dr. Prasad Chalasani is providing<br />

hope with a newly-offered procedure called valvuloplasty, a valve replacement surgery option for those<br />

too fragile for open heart surgery. The same excitement came when <strong>Lawnwood</strong> pioneered open-heart<br />

surgery on the Treasure Coast in 1999, and today remains the leader with the best outcomes in heart<br />

and vascular surgery. “We have done over 4,000 open heart surgeries since we began,”said The Heart<br />

Institute’s Dr. Peter Downing. “During that time, the hospital has done over 38,000 heart catheterizations<br />

and over 6,000 interventions with balloons and stents. The experience here is better than anybody<br />

certainly in the 2-county area we serve, but also better than most of the hospitals to the South of us and<br />

the north of us.” Downing said.<br />

“What happens in an experienced hospital is<br />

teamwork. We can get better results with our<br />

patients because the team has been here for<br />

a long time. Certainly we have tremendous<br />

teamwork with our cardiologists, who also have<br />

some of the best outcomes in the country.<br />

– T. Peter Downing, MD<br />

with Heart Institute Team<br />

<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong><br />

& Heart Institute<br />

“<br />

– 8 –


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 & H e a r t I n s t i t u t e<br />

<strong>Lawnwood</strong> Rehabilitation <strong>Center</strong><br />

Victor Dasilva, MD<br />

Anjan Shah, MD<br />

<strong>Lawnwood</strong> Pavilion is home to our 34-bed inpatient<br />

rehabilitation center. As the only facility of its kind in<br />

the county, the center serves patients throughout the<br />

Treasure Coast and provides a range of services aimed at<br />

returning patients to a quality lifestyle. Services include<br />

physical and occupational therapies, speech/language<br />

pathology and 24-hour rehabilitation nursing. Care is<br />

directed by a full-time medical director trained to meet<br />

the needs of the patients.<br />

Our Orthopedic and Spine institute is staffed by our<br />

Treasure Coast Trauma Surgeons.<br />

They handle the most complex<br />

injuries through our trauma center.<br />

When doing non-traumatic injuries,<br />

Dr. Anjan Shah is an expert in critical<br />

pelvic fractures, Dr. Victor DaSilva is<br />

an expert in brain and innovative spine procedures like kyphoplasty, a<br />

surgery to relieve pressure on the spine, and decrease back pain. Orthopedic<br />

Surgeon William Stanton garnered hands-on trauma experience serving our<br />

country overseas in Iraq and Afghanistan.<br />

Women and Children’s Services<br />

The labor and delivery unit is comprised of seven labor/delivery/recovery<br />

suites which provide a comfortable homelike environment. An operating<br />

room on the unit makes it convenient for patients needing a cesarean<br />

section to be cared for by the same caring, professional staff. The team of<br />

highly skilled medical/nursing and support staff is committed to providing<br />

quality care to families through the entire birth experience. <strong>Lawnwood</strong> is<br />

home to the county’s ONLY LEVEL II NEONATAL INTENSIVE CARE UNIT. The<br />

unit’s ability to care for infants weighing more than 2 pounds, 3 ounces,<br />

allows parents of those special babies to stay in their community close to<br />

family and friends while their child is receiving care. The NICU is staffed<br />

by a neonatologist. The twelve-bed pediatric unit provides a caring and<br />

comfortable environment for delivering care to sick and injured children.<br />

– 9 –


O u r C o m m i t m e n t T o E x c e l l e n c e<br />

SPECIALIZED CARE (continued)<br />

Radiology and Diagnostic Imaging Services<br />

The Radiology Department provides full-service<br />

diagnostic imaging specializing in interventional<br />

and women’s imaging. We offer the latest in<br />

diagnostic imaging studies, including the new<br />

64-slice CT scanner that provides superior image<br />

quality and quicker scans. The department is<br />

staffed by registered/licensed technologists of<br />

the American Registry of Radiologic Technologists<br />

in addition to technologists with advanced<br />

certification in CT Scan Imaging.<br />

<strong>Lawnwood</strong>’s MRI technology delivers breakthrough<br />

results from an image quality, application, and<br />

enhancement perspective. The combination of<br />

faster and better scanning has proven to significantly<br />

decrease the time for the patient in the magnet,<br />

which is a plus for both physicians and patients alike.<br />

The patients no longer have to come back a second<br />

time to obtain the highest quality images.<br />

Another technological advance is the use of PACS<br />

(Picture Archiving Communication System). This<br />

system allows a team of physicians to view and<br />

manipulate images simultaneously, even from<br />

separate locations.<br />

Outpatient Psychiatric and Mental Health Services<br />

Our outpatient psychiatric services, located in Fort Pierce, is staffed by a fully licensed psychiatrist who<br />

offers a wide array of services ranging from individual therapy to medication management. Our Access<br />

Team offers free assessments 24 hours a day, 7 days a week. This is an opportunity to explore any mental<br />

health or substance abuse issues that may be troubling you or a loved one. Based on the information<br />

shared in the assessment, our trained professional staff can make a recommendation for assistance<br />

that will meet your needs. We respond to psychiatric emergencies at emergency departments, medical<br />

offices, nursing homes, schools, and law enforcement facilities to provide expert consultation and<br />

referral for mental health problems.<br />

– 10 –


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 & H e a r t I n s t i t u t e<br />

Treasure Coast’s First Provisional<br />

Level II Trauma <strong>Center</strong><br />

<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> and<br />

Heart Institute’s Treasure Coast Trauma<br />

<strong>Center</strong> (Provisional Level II) receives<br />

traumatically injured patients from St.<br />

Lucie, Indian River, Okeechobee, and<br />

Martin counties. Patients are brought by<br />

air and by ground to <strong>Lawnwood</strong>’s Treasure<br />

Coast Trauma <strong>Center</strong> (Provisional Level II)<br />

for care by the specialized Trauma Team.<br />

This team includes Trauma / Critical Care<br />

Surgeons, Trauma Orthopedic Surgeons,<br />

Neurosurgeons, Plastic Surgeons, and a<br />

cadre of specialized physicians and more<br />

than 100 trauma-specialty trained nurses.<br />

Trauma surgeons Front row: Dr. Victor DaSilva, Neurosurgeon; Dr. Kenneth Bridges, General Surgery;<br />

Dr. Danny “J” Jazarevic, Chief Trauma Surgeon; Dr. Christian Schuetz, General Surgery; Dr. Anjan Shah,<br />

Orthopedic Trauma Surgeon Back Row: Dr. Bob O’Connor, General Surgery; Ali Hobson, P.A.;<br />

Stephen Sanders, P.A.; DR. Don Wood, ER Chief; Crista Porpiglia, P.A.<br />

On March 29, <strong>2010</strong>, the Treasure Coast<br />

Trauma <strong>Center</strong> (Provisional Level II)<br />

will undergo an intensive Site Survey<br />

administered by the Florida Department<br />

of Health to demonstrate compliance with<br />

the strict regulations set forth for trauma centers. After successful completion of this Site Survey, The<br />

Treasure Coast Trauma <strong>Center</strong> (Provisional Level II) will be a permanent Verified Level II Trauma <strong>Center</strong><br />

to serve all residents in the region.<br />

A Trauma <strong>Center</strong> differs from a typical emergency department in that it is equipped to provide<br />

specialized, comprehensive emergency medical services to patients suffering traumatic injuries. A key<br />

component is having a trauma surgeon at the patient’s bedside within minutes after notification of<br />

the arrival of a patient judged to be in need of rapid assessment of injuries, which is a critical factor in<br />

successful treatment. The Trauma Surgeon is the captain of a Trauma Team that is rapidly assembled<br />

before the patient arrives. EMS triages patients according to the seriousness of their injuries, and<br />

transports the most seriously injured to <strong>Lawnwood</strong>’s Treasure Coast Trauma <strong>Center</strong> (Provisional Level<br />

II). The specialized training, experience, and skills of the center’s surgeons, physicians, nurses, and staff<br />

have been responsible for saving more than 400 lives and hastening patient recoveries at every stage<br />

of the process.<br />

The Official Florida Hospital of the<br />

– 11 –


O u r C o m m i t m e n t T o E x c e l l e n c e<br />

<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> & Heart Institute – Fort Pierce, FL<br />

<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> & Heart Institute is a proud affiliate of HCA East Florida Division.<br />

The East Florida division, located in Ft. Lauderdale, encompasses 12 hospitals in South Florida and the<br />

Treasure Coast. In addition, we have multiple ambulatory surgery centers and imaging centers, a supply<br />

chain center and an integrated regional laboratory.<br />

Almost 510,000 patients were treated in our emergency departments. The steady improvements in<br />

intake processes in the ERs at all HCA East Florida hospitals between 2007 and 2009 are a reflection<br />

of a huge team effort. Emergency Department directors, Emergency Department staff, radiology, lab,<br />

registration staff and physicians were all involved in dramatically cutting the time patients wait for<br />

a physician and total treatment time. Various innovative methods are available to local residents to<br />

access immediate average ER wait times. Wait times for all of our hospitals are available through: Text<br />

messaging: Text “ER” to 23000; iPhone web application, http://er.hcaeastflorida.com; iPhone “iTriage”<br />

Application: AppStore; and through roadside digital billboards throughout our region.<br />

We are also upgrading technology at an unprecedented rate to ensure we can continue to provide<br />

clinical excellence and optimal patient outcomes. From a new CyberKnife at JFK <strong>Medical</strong> <strong>Center</strong> and a<br />

Synergy S at Aventura for the latest in cancer fighting technology to the Electronic Health Record (EHR),<br />

our facilities have integrated wireless and digital technology through all modalities. Robotics is another<br />

strong focus – we are now up to six Robotic programs – enabling surgeons to perform precision work<br />

with very small incisions and faster recovery.<br />

Our hospitals have done an outstanding job focusing on quality and operations, with many of them now<br />

Accredited Chest Pain <strong>Center</strong>s, Joint Commission Certified Primary Stroke <strong>Center</strong>s and Cancer <strong>Center</strong>s<br />

accredited by the American College of Surgeons Commission on Cancer. All of these represent the gold<br />

standard of care today, awarded by independent accrediting organizations.<br />

– 12 –


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 & H e a r t I n s t i t u t e<br />

<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong> & Heart Institute<br />

1700 South 23rd Street<br />

Fort Pierce, FL 34950<br />

772-461-4000<br />

www.lawnwoodmed.com<br />

Printed on recycled paper.


<strong>Lawnwood</strong> <strong>Regional</strong> <strong>Medical</strong> <strong>Center</strong><br />

1700 South 23rd Street • Ft. Pierce, FL 34950<br />

772-461-4000 • www.lawnwoodmed.com<br />

To speak to a nurse regarding health questions or referrals, please call toll-free 1-866-4-HCA-DOCs (1-866-442-2362).

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