Today's Trident - Trident Health System

Today’s Tridentcommunity Report 2011a new tradition

MissionWe create a caringenvironment wherehealing occurs.ValuesCustomer comes firstAction speakslouder than wordsRespect is the golden ruleExcellence ineverything we doMessagefrom ToDD Gallati, ceo of trident health2011 – what a year at Trident Health! A focus on quality and patient safety led theway to many achievements, presented in this 2011 Community Report.First, I want to say thank you to the Trident Health staff, physicians and volunteerswho continue to provide the very best in patient care and bring smiles to ourcustomers every day. As I make my daily rounds, I am amazed by your spirit,professionalism and knowledge. You are the reason The Joint Commission namedTrident Health’s facilities in the top 14% of America’s hospitals, rankingus as Top Performers in the care of AMI (heart attack), heart failureand pneumonia. You are “today’s Trident.”As you review this report, you’ll read stories about patients andTrident team members. Our patients are real people – your friendsand neighbors – who have trusted us with their health. At TridentHealth, we are continually expanding our services and programs,so we can continue to help those who need us most. The numbers,stories and statistics herein demonstrate that commitment.Trident Health Community Report 2011“Thank you to the TridentHealth staff, physicians andvolunteers who continueto provide the very best inpatient care and bring smilesto our customers every day.”Todd GallatiThere was a significant amount of “new” in 2011. Trident opened two specialty clinicsfor heart care – the Heart Failure Clinic and the Valve Clinic. In conjunction with severalfree educational events and screenings, these clinics help Trident’s Heart Center reachhundreds of individuals who need cardiac care.Trident was pleased to convert its remaining semi-private rooms to private rooms,to give patients more privacy as well as help control infection.Also new is Coastal Carolina Bariatric Center, which opened at Summerville MedicalCenter in February, providing surgical weight loss services. We introduced two newWound Care Centers, one at Trident and one at Summerville Medical Center. And,Summerville welcomed the much-needed expansion of its nursery to meet theneeds of the growing Dorchester County population.Speaking of expansion, we await the decision on whether Summerville will expandits hospital facility by an additional 30 beds, and are poised to begin constructionwhen we receive that approval.In Berkeley County, we continue to provide advanced emergency and diagnosticservices at Moncks Corner Medical Center (with more than 12,000 emergency visitsin 2011), and look forward to expanding Trident’s presence in Berkeley Countythrough our quest to build a hospital in Moncks Corner.I welcome your comments and suggestions as you read about our contributionsand advancements in the community. In the year ahead, I invite you to watch forannouncements about the new tradition of care at today’s Trident.To your health,2Todd Gallati

Benefitdata summaryEmployees:2,322AnnualAdmissions:20,870Volunteers:314Allied HealthProviders:83Physicians:502Outpatient Visits 162,090Annual ER Visits 106,357Surgeries 11,398Hours of Surgery 15,443Patient Meals Served 193,402Taxes PaidBirths:3,053Federal Income Tax $ 2,503,184State & Local Income Taxes $ 17,248,124Indigent Care Tax Credit $ 8,116,852Property Tax $ 2,017,505SC License Tax $ 454,964Sales Tax $ 6,224,599Cost of Charity andUncompensated Care$45,322,158Salaries & Benefits$133,774,000Capital Investment$11,676,895Physician SpecialtyCoverage$7,262,604Local Vendor Support$17,071,480Specialistsat Trident HealthTwo years ago, Trident Health saw a needfor more specialists to address patients’medical issues, and it looked within its HCAHealthcare family to HCA Physician Services(HCAPS) for help.One specific area of medical need identifiedwas stomach and intestinal care.HCAPS helpedTrident MedicalCenter recruit Dr.Rya Kaplan andDr. Robbie Tahato its Charlestoncampus,establishingCoastal CarolinaGastroenterology& Hepatology.“Thanks toDr. Robbie TahaHCAPS, we have been able to recruit twoGastroenterologists with advanced skills,which enables Trident Health to providemore complete coverage for our patients,”says Todd Gallati, CEO of Trident Health.Nationally, HCAPS operates nearly 600physician practices, and the number isexpected to grow significantly. Locally,HCAPS operates 13 practices in NorthCharleston, Summerville, Moncks Corner,James Island and Walterboro.The local group is a mix of internists,surgeons and other specialists. Forexample, the new Charleston HeartSpecialists will feature cardiologistDr. Darren Sidney, who specializes inelectrophysiology.The unique house-calls service, Doc at theDoor—which serves the elderly, disabledand homebound—added a secondphysician after joining HCAPS.Patient satisfaction scores for HCAPSpractices in the Charleston region average4.45 on a 5-point scale. Coastal CarolinaBariatric Center, which specializes inweight-loss surgery at SummervilleMedical Center, was one of the toppractices for patient satisfaction in HCAPSpractices nationwide in 2011.“We have outstanding physicians,” saysHCAPS area practice manager DebbieMorgenweck. “While some have joined usto fulfill a special need, others were alreadymembers of the medical community.Together, we are delivering high-qualityhealthcare to patients across SouthCarolina’s Lowcountry.”Trident Health Community Report 20113

Key Quality measuresTrident Health Community Report 2011Qualityand patient safetyAt Trident Health, providingquality patient care in asafe environment is at theforefront of our daily lives.Following the guidelinesof evidence-based careand achieving our patientsafety goals mean we areproviding the right care, forthe right patient at the righttime. That’s the definitionof quality care. Highlightedhere are several successfulinitiatives in 2011.The Joint Commission recognized Trident Medical Center and Summerville Medical Centeras Top Performers on key quality measures, placing Trident Health facilities in the top 14% ofhospitals in the nation. These measures include:Measure Trident State NationalHeart Attack Patients Given Aspirin at Arrival 100% 99% 99%Heart Attack Patients Given Percutaneous Coronary InterventionPCI (life saving treatment) Within 90 Minutes of Arrival 100% 95% 91%Pneumonia Patients Given Initial Antibiotic(s)within 6 Hours after Arrival 99% 96% 96%Pneumonia Patients Assessed and Given Pneumococcal Vaccination 100% 95% 94%Heart Failure Patients Given Discharge Instructions 97% 90% 90%Trident Medical Center and Summerville Medical Center also achieved Joint Commissionrecertification for Hip, Knee and Advanced Primary Stroke care. Both hospitals also receivedaccreditation as certified chest pain centers by the Society of Chest Pain Centers.Other quality and patient safety accomplishmentsEmergency CareSTEMI Door-to-Balloon (D2B) timesaveraged 53 minutes, well below thenational standard of 90 minutes.Cardiovascular Services - receivedquality recognition:• American Heart Association Getwith the Guidelines- Gold Plus Award – Heart Failure- Gold Award – AMI- Bronze - Stroke• Opened Heart Failure Clinic –505 visits, with 2% reduction inHF readmissions• Opened Valve Clinic – July 2011Wound CareTwo clinics opened in 2011, one atTrident and one at SummervilleMedical Center. Together, theydelivered 1,382 Hyperbaric Oxygentreatments and 4,989 specialtywound care treatments.VAP Rate:(Ventilator Associated Pneumonia)Lower numbers are betterRobotic-Assisted SurgeryTrident’s South Carolina Institute for Robotic Surgerycontinues to lead the Lowcountry in this excitingsurgical technology. Fourteen physicians are trainedto provide robotic-assisted surgery at Trident.Approximately 90% of hysterectomy andprostatectomy patients at Trident chooserobotic-assisted surgery. This is far higher than thenational average.Since its inception at Trident in 2008, the roboticsurgery program has grown by more than 30% eachyear. In 2011, the Trident robotics team performed662 surgeries.Robotic Surgeries Growth by year0 100 200 300 400 500 600 7002008200920102011CA-UTI Rate:(Catheter Associated Urinary Tract Infection)Lower numbers are better4National standard per1,000 ventilator days:1.9Trident Medical Center ICU:.35Summerville Medical Center:0.00National standard per1,000 catheter days:1.6Trident Medical Center ICU:1.21Summerville Medical Center:1.12

South Carolina institute forRobotic SurgeryFaced with aggressive prostate cancer, Summerville residentTom Hall searched the East coast for the best surgeon. Thatextensive search brought Tom home, where he met Dr. TedBrisson and Trident Health’s South Carolina Institute forRobotic Surgery. “It’s a great feeling to know the very bestwas in my own back yard all along.”Dr. Brisson had an excellent reputation, and Tom feltconfident placing his future in the doctor’s hands. “I wantedto go down this road with someone that I trusted completely.”Tom chose robotic surgery over traditional surgery afterresearch showed that robotic surgery requires a smallerincision and typically involves less pain, scarring and bloodloss, while also promising a quicker recovery. That wasimportant to Tom, whose active life includes drumming at hischurch and running – activities that might have been put onindefinite hold with traditional surgery. Three years after thesurgery, Tom is still cancer free. “Cancer is like a big bad bully.With the help of Dr. Brisson and robotic surgery, we were ableto land a couple upper cuts to cancer.”Robotic surgery helped Tom Hall get back to his active life faster.Over the past three years, Trident has emerged as a pioneerin robotic surgery, and in 2011, it performed 662 roboticprocedures, more than twice as many as any other hospitalin the Lowcountry. The South Carolina Institute for RoboticSurgery includes a team of 14 surgeons and dozens of staffspecifically trained to use the da Vinci Surgical System for awide range of procedures.Tom has no doubt having robotic surgery in his owncommunity turned out to be the right decision for him. Now,I’m in a place to share my story and educate others about theoptions they have.”Put Your Heart in the Right PlaceJohn Haynes woke up with chest pains onemorning and could hardly breathe. He didn’t knowwhat was wrong with him, and even when hewas diagnosed with heart failure at the hospital,he didn’t fully understand the chronic condition,which affects as many as 5.7 million Americans.With the help of Trident Health’s new HeartFailure Clinic, Haynes has learned what he can doto manage the symptoms and hopefully preventmore hospital stays.“They are helping meto understand what Iam going through,” hesays. “They shed thelight on it for me.”Trident Healthlaunched theoutpatient HeartFailure Clinic at the“They are helping me start of 2011, and overto understand whatthe summer added itsHeart Valve Clinic toI’m going through.help patients considerThey shed the light onoptions for treatingit for me.”heart valve disease.John HaynesBoth clinics provideeducation and supportfor patients so theycan make informed decisions and take charge oftheir heart health.The clinics are visible signs of Trident Health’sefforts to elevate its cardiac care to the highestpossible levels – a push that relies on the teamworkof staff, physicians and patients as well as thosewho care for patients after a hospital stay. “We’reall working to make sure the patient has the bestoutcome,” said Allison Walters, Assistant VicePresident of Cardiovascular Services.A clear measure of success for Trident Health’sheart attack patients is door-to-balloon (D2B)times. The clock starts ticking when the patiententers the hospital’s emergency servicesdepartment and stops when the blocked arteryis successfully cleared. The average D2B time atTrident Medical Center is 53 minutes—37 minutesfaster than national goals.Trident Health Community Report 20115

Caring off the Clocktrident employees give back to the communityTrident Health Community Report 20116Parrish Devereux admits that her longstanding support for local breast cancercauses is personal. She lost her mother, grandmother and two great aunts to thedisease. And she looked on, thankfully, as a great friend and mentor at work wonher breast cancer battle and celebrated survivorship.For more than 14 years, Devereux has registered for the Lowcountry Komen Racefor the Cure, joining the fight to forever end breast cancer. In 2011, Parrish helpedfacilitate an employee “Pink Glove Dance.” Over 30 Trident staff members performed achoreographed dance number to raise awareness for breast cancer.Trident staff members perform a “Pink Glove Dance” to raise awareness for breast cancer.Associate Administrator Susan Burroughs sees the volunteer spirit clearly as TridentHealth employees support the annual Trident United Way fundraising campaign, whichBurroughs helped lead within the organization and which Todd Gallati chaired for theLowcountry in 2011. She also sees it when Trident volunteers pull together during theUnited Way Day of Caring each September.In the 2011 Day of Caring, Trident teams assisted schools in Berkeley and Dorchestercounties with gardening projects and helped with wellness checkups of elementaryschool students in Charleston.“Everybody loves to give back here,” Burroughs says. “It’s part of the Trident culture.”Trident’s leaders literally “walk the walk” when it comes to personal involvement.Gallati and Summerville Medical Center CEO Louis Caputo were two of the biggestTrident Health fundraisers for this year’s LowcountryHeart Walk.The Heart Walk engages employees throughout theTrident Healthhealth system, which collectively raised more thanEmployees joined $37,500 this year. They did it through an array offorces to helpcreative fundraising endeavors, including a kickballtournament and karaoke.28 families enjoyhappy holidaysin 2011.New Clinicsat moncks cornermedical centerMoncks Corner and the surroundingcommunities have historically been“off the beaten path” when it comes tospecialized medical care, but TridentHealth is working to change that. Theaddition of new physicians’ offices atthe Moncks Corner Medical Center in2011 made specialty care and familymedicine easy to access for residents ofBerkeley County.The physician office suite at MCMC hasoffered family medicine, cardiologyservices and allergy services for afew years. During 2011, two OB/GYNpractices and a pediatrician movedin. Plans are underway to add anorthopedist and a gastroenterologistin 2012.“The community loves it.” Says AnnEdlund, director of Moncks CornerMedical Center. “Residents can getthe specialty care they need withouthaving to travel long distances.”In addition to being a full-service24/7 Emergency Center in BerkeleyCounty, Moncks Corner Medical Centeralso provides community outreachprograms, to help residents learnabout and take charge of their healthand wellness. This includes a popularLunch with the Doctor series, healthfairs, weight loss classes and theannual “Girls Night Out,” focused onthe prevention of breast cancer. TheTeddy Bear ER invites children to bringin their dolls or teddy bears for someTLC and learn that the ER isn’t such ascary place.Moncks Corner Medical Center isgrowing and expanding and willcontinue to be an important healthcarepresence in Berkeley County for yearsto come.

Baby BoomTrident Health boosts technology, adds spaceResearch shows it is in a newborn’s best interest to spend as much timeas possible with mom after delivery. Trident Health emphasizes “coupletcare” and provides the time and support needed to allow babies to roomwith moms in the hospital, maximizing available time for breastfeedingand bonding.“The goal is to keep mothers and babies together all the time, not toseparate them at all,” says Trident Health neonatologist Dr. ArthurShepard.But sometimes babies who are sick or struggling need extra help thattheir mothers can’t provide, and that’s when a specially equipped nurseryis extremely important. Trident Health has invested in substantialupgrades in its Level 2 nursery at Summerville Medical Center to makesure it is at the forefront of newborn care.ExpandingSummerville Medical CenterIn October of 2011, the South CarolinaDepartment of Health and EnvironmentalControl (DHEC) approved Summerville MedicalCenter’s (SMC) $26 million expansion project.The state’s decision reinforced the immediateneed for additionalhospital beds in theSummerville andDorchester Countycommunity.SMC was disappointedto learn thata competing hospitalappealed the State’sdecision, again delayingthe necessary expansion. SMC is the onlyhospital in all of Dorchester County.The 30-bed expansion will allow the hospital toattract new specialists to the area and furtherdevelop specialty care at the hospital. Theproject will also allow SMC to complete its goalof eliminating semi-private rooms, which willprovide patients with more privacy.Dr. Arthur Shepard with a newborn at Summerville Medical Center.Because Summerville Medical Center (SMC) is a favorite choice formany local families in our growing area, nursery improvements in 2011included growing by 50 percent. The extra room offers a “quiet-time area”for babies who need minimal stimulation and provides a comfortableplace for moms to visit.Noise-reducing ceilings also make for a more peaceful environment.Plus, the SMC nursery added advanced technology such as state-of-the-artcardiac monitoring and an Accuvein © device that reduces the number ofIV and blood draw sticks in newborns. New Giraffe beds serve as radiantwarmers or incubators for critically ill patients.Likewise, Trident Medical Center (TMC) has invested in new PandaWarmers to give its youngest patients a more comfortable and cozywelcome to the world. The Panda bed bathes a newborn in soothingwarmth, helping to avoid hypothermia. The warmer has built-incomponents for monitoring and respiratory therapy. “These bedsrepresent state-of-the-art integrated resuscitation stations,” says Dr.Shepard. “We have everything that we need essentially at our fingertips.”SMC CEO Louis Caputo says the State’s approvalto build sends a message that in South Carolina,the patient comes first. “We are pleased thestate honored its own health plan and we lookforward to getting started on this much neededproject focused on quality health care.”The construction project will add 30 medical/surgical beds to the 94-bed facility, convert18 semi-private rooms to private rooms, addan eight-bed critical care step down unit andexpand labor and delivery rooms. Constructionwill take approximately 36 months to complete.It is estimated this expansion will create 50 jobswithin the facility and 250 construction jobs.Trident Health Community Report 20117

a new tradition9330 Medical Plaza DriveCharleston, SC 29406Phone: (843)797-7000Fax: (843) 797-7001www.tridenthealthsystem.comSmall Patient,big personality, touches hearts of allLorenzo Newton is as full speed ahead as littleboys come. Expressive, liquid brown eyes light upat a friendly face – any one – and the infectious,mischievous giggle and klieg light smile simplycannot be resisted.One would never guess this sunny, pint-sizedwhirling dervish – barely two and a half yearsold – has cancer, much less just finished achemotherapy session less than an hour ago.Lorenzo Newton with presents he received from ER andCritical Care staff members.The squirms and giggles that seemingly powerthe small toy locomotive now speeding acrossthe break room table to crash into a cup full ofice, contrasts starkly with the quiet, steady voiceof the young mother recounting the momentwhen she had to listen to an emergency roomdoctor utter words all parents dread: “Your childhas cancer.” Lorenzo was suffering from acuteLeukemia.“That day I felt like I just couldn’t go on,” Lorenzo’smom, April Bennett said.However, faith in God, coupled with the veryreal presence of the caring, dedicated people atSummerville Medical Center’s Emergency ServicesDepartment, has helped her cope, she said.“I tell you, if I didn’t know God before, I sure knowhim now,” she said. “I think I’m doing really good –through faith I can do all things.”Thus far, the treatments seem to be working;Bennett says Lorenzo’s most recent tests show heis cancer free. In fact, if he continues to respondas well, his treatment team may be able todowngrade his treatment level and frequency to a“maintenance” level, she said.Chemotherapy for anyone is difficult toexperience and endure, yet Lorenzo seems to takeit all in stride, Bennett said. He has suffered few illeffects and doesn’t seem to mind the spinal tapsand the ports, she said.“He’s always up and running around, alwaysmoving, always eating. And he’s actually grownan inch.”That high energy, appetite, even physical growth,are all probably side effects of the steroids thatare a part of Lorenzo’s chemotherapy treatments,noted Laura Perdue, Director of EmergencyServices.Lorenzo’s story, however, is about much more thanthe bravery and good cheer shown by one of thesmallest of seriously ill patients. It’s even about morethan the courageous heartache two young parentsmust endure in every drip down a chemo line.Perdue noted that Bennett and Lorenzo’s father,Gilbert Newton have really stepped up to thecrisis, not only handling day-to-day issues butbecoming real cancer fighters and advocates.Their example has touched the hearts of so manyat SMC, so much so that the Emergency andCritical Care departments decided to adopt thefamily for Christmas, she said.“It was amazing,” April Bennett said. “Miss Laura(Perdue) told me she needed to see me and ledme into the Emergency Room. Then they pulledback the curtain on a room and there was a bedjust full of presents.”“This child and this family have touched us in away few ever do,” Perdue said. “In the ER, you peekinto people’s lives at the very worst times. You justknow when someone needs help – you can seethat somebody just needs a break.”“He (Lorenzo) inspires me,” security guard JamesRampersant said. “If he can go through whathe goes through the way he does, then there’snothing I can’t handle. That touched me.”He said the Christmas surprise was an experiencehe will always remember.“When I was able to help load that car withpresents, well, that to me was Christmas,” he said.“It’s not commercial – this is real.”By Jim Tatum, Summerville Journal Scene®Reprinted, in part, with permission.