The document discusses plans for a new Critical Care Pavilion at MetroHealth hospital. It will nearly double the size of the emergency department and operating rooms to meet growing demand. The new facility will improve patient care and outcomes with expanded trauma and children's units, more operating rooms near related services, and a better layout. The pavilion will ensure the community has access to lifesaving emergency and surgical services into the future. The campaign seeks donations to fund the new building and continued excellence in patient care, education, and research.

1. C o m m i t m e n t t o E x c e l l e n c e
ritical Care Pavilion
The MetroHealth System

2. Table of Contents
One Patient’s Story . . . . . . . . . . . 3
The Health Care Challenge . . . . . . 5
Major Expansion for the Future . . 6
Benefits to the Community . . . . . 9
How You Can Help . . . . . . . . . . . . . 11

3. One Patient’s Story. Trauma knows no boundaries.
Accidents can happen to anyone of any age and at any time. MetroHealth
offers one of the nation’s best models for delivering care to patients in
need of urgent treatment from the roadside to the bedside. Our distinction
as Greater Cleveland’s top-level trauma center is a testament to the
excellence of our round-the-clock, on-site staffing to care for critically ill,
injured, or burned children and adults.
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He said it was a radical
option but that if Kelly
was his daughter that’s
what he would do.
I was so comforted
knowing that the doctor
was thinking of her
as his own child.
Everyone from the
surgeons and nurses to
the Child Life staff
treated us like family.
MELINDA
MOTHER OF KELLY,
A METROHEALTH PEDIATRIC
TRAUMA PATIENT
On a hot summer morning, Kelly’s life changed dramatically. The 10-year-old
was on her way with family members to spend the day at a local amusement
park when she darted out into traffic and was hit by a speeding car.
Kelly’s head and leg injuries were so serious that the EMS crew called Metro
Life Flight for immediate assistance. The flight surgeon and nurse cared for her
at the accident scene and throughout the 20 minute flight to MetroHealth.
“They called me at work and by the time I arrived she had already been
assessed by the trauma team,” recalls Kelly’s mother, Melinda. “She had so
many injuries, but the most serious were three bruises to her brain. Over
the course of the next few days, doctors told me that her brain was going to
swell from the injury. So it was a waiting game. The brain injury had to be
treated first.”
“By the second day, Dr. Likavec, her neurosurgeon, told me that Kelly wasn’t
responding to the treatments. He recommended a craniectomy where they
temporarily remove part of her skull to alleviate the pressure in her brain.
They knew exactly what to do and worked as a well-orchestrated team.”
Kelly’s brain surgery was a success and the orthopaedics and plastic surgery
teams proceeded to repair her shattered leg, ankle, eye sockets, and cheekbones.
Just three months after the accident, the neurosurgery team replaced the por-
tion of her skull that was removed earlier. Within weeks, Kelly returned to
school and is getting back to her normal little girl life.

5. The Health Care Challenge. Time is the greatest
threat to a person suddenly faced with a traumatic illness, injury, or
burns. With the closing of Greater Cleveland’s other top-level trauma
centers at St. Luke’s and Mt. Sinai Medical Centers, the demand for expert
triage, trauma, and surgical care for children and adults experiencing an
acute health crisis is more critical than ever.
We care for nearly
80,000 children and
adults annually in the
Emergency Department,
nearly double the
capacity for which
it was designed.
We expect to reach
100,000 visits and
need to replace this
facility which was last
renovated 20 years ago.
CHARLES EMERMAN, MD
CHAIR, DEPARTMENT OF
EMERGENCY MEDICINE
Trauma is often referred to as the neglected epidemic. It is the leading cause
of death among children and adults to age 45 and accounts for over $150
billion in costs associated with medical expenses, loss of income, disability,
and death. Its impact on the quality of life far exceeds cancer, heart disease,
stroke, and other well-known diseases. Yet, research funding to develop new
trauma prevention programs, discover better treatments, and advance surgical
techniques is very low compared to other major health threats.
Locally, the closing of trauma centers and decline in public funding limit
our community’s capacity to care for people whose lives depend on access to
sophisticated trauma services and a highly integrated continuum of acute
care, rehabilitation, and home-based services.
MetroHealth − the region’s trauma center for adults and children −
is taking the lead with the Commitment to Excellence campaign.
The centerpiece of the campaign, a new Critical Care Pavilion, is an
opportunity for the community to support the construction of a state-of-the-
art facility in which our emergency, trauma, and surgical teams will ensure
that patients receive life-saving care.
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6. Major Expansion for the Future. The new Critical Care Pavilion meets the
increasing demand for emergency care, the need for additional surgical facilities large enough to
accommodate medical equipment, and our desire to be fully prepared to respond to a major disaster in
the community. It will be nearly double the size of existing emergency and surgical care facilities. Three
floors for patient care can be added to the building to accommodate future growth, if needed.
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Ground Floor - Emergency Department
Children’s Assessment Center
25,000 babies and children are treated
in MetroHealth’s Emergency Department
each year. The new facility includes a
specially equipped children’s area staffed
by Pediatric Emergency specialists.
Expanded Trauma Capacity
Six dedicated rooms and ultrasound
equipment at each bedside help the
trauma team more rapidly assess patients’
injuries, particularly abdominal bleeding
and other difficult-to-diagnose conditions.
Lobby and Rotunda Atrium
New public entrance off Scranton Avenue
enhances patient access to the Critical Care
Pavilion and improves traffic flow away
from the ambulance area. The expansive
atrium lobby includes a permanent display
to recognize donors.
Cardiac Observation Center
Fourteen dedicated beds in close proximity
to the imaging unit enhance the ability of our
diagnostic team of emergency physicians,
cardiologists, and radiologists to more quickly
identify heart conditions and
provide immediate care.

7. Locating our surgery and
critical care services in the
new Critical Care Pavilion
will be achieved in less
time, at less cost, and with
less disruption to patients
than renovating the
existing building.The
existing facility can
then be rededicated to
other patient care
programs that desperately
need to expand.
MARK MALANGONI, MD
CHAIR, DEPARTMENT OF
SURGERY
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First Floor - Operating Rooms and Family Reception Area
Operating Rooms
Surgical cases continue to rise with the increased
demand for trauma and emergency care. Twenty
state-of-the-art operating rooms (a 25% increase over
current capacity) in proximity to Metro Life Flight, the
Burn Center, and other critical care services
promote more effective patient care.
Surgical Services
Last renovated over 40 years
ago, MetroHealth’s current
surgical areas need to be
updated to accommodate future
technology. The new reception
area and recovery rooms
provide a much more
comfortable environment
for patients and their families.

9. Benefits to the Community. A well-equipped center
for critical care to support a highly qualified medical team is essential to
the health of Greater Cleveland. It ensures the community can respond to
unpredictable events even after the closing of two other trauma centers by
providing needed capacity for emergency and surgical care. It facilitates
the recruitment and retention of top trauma, emergency, and surgical
specialists and the training of new physicians.
Consolidating our high-demand trauma, emergency medicine, and surgical care
into a single facility will help enhance patient care, provide a more comfortable
environment for patients and visitors, and better meet current needs and
projected demand for services well into the future.
The positive impact of a well-designed health care environment is proven to
help patients feel better about their care, decrease waiting time, reduce the need
for pain medication, and speed their recovery. Studies have demonstrated that
effectively designed facilities can decrease operational expenses and increase
staff retention rates.
Segmenting the emergency department into specialized clinical areas
benefits patients in MetroHealth’s nationally recognized research investigations
in asthma, geriatric falls, heart failure, stroke, and trauma and provides an
improved teaching environment. Better tracking of health problems as they
are presented and offering more opportunities to involve patients in voluntary
clinical studies help physician and nurse researchers develop more effective
prevention, diagnostic, and treatment options for common conditions that
affect people across the span of their lives.
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PhotoprintedwithpermissionofThePlainDealer.
MetroHealth is
Northeast Ohio’s only
urban hospital and
academic medical center
that has the talent and
advanced technology
to care for the most
critically ill or injured
people. This facility
will help us meet the
need for sophisticated
trauma care now and
well into the future
WILLIAM FALLON, JR., MD, MBA
DIRECTOR, DIVISION OF TRAUMA,
CRITICAL CARE, BURNS, AND
METRO LIFE FLIGHT

11. How You Can Help. With your financial support, the new
Critical Care Pavilion will benefit everyone in Northeast Ohio. We will
have the capacity needed to respond to emergencies and catastrophes in
caring for critically ill, injured, or burned children and adults. Your gift will
make a difference in the lives of others by ensuring that they receive
life-saving care.
A core value of MetroHealth’s mission − providing high quality health care
regardless of ability to pay − helps us attract top talent and be at the forefront
of excellence in medical education and research. This commitment obligates
us to ensure that the community is aware of issues that can impact our ability
to accomplish this mission.
There are a number of factors that prevent MetroHealth, on its own, from
being able to generate all of the funding needed to make investments that will
ensure the future of important community services:
Hospital closings have shifted the burden for care to MetroHealth
Increases in the number of working poor with no health coverage due
to changes in the economy and welfare-to-work programs
Public funding has not kept pace with today’s health care needs
Our charity care has grown to $100 million annually, making
MetroHealth one of Ohio’s largest charitable organizations
The solution to this challenge is to increase awareness of the impact these
changes have on the community and gain the commitment of philanthropists,
grant makers, and civic leaders to embrace the mission of MetroHealth and
provide for its funding needs.
To receive additional information or arrange a personal tour, please call
(216) 778-7509.
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In addition to the
Critical Care Pavilion,
funding needs include
endowment and
program support to
foster excellence in
patient care and medical
education, revitalization
of the Community
Health Centers, renova-
tion of our Pediatric
Intensive Care Unit, and
research to advance
medical knowledge.
BEN BROUHARD, MD
EXECUTIVE VICE PRESIDENT
AND CHIEF OF STAFF

12. The MetroHealth System
Development Department
2500 MetroHealth Drive
Cleveland, Ohio 44109-1998
Telephone (216) 778-5665
Facsimile (216) 778-3600