6. Who We Are…
• Over 10,500 employees, 1,200
physicians and 4,300 volunteers
• $1.2B annual budget; $.6B local
employment
• Fourth largest public (governmental)
health system in nation
• Largest public health system in U.S.
operating without benefit of local tax
support
7. Who We Are…
• One of Florida’s most significant safety
net health systems
• State-designated programs
- Trauma Center (Level II)
- Regional Perinatal Center (Level III)
- Children’s Oncology, Sickle Cell and
Cystic Fibrosis Centers
- Kidney Transplant Center
- Memory Disorders Center
- Nationally designated facility for
bioterrorism at Cape Coral Hospital
12. The Golisano Children’s Hospital
of Southwest Florida
Best outcomes
in Florida for
1,000+ gram
infants (2.2+ lbs.)
13. The Little Hospital
That Could!!!
Today
• Designated by the National Association of Children’s
Hospitals and Related Institutions (NACHRI)
• Only full service children’s hospital in SW Florida
• Next closest Children’s Hospitals: Miami & St. Petersburg
(2.5 hour drive)
• Ranked #1 in survival rate of NICU babies
• Child Life Specialists including Music Therapy
• Full-Time School Teacher
• Community Abuse Injury Prevention Programs
14. America’s Newest Children’s
Hospital
• 148 Private Beds/Suites
– Neonatal Intensive Care Unit (64 suites)
– Pediatric Intensive Care Unit (48 suites)
– Inpatient Pediatric Oncology/Hematology Unit (12 suites)
– Outpatient Pediatric Oncology/Hematology Unit (16 suites)
– Pediatric Emergency Department (20 triage areas)
– Sedation Rooms (10)
• Pediatric Pharmacy
• Imaging (MRI, X-Ray, Procedure, Sleep)
• Child Friendly Lobby
• Educational Classroom for Chronic Patients
• Family Resource Center
• Innovative, family-centered, child/family-focused
17. •
Golisano Children’s Hospital & Collier
GCH serves the more severe and complex pediatric
County
cases from SWFL including Collier County
•
27% of Collier County children who had to be hospitalized
went to GCH
•
14% of Collier County babies born sick, small or too soon go
the GCH Level II and Level III NICUs
•
•
24% of NICU patients from Collier County
Thousands of Collier County Children impacted through the
Health In Education Programs and Partners in Parenting
Program funded by Naples Wine Fest
18.
19. 500+ Collier County children receive treatment monthly
at the Golisano Pediatric Specialty Clinic
•Located at Immokalee and Goodlett-Frank Road
•More than 75% are Medicaid or Uninsured
20. • 2 full time Child Advocates; 1 part time Child Advocate Instructor
• 3 areas of focus:
• Health Education
• Injury Prevention
• Child Abuse Prevention
• Seeded initially by a grant in 2008 from the Naples Children &
Education Foundation (NCEF)
• Currently funded by a combination of grants, philanthropy and
Golisano Children’s operating budget
21. Golisano Injury Prevention … Collier County
•Child passenger safety free car seat check ups for the community
(over 1500 car seats)
• Including weekly Wednesday car seats checkups at NCH for
parents in the OB units
• Distributed 600+ car seats to families at a reduced rate or
free of charge
•Participation in 100s of health and safety fairs and community
events in Collier
22.
23. Attached are photos of some of our injury prevention efforts. Child passenger safety free
car seat check ups for the community. We also check car seats at NCH on Wednesdays for
parents in the OB units. Also a photo of our table/participation in health and safety fairs
in Collier County. Photo of a Bike Rodeo, bike and helmet safety event.
In Collier County we've participated in hundreds of community events, we've checked
over 1500 car seats, and distributed 600+ car seats to families at a reduced rate or free of
charge.
27. Golisano Partners in Parenting
•FREE parenting classes in Collier County
•In partnership with Children's Advocacy Center of Collier County
and with funding assistance from NCEF
•
•
Plus many other Collier partners who help identify/refer families and
provide classrooms
Various communities/locations throughout Collier County
•Offered for anyone who wants to be the best parent possible
•
•
•
•
Offered in English, Spanish and Creole
Not for court ordered parents
Classes are 8 weeks for 2 1/2 hours per week
Free childcare and refreshments for the families during class
•Average of 900 parents and children each year in Collier County
28.
29.
30. Golisano Health Advocacy
• Health Education Programs to students in the Collier County
elementary schools
• Supported by Suncoast Federal Credit Union Foundation
• Average 7500 elementary school students annually in Collier
• Germaine the Germ Hand Washing Program - K and 1st grade
• Body Safari Program - 2nd and 3rd grade
• Mission Nutrition Program - 4th and 5th grade
32. LMHS Trauma Center
State Designated Trauma Center
• Lee, Charlotte, Hendry & Glades
• 21% from Collier
Traumatic injury requires specialized and experienced multidisciplinary
treatment and specialized resources across the care continuum.
Being treated at a Trauma Center increases a seriously injured patient’s chances
of survival by an estimated 20 to 25 percent.
Trauma is the #1 killer of individuals between the ages of 1 - 44
34. Trauma Center Readiness
Physicians on Call
Surgeons
1.Trauma Surgeons
2.Neurosurgeon
3.Obstetric/gynecologic surgery
4.Ophthalmic surgery
5.Oral/maxillofacial surgery
6.Orthopedic surgery
7.ENT surgery
8.Pediatric surgery
9.Plastic surgery
10.Thoracic surgery
11.Urologic surgery
Medicine Specialists
1. Cardiology
2. Hematology
3. Infectious disease
4. Internal medicine
5. Nephrology
6. Pathology
7. Pediatrics
8. Pulmonary medicine
9. Radiology
37. Trauma Center Injury Prevention Outreach
Engagement of prehospital stakeholders
• Act as Medical Care Council/Public Safety Administration resource
• Establish and participate in prehospital protocol subcommittees
• Provide regular EMS education – goal directed/evidence based
• Perform prehospital QI (Collaborative reviews)
Support acute care facilities
• Develop / extend resources for the care of the injured patient (initial receiving
facilities/64j)
• Educate providers on initial resuscitation approach, and trauma transfer criteria
• Provide feedback for acute care transfers into the TC
Outreach and mentoring
• Establishment of a peer mentoring and family support program
• Facilitate annual survivors event
Engagement of community in injury prevention efforts
• Regionalize injury prevention efforts
• Establish injury prevention coalitions
• Engage stakeholders to pursue community prevention based on local trends
38. Lee Memorial Trauma Center
Collier Activities
•
•
•
•
•
•
Collier County Injury Prevention Coalition established
– Providing coordination of injury prevention efforts
– Strategic planning and outreach/prevention activities
– 50 agencies/organizations participating
– Naples Chamber of Commerce actively engaged
Distracted Driving Simulator
Senior fall prevention initiative “Step WiseCollier”
(adapted from Step WiseLee”)
“STOP Sports Injuries” campaign brought to Collier County
Collaboration with “Safe and Healthy Kids Coalition”
Collier County Adoption of Local Disaster Surge Plan
44. Examples of Standardization
Ventilator Bundle
Elevation of the head of the bed to 45°
Daily sedation vacation and assessment of readiness to extubate
Daily oral chlorhexidine rinses
Proton pump inhibitors or H2 receptor antagonists
Anticoagulants or compression devices
Central Line Bundle
Optimal Site/Line Selection
Hand Hygiene
Chlorhexidine Skin Antisepsis
Maximal Barrier Precautions at insertion
Aseptic Technique at Line Access and Dressing Changes
Daily Review of Line Necessity and Prompt Removal
Time-outs in the operating rooms
Sequenced checklist
– identification, surgical site confirmation, procedure confirmation, etc.
“It Takes Two” campaign … system wide “Red Rule”
45. Results of Standardization
Less than 4 serious safety events per 1 million adjusted
patient days
Urinary Catheter Infection System rate less
than 2 per 1000 Foley catheter days
Every Intensive Care Unit (ICU ) in the LMHS has gone a
year or more without a Ventilator Associated Pneumonia
Central Line Infections system rate is less than 1 per 1000
central line days
(All ICUs at HealthPark Medical Center have gone a year without a Central
Line Infection)
Level III NICU part of the high risk RPICC Program that serves 5 counties.
Building a new freestanding $191 million Children’s Hospital connected to the existing HealthPark Medical Center will accommodate the needs of children and families in Southwest Florida.
300,000+ square feet;
150 Beds/Suites;
Neonatal Intensive Care Unit (75 suites);
Pediatric Intensive Care Unit (25 suites);
Inpatient Pediatric Oncology/Hematology Unit (20 suites);
Outpatient Pediatric Oncology/Hematology Unit (15 suites);
Pediatric Emergency Department (15 triage areas);
Pediatric Pharmacy;
Child Friendly Lobby;
Educational Classroom for Chronic Patients;
Indoor Playground;
Family Resource Center;
Conference Rooms; and
Innovative, family-centered, child/family-focused.
Kina’ ole (flawlessness) Doing the right thing in the right way, at the right time, in the right place, to the right person, for the right reason, with the right feeling, the first time.
SLIDE NARRATION:
Employee cameos state “Patient Safety Begins with Me”
FACILITATOR:
DO: While music is playing ----Stand up and Hold up a copy of the Program Evaluation– Show it front and back!
Say:
Please complete the program evaluation. Written comments are most helpful so please take a few minutes to share yours. We appreciate the feedback– both reinforcing and corrective.
Please hand in your completed evaluation before you leave today!
Thank you again for being here. Great job, everybody!
