Who We Serve Who Serves - Hoag daud arrived at Hoag, the cath lab team including cardiologist carey...
Transcript of Who We Serve Who Serves - Hoag daud arrived at Hoag, the cath lab team including cardiologist carey...
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2 0 1 0 A N N UA L R E P O RT
Who We Serve Who Serves
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At Hoag
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We believe that by integrating all aspects of life,
health and care at the highe st level we will become
a vital, guiding presence in the lives of our patients,
our people, and our communitie s.
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Trisha Mather H u n t i ngto n B e ac H , ca l i fo r n i a
avid runner. Back on track after surviving breast cancer in 2010.
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Lisa Guerra, M.D.H oag B r e a st ca r e c e n t e r s u rg e o n
Helped trisha get back to her active life style.
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Daud AhmedneWPort BeacH, california
2010 heart attack survivor. competitive tennis player on his home court.
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Carey O’Bryan, M.D.Hoag Heart & Vascular institute, cardiologist
Helped daud overcome the odds and get back on the court.
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Claire SquierCosta mesa , CaLIFoRNIa
Diagnosed with type one diabete s at age 19. Personal chef and caterer.
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Kris Iyer, M.D.Hoag Mary & Dick allen Diabetes center, MeDical Director
Helps claire manage type one diabete s.
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Don RobertsHuntington BeacH, california
2009 stage one lung cancer survivor. g olfs weekly at his home course.
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Richard Fischel, M.D.Hoag-affiliated minimally inVasiVe tHoracic surgeon
Helped don get back to par.
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Lynn-Holly Johnson neWPort BeacH, california
acting and skiing regularly after surviving a stroke in 2010 that took her memory away.
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David Brown, M.D.Hoag stroke Program, Program director & neurologist
Helped save lynn-Holly’s life so she could return to acting and skiing.
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L ET T E R F ROM OU R PR E S I DE N T
on behalf of the Hoag family, we are pleased to
provide this annual report to our community.
i wish to convey my personal thanks to the thousands of colleagues and supporters who have
made Hoag one of the finest hospitals and health systems in california.
this was a momentous year for Hoag. in 2010, we opened a new hospital in irvine and created
one of the largest orthopedic institutes in the united states. in addition, we were pleased to
celebrate 25 years of community presence in Huntington Beach. new technology was added
at many of our care delivery sites, with robotics and computer-based tools now becoming
commonplace throughout the organization. We created many new and innovative relationships
with our physicians, each of which promotes more effective ways to provide high-quality,
cost-effective care. our nursing program was also recertified as a magnet®-designated hospital
by the american nurses credentialing center. lastly, we redefined our brand from a hospital to
a healthcare system and created a new logo, all to ref lect our evolving position in the healthcare
delivery landscape of orange county.
While many new and important events have occurred this past year, we remain committed
to our mission, vision, and values – to provide the highest quality health care services to the
communities we serve, while we remain a trusted and nationally recognized health care leader.
in addition, we do all this while keeping our institutional values at the fore – excellence, integrity,
respect, patient centeredness, and community benefit.
We thank you for the opportunity to serve this outstanding, supportive community.
richard afable, m.d.
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Pat i e nt s , p e o p l e and communities
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Pat i e nt s , p e o p l e and communities
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Trisha Mather’s storytrisha mather was diagnosed with stage one breast cancer just days
after completing the 2010 orange county marathon. nearly one year
after her mastectomy and reconstruction, trisha is back enj oying
running and her family.
Beating Breast Cancertrisha mather, a 38-year-old wife and mother of two, successfully
completed the 2010 orange county marathon, just a few days
before she was diagnosed with stage one breast cancer.
in early 2004, trisha discovered what turned out to be a benign lump, during a self-breast exam.
she became even more diligent with self-breast exams, which thankfully led to her detection of
two lumps in 2010. trisha immediately called her primary care physician, who sent her to Hoag
Breast care center in newport Beach, for a diagnostic mammogram and ultrasound, the later of
which showed she had stage one invasive ductal carcinoma.
“When i was told i had breast cancer, my thought was ‘i have to be here for my kids, i have to survive for
them’,” shares trisha. she credits the breast care team, including breast care nurse navigator Josephine
urbina, r.n., for talking her through the next steps of what she would experience. “the guidance and
assurance i received really set the tone for the upcoming year and i am forever grateful for that.”
after seeing a general surgeon and receiving a referral to Hoag Breast care surgeon lisa guerra, m.d.,
trisha felt confident she was in great hands. after undergoing a breast-conserving lumpectomy,
trisha underwent four rounds of chemotherapy. ultimately, to minimize her chance of future
lumps, trisha opted to do a bilateral nipple-sparing mastectomy and reconstruction.
“ken [her husband] and i really tried to maintain our quality of life with our work, kids and activities
and running was one of my releases during chemo,” shares trisha. “i ran to show my family i would
keep fighting and that we’d get through this and we did.” now nearly one year after trisha was
declared in remission, she is back running and planning her family’s summer 2011 vacation.
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Conquering a Heart Attackas an active and competitive tennis player, daud ahmed prided
himself on being the epitome of health and fitne ss. that all
changed on february 7, 2010, when daud collapsed after
playing tennis at the Palisade s tennis club in newport Beach.
daud had no apparent warning signs of heart disease, only a family history of the disease, but had
always thought that his healthy lifestyle would conquer his genetics. if it had not been for the quick
reaction from his fellow tennis club members, the quick response by the paramedics and quick action
from Hoag’s experts, daud could have faced more excruciating challenges, and possibly death.
When daud arrived at Hoag, the cath lab team including cardiologist carey o’Bryan, m.d., took
him immediately from the ed to the catheterization lab where they proceeded with coronary
angioplasty and stent implantation to clear the blockage causing daud’s heart attack. daud’s
coronary artery disease was extensive and he had multiple blockages aside from the culprit
artery that caused his heart attack. during his hospitalization, Hoag’s team determined that
coronary bypass surgery would need to be scheduled at a later date allowing daud time to heal.
five and a half weeks after his heart attack, daud had successful coronary artery bypass surgery by
colin Joyo, m.d., one of Hoag’s exclusive cardiac surgeons.
“i truly believe that my active lifestyle saved me,” says daud. “However, even in the best of shape,
there could be health issues that are asymptomatic at first, then become apparent when it’s too
late, making it all the more important to be proactive when it comes to your health.”
now, just one year after his heart attack and surgery, daud is back playing tennis.
Daud Ahmed’s storydaud, a 64-year-old competitive tennis player, collapsed on his home tennis
court from a heart attack in february 2010. due to quick action from
fellow club members, newport Beach paramedics, and Hoag’s cath lab team,
daud survived and is back on the courts and enjoying every moment of life.
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Claire Squier’s Storyclaire squier was 19 when she was diagnosed with type one diabetes. claire’s
endocrinologist has taught her to manage her diabetes through diet, exercise and
insulin regulation. claire, now 27 and pregnant with her first child, is a personal chef
and credits diabetes with helping her pursue her passion for food and helping people.
Diabetes Careclaire squier’s dream has always been to be a mother, so when
she was unexpectedly diagnosed with type one diabete s at
age 19 in Hoag’s e mergency department, her first thought was
‘can i still have children one day?’
“When you don’t know the signs of diabetes, you don’t think anything is really wrong,” shares
claire. “i was in denial when dr. iyer told me i had diabetes for the first time because i didn’t want
to accept the fact that i had to change my lifestyle.”
kris iyer, m.d., is claire’s endocrinologist and the medical director of the mary and dick allen
diabetes center at Hoag. “diabetes is a complex chronic disease. However, with better management
and monitoring in the early stages, we can increase positive outcomes and reduce the risk of
complications.” dr. iyer adds “Programs and education classes at the allen diabetes center can
help people like claire learn to live more successfully with diabetes.”
claire, now 27 and pregnant with her first child with husband casey, is a personal chef and credits
diabetes with helping her learn about food and how it affects the body. “By following my dream
and passion for food and helping people, i am also able to take better care of myself.”
claire is now a part of sweet success, a program within the allen diabetes center which provides
support and education for women who have or develop diabetes while they are pregnant.
“it ’s wonderful to have another resource to help guide me with diet during my pregnancy.”
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Don Robert’s Storydon roberts was diagnosed with stage one lung cancer in June 2009. He was
referred to richard fischel, m.d., a Hoag-affiliated thoracic surgeon renowned for
his skill in minimally invasive lung surgery. Just one year following surgery, don
is back golfing at his favorite course and is enjoying time with his wife and family.
Minimally Invasive Lung Surgeryalthough don roberts quit smoking in 2000, his primary care
physician urged him to have a che st ct scan in June 2009
because he actively smoked for more than 40 years.
don trusted his physician and did the scan, which revealed an area of concern. after monitoring the
growing area for six months, don’s physician referred him to richard fischel, m.d., a Hoag-affiliated
thoracic surgeon renown for his skill in video-assisted thoracoscopic surgery (Vats), a minimally
invasive, leading-edge procedure that requires only four small incisions through which surgical
instruments and a thoracoscope are placed.
“a cancer diagnosis is not something you expect,” shares don. “yet, at Hoag cancer institute, and
under the care of the lung cancer program team, i felt confident that i would beat my lung cancer.”
dr. fischel explains that, “in cases like don’s, the minimally invasive Vats technique offers clear
advantages over the open-chest procedure because patients tend to recover more quickly,
experience less post-operative pain and there’s a lower risk of post-operative complications.”
and don was right. due to clear surgical margins and an overall positive assessment of his case,
don received the good news that no chemotherapy was needed; only a routine lung ct scan every
six months. now, nearly two years following surgery, don is back golfing at his favorite course, seacliff
in Huntington Beach, and enjoying time with his wife and large family of children and grandchildren.
“i can’t thank my doctor enough for letting me know about the importance of early detection,” says
don with a smile. “and i am equally thankful for the life-saving care that Hoag cancer institute’s
team, and e specially nurse navigator lilian reed, r.n. , provide s to patients like me each day.”
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Lynn-Holly Johnson’s storythe 52-year-old actress, wife and mother of two, had a life-threatening stroke in
January 2010. With quick action from Hoag’s stroke team in the ed, a little luck from a
dissipating blood clot and one full year of rehabilitation and support from her family
and friends, she is back skiing, acting, writing and enjoying time with her family.
Surviving a strokeactre ss and newport Beach re sident lynn-Holly Johnson was
just three weeks past her 51 st birthday when she had a stroke.
after arriving at John Wayne airport after a flight with her parents, she describes what felt like an
out-of-body experience where she was watching herself stumble around the airport but couldn’t
communicate. When she couldn’t remember her address for the taxi driver, her parents recognized
this was an emergency.
once lynn-Holly’s husband, kelly, got her to Hoag’s ed, nursing staff immediately recognized that she
was having a stroke. Hoag’s stroke team opted not to give her the tPa clot-busting drug because the time
her symptoms started wasn’t definite. after careful observation, david m. Brown, m.d., neurologist and
Program director for Hoag’s stroke Program, noted that she showed signs of improvement. Because of
the continually-updated and evidence-based stroke protocols followed by Hoag’s state-of-the-art stroke
unit, she received an extensive and quick workup, which is especially important for unusual causes
of stroke, which can been seen in younger patients like lynn-Holly. after her examination, the team
discovered she had a patent foramen ovale (Pfo), a hole in her heart that didn’t close properly after
birth, which if left untreated, could cause further problems.
“my mission is to educate people on heart disease and stroke awareness and to empower women to be
proactive about their health,” shares lynn-Holly. after one year of cognitive therapy and successful
surgery to repair the hole in her heart, she is now a spokesperson for the american Heart association
and starting to act, write and get back to her favorite sport – skiing. “i’m lucky i have an awesome family
and i’m lucky i have such an amazing hospital within minutes from John Wayne airport.” a former
professional figure skater, lynn-Holly’s extensive acting career includes a golden-globe nominated role
in 1978’s Ice Castles and Bond girl Bibi dahl in the 1981 James Bond movie For Your Eyes Only.
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Patty G oethals’ Storythanks to hereditary cancer screening
and testing, three of Patty’s four siblings,
and possibly her two sons, have all
discovered their predisposition to lynch
syndrome.
“Hoag’s Hereditary cancer Program is such
an important life-saving resource. i now
feel empowered to protect myself and my
family and make sure they receive genetic
counseling and testing,” shares Patty.
While Patty’s greatest joy is her husband
and their three children, she enjoys
painting, a college hobby she picked up
again after her last cancer diagnosis.
Hereditary CancerPatty g oethals is a three-time cancer survivor.
the newport Beach resident and mother of three has survived melanoma skin cancer, uterine cancer
and most recently, breast cancer. Patty was concerned that based on her history of cancer and knowing
that breast cancer can be hereditary, her daughter may be at risk. thankfully, Patty’s breast cancer
surgeon referred her to the Hereditary cancer Program at Hoag.
during the genetic assessment of Patty’s family history, Hoag certified genetic counselor Jeanne
Homer, m.s., discovered that Patty’s mother had once battled uterine cancer and her brother had bile
duct cancer. Both of these cancers are linked to the hereditary cancer syndrome, lynch syndrome.
individuals with lynch syndrome have a 70 to 80 percent chance of developing colon cancer during
their lifetime, and are at greater risk for other cancers such as uterine, ovary, pancreas, renal and pelvis
cancer. “if Patty had not received genetic counseling prior to genetic testing, she probably would have
only received testing for hereditary breast cancer, and would have never discovered that she has
lynch syndrome, unrelated to breast cancer,” explains Homer.
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Angela Van Dorn’s Story“the most frightening thing a parent can hear
is ‘your baby’s heart just stopped beating.’ you
feel so helpless and there was nothing we could
do but trust the doctors and nurses when they
said, ‘everything will be ok’,” says angela. “We
are so grateful for the care and attention Hoag
nurses, doctors and the nicu team gave to
William and i during our time in the hospital. it
was a team effort to get through this and we’re
so thrilled William is doing so well today.”
Because of her and her son’s experience at Hoag,
angela, already a registered nurse on Hoag’s
pulmonary medicine unit, applied for a transfer
to Hoag’s nicu, where she currently works.
OB Hospitalist Program angela Van dorn was two trime sters into her pregnancy when
she felt something wasn’t right.
she came into Hoag’s emergency department after experiencing bleeding, and was admitted to the
antepartum unit. Her baby’s heart suddenly stopped beating, which meant an emergency c-section was
needed and thankfully one of Hoag’s board-certified oB hospitalists was already on the scene and ready to
respond with lifesaving intervention. thanks to their expert care, William Bradley Van dorn was delivered
successfully on march 9, 2009 at 28 weeks, almost three months premature and weighing two pounds.
William’s heart started on its own after he was born and he was immediately admitted to Hoag’s neonatal
intensive care unit (nicu). a huge blood clot was found in William’s umbilical cord, which had stopped his
heart. in approximately 99 percent of cases like William’s, the babies do not survive because the blood clots
are extremely hard to detect. William remained in Hoag’s nicu for 10.5 weeks, but thanks to Hoag staff expertise
and dedication to breastfeeding and developmental care, he was able to receive breast milk right away.
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Michael Blackman’s storyclosely affiliated with Hoag community
medicine, sos is one of the largest, volunteer-
based agencies providing safety net services
for homeless and low-income individuals and
families in orange county. michael did not have
insurance because the economy had affected
his full-time work laying tile and stone. “every-
one at sos was so caring and helpful and they
gave me all the tools i needed to get through this
experience,” shares michael. “i feel so blessed for
everyone at Hoag and sos that took care of me
and helped me get back on track.”
michael recently completed the cardiac rehabili-
tation program at Hoag and is working on his diet
and strength so he can get back to work soon.
Community Benefit michael Blackman never thought a heart attack could happen to him.
nearly 60 years old, the southern california native never anticipated that a long day of work would end at
Hoag’s emergency department fighting for his life. although michael did have a family history of heart dis-
ease – his father passed away at age 79 with heart disease – he didn’t recognize his symptoms. thankfully,
his brother was there to make sure he went to the ed after michael complained of dizziness and vomiting.
“at the ed, the physician told me ‘you’re having a heart attack’ and nurses kept telling me ‘help is on
the way, hang in there with us’.”
When michael came out of surgery, (he had several stents placed in blocked arteries to increase blood-flow
in his heart), he shares that he instantly felt better. He was also relieved when one of Hoag’s case managers
suggested he speak with share our selves (sos). sos, including medical director Patrick chen, m.d., helped
michael, who did not have insurance, with his discharge from Hoag, get the prescriptions he needed, rushed
his msi insurance application and found a primary care physician and cardiologist ray gandhi, m.d., for him.
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Magnet Designation
Hoag’s nursing excellence is exemplified by our re-designation as a
magnet hospital.
american nurses credentialing center’s (ancc) magnet recognition Program® has once again designated
Hoag Hospital newport Beach as a magnet hospital. this designation has also been extended to Hoag
Hospital irvine since the commitment to nursing excellence is maintained at both hospitals.
the ancc magnet recognition Program® was developed to recognize health care organizations that provide
nursing excellence. magnet also provides a vehicle for communicating successful nursing practices and
strategies and is based on quality indicators and standards of nursing practices as defined in the newly
revised 3rd edition of the ana nursing administration: scope and standards of Practice (2009).
only six percent of all health care organizations in the united states have achieved magnet status. this
designation is an exciting achievement for Hoag and all nursing staff should be congratulated on their
outstanding commitment to quality care.
Magnet storyHoag’s mission as a not-for-profit faith-based
healthcare delivery network is to provide
the highest quality healthcare services
to the communities we serve, and this
is certainly represented by our nursing
staff. at Hoag, we highly value the patient
experience, and our nurses are one of the
most valuable resources we have to deliver
the care that patients and their families
need and have come to expect from Hoag.
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Hoag’s Healthcare D e l ive r y Ne t wo rk
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Hoag’s Healthcare D e l ive r y Ne t wo rk
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SANTA ANA
FOUNTAIN VALLEY
WESTMINISTER
COSTA MESA
NEWPORT BEACH
ALISO VIEJO
HUNTINGTON BEACH
TUSTIN
ORANGE
IRVINE
405
55
261
133
73
5
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Irvine16200 Sand Canyon Avenue
Irvine, CA 92618
Orthopedic Institute162 50 Sand Canyon Avenue
Irvine, CA 92618
Newport Beach1 Hoag Drive
Newport Beach, CA 92663
Costa Mesa1190 Baker Street # 103
Costa Mesa, CA 92626
Irvine4870 Barranca Parkway Irvine, CA 92604
Fountain Valley182 55 Brookhurst Street
Fountain Valley, CA 92 70
Newport Beach500-520 Superior Avenue
Newport Beach, CA 92663
Aliso Viejo2667 1 Aliso Creek Road
Aliso Viejo, CA 92656
Huntington Beach19582 Beach Boulevard
Huntington Beach, CA 92648
Wood bury6340 Irvine Boulevard
Irvine, CA 92620
Health centers
Hospitals
Orange7630 East Chapman Avenue
Orange, CA 92869
Tustin2 560 Bryan Avenue
Suite A
Tustin, CA 92 780
Newport Beach500 Superior Avenue
Suite 160
Newport Beach, CA 92663
urgent care centers
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MISSION, VISION & CORE VALUES
Mission. our mission as a not-for-profit,
faith-based hospital is to provide
the highest quality healthcare services
to the communities we serve.
Vision. Hoag is a trusted and nationally
recognized healthcare leader.
Core Values. excellence, respect,
integrity, Patient centeredness,
community Benefit
A Continuum of Care:Hoag moves beyond hospital to health care network.
the opening of Hoag Hospital irvine represented the beginning of a new chapter in Hoag’s journey
to provide health care to a larger community. Hoag has grown beyond our coastal roots and
become more than a single hospital. With this shift, came a new look that reflects Hoag’s evolution.
the new look represents Hoag’s commitment to health and wellness for all orange county
residents. What will never change is Hoag’s promise to deliver the same world-class care and
patient-centered approach that has made us orange county’s highest ranked health care provider,
as shown through Hoag’s designation as the most preferred hospital by orange county residents
for the 15th consecutive year based on national research corporation (nrc) consumer study and
The Orange County Register’s reader’s poll.
“our new brand identity expresses Hoag’s vital connection with the entire community. it represents
the physical and emotional aspects of health and well being,” shares Hoag President and ceo richard
afable, m.d. “We have organized ourselves around the rich history of our familial name ‘Hoag’ – a
name that represents the extraordinary health care that this community has become accustomed
to and which will continue to evolve as we continue to grow as a world-class health care provider.”
Hoag is fast becoming the most trusted regional health care partner for orange county residents
with two acute-care hospitals, seven health care centers and a network of more than 1,400
physicians, 5,000 employees and 2,000 volunteers – all committed to providing the finest health
care services available. Hoag’s new brand is a contemporary representation of a familiar and
trusted partner in health. and while we have a fresh look, our mission remains the same – to
provide the highest quality health care services to the communitie s we serve.
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Hoag Hospital Irvine opens
after nearly 18 months of intense planning and renovation,
Hoag Hospital irvine officially opened its doors to the
community on september 1 , 2010.
the extensive redesign and full-scale modernization effort transformed the existing facility
into a state-of-the-art, acute care, general hospital. Hoag Hospital irvine provides a wide array of
inpatient and outpatient services, including: fully staffed emergency room, radiology/imaging,
laboratory, cardiology, neuro-diagnostic services and more.
from larger operating rooms featuring the latest technology and the most advanced imaging
equipment available, to enhanced aesthetics and interior design elements, the facility is retooled
to meet the needs of the community. equally impressive, the expansive $84 million renovation
effort was completed ahead of schedule and on budget and also created 900 new jobs in
orange county.
irvine and Hoag Hospital newport Beach have always shared a common bond. even before the
former irvine regional Hospital and medical center closed its doors in 2009, 24 percent of irvine
residents went to Hoag Hospital in newport Beach for care. in fact, the opening of the refurbished
154-bed hospital represents the culmination of a long-term effort by Hoag to deliver convenient
access to 21st century health care services to irvine and south county residents.
“We’ve been focused on our goal to deliver the hospital irvine deserves and we’re excited that
everyone can now see the results of our planning and hard work – a world-class health care facility
that will benefit the community for years,” says robert Braithwaite, Hoag senior Vice President and
chief operating officer. “now, we are doing what we do best, which is provide high-quality care to
the community.”
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Personalized Orthopedic Carein november 2010, a unique partnership between Hoag and many
of orange county’s most respected orthopedic surgeons culminated
in the grand opening of Hoag orthopedic institute.
a state-of-the-art orthopedic hospital located within Hoag Hospital irvine, Hoag orthopedic
institute is poised to be one of the highest volume single-site orthopedic inpatient hospitals in the
Western united states. Hoag orthopedic institute focuses primarily on orthopedic reconstructive
surgery for adults, including: joint replacement (hip, knee and shoulder replacement), spine surgery,
trauma-related surgery that requires inpatient care and also outpatient services.
“Hoag orthopedic institute is a hybrid institution combining the best of the private practice world
with the best of a university research and education program,” shares James caillouette, m.d.,
surgeon-in-chief and chief-of-staff for Hoag orthopedic institute.
Hoag orthopedic institute is also setting the standard for superior care with personal clinical
nurse navigators for both inpatient and outpatient service s. from pre-hospitalization education,
scheduling and registration, to pre-operative evaluation and lab work, orthopedic-specific
clinical nurse navigators (like tanya sapze sian r.n. , pictured) guide patients through their
entire health care proce ss.
“clinical nurse navigators are wonderful re source s for patients and their familie s because their
assistance better prepare s patients for surgery which ultimately leads to better outcome s,” says
kanoe allen, msn, r.n. , ocn, executive director of nursing, Hoag orthopedic institute. clinical
nurse navigators are in regular contact with their patients and their families from the moment
they are scheduled for surgery – escorting them through each step of the process – then remaining
in contact with them, and their primary care physician for up to two years post surgery.
Hoag orthopedic institute, which include s a single specialty hospital, two advanced ambulatory
surgery centers and other support service s, allows the facility, including its physicians, staff,
and allied health profe ssionals, to focus on only one topic – providing the be st orthopedic care.
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Orange County Vital Aging Program launches
california alzheimer’s disease data report published in 2009
estimated that in orange county, approximately 46,000 people
had alzheimer’s disease in 2008.
this number is expected to grow by 99 percent by 2030. Here’s the good news: methods of prevention
and treatment have been extensively studied in recent years and the knowledge we gain could
delay or even forestall the progression of alzheimer’s disease. early assessment may reassure
people of healthy aging or detect a problem in its earliest stages.
to help combat the community’s fear of alzheimer’s disease and related disorders (adrd), Hoag
neurosciences institute has started a comprehensive approach to these problems through
the orange county Vital aging Program* (ocVaP) launched in July 2010, under the direction of
William r. shankle, m.s. , m.d., program director, memory & cognitive disorders, Hoag
neurosciences institute (pictured left).
“the design of the program encourages the community, primary care physicians, and specialists
to work together to proactively address this growing concern, and to help counter the assumptions
that nothing can be done,” states michael Brant-Zawadzki, m.d., executive medical director, Hoag
neurosciences institute. “the ocVaP is being looked at by national leaders in the field as a
prototype of what a community-based adrd prevention program might look like.”
the self-assessment tools available on the program’s website allow users to gain education and
preliminarily assess their brain health by checking their memory, mood and risk factors of adrd.
the ocVaP encourages and offers more formal assessment and monitoring of memory in-person
either through participating physicians, or at Hoag Hospital newport Beach as a useful way to help
prevent and delay the onset of adrd. When seen at Hoag, participants will receive a free personalized
report that may reassure them, or suggest the need for further testing.
*note: the ocVaP is supported by a grant to Hoag neurosciences institute from uniHealth foundation, a non-profit philanthropic organization whose mission is to
support and facilitate activities that significantly improve the health and well-being of individuals and communities within its service area.
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c l i n ica l t e a m lo cat e d i n t H e neurosciences institute loWer camPus:
Daniel Bandari, M.D., multiple sclerosis center of southern california
Christopher Duma, M.D., neurosurgeon
Gayle Hartel, Ph.D, adult Psychology
Richard Kim, M.D., neurosurgeon
Ali Makki, D.M.D., oral & facial Pain center
Medhat Mikhael, M.D., comprehensive Pain management
C. Philip O’Carroll, M.D., migraine & neurobehavioral medicine
Burak Ozgur, M.D., neurosurgeon
William R. Shankle, M.D., memory & cognitive disorders
Jerry Weichman, Ph.D, adolescent Psychology
Hoag Neurosciences Institute Welcome s physician specialty office s.
Hoag neurosciences institute – lower campus opened in 2010 on the third floor of Hoag conference
center located on Hoag Hospital’s newport Beach campus, aggregating certain outpatient and
administrative leadership services at one location. the new multispecialty facility now houses
neurosurgeons, neurology, orofacial pain, neuropsychology specialists, as well as memory/cognitive
disorders and comprehensive pain syndrome specialists (see complete list above).
“the new neurosciences institute – lower campus location furthers our goal of a collaborative
working environment by bringing a significant component of the multidisciplinary team under one
roof, for the patient’s benefit,” explains michael Brant-Zawadzki, m.d., executive medical director,
Hoag neurosciences institute.
the redesign project was made possible through philanthropy to Hoag Hospital foundation.
additional services that make up the wide breadth of advanced care offered by Hoag neurosciences
institute are located throughout other areas of the hospital.
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a generous gift from Judy and richard Voltmer,
respected residents of newport Beach, enabled
the completion of the impressive 6,500 square
foot center. improving the quality of life for those
struggling with all types of neurological disorders
is important to the Voltmers. they directed
part of their gift to treat sleep disorders in the
community because of the research linking sleep
disorders to diabetes and many other conditions.
the Voltmer sleep center provides individualized
treatment programs for many sleep disorders.
it was also built using sustainable practices and
was constructed to reduce environmental impact
while optimizing water and energy usage.
Judy & Richard Voltmer Sleep Centerserving the growing need in orange county with comfort and style.
approximately one-third of all americans develop sleep disorders at some point in their lives, and the
need for treatment has continued to increase in orange county. to meet the increasing demand, Hoag’s
sleep center moved to a state-of-the-art facility with a beautiful, hotel-like atmosphere. the new and
improved center reopened its doors in august 2010 as the Judy & richard Voltmer sleep center, located
at 510 superior avenue, suite 280, within Hoag Health center-newport Beach.
the Voltmer sleep center is custom built with eight private bedrooms to conduct sleep studies.
each room has a private bathroom and is designed to feel like a high-class hotel with a comfortable,
soothing and sleep-conducive environment. in addition to the upscale design, the diagnostic
equipment has been completely upgraded to state-of-the-art technology from care fusion, which meets
and exceeds the american academy of sleep medicine guidelines. the technology upgrade includes a
database system that tracks patients and interfaces with the hospital information system to streamline
follow-up and aftercare, which provides an improved continuum of care.
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Hoag is the first hospital in southern california
to acquire the newest robotic surgical device –
the dual console da Vinci® si Hd surgical
system – and utilizes five state-of-the-art
da Vinci® robots as part of its comprehensive
robotic surgery program (see picture at left).
Gynecologic Robotic Surgery Program
robotic-assisted surgery is the most advanced minimally invasive surgical
option and more importantly, provides many benefits to the patient.
as the highest volume provider of robotic surgery in orange county, and the first multidisciplinary program
of its kind in southern california, Hoag’s gynecologic robotic surgery Program provides a patient-centered,
team approach to gynecologic surgical care using evidence-based medicine, progressive technology and
innovative treatment options.
leading the way in gynecologic surgical care at Hoag is an experienced team of board-certified specialists
in gynecology, urogynecology, gynecologic oncology and reproductive endocrinology. together with a
dedicated nurse navigator, this multidisciplinary team provides streamlined access to a full array of
advanced gynecologic surgical care tailored to each patient. through enhanced visualization, control
and dexterity, robotic-assisted surgery helps physicians perform highly complex surgery with increased
precision and effectiveness.
Patients WHo undergo roBotic surgery exPerience:
• Significantlylesspain
• Shorterhospitalstay
• Smallerincisionsforminimalscarring
• Lessriskofinfection
• Lessbloodlossandneedfortransfusion
• Fasterrecovery
• Quickerreturntonormalactivities
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Perinatal Education Expansion
Hoag offers a wide variety of important educational course s in
newborn care, infant safety and breastfeeding.
as a certified Babyfriendly™ Birth facility, Hoag’s team of international Board certified lactation
consultants provides new mothers with a variety of options for prenatal breastfeeding education
classes. Hoag Hospital newport Beach, the leading provider of maternity services in orange county,
believes that the key to giving babies and their families the best possible start is a comprehensive
maternal child program focused on delivering family-centered care.
Hoag’s focus on family-centered maternal child care begins with education through its comprehensive
selection of perinatal classes. studies show that perinatal education significantly benefits mothers,
babies and families by providing important information and resources that help women and their
support persons to better prepare for, and care for their newborn.
Hoag lactation consultants also provide
postpartum breastfeeding clinics featuring one-
on-one consultation, (lactation consultant rosalie
roesch pictured). they also provide in-hospital
consultations and support to new mothers.
classes offered include a Variety in tHe folloWing categories:
• Preconceptionplanningandpregnancy
• Preparedchildbirthandprivateinstruction
• Breastfeedingincludingoncethebaby
comes home
• Newborncareincludingcarseatsafety,basic
first aid and cPr
• PostpartumsupportincludingHoagBabyline
and the Postpartum adjustment group
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Accolades and Achievements
MAJOR MILESTONES
Hoag Hospital irvine opened
Hoag orthopedic institute opened
new www.hoag.org website launched
RECOGNIzED CLINICAL ExCELLENCE
• 2010DistinguishedHospitalAwardfor
clinical excellence
• 2010OutstandingPatientExperienceAward
• 2010PatientSafetyExcellenceAward
•HoagHospitalIrvinewasnamed2010Business
of the year by the city of irvine
a study by an independent health care research
firm also placed Hoag within the top 10 percent of
hospitals in the nation for a number of specialties:
• CriticalCare
• CardiacSurgery
• CoronaryIntervention
• GastrointestinalCare
• GeneralSurgery
• JointReplacement
• MaternityCare
• OrthopedicSurgery
• StrokeCare
• VascularSurgery
Hoag received american nurses credentialing
center’s (ancc) magnet recognition Program®
designation for both hospitals.
Hoag earned full accreditation with dnV
Healthcare, the new accreditation organization
that replaced Hoag’s affiliation with the Joint
commission, and whose accreditation and
quality management aligns with Hoag’s focus
on constant improvement.
Hoag designated as a Blue shield of california
Blue distinction center for knee and Hip
replacement.
OUTSTANDING PATIENT SATISFACTION
Hoag named the most preferred hospital by
orange county residents for 15th consecutive
year based on national research corporation
(nrc) consumer study.
Hoag named “Best Hospital in orange county”
for the 15th time by readers of The Orange
County Register.
MISCELLANEOUS ACCOLADES
• Palliativecareprogramaward,andindividual
award for Janet Batt, palliative care clinical
nurse navigator
• Hoagcelebratedthe20th anniversary of
the groundbreaking of Hoag Health
center–Huntington Beach
• HoagHealthCenter-NewportBeachearned
the ePa’s prestigious energy star; national
symbol for superior energy efficiency and
environmental protection
• NewportBeach’sexpandedEDandimaging
services area opened
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Centers of ExcellenceHOAG CANCER INSTITUTE RECOGNITIONS
• Receivedaccreditationasa“Comprehensive
community cancer Program” and received
an outstanding achievement award by the
commission on cancer of the american
college of surgeons
•Ranked9th among california hospitals and
the highest in orange county in the 2010 u.s.
news & World report. ranked 78th overall
for cancer treatment, top two percent of all
hospitals and top 10 percent among 912
cancer hospitals in the u.s.; rated 48th overall
in reputation for cancer treatment
HOAG HEART AND VASCULAR INSTITUTE
RECOGNITIONS
• TheSocietyforThoracicSurgeonsranked
Hoag’s cardiovascular surgery program in
the top 10 percent in the country for quality
and successful outcomes; 3-star rating (the
highest possible) achieved by only 12 percent
of hospitals nationwide
• recipient of the american Heart
association’s get With the guidelines®
Heart failure Bronze award for achieving
an average score of 85 percent or greater
in all five heart-failure achievement measures
for three consecutive months
•EarnedtheAmericanHeartAssociation’s
Bronze Performance achievement award for
outstanding care of coronary heart disease as
part of mission: lifeline for Heart attack care
HOAG NEUROSCIENCES INSTITUTE RECOGNITIONS
•Certifiedadvancedprimarystrokecenterby
dnV Healthcare
• StrokeProgramdesignatedasaStroke-
neurology receiving center by the orange
county Health care agency
• Hoag’sStrokeProgramwasawardedthe2010
american stroke association’s get With the
guidelines stroke gold Plus Performance
achievement award
• Hoag’sStrokeProgramchosenasasitefor
a niH (national institute of Health) clinical
trial – a Hoag first
• Hoaghostedits1st annual neurosciences
symposium
• HoagNeurosciencesInstitutewelcomed
physician specialty offices on the 3rd floor
of Hoag conference center
HOAG WOMEN’S HEALTH INSTITUTE RECOGNITONS
• HoagBreastCareCenter(HBCC)designated
asCertifiedQualityBreastCenter™
• HoagdesignatedasaCertifiedBaby-
Friendly™BirthFacility
• Theperinataleducationprogramexpanded
• Multi-disciplinaryGynecologicRobotic
surgery Program launched
•LaunchedNoelleBirthingSimulatortraining
device to enhance quality and patient safety
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Financials
dollars in thousands 2010 20091 % change1
net assets $1,464,826 $1,374,867 7%
total revenues $812,838 $761,281 8%
total expenses $776,059 $727,691 7%
income from operations $36,779 $33,590 9%
12009 covers a thirteen-month period. Percentage changes have been adjusted to annual equivalents.
Board of Directors 2010 - 2011
Richard F. Afable, M.D.
Dick P. Allen
Allyson M. Brooks, M.D.
Weston G. Chandler, M.D.
Jake Easton III
Max W. Hampton
Jeffrey H. Margolis
Gary S. McKitterick
Richard A. Norling
Richard M. Ortwein
James O. Rollans
Virginia Ueberroth
Yulun Wang, Ph.D
Douglas zusman, M.D.
Stephen Jones
chair
Robert W. Evans
Vice chair
John L. Benner
secretary
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Hoag Quantifiable Community Benefit Summary Trend the following outlines the contribution made in support of the community from Hoag operations in the 12-month
period from october 1, 2009 through september 30, 2010.
U N R E I M BU R SE D COST OF DI R E C T M E DICA L CA R E SE RV IC E S - C H A R I T Y CA R E
medical services indigent (msi) $7,585,000
charity care 7,261,307
community case management and sos free clinic referrals 1,791,206
medical/cal optima cost of unreimbursed care 9,907,000
unreimbursed costs of care Provided to medicare Beneficiaries 66,068,000
Total 92,612,513
B E N E F I TS FOR V U L N E R A B L E P OP U L AT IONS
community Health services 4,251,994
Health Profession education 23,281
subsidized clinical specialty services 1,183,364
cash and in-kind contributions 1,220,833
community Building activities 20,596
community Benefit operations 755,851
Total 7,455,919
B E N E F I TS FOR T H E B ROA DE R COM M U N I T Y
community Health services 1,265,705
Health Profession education 542,625
subsidized clinical specialty services 1,928,356
cash and in-kind contributions 1,097,313
community Building activities 200,593
foundation contributions for community Benefit 2,120,820
Total 7,155,412
Total Community Benefit and Economic Value 107,223,844
Total Community Benefit and Economic Value 41,155,844 (excluding Unreimbursed Costs of Care Provided to Medicare)
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