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1. | Facility Name: | HUNTINGTON MEMORIAL HOSPITAL |
2. | OSHPD ID Number: | 106190400 |
3. | Street Address: | 100 W. CALIFORNIA BOULEVARD |
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4. | City: | PASADENA |
5. | Zip: | 91105 |
6. | Facility Phone No.: | ( 626 ) 397 - 5000 ext.8798 |
7. | Administrator Name: | CYNTHIA GILLETTE |
8. | Administrator E-mail Address: | cynthia.gillette@huntingtonhospital.com |
9. | Was this hospital in operation at any time during the year?: | Yes |
10. | Operation Open From: | 1/1/2006 |
11. | Operation Open To: | 12/31/2006 |
12. | Name of Parent Corporation: | |
13. | Corporate Street Address: |
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14. | City: | |
15. | State: | |
16. | Zip: | - |
17. | Person Completing Report: | Cynthia Gillette |
18. | Phone No.: | 626-397-8798 |
19. | Fax No.: | 626-397-2928 |
20. | E-mail Address: | cynthia.gillette@huntingtonhospital.com |
30. | Submitted by: | 106190400 |
31. | Submitted Date and Time: | 2/15/2007 1:56:22 PM |
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INPATIENT BED UTILIZATION - DO NOT INCLUDE NORMAL NEWBORNS IN BED UTILIZATION DATA |
Line No. | Bed Classification and General Acute Care (GAC) Bed Designation | (1) Licensed Beds as of 12/31 | (2) Licensed Bed Days | (3) Hospital Discharges (including deaths) | (4) Intra-hospital Transfers from Critical Care | (5) Patient (Census) Days |
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| GAC Bed Designations | | | | | | 1. | Medical / Surgical (include GYN) | 259 | 94,535 | 19,690 | | 83,841 | 2. | Perinatal (exclude Newborn / GYN) | 56 | 20,440 | 3,646 | | 11,235 | 3. | Pediatric | 28 | 10,220 | 1,472 | | 4,121 | 4. | Intensive Care | 40 | 14,600 | 542 | 1,147 | 3,544 | 5. | Coronary Care | 10 | 3,650 | 687 | 1,178 | 3,244 | 6. | Acute Respiratory Care | 0 | 0 | 0 | 0 | 0 | 7. | Burn | 0 | 0 | 0 | 0 | 0 | 8. | Intensive Care Newborn Nursery | 51 | 18,615 | 343 | 476 | 9,087 | 9. | Rehabilitation Center | 24 | 8,760 | 616 | | 6,798 | 15. | Subtotal - GAC | 468 | 170,820 | 26,996 | | 121,870 | | 16. | Chemical Dependency Recovery Hospital | 0 | 0 | 0 | | 0 | 17. | Acute Psychiatric | 54 | 19,710 | 1,386 | | 14,077 | 18. | Skilled Nursing | 0 | 0 | 0 | | 0 | 19. | Intermediate Care | 0 | 0 | 0 | | 0 | 20. | Intermediate Care / Developmentally Disabled | 0 | 0 | 0 | | 0 | 25. | Total (Sum of Lines 15 thru 20) | 522 | 190,530 | 28,382 | | 135,947 |
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Chemical Dependency Recovery Services In Licensed GAC and Acute Psychiatric Beds* |
Line No. | Bed Classification | (1) Licensed Beds |
| (3) Hospital Discharges |
| (5) Patient (Census) Days |
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30. | GAC - Chemical Dep Recovery Services | 0 | | 0 | | 0 | 31. | Acute Psych - Chemical Dep Recovery Svcs | 0 | | 0 | | 0 |
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* The licensed services data for these CDRS are to be included in lines 1 through 25 above. |
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Newborn Nursery Information |
Line No. | | (1) Nursery Bassinets | | (3) *Nursery Infants | | (5) Nursery Days |
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35. | Newborn Nursery | 48 | | 3,187 | | 8,188 |
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* Nursery Infants are the "normal" newborn nursery equivalent to discharges from licensed beds. |
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Complete lines 43 through 70 only if your hospital has licensed Acute Psychiatric or PHF beds. Include Chemical Dependency Recovery Services provided in licensed Acute Psychiatric beds. |
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Acute Psychiatric Patients By Unit on December 31 |
Line No. | | (1) Number of Patients |
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43. | Locked | 12 | 44. | Open | 24 | 45. | Acute Psychiatric Total* | 36 |
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Acute Psychiatric Patients By Age Category on December 31 |
Line No. | | (1) Number of Patients |
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46. | 0 - 17 Years | 0 | 47. | 18 - 64 Years | 29 | 49. | 65 Years and Older | 7 | 50. | Acute Psychiatric Total* | 36 |
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Acute Psychiatric Patients By Primary Payer on December 31 |
Line No. | | (1) Number of Patients |
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51. | Medicare - Traditional | 21 | 52. | Medicare - Managed Care | 1 | 53. | Medi-Cal - Traditional | 5 | 54. | Medi-Cal - Managed Care | 0 | 55. | County Indigent Programs | 0 | 56. | Other Third Parties - Traditional | 0 | 57. | Other Third Parties - Managed Care | 6 | 58. | Short-Doyle (includes Short-Doyle Medi-Cal) | 0 | 59. | Other Indigent | 0 | 64. | Other Payers | 3 | 65. | Acute Psychiatric Total* | 36 |
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* Acute Psychiatric Total on lines 45, 50 and 65 must agree. |
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Short Doyle Contract Services |
Line No. | | (1) |
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70. | During the reporting period, did you provide any acute psychiatric care under a Short-Doyle contract? | No |
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Inpatient Hospice Program |
Line No. | | (1) |
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71. | Did your hospital offer an inpatient hospice program during the report period? | No |
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If 'yes' on line 71, what type of bed classification is used for this service? (Check all that apply.) |
Line No. | Bed Classification | (1) |
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72. | General Acute Care | No | 73. | Skilled Nursing (SN) | No | 74. | Intermediate Care (IC) | No |
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EMSA Trauma Center Designation on December 31 (Completed by OSHPD from EMSA data.) |
Line No. | (1) Designation | (2) Pediatric |
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1. | Level II | |
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Licensed Emergency Department Level (Completed by OSHPD) |
Line No. | (1) January 1 | (2) December 31 |
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2. | Basic | Basic |
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Services Available on Premises (Check all that apply.) |
Line No. | Services Available | (1) 24 Hour | (2) On-Call |
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11. | Anesthesiologist | Yes | No | 12. | Laboratory Services | Yes | No | 13. | Operating Room | Yes | No | 14. | Pharmacist | Yes | No | 15. | Physician | Yes | No | 16. | Psychiatric ER | Yes | No | 17. | Radiology Services | Yes | No |
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Emergency Medical Service Visits By Type |
Line No. | EMS Visit Type* | CPT Codes | (1) Total
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21. | Minor | 99281 | 4,637 | 11 | 22. | Low/Moderate | 99282 | 7,228 | 19 | 23. | Moderate | 99283 | 20,713 | 122 | 24. | Severe without threat | 99284 | 18,308 | 6,853 | 25. | Severe with threat | 99285 | 8,525 | 7,546 | 30. | Total EMS Visits | | 59,411 | 14,551 |
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* DO NOT INCLUDE patients who register but leave without being seen, employee physicals and scheduled Clinic-type visits. |
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Emergency Medical Treatment Stations on December 31 |
Line No. | | (1)
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35. | Enter the number of emergency medical treatment stations. | 33 |
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Treatment Stations - A specific place within the emergency department adequate to treat one patient at a time. Do not count holding or observation beds. |
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Non-Emergency (Clinic) Visits Seen in Emergency Department |
Line No. | | (1)
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40. | Enter the number of non-emergency (clinic) visits seen in EMS. | 0 |
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Emergency Registrations, But Patient Leaves Without Being Seen* |
Line No. | | (1)
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45. | Enter the number of EMS registrations that did NOT result in treatment. | 2,799 |
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* Include patients who arrived at ED, but did not register and left without being seen (if available) |
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Emergency Department Closure / Ambulance Diversion Hours |
Line No. | | (1) |
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50. | At any time during the year was the ED forced to divert ambulances to another facility? If 'yes', fill out lines 51 through 65 below. | Yes |
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Number of Ambulance Diversion Hours that occurred at Emergency Department |
Line No. | Month | (1) Hours
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51. | January | 384 | 52. | February | 469 | 53. | March | 411 | 54. | April | 265 | 55. | May | 198 | 56. | June | 150 | 57. | July | 188 | 58. | August | 98 | 59. | September | 90 | 60. | October | 167 | 61. | November | 116 | 62. | December | 185 | 65. | Total Hours | 2,721 |
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Surgical Services |
Line No. | Surgical Services | (1) Surgical Operations | (2) Operating Room Minutes |
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1. | Inpatient | 7,525 | 1,438,740 | 2. | Outpatient | 4,393 | 481,980 |
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Operating Rooms On December 31 |
Line No. | Operating Room Type | (1) Number |
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7. | Inpatient Only | 0 | 8. | Outpatient Only | 0 | 9. | Inpatient and Outpatient | 15 | 10. | Total Operating Rooms | 15 |
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Ambulatory Surgical Program |
Line No. | | (1) |
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15. | Did your hospital have an organized ambulatory surgical program? | No |
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Live Births |
Line No. | | (1) Number |
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20. | Total Live Births (Count multiple births separately)* | 3,442 | 21. | Live Births with Birth Weight Less Than 2500 grams (5 lbs. 8 oz.) | 275 | 22. | Live Births with Birth Weight Less Than 1500 grams (3 lbs. 5 oz). | 9 |
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* TOTAL LIVE BIRTHS on line 20 should approximate the number of Perinatal discharges shown in Section 3, line 2, column 3. Include LDR or LDRP births and C-Section deliveries. |
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Alternate Birthing (Outpatient) Center Information |
Line No. | | (1) |
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31. | Did your hospital have an approved alternate birthing (outpatient) program? | No | 32. | Was your alternate setting was approved as LDR | No | 33. | Was your alternate setting was approved as LDRP | No |
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Other Live Birth Data |
Line No. | | (1) Number |
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36. | How many of the live births reported on line 20 occurred in your alternative (outpatient) setting? Do not include C-Section deliveries. | 0 | 37. | How many of the live births reported on line 20 were C-Section deliveries? | 1,310 |
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Licensed Cardiology and Cardiovascular Surgery Services (Completed by OSHPD.) |
Line No.
| (1) Licensure |
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41. | Cardiovascular Surgery Services |
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Note: Complete lines 42 to 85 if licensed for Cardiovascular Surgery Services. Complete lines 55 to 85 if licensed for Cardiac Catheterization only. |
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Licensed Cardiovascular Operating Rooms |
Line No. | | (1) |
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42. | Number of operating rooms licensed to perform cardiovascular surgery on December 31. | 2 |
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Cardiovascular Surgical Operations (with and without the HEART/LUNG MACHINE*) |
Line No. | | (1) Cardio-Pulmonary Bypass USED* | (2) Cardio-Pulmonary Bypass NOT USED |
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43. | Pediatric | 0 | 0 | 44. | Adult | 145 | 22 | 45. | Total Cardiovascular Surgical Operations | 145 | 22 |
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* Also refered to as Extracorporeal Bypass or "on-the-pump" (heart/lung machine). |
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Coronary Artery Bypass Graft (CABG) Surgeries* |
Line No. | | (1)
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50. | Number of Coronary Artery Bypass Graft (CABG) surgeries performed. | 99 |
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* Subset of cardiovascular surgeries reported on line 45 above. |
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Cardiac Catheterization Lab Rooms |
Line No. | | (1)
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55. | Number of rooms equipped to perform cardiac catheterizations on December 31. | 2 |
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Cardiac Catheterization Visits |
Line No. | | (1) Diagnostic
| (2) Therapuetic
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56. | Pediatric - Inpatient | 0 | 0 | 57. | Pediatric - Outpatient | 0 | 0 | 58. | Adult - Inpatient | 0 | 1,115 | 59. | Adult - Outpatient | 0 | 422 | 60. | Total Cardiac Catheterization Visits | 0 | 1,537 |
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Distribution of Therapeutic Cardiac Catheterization Procedures |
Complete this table if Therapeutic Cardiac Catheterization Visits are reported in column 2, line 60. |
Line No. | | (1) Procedures
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71. | Permanent Pacemaker Implantation | 222 | 72. | Percutaneous Transluminal Coronary Angioplasty (PTCA) - WITH Stent | 370 | 73. | Percutaneous Transluminal Coronary Angioplasty (PTCA) - WITHOUT Stent | 30 | 74. | Atherectomy (PTCRA - rotablator, DCA, laser, other ablation, etc.) | 0 | 75. | Thrombolytic Agents (Intracoronary only) | 0 | 76. | Percutaneous Transluminal Balloon Valvulopasty (PTBV) | 0 | 84. | All Other (including Radiofrequency Catheter Ablation) | 161 | 85. | Total Therapeutic Cardiac Catheterization Procedures | 783 |
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NOTE: Do Not Include Any Of The Following As A Cardiac Catheterization: |
Angiography - Non-coronary, Automatic Implantable Cardiac Defibrillator (AICD), Defibrillation, Cardioversion, Intra-Aortic Balloon Pump, Percutaneous Transluminal Angioplasty - Non-cardiac, Pericardiocentesis, or Temporary Pacemaker Insertion. |
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Section 127285(3) of the Health and Safety Code requires each hospital to report "acquisitions of diagnostic or therapeutic equipment during the reporting period with a value in excess of five hundred thousand dollars ($500,000)." |
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Diagnostic and Therapeutic Equipment Acquired During The Report Period |
1. | Did your hospital acquire any diagnostic or therapeutic equipment that had a value in excess of $500,000? (If 'Yes', fill out lines 2 through 11, as necessary, below.) | Yes |
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Diagnostic and Therapeutic Equipment Detail |
Line No. | (1) Description of Equipment | (2) Value | (3) Date of Aquisition MM/DD/YYYY | (4) Means of Acquisition |
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2. | Quantum Com. X-Ray | $826,769 | 07/30/2006 | Purchase | 3. | Nuclear Camera | $698,245 | 06/15/2006 | Purchase | 4. | | | | | 5. | | | | | 6. | | | | | 7. | | | | | 8. | | | | | 9. | | | | | 10. | | | | | 11. | | | | |
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Building Projects Commenced During Report Period Costing Over $1,000,000 |
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Section 127285(4) of the Health and Safety Code requires each hospital to report the "commencement of projects during the reporting period that require a capital expenditure for the facility or clinic in excess of one million dollars ($1,000,000)." |
25. | Did your hospital commence any building projects during the report period which will require an aggregate capital expenditure exceeding $1,000,000? (If 'Yes', fill out lines 26 through 30, as necessary, below.) | Yes |
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Detail of Capital Expenditures |
Line No. | (1) Description of Project | (2) Projected Total Capital Expenditure | (3) OSHPD Project No. (if applicable) |
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26. | Primary Data Center | $1,336,451 | | 27. | ED Re-design | $2,285,695 | | 28. | | | | 29. | | | | 30. | | | |
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