Annual Utilization Report of Hospitals
Facility Name:GLENDALE ADVENTIST MEDICAL CENTER - WILSON TERRACE
OSHPD ID:106190323Report Status:Submitted
License Category:General Acute Care HospitalReport Year:2010
Table of Contents
Click on any of the links listed below to view the corresponding section.
Section 1 - General Information
Section 2 - Hospital Description
Section 3 - Inpatient Services
Section 4 - Emergency Department Services (EDS)
Section 5 - Surgery and Related Services
Section 6 - Major Capital Expenditures
General Comments
View Errors and Warnings
Section 1 - General Information
1.Facility Name:GLENDALE ADVENTIST MEDICAL CENTER - WILSON TERRACE
2.OSHPD ID Number:106190323
3.Street Address:1509 EAST WILSON TERRACE
4.City:GLENDALE
5.Zip:91206
6.Facility Phone No.:( 818) 409 - 8000 ext.
7.Administrator Name:Kelly Turner
8.Administrator E-mail Address:TurnerKL@ah.org
9.Was this hospital in operation at any time during the year?Yes
10.Operation Open From:1/1/2010
11.Operation Open To:12/31/2010
12.Name of Parent Corporation:Adventist Health
13.Corporate Business Address:2100 Douglas Blvd.
14.City:Roseville
15.State:CA
16.Zip:95661 - 9002
17.Person Completing Report:Nataliya Topuriya
18.Report Preparer's Phone No.:818-409-8428
19.Fax No.:818-546-5644
20.E-mail Address:TopuriN1@ah.org
30.Submitted by:topurin1
31.Submitted Date and Time:2/15/2011 5:29:04 PM
Section 2 - Hospital Description
LICENSE CATEGORY (TYPE) (Completed by OSHPD.)
Line
No.		(1)
1.License Category:General Acute Care Hospital
LICENSEE TYPE OF CONTROL
Line
No.		(1)
5.Select the category that best describes the licensee type of control of your hospital (the type of organization that owns the license) from the list below:Non-profit Corporation (incl. Church-related)
PRINCIPAL SERVICE TYPE
Line
No.		(1)
25.Select the category that best describes the type of service provided to the majority of your patients. (The type or service is usually consistant with majority of, or mix of reported patient days.)General Medical / Surgical
Section 3 - Inpatient Services
INPATIENT BED UTILIZATION - DO NOT INCLUDE NORMAL NEWBORNS IN BED UTILIZATION DATA
Line
No.		Bed Classification and 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
GAC Bed Designations
1.Medical / Surgical (include GYN)25392,34513,94262,593
2.Perinatal (exclude Newborn / GYN)3010,9502,3456,935
3.Pediatric0000
4.Intensive Care228,0302511,2875,875
5.Coronary Care103,6501685492,754
6.Acute Respiratory Care00000
7.Burn00000
8.Intensive Care Newborn Nursery145,11020063,514
9.Rehabilitation Center2810,2205477,369
15.Subtotal - GAC357130,30517,45389,040
16.Chemical Dependency Recovery Hospital0000
17.Acute Psychiatric6021,9001,70219,235
18.Skilled Nursing4014,600000
19.Intermediate Care0000
20.Intermediate Care / Developmentally Disabled0000
25.Total (Sum of lines 15 thru 20)457166,80519,155108,275
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
30.GAC - Chemical Dep Recovery Services000
31.Acute Psych - Chemical Dep Recovery Svcs000
* The licensed services data for these CDRS are to be included in lines 1 through 25 above.
Newborn Nursery Information
Line
No.		(1)
Nursery
Bassinets		(3)
*Nursery
Infants		(5)
Nursery
Days
35.Newborn Nursery222,2964,840
* Nursery Infants are the "normal" newborn nursery equivalent to discharges from licensed beds.
Skilled Nursing Swing Beds (Completed by OSHPD.)
Line
No.		(1)
40.Number of licensed General Acute Care beds approved for Skilled Nursing Care:0
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.
Acute Psychiatric Patients By Unit on December 31
Line
No.		(1)
Number of Patients
43.Locked18
44.Open36
45.Acute Psychiatric Total*54
Acute Psychiatric Patients By Age Category on December 31
Line
No.		(1)
Number of Patients
46.0 - 17 Years0
47.18 - 64 Years40
49.65 Years and Older14
50.Acute Psychiatric Total*54
Acute Psychiatric Patients By Primary Payer on December 31
Line
No.		(1)
Number of Patients
51.Medicare - Traditional37
52.Medicare - Managed Care4
53.Medi-Cal - Traditional3
54.Medi-Cal - Managed Care0
55.County Indigent Programs0
56.Other Third Parties - Traditional5
57.Other Third Parties - Managed Care2
58.Short-Doyle (includes Short-Doyle Medi-Cal)0
59.Other Indigent0
64.Other Payers3
65.Acute Psychiatric Total*54
* Acute Psychiatric Total on lines 45, 50 and 65 must agree.
Short Doyle Contract Services
Line
No.		(1)
70.During the reporting period, did you provide any acute psychiatric care under a Short-Doyle contract?No
Inpatient Hospice Program
Line
No.		(1)
71.Did your hospital offer an inpatient hospice program during the report period?No
If 'yes' on line 71, what type of bed classification is used for this service? (Check all that apply.)
Line
No.		Bed Classification(1)
72.General Acute CareNo
73.Skilled Nursing (SN)No
74.Intermediate Care (IC)No
Section 4 - Emergency Department Services (EDS)
EMSA Trauma Center Designation on December 31
(Completed by OSHPD from EMSA data.)
Line
No.		(1)
Designation		(2)
Pediatric
1.
Licensed Emergency Department Level
(Completed by OSHPD from DHS Data.)
Line
No.		(1)
January 1		(2)
December 31
2.BasicBasic
Services Available on Premises
(Check all that apply.)
Line
No.		Services Available(1)
24 Hour		(2)
On-Call
11.AnesthesiologistYesNo
12.Laboratory ServicesYesNo
13.Operating RoomNoYes
14.PharmacistYesNo
15.PhysicianYesNo
16.Psychiatric ERNoNo
17.Radiology ServicesYesNo
Emergency Department Services
Line
No.		EDS Visit TypeCPT Codes
(1)

Visits not Resulting in Admission*		(2)
Admitted from ED (Enter Total Only if Details not Available)
(3)


Total ED Traffic
(1) + (2)
21.Minor992811320
22.Low/Moderate992821,8791
23.Moderate9928310,11346
24.Severe without threat9928410,244873
25.Severe with threat992854,96211,601
30.TOTAL27,33012,52139,851
* DO NOT INCLUDE patients who register but left without being seen, employee physicals and scheduled Clinic-type visits.
Emergency Medical Treatment Stations on December 31
Line
No.		(1)
35.Enter the number of emergency medical treatment stations.36
Treatment Station - A specific place within the emergency department adequate to treat one patient at a time. Do not count holding or observation beds.
Non-Emergency (Clinic) Visits Seen in Emergency Department
Line
No.		(1)
40.Enter the number of non-emergency (clinic) visits seen in ED.305
Emergency Registrations, But Patient Leaves Without Being Seen*
Line
No.		(1)
45.Enter the number of EDS registrations that did NOT result in treatment.450
* Include patients who arrived at ED, but did not register and left without being seen (if available)
Emergency Department Ambulance Diversion Hours
Line
No.		(1)
50.Were there periods when the ED was unable to receive any and all ambulance patients during the year and as a result ambulances were diverted to other hospitals? If 'yes' fill out lines 51 through 62 below. Count only those hours in which the ED was unavailable TO ALL PATIENTS (see instructions).Yes
Number of Ambulance Diversion Hours that occurred at Emergency Department
Line
No.		Month(1)
Hours
51.January57
52.February41
53.March77
54.April55
55.May46
56.June11
57.July14
58.August28
59.September16
60.October22
61.November11
62.December33
65.Total Hours411
Section 5 - Surgery and Related Services
Surgical Services
Line
No.		Surgical Services(1)
Surgical Operations		(2)
Operating Room Minutes
1.Inpatient3,271453,900
2.Outpatient2,354191,400
Operating Rooms On December 31
Line
No.		Operating Room Type(1)
Number
7.Inpatient Only0
8.Outpatient Only5
9.Inpatient and Outpatient8
10.Total Operating Rooms13
Ambulatory Surgical Program
Line
No.		(1)
15.Did your hospital have an organized ambulatory surgical program?Yes
Live Births
Line
No.		(1)
Number
20.Total Live Births (Count multiple births separately)*2,498
21.Live Births with Birth Weight Less Than 2500 grams (5 lbs. 8 oz.)136
22.Live Births with Birth Weight Less Than 1500 grams (3 lbs. 5 oz)21
* 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.
Alternate Birthing (Outpatient) Center Information
Line
No.		(1)
31.Did your hospital have an approved alternate birthing (outpatient) program?No
32.Was your alternate setting was approved as LDRNo
33.Was your alternate setting was approved as LDRPNo
Other Live Birth Data
Line
No.		(1)
Number
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?962
Licensed Cardiology and Cardiovascular Surgery Services (Completed by OSHPD.)
Line
No.
(1)
Licensure
41.Cardiovascular Surgery Services
Note: Complete lines 42 to 85 if licensed for Cardiovascular Surgery Services.
Complete lines 55 to 85 if licensed for Cardiac Catheterization only.
Licensed Cardiovascular Operating Rooms
Line
No.		(1)
42.Number of operating rooms licensed to perform cardiovascular surgery on December 31.3
Cardiovascular Surgical Operations (with and without the HEART/LUNG MACHINE*)
Line
No.		(1)
Cardio-Pulmonary
Bypass USED*		(2)
Cardio-Pulmonary
Bypass NOT USED
43.Pediatric00
44.Adult11322
45.Total Cardiovascular Surgical Operations11322
* Also refered to as Extracorporeal Bypass or "on-the-pump" (heart/lung machine).
Coronary Artery Bypass Graft (CABG) Surgeries*
Line
No.		(1)
50.Number of Coronary Artery Bypass Graft (CABG) surgeries performed.94
* Subset of cardiovascular surgeries reported on line 45 above.
Cardiac Catheterization Lab Rooms
Line
No.		(1)
55.Number of rooms equipped to perform cardiac catheterizations on December 31.3
Cardiac Catheterization Visits
Line
No.		(1)
Diagnostic
(2)
Therapuetic
56.Pediatric - Inpatient00
57.Pediatric - Outpatient00
58.Adult - Inpatient8951,230
59.Adult - Outpatient589124
60.Total Cardiac Catheterization Visits1,4841,354
Distribution of Procedures Performed in Catheterization Laboratory
Complete this table if Cardiac Catheterization Visits are reported in line 60, columns 1 and 2.
Line
No.		(1)
Procedures
65.Diagnostic Cardiac Catheterization Procedures (LHC, R & LHC)2,733
66.Myocardial Biopsy0
71.Permanent Pacemaker Implantation20
711.Other Permanent Pacemaker Procedures (Generator or Lead Replacement)25
712.Implantable Cardioverter Defibrillator (ICD) Implantation60
713.Other ICD Procedures (Generator or Lead Replacement)95
72.Percutaneous Coronary Intervention (PCI) - WITH Stent680
73.Percutaneous Coronary Intervention (PCI) - WITHOUT Stent765
74.Atherectomy (PTCRA - rotablator, DCA, laser, other ablation, etc.)0
75.Thrombolytic Agents (Intracoronary only)74
76.Percutaneous Transluminal Balloon Valvulopasty (PTBV)0
77.Diagnostic Electrophysiology14
78.Catheter Ablation Procedures(SVT,VT,AF)0
79.Peripheral Vascular Angiography1
80.Peripheral Vascular Interventional Procedures891
81.Carotid Stenting Procedures8
82.Intra-Aortic Balloon Pump Insertion0
83.Catheter-based Ventricular Assist Device Insertion0
84.All other catheterization procedures performed in the lab0
85.Total Catheterization Procedures5,366
NOTE: Do Not Include Any Of The Following As A Cardiac Catheterization:
  • Defibrillation
  • Temporary Pacemaker Insertion
  • Cardioversion
  • Pericardiocentesis
  • Percutaneous Transluminal Balloon Valvuloplasty(PTBV) is very rarely done in these times. Those that are done are generally on pediatric patients.
  • AICD procedures are frequently done in the cath lab and are very similar to permanent pacemaker implants.
Section 6 - Major Capital Expenditures
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)."
Diagnostic and Therapeutic Equipment Acquired During The Report Period
Line
No.		(1)
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
Diagnostic and Therapeutic Equipment Detail
Line
No.
(1)


Description of Equipment
(2)


Value		(3)
Date of Aquisition
MM/DD/YYYY
(4)


Means of Acquisition
2.Digital Mammography$694,00009/20/2010Purchase
3.
4.
5.
6.
7.
8.
9.
10.
11.
Building Projects Commenced During Report Period Costing Over $1,000,000
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)."
Line
No.		(1)
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
Detail of Capital Expenditures
Line
No.
(1)


Description of Project		(2)
Projected Total Capital Expenditure
(3)

OSHPD Project No. (if applicable)
26.D T Chiller Replacement$1,200,000SL100528
27.
28.
29.
30.
General Comments:
Errors and Warnings