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1. | Facility Name: | RONALD REAGAN UCLA MEDICAL CENTER |
2. | OSHPD ID Number: | 106190796 |
3. | Street Address: | 757 WESTWOOD PLAZA |
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4. | City: | LOS ANGELES |
5. | Zip: | 90095 |
6. | Facility Phone No.: | ( 310) 794 - 1630 ext. |
7. | Administrator Name: | Paul Staton |
8. | Administrator E-mail Address: | pstaton@mednet.ucla.edu |
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: | UCLA Health System |
13. | Corporate Business Address: | UCLA Whilshire Center Suite 1700 Financial Services |
14. | City: | Westwood |
15. | State: | CA |
16. | Zip: | 90095 - |
17. | Person Completing Report: | Deborah Chandler |
18. | Report Preparer's Phone No.: | 310-794-8393 |
19. | Fax No.: | 310-794-8585 |
20. | E-mail Address: | dchandler@mednet.ucla.edu |
30. | Submitted by: | 106190796 |
31. | Submitted Date and Time: | 2/14/2011 10:36:15 AM |
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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 |
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| GAC Bed Designations | | | | | | 1. | Medical / Surgical (include GYN) | 234 | 85,410 | 15,879 | | 81,876 | 2. | Perinatal (exclude Newborn / GYN) | 13 | 4,745 | 2,172 | | 6,113 | 3. | Pediatric | 44 | 16,060 | 2,396 | | 15,143 | 4. | Intensive Care | 120 | 43,800 | 2,045 | 5,736 | 41,200 | 5. | Coronary Care | 12 | 4,380 | 330 | 294 | 3,703 | 6. | Acute Respiratory Care | 0 | 0 | 0 | 0 | 0 | 7. | Burn | 0 | 0 | 0 | 0 | 0 | 8. | Intensive Care Newborn Nursery | 32 | 8,920 | 388 | 309 | 8,585 | 9. | Rehabilitation Center | 11 | 4,015 | 208 | | 3,254 | 15. | Subtotal - GAC | 466 | 167,330 | 23,418 | | 159,874 | | 16. | Chemical Dependency Recovery Hospital | 0 | 0 | 0 | | 0 | 17. | Acute Psychiatric | 0 | 0 | 0 | | 0 | 18. | Skilled Nursing | 0 | 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) | 466 | 167,330 | 23,418 | | 159,874 |
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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 | 29 | | 1,958 | | 3,898 |
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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 | 0 | 44. | Open | 0 | 45. | Acute Psychiatric Total* | 0 |
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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 | 0 | 49. | 65 Years and Older | 0 | 50. | Acute Psychiatric Total* | 0 |
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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 | 0 | 52. | Medicare - Managed Care | 0 | 53. | Medi-Cal - Traditional | 0 | 54. | Medi-Cal - Managed Care | 0 | 55. | County Indigent Programs | 0 | 56. | Other Third Parties - Traditional | 0 | 57. | Other Third Parties - Managed Care | 0 | 58. | Short-Doyle (includes Short-Doyle Medi-Cal) | 0 | 59. | Other Indigent | 0 | 64. | Other Payers | 0 | 65. | Acute Psychiatric Total* | 0 |
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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 I | Level I |
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Licensed Emergency Department Level |
(Completed by OSHPD from DHS Data.) |
Line No. | (1) January 1 | (2) December 31 |
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2. | Comprehensive | Comprehensive |
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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 Department Services |
Line No. | EDS Visit Type | CPT Codes | (1) Visits not Resulting in Admission* | (2) Admitted from ED (Enter Total Only if Details not Available) | (3)
Total ED Traffic (1) + (2) |
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21. | Minor | 99281 | 4,663 | 7 | | 22. | Low/Moderate | 99282 | 4,504 | 18 | | 23. | Moderate | 99283 | 7,914 | 44 | | 24. | Severe without threat | 99284 | 9,619 | 202 | | 25. | Severe with threat | 99285 | 6,213 | 9,288 | | 30. | TOTAL | | 32,913 | 9,559 | 42,472 |
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* DO NOT INCLUDE patients who register but left 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 Station - 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 ED. | 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 EDS registrations that did NOT result in treatment. | 934 |
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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 Ambulance Diversion Hours |
Line No. | | (1) |
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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 |
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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 | 116 | 52. | February | 125 | 53. | March | 176 | 54. | April | 99 | 55. | May | 160 | 56. | June | 74 | 57. | July | 211 | 58. | August | 252 | 59. | September | 209 | 60. | October | 185 | 61. | November | 200 | 62. | December | 164 | 65. | Total Hours | 1,971 |
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Surgical Services |
Line No. | Surgical Services | (1) Surgical Operations | (2) Operating Room Minutes |
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1. | Inpatient | 10,727 | 2,547,507 | 2. | Outpatient | 15,545 | 1,225,740 |
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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 | 15 | 9. | Inpatient and Outpatient | 23 | 10. | Total Operating Rooms | 38 |
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Ambulatory Surgical Program |
Line No. | | (1) |
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15. | Did your hospital have an organized ambulatory surgical program? | Yes |
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Live Births |
Line No. | | (1) Number |
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20. | Total Live Births (Count multiple births separately)* | 2,187 | 21. | Live Births with Birth Weight Less Than 2500 grams (5 lbs. 8 oz.) | 171 | 22. | Live Births with Birth Weight Less Than 1500 grams (3 lbs. 5 oz) | 29 |
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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? | 679 |
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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. | 3 |
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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 | 167 | 39 | 44. | Adult | 498 | 258 | 45. | Total Cardiovascular Surgical Operations | 665 | 297 |
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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. | 210 |
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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. | 6 |
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Cardiac Catheterization Visits |
Line No. | | (1) Diagnostic
| (2) Therapuetic
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56. | Pediatric - Inpatient | 97 | 402 | 57. | Pediatric - Outpatient | 157 | 525 | 58. | Adult - Inpatient | 819 | 4,505 | 59. | Adult - Outpatient | 846 | 2,582 | 60. | Total Cardiac Catheterization Visits | 1,919 | 8,014 |
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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 |
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65. | Diagnostic Cardiac Catheterization Procedures (LHC, R & LHC) | 1,309 | 66. | Myocardial Biopsy | 225 | 71. | Permanent Pacemaker Implantation | 204 | 711. | Other Permanent Pacemaker Procedures (Generator or Lead Replacement) | 159 | 712. | Implantable Cardioverter Defibrillator (ICD) Implantation | 54 | 713. | Other ICD Procedures (Generator or Lead Replacement) | 46 | 72. | Percutaneous Coronary Intervention (PCI) - WITH Stent | 568 | 73. | Percutaneous Coronary Intervention (PCI) - WITHOUT Stent | 504 | 74. | Atherectomy (PTCRA - rotablator, DCA, laser, other ablation, etc.) | 260 | 75. | Thrombolytic Agents (Intracoronary only) | 7 | 76. | Percutaneous Transluminal Balloon Valvulopasty (PTBV) | 37 | 77. | Diagnostic Electrophysiology | 406 | 78. | Catheter Ablation Procedures(SVT,VT,AF) | 349 | 79. | Peripheral Vascular Angiography | 418 | 80. | Peripheral Vascular Interventional Procedures | 205 | 81. | Carotid Stenting Procedures | 26 | 82. | Intra-Aortic Balloon Pump Insertion | 80 | 83. | Catheter-based Ventricular Assist Device Insertion | 3 | 84. | All other catheterization procedures performed in the lab | 5,073 | 85. | Total Catheterization Procedures | 9,933 |
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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.
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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 |
Line No. | | (1) |
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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. | Baxter 35700Bax IV Smart Pumps | $8,842,438 | 4/12/2010 | Lease | 3. | Da Vinci SI Surgical System | $2,163,625 | 6/2/2010 | Purchase | 4. | Pet-CT Scanner | $2,049,827 | 10/11/2010 | Purchase | 5. | CET Cancer CTR Brachytherapy | $625,090 | 6/16/2010 | Purchase | 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)." |
Line No. | | (1) |
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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. | RRUMC Tudor Saliba Settlement | $48,687,721 | | 27. | | | | 28. | | | | 29. | | | | 30. | | | |
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