Annual Utilization Report of Hospitals
Facility Name:FOUNTAIN VALLEY REGIONAL HOSPITAL AND MEDICAL CENTER - EUCLID
OSHPD ID:106301175Report Status:Submitted
License Category:General Acute Care HospitalReport Year:2016
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:FOUNTAIN VALLEY REGIONAL HOSPITAL AND MEDICAL CENTER - EUCLID
2.OSHPD ID Number:106301175
3.Street Address:17100 EUCLID STREET
4.City:FOUNTAIN VALLEY
5.Zip:92708
6.Facility Phone No.:( 714) 966 - 7200 ext.
7.Administrator Name:Kenneth McFarland
8.Administrator E-mail Address:Kenneth.McFarland@tenethealth.com
9.Was this hospital in operation at any time during the year?Yes
10.Operation Open From:1/1/2016
11.Operation Open To:12/31/2016
12.Name of Parent Corporation:Tenet Healthcare Corporation
13.Corporate Business Address:1445 Ross Ave.
Ste. 1400
14.City:Dallas
15.State:TX
16.Zip:75202 - 2703
17.Person Completing Report:Kris Ludington
18.Report Preparer's Phone No.:714-966-8020
19.Fax No.:714-966-5084
20.E-mail Address:kris.ludington@tenethealth.com
30.Submitted by:krisludington
31.Submitted Date and Time:2/13/2017 3:03:06 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:Investor - Corporation
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
(5)


Patient (Census) Days
GAC Bed Designations
1.Medical / Surgical (include GYN)18366,97811,74455,045
2.Perinatal (exclude Newborn / GYN)3813,9083,92510,745
3.Pediatric134,7581,4183,866
4.Intensive Care3613,17681284310,106
5.Coronary Care00000
6.Acute Respiratory Care00000
7.Burn00000
8.Intensive Care Newborn Nursery238,41855005,582
9.Rehabilitation Center0000
15.Subtotal - GAC293107,23818,44985,344
16.Chemical Dependency Recovery Hospital0000
17.Acute Psychiatric0000
18.Skilled Nursing00000
19.Intermediate Care0000
20.Intermediate Care / Developmentally Disabled0000
25.Total (Sum of lines 15 thru 20)293107,23818,44985,344
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 Nursery553,5357,882
* 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.Locked0
44.Open0
45.Acute Psychiatric Total*0
Acute Psychiatric Patients By Age Category on December 31
Line
No.		(1)
Number of Patients
46.0 - 17 Years0
47.18 - 64 Years0
49.65 Years and Older0
50.Acute Psychiatric Total*0
Acute Psychiatric Patients By Primary Payer on December 31
Line
No.		(1)
Number of Patients
51.Medicare - Traditional0
52.Medicare - Managed Care0
53.Medi-Cal - Traditional0
54.Medi-Cal - Managed Care0
55.County Indigent Programs0
56.Other Third Parties - Traditional0
57.Other Third Parties - Managed Care0
58.Short-Doyle (includes Short-Doyle Medi-Cal)0
59.Other Indigent0
64.Other Payers0
65.Acute Psychiatric Total*0
* 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
PALLIATIVE CARE PROGRAM
Line
No.		(1)
80.Did your hospital have an inpatient palliative care program during the report period?No
PALLIATIVE CARE PROGRAM - An interdisciplinary team that sees patient, identifies needs, makes treatment recommendations, facilitaties patient and /or family decision making, and/or directly provides palliative care for patients with serious illness and their families.
If 'yes' on line 80, Please answer the questions below.
Line
No.		(1)
81.How many Advanced Practice Nurses(APN)Registered Nurses(RN) are on the inpatient palliative care team?0
82.How many of these APN/RNs are board certified by the National Board for Certification for Hospice and Palliative Nursing?0
83.How many Physicians are on the inpatient palliative care team?0
84.How many of these Physicians are board certified by the American Board of Medical Specialties?0
85.How many Social Workers are on the inpatient palliative care team?0
86.How many of these Social Workers hold an Advanced Certified Hospice and Palliative Social Worker credential from the National Association of Social Worker?0
87.How many Chaplains are on the inpatient palliative care team?0
*Staffing data should only reflect inpatient palliative care team.
Line
No.		(1)
90.Did your hospital have outpatient palliative care services during the report period?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.AnesthesiologistNoYes
12.Laboratory ServicesYesNo
13.Operating RoomNoYes
14.PharmacistYesNo
15.PhysicianYesNo
16.Psychiatric ERNoYes
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.Minor992811,72521
22.Low/Moderate992823,0494
23.Moderate9928313,17934
24.Severe without threat9928414,8931,508
25.Severe with threat992855,5868,128
30.TOTAL38,4329,69548,127
* 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.25
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.0
Emergency Registrations, But Patient Leaves Without Being Seen*
Line
No.		(1)
45.Enter the number of EDS registrations that did NOT result in treatment.463
* 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.January26
52.February72
53.March5
54.April9
55.May1
56.June2
57.July8
58.August2
59.September7
60.October1
61.November6
62.December12
65.Total Hours151
Section 5 - Surgery and Related Services
Surgical Services
Line
No.		Surgical Services(1)
Surgical Operations		(2)
Operating Room Minutes
1.Inpatient4,711668,892
2.Outpatient4,367502,353
Operating Rooms On December 31
Line
No.		Operating Room Type(1)
Number
7.Inpatient Only0
8.Outpatient Only0
9.Inpatient and Outpatient9
10.Total Operating Rooms9
Ambulatory Surgical Program
Line
No.		(1)
15.Did your hospital have an organized ambulatory surgical program?No
Live Births
Line
No.		(1)
Number
20.Total Live Births (Count multiple births separately)*3,899
21.Live Births with Birth Weight Less Than 2500 grams (5 lbs. 8 oz.)226
22.Live Births with Birth Weight Less Than 1500 grams (3 lbs. 5 oz)33
* 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?1,375
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.Adult1204
45.Total Cardiovascular Surgical Operations1204
* 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.100
* 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)
Therapeutic
56.Pediatric - Inpatient00
57.Pediatric - Outpatient00
58.Adult - Inpatient589268
59.Adult - Outpatient671262
60.Total Cardiac Catheterization Visits1,260530
Distribution of Procedures Performed in Catheterization Laboratory
Line
No.		(1)
Procedures
65.Diagnostic Cardiac Catheterization Procedures (LHC, R & LHC)1,260
66.Myocardial Biopsy0
71.Permanent Pacemaker Implantation103
711.Other Permanent Pacemaker Procedures (Generator or Lead Replacement)45
712.Implantable Cardioverter Defibrillator (ICD) Implantation66
713.Other ICD Procedures (Generator or Lead Replacement)21
72.Percutaneous Coronary Intervention (PCI) - WITH Stent464
73.Percutaneous Coronary Intervention (PCI) - WITHOUT Stent66
74.Atherectomy (PTCRA - rotablator, DCA, laser, other ablation, etc.)27
75.Thrombolytic Agents (Intracoronary only)0
76.Percutaneous Transluminal Balloon Valvuloplasty (PTBV)0
77.Diagnostic Electrophysiology42
78.Catheter Ablation Procedures(SVT,VT,AF)40
79.Peripheral Vascular Angiography843
80.Peripheral Vascular Interventional Procedures429
81.Carotid Stenting Procedures0
82.Intra-Aortic Balloon Pump Insertion39
83.Catheter-based Ventricular Assist Device Insertion9
84.All other catheterization procedures performed in the lab0
85.Total Catheterization Procedures3,454
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.
NOTE: Do Not Include Any Of The Following As A Cardiac Catheterization:
  • Defibrillation
  • Temporary Pacemaker Insertion
  • Cardioversion
  • Pericardiocentesis
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.Discovery 730 - Hybrid OR Radioloby$1,973,83304/15/2016Lease
3.daVinci Xi Robotic Surgery System$1,976,16210/06/2016Lease
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.)No
Detail of Capital Expenditures
Line
No.
(1)


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

OSHPD Project No. (if applicable)
26.
27.
28.
29.
30.
General Comments:
Errors and Warnings