Annual Utilization Report of Hospitals
Facility Name:GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER
OSHPD ID:106190522Report 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:GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER
2.OSHPD ID Number:106190522
3.Street Address:1420 SOUTH CENTRAL AVENUE
4.City:GLENDALE
5.Zip:91204
6.Facility Phone No.:( 818) 502 - 1900 ext.
7.Administrator Name:Jack Ivie
8.Administrator E-mail Address:Jack.Ivie@DignityHealth.org
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:Dignity Health
13.Corporate Business Address:185 Berry Street
14.City:San Francisco
15.State:CA
16.Zip:94107 -
17.Person Completing Report:William Ursua
18.Report Preparer's Phone No.:818-507-4185
19.Fax No.:818-502-2295
20.E-mail Address:william.ursua@dignityhealth.org
30.Submitted by:wursua
31.Submitted Date and Time:4/13/2017 1:30:48 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
(5)


Patient (Census) Days
GAC Bed Designations
1.Medical / Surgical (include GYN)18065,8806,04625,880
2.Perinatal (exclude Newborn / GYN)248,7841,8454,930
3.Pediatric0000
4.Intensive Care124,3921465692,747
5.Coronary Care124,3921043511,833
6.Acute Respiratory Care00000
7.Burn00000
8.Intensive Care Newborn Nursery134,75822502,581
9.Rehabilitation Center145,1243073,542
15.Subtotal - GAC25593,3308,67341,513
16.Chemical Dependency Recovery Hospital0000
17.Acute Psychiatric4917,9341,1807,428
18.Skilled Nursing3010,980000
19.Intermediate Care0000
20.Intermediate Care / Developmentally Disabled0000
25.Total (Sum of lines 15 thru 20)334122,2449,85348,941
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 Svcs01,1807,428
* 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 Nursery141,7913,569
* 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.Locked12
44.Open0
45.Acute Psychiatric Total*12
Acute Psychiatric Patients By Age Category on December 31
Line
No.		(1)
Number of Patients
46.0 - 17 Years0
47.18 - 64 Years11
49.65 Years and Older1
50.Acute Psychiatric Total*12
Acute Psychiatric Patients By Primary Payer on December 31
Line
No.		(1)
Number of Patients
51.Medicare - Traditional1
52.Medicare - Managed Care11
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*12
* 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?Yes
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?2
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?1
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?1
*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?Yes
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 RoomYesNo
14.PharmacistYesNo
15.PhysicianYesNo
16.Psychiatric ERYesNo
17.Radiology ServicesNoYes
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.Minor992812,4790
22.Low/Moderate992829,42115
23.Moderate9928318,935113
24.Severe without threat992846,5985,272
25.Severe with threat992852,1581,806
30.TOTAL39,5917,20646,797
* 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.15
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.14,629
Emergency Registrations, But Patient Leaves Without Being Seen*
Line
No.		(1)
45.Enter the number of EDS registrations that did NOT result in treatment.298
* 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.January33
52.February91
53.March24
54.April3
55.May1
56.June2
57.July4
58.August2
59.September5
60.October10
61.November6
62.December26
65.Total Hours207
Section 5 - Surgery and Related Services
Surgical Services
Line
No.		Surgical Services(1)
Surgical Operations		(2)
Operating Room Minutes
1.Inpatient1,780189,580
2.Outpatient2,510121,728
Operating Rooms On December 31
Line
No.		Operating Room Type(1)
Number
7.Inpatient Only0
8.Outpatient Only0
9.Inpatient and Outpatient10
10.Total Operating Rooms10
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)*1,735
21.Live Births with Birth Weight Less Than 2500 grams (5 lbs. 8 oz.)100
22.Live Births with Birth Weight Less Than 1500 grams (3 lbs. 5 oz)3
* 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?0
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 31.2
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.Adult1937
45.Total Cardiovascular Surgical Operations1937
* 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.120
* 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 - Inpatient8730
59.Adult - Outpatient5440
60.Total Cardiac Catheterization Visits1,4170
Distribution of Procedures Performed in Catheterization Laboratory
Line
No.		(1)
Procedures
65.Diagnostic Cardiac Catheterization Procedures (LHC, R & LHC)633
66.Myocardial Biopsy0
71.Permanent Pacemaker Implantation43
711.Other Permanent Pacemaker Procedures (Generator or Lead Replacement)0
712.Implantable Cardioverter Defibrillator (ICD) Implantation0
713.Other ICD Procedures (Generator or Lead Replacement)0
72.Percutaneous Coronary Intervention (PCI) - WITH Stent150
73.Percutaneous Coronary Intervention (PCI) - WITHOUT Stent42
74.Atherectomy (PTCRA - rotablator, DCA, laser, other ablation, etc.)18
75.Thrombolytic Agents (Intracoronary only)0
76.Percutaneous Transluminal Balloon Valvuloplasty (PTBV)1
77.Diagnostic Electrophysiology64
78.Catheter Ablation Procedures(SVT,VT,AF)67
79.Peripheral Vascular Angiography185
80.Peripheral Vascular Interventional Procedures170
81.Carotid Stenting Procedures0
82.Intra-Aortic Balloon Pump Insertion9
83.Catheter-based Ventricular Assist Device Insertion0
84.All other catheterization procedures performed in the lab35
85.Total Catheterization Procedures1,417
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.)No
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.
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.Bulit Environment Project$2,345,468S140890-19-00
27.
28.
29.
30.
General Comments:
Errors and Warnings