Survey Info.

Annual Utilization Report of Hospitals
Facility Name:	CEDARS SINAI MEDICAL CENTER
OSHPD ID:	106190555	Report Status:	Submitted
License Category:	General Acute Care Hospital	Report 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

Facility Name:

CEDARS SINAI MEDICAL CENTER

OSHPD ID Number:

106190555

Street Address:

8700 BEVERLY BOULEVARD

City:

LOS ANGELES

Zip:

90048

Facility Phone No.:

( 323) 421 - 5000 ext.

Administrator Name:

Thomas M. Priselac

Administrator E-mail Address:

Thomas.Priselac@cshs.org

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:

Cedars-Sinai Health System

13.

Corporate Business Address:

8700 Beverly Boulevard

14.

City:

Los Angeles

15.

State:

16.

Zip:

90048 -

17.

Person Completing Report:

John Blevins

18.

Report Preparer's Phone No.:

323-866-8782

19.

Fax No.:

322-866-8571

20.

E-mail Address:

blevinsj@cshs.org

30.

Submitted by:

cedars555

31.

Submitted Date and Time:

2/14/2017 8:33:42 AM

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)	591	216,306	39,285		191,110
2.	Perinatal (exclude Newborn / GYN)	64	23,424	6,510		17,086
3.	Pediatric	31	11,346	1,186		2,764
4.	Intensive Care	126	46,116	1,713	6,953	31,428
5.	Coronary Care	0	0	0	0	0
6.	Acute Respiratory Care	0	0	0	0	0
7.	Burn	0	0	0	0	0
8.	Intensive Care Newborn Nursery	45	16,470	601	216	11,353
9.	Rehabilitation Center	29	10,614	441		5,217
15.	Subtotal - GAC	886	324,276	49,736		258,958

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)	886	324,276	49,736		258,958

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 Services	0		0		0
31.	Acute Psych - Chemical Dep Recovery Svcs	0		0		0

* 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 Nursery	80		6,069		13,545

* 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.	Locked	0
44.	Open	0
45.	Acute Psychiatric Total*	0

Acute Psychiatric Patients By Age Category on December 31

Line No.		(1) Number of Patients
46.	0 - 17 Years	0
47.	18 - 64 Years	0
49.	65 Years and Older	0
50.	Acute Psychiatric Total*	0

Acute Psychiatric Patients By Primary Payer on December 31

Line No.		(1) Number of Patients
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

* 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?	Yes

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 Care	Yes
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?	1
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?	8
84.	How many of these Physicians are board certified by the American Board of Medical Specialties?	7
85.	How many Social Workers are on the inpatient palliative care team?	3
86.	How many of these Social Workers hold an Advanced Certified Hospice and Palliative Social Worker credential from the National Association of Social Worker?	2
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.	Level I	Level II

Licensed Emergency Department Level

(Completed by OSHPD from DHS Data.)

Line No.	(1) January 1	(2) December 31
2.	Basic	Basic

Services Available on Premises

(Check all that apply.)

Line No.	Services Available	(1) 24 Hour	(2) On-Call
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	No	Yes
17.	Radiology Services	Yes	No

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)
21.	Minor	99281	3,430	3
22.	Low/Moderate	99282	10,872	30
23.	Moderate	99283	24,794	73
24.	Severe without threat	99284	20,892	171
25.	Severe with threat	99285	6,715	22,898
30.	TOTAL		66,703	23,175	89,878

* 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.	51

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.	3,401

* 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.	January	218
52.	February	276
53.	March	179
54.	April	82
55.	May	73
56.	June	90
57.	July	98
58.	August	107
59.	September	102
60.	October	64
61.	November	112
62.	December	157
65.	Total Hours	1,558

Section 5 - Surgery and Related Services

Surgical Services

Line No.	Surgical Services	(1) Surgical Operations	(2) Operating Room Minutes
1.	Inpatient	15,280	3,168,900
2.	Outpatient	16,591	1,968,420

Operating Rooms On December 31

Line No.	Operating Room Type	(1) Number
7.	Inpatient Only	0
8.	Outpatient Only	5
9.	Inpatient and Outpatient	42
10.	Total Operating Rooms	47

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)*	6,740
21.	Live Births with Birth Weight Less Than 2500 grams (5 lbs. 8 oz.)	512
22.	Live Births with Birth Weight Less Than 1500 grams (3 lbs. 5 oz)	95

* 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 LDR	No
33.	Was your alternate setting was approved as LDRP	No

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?	2,128

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.	5

Cardiovascular Surgical Operations (with and without the HEART/LUNG MACHINE*)

Line No.		(1) Cardio-Pulmonary Bypass USED*	(2) Cardio-Pulmonary Bypass NOT USED
43.	Pediatric	20	33
44.	Adult	744	221
45.	Total Cardiovascular Surgical Operations	764	254

* 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.	206

* 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.	9

Cardiac Catheterization Visits

Line No.		(1) Diagnostic	(2) Therapeutic
56.	Pediatric - Inpatient	45	156
57.	Pediatric - Outpatient	15	0
58.	Adult - Inpatient	5,164	3,625
59.	Adult - Outpatient	2,781	1,022
60.	Total Cardiac Catheterization Visits	8,005	4,803

Distribution of Procedures Performed in Catheterization Laboratory

Line No.		(1) Procedures
65.	Diagnostic Cardiac Catheterization Procedures (LHC, R & LHC)	6,136
66.	Myocardial Biopsy	1,152
71.	Permanent Pacemaker Implantation	431
711.	Other Permanent Pacemaker Procedures (Generator or Lead Replacement)	173
712.	Implantable Cardioverter Defibrillator (ICD) Implantation	172
713.	Other ICD Procedures (Generator or Lead Replacement)	128
72.	Percutaneous Coronary Intervention (PCI) - WITH Stent	1,570
73.	Percutaneous Coronary Intervention (PCI) - WITHOUT Stent	54
74.	Atherectomy (PTCRA - rotablator, DCA, laser, other ablation, etc.)	110
75.	Thrombolytic Agents (Intracoronary only)	18
76.	Percutaneous Transluminal Balloon Valvuloplasty (PTBV)	118
77.	Diagnostic Electrophysiology	657
78.	Catheter Ablation Procedures(SVT,VT,AF)	674
79.	Peripheral Vascular Angiography	72
80.	Peripheral Vascular Interventional Procedures	238
81.	Carotid Stenting Procedures	14
82.	Intra-Aortic Balloon Pump Insertion	45
83.	Catheter-based Ventricular Assist Device Insertion	55
84.	All other catheterization procedures performed in the lab	775
85.	Total Catheterization Procedures	12,592

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.	Versa HD/MOSAIQ	$625,333	08/09/2016	Purchase
3.	3G Sonasource Package	$521,624	11/30/2016	Purchase
4.	CARDIOSAVE HYBRID	$531,566	12/31/2016	Purchase
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.	FN LL A621, A628, A607 Consolication	$1,310,571	S150695-19-00
27.	Pneumatic Tube	$1,656,843	TBD
28.	Lower Level Expansion	$1,961,801	P2012-00289
29.	AHSP 7th Floor Build Out	$2,511,268
30.	Community Relations Consolidation	$1,144,614

General Comments:

Addition to Detail of Capital Expenditures: 31. MDN 2001 Santa Monica DI Relocation: $1,758,286 32. AHSP 4th Floor: $2,560,672 33. 9090 Wilshire THO Expansion: $1,046,524 34. Playa Vista at Runway: $1,626,956 35. Encino Administrative Suite: $1,389,566 36. Kerlan Jobe 2nd Floor 6801 Park Terrace: $1,026,785

Errors and Warnings