Hartford Hospital

Filing Period

Oct 1, 2011 to Sep 30, 2012

Signed

Aug 5, 2013

Return Version

2011v1.5

Gross Receipts

$1,158,172,408

Mission

Major Activities

Activity 2

The Institute of Living (Hartford Hospital's Department of Psychiatry) is referred to as the IOL. The IOL's achievements in 2012 must be considered in the context of the continuing overall failure of the mental health system(s) in America to meet the needs of our mentally ill. In last year's report it was noted that the Substance Abuse and Mental Health Services Administration (SAMHSA) estimated that in 2011 less the 40% of individuals experiencing a mental illness received treatment and less than 60% of those with a severe mental illness received any psychiatric services. Very little has changed since then. The IOL's most significant access/quality initiative this year has been the "Purple Pod Initiative," a multispecialty, multidisciplinary effort to plan for an expansion of psychiatric services in the Emergency Department. This includes a physical renovation of the Purple Pod space as well as enhancements to staffing, leadership and process improvements which will continue through 2013. At the same time, planning for implementation of a proactive model for consultation/liaison services (the Behavioral Intervention Team or BIT model) proceeded with several grant applications being made. Our multi-year "culture change" program this year focused on the completion of comfort rooms on all our inpatient units, the implementation of a sensory/comfort plan for all adult and geriatric patients and continued reductions in the use of seclusion and restraint. We continued our focus on suicide assessment/prevention as national suicide rates continued to rise (10% increase from 2000 to 2010). The IOL's residency programs continued to thrive with an outstanding class of new residents in both our general adult and child and adolescent residencies. Our research programs had an excellent year as well with over $7 million in new grants awarded and 101 publications generated. As we enter 2013 we look forward to the many challenges that will face our system of care and we anticipate and accommodate to the needs of health care reform.Statistical Data:Total discharges for the year were 4,115. The number of adult day treatments was 13,688. The IOL treated 2,039 patients for eating disorder and 3,996 for Schizophrenia rehabilitation. A total of 2,235 patients received Geriatric day treatment, 4,334 received professional day treatment, 6,481 received Child/Adolescent day treatment and 2,778 went through the DBT program. The average length of stay was 9.3 days and the average daily census was 104.6. Hartford residents accounted for 34% of admissions and 65% of admissions were from other areas within the state. Patient Care Activities and Program Development:Patient care activities and program development were guided by the IOL's internal goals for 2012. Highlights included a focus on significant growth in the Young Adult Program which received a $350,000 grant to establish a clinic to complement its partial hospitalization and IOP programs. Other program highlights for this year included:Assessment Center: Clinicians evaluated 6,460 patients in the Hartford Hospital Emergency Department (10% increase over 2011), 2,294 children in the Connecticut Children's Medical Center Emergency Department and averaged 4,200 telephone interventions per month.Adult Ambulatory Services: Provided over 73,000 services in eight specialty programs including Adult Day Treatment, Addiction Recovery Service, Dialectical Behavior Therapy, Eating Disorders, Geriatric Day Treatment, Professionals Program (including Professionals Addiction Recovery Service), Schizophrenia Rehabilitation Program and the Young Adult Program.Inpatient Services: Total discharges were 4,115 from three adult units, one geriatric unit, one child unit, one adolescent unit and one child/adolescent unit (CARES).Child/Adolescent Division: Consists of the Outpatient Clinic, Extended Day Treatment (TOPS), Partial Hospital and Intensive Outpatient Programs (IOP), the Child/Adolescent "Practice" and the Webb

Activity 3

IMAGING CENTER AT HARTFORD HOSPITALThere are currently 186 full time employees in the Radiology Department. General radiology's procedures increased from 36,747 to 38,326 which was a 3.7% increase from prior year. MRI procedures increased from 9,893 to 10,708 which was a 6.5% increase. CT procedures increased from 41,322 to 41,915 which was a 0.7% increase. Fluoroscopy volume was increased by 8.0%. This change represented an additional 401 procedures when compared to prior year. Nuclear Medicine nationally has continued to decrease. Our decrease was 3.4%. Our Outpatient PET volume has increased by 11.5% and our inpatient volume has decreased by 84%. ED imaging increased from 43,916 in FY 11 to 45,775 which was a 4.23% increase. Ultrasound volume was increased by 3.1%.from 12,805 to 13,204. This increase in volume was partially due to an increase in breast biopsies and breast ultrasound exams. Mammography showed a decrease of 2.1% which was due to the Mobile Mammography service not being operational. The Department had a five hundred thousand dollar donation which facilitated the purchase of a coach and a Hologic Digital mammography unit. The coach was delivered in February and had its first site visit April 17, 2012. We have performed over eight hundred mammograms since April. OR imaging showed growth which was more outpatients than inpatients. The increase was 4.6%, representing 387 more procedures.Interventional Radiology patients were increased by 3.9%. Interventional Neuroradiology volume was increased by 12.8%. Diagnostic procedures increased by 9.5% while therapeutic cases increased by 18.5%. On April 4, 2012, Drs. Gary Spiegel, Martin Ollenschleger and Stephan Ohki were the first in New England to use the Solitaire FR stent for a stroke procedure which successfully removed the clot in half the time of previous devices. INR and IR combined had an increase in volume by 4.7%. The Department also initiated 24/7 in-house radiology coverage, renovated the Mammography Reading Room and started installation of a new Fluoroscopy Suite. In addition, the Department created an Associate-Chief position for supporting service-line development and institute initiatives as well as initiated the Next Accreditation System (NAS) for the radiology residency program compliant with early adaptors of the American College of Graduate Medical Education's (ACGME) new system for residency review and accreditation.2012 HighlightsNuclear Medicine:Volumes for OR Sentinel lymph node scans have stayed the same. The OR purchased 2 new Neo probes which now allow for better scheduling of patients for surgery. Inpatients PET scans decreased by 17% while outpatient PET scans increased by 8%. I-131 therapies increased by 187%, volume changed from 8 per year to 23. Pre and Post Sirt Spheres scans have increased by 41%.CT Section:CT has been approved to replace the Qxi eight slice scanner for a high-end scanner to improve our ability to build our cardiac CTA program. CT is an integral part of the new TAVR program which is an innovative procedure that replaces diseased heart valves non-invasively. Cardiac CTAs are now available for ED patients. The department aspires to build this program which will make an impact on chest pain turnarounds. CT has purchased a microwave ablation unit which reduces ablation time in half when compared to cryoablations.IR Section:The department treated its 200th mechanical stroke patient this past summer. We installed 2 new state of the art Siemens single plane Artisrooms . These have advanced imaging capabilities for Dyna CT scan.General Radiography:Quality images and efficiency greatly enhanced with the replacement of 4 analog rooms and 3 portable units to digital radiography as well as 4 ED traumas rooms. Overall, the department is very close to being fully digital in general radiography.Teaching, Research and EducationThe Radiology Residency currently trains twenty residents. This year's graduating class had a 100% pass rate on

Filer

EIN

06-0646668