Hartford Hospital

Filing Period

Oct 1, 2012 to Sep 30, 2013

Signed

Aug 8, 2014

Return Version

2012v2.1

Gross Receipts

$1,523,912,886

Mission

Major Activities

Activity 2

The Institute of Living (Hartford Hospital's Department of Psychiatry) is referred to as the IOL. The most distinctive aspect of this year in regard to behavioral health, has been the roll out of the national dialogue on mental health which followed from the Sandy Hook Disaster. The IOL is proud to have played a role in the shaping of this dialogue through consultation with Vice President Biden's office and participation in numerous town hall panels, conferences and media appearances. Senior members of the IOL staff continued their efforts on the Governor's Sandy Hook Advisory Commission throughout the year. In response to Sandy Hook and the ensuing dialogue about mental health, the Connecticut legislature enacted a variety of provisions aimed at enhancing mental health services with a focus on early detection and intervention.Highlights of the year included renovation of the Purple Pod which will significantly enhance the capacity and the quality of the space devoted to psychiatric patients in the Hartford Hospital Emergency Department. The Purple Initiative was multispecialty, multidisciplinary effort to plan for an expansion of psychiatric services in the Emergency Department. Programmatic developments on the IOL campus included the continuation of the growth of the Young Adult Program as we implemented a Hartford Foundation for Public Giving grant with the development of outreach services for this population, growth of our Child and Adolescent Partial Hospital Program, planning for the establishment of a partial hospital track for LGBTQ (lesbian, gay, bisexual, transgender, queer) patients and expansion of inpatient geriatric services by an additional four beds. We continued our quality and safety focus on suicide prevention and seclusion/restraint reduction.Statistical DataTotal discharges for the year were 4,004. The number of adult day treatments was 8,084. The IOL treated 21,664 patients for eating disorder and 4,214 for Schizophrenia rehabilitation. A total of 1,536 patients received Geriatric day treatment, 4,040 received professional day treatment, 1,812 received extended day treatment, 7,190 received Child/Adolescent day treatment and 2,857 went through the Dialectical Behavioral Therapy (DBT) program. The average length of stay was 9.8 days and the average daily census was 109.1. Hartford residents accounted for 33% of admissions and 63% of admissions were from other areas within the state.Patient Care Activities and Program DevelopmentPatient care activities and program development were guided by the IOL's internal goals for FY2013. Highlights included a focus on continued growth in the Young Adult and Child and Adolescent PHP/IOP Programs an increase of Inpatient capacity by four beds on the Geriatric unit and the development of an expanded space and program in the Purple Pod in HH ED. Other program highlights for this year included:*Assessment Center: Clinicians evaluated nearly 6,500 patients in the Hartford Hospital Emergency Department 2,437 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 (including the POTENTIAL Program).*Inpatient Services: Total discharges were 4,004 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 Schools (Hartford and Cheshire). The Webb Schools continue to operate the Transitional Learning Acade

Activity 3

Hartford Hospital Department of Surgery (DOS) has exhibited another year of progress for FY2013, excelling in multiple clinical and administrative areas. The attending staff consisted of the following: Active Staff 64; Courtesy 30; Consulting 7; Refer and Follow 13, and there were 101 Advanced Practitioners. The Department of Surgery is comprised of 12 Divisions. In 2013, the Department ranks were increased by 13 Active Medical Staff members. Patient Care Activities - All Divisions within the Department of Surgery excelled within their clinical areas. Divisions include: Bariatric Surgery, Colorectal Surgery, Pediatric Surgery, Podiatric Surgery, Plastic surgery, Surgical Critical Care, Surgical Oncology, Thoracic Surgery, Transplant Surgery, and Vascular Surgery.Trends in Frequency of Operations are depicted below. Note this information is based on surgical procedures and diagnostic procedures (IE. Colonoscopy) are excluded. Hence, surgical procedures performed by surgeons within their Division(s) Bariatric: 879 Colorectal: 1,451 General Surgery: 2,626, Plastic: 2,094, Podiatry; 1,091, Surgical Oncology: 1,587, Transplant: 751, Trauma: 164, Vascular: 860 and Thoracic: 303. The department continues to grow and continues to be dynamic with several changes over the past year. In-patient and Ambulatory Surgeries totaled 11,806 which are 261 cases. More than 49% of the cases were performed on an out-patient basis.With regards to Patient experience, the DOS exceeded its benchmarked Top Box Physician score of 84.4% in FY2013. To further improve patient experience scores, the Department continued to support the initiative "The Patient Experience; Building Physician and Nurse Leaders." This initiative has helped each of the DOS nursing units partner with physician leaders to identify key areas of focus to improve patient care and patient experience.Department of Surgery Research/Publications/Presentations- The Department of Surgery continues to participate in clinical and scientific research and has contributed significantly to the surgical body of knowledge. Members of the department have presented their findings at several prestigious forums and have published in a variety of referred journals.Division of Bariatric Surgery - 2013 was a successful year for the Center for Metabolic and Bariatric Surgery at Hartford Hospital. With more than 500 procedures for the year and more than 3500 cases completed since the inception of the program in 2004, Hartford Hospital is the leading provider for metabolic and bariatric surgery services in Connecticut.Division of Colorectal Surgery - There were 2 major initiatives of the colorectal division this year, growth and development of the robotic colorectal surgery program, and the multidisciplinary collaboration in the development of the pelvic floor program as detailed below. *Robotics: The goal is to utilize advanced technology in selected colorectal procedures where potential advantages may exist over traditional laparoscopic surgery. Our future goals include further growth of the program, while being mindful of the types of procedures, where the use of robotics may be beneficial to the patient.*Pelvic floor: The new Women's GI Health Center is working closely with varied disciplines on women's health issues. A new office procedure was introduced into practice to help treat rectal incontinence, Solesta injectable gel. In addition, the division is treating more patients with fecal incontinence with the use of interstim neural stimulator.Division of Podiatric Surgery - As a division that works heavily within the hospital with multiple specialities, our outcomes continue to be excellent for limb salvage. With the advent of new interventional vascular procedures by our vascular colleagues and diligent work by our division, limb salvage rates seem to stay high. We are working on different type of measures to quantify these results.Division of Plastic Surgery - The Plastic Surgery Department provides c

Filer

EIN

06-0646668