Redlands Community Hospital Newsletter

Fall 2016

Help Us Help You By James R. Holmes, President and CEO, Redlands Community Hospital

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very morning when I arrive at the hospital, my walk to the office reminds me of our vital relationship with the community and the people we are here to serve. As I drive into the parking area, I hear the siren of an ambulance and EMT truck behind me, quickly hustling their way to our Emergency Room, one of their many trips that day. When I walk out of the front entrance to do my daily rounds, friendly volunteers driving golf carts are ready to whisk me (and anyone else) to my destination on campus in case I don’t want to walk. But I like to walk, so we exchange words of encouragement. My favorite moment is when I see a new mom being wheeled out of the Maternal Child Pavilion. She wears an expression of both exhaustion and happiness, her arms cradle her newborn while her family helps her to the car to drive home to begin a new life with a healthy baby. Near the lobby, I see a patient being discharged with family members—moms,

dads, grandparents, and friends—there to assist. “We’re going home,” they say cheerfully. The welcome desk volunteers in the lobby greet me with a smile and a wave while busily helping visitors with arms full of flowers find their way past the handmade quilts and local artwork to the elevators. In few minutes each morning, the reality of what the hundreds of doctors, nurses, volunteers, and other staff members at Redlands Community Hospital do is reflected in the faces of the people I see, our impact on the lives of the people we are called to serve. It’s a daily reminder of our intimate relationship

with our neighbors and how important our resources mean to every single person who lives and works in our community. CONTINUING TO DO MORE I often ask myself what our community would be like if our hospital were not here. Where would the over 2,500 pregnant moms go to have their healthy babies? What would happen to the 12,000-plus patients and over 6,000 people needing timely admissions and/ or surgeries to resolve their medical conditions? What about those nearly 51,000 people needing emergency care who come to Redlands Community Hospital, many by ambulance? How far continued on page 20

INSIDE

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Annual Fashion Show

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The Right Knee Pain Treatment?

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Choosing Hospice Care

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A Foundation Gift For NICU Families

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Grant Supports Mammography System

2016 REDLANDS COMMUNITY HOSPITAL BOARD OF DIRECTORS • • • • • • • • • • • • • • • • • • •

Richard Beemer, Treasurer Yolanda Contreras Peter Davis Phil Doolittle William Hatfield, Chairman Robert Hodges Jim Holmes, President/CEO Marvin Hudson Linda Martin, M.D., Chief of Staff Pranav Mehta, M.D. Geetha K. Paladugu, M.D., Chief of Staff Larry Pyle Sam Racadio David Raff Kate Salvesen, Vice Chairman Carol Snodgress Alvin Umeda, M.D. Stan Weisser, Secretary Lynn Whitmer, RCH Foundation Chairman

RCH WELL AWARE Kathi Spetnagel Vice President, Business Development and Marketing Nikyah Thomas-Pfeiffer Marketing & P.R. Manager Public Relations: 909-335-5566 Developed by StayWell

Be a Redlands Fan! www.facebook.com/ RedlandsCommunityHospital www.twitter.com/RedlandsCH Visit our website at www.redlandshospital.org

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Well Aware | Fall 2016

Is It Time for Your

Mammogram?

A mammogram is so sensitive that it can detect tumors in the breasts as small as a centimeter. This allows doctors to diagnose breast cancer early, when it is most treatable. MAYBE IT’S NOT CANCER If your mammogram does spot something suspicious, often it ends up being benign—meaning it is not cancer. The most common benign finding is a fibrocystic change, which causes breast lumpiness. Other benign masses include breast cysts and tumors called fibroadenomas. After a mammogram, your physician can confirm that a mass or lesion is benign with other tests, such as breast ultrasound, a breast magnetic resonance imaging (MRI), or biopsy. With a biopsy, a sample of tissue is removed for examination. FREQUENCY FACTORS Experts have different recommendations for when women should start getting mammograms. Currently, the U.S. Preventive Services Task Force recommends screening every

two years for women ages 50 to 74. The American Cancer Society recommends yearly screening for all women ages 45 to 54, and every two years for women ages 55 and older. Women at high risk for breast cancer because of their personal or family history may need earlier and more frequent screenings. Women should talk with their doctors about their personal risk factors before making a decision about when to start getting mammograms or how often they should get them.

EARLY DETECTION MATTERS At the Women’s Health Imaging Center, you have access to many services under one roof. Call 909-793-4399 to schedule your appointment for your mammogram, bone density test, or ultrasound exam.

Annual Fashion Show Celebrates Breast Cancer Survivors

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ocal breast cancer survivors will continue their fearless journeys by modeling on the catwalk at the eighth annual “Celebration of Survival” fashion show, hosted by Dr. Anil P. Punjabi of Terracina Surgical Arts, Inc. Women’s Health Imaging Center at Redlands Community Hospital is co-sponsoring the event. “This anticipated annual event honors and celebrates our brave patients who have triumphed over cancer and have undergone breast reconstruction,” says Dr. Punjabi, breast cancer surgeon at Redlands Community Hospital and Terracina Surgical Arts, Inc. At the fashion show, attendees will enjoy free food, entertainment, and fashion as they cheer on the breast cancer survivors who will strut down the runway modeling some of the latest West Coast couture. Admission is free to the public.

CELEBRATION OF SURVIVAL Date: Friday, October 21 Time: 6 p.m. Place: 295 Terracina Blvd., Redlands FREE admission

FOR MORE INFORMATION ABOUT THE FASHION SHOW, PLEASE CALL 909-798-9950. For more information about the Women’s Health Imaging Center at Redlands Community Hospital, please call 909-335-4399.

Three-Bean Chili with Chunky Tomatoes No need to go to a restaurant for a great vegetarian meal. Stay in and serve this quick dish to the whole family.

INGREDIENTS

DIRECTIONS

2 tbsp. canola oil 1 cup coarsely chopped onion ½ cup chopped celery 1 cup diced green bell pepper 1 can (15½ oz.) low-sodium black beans, drained and rinsed 1 can (15½ oz.) low-sodium red kidney beans, drained and rinsed 1 can (15½ oz.) low-sodium pinto beans, drained and rinsed 2 cans (14½ oz. each) no-salt-added diced tomatoes with basil, garlic, and oregano 1 tbsp. ground cumin 1 tbsp. chili powder

1 In an 8-quart soup or pasta pot, heat the canola oil over medium heat until hot but not smoking. 2 Add chopped onion. Cook and stir until onion starts to soften, about five minutes. Then add celery and green pepper. 3 Cook and stir another five minutes, until all vegetables soften. 4 Add drained and rinsed beans to pot and stir in tomatoes, cumin, and chili powder. 5 Bring to a boil. Cover, reduce heat, and simmer 10 to 20 minutes to blend flavors.

PER SERVING Serves four. Serving size is 1 cup; each serving provides: 443 calories, 8 g total fat, 0 g saturated fat, 0 mg cholesterol, 331 mg sodium, 73 g carbohydrates, 16 g fiber, and 22 g protein. “Delicious Heart Healthy Recipes,” National Heart, Lung, and Blood Institute/National Institutes of Health

www.redlandshospital.org | Well Aware

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Protect Yourself from the Pain of

SHINGLES complication is postherpetic neuralgia (PHN), or severe pain in the spots on the skin where the shingles rash was. PHN can linger for months or even years. Fortunately, there is a vaccine available, called Zostavax, which can help prevent shingles and avoid PHN.

hickenpox was no fun as a kid. But the adult version can be much worse. Varicella, the virus that causes chickenpox, stays in your system from childhood and can resurface in adulthood as shingles. In fact, every year one in three people in the U.S. ages 60 and older will develop the blistering rash caused by varicella.

HEALTHY ODDS A study by the Centers for Disease Control and Prevention (CDC) of more than 38,000 adults ages 60 and older found Zostavax reduced their risk of getting shingles by more than half. If you get the disease anyway, Zostavax can lessen your chances of developing PHN by more than two-thirds. The CDC recommends Zostavax to anyone ages 60 and older, regardless of whether they had chickenpox. If you’ve already had shingles, the shot can help prevent it from coming back. Although the vaccine is most effective in your 60s, Zostavax can still provide protection past age 70. A one-time dose of Zostavax will protect you for about five years. However, experts aren’t sure if anyone should receive the vaccine more than once. In addition, it isn’t recommended for everyone. You should not get the shingles vaccine if you: • Have a weakened immune system because of radiation or chemotherapy • Received treatment with drugs that affect your immune system, such as steroids • Have been diagnosed with a disease that affects your immune system, such as HIV/AIDS

WORTH A SHOT Along with the painful rash, shingles can cause vision problems, and in rare cases, can lead to hearing trouble, pneumonia, blindness, brain swelling, or even death. The most common

It’s also not recommended for people who’ve had a severe reaction to gelatin or the antibiotic neomycin, or any other ingredient in the vaccine. Talk with your doctor to see if you should get a shingles vaccine.

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WHERE TO GET THE SHINGLES SHOT You can get Zostavax at your doctor’s office. If you are looking for a new primary care physician, go to www.redlandshospital.org/find-a-physician, or call the Redlands Family Clinic at 909-335-5799 or Yucaipa Family Clinic at 909-478-7951. 4

Well Aware | Fall 2016

Are You Getting the Right Treatment for Knee Pain?

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ust like your car or your computer needs an update from time to time, you may need to revise your treatment for knee osteoarthritis. WHEN IS IT TIME TO CHANGE? Here are three signs you need to take a fresh look at your treatment plan: • Your knee pain, soreness, or discomfort has gotten worse, and regular exercise and over-the-counter pain relievers aren’t doing the job. • You’re having trouble sleeping because of knee pain. • Daily activities like walking, bathing, and getting dressed are becoming hard for you. WHAT CAN YOU DO? To get relief, you can try a nondrug treatment, including: • Self-care methods, such as hot baths and showers, use of a heat wrap or cold pack, and regularly scheduled rest to avoid overexertion • Acupuncture, massage therapy, or physical therapy • Ultrasound or TENS (transcutaneous electrical nerve stimulation) treatments • Biofeedback or hypnosis WHERE SHOULD YOU TURN FOR HELP? Talk with your doctor about options for stepping up your medication therapy.

They may include: • A nonsteroidal antiinflammatory drug (NSAID) or duloxetine (Cymbalta®) • Prescription pain medication • Topical pain-relief creams and sprays • Injection of pain medicine or corticosteroids into the knee joint to reduce pain and inflammation • Injection of hyaluronic acid substitutes to lubricate the knee joint WHAT ARE THE BENEFITS OF SURGERY? If your knee arthritis has become disabling, you may benefit from surgery. Surgical procedures can remove loose pieces of bone and cartilage, smooth the surface of the knee joint, or reposition the joint to reduce pain. A surgeon can also replace all or part of the knee joint with a synthetic joint. Talk things over carefully with your doctor. It may take some trial and error to find the right combination of treatments for you, but it’s worth the effort. Don’t let your knee pain keep you from enjoying life— make a change for the better.

SEEK RELIEF TODAY For more information on how to manage your knee pain, please call our Spine and Joint Institute at 909-335-5642.

www.redlandshospital.org | Well Aware

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Cut Your Prostate Cancer Risk More than 27,000 men died of prostate cancer in 2015, the American Cancer Society estimates. And one in seven men will be diagnosed with prostate cancer in his lifetime.

Researchers already knew that some healthy habits seemed to help protect against dying of prostate cancer. But a recent study has found that men who practiced five or more healthy habits had as much as a 68 percent lower

risk of dying of prostate cancer.

Remember: These healthy habits can lower your prostate cancer risk. The more you can do, the better, the study suggests. 1 Eat plenty of tomatoes and fatty fish. 2 Stay at a healthy weight, and lose weight if you are overweight. 3 Limit processed meat. 4 Quit smoking, if you smoke. 5 Choose vigorous exercises, such as running, tennis, or swimming laps.

68% 6

lower prostate cancer risk

Well Aware | Fall 2016

Choosing Hospice Care

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any people find it hard to talk about end-of-life issues with their loved ones. However, the best time to discuss our wishes for care is now— before you or a family member faces a terminal health care condition. One topic to discuss is whether to use hospice, a service that is designed for people who have less than six months to live. The goal is to relieve the dying person’s pain and physical symptoms while also helping the family members cope with their grief during hospice and after the person’s passing. Learning more about hospice can help you make informed decisions when the time arises. Q: WHERE DOES HOSPICE CARE TAKE PLACE? A: Many people mistakenly think hospice is a place. Hospice is a service. Most often, people on hospice return home to their family. Hospice providers come to the patient and family. Q: HOW IS SERVICE GIVEN? A: Keeping the patient comfortable and pain-free are hospice priorities. Patients have the right to decide what treatments they want and don’t want. For more than a year after a patient’s death, the hospice bereavement team is available to surviving family members for support.

BECOME A HOSPICE VOLUNTEER If you are interested in giving back and joining Hospice volunteers like Kathleen Parker, pictured above, please call 909-335-5526.

IN YOUR TIME OF NEED To learn more about Hospice Services, please call 909-335-5643.

Q: WHO PROVIDES HOSPICE CARE? A: A hospice nurse case manager ensures the patient is comfortable and painfree. A home health aide helps with the patient’s personal care. The hospice social worker addresses caregiver needs and family dynamics. The hospice chaplain provides spiritual and bereavement support. Volunteers are also available to provide companionship to patients and support to caregivers.

Where to Turn for Mental Health If you experience any of these symptoms, it’s better to get treatment sooner than later. These are warning signs that you definitely need help.

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WHERE TO GET HELP Your health care provider knows you and probably will notice any changes in your mood or personality. He or she can also rule out possible physical reasons for your symptoms. You can also turn to: • Employee assistance programs (EAPs). If your company has an EAP, ask for a referral to an appropriate provider or treatment program in your community. • Community mental health centers. These organizations provide counseling and other services on a sliding-fee scale, based on your income. • Crisis centers. On-site mental health professionals provide immediate evaluation and treatment. • Support and self-help groups. Alcoholics Anonymous and the National Alliance on Mental Illness are examples of peer and family support groups that meet both online and in person. • Word-of-mouth referrals. These can come from friends or family. • Psychiatrists or medical doctors. These professionals can provide counseling and prescribe medication. • Psychologists. These professionals have doctorate degrees and specialize in psychotherapy and human behavior.

ental conditions are real and can be life-threatening, but they’re also common and very treatable. How do you know you need help? As with many physical conditions, change is the key. If you have a marked and persistent change in personality, mood, or eating or sleeping habits, that’s a sign something may be going on.

• Having extreme mood swings, from high or hyper to down in the dumps • Withdrawing from people and activities • Believing things that are not true or hearing voices that are not there • Abusing alcohol or drugs • Getting very angry or acting violently • Having thoughts or a plan to commit suicide or hurt someone

SYMPTOMS TO LOOK FOR These are other warning signs: • Feeling unable to cope with your dayto-day problems, work assignments, or usual household activities • Being overwhelmed by a deep sense of sadness, hopelessness, or helplessness

WE’RE HERE FOR YOU For more information regarding mental health services at Redlands Community Hospital, please call our Behavioral Medicine Partial Program at 909-335-5658.

www.redlandshospital.org | Well Aware

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Perinatal Services Childbirth Education Classes Preregistration is required for all childbirth classes. Call 909-793-6330 today to register. You may also visit www.redlandshospital.org, click the “Programs & Services” tab and select Childbirth Education under Perinatal Services to register. You may also register via mail. MOTHER-BABY UNITS ORIENTATION TOUR Cost: FREE for mom to-be plus one guest Saturdays: 1:30 p.m. or 3:30 p.m. • October 22 • November 12 • December 17 Fridays: 4 p.m. • October 7, 14, 21, 28 • November 4, 11, 18, 25 • December 2, 9, 16, 23 Orientation tour includes preregistration for your hospital stay. Please bring your insurance card with you to the tour.

CHILDBIRTH PREPARATION CLASS — SERIES OF FOUR 3-HOUR CLASSES Cost: $100 Time: 6–9 p.m. Thursdays: (series of four classes) • October 6, 13, 20, 27 • November 3, 10, 17 and December 1 • December 8, 15, 22, 29 Fridays: (series of four classes) • October 7, 14, 21, 28 • November 4, 11, 18, 25 • December 2, 9, 16, 23 Orientation tour includes preregistration for your hospital stay. Please bring your insurance card with you to the tour.

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Well Aware | Fall 2016

CHILDBIRTH PREPARATION (WEEKEND CLASS) Cost: $100 Time: 10 a.m.–5 p.m. Saturdays: (series of two classes) • October 8 and 15 • October 29 and November 5 • November 19 and 26 • December 3 and 10

Where: Classes are held at the Maternity/Surgery Services Building in the Third Floor Conference Room, located at Redlands Community Hospital, 350 Terracina Boulevard, Redlands, California. Please meet the class instructor there. Please bring: Two pillows and a blanket for breathing and relaxation exercises. We’ll provide: Floor mats for childbirth classes. Note: Children are not permitted during class sessions.

Orientation tour includes preregistration for your hospital stay. Please bring your insurance card with you to the tour.

BREAST-FEEDING BASICS (BEFORE DELIVERY) Cost: $25 Time: 6–9 p.m. (one class) Saturday: • October 22 • November 12 • December 17

CHILDBIRTH REFRESHER Cost: $35 Time: 6–9 p.m. • October 13 and 14 • November 10 and 11 • December 9 and 15 Note: This is the second class from the Childbirth Preparation series listed in this column.

FOR MORE INFORMATION on how to sign up for a Childbirth Education Class or for additional dates not currently listed, please call 909-793-6330 or visit our website at www.redlandshospital. org/services/perinatal-services/ childbirth-education.

www.redlandshospital.org | Well Aware

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NEW FOUNDATION BOARD MEMBERS

A Big Gift for Little Patients

Redlands Community Hospital Foundation is happy to welcome new board members Pat Kohlmeier and Olivia Knudsen, R.B., B.S.N., P.H.N., A.N.C.C. Kohlmeier is a former Redlands Unified School District Board member and lives in Yucaipa, with her husband, Jack. Kohlmeier is executive director of foundation and donor relations at University of California, Riverside. She previously served as a board member for the YMCA of the East Valley and the California School Boards Association. Kohlmeier graduated from California State Polytechnic University, Pomona.

Knudsen lives in Highland with her husband, Jim. Raised in Redlands, she served as a public health nurse for San Bernardino County/Family Services and as a hospice nurse case manager. She is currently a nurse educator and case manager for patients with Parkinson’s disease. She is a graduate of San Bernardino Valley College and the University of Phoenix.

(From left) Vice President of Patient Care Services Lauren Spilsbury, R.N., M.S.N.; Auxiliary President and Redlands Citizens Patrol Volunteer Tom Niblack; Foundation Board Member Nancy Norton; Officer Martin Gonzalez; Officer Leslie Martinez; Officer Ryan Steinhaus; Officer Patrick Leivas; Officer Corey Hunt; Donor Charlie Brown; Redlands Community Hospital Volunteer and Donor Diane Brown; Director of Maternal Child Services Edith Gonzales, R.N.; and Nurse Manager of NICU Rachel Garciam, R.N. Seated is new mom Mireya Alvarez and baby, Arya Alvarez.

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donation to the Redlands Community Hospital Foundation from longtime Auxiliary board member and volunteer Diane Brown and husband, Charlie, along with The Redlands Police Officers Foundation (RPOF) allowed the hospital to purchase eight reclining chairs for its Neonatal Intensive Care Unit (NICU). The new chairs will help mothers care for their infants, who are born prematurely or have medical problems requiring special needs. The Carolina recliners were not only selected for their beautiful pattern and fabric, but also for ease in reclining to a relaxing position for mothers to comfort infants who are experiencing difficulties. Reclining while mother and child are skin-to-skin provides many benefits to the babies, such as improving temperature and respiratory rate and stabilizing blood glucose. “The Redlands Police Officers Foundation is proud to go above and

beyond to serve the community,” says RPOF President Patrick Leivas. “It’s our hope that the gift made to Redlands Community Hospital’s tiniest patients and their parents will make a difference in their lives.” Redlands Community Hospital’s NICU is staffed by neonatologists, pediatricians, registered nurses, respiratory therapists, social workers, and occupational therapists. They have access to the latest equipment to observe and monitor babies closely, as well as devices to provide the correct balance of warmth, nourishment, and oxygen, if needed. The average length of stay for an infant in the NICU is about two weeks. “The hospital is very grateful to the Redlands Police Officers Foundation for its continual support of our NICU,” says Jan Opdyke, Redlands Community Hospital Foundation president. “An item as simple as a recliner can bring comfort to what can be a stressful experience for parents and their infants.”

YOU CAN SUPPORT OUR NICU AND OTHER SERVICES by making a donation through the Redlands Community Hospital Foundation. Visit www.redlandshospital.org/foundation or call 909-335-5540 to learn more. 10

Well Aware | Fall 2016

$150,000 Grant to Support New Mammography System

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o improve access to advanced diagnostic equipment for local cancer patients, Stater Bros. Charities and the Inland Women Fighting Cancer (IWFC) organization have awarded a $150,000 grant to the Redlands Community Hospital Foundation (RCHF). “Stater Bros. Charities, Inland Women Fighting Cancer, and Redlands Community Hospital share a common goal—to provide the best cancer care to those who live and work in the Inland Empire,” says Jim Holmes, president and CEO of Redlands Community Hospital. “The grant allows us to purchase advanced 3-D technology, which is the gold standard for dense breasts imaging at leading imaging centers across the country.”

(From left) Nancy Varner, co-founder of Inland Women Fighting Cancer (Believe Walk); Bill Hatfield, board chairman of Redlands Community Hospital; Annie Sellas, co-founder of Inland Women Fighting Cancer (Believe Walk); Pete Van Helden, president and CEO of Stater Bros. Markets; Cathy Stockton, co-founder of Inland Women Fighting Cancer (Believe Walk); and Jim Holmes, president and CEO of Redlands Community Hospital.

DIGITAL MAMMOGRAPHY SYSTEM The grant will support the For many years breast imaging has purchase of a new 3-D been the cornerstone of women’s health digital mammography system for the RCH’s in the U.S. and an important focus at Women’s Health Imaging Redlands Community Hospital. Center. Annually, more than 7,200 women visit the Women’s Health Imaging Center, COMMUNITY SUPPORT where they receive mammograms, breast Stater Bros. Charities has supported the biopsies, bone-density screening exams, RCHF with more than $600,000 since and no-cost health education. 2011. Year after year, it has selected The new 3-D mammography system RCH’s Women’s Health Imaging Center will make it easier for health care because of the increasing need for cancer providers to screen dense breasts, which screening in the Inland Empire. remains a challenge with conventional “For many years breast imaging has 2-D screening equipment. Access to this been the cornerstone of women’s health new technology will reduce the number in the U.S. and an important focus at of false-positive and false-negative exam Redlands Community Hospital,” says findings, enhance the ability of clinicians Jan Opdyke, president of the RCHF. to identify lesions before they become “We’re grateful to the leadership of Stater life-threatening, facilitate improved Bros. Charities and Inland Women outcomes, and ultimately save the lives of Fighting Cancer for this generous grant women in our community.

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that will allow us to utilize the best new developments in cancer diagnosis, care, and treatment for Inland Empire women.” “Stater Bros. Charities supports the fight against all cancers in our communities,” says Pete Van Helden, president and CEO of Stater Bros. Markets. “That’s why we are making a donation toward the purchase of advanced mammography equipment at Redlands Community Hospital.” Thank you for your generosity! —Jan M. Opdyke President of Redlands Community Hospital Foundation

www.redlandshospital.org | Well Aware

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Redlands Community Hospital

Non-Profit Org. US Postage

350 Terracina Boulevard Redlands, CA 92373

PAID

Redlands Community Hospital

909-335-5500 www.redlandshospital.org

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Continued from page 1 would the ambulance have to drive to save a life of a loved one and how much longer would they have to wait? Those of us who have dedicated our lives to the healing arts are seeing a groundswell of change happening in health care, change that often forces us to do more with less reimbursement from Medicare, health plans, and other insurance companies. In our nation’s health care system, hospitals are often the ones that bear the biggest brunt of cuts. Yet, we are asked to do more: add more advanced technology, more services, and more resources and people to improve the health of our patients.

THE SPIRIT OF OUR FOUNDERS The good news in all of this is that we have friends who help us continue to do more with less and ensure our future as the crown jewel of our community. As an independent, not-for-profit hospital, our philanthropic model is supported by those who give. Decade after decade, our donors have graciously stepped up to support our mission, to make sure we are here for the next generation. At one time for most of the nation’s non-profit hospitals, philanthropic support was considered “nice to have.” Today, most hospitals like

ours are only able to survive, thrive, and expand due to philanthropy. Our community depends on us and we depend on the community. It’s a mutual public interest relationship that was forged by the spirit of our founders, local families who wanted a local, independent, and non-profit high quality health care institution in their community. That spirit still resonates in Redlands, and we need your support more than ever to continue its legacy. Can you place a value to life and good health? You bet you can. I see it every morning.

Please detach and mail with your donation

Yes! I want to support Redlands Community Hospital Foundation ■ Yes, I would like to help with a donation in this amount: ■ $25 ■ $100 ■ $1,000 ■ $50 ■ $500 ■ Other $_________

Name: ___________________________________________ Address: __________________________________________

Please charge my gift to: ■ Visa ■ MasterCard ■ Discover ■ AmExpress Card # __________________________ Exp. Date _________ Signature __________________________________________ CSC _______________ Email _________________________

City:_____________________________________________

■ I would like more information regarding year-end giving, IRA donations, estate planning, or other planned giving.

Your contribution will be greatly appreciated. Please let us know if you prefer to opt-out of solicitations.

State: ___________________________ ZIP:_____________ Phone: ( _________ ) _______________________________ In Honor of: ______________________________________

Please make check payable to and return to: Redlands Community Hospital Foundation, 350 Terracina Blvd., Redlands, CA 92373 Phone: 909-335-5540 Fax: 909-335-6497

R E D L A N D S C O M M U N I T Y H O S P I TA L

Q UA L I T Y O U TC O M E S R E P O R T

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Doing our best to be the best.

Letter from the CEO Why Quality Matters Welcome to Redlands Community Hospital’s Quality and Outcomes Report for 2016. The last several years have marked a new era for our hospital in terms of quality achievement and we are pleased to share in the following pages how we accomplished and sustained our success in patient care, surgical outcomes, and patient safety. Ubiquitous terms like transparency, outcomes and patient satisfaction are now part of the core values and key benchmarks for hospitals, doctors and nurses. We have created a unique culture among the staff members of RCH to operate as a cohesive unit committed to putting our patients’ needs first and foremost. We have implemented quality process improvement tools to maximize our efforts. The results of this team-building and quality training program have been impressive, particularly as we measure our efforts with other hospitals in our area as well as the nation. We have received countless honors and awards throughout the years as a direct result of our hard work and dedication. We have been named one of the nation’s top 100 hospitals in both orthopedic and spine surgery by Healthgrades®, a national quality care ranking organization. In addition, we received the “Get with the Guidelines® Stroke Gold Plus Quality Achievement Award” and also qualified for recognition on the “Target Stroke Honor Roll” from the American Heart Association/American Stroke Association. We were also pleased to receive a “Superior” rating in 2016 from a 2014 report on Cesarean Sections by the California Hospital Assessment and Reporting Task Force (CHART), the highest rating approved by the multi-stakeholder state group. Redlands Community Hospital was the only hospital in San Bernardino County to earn this “Superior” rating. While these accolades are very welcomed and appreciated, they are also a tool we use to measure our success and to continue to improve our performance. We will never be satisfied with our quality scores; perfect care is what we are trying to achieve! Most of us do not think about the quality of care at a hospital. We assume the quality is great or our doctor would not have admitted us to this particular hospital. But not all hospitals are the same. In this age of consumerism and instant access to information, it is within our power to take a more active role in making better health care decisions for ourselves and our families. Acquiring the right knowledge so you can make better health care decisions is a great place to start, which is why we prepared this document for your review.

James R. Holmes, CEO 2 | Quality Outcomes Report 2015

Redlands Community Hospital

Introduction/Overview Nationally Recognized Programs As a premier healthcare facility in the area, Redlands Community Hospital offers a full range of inpatient and outpatient programs and specialty service lines, from maternal and child care to cancer, orthopedic and general surgery, emergency services and more. The Women’s Health Imaging Center at Redlands Community Hospital provides women with the best education and technology for early diagnosis and treatment of the most common conditions affecting women, particularly breast cancer. Local board-certified orthopedic surgeons joined with Redlands Community Hospital to open the Spine & Joint Institute in 2012. The award-winning Institute is a multi-specialty center for patients who require orthopedic surgery, including hip or knee replacement, or surgery of the spine, shoulder or neck. One of the most exciting recent renovations is our new Special Procedures Suite, which now provides some of the most advanced imaging technology. This suite accommodates new Biplane Angiography imaging

equipment which uses two cameras to provide sharp, high-resolution images in 3-D. The Biplane technology effectively treats patients with cardiac, stroke, vascular disease, aneurysms and neurological problems and dramatically improves the physician’s ability to visualize arteries and vessels with exceptional precision. Our ER is a paramedic receiving facility and holds the designation of being a Neurovascular Stroke Receiving Center by Inland Counties Emergency Medical Agency. Redlands Community Hospital has been Re-Certified as an Advanced Primary Stroke Center by the Joint Commission.

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Day after day – year after year – the bar of excellence at Redlands is constantly being raised.

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– Samir Hage, D.O. Leading Obstetrician and Surgeon

Redlands Community Hospital

Quality Outcomes Report 2015 | 3

Introduction/Overview, continued Nationally Recognized Programs The Redlands Community Hospital Neonatal Intensive Care Unit (NICU) provides special care for premature babies or babies with other medical problems. A dedicated team of neonatologists, pediatricians, registered nurses, respiratory therapists, social workers and occupational therapists

In addition, the hospital also provides perinatal care, cancer care, critical care, radiology, stroke, mental health, emergency and hospice services.

Total Inpatient Orthopedic Surgeries in FY 2015 - 4668

Total Outpatient Orthopedic Surgeries in FY 2015 - 1269

look over babies in the NICU until they are discharged home or transferred to the regular nursery.

1% - Hip Surgeries

31% - Spine Surgeries

17% - Knee Surgeries 43% - Other Orthopedic Surgeries

9% - Hip Surgeries

8% - Spine Surgeries 75% - Other Orthopedic Surgeries

17% - Knee Surgeries

Hip Surgeries - 417 Knee Surgeries - 802 Other Orthopedic Surgeries - 2022 Spine Surgeries - 1427

Designated as a

for Spine Surgery

4 | Quality Outcomes Report 2015

Hip Surgeries - 15 Knee Surgeries - 212 Other Orthopedic Surgeries - 946 Spine Surgeries - 96

Redlands Community Hospital has been named a Blue Distinction Center for Spine Surgery. The Blue Distinction Specialty Care Program is a national program that recognizes hospitals that demonstrate exceptional quality specialty care. This includes safe, effective and cost efficient care programs.

Redlands Community Hospital

Clinical Outcomes Healthgrades Quality Rankings Redlands Community Hospital was named one of America’s 100 Best Hospitals™ by Healthgrades, the nation’s leading source of hospital data. It also received the Distinguished Hospital Award for Clinical Excellence™ in 2013. Many of the hospital’s services were honored with Healthgrades Excellence Awards™ and named among the top percentages of all U.S. hospitals.

• Healthgrades America’s 100 Best Hospitals for Orthopedic Surgery 2012 - 2016 • Healthgrades America’s 100 Best Hospitals for Spine Surgery 2012 - 2013, 2015 - 2016 • Healthgrades America’s 100 Best Hospitals for Joint Replacement 2012 - 2015 • Healthgrades Orthopedic Surgery Excellence Award 2012 - 2016 • Healthgrades Joint Replacement Excellence Award 2011 - 2016 • Healthgrades Spine Surgery Excellence Award 2012 - 2013, 2015 - 2016 • Healthgrades Gastrointestinal Care Excellence Award 2013, 2015

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To sum up Redlands care? Exemplary! And extraordinary!

”

• Healthgrades General Surgery Excellence Award 2013, 2015

– Carole Beswick Community leader and former patient

For the fifth consecutive year, Healthgrades named Redlands Community Hospital one of America’s Best 100 Hospitals™ for Orthopedic Surgery. It was also considered one of America’s Best 100 Hospitals™ for Spine Surgery for four years. The hospital’s Total Knee Replacement, Hip Fracture Treatment, Back Surgery, Spinal Fusion Surgery, Small Intestine Surgeries, Treatment of GI Bleed, and Treatment of Bowel Obstruction each received a five-star rating.

• Healthgrades Top 5% in the Nation for Overall Orthopedic Services 2012 – 2016 • Healthgrades Top 5% in the Nation for Spine Surgery 2016 • Healthgrades Top 5% in the Nation for Joint Replacement 2011 – 2015 • Healthgrades Top 10% in the Nation for Gastrointestinal Medical Treatment 2016 • Healthgrades Top 10% in the Nation for Overall Gastrointestinal Services 2015 • Healthgrades Top 10% in the Nation for General Surgery 2015 • Healthgrades 5-Star Recipient for Total Knee Replacement 2008-2016 • Healthgrades 5-Star Recipient for Hip Fracture Treatment 2012-2016 • Healthgrades 5-Star Recipient for Back Surgery 2012-2016 • Healthgrades 5-Star Recipient for Spinal Fusion Surgery 2015-2016 • Healthgrades 5-Star Recipient for Small Intestine Surgeries 2013-2016 • Healthgrades 5-Star Recipient for Treatment of GI Bleed 2016 • Healthgrades 5-Star Recipient for Treatment of Bowel Obstruction 2016

Redlands Community Hospital

Quality Outcomes Report 2015 | 5

The Patient Experience HCAHPS The Centers of Medicare & Medicaid Services (CMS) awarded a 4-Star rating to Redlands Community Hospital for its patient care, making it the only independent community hospital in the Inland Empire to receive this honor. CMS uses data measures from the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) to award these star ratings which encourage hospitals to continuously improve the patient experience and quality of care delivered to all patients.

Patient Safety Leapfrog Group Redlands Community Hospital has been recognized for excellence in both patient safety and patient experience, ranking top marks in both categories. We received an ‘A’ grade, the highest grade possible for patient safety, by the Leapfrog Group a national patient safety watchdog making us the only hospital in San Bernardino County to receive an ‘A’ grade.

Healthgrades We also earned Healthgrades 2016 Patient Safety Excellence Award™ and the Healthgrades 2016 Outstanding Patient Experience Award™. This recognition places us in the top 2% of eligible hospitals in the nation to receive awards in both Patient Experience and Patient Safety.

HealthStream Redlands Community Hospital was recognized in 2013, 2014 and 2015 with an Excellence through Insight Award for Overall Patient Experience in their InpatientSurgical Unit by HealthStream, Inc., a leading independent consumer empowering organization that measures outcomes for hospitals. The hospital was chosen for receiving the highest ratings in its category and exceeding industry standards, demonstrating its commitment to patient satisfaction and their patient care experience.

6 | Quality Outcomes Report 2015

• Healthgrades Outstanding Patient Experience Award 2016 • Healthgrades Patient Safety Excellence Award 2016

CALNOC Redlands Community Hospital was recognized with a Performance Excellence Award in Best Performance in Preventing Hospital Acquired Infections-MRSA Total Facility by the Collaborative Alliance for Nursing Outcomes (CALNOC), the nation’s only nursing database registry. CALNOC recognized top performing hospitals with a long and consistent track record for their exemplary work in reducing hospital acquired conditions in 2015.

Redlands Community Hospital

Creating a Culture of Quality Q&A with Dr. Samir Hage, Department Chair, Maternal Child Services

Q

As a surgeon, what does quality care mean to you?

Quality means that the patient’s care and patient’s experience are the primary focus of all team members of the surgical and hospital team. Quality also means that we follow the most advanced surgical techniques and technology to improve surgical outcomes – getting the patient better quickly so they can resume their normal activities.

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Q

How do you create a culture of quality at RCH?

We start by having the right staff members, those who are dedicated to patient care and quality. We are fortunate at RCH to have long-time nurses, case managers and other team members who constantly work to improve their skills. For our medical staff, it means adhering to the best practices known today in their respected fields of specialty. We have many internal committees and training programs that consistently review and measure our performance and we strive every day to provide excellent care to each and every patient.

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Redlands Community Hospital

Q

Is that unique for a community hospital?

It is unique. RCH has a long standing history of being more than just a community hospital; it operates like a much larger facility in terms of its commitment to bringing in advanced surgical and patient care technology. As a non-profit community-led facility, it is amazing how members of the community play such an integral role in the hospital’s success.

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Q

Why is there such a focus on outcomes today?

As a surgeon, we have always focused on our outcomes – basically the results of our efforts to better the patient’s health and wellbeing. But in today’s changing world of health care, accountability and outcomes have become measurement tools to determine performance. Not all surgeons or hospitals are the same. Patients have the right to know how their doctor or their hospital of choice ranks among their local competitors as well as in the nation.

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Quality Outcomes Report 2015 | 7

Resources

Designated as a

for Spine Surgery

www.bcbs.com/why-bcbs/blue-distinction/

www.healthgrades.com/quality/

www.hcahpsonline.org/

www.healthstream.com/awards

www.leapfroggroup.org/

Doing our best to be the best. 350 Terracina Boulevard, Redlands, California 92373 ~ 909-335-5500 ~ www.redlandshospital.org