Quality numbers for 2004-05

Licensed beds – 534
Admissions – 19,744
Emergency visits – 58,092
Births – 1,374
Surgeries – 15,060
Volunteers – 670
Physicians – 557
Employees – 2,804


 Please note:  The following statistics were based on the most recent available data.

A heart attack can occur when blood clots block the blood vessels that feed oxygen to the heart.

“By chewing an aspirin as soon as the symptoms of a heart attack start,” said Quad-City cardiologist Dr. Stephen Alldredge, “a person may help reduce the severity of the attack. Any type of early intervention, including the use of aspirin, is important, because time is muscle when you’re dealing with hearts.”


“After a heart attack, continuing to use aspirin can lower the risk of a future heart attack,” said Quad-City cardiologist Dr. Stephen Alldredge. “However, there are side effects with the continued use of this particular medication, so it’s important to talk to your doctor about using it on a regular basis.”


Pneumonia can lower the oxygen in your blood because the lungs are swollen from infection and the air spaces in your lungs are filled with fluid. When this happens, the oxygen you breathe does not get into your bloodstream.

“It is, therefore, important we measure the amount of oxygen in the blood as we take the patient’s vital signs,” said Quad-City pulmonologist Dr. Felipe Enriquez. “This tells us if the patient needs oxygen therapy.”


Pneumonia can be caused by different types of bacteria and this lung infection can travel to the bloodstream. By performing a blood culture, health-care providers can learn which bacteria is to blame and, therefore, which antibiotic would be the best to prescribe.

“Health-care officials can determine what the best course of treatment is by utilizing blood cultures,” said Quad-City pulmonologist Dr. Felipe Enriquez. “They also are helpful because they help us know the degree and severity of infection and what precautionary actions we should take to prevent the spread of your illness.”

“When antibiotics are given early in the course of treating pneumonia, it can cure the condition and lower the
likelihood of complications,” said Quad-City pulmonologist Dr. Edward Ebert.

“We strive to be proactive in giving patients the necessary treatment in a timely fashion to ensure the speediest recovery.”

Smoking increases your risk for developing blood clots and heart disease that can result in a heart attack, heart failure or stroke. It also can cause reduced blood flow to your heart, which may result in chest pain, high blood pressure, and an increased heart rate.

“It is so vital that patients get information about stopping smoking before they leave the hospital,” said Shelli Dearing, who coordinates Trinity’s smoking cessation program. “A person who quits smoking might prevent a future heart attack.”

The pneumococcal vaccine is helpful because it can help either prevent or reduce the possibility of complications of pneumonia caused by bacteria. It also can assist in preventing infections in the future.

“When we saw that our numbers definitely were not in the area we wanted them to be,” said Sue Beswick, Director of Emergency Services, “we took proactive action to create change in the way we work with our incoming patients.

“In the time since we initially saw this data, we have developed a special assessment sheet so we can screen all patients for whether or not they have already received their vaccination prior to seeing us. We also have a standing order for the vaccination in place, so we don’t have to wait for a doctor to write an order. Thanks to the changes we’ve made, our scores are now in the 80 percent area.”


In order to provide the best treatment for heart failure, it’s important to know what area of the heart is affected. One way medical officials can do this is a test known as the “left ventricular function assessment.” This shows whether or not the left part of the heart is pumping the way it should.

Other ways to check on how your heart is pumping include medical history, a physical examination, listening to heart sounds, electrocardiograms, chest X-rays, blood work and echocardiograms.

When Trinity saw that the numbers weren't where they wanted them to be, they worked with the Institute for Healthcare Improvement to put together a new plan to correct the situation.  Trinity now has set up a series of checks and balances, both on paper and through manpower, to make sure everyone understands what needs to be done.  Since that action has been taken, our scores have gone up considerably, up to the 94 to 97 percent range.

Beta blockers are a type of medicine that is used to lower blood pressure, treat chest pain and heart failure and to help prevent a heart attack.

“Beta blockers ease the stress placed on the heart,” said Quad-City cardiologist Dr. Ajay Labroo. “They do this by lowering the heart rate and reducing the force with which the heart muscle is pumping blood.”

“In addition to the advantages that beta blockers provide right after a person has suffered a heart attack,” said Quad-City cardiologist Dr. Ajay Labroo, “they can help lower blood pressure and help in heart failure situations. They also can help prevent future heart problems and are why a patient should be prescribed a beta blocker before leaving the hospital.”

In addition to treating heart attacks, high blood pressure and heart failure, ACE (angiotensin converting enzyme) inhibitors are often prescribed for a condition known as left ventricular systolic dysfunction (LVSD). In this situation, the left side of the heart has lowered function.

“ACE inhibitors work by preventing the production of a particular hormone that can narrow your blood vessels,” said Quad-City cardiologist Dr. Sora Reddy. “This helps lower your blood pressure, which makes for better health.”

An ACE inhibitor (angiotensinconverting enzyme) is a type of medicine used to treat heart attacks, heart failure, or a decreased function of the left side of your heart.

“If taken within 24 hours of the first symptoms of a heart attack, ACE inhibitors can help lower the chance of death from a heart attack,” said Quad-City cardiologist Dr. Kumar Bobba. “A person who continues to use an ACE inhibitor may be helping to prevent heart failure.”

“Heart failure is an ongoing condition,” said Carol Dwyer, Vice President of Hospital Operations and Chief Nurse Executive. “That is why it is so important that, before a patient goes home, the hospital staff provides information about symptom management.”

Discharge information should include:
• information on what activities they should or shouldn’t engage in
• instructions on what is appropriate to eat or drink
• medication instructions
• a follow-up appointment
• contact information if symptoms reoccur or worsen


 





Trinity – the Quad-Cities' fourth largest employer


The largest employers in the Quad-City area:

  1. John Deere – 6,739
  2. Rock Island Arsenal – 6,400
  3. Genesis Health System – 5,000
  4. Trinity Regional Health System – 2,818
  5. Davenport Community School District – 2,482

2004 financial overview – total community benefits 



Charity care* – $5,523,000
Cost of uncompensated Medicaid – $7,284,000
Cost of uncompensated Medicare – $9,742,000
Bad debt** – $4, 510,000
Property taxes – $382,000
Community benefits programs – $2,973,000
TOTAL
 – $30,414,000

* Care Trinity provides to patients who, due to meeting certain income requirements, are eligible to receive charitable assistance.
** Money owed by patients who have not paid their bills.


2004 financial overview – operating revenue

Net patient revenue – $232,749,000
Other operating revenue* – $14,913,000 
TOTAL – $247,662,000

* Including food service, grants and rental income


2004 financial overview – operating expenses

Salaries and benefits – $118,795,000 (48.0%)
Supplies – $50,506,000 (20.4%)
Other expenses – $49,478,000 (20.0%)
Depreciation and amortization – $13,521,000 (5.5%)
Interest – $7,050,000 (2.8%)
Bad debt – $8,172,000 (3.3%)
TOTAL – $247,522,000

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