Jackson Health System - 2017 Report To The Community

2017

Report To The Community

From The President And Chief Executive Officer, Carlos A. Migoya More than 35 years ago, my younger son was born at Jackson Memorial Hospital, weighing just over a pound – given only a whisper of a chance to survive. At any other facility, he would have been lost, but thanks to the doctors, nurses, and other caregivers at our public hospital, he has grown into a happy, healthy, and successful young man.

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Stories like these take place at our hospitals every day, and they are the inspiration for our slogan: Miracles made daily .

From Ryder Trauma Center, which trains every one of the U.S. Army’s forward surgical teams and treats our most seriously injured neighbors, to Jackson Rehabilitation Hospital, where patients work toward a second chance at independent lives, Jackson Health System makes miracles.

Our entire team is deeply committed to carrying that work forward. The industry we represent and the community we serve will change substantially in the years ahead. Jackson must be strong enough, nimble enough, and smart enough to change with them, while still pushing ourselves to deliver the world’s best medical care.

Last year, we launched a new chapter in Jackson’s history with the opening of our first urgent care center, UHealth Jackson Urgent Care — Country Walk. It is the first in a new network of walk-in centers that combine the convenience of on-demand care with the quality you expect from Jackson and the University of Miami Health System.

Our urgent care services are now available in Keystone Point and Cutler Bay and will soon expand to Miami Gardens and Doral in early 2018.

2017 REPORT TO THE COMMUNITY

2017 REPORT TO THE COMMUNITY

At any other hospital, they would call it a miracle.

At Jackson, we call it a Monday.

We have also been upgrading our facilities in our hospitals, including a new trauma center at Jackson South Medical Center; new procedure suites at Jackson North Medical Center; and a new surgical cancer unit at Jackson Memorial Hospital. With the support of our community, our elected officials, and our generous donors, we broke ground on the new José Milton Memorial Hospital at our future Jackson West Medical Center campus in Doral, and prepared to begin construction of the new Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis at UHealth/Jackson Memorial.

In the years to come, Jackson is preparing for its biggest changes yet. We’re expanding our services in the areas where you count on us for the best: cardiology, organ transplantation, neurosurgery, orthopaedics, maternity, and pediatrics, especially for those high-risk children who need our unmatched care in neonatology, pediatric cardiology, and other highly specialized children’s services.

2 In 2018, Jackson will celebrate its 100th anniversary, so today we are building the framework for a second century of making miracles.

Sincerely,

Carlos A. Migoya President and Chief Executive Officer

Conceptual rendering of the Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis at UHealth/Jackson Memorial.

From The Chairman Of The Public Health Trust Board Of Trustees, Joe Arriola There has never been a more exciting time for Jackson Health System and the community it serves.

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At a time when the science and business of health care is changing at an astonishing speed, Jackson has built a framework that amplifies our global fame for cutting-edge care, embraces the evolving understanding of patient-focused treatment, and positions our team to nimbly evolve into a new level of sophistication.

Our commitment is to deliver the Jackson Miracle Experience for every patient who needs our help. That means delivering the safest care environment, the best clinical quality, the latest medical technology, and the warmest personal service.

The future of Jackson also depends upon growing the signature services that set us apart. We are building an entirely new Jackson campus in the City of Doral, bringing Jackson’s unmatched reputation into one of MiamiDade’s fastest growing areas. The campus will feature emergency rooms for adults and children; a full range of diagnostic services; and a wide range of specialty services. We also continue upgrading our programs at our Miami Transplant Institute, one of the world’s most sophisticated and experienced organ transplant programs.

The guiding principle of our expansion plans is the belief that Jackson is owned by all of our neighbors, making us responsible for having Jackson accessible to everyone in the community. As we grow into areas such as Doral, Cutler Bay, Miami Gardens, and Country Walk, we are giving life to that lofty vision.

2017 REPORT TO THE COMMUNITY

2017 REPORT TO THE COMMUNITY

Thanks to the unwavering support of so many partners across Miami-Dade County, we are growing stronger and smarter to take our rightful place among the country’s top academic medical centers – all while holding fast to our cherished historic mission of serving all of our neighbors with a single high standard of care.

By 2020, we will also open a new rehabilitation hospital with facilities that match the globally admired clinical services provided by Jackson and the University of Miami Health System. Additionally, we will modernize our women’s and children’s facilities across Miami-Dade, because we offer the best care for mothers and babies, and pregnancy is only routine until the moment when it isn’t.

On behalf of our Board of Trustees, thank you for your special role in fulfilling our mission.

Sincerely,

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Joe Arriola Chairman, Public Health Trust Board of Trustees

Conceptual rendering of Jackson West Medical Center.

Mission

1918

1924

1926

1946

1952

1956

1960

The new, 13-bed Miami City Hospital opens on June 25.

The Miami City Commission votes to rename Miami City Hospital in honor of Dr. James M. Jackson, a surgeon and prominent leader in the medical community.

James M. Jackson Memorial Hospital treats more than 700 victims after the Great Hurricane of 1926 hits Miami, operating relief stations throughout the city.

Jackson becomes the only hospital in the region to offer radium treatment for cancer.

The University of Miami School of Medicine opens, beginning Jackson’s longtime affiliation with UM.

Dr. Robert S. Litwak, chief of thoracic surgery at Jackson, performs the first open-heart surgery in Florida.

The hospital performs cardiopulmonary bypass using a new heart-lung machine.

1965

1970

1973

1986

To be a nationally and internationally recognized, world-class academic medical system and to be the provider of choice for quality care.

1992

2001

2006

Values

• Service Excellence • Quality • Commitment • Respect • Compassion • Teamwork • Communication • Inclusion • Confidentiality • Integrity • Stewardship

2013

2015

2016

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2017 REPORT TO THE COMMUNITY

2017 REPORT TO THE COMMUNITY

A Century Of Milestones

To build the health of the community by providing a single, high standard of quality care for the residents of Miami-Dade County.

Vision

6 Jackson makes headlines by treating burn patients with an innovative silver nitrate treatment after the cruise ship Yarmouth Castle catches fire.

Jackson performs its first kidney transplant.

The National Cancer Institute chooses Jackson as the Florida site for a Comprehensive Cancer Center, then one of o­nly 20 in the nation.

The Best in Medicine names Jackson Memorial Hospital one of the top 25 medical facilities in the U.S. – the only public hospital to make the list.

Ryder Trauma Center opens just weeks before Hurricane Andrew devastates Miami-Dade County.

The Public Health Trust creates Jackson Health System and acquires Deering Hospital, which is named Jackson South Community Hospital, now Jackson South Medical Center.

Jackson Health System adds Parkway Regional Medical Center, which becomes Jackson North Medical Center.­

More than 65 percent of Miami-Dade voters support Jackson’s new $830 million Miracle-Building Bond Program.

Jackson Health System purchases a 27-acre parcel of land in the City of Doral that will be home to a brand-new medical campus called Jackson West Medical Center.

Jackson reveals plans for new urgent care facilities throughout Miami-Dade.

Jackson opens its first of many urgent care centers, staffed by physicians from the University of Miami Health System.

Jackson South Medical Center opens provisional trauma center.

Jackson North Medical Center

Jackson South Medical Center

Jackson Behavioral Health Hospital

2017 REPORT TO THE COMMUNITY

Holtz Children’s Hospital

1611 N.W. 12th Avenue, Miami, FL 33136

1611 N.W. 12th Avenue, Miami, FL 33136

Jackson Rehabilitation Hospital provides

Holtz Children’s Hospital is one of the largest

parcel of land located in the City of Doral, just

comprehensive rehabilitative care to adults,

children’s hospitals in the Southeast and is the

west of the Palmetto Expressway and north of

Jackson Memorial Hospital is an accredited, non-profit,

adolescents, and children, while helping patients

exclusive home to pediatric specialists who are

Northwest 25th Street. Jackson West will become

tertiary care hospital and the major teaching facility for the

and their families through the recovery process.

part of UHealth - The University of Miami

a leading-edge medical center with a freestanding

University of Miami Miller School of Medicine. With nearly

Led by an expert multidisciplinary team,

Health System. Here, patients can access

emergency room for adults and a children’s

1,000 licensed beds, it’s a magnet for medical research and

Jackson Rehabilitation Hospital delivers inpatient

breakthrough treatment for complex medical

ambulatory center for specialized pediatric care.

home to Ryder Trauma Center and the Miami Transplant

and outpatient care, as well as support services

problems often considered untreatable.

Institute (MTI), one of the nation’s top transplant programs.

for patients with spinal cord injuries,

1611 N.W. 12th Avenue, Miami, FL 33136

brain injuries, and more.

Jackson Memorial Hospital

Conceptual rendering of Jackson West Medical Center.

Jackson Rehabilitation Hospital

Jackson Memorial Hospital

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Holtz Children’s Hospital

Jackson North Medical Center

Jackson South Medical Center

Jackson Behavioral Health Hospital

160 N.W. 170th Street, North Miami Beach, FL 33169

9333 S.W. 152nd Street, Miami, FL 33157

1695 N.W. 9th Avenue, Miami, FL 33136

Jackson North Medical Center is home to specialized centers

Jackson South Medical Center offers a full spectrum

Jackson Behavioral Health Hospital provides a

for endovascular disease, fibroids, pain management, back

of services and is staffed by nationally recognized,

full continuum of care for children, adolescents,

pain, women’s health, wound care, and weight-loss surgery.

board-certified physicians and allied healthcare

adults, and seniors. Additionally, it offers

Jackson North now features a renovated maternity wing,

professionals who practice a wide array of specialties

individual, couples, family, and group therapies.

with a separate entrance to The Women’s Pavilion.

and subspecialties. It’s also home to an accredited

Whether inpatient or outpatient, from treatment

Gastric Sleeve Center, and a provisional trauma

through discharge, all services are delivered in a

center that opened in May 2016.

structured, supportive, and safe environment.

Jackson West Medical Center In spring of 2015, Jackson purchased a 27-acre

2017 REPORT TO THE COMMUNITY

County-Wide Reach

Jackson Rehabilitation Hospital

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Our Locations

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An Extensive Network Of Clinical Experts

13 Jackson Memorial Hospital 14 Holtz Children’s Hospital

2 North Dade Health Center 15 Ryder Trauma Center (Urgent Care Center - Coming 2018) 16 Miami Transplant Institute 3 Jackson North 17 Jackson Behavioral Medical Center Health Hospital 4 Urgent Care Center

1 8 Jackson Pediatric Center (Keystone Point) (PPEC facility) 5 Jackson West Medical Center 19 Rosie Lee Wesley 6 Urgent Care Center Health Center (Doral) 20 Urgent Care Center 7 Jackson Memorial (Country Walk) Long-Term Care Center 21 Jackson South 8 Dr. Rafael A. Peñalver Clinic Medical Center 9 Jefferson Reaves, Sr. 22 Urgent Care Center Health Center (Cutler Bay) 10 Downtown Medical Center 11 Prevention, Education, and Treatment (PET) Center 12 Jackson Rehabilitation Hospital

Patients can access our Jackson Medical Group physicians at any of our specialty centers. Our services range from primary and preventive care to complex surgical procedures, including minimally invasive weight-loss surgery and advanced interventional cardiology.

To learn more about the experts who make up the Jackson Medical Group team, call 305-585-4JMG or visit JacksonMedicalGroup.org.

Advanced Expertise Across Miami-Dade County

23 Jackson Memorial Perdue Medical Center Urgent Care Centers Future Sites

Call 305-585-4DOC to find a Jackson physician.

Lobby at UHealth Jackson Urgent Care center in Country Walk.

UHealth Jackson Urgent Care Centers We’re off to a great start – already seeing patients at three state-of-the-art urgent care centers in the community. Our Country Walk location at 13707 S.W. 152nd Street, our Keystone Point center at 13120 Biscayne Boulevard, and

our Cutler Bay location at 18910 South Dixie Highway, offer people convenient access to non-life threatening medical care.

We treat common ailments, offer diagnostic imaging and vaccinations, and provide a wide array of laboratory testing.

Jackson Multispecialty Center at Jackson North 100 N.W. 170th Street, Suite 410 North Miami Beach, FL 33169

Colorectal and Minimally Invasive Surgery Specialists 9195 Sunset Drive, Suite 230 Miami, FL 33173

Gastric Sleeve Center at Jackson North 100 N.W. 170th Street, Suite 410 North Miami Beach, FL 33169

Jackson Multispecialty Center at Jackson South 9380 S.W. 150th Street, Suite 295 Miami, FL 33176

Jackson Multispecialty Center - Health District 1801 N.W. 9th Avenue, Second Floor Miami, FL 33136

The Orthopaedic Center at Jackson South 9380 S.W. 150th Street, Suite 270 Miami, FL 33176

Jackson Memorial Hospital 1611 N.W. 12th Avenue Miami, FL 33136 Downtown Medical Center 111 N.W. 1st Street Stephen P. Clark Building, Suite 110 Miami, FL 33128

Gastric Sleeve Center at Jackson South 9380 S.W. 150th Street, Suite 250 Miami, FL 33176 The Women’s Center at Jackson South 9333 S.W. 152nd Street Miami, FL 33157

2017 REPORT TO THE COMMUNITY

2017 REPORT TO THE COMMUNITY

1 Jackson Community Mental Health Center

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Awards And Recognition Holtz Children’s Hospital Named in U.S. News & World Report’s Best Children’s Hospitals

Jackson Health System Named Non-Profit of the Year by the Miami-Dade Gay and Lesbian Chamber of Commerce

Medical Center was among the nation’s top children’s hospitals,

Jackson Health System President and Chief Executive Officer, Carlos A. Migoya, Named the 2016 Recipient of the Sand in My Shoes Award by the Greater Miami Chamber of Commerce

according to the U.S. News & World Report 2016-2017 Best Children’s

Jackson Health System president and chief executive officer,

Chamber of Commerce awarded Jackson Health System the Non-Profit

Hospitals rankings. The rankings feature the top 50 hospitals in each

Carlos A. Migoya, was named the 2016 recipient of the Sand in My

of the Year award. This annual award is given to organizations that

of the 10 pediatric specialties. Holtz Children’s was ranked in three

Shoes Award by the Greater Miami Chamber of Commerce. The

embody the highest standards of diversity and inclusion of the LGBTQ

specialties this year: 36th in diabetes and endocrinology, 44th in

award is presented to a community leader who has made significant

and allied communities. Awardees must also be visibly active in the

cardiology and heart surgery, and 45th in nephrology.

contributions to the South Florida area.

LGBTQ community.

Jackson Memorial Hospital and Jackson North Medical Center Recognized for Quality Stroke Care by American Heart Association/American Stroke Association

Jackson Health System Named Human Rights Campaign Foundation Leader in LGBTQ Healthcare Equality

South Florida Parenting Magazine’s Kids Crown Awards – Jackson Memorial Hospital – “Best Place to Deliver Your Baby”

The Human Rights Campaign (HRC) Foundation named all six Jackson

Jackson Memorial Hospital won South Florida Parenting Magazine’s

The American Heart Association/American Stroke Association

Health System hospitals “Leader in LGBTQ Healthcare Equality” for

Kids Crown Award for “Best Place to Deliver Your Baby” in Miami-

recognized Jackson Memorial Hospital and Jackson North Medical

the sixth consecutive year. HEI evaluated Jackson Memorial Hospital,

Dade County for the third year in a row. Kids Crown winners are

Center for their outstanding, lifesaving stroke care. Both hospitals

Jackson South Medical Center, Jackson North Medical Center, Jackson

chosen annually by readers, with thousands selecting their favorite places

were the recipients of the Get with The Guidelines® - Stroke Gold

Rehabilitation Hospital, Jackson Behavioral Health Hospital, and

and things to do in South Florida.

Plus Achievement Award with Target: Stroke Honor Roll Elite Plus.

Holtz Children’s Hospital/The Women’s Hospital at Jackson Memorial,

The awards recognize the hospitals’ commitment to providing the

with all six earning top marks for their policies and practices related

most appropriate stroke treatment according to nationally recognized,

to lesbian, gay, bisexual, and transgender (LGBTQ) patients and their

research-based guidelines.

families, visitors, and employees.

The Child Life Team at Holtz Children’s Hospital.

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The M.B. Fernandez Family Little Miracles Maternity Suites at Jackson Memorial Hospital.

During their 2016 Amethyst Gala, the Miami-Dade Gay & Lesbian 2017 REPORT TO THE COMMUNITY

2017 REPORT TO THE COMMUNITY

Holtz Children’s Hospital at the University of Miami/Jackson Memorial

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2017 REPORT TO THE COMMUNITY

2017 REPORT TO THE COMMUNITY

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Thinking Big To Promote Small Business Opportunities

Conceptual rendering of Jackson West Medical Center.

Building On A Promise

Jackson Health System remains a proud partner in driving the economic development

Our ongoing expansion and capital improvement projects continue to provide opportunities

of small businesses throughout Miami-Dade County. Participation in the Small Business

for Jackson to contract with small businesses, and provide a platform for a transfer

Enterprise (SBE) Program demonstrates Jackson’s ongoing commitment to elevate the

of hard-to-obtain skills in healthcare construction. By example, Jackson is increasing

entire community.

its use of SBEs on an annual basis, and the Jackson Mentor Protégé Development Program

One of the cornerstones of Jackson’s storied history is its longstanding commitment to

Jackson West, located just west of the Palmetto Expressway and on the north side of

serving the people of Miami-Dade County. The Jackson West Medical Center campus

Northwest 25th Street, will be custom-tailored to meet the unique communities growing

will provide comprehensive and integrated services to meet the health and wellness needs

in Doral, Miami Springs, Sweetwater, West Miami, and Virginia Gardens – just as our

of everyone in the community. This state-of-the-art facility will include a free-standing

other facilities meet the needs of the communities they serve. We look forward to working

Jackson is taking an active role in improving the community by maximizing opportunities

emergency department and a wide range of diagnostic, treatment, and ambulatory care

with our new neighbors and making Jackson West their healthcare provider of choice.

through the SBE program. We understand that when small businesses thrive, everyone in

services for both adults and children.

neighborhoods across the county benefits.

partners SBE-construction firms with major firms experienced in healthcare construction so they are able to gain invaluable on-the-job learning experience.

To learn more about the program, call 305-585-7059 or visit JacksonSmallBusiness.org.

A Lifesaving Surgery For Siblings Just five years after transplant surgeons saved the life of a Texas infant at Holtz Quality care at Holtz Children’s Hospital.

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South Florida. This time, so transplant surgeons at The Miami Transplant Institute could save the life of their son.

During an ultrasound while just six weeks pregnant, Julissa Cerda got devastating news about the embryo she was carrying. Her doctors in Texas

Holtz Children’s Hospital is a national leader in pediatric medical specialties, including nephrology, endocrinology, gastroenterology, cardiology, and neonatology. Holtz Children’s, in collaboration with the Miami Transplant Institute, is one of only three centers in the nation that specializes in pediatric multi-organ transplants, performing two-thirds of all these transplants done in the world. Our pediatric transplant program is the largest pediatric intestinal transplant center in the country and ranks among the nation’s best survival rates of kidney and kidney-pancreas transplants.

noticed a very large bladder, and suspected he might have the same rare

Holtz Children’s is eighth in the nation and first in Florida to become an Accredited Pediatric Heart Failure Institute by The Healthcare Colloquium. Our Children’s Heart Center is home to one of the largest pediatric cardiomyopathy centers in the world, treating diseases of the heart muscle. In addition, The Schatzi and Stanley Kassal Project: New Born Neonatal Intensive Care Unit (NICU) is a designated Regional Perinatal Intensive Care Center by the state of Florida and boasts some of the best survival rates and successful outcomes in the country. This 126-bed unit, 66 of which are Level III, provides support for the most critically ill patients, 24 hours a day. The NICU is the largest in Florida and one of the largest in the nation.

syndrome (MMIHS) or Berdon syndrome. The condition is usually

2017 REPORT TO THE COMMUNITY

2017 REPORT TO THE COMMUNITY

A Global Leader In Cutting-Edge Care For Children

Children’s Hospital, a rare congenital disease brought that family back to

congenital disease that also affected her daughter Delilah Valdez.

Julissa recalled what her daughter faced when she was just 16 months old. It was 2011 when Delilah received a seven-organ transplant from University of Miami Health System surgeons at Holtz Children’s Hospital.

Now it was 2014, halfway through her second pregnancy, when a fetal medicine physician in Texas confirmed Julissa’s worst fears; her

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unborn son also had megacystis microcolon intestinal hypoperistalsis fatal within the first year of a child’s life, though it affects just one in one million children.

“I immediately knew that Liam’s only chance at survival would be at Jackson,” Julissa said. In early 2016, Liam came to Holtz Children’s from Texas via air ambulance. In February, Liam successfully underwent a nine hour transplant surgery, receiving eight new organs: a liver, stomach, large and small bowels, pancreas, two kidneys, and bladder.

“Seeing our son eating and having formula like a regular baby was one of the happiest days of our lives,” Julissa said. “Liam is doing amazingly well.”

Delilah and Liam Emmanuel with their parents, Julissa Cerda and Jose Garza.

Gastric Sleeve Surgery Gives Sisters A Chance To Regain Their Lives Gloria Taylor, a U.S. Army veteran was always healthy and athletic.

She had been assigned multiple times to some of the most dangerous war zones, but she had not faced her biggest battle yet. She would find herself in a life-or-death struggle with her failing health.

2017 REPORT TO THE COMMUNITY

Gloria, who had been a petite size 4, ballooned to a size 16. She gained 75 pounds, her diabetes was out of control, and exercise was not helping her lose weight.

Elias Chousleb, MD, a bariatric surgeon at Jackson North Medical Center, explained different weight-loss surgeries that might help. Her best option was gastric sleeve surgery.

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Right after the surgery, her life changed dramatically. She no longer needed oral medication or insulin shots, and her blood sugar normalized.

Just three months later, Gloria had already dropped 60 pounds and resumed exercising.

The remarkable results motivated her sister, Linda Taylor, who suffered from weight gain after a spinal cord injury in 2007. Linda also had gastric sleeve surgery at Jackson North with Dr. Chousleb.

The Taylor sisters, who each underwent successful bariatric surgery at Jackson North.

In just one month, she had already lost 30 pounds. “This is incredible for me because I haven’t weighed less than 200 pounds since I had my last child,” Linda said. “I can do a little exercise now, even with a spinal cord injury, get my life back, and reach the sky.”

Bariatric Surgery Centers Of Excellence When it comes to bariatric surgery at Jackson North Medical Center and Jackson South Medical Center, it’s not what people lose, it’s what many people gain – including greater mobility, quality of life, and the chance to lead a healthier life.

These two Jackson locations offer high-quality, surgical weight-loss programs that focus on gastric sleeve surgery.

Also known as sleeve gastrectomy, this procedure reduces the size of a person’s stomach, allows them to feel full after eating fewer calories, and changes hormones in the gut that control hunger and blood sugar. Also, on average, gastric sleeve surgery reduces excess weight by 70 percent.* The Gastric Sleeve Centers for Weight Loss Surgery at Jackson North and Jackson South are both recognized as Centers of Excellence by the American Society of Metabolic and Bariatric Surgeons. This means patients can expect a level of quality and performance that meet or exceed the rigorous standards set by the leading national organization of bariatric surgeons. All Centers of Excellence show a commitment to continuously improving the quality of care they provide.

Call 305-585-TRIM or visit JacksonCanHelp.org to see patient testimonials and learn more. *Individual results may vary.

2017 REPORT TO THE COMMUNITY

She was living in Tallahassee when she began suffering from sinus problems. To treat her condition, she was prescribed steroids, but the medication’s side effects led to severe weight gain and she was subsequently diagnosed with diabetes.

Bariatric suite at Jackson North.

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Surgery At Birth Saves Her Life Nicole Hannah-Edgecomb was 24 weeks pregnant with her second child when she went to see her obstetrician for a checkup. An ultrasound revealed that her baby had fluid around her heart. Four

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Baby-Friendly: Making It Official We’ve always been baby-friendly at Jackson – it’s why so many women choose us for comprehensive maternity care. But when it comes to choosing a hospital for your delivery, the words “Baby-Friendly” have a special meaning.

The designation refers to the highly coveted breastfeeding support standard of care, promoted by the World Health Organization (WHO) and United Nations Children’s Fund (UNICEF). For years, Jackson has been one of a few hospitals to embrace Baby-Friendly standards in South Florida. Now we’re taking it a step further, pursuing an official Baby-Friendly hospital designation across our system. Meeting these standards demonstrates an optimal level of care for infant feeding and bonding between a mother and baby, including education on the benefits of breastfeeding.

In addition, all three Jackson maternity programs apply a family-centered approach to maternity care that starts immediately after birth. Babies are placed skin-to-skin on their mother’s chest, allowing for the most intimate contact.

During this “magic hour,” babies are most alert and can immediately bond with their mom. With family-centered care, new moms and babies also stay together in the same room from the moment of birth.

the baby’s heart. “At that point, my doctor realized the severity of my baby’s case,” Nicole said. “I was sent to another hospital to receive treatment, but that hospital, too, couldn’t handle my case.

2017 REPORT TO THE COMMUNITY

2017 REPORT TO THE COMMUNITY

weeks later, another ultrasound showed a large mass now covering

I was told my only hope was Jackson Memorial Hospital.”

At 29 weeks, Nicole began receiving care from Salih Yasin, MD, a University of Miami Health System obstetrician/gynecologist who specializes in high-risk pregnancies. Two weeks later, our multidisciplinary team of specialists prepared for lifesaving surgery at Holtz Children’s Hospital.

Immediately after doctors delivered four-pound, four-ounce Symphony

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Harmony Edgecomb via Cesarean section, our pediatric specialists took over. In the same operating room, Eliot Rosenkranz, MD, a pediatric cardiac surgeon at Holtz Children’s, and his team performed an ex utero intrapartum treatment and opened the baby’s chest while she was still attached to her mother’s placenta. Immediately after the two-hour surgery, Symphony was moved to the Holtz Children’s pediatric intensive care unit.

After one week, she was transferred to the hospital’s neonatal intensive care unit. Four months later, Symphony went home. “We want everyone to know about Symphony’s case, especially other parents going through the same thing,” the baby’s father, Steven Edgecomb said. “Our child could have died in the womb. If you have a special case, a special need, Jackson is the place to go.”

The Edgecomb family.

A Giant Step — Implanting The World’s Smallest Pacemaker For Felipe Finale, gardening in his Hialeah backyard and tending 2017 REPORT TO THE COMMUNITY

But suddenly at age 78, any physical task - even taking a few steps became more and more difficult. “I couldn’t breathe properly and I was suffering from fatigue.”

Felipe went to Jackson South Medical Center for a solution to his heart condition. Director of cardiovascular medicine for the Jackson Medical Group, Juan Zambrano, MD, diagnosed him with bradycardia due to atrial fibrillation with slow ventricular response. His heart rate was

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extremely low – 20 to 30 beats per minute (bpm) – compared to a normal resting heart rate of 60 to 100 bpm in adults.

Felipe was next seen by associate medical director for the Jackson Medical Group’s cardiology practice, and a specialist in cardiac electrophysiology, Ivan Mendoza, MD. Dr. Mendoza put a tiny pacemaker the size of a vitamin capsule inside Felipe, making him the first patient in Miami-Dade County to be implanted with this device after its FDA approval.

Almost immediately, the pacemaker restored Felipe’s normal heart rhythm. He is now able to do what he loves, including work in his garden, travel, and enjoy his family.

Felipe Finale is back to gardening and other activities he loves thanks to his new pacemaker and Jackson cardiologists.

Comprehensive Cardiology Services In Your Community Jackson Health System provides a full range of cardiology services. We have a special emphasis on prevention, as well as diagnosis and treatment of heart and vascular diseases, including clinical rehabilitation and clinical research. High-quality heart disease services are available at our locations throughout Miami-Dade County, including Jackson Memorial Hosptial, Jackson North Medical Center, and Holtz Children’s Hospital.

Jackson South Medical Center, where Felipe received his EKG and pacemaker, also offers Holter monitoring, nuclear stress tests, stress testing, transesophageal echocardiography, and other lifesaving diagnostic devices and procedures. Visit JacksonHealth.org to learn more about our comprehensive expertise in leading-edge cardiology services.

2017 REPORT TO THE COMMUNITY

to his guanabana trees have always been one of his greatest pleasures.

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Employee To Patient In An Instant

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Your Nearby Neurology And Neurosurgery Center Of Excellence The Jackson Memorial Hospital Neurology and Neurosurgery Center of Excellence is one of our primary areas of medical expertise. Led by world-renowned neurologists and neurosurgeons, the multidisciplinary neuroscience team is comprised of leaders in advanced diagnostics and cutting-edge technology – many available only at Jackson Memorial Hospital.

In affiliation with the University of Health System, we offer specialized care in stroke services, neurocritical care, neuroendovascular surgery, neurorehabilitation, pediatric neurology, and neuro-oncology. We also focus on treatment of epilepsy, Parkinson’s disease, multiple sclerosis, and more.

One day, Eric was working on a computer at the University of Miami/ Jackson Memorial Medical Center. He turned his neck and heard a snap, began profusely sweating, and felt lightheaded.

“I knew something wasn’t right,” he recalls. Fortunately, the Emergency Department at Jackson Memorial Hospital was just steps away.

2017 REPORT TO THE COMMUNITY

2017 REPORT TO THE COMMUNITY

Eric Keller was a proud member of Jackson Health System’s Information Technology (IT) Department for a decade, helping staff and often hearing success stories about patients who beat the odds.

He never expected that he would become one of them.

Eric was rushed into a high-tech angio suite, where an angiogram confirmed a potentially deadly, ruptured brain aneurysm. He also suffered a severe brain hemorrhage when an artery in his brain burst and bled into the surrounding tissues.

“He was in really bad shape when he came in,” said Eric Peterson, MD, a University of Miami Health System neurosurgeon at Jackson Memorial.

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Dr. Peterson performed an emergency procedure and guided a catheter – the size of a strand of hair – through an artery in Eric’s leg into his brain. He placed tiny platinum coils to close the hole and stop the bleeding.

Eric spent nearly a month in an induced coma in the neurosurgical intensive care unit. His recovery continued with intense and specialized physical and occupational therapy. “Every doctor, nurse, technician, and therapist who cared for me was incredible,” he said.

Eric left Jackson Memorial walking, talking, and with no loss of brain function. Dr. Peterson said, “To see him smile, talk to you, and look you in the eye, it’s a powerful thing.”

Eric Keller is back on the job after emergency intervention at Jackson Memorial Hospital.

2017 REPORT TO THE COMMUNITY

Miami Book Fair.

Dr. Rafael A. Penalver Clinic back-to-school health fair.

Susan G. Komen Race for the Cure 5k.

Our Community, Our Miracles

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Jackson Around Town

In addition to our participation in wellness fairs and community events,

We’re always out and about in the community – and we have been since 1918,

we operate preventive care outreach programs, including our digital mobile

when we opened our first hospital to meet local needs. We reach every corner of

mammogram unit, and grant-funded education programs.

Miami-Dade County through clinics and health education programs, as well as through our participation in many events.

Ongoing Support Across South Florida

Our collaboration in the community helps raise awareness for important

Jackson invests time in special programs for our diverse community.

wellness issues, such as heart health, diabetes, burn safety, poison control,

We collaborate with civic leaders, coordinate local health fairs, and build

smoking cessation, and nutrition. Just a few examples of our commitment to

long-term relationships with schools, nonprofit organizations, and chambers

the community in the past year include sponsoring Children’s Alley at the

of commerce across Miami-Dade County. From sponsorships to partnerships,

Miami Book Fair, supporting the 2016 annual Dr. Martin Luther King, Jr.

we make sure our roots in the community never stop growing.

5000 Role Models of Excellence Unity Scholarship Breakfast, as well as the back-to-school wellness fair at Dr. Rafael A. Peñalver Clinic. Jackson is also a proud sponsor of the Susan G. Komen Race for the Cure 5k, which in 2016, Miami Beach Gay Pride parade.

Halloween Spooktacular event at The Falls mall.

included distribution of more than 5,000 pink leopard print superhero capes.

2017 REPORT TO THE COMMUNITY

Aqua Foundation for Women BBQ.

26

Facts And Statistics FY2016 Jackson Memorial Hospital

Jackson North Medical Center

Jackson Behavioral Health Hospital

Ambulatory Care Services

Inpatient Services

Inpatient Services

Inpatient Services

Health Clinic Visits

Number of Licensed Beds

Ambulatory Care Center (East and West)

Number of Licensed Beds Hospital Admissions (excluding newborn)

795 23,494

27

Visits to Emergency Department (adult) Ryder Trauma Center Cases

90,912 4,000

(adult and pediatric)

382

Hospital Admissions (excluding newborn)

9,238

Births (deliveries)

1,950

Outpatient Services Visits to Emergency Services

Hospital Admissions (adult and pediatric)

16,481

(adult and pediatric) Visits to Outpatient Clinics

(adult and pediatric)

8,539

Outpatient Services Visits to Emergency Services

52,294

239

99,849

(adult and pediatric)

Holtz Children’s Hospital

Jackson South Medical Center

Jackson Rehabilitation Hospital

Inpatient Services

Inpatient Services

Inpatient Services

Births (deliveries) Number of Licensed Beds Hospital Admissions

3,921 379 10,106

Outpatient Services

Number of Licensed Beds Hospital Admissions (excluding births) Births (deliveries)

250 11,580 932

Outpatient Services

Visits to Emergency Services (pediatric)

24,067

Trauma Cases

Visits to Outpatient Clinics (pediatric)

13,644

Visits to Emergency Services (adult and pediatric)

Number of Licensed Beds Hospital Admissions (adult and pediatric)

80 771

Outpatient Services

43,160

(adult and pediatric)

878

Dr. Rafael A. PeĂąalver Clinic

14,800

Jefferson Reaves, Sr. Health Center

16,336

North Dade Health Center

20,494

Prevention, Education, And Treatment (PET) Center 2,096 Rosie Lee Wesley Health Center

14,711

Jackson Memorial Long-Term Care Center

Rehabilitation Clinic Physician Visits 14,534 295

Downtown Medical Center

140,867

Number of Licensed Beds

180

Average Daily Census

170

Jackson Memorial Perdue Medical Center Number of Licensed Beds

163

Average Daily Census

130

2017 REPORT TO THE COMMUNITY

2017 REPORT TO THE COMMUNITY

Emergency Services

Number of Licensed Beds

28

Leadership 2017

Total Revenue

$1,828,682,000

Patient Services

$1,106,162,000

Half Penny Sales Tax

$251,703,000

County Tax Support

$161,006,000

Other Revenue $309,811,000

29

Total Expenses

$1,755,245,000

Compensation and Benefits

$1,035,161,000

Operational Expenses

$454,048,000

Drugs and Other Supplies

$266,036,000

Bond Reimbursement Excess Revenue Charity Care

Jackson Memorial Hospital

$56,400,000 $17,000,000 $361,092,000

Miami-Dade County Mayor Carlos A. Gimenez Board Of County Commissioners Miami-Dade County, Florida District 1 - Barbara J. Jordan District 2 - Jean Monestime District 3 - Audrey M. Edmonson District 4 - Sally A. Heyman District 5 - Bruno A. Barreiro District 6 - Rebeca Sosa District 7 - Xavier L. Suarez District 8 - Daniella Levine Cava District 9 - Dennis C. Moss District 10 - Javier D. Souto District 11 - Joe A. Martinez District 12 - Jose “Pepe” Diaz District 13 - Esteban L. Bovo, Jr.

2017 REPORT TO THE COMMUNITY

2017 REPORT TO THE COMMUNITY

Financial Information FY2016

Public Health Trust Board Of Trustees Joe Arriola, Chairman Mojdeh L. Khaghan, Vice Chairwoman William J. Heffernan, Treasurer Dr. Irene Lipof, Secretary Robert Zarco, Member Walter T. Richardson, Ph.D., Member Rep. Bryan Avila, Member

30

1611 N.W. 12th Avenue Miami, FL 33136

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Jackson Health System

@jacksonhealth

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@jacksonhealth

jacksonhealth.org/blog

Jackson Memorial Hospital • Jackson North Medical Center • Jackson South Medical Center Holtz Children’s Hospital • Jackson Behavioral Health Hospital • Jackson Rehabilitation Hospital

JHS9767 07-17

www.JacksonHealth.org