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2 0 0 THE RIGHT 9
STANFORD HOSPITAL & CLINICS HAS TOuCHED THOuSANDS OF LIvES THROugHOuT ITS 50-YEAR HISTORY, uNDERSTANDINg THAT EACH PATIENT IS A uNIQuE INDIvIDuAL WITH SPECIAL NEEDS AND CONCERNS. INSIDE ARE THE INSPIRINg STORIES OF EIgHT PATIENTS WHO CAME TO uS SEEKINg THE RIgHT CARE AND THE DEDICATED PHYSICIANS, NuRSES AND STAFF IN WHOSE HANDS THEY PLACED THEIR TRuST.
THE RIGHT TIME
to create the hospital of the future
On behalf of the Stanford Hospital & Clinics Board of Directors, I am pleased to share this Year in Review with all who are committed to assuring the future of health care in our community, in our nation and around the world. As we stand together on the threshold of a transformative era in medicine and biotechnology that will bring advances unimaginable today, we are creating an environment in the New Stanford Hospital that will redefine the hospital experience for patients, families and caregivers. It will also ensure that the pioneering research Stanford is known for worldwide is supported by a clinical facility that will accelerate translation of laboratory breakthroughs into patient care. There is no better place to do this than at Stanford, in the heart of Silicon Valley, and no better time than now, when the urgent need to replace a 1950s facility presents this unprecedented opportunity. If we apply the same creativity, resourcefulness and generosity that generations have before us, we can make this bold vision a reality. Today, Stanford Hospital is strong financially and well prepared to take the next critical steps ahead. We are tremendously grateful to Martha Marsh for her leadership over the past eight years and are conducting a national search for a successor who will continue the outstanding progress she has helped make possible. The New Stanford Hospital will build on a proud legacy of innovation and discovery that has benefited patients everywhere. In our own community, it will ensure that our families, friends, neighbors and colleagues will have the finest medical resources available anywhere just minutes from home, matched by patient experience and service commensurate with Stanford’s quality of care. None of us can predict when a personal need, regional disaster or emergency will occur, but we do know that being in the right place when it matters most will make all the difference. That is why I hope you will join me and so many others in creating the future as we know it can be — an era of hope, healing and health that enriches life for everyone.
On an intersection adjacent to the existing Stanford Hospital, a transformational, new community asset is being created. The New Stanford Hospital—technologically advanced, patient-centered, and filled with beautiful, healing-supportive spaces—will significantly expand the capacity of the existing hospital and redefine what a hospital stay can be.
DRAMATIC TRANSFORMATION With its medical innovations, exquisite aesthetics and expanded capacity, the New Stanford Hospital will meet this community’s needs well into the future. The state-of-the-art Andreessen Emergency Department will be significantly larger than the existing one. Intensive care capacity will also substantially increase. The interventional suites—hybrid platforms capable of surgery, catheterization, advanced imaging, and other diagnostics and treatments—will revolutionize the delivery of acute care. With its atrium design, garden Floor and Patient Care Pavilions, the building will be infused with light, art, music, beauty—and the most uplifting, restorative patient experience possible. For more details about the New Stanford Hospital, please see page 24.
Chair, Board of Directors Stanford Hospital & Clinics
FOR OUR COMMUNITY
when it matters most
Providing the right care, at the right time, in the right setting, by the right team, is at the heart of our commitment to every patient at Stanford Hospital & Clinics. In this Year in Review, we are proud to highlight how that commitment is being fulfilled and how it is making a real difference in the lives of our patients. In these pages, you will meet people who came to Stanford Hospital when it mattered most. We are truly grateful to them for sharing their stories. Just over a year ago, we opened the Stanford Medicine Outpatient Center in Redwood City. This beautiful new facility has demonstrated that the inspiring vision to create new environments and service commensurate with Stanford’s quality of care can be realized. Four years ago, we set an ambitious goal to lead the nation in bringing the benefits of a fully electronic medical record system to our patients. Stanford Hospital is now among only a handful of institutions to have achieved the highest-level designation for such systems, a milestone that sets the stage for a future of unlimited opportunities. Stanford Hospital is the right choice today — for patients needing the latest advances in diagnosis and treatment, for generous donors seeking to make a lasting difference, and for a community wanting to ensure that the finest health care available anywhere will be here when they need it. It has been a privilege to lead this organization for the past eight years, and I am very proud of what we have accomplished. I have been honored to work with so many individuals who are truly committed to our patients. As I look ahead to my retirement at the end of this fiscal year, on August 31, 2010, I want to express my deepest appreciation to everyone for the dedication that has made so much possible and my great confidence that an even brighter future lies ahead.
President & CEO Stanford Hospital & Clinics
AND TECHNOLOgY IS A PRIMARY gOAL OF THE STANFORD MEDICAL CENTER RENEWAL PROJECT. FOR MORE INFORMATION, vISIT STANFORDPACKARD.ORg.
L E G A C Y
DID YOu KNOW? THE ExISTINg STANFORD HOSPITAL WAS BuILT IN 1959. uPDATINg THE EISENHOWER-ERA FACILITY TO MEET THE NEEDS OF 21 ST CENTuRY MEDICINE
BARIATRIC SURGERY A LIFE RENEWED
By the time Nat Ezray was in the fifth grade, he was already a Weight Watchers member. By 42, he had become a rabbi and also developed diabetes — and had his first heart attack. He tried to keep fit, tried to diet, but lost and gained weight over and over again. He knew he needed more help. When he talked to Stanford Bariatric Surgery Program Director John Morton, MD, MPH, he discovered a physician who understood that success would depend on a whole package of changes, in addition to gastric bypass surgery. Ezray was also reassured because the surgeon had completed more than 1,000 such surgeries with no serious complications. The program requires that patients be carefully screened with full psychological evaluations, participate in support groups and receive frequent check-ups. Today, Rabbi Ezray is no longer obese, has eliminated nearly all of his medications and routinely hits the hiking trails.
to conquer a tough challenge
Stanford Hospital’s Bariatric Surgery program has one of the best patient outcome records in the u.S. It is the only one in Northern California recognized by the American College of Surgeons as a Level 1A Center for Excellence. With sensitivity and compassion, the program carefully counsels its patients, working with them to create a plan that will address all the issues involved in weight loss aided by surgery. The program engages its patients in support groups right from the start to provide them a place where they can feel safe to express their feelings and to have a sense of community. The program’s team includes a multidisciplinary group of nurses, nutritionists, psychologists and other clinicians who monitor their patients’ progress for an extended period of time. The research emerging from this program is also providing more clarity to the complex interaction between weight and health, knowledge that will refine treatment for an even greater degree of success.
“I feel wonderful on many levels—the degree of vitality, the degree of energy, the degree of enthusiasm just to greet the day. I feel like I have the pieces in place for longevity.”
—Rabbi Nat Ezray
BEATING THE ODDS
Officially, Katharine Decker Johnson’s heart stopped twice before she arrived at Stanford Hospital’s Emergency Department. Out for a bicycle ride one spring morning, she ended up hurtling through the air off the front of a garbage truck. Nearly every bone in her body was broken; her lungs collapsed, her skull fractured. Stanford’s team of specialists in trauma medicine went to work. Decker Johnson doesn’t remember the first days of her hospital stay. “The voices are what I remember, the soothing voices,” she says. And the small gestures. “I rang the buzzer for a nurse once when I was in ICU and really out of it. ‘I’m lonely,’ I said, and she held my hand.” Two years after her accident, Decker Johnson has returned to riding—only this time, it’s on her trusty chestnut-colored horse, Matrix.
no matter where or when
When injured patients with the most extreme medical needs arrive at Stanford Hospital’s Emergency Department, whether by local ambulance or by Life Flight aircraft from hundreds of miles away, their chances of survival immediately surpass the national average. Stanford’s Level 1 Trauma Center provides the highest level of care achievable, a distinction of multidisciplinary expertise that saves lives often thought lost. As part of the only hospital to offer Level 1 Trauma services between San Francisco and San Jose, Stanford’s multidisciplinary team of physicians and nurses pushes
“The medical care for me was obviously great, but Stanford also kept my family and my husband in the loop, helping them deal with what had happened and to care for me. The outreach was so important. ”
—Katharine Decker Johnson
beyond the status quo, developing innovative programs to reduce infection, speed diagnostic results and strengthen post-discharge care.
CARDIOVASCULAR SERVICES MORE THAN THE HEART
At 49, former firefighter Cindi Lubeck had always been fit and active. But when she began tiring on the treadmill, and feeling nauseous and anxious, she knew something wasn’t right. She called 911 and ultimately was diagnosed with a heart attack. At Stanford, Lubeck found Jennifer Tremmel, MD, an interventional cardiologist who not only understood the physical aspects of her heart disease, but also asked, “How are you, apart from your heart?” Lubeck benefited from Stanford’s Heart-Mind Connection, a multidisciplinary approach that teaches women how to cope with the stress of their condition. She learned mindfulness techniques and joined a hospital support group where she discovered other women who understood just how she was feeling. She’s back to a full life now, one that includes keeping up with her young grandchildren—and hitting the slopes on her snowboard.
“It’s our hope that we can help women do a better job of protecting their heart health and of recovering from heart disease. We know that effective treatment is not as simple as opening a blocked artery or improving diet and exercise. ”
—Jennifer Tremmel, MD
to treat the whole person
DID YOu KNOW? THE STANFORD HOSPITAL & CLINICS WOMEN’S HEART HEALTH PROgRAM IS ONE OF ONLY A FEW DOZEN SuCH CENTERS IN THE u.S. DEDICATED
Stanford Hospital’s cardiovascular surgeons and cardiologists made history when they performed one of the first successful human heart transplants in 1968, which was soon followed by a pioneering heart-lung transplant operation. This legacy lives on, with Stanford physicians making great strides against the challenges of heart disease with research, clinical trials and patient care. More than 5,000 cardiac patients each year find the help they need at Stanford, whose program is ranked among the best in the nation for its clinical outcomes and continuing development of breakthrough diagnostic tools and treatments. Stanford also offers specialty clinics and programs. Its Marfan Syndrome Center is the largest in the u.S. Its Hypertrophic Cardiomyopathy Clinic is the only center in the West to treat this silent but deadly condition. And the Women’s Heart Health program is one of the nation’s most comprehensive, offering a broad spectrum of care for a long-neglected health issue.
TO WOMEN’S CARDIOvASCuLAR DIAgNOSIS, TREATMENT AND RESEARCH. 7
I N S I G H T
ORTHOPAEDICS & SPORTS MEDICINE OVERCOMING WEAR AND TEAR
DID YOU KNOW? PATIENTS IN THE ORTHOPAEDIC SURGERY & SPORTS MEDICINE CLINIC NOW BENEFIT FROM SIX STATE-OF-THE-ART OPERATING ROOMS AT THE
Like many athletes, amateur and professional, Kevan Del Grande played hard despite injuries. After more than six decades of tournament-level handball, Del Grande had pushed his body to the limit. Handball stresses every part of the body. “You don’t actually jump up the side of the walls,” says Del Grande, “but the wall is not very forgiving.” His rotator cuff, the shoulder joint’s protective sleeve of muscles and tendons, was shredded. Del Grande knew where he wanted to go—to see the physicians at Stanford’s Sports Medicine Clinic, part of the Hospital’s Orthopaedic Surgery Department. Instead of opening up Del Grande’s shoulder with a six-inch incision, surgeons made three small cuts to do the repair arthroscopically. Del Grande healed quickly and can depend on the repair to last. At 77, he’s back to winning national handball titles.
to restore a full and active life
function, treat every sort of bone injury, musculoskeletal tumor and chronic spinal condition. Its Spine Center physicians are internationally recognized as leaders in research translated to patient care. Ranked as one of the nation’s best, the Orthopaedics Department is moving beyond traditional treatments to techniques that offer longerlasting bone and joint repairs and replacement that incorporate the latest knowledge on
“The quality of care at Stanford is just extraordinary—the doctors, the nurses and, of course, the results. ”
—Kevan Del Grande
how to speed healing and durability. In Sports Medicine, the orthopaedic clinicians treat a variety of patients, whether high school students, seniors or professional athletes, including the San Francisco 49ers. Another group of orthopaedic specialists focus on reconstructive surgery to save limbs and restore function. Stanford orthopaedists take a collaborative approach to care, working closely with specialists in pain management, for instance, to address an element of care that deeply affects recovery.
AILMENTS—ARE CONVENIENTLY JUST STEPS AWAY. 9
Stanford’s extensive team of specialists, expert in every aspect of bone health and
OUTPATIENT CENTER IN REDWOOD CITY. PAIN MANAGEMENT AND IMAGING SERVICES—BOTH SO CRUCIAL IN DIAGNOSING AND TREATING MUSCULOSKELETAL
R E S T O R E
“I knew I was in the best hands possible. Dr. Steinberg was very calm about the way he described things. I don’t really worry about it now. ”
to create new pathways
EMBRACING A FUTURE
It gives humans the power to think, act, speak and dream. As the master control center of the body, the brain issues commands in ways still mysterious to medicine. Stanford neurologists and neurosurgeons are making significant advances in better understanding how the brain works—and how to fix it when something goes wrong. New, minimally invasive surgical approaches in the hands of skilled Stanford neurosurgeons now give patients a chance at survival in the worst of circumstances. The Hospital’s Stroke Center takes advantage of unique imaging software to see problem arteries in the brain, measuring details that reveal crucial information for surgery infrequently performed elsewhere. The Hospital’s Moyamoya team is the world’s most experienced and knowledgeable about a rare condition that can cause stroke after stroke. Physician researchers have also developed new ways to map the brain’s activity, and plant electrodes deep inside to make life more functional for patients facing challenging illnesses such as epilepsy and Parkinson’s disease.
Tara MacInnes had already had multiple mini-strokes in her brain when she was finally diagnosed by Stanford’s chief of neurosurgery and one of the world’s most experienced Moyamoya surgeons. The disease, which tangles the brain’s arteries and blocks blood flow with devastating effects, strikes just one in a million. For almost 20 years, Gary Steinberg, MD, PhD, has led ground-breaking research and offered life-saving surgery to hundreds of Moyamoya patients. Steinberg performed a complex and painstaking revascularization procedure, connecting arteries in MacInnes’ scalp to those in her brain, with sutures finer than a hair and needles no larger than an eyelash. MacInnes, now a college sophomore majoring in social service, is an independent young woman who relishes long, open-water swims. “I don’t really worry about it now,” she says. “I plan to live as long as anyone. ”
“The whole team did a great job, from the lowest level to the highest. god bless every person at Stanford. ”
to provide second chances
A TRANSpLANT CHAIN
Stanford’s transplant programs have always been ahead of the curve, with high standards that support patient success and continuous quality improvement. A collaborative, multidisciplinary team carefully evaluates prospective patients, working to include their families in these life-changing procedures. After a transplant, the team maintains close contact with patients to guide and encourage them. To offer more people the chance at a new life, Stanford transplant teams are pioneering new treatment options, such as kidney chain donations that connect donors and recipients across the country. using protocols built on solid scientific evidence, Stanford Hospital’s transplant programs are known internationally for a tradition of innovation. The kidney program is among the nation’s leaders in patient outcomes. The liver, lung and heart-lung transplant teams are nationally recognized for excellence.
Yvette Aziz was desperate to help her husband of 26 years, Fred. Three times a week, the former engineer spent hours hooked up to a dialysis machine that did the work for his failing kidneys. He was going downhill. “He was tired all the time. He wouldn’t eat. He couldn’t sleep,” Yvette recalls. Her kidneys weren’t a match for his, and certain components in her husband’s blood barred him from a transplant from roughly half the U.S. population. Then Stanford Hospital’s Kidney Transplant Program accepted him for a special kind of donation. His wife would donate one of her kidneys to a person she matched, and her husband would receive one of the other donated kidneys in a transplant chain that connected 16 patients and eight kidney transplants at five hospitals over two days. After two years on a waiting list, Fred Aziz had his life back.
TRICKING IMMUNE CELLS
For eight years, Albert Yu, 66, had kept his lymphoma at bay with advanced chemotherapy and clinical trial treatments offered by his Stanford Hospital physicians. Despite everything, the cancer kept coming back. Yu’s options were dwindling. But he had read about a special bone marrow transplant protocol, developed at Stanford, which would increase the chances that his body would accept donor cells transfused into it to build a new immune system. Yu decided to take the risk. At Stanford’s Blood and Marrow Transplantation Program, he would be cared for by a team of specialist physicians and nurses with years of experience. They became like family to him. “It was very emotional for me,” he says. “I felt somebody gave me life.” Two years later, Yu’s cancer is in remission, and he is gratefully back to perfecting his tennis swing and enjoying life with his wife, Mary.
for personalized treatment
Stanford’s Cancer Center is one of just 65 in the u.S. to earn a National Cancer Institute (NCI) Cancer Center designation. granted through a rigorous peer-review process, the NCI designation recognizes Stanford’s scientific excellence, the advanced care offered to patients, and its investigation of new approaches to cancer prevention, diagnosis and treatment. The clinical Cancer Center is a state-of-theart facility infused with light, warmth and music. In addition to clinical trials, treatment options include an important set of tools that few facilities have: the CyberKnife, developed by a Stanford physician; the da vinci robotic surgery system; and the Trilogy linear accelerator. Together, they make it possible to treat once-untouchable cancers in the brain, lungs and liver. Stanford research created new types of blood and marrow transplants, which offer another level of hope for patients. Specially trained Cancer Center volunteers support patients through what can be an overwhelming experience, directing them to special Stanford services that promote ongoing healing.
“When it comes to translating the latest research into practice, Stanford is unparalleled. This bench-to-bedside leadership literally saved my life. ”
THE NATIONAL CANCER INSTITuTE FOR ExCELLENCE IN CARE AND RESEARCH. 15
E X C E L L E N C E
DID YOu KNOW? STANFORD’S BLOOD AND MARROW TRANSPLANT PROgRAM HAS TREATED ALMOST 4,000 PATIENTS SINCE 1986. IT HAS ALSO BEEN RECOgNIZED BY
THE RIGHT QUALITY
for the best outcomes
Nothing matters more at Stanford Hospital than the quality of care we provide to our patients, whether they come from our neighboring communities or from around the world. We hold ourselves to the highest standards and are proud of the recognition we have received over the past year. • In the U.S. News & World Report rankings of America’s best hospitals, Stanford Hospital & Clinics was 15th this year and for the ninth consecutive year achieved Honor Roll status, a distinction earned by only 21 hospitals out of 5,000. • In the Leapfrog Hospital Survey, we were one of only 45 hospitals nationwide to receive recognition among more than 1,200 reviewed. Leapfrog is an organization formed by a group of large employers to initiate breakthrough improvements in the safety, quality and affordability of health care for Americans. The annual survey rates hospitals on a range of quality and safety practices that all hospitals should follow. • Stanford Hospital & Clinics is a Magnet-designated hospital by the American Nurses Credentialing Center (ANCC), recognizing quality patient care, nursing excellence and innovations in professional nursing practice. Only 6 percent of all healthcare organizations in the United States have achieved ANCC Magnet Recognition® status. Quality depends on much more than rankings, which cannot fully convey how patients benefit by choosing Stanford. Our physicians, nurses and other health professionals work together as integrated, interdisciplinary teams to provide the highestquality, personalized care. From surgical procedures not available elsewhere, to innovative cancer therapies, complex organ transplants and more than 65 specialty clinics, Stanford Hospital & Clinics provides a depth and breadth of expertise that today generates outcomes that are among the best in the nation. The pace of advances in patient care will accelerate even more rapidly with development of the New Stanford Hospital. We are designing much more than a building —we are literally creating new delivery systems that will benefit patients here and everywhere, ensuring that breakthroughs developed by Stanford physicians will improve life and health for all.
THE MOST ADVANCED ELECTRONIC MEDICAL RECORDS SYSTEM Stanford Hospital is among the very few institutions nationwide to have achieved the highest-level designation for an electronic medical record system from the Healthcare Information and Management Systems Society (HIMSS) Analytics Database, the industry organization focused on the use of information technology in health care. In early 2010, Stanford Hospital & Clinics became the fourth healthcare organization and one of only six nationwide among more than 5,000 to achieve this top-level designation, known as “Stage 7.” For patients, this means that health information can be securely shared with their primary care physicians and other providers to improve coordination of care. It will also mean that patients can easily access their personal records online at home and engage in dialogue with their Stanford doctors. For community physicians, it will mean easier, faster and more convenient access to Stanford Hospital resources. As a leading research institution, Stanford Hospital & Clinics will use its vast database of clinical information to drive improvements in delivery of care and outcomes, increase patient safety and enhance efficiency— ensuring that the investment Stanford has made in this advanced technology will benefit hospitals and patients worldwide.
SERVICE COMMENSURATE WITH QUALITY OF CARE AT OUTpATIENT CENTER “How can we help you?” That’s the first question that patients and visitors are likely to hear upon entering the Stanford Medicine Outpatient Center in Redwood City. The Center, which opened in February 2009, aims to deliver health care in an innovative way. With service at its core, the Center features cozy couches, fresh flowers, ambient lighting and beautiful artwork. Employees are specially trained to ensure that the patient experience is a positive one. Digital whiteboards in waiting rooms display up-to-theminute information on appointment times, while a monitor provides privately coded status updates on patients in surgery. The facility includes extensive diagnostic imaging services, rehabilitation services and six operating rooms. Clinical specialties are Dermatology, Digestive Health, Imaging, Orthopaedics and Sports Medicine, Pain Management, and Sleep Medicine.
Kevin Tabb, MD
Chief Medical Officer
EXCITING NEW MENU FOR INpATIENTS In collaboration with nationally recognized organic chef and restaurateur Jesse Cool, Stanford Hospital this year introduced a brand new menu option of healthy meals made from organic, locally grown and sustainable ingredients featuring seasonal fruits and vegetables. Stanford Hospital & Clinics’ Farm Fresh debuted with made-from-scratch soups—bright, appealing and tasty—an evolution from traditional hospital fare. Stanford offers its patients the kinds of meals that are high in nutritional value and an asset to healing. The Hospital’s decision to embrace a new style of cooking puts it at the forefront of a movement endorsed by the American Medical Association and the American Nurses Association. Patients can select from a special menu each day, with delicious choices such as carrot-ginger soup with curry, organic herb-crusted chicken or grass-fed beef meatloaf. The rolls are whole grain, and organic seasonal fruit with raisin stuffing completes a quality meal. For special soup recipes created especially for Stanford Hospital by Jesse Cool, please visit: stanfordhospital.org/farmfresh/souprecipes
“If Stanford Hospital can play a leadership role and be an advocate for organic, local and sustainable foods for patients, we’re proud to take that responsibility.”
for a healthier life
ExECuTIvE CHEF BENI vELAZQuEZ, CEO MARTHA MARSH, AND CHEF JESSE COOL
INCREASING FITNESS AND REDUCING FALLS IN OLDER ADULTS Prevention is good medicine. That is why Stanford Hospital sponsors numerous community programs to help people stay healthy. Strong for Life is an easy-to-follow, group exercise program that helps older adults increase strength, balance and mobility, and reduce isolation. Another initiative, Farewell to Falls, aims to reduce falls in older adults by offering a free home-based prevention program. Occupational therapists provide home visits, perform risk assessments, make follow-up calls to monitor compliance and perform yearly evaluations. Says one participant, “Farewell to Falls has improved my balance, my self confidence ... my life. ”
HEALTH LIBRARY CELEBRATES 20 TH ANNIVERSARY As one of the first hospital-based health libraries in the u.S., the Stanford Hospital Health Library grew quickly and now supplies 8,000 catalogued volumes, 700 health-related videos, a database of 400 medical journals, thousands of articles from 2,200 general-interest publications and a large Chineselanguage health collection. The Health Library’s five branches now include locations at the Hospital, the Stanford Shopping Center, the Stanford Cancer Center, the Oshman Family Jewish Community Center and the Ravenswood Health Clinic. It sponsors regular classes and lectures on a broad range of health topics by Stanford physicians, available as online videos. The Health Library’s medical librarians offer individualized help, free of charge, to people around the world.
CREATIVE HEALING THROUGH ART Six days a week, specially trained volunteers wheel a cart full of pastels, watercolors, gouache and other art-making materials into patient rooms, in search of those who might want to try their hand at self-expression. For patients coping with illness, this break from the routine—and the release of stress it can provide—is an important part of feeling positive about their future. Every six months, the patients’ work is displayed in a nursing unit hallway. The images include those made by a woman whose pregnancy was at risk, a man fighting cancer, and a patient in isolation while a bone marrow transplant took hold. With disease or injury can come anxiety, fear and distress. Art for Health is a healthy distraction that also brings hope.
for you and your family
NO REQUEST TOO LARGE OR TOO SMALL A massage for a patient in pain. An interpreter to make sense of a doctor’s diagnosis. Soothing sounds of a piano. Stanford Hospital’s guest Services department recognizes that thoughtful gestures, big or small, can go a long way for the well-being of patients and their families. The Hospital offers a comprehensive array of programs and services designed to ensure that a hospital visit is as comfortable as possible.
• • • •
LOVE ON A LEASH When people are away from home and not feeling well, sometimes the best medicine is a reminder of home, with a wet nose and warm fur. Pet-Assisted Wellness at Stanford (PAWS) brings a well-trained, well-groomed, specially certified group of dogs, cats and, occasionally, rabbits of various breeds to spend a few minutes with patients each week. The magic they work has nothing to do with words, but often the affectionate interaction between animal and human releases smiles and emotions long held inside. For more than a decade, the Hospital has supported the program’s therapeutic visits of these furry friends. Although patients can’t bring their own pets to keep them company, the PAWS group does its best to fill the gap.
Aging Adult Services Art Program Cancer Concierge Services Stanford Hospital gift Shop and the Helen Salzman Boutique Health Insurance Counseling and Advocacy Program
• • • • • • •
Hospital Auxiliary Hospital Tours Interpreter Services Lifeline Massage Therapy Music Program Partners in Caring
Patient Representation Pet-Assisted Wellness at Stanford (PAWS) Smoking Cessation Program Spiritual Care Stanford Health Library vials of Life
• • • •
WHY pHILANTHROpY MATTERS To meet its mission—the delivery of outstanding medical care—Stanford Hospital & Clinics looks to another group of visionaries: the people of this community who have made Stanford Hospital & Clinics a philanthropic priority. As a private, nonprofit hospital, Stanford Hospital & Clinics relies on their generosity. Donors have a variety of options for making the impact they seek. Annual gifts to the Stanford Hospital Partners sustain the excellence and innovation of patient care. Commitments to the New Stanford Hospital will help create a state-of-theart facility that will define the region’s medical care for the future. Planned gifts, through bequests, charitable trusts or annuities, help donors achieve a philanthropic impact well beyond their lifetime. To find out where you can make a difference in the life and health of this community, please contact us. Office of Hospital Development • 3330 Hillview Avenue, Palo Alto, CA 94304 Tel: 650.723.7643 • E-mail: firstname.lastname@example.org • stanfordhospital.org/giving
GIVING THIS COMMUNITY THE HOSpITAL IT DESERVES
When it comes to Stanford ties, An and Clement Chen’s are about as deep as they come. Their parents were undergraduates at Stanford together. Clement’s father contributed to the design of the original Stanford Hospital. Clement (Stanford ’77) has supported Stanford Hospital and Lucile Packard Children’s Hospital as the owner of the Sheraton Palo Alto since the 1970s. Then An, the executive director at a healthcare think tank, began consulting for the University of Pennsylvania, where she met an impressive hospital administrator by the name of Martha Marsh. Marsh arrived at Stanford (as president and CEO) the same week the Chens’ daughter was born there. “Our lives are entwined,” An laughs. Today, the Chens live with son Calvin and daughter Patti in Hillsborough. They are advocates, volunteers and donors for the New Stanford Hospital. “I want people my age to understand that when it comes to your family’s health care, you cannot compromise,” says An. “We need to build this new hospital as a legacy for our children.”
DID YOu KNOW? THANKS TO THE gENEROSITY OF HELEN AND PETER BINg, TENS OF THOuSANDS OF BLOOMINg TuLIPS, DAFFODILS, IRISES, ROSES AND SuNFLOWERS
for your generosity
NEW STANFORD EYE INSTITUTE The Stanford Eye Institute (SEI) is a comprehensive, interdisciplinary center for all patient care, clinical research and training in ophthalmic medicine. Drawing on Stanford’s exceptional research strengths, the Eye Institute will deliver an integrated collection of vision services for diseases such as glaucoma, cataracts and macular degeneration in one modern facility. Funded through a $30 million capital campaign chaired by Brook Byers, the SEI will open in fall 2010.
“Stanford Hospital is a world-class hospital and research facility, but it’s not something we can take for granted. We need to support the Hospital to ensure that it will be there when we need it. ”
— An & Clement Chen, Stanford Hospital & Clinics donors & volunteers
PROvIDE A CALMINg BACKDROP FOR PATIENTS, STAFF AND vISITORS IN STANFORD HOSPITAL’S BINg gARDENS.
THE NEW STANFORD HOSpITAL offers this community a once-in-a-generation opportunity—the chance to redefine our medical care for the next 50 years. With the help of private gifts of all sizes from individuals, foundations and corporations, Stanford will build a hospital of the future, featuring the most powerful diagnostic and treatment facilities, in a setting of privacy, comfort, personal attention and uplifting aesthetics.
“It’s time to reimagine the Stanford Hospital.”
—William Younger, Board member and donor to the New Stanford Hospital
pRIVACY: Spacious, single-patient rooms FAMILY COMFORT: Overnight accommodations in patient rooms pATIENT CARE pAVILIONS: Natural light and views of the gardens, campus, Santa Cruz foothills and San Francisco Bay ANDREESSEN EMERGENCY DEpARTMENT: Significantly larger than the existing Emergency Department; the area’s only Level 1 Trauma Center INTERVENTIONAL SUITES: One location for surgery, catheterization and imaging CApACITY: 600 beds, sufficient to meet the region’s future needs SUSTAINABILITY: Designed to be the equivalent of Silver LEED (Leadership in Environmental and Energy Design)
ENTRANCE FLOOR: Lobby and atrium, Emergency Department, Advanced Imaging Center, pedestrian promenade and gardens SECOND FLOOR (TECHNOLOGY): Interventional suites (surgical/catheterization/imaging/monitoring), intensive care unit, waiting room THIRD FLOOR (GARDEN): gardens, café, conference center, meditation room FOURTH FLOOR: Intensive care FIFTH THROUGH SEVENTH FLOORS: Patient Care Pavilions, clustered by medical specialty
for our community’s hospital of the future
Design by Rafael viñoly Architects
HOSpITAL pARTNERS Our Hospital Partners Program provides the annual support that keeps our patient care at the leading edge of clinical medicine. Discretionary funds that can be used wherever the need is greatest, Partners’ gifts have in the past year supported the new Farm Fresh inpatient meals (see page 18); purchased new breast biopsy equipment for better detection of cancer, and enhanced the telecommunications capacities of the Life Flight Helicopter. We thank our Hospital Partners, and all our donors, with a series of informational and appreciation events.
“I have found my hospital. Stanford has state-of-the-art technology, efficient systems, and people who are warm, reassuring and professional. We want to support that. ”
— Lois Meredith, Hospital Partners donor
for the health of our community
A GRATEFUL pATIENT GETS A pROpER DIAGNOSIS
Six years ago, when Lois Meredith was struck with a mysterious illness that left her weak, anemic and in need of repeated blood transfusions, a gastroenterologist told her, “You will have to learn to live with it.” Not likely. “I didn’t know what was wrong with me, but I knew I wasn’t going to take that advice,” says Lois, a painter, writer and swimmer who lives with her husband, Bob, in Tiburon. Lois decided to be treated at Stanford and three months later, she was walking through France on a painting trip. “Stanford Hospital has it right,” she says. “Our gifts are our way of helping it continue to make a difference.”
DID YOu KNOW? IN FISCAL YEAR 2008–2009, NEARLY 2,300 DONORS gAvE A RECORD-SETTINg TOTAL OF $22.5 MILLION TO STANFORD HOSPITAL & CLINICS.
C O M M U N I T Y
CHARITABLE gIFTS IMPROvED PATIENT CARE PROgRAMS, SuPPORTED TREATMENT INNOvATIONS AND ENHANCED THE AESTHETICS OF STANFORD HOSPITAL & CLINICS.
Stanford Hospital & Clinics is a nonprofit healthcare provider known worldwide for advanced treatment of complex disorders in areas such as cardiovascular care, cancer treatment, neurosciences, surgery and organ transplants. The Hospital is internationally recognized for translating medical breakthroughs into the care of patients. It is part of the Stanford University Medical Center, along with the Stanford University School of Medicine and Lucile Packard Children’s Hospital at Stanford. In fiscal year 2009, Stanford expanded its ambulatory care capacity by opening the Stanford Medicine Outpatient Center in Redwood City, California, and also increased inpatient volume.
COMMUNITY BENEFITS SUMMARY
In addition to delivering outstanding patient care, Stanford Hospital & Clinics provides an extensive range of community benefit programs. All free of charge or largely subsidized, these include health and education programs such as the Stanford Health Library, the Stanford Cancer Supportive Care Program, Strong for Life senior adult exercise program and Lifeline services. The Hospital also provides financial contributions and services to several community-based clinics, and programs that offer culturally appropriate cancer education and outreach. Over the past year, key initiatives have focused on improving the health and well-being of older adults, as well as improving access to care and reducing cancer-related health disparities. The table below summarizes Stanford Hospital’s significant investment in community benefit programs.
COMMuNITY BENEFITS Beneﬁts for vulnerable Populations Medicare (uncompensated Expense) Benefits for the Larger Community Health Research, Education and Training Total Excluding Medicare Total Including Medicare NET OPERATINg REvENuE Inpatient Care Outpatient Care Other
(Dollars in millions)
(Dollars in millions)
$94.8 $65.8 $3.6 $26.0 $124.4 $190.2
$961 $804 $63
52.6% 44.0% 3.4%
HOSPITAL STATISTICS Licensed Beds
613 67 37 1,833 900 1,848 16 158 2,261 7,016 868 75,092 23,744 531,807 48,744 13,500 walk-in/year; 30,000 online/month
Licensed ICu Beds
Operating Rooms Staff Medical Interns and Residents RNs LvNs Nursing Assistants Nonmedical Employees Total Staff volunteers volunteer Hours of Service Admissions Per Year Inpatient Outpatient visits ER visits Stanford Health Library visits
NET OPERATINg ExPENSES Salaries and Benefits Supplies Purchased Services Depreciation Interest Expense Transfers and Other Reinvestment, Net
(Dollars in millions)
$787 $265 $434 $74 $38 $135 $95
43.1% 14.5% 23.7% 4.0% 2.1% 7.4% 5.2%
Total Net Operating Revenue and Expense: $1.828 billion 28 29
BOARD OF DIRECTORS
mariann byerwalter chair john scully vice chair marc andreessen bryan bohman, md sue bostrom bruce cozadd christopher dawes john freidenrich stephen hearst joel hyatt ron johnson john levin john lillie martha marsh albert martin, md john morgridge woodrow myers, md denise o ’ leary philip pizzo, md christopher redlich kathryn renschler, md norman rizk, md peter stamos steve young william younger
martha marsh president & ceo daniel ginsburg chief operating officer carolyn byerly chief information officer nancy lee vice president, patient care and chief nursing officer jerrold maki vice president, clinical services daniel morissette chief financial officer l. timothy portwood vice president, development barbara ralston vice president, international and guest services sridhar seshadri vice president, cancer center and process excellence kevin tabb, md chief medical officer jenni vargas vice president, business development helen wilmot vice president, ambulatory care
Stanford Hospital & Clinics 2009 Year in Review is a publication of the Office of Communications and Public Affairs at Stanford Hospital & Clinics. Shelley Hébert Executive Director for Public Affairs Gary Migdol Director of Communications Susan Kinkead Managing Editor Contributing Writers: Elizabeth Sloan, Sara Wykes Photography: Mark Tuschman, Norbert von der Groeben Design: 1185 Design, Palo Alto, CA
The brochure cover was printed with virtually VOC-free ultra-violet curable inks on Cougar Opaque Super Smooth Cover. Cougar contains 10% post consumer recycled fiber. Cougar is FSC-Certified, SFI Fiber Sourcing Certified and endorsed by the Rainforest Alliance. The text pages were printed with vegetable-based inks on NewPage Centura. Centura contains 10% post-consumer recycled fiber.
STANFORD HOSPITAL & CLINICS, 300 PASTEUR DRIVE, STANFORD, CA 94305 stanfordmedicine.org
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