Sentara Norfolk General Hospital’s Quaternary Strategic Plan SNGH Strategic 10 Year Growth Plan Mid-Atlantic Regional Referral Center SNGH Patient Origin vs. Mid-Atlantic Providers 2014 Inpatient Patient Origin by State, excluding Normal Newborns
SNGH draws much fewer patients from the Mid-Atlantic compared to Duke or Johns Hopkins
Expand existing specialty programs to the Mid-Atlantic region: Structural Heart, TVAR/AVR, Tertiary AFU (VAD, Transplant), Arrhythmia Center for Medically Complex Patients, Aortic Center Thoracic Oncology Head and Neck Cancer Urology Reconstruction
Develop new sub-specialty programs: Neurosurgery (Neuro-oncology, Deep Brain Stimulation, Epilepsy Surgery) Autonomic and Parasympathetic Nervous System Disorders Fetal Surgery
Position SNGH as a Mid Atlantic destination center to support procedures and recovery for high acuity/high risk patients.
Source: Multistate Database, Strategy. Mid-Atlantic States: DC, DE, MD, NJ, NY, PA, VA, and WV 2 SNGH Growth in Admissions & ADC
5.8%
3 Sentara Job Growth in Norfolk Sentara Norfolk General Hospital Sentara Leigh Hospital
Sentara Hospitals- Norfolk Norfolk FTE Impact Years Ended 2013, 2014 & 2015 2013 2014 2015 Sentara Norfolk General Hospital 2,934 2,983 3,095 Sentara Leigh Hospital 1,160 1,169 1,215
Total 4,094 4,152 4,310 FTE Increase by Year 58 158 FTE Increase % 1.4% 3.8%
4 Fetal Surgery
5 Structural Heart Program Left Atrial Appendage Closure
WATCHMAN Left Atrial Appendage Closure Device is a proven alternative to long-term warfarin therapy for stroke risk reduction in patients with atrial fibrillation.
Device is intended to prevent thrombus embolization from the left atrial appendage and reduce the risk of life-threatening bleeding events in patients with non- valvular atrial fibrillation
6 CardioMEMS Congestive Heart Failure Monitoring Device CardioMEMS HF System- the monitor is the first and only FDA- approved, proactive heart failure detection device Patient takes daily pressure readings at home. Readings are transmitted to the healthcare provider. Although the patient might feel well, his PA pressure could be increasing which could lead to the heart failure. The healthcare provider can identify the increase and take immediate action to alter treatment.
7 Transcatheter Aortic Valve Replacement (TAVR)
8 Minimally Invasive Neurosurgery Spine Center
9 Neurosurgical Oncology
Minimally-invasive Brain Tumor Services • LOS • Complications • Pain • Blood loss
NeuroBlate®
NICO BrainPath® 6 Pillars Approach to Brain Tumors
10 SNGH Becoming a Destination Medical Center Patients from 28 states outside of Virginia plus Puerto Rico, Canada, Germany and the Virgin Islands selected SNGH for their care from 1/1/2014 to 6/30/2015.
Number of states Cardiac Cancer Neuro Urology by service line (excluding VA) 15 States 11 States 19 States 15 States Major reason Arrhythmia Head & Neck Autonomic Testing Reconstructive for traveling Treatment Treatment and Neurosurgery Surgery to SNGH
11 Building A Quaternary Health Center- Is the Plant Ready?
12 Circa 2006 Circa 1981 Circa 1993
Circa 2020
13 14 15 16 Sentara Norfolk General Hospital In Our Community Sentara Music and Medicine Center
Music Therapy – Using music as a targeted therapeutic tool to improve specific disorders.
Music Medicine – Bringing live performances to patient care settings to create a general well-being environment and enhance patient satisfaction.
Performance Medicine – Preventing and treating medical problems of musicians, singers and dancers
17 Sentara Norfolk General Hospital In Our Community
18 Sentara Norfolk General Hospital In Our Community United for Children Day of Action
NPS Open Campus High School GNC/NPS Proposed Career and Technical High School • Healthcare Academy Advisory Group • IT/Health Informatics Academy Advisory Group Healthcare Career Transitions Program to Sentara College of Health Sciences
19 Sentara Norfolk General Hospital In Our Community
20 Sentara Norfolk General Hospital In Our Community
21 Sarah Leigh Hospital - 1903
22 Leigh Memorial Hospital - 1977
23 Sentara Leigh Hospital - 2016
24 Sentara Leigh Hospital - Innovation
25 26