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Hartford Hospital 2009 Annual Report

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Hartford Hospital 2009 Annual Report 58084_HartHosp_Cvr 5/13/10 11:14 AM Page 1 2009 ANNUAL REPORT 80 Seymour Street Hartford, CT 06102-5037 860 545-5000 www.harthosp.org THE HOSPITAL OF THE FUTURE Member of 58084_HartHosp_Cvr 5/10/10 11:58 AM Page 2 CONTENTS 1 26 Introduction Executive Leadership Team 2 28 THE FUTURE OF Message to the Community CLINICAL TREATMENTS 30 Financials 12 THE FUTURE OF 32 INFORMATION Statistical Highlights TECHNOLOGY 33 Board of Directors 18 Board of Governors THE FUTURE OF Board of Advisory Governors GENOMICS 34 20 Administration THE FUTURE OF 36 EDUCATION AND Corporators TRAINING 38 22 Trust Funds THE FUTURE OF 41 THE BUILT Affiliations ENVIRONMENT 42 24 Medical Officers THE FUTURE OF Medical Department Directors COMMUNITY CARE 43 Medical Staff 62 Community Involvement 63 Mission Statement EDITOR: Lee Monroe 64 WRITER: Noreen Kirk DESIGN: Ritz Henton Design Group Cover: ©2010 Intuitive Surgical, Inc. Locations PRINCIPAL PHOTOGRAPHY: Lanny Nagler 58084 HartHosp_AnnRpt 4/23/10 7:33 PM Page 1 THEHOSPITALOFTHEFUTUREISANAMAZINGPLACE. Here, vital patient information flows at lightning speed and is instantly available to the health care team. Advanced systems allow clinicians to collaborate readily and seamlessly coordinate each patient’s care. Physicians can visit patients right at the bedside or from miles away. Expert specialists can consult with doctors at outlying hospitals almost as if they were physically present in the emergency room or operating suite. Abnormal heart rhythm? In the future, a device implanted in your chest may prevent arrhythmia before it even occurs. Heart failure? Small, fully implantable support devices Hwill help the heart do its job. Aortic aneurysm repair? A tiny device placed at the site will let your physician monitor the stent’s function for years to come, without the need for X-ray. The list goes on. Ever-improving imaging technology will allow even greater precision during delicate brain interventions. More and more operations will be performed minimally invasively. More medications will be prescribed based on the patient’s DNA. Hospitals will be designed and built according to what research shows is best for patients. And sophisticated simulation technology will let clinicians learn and refine complex skills before ever treating a real patient. In these pages, you’ll read about some of the things Hartford Hospital is doing today to lead the way to this amazing new world. Yet all the changes to come—and there are many of them—will never alter this: Hartford Hospital’s unwavering commitment to providing superlative, compassionate care to each and every patient whose life we touch. P.1 | HARTFORD HOSPITAL 58084 HartHosp_AnnRpt 4/23/10 7:33 PM Page 2 Recent advances in neurosurgery removing a tumor or vascular abnor- and neurointerventional surgery mality from the brain used to require have led to vastly improved outcomes opening the skull and exposing the for patients with stroke, aneurysms, brain. Today, physicians often use tumors and other brain disorders. minimally invasive procedures, Hartford Hospital has been a leader drilling just a tiny hole in the skull in this field, using the most advanced and inserting small instruments to technology and techniques to save do the work. Tumor removal is often lives and reduce disability. done with laser beams instead of Procedures unimaginable just a scalpels. Physicians can eliminate a few years ago are now performed stroke-inducing blood clot in the regularly at Hartford Hospital. brain by threading a specially Repairing a brain aneurysm or equipped catheter through a small CLINICALTREATMENTS THEFUTUREOF NAVIGATINGTHEAMAZINGBRAIN Life-saving procedures are made possible, not only by the exceptional skill of our physicians, but by high-tech medical equipment that allows physicians to map the brain and navigate its intricacies. P.2 | HARTFORD HOSPITAL 58084 HartHosp_AnnRpt 4/23/10 7:33 PM Page 3 incision in the groin and into the brain and navigate its intricacies. The future will bring continual brain, where they either dissolve or For example, Hartford Hospital is improvement in these technologies. retrieve the clot. Brain aneurysms installing the next-generation Mapping will become even more can be repaired using a similar, Siemens Artis zee biplane angio- exact. Images will be even more catheter-based approach, filling the graphic system. This system creates detailed and targeting even more bulge in the weakened artery with vivid, three-dimensional images of precise. Intraoperative magnetic tiny coils to block blood flow to the the brain that show brain tissue as resonance imaging (iMRI) will aneurysm and prevent rupture. well as blood vessels. This allows allow physicians to see images of the These and other life-saving proce- physicians to target treatment patient’s brain while the procedure dures are made possible, not only by more precisely and perform certain is under way, increasing accuracy the exceptional skill of our physicians, procedures that could not be done and improving outcomes. but by high-tech medical equipment with previous technology. that allows physicians to map the P.3 | HARTFORD HOSPITAL 58084 HartHosp_AnnRpt 4/23/10 7:33 PM Page 4 CLINICALTREATMENTS THEFUTUREOF KEEPINGTHEBEAT Hartford Hospital was the first center between Boston and New York to acquire the Hansen Sensei™ Robotic Catheter System. This advanced device’s superior mapping, visualization and navigation allow even greater precision during procedures to correct abnormal heart rhythms. P.4 | HARTFORD HOSPITAL 58084 HartHosp_AnnRpt 4/23/10 7:33 PM Page 5 The rhythmic beating of the human arrhythmia. The future of ablation is The Accent RF from St. Jude Medical heart is governed by electrical robotic. Hartford Hospital was the is not only wireless, but transmits impulses. When those electrical first center between Boston and New information about the patient’s heart impulses become irregular, the result York to acquire the Hansen Sensei rhythm and its own performance to can be an abnormal heart rhythm Robotic Catheter System. This the physician automatically, right or “arrhythmia.” Hartford Hospital advanced device, with its superior from the patient’s home. The device electrophysiologists—physicians mapping, visualization and naviga- alerts physicians if a problem occurs. specializing in heart rhythm care— tion, allows even greater precision The next generation of defibrilla- have several options for restoring during ablation and reduces X-ray tors and pacemakers may be able to a normal heartbeat, and their tools exposure for both patients and staff. detect symptoms before arrhythmia and techniques are improving all For some patients, a defibrillator even occurs and automatically the time. or pacemaker surgically implanted intervene to prevent it. When such Physicians may perform cardiac in the chest is the best way to keep technology is available, Hartford ablation—threading a tiny catheter the heart beating normally. Hartford Hospital is sure to be among the through an artery to the trouble spot Hospital recently became the first first to use it to benefit patients. on the heart and delivering energy to medical facility in the region to eradicate the cells that are causing the implant a remarkable new pacemaker. P.5 | HARTFORD HOSPITAL 58084 HartHosp_AnnRpt 4/28/10 7:31 PM Page 6 CLINICALTREATMENTS THEFUTUREOF RESCUINGFAILINGHEARTS Defibrillators implanted in the patient’s chest wall detect rising fluid levels even before symptoms appear and alert physicians so the patient can be treated immediately. When the heart becomes too weak Hartford Hospital provides or stiff to pump blood, heart failure the most advanced, comprehensive develops. Blood backing up in blood heart failure treatment options in vessels forces fluid into body tissues, New England and has been the resulting in “congestive” heart failure. leading hospital for heart failure The accumulation of fluid leads to and transplant in Connecticut for shortness of breath, swelling, fatigue three consecutive years. and failure of other organs. In early The future of heart failure stages, oral medication and diet may treatment is likely to include more keep symptoms under control. As outpatient and home care, and the disease progresses, conventional Hartford Hospital is in the lead. therapy fails; patients experience Already, patients can receive “acute decompensation” and must intravenous medication on an be hospitalized for advanced heart outpatient basis at our Heart Failure failure care. Outpatient Infusion Center. Patients P.6 | HARTFORD HOSPITAL 58084 HartHosp_AnnRpt 4/28/10 7:31 PM Page 7 come in for brief treatment sessions, one day be administered at home. used short term, until the heart and then return home. After treat- A new therapy, ultrafiltration, recovers; as a bridge to transplant; ment, we monitor patients using a relieves the fluid retention of heart or indefinitely (destination therapy). telemonitoring system that tracks failure by circulating the patient’s Hartford Hospital is the only center blood pressure, weight, heart rate blood through a machine that in the state offering destination and symptoms. Defibrillators removes water and sodium, and therapy and is by far the most implanted in the patient’s chest wall then returns the blood to the patient. experienced in MCS devices. These detect rising fluid levels even before Soon, this too will be available on can be implanted in a catheter-based symptoms appear and alert physicians an outpatient basis. procedure, avoiding open heart so the
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