REPORT TO THE COMMUNITY CONTENTS LEADERSHIP MESSAGE Leadership Message 1 Patient Care 2 How can we improve more people’s lives? Research 12 This fundamental question drives virtually everything we do at Cedars-Sinai. Community 22 It’s what motivates one of our cancer researchers to drive to her lab on a Sunday morning to check on new results Education 28 from an experimental study. It’s why our pharmacists and nurses now regularly visit nine local skilled-nursing facilities to help coordinate care for patients recently discharged from Cedars-Sinai Medical Center. It’s why The Campaign one of our Heart Institute physicians developed an innovative educational partnership with local barbershops to for Cedars-Sinai 32 reduce high blood pressure among African-American men. The Numbers 38 We know that a key element in improving more people’s lives is increasing access to our care. And we’re doing this Where We Are 40 in myriad ways. Leadership 2017 44 To help meet the growing community demand for Cedars-Sinai services closer to home or work, we now have locations for primary, urgent and specialty care throughout Southern California. We also are affiliating and partnering with other healthcare organizations that share our commitment to excellence. Affordability is an important aspect of accessibility, so we are doing more than ever to increase our operational and clinical efficiency in ways that reduce our costs — and improve quality. In addition, our free and part-pay care for the uninsured, as well as innovative payment models with commercial health plans, helps more people access Cedars-Sinai. Our biomedical research also increases access to the best healthcare, not only for those who receive innovative new treatments at a Cedars-Sinai facility but also for those around the nation and the world whose physicians can better treat them thanks to Cedars-Sinai research findings. Accessibility also requires a robust supply of well-trained physicians, nurses, pharmacists, scientists, technologists and others. We contribute in this area as well, with one of the nation’s most highly regarded education programs, training physicians, nurses and others at all levels. Last but not least is our dedication to community service, which has a growing impact on the lives of the most vulnerable Los Angeles residents. For example, our Community Clinic Initiative is strengthening the leadership and effectiveness of health clinics across Los Angeles that care for more than 750,000 underserved residents. A crucial element of our success in all these efforts is the strong support of our community and the many partnerships that enable us to accomplish so much together. Thank you for sharing our commitment to improving more people’s lives, every day. MARC H. RAPAPORT THOMAS M. PRISELAC Chair, Board of Directors President and CEO CEDARS-SINAI REPORT TO THE COMMUNITY 2018 1 PATIENT CARE QUALITY CARE CLOSER TO HOME edars-Sinai continues expanding its urgent care, primary care and THE NUMBERS: advanced specialty services to reach more people throughout Southern California. Recent additions include a new urgent care facility in 50,446 C ADMISSIONS Silicon Beach. Located at Runway Playa Vista, the facility provides convenient access to same-day care, on-site lab and X-ray services, and highly trained teams in internal medicine and pediatric care. 92,109 EMERGENCY VISITS “The urgent care and new offices are part of our ongoing efforts to bring our doctors closer to where our patients and 256,075 PATIENTS CARED FOR employees live and work,” says John Jenrette, MD, executive vice president BY CEDARS-SINAI of the Cedars-Sinai Medical Network. He notes that primary care physicians, MEDICAL NETWORK obstetricians and gynecologists, and pediatricians also offer services at Runway Playa Vista, making it convenient for area residents to access expert care. The 2,166 PHYSICIANS ON location serves such nearby communities as Culver City, Mar Vista, Marina del Rey, MEDICAL STAFF Playa del Rey and Westchester. Cedars-Sinai’s recent growth includes bringing health services to the San Fernando 3,363 NURSES Valley, with an increasing number of Cedars-Sinai Medical Network primary care physicians opening offices in this region. The health system is also expanding its 2,650 cancer, imaging and radiation oncology services across the San Fernando Valley, VOLUNTEERS opening practices and offices that build on a growing network of cancer care locations in Beverly Hills, Santa Monica and West Los Angeles. New offices in Tarzana, Encino and West Hills now offer a range of cancer services, including imaging and medical oncology specialists. ILLUSTRATIONS BY DAVIDE BONAZZI CEDARS-SINAI REPORT TO THE COMMUNITY 2018 3 PATIENT CARE HEART CANCER PATIENT SAFETY LIFESAVING TO MEND THE CANCER THERAPY LESS INVASIVE, PHARMACISTS SAFER ANTIBIOTIC CARDIAC TEST SMALLEST HEARTS GROWTH SAFER RADIATION PREVENT USE A 911 call is usually too late A new minimally invasive With the addition of a Of the over 700 newly READMISSIONS With the goal of ensuring when someone suffers a technique for repairing treatment center that diagnosed breast cancer As prescription drugs that patients receive no sudden cardiac arrest, an the most common cardiac offers state-of-the-art cases seen at Cedars-Sinai become more sophisticated more and no less antibiotic electrical disturbance that birth defect in extremely cancer therapies in a each year, approximately and the number of patients treatment than necessary, causes the heart to stop premature newborns can comfortable, convenient 500 women have early needing complicated Cedars-Sinai has expanded beating. The condition be performed safely with a location less than a mile stage invasive breast treatment regimens grows, the use of three-day NATIONAL LEADER is fatal in more than 90 high success rate in babies from the hospital campus, cancer. The Saul and Joyce the Cedars-Sinai Pharmacy electronic alerts to reassess IN ORTHOPEDICS percent of patients. But as small as 1.6 pounds, only Cedars-Sinai is expanding Brandman Breast Center — Services Department has these prescriptions. a new assessment tool a few days after birth. The its radiation oncology A Project of Women’s implemented rigorous Clinicians who order eflecting the growing role of orthopedics, developed at Cedars-Sinai catheter-based approach services. A collaboration Guild at the Samuel Oschin processes to prevent antibiotics are prompted on Cedars-Sinai has established a Department brings physicians closer to repairing patent ductus with Integrated Oncology Comprehensive Cancer medication errors while the third day of a patient’s Rof Orthopaedics (it was formerly part of the to predicting who is most arteriosus (PDA), commonly Network LLC, the 8,500- Institute is at the forefront patients are in the hospital — treatment to indicate Department of Surgery) and recruited prominent at risk — and gives them referred to as “a hole in square-foot center at of evaluating less invasive and after discharge. their plans to continue, orthopedic trauma surgeon Mark Vrahas, MD, to a chance to prescribe the heart,” was developed 8929 Wilshire Blvd. procedures to maximize Pharmacists are alerted discontinue or modify use serve as founding chair. Vrahas, who was recently preventive medication by an expert in catheter- in Beverly Hills offers quality of life and minimize when at-risk patients — of the drug. If treatment is named the Levin/Gordon Distinguished Chair in or implant a defibrillator. based cardiac interventions, Varian TrueBeam linear morbidity. Radiation therapy such as those with complex continued, the physician Orthopaedics in honor of Myles Cohen, MD, joined The research team, whose and a pediatric cardiac accelerator technology, is typically recommended conditions who take must document the Cedars-Sinai in 2016 from Harvard Medical School. findings were published in surgeon at the Guerin a radiotherapy system with breast conserving multiple medications — are reasons. Physicians also are Cedars-Sinai’s orthopedics program, which European Heart Journal, Family Congenital Heart that delivers fast cancer surgery but may expose admitted so they can review contacted by pharmacists consistently ranks among the nation’s best, has employed the 12-lead Program. Guided by treatments with pinpoint healthy organs such as medication histories and to discuss guidelines for experienced record clinical and academic growth electrocardiogram (EKG) — ultrasound waves, the precision while protecting the lung and heart to reconcile them with current therapy using antibiotics over the past several years. It recently integrated a widely available and physician guides a catheter nearby healthy tissue and unnecessary radiation. doctors’ orders. Pharmacists and other antimicrobials. many world-renowned sports medicine specialists inexpensive cardiac test — through a vein in the leg organs. The facility is Intraoperative radiotherapy also contact high-risk The alerts are part of an in the Cedars-Sinai Kerlan-Jobe Institute, which to assess patients’ risk. to the heart and closes staffed by Cedars-Sinai is a new technology that patients within 72 hours ongoing, system-wide has offices throughout Southern California. Its Using multiple EKG data the hole. The procedure physicians and employees allows delivery of a single after discharge. Based on Antimicrobial Stewardship doctors also serve as team physicians for many points to evaluate patients, can be performed at the and is fully integrated into concentrated dose of physician review,