with Centennial Hills Hospital H UMC H Sunrise Hospital St. - - PowerPoint PPT Presentation

Centennial Hills Hospital

Trauma System with Centennial Hills Hospital

UMC Sunrise Hospital

• St. Rose Dominican

Hospital - Siena

H H H H

From a demand perspective, why is the north/northwest portion of the Las Vegas valley the right location for the next trauma center

WHY THE NORTH/ NORTHWEST REGION?

Two Large-Scale Master Plans are Coming to the Area

217,000

CURRENT RESIDENTS

35,000

• EST. POPULATION

GROWTH IN 10 YEARS

12,000

HOMES IN 10 YEARS

$47M

INTERCHANGE IMPROVEMENT

15 Miles from Level I, 20 Miles from Level II and 30 Miles from Level III Facility

Note: Population/housing estimates refer to the area within 5 miles of Centennial Hills Hospital.

LOCAL NEEDS COMPARISON

1-, 3- and 5-Mile Radius

Population Growth (2016-2021) 1-Mile Radius 13.6% 1.0% 3-Mile Radius 11.0% 2.7% 5-Mile Radius 9.2% 4.1% Household Growth (2016-2021) 1-Mile Radius 12.0% 2.6% 3-Mile Radius 10.0% 3.8% 5-Mile Radius 8.5% 4.6%

Source: Claritas

DEVELOPMENT ACTIVITY

Source: Clark County Assessor

Since 2005

Centennial Hills Hospital UMC – Level I Sunrise Hospital – Level II

• St. Rose Siena – Level III

How important is location when selecting a future trauma center, particularly when considering the impact to UMC

COMPARATIVE ANALYSIS: LEVEL I vs. III

5-Mile Radius (10-Mile Diameter)

Las Vegas Valley

Level I Trauma Level III Trauma

Overlap in Trade Areas

COMPARATIVE ANALYSIS: LEVEL I vs. III

5-Mile Radius (10-Mile Diameter)

Las Vegas Valley

Level I Trauma Level III Trauma

Source: Claritas

Level I Trauma

TRAVEL TIME COMPARISON

Distance Traveled in 17 Minutes

Source: Claritas

Level I Trauma

TRAVEL TIME COMPARISON

Distance Traveled in 17 Minutes

Overlap in Trade Areas

In addition to noted supply- demand dynamics, what are the key facts that make Centennial Hills Hospital the most suitable choice for the next trauma center

• Due to geographic distance from Centennial Hills Hospital to UMC there is

very limited overlap of service areas

• Impact to the existing trauma system is the lowest based on RTAB analysis

(277 step III/IV patients compared to 641 and 541)

• Educational impact to Residency/Orthopedics/Military

Minimal impact due to volumes and patient acuity capture

• Will not impact regulatory volume requirements for Level I Trauma Center
• Centennial Hills Hospital only wants to pursue a Level III Trauma Center to

complement the existing trauma system

• NBATS (Needs Based Assessment of Trauma Systems)

KEY IMPACTS

2,036,358 1,966,630 2,008,654 2,062,253 2,102,238 2,147,641 4,769 5,462 5,222 5,895 5,971 6,108

500,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 3,500,000 2010 2011 2012 2013 2014 2015 Clark County Population Total Trauma Field Triage Criteria

Clark County Population & Total Trauma Field Triage Criteria

Source: Clark County Demographics & SNHD TFTC All Patients

2,036,358 1,966,630 2,008,654 2,062,253 2,102,238 2,147,641 4,769 5,462 5,222 5,895 5,971 6,108

4,600 4,800 5,000 5,200 5,400 5,600 5,800 6,000 6,200 1,800,000 1,900,000 2,000,000 2,100,000 2,200,000 2,300,000 2,400,000 2,500,000 2010 2011 2012 2013 2014 2015 Clark County Population Total Trauma Field Triage Criteria

Source: Clark County Demographics & SNHD TFTC All Patients

Clark County Population & Total Trauma Field Triage Criteria

• Trauma Volumes - Since 2010 TFTC volumes have increased by 28% while
• verall population has increased by 5.5%
• Emergency Preparedness – Nevada ranks below national average (Robert

Wood Johnson Foundation)

• 2014 ACEP Report found Nevada ranked last in our ability to provide

Emergency Care

• “We are proud of the lifesaving work done by our colleagues in Orlando, and we believe this

highlights the critical importance of regional trauma systems as the foundation for effective disaster and mass casualty response. The ACS and the ACS COT will push to make the IOM’s goal of zero preventable deaths a reality. The most effective way to reach this goal is to make certain all Americans have ready access to a robust trauma system wherever they live and work.” (American College of Surgeons, June 21, 2016)

KEY FACTS

 Demonstrated Need:  Demographic – Population/Housing and Development Growth  Transportation Time  Growth in Trauma Volumes  Other Justifications:  Improved access to trauma services based on geographic location  Supports future growth  Negligible volume impact to current trauma system  Reduced time out of service for EMS and fire agencies

REASONS FOR A TRAUMA PROGRAM

Letters of Support

• EMS providers
• North Las Vegas &

Nevada Test Site Fire

• Centennial Hills

Hospital Medical Executive Committee

• Valley Health

System Board of Governors