OO1 A description of the applicant organization in terms of:
➢ History
➢ Population(s) served Include ethnicity of the nursing staff, client population, and community served.
History
Homestead Hospital is a community hospital located in Homestead City about 20 miles from Miami. The city is commonly referred to as the “gateway to the Keys” as it is the second to the last city prior to entering the long stretch of highway towards the Florida Keys. Its initial name, homestead country, was coined after “homesteaders” that gathered in the wilderness to farm. The wilderness changed into a budding town because of the railway expansion in 1903 that ushered in workers, commerce and commodities. This led to its incorporation in 1913. Progress brought about population growth and the need for more medical care. This was originally met through makeshifts facilities - houses that were converted into hospitals by 2 nurses. However, these were not able to accommodate rising healthcare demands. It was through the grassroots effort of Dr. James Archer Smith, a pioneering local physician coupled with the collective endeavor of the community that a hospital was built. It opened in 1940 as a 10-bed hospital and was named James Archer Smith Hospital after its founding father.
Exhibit OO1a: James Archer Smith Hospital opened August 9, 1940.
James Archer Smith Hospital was the hub of the tight-knit town and patients were cared for in a family atmosphere. It underwent several renovations and expansions over the next 50 years and eventually became a 120-bed city-owned facility. During this period, management issues due to local government involvement became a challenge. The hospital was also struggling with competition from a newly built nearby county hospital, decreasing revenues and outdated equipment and facility. This prompted its sale to physician-owned South Miami Hospital in 1990. It was subsequently renamed as Homestead Hospital and transformed into a more modern facility.
Mother Nature delivered another unprecedented blow to Homestead Hospital in the summer of 1992. It was ground zero when Hurricane Andrew struck Homestead City in the middle of the night with full force wind of 150 miles per hour. The city was decimated and looked like a picture of a nuclear holocaust after Andrew passed. Due to power failure, the hospital evacuated patients and closed its doors for a week after the storm hit. The city lost a third of its residents, including physicians, who decided to relocate north. Businesses were closed and the local economy was depressed. With the community focused on recovery and rebuilding efforts, the emergency department was inundated with uninsured patients. This cost the hospital millions in lost income. Yet, it remained steadfast in its mission of providing for the healthcare needs of its community and kept its doors open. It became the beacon of hope for the devastated neighborhood.
The parent company of Homestead Hospital, South Miami Hospital, was also beleaguered with the capitation of managed care and decreasing revenue. In order to survive, a merger with nearby competitor Baptist Hospital transpired in 1995. Homestead Hospital then became part of Baptist Health Systems of South Florida (BHSF). This period also marked a new era for Homestead City. The area experienced intense economic activity with its huge tract of lands converted to residential neighborhoods during the real estate boom of early 2000. Consequently, the local economy suffered a huge downturn with the real estate bust and a string of foreclosed properties proliferated in the area.
Consistent with its commitment of giving back to the community, Baptist Health South Florida (BHSF) decided to build and open a $135 million 120-bed facility that replaced the old Homestead Hospital in 2007. The plans and design of the 5-story building were developed with staff input. It was built to withstand a category 5 hurricane. It also featured state-of-the art technology, natural light, soothing colors and open spaces to promote a comfortable healing environment. Due to increasing demands for inpatient beds another unit with 27 beds were added, totalling 147 beds. Today, Homestead hospital is one of six acute care facilities of BHSF, the largest faith-based, not-for-profit healthcare system in the region. Baptist Hospital and South Miami Hospital are already Magnet-designated while the rest are on the journey. BHSF is composed of 15 urgent care centers, 16 diagnostic and imaging centers, 4 surgery/endoscopy centers and 4 sleep centers.
Exhibit OO1b: The replacement Homestead Hospital opened in May 6, 2007.
Homestead Hospital offers the following services: (OO1 01 Hospital Plan for Patient Services)
- Medical-surgical telemetry units with 13 inpatient pediatric beds
- Critical Care Unit with eICU LifeGuard
- Surgical services with ambulatory surgery and endoscopy
- Emergency center with an accredited chest pain center and separate children’s emergency department called Speediatrics
- Perinatal services
- Inpatient and outpatient diagnostic testing including a sleep diagnostic center
- Inpatient and outpatient rehabilitation services
BHSF and Homestead Hospital have received several recognitions for excellence in quality and patient care as follows:
BHSF
- Best Hospital Rankings – U.S. News & World Report (2014-2015; 2013-2014). Baptist Health honored among the top 15% in the nation with 24 “high-performing” badges in 11 medical specialties.
- 100 Best Companies to Work For – Fortune magazine (2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 1999, 1998)
- World’s Most Ethical Companies – Ethisphere Institute (2014, 2013, 2012, 2011)
- 100 Best Companies for Working Mothers and Working Mother Hall of Fame – Working Mother magazine (2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002, 2001, 2000, 1999, 1996, 1995, 1994, 1993, 1992, 1991, 1989)
- Most Wired Hospitals – Hospital & Health Networks (2014, 2013, 2012, 2011, 2009, 2008, 2007, 2006, 2005, 2003, 2002, 2001, 1999)
- Avatar 2013 Best-in-Class Employer for Employee Engagement and Overall Job Satisfaction (2013)
- Workforce 100 – Workforce (2014)
- US Health and Human Services – presented BHSF 11 awards for Patient Program and VHA Southeast Bright Ideas Program(2014)
- Leapfrog Group/URAC Hospital Website Transparency Award with Distinction for outstanding work in public reporting of hospital quality, safety and service performance scores (2013)
- Fit-Friendly Company, Platinum Award, Workplace & Community Fitness Innovation (2013, 2012, 2011, 2010, 2009, 2008), Gold Level (2007)
- Soliant Health, Most Beautiful Hospitals in America (2013, 2011)
- Partners for Change Award – Practice Greenhealth (2013)
- Press Ganey recognized Baptist Health with three Beacon of Excellence awards for having maintained consistently high levels of excellence in patient satisfaction for more than three years. In addition, Baptist Health received 29 Guardian of Excellence awards in four categories – Inpatient, Outpatient, Emergency Department and Urgent Care – for reaching the 95th percentile in patient satisfaction (2013)
- Press Ganey recognized Baptist Health with a record seven Summit Awards for sustained excellence in patient satisfaction. Environmental Excellence Award – Practice Greenhealth (2012, 2011)
- Most Diverse in Terms of Minorities – Fortune 100 Best Companies to Work For (2014, 2012, 2011, 2010, 2009)
- Best Employers for Healthy Lifestyles – Platinum Award from the National Business Group on Health (2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005
- 100 Best Places to Work in Healthcare – Modern Healthcare magazine (2011, 2010, 2009, 2008)
- Great Workplace Award for having a productive and engaged workforce – The Gallup Organization (2011, 2009)
- Sustainable Florida Best Practice Awards (Not-for-Profit category) – Collins Center for Public Policy (2011)
- Most Wired Innovator Award – Hospital & Health Networks presented to Baptist Health South Florida for the PineApp smart phone app (2011)
Homestead Hospital
- Miami-Fort Lauderdale Best Hospital Regional Rankings – U.S. News and World Report (#11 in 2014-2015; #10 in 2012-2013); with 1 silver badge
- National Patient Safety Scorecard A grade in patient safety - Leapfrog Group (May 2013, November 2012, June 2012)
- Best in Class in the areas of Cultural Competency and Engaging Communities, Diversity in Leadership and Governance - Institute for Diversity in Health Management (an affiliate of the American Hospital Association), Diversity and Disparities: A Benchmark Study of U.S. Hospitals (2014)
- Guardian of Excellence Award for Patient Satisfaction – Press Ganey (2014, 2013)
- Excellence in Lactation Care – International Board of Lactation Consultant Examiners and International Lactation Consultant Association (2013)
- Received “A” grade on annual patient safety survey - Leapfrog Group (2013)
- Chest Pain Center Accreditation – Society of Cardiovascular Patient Care (2014, 2012)
- CNOR Strong Facility – Competency and Credentialing Institute (2013)
- “Top Urban Hospital” award - Leapfrog Group (2014, 2012, 2011)
- “Fully Implemented” Rating for Computerized Physician Order Management - Leapfrog Group (2012)
- Hospital Safety Rating as 4th Safest Hospital in Florida – Consumer Reports (Spring 2012)
- Top Performer on Key Quality Measures – The Joint Commission (2014, 2012, 2011)
- Excellence in Patient Care Award for “Best Overall Hospital” one of eight in the nation and the only one in Florida – Studer Group (2012, 2011, 2010)
- Excellence in Patient Care Award for HCAHPS score “Always Quiet at Night” question - Studer Group (2012, 2011, 2010)
- Exemplary Outcomes for Surgical Patient Care - The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) (2012)
- Excellence Through Insight Awards for Overall Physician Satisfaction – HealthStream (2012)
- “Award of Excellence” in Maternal, Infant, and Child Health and “Champions of Change” Evidence-based Maternity Care Award - Healthy Start Coalition of Miami-Dade (2011)
- Leapfrog Top Hospital Award for high scores in efficiency – Leapfrog Group (2010)
- “Firestarter” Award, highest honor for outstanding patient care - Studer Group (2008, 2005)
- Healthcare Award – Beacon Council (2008)
Population(s) served
Homestead Hospital serves the South Dade areas encompassing Homestead City and Florida City - home to about 150,000 residents. It is the only acute care facility within its primary service areas covering 5 zip codes (33030, 33032, 33033, 33034, and 33035). Thirty-two percent are under 18 years old. Fifty-five percent are ages 21-64 and about 9 percent are ages 65 or older. The average household income is $46,278, below the average Miami-Dade County household income of $61,035. In 2012, almost 23% of families in these service areas live below the federal poverty level. Additionally, an average of 12% of its civilian labor force (ages 16 years old and above) was unemployed. Homestead Hospital provides care to the underserved areas of the community, residents who are uninsured or underinsured. Some of them are undocumented migrant farm workers who are fearful of accessing the public healthcare system due to their immigration status. In fact, Homestead Hospital endowed approximately $102 million in charity care in 2013. Because of lack of access to primary care, patients use the emergency department (ED) for primary care visits. This is reflected by a total ED visit (inpatient and outpatient) of about 110, 000 in 2014.
Exhibit OO1c: 2012 AHCA Comparative Analysis Charity Care as a % of Total Patient Revenue
Analysis: Homestead Hospital leads South Florida hospitals in providing charity care as a percentage of total patient revenue. This further demonstrates the hospital’s commitment towards its community and population served.
Ethnic profile of the nursing staff, client population, and community served.
Homestead City is part of Miami-Dade County and comprised a diverse, multicultural community. This diversity is demonstrated in the mix of Homestead Hospital’s nursing staff, client population and community served.
Exhibit OO1d: Homestead Hospital Nursing Staff Ethnic Profile
Analysis: Exhibit OO1d shows the ethnicity of the nursing staff. Majority of the hospital’s nursing workforce have either White or Hispanic heritage. There is a smaller percentage of Black and Asian/Pacific Islander nurses.
Exhibit OO1e: Homestead Hospital Ethnic Profile of Client Population
Analysis: The above graph (Exhibit OO1e) illustrates the ethnicity of the Homestead Hospital’s clientele. About half of the patients discharged in 2012 (excluding newborns) were of Hispanic descent and about a quarter was of Black origin. Seventeen percent of the patients were White.
Exhibit OO1f: Homestead Hospital Ethnic Profile of Community Served
Analysis: The ethnic profile of Homestead Hospital’s primary service areas mirrors that of its patient population as exemplified in Exhibit OO1e with majority being Hispanics, followed by Blacks, then Whites.
Summary of Attachments/Hyperlinks/Evidences:
OO1 01 Hospital Plan for Patient Services
Exhibit OO1a: James Archer Smith Hospital opened August 9, 1940
Exhibit OO1b: The replacement Homestead Hospital opened in May 6, 2007.
Exhibit OO1c: 2012 AHCA Comparative Analysis Charity Care as a % of Total Patient Revenue
Exhibit OO1d: Homestead Hospital Nursing Staff Ethnic Profile
Exhibit OO1e: Homestead Hospital Ethnic Profile of Client Population
Exhibit OO1f: Homestead Hospital Ethnic Profile of Community Served