Centennial H Hills Hospital Trauma System with Centennial Hills Hospital H UMC H Sunrise Hospital St. Rose Dominican H Hospital - Siena
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/ 217,000 NORTHWEST REGION? CURRENT RESIDENTS Two Large-Scale Master Plans are 35,000 Coming to the Area EST. POPULATION GROWTH IN 10 YEARS 12,000 HOMES IN 10 YEARS $47M INTERCHANGE 15 Miles from Level I, 20 Miles from Level IMPROVEMENT 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 Centennial Hills Hospital UMC – Level I Sunrise Hospital – Level II St. Rose Siena – Level III Since 2005 Source: Clark County Assessor
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 Overlap in Level I Trauma Trade Areas Level III Trauma
COMPARATIVE ANALYSIS: LEVEL I vs. III 5-Mile Radius (10-Mile Diameter) Las Vegas Valley Level I Trauma Level III Trauma
TRAVEL TIME COMPARISON Distance Traveled in 17 Minutes Level I Trauma Source: Claritas
TRAVEL TIME COMPARISON Distance Traveled in 17 Minutes Overlap in Trade Areas Level I Trauma Source: Claritas
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
KEY IMPACTS 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)
Clark County Population & Total Trauma Field Triage Criteria 3,500,000 3,000,000 2,500,000 2,147,641 2,102,238 2,062,253 2,036,358 2,008,654 1,966,630 2,000,000 1,500,000 1,000,000 500,000 4,769 5,462 5,222 5,895 5,971 6,108 0 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 6,108 2,500,000 6,200 5,971 6,000 5,895 2,400,000 5,800 2,300,000 5,600 5,462 2,200,000 2,147,641 5,400 2,102,238 5,222 2,062,253 2,100,000 2,036,358 5,200 2,008,654 1,966,630 2,000,000 5,000 4,769 1,900,000 4,800 1,800,000 4,600 2010 2011 2012 2013 2014 2015 Clark County Population Total Trauma Field Triage Criteria Source: Clark County Demographics & SNHD TFTC All Patients
KEY FACTS Trauma Volumes - Since 2010 TFTC volumes have increased by 28% while overall 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)
REASONS FOR A Letters of TRAUMA PROGRAM Support Demonstrated Need: Demographic – Population/Housing and Development EMS providers Growth North Las Vegas & Transportation Time Nevada Test Site Fire Growth in Trauma Volumes Other Justifications: Centennial Hills Hospital Medical Improved access to trauma services based on geographic Executive location Committee Supports future growth Valley Health System Board of Negligible volume impact to current trauma system Governors Reduced time out of service for EMS and fire agencies
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