Claxton-Hepburn Medical CenterMay 15, 2013

Our Location

Who We Are

• Founded in 1886 by the Grey Nuns of Ottawa• 130-bed community hospital (non-profit)• Located approximately 1 hour south of Ottawa• Provides inpatient and outpatient care• Specialty care:– Cancer– Renal– Wound Healing

Service Volumes

• Endoscopies: 2,819• Mental Health Center Admissions: 990• Cancer Treatments and Visits: 17,655• Renal Dialysis Treatments: 10,421• Surgeries: 3,290• Laboratory Procedures: 360,887• Radiology Procedures: 41,709• Health Center Visits: 33,700

CHMC Profile

• 67 beds – Medical/Surgical• 10 beds – Intensive/Coronary Care Unit• 10 beds – Obstetrics• 15 beds – Acute Rehabilitation Unit• 28 beds – Mental Health 130 beds

Active Medical Staff SpecialtiesAnesthesiology Ophthalmology

Cardiology Oral Surgery

Dermatology Orthopedic Surgery

Emergency Medicine Otolaryngology

Family Practice/I.M. Pain Management

Gastroenterology/Endoscopy Pathology

General Surgery Pediatrics

Hospitalist Psychiatry

Medical Oncology Radiation Oncology

Nephrology Radiology

Neurology Urology

OB/GYN Advanced Practice Providers

Specialties & Services• Cancer Treatment Center -Chemotherapy -Radiation Therapy --IMRT -- Respiratory Gating• Cardiology -CT Angiography -EKG -Echocardiography -Fetal Echocardiogram -Holter Monitoring -Pediatric Cardiology• Connection for Women/Breast

Health Center• Electroencephalography

• Emergency Care• Endoscopic Procedures -Bronchoscopy -Colonoscopy -Esosphagogastroduodenoscopy• Family Health Centers• Gastric Manometry and PH Studies• General Surgery -Laparoscopic Cholecystectomy -Laparoscopic Appendectomy -Exploratory Laparoscopy• Gynecology• Heart Clinics (adult & pediatric)• Laboratory Services

Specialties & Services• Mental Health Services• Nephrology• Neurology• Obstetrics• Ophthalmology -Laser Surgery -Pediatric Ophthalmology• Orthopedics• Otolaryngology (ENT)• Pain Management• Radioactive Implant Services• Radiology -128-Slice CT Scan -DEXA -Digital Mammography/R2 Image

Checker -MRI -Nuclear Medicine -PET with CT-PET Fusion -3D/4D Ultrasonography

• Rehabilitation Services -Aqua Therapy -Acute Care Rehabilitation Unit -Nerve Conduction Studies -Occupational Therapy -Physical Therapy -Speech Therapy• Renal Center -Hemodialysis -Peritoneal Dialysis -Home Hemodialysis• Respiratory Care -Pulmonary Function Testing• Sleep Laboratory• Urology

- Lithotripsy• Vein Ablation• Wound Healing Center

Key Services• Diagnostic Imaging Department

-128-Slice CT Scan -Bone Densitometry (DEXA) -Digital Mammography/

R2 Image Checker -MRI -Nuclear Medicine -PET with CT-PET Fusion -3D/4D Ultrasonography

Key ServicesRichard E. Winter Cancer Center

– Medical and radiation oncology services available under one roof

– Linear accelerator with SmartBeam technology; respiratory gating

– In 2006, invested $4.5 million in facility and technology upgrades

– Certified patient navigator– Accredited by both the American

College of Radiology and the American College of Surgeons’ Commission on Cancer

– Breast Health Center – National Accrediting Program for Breast Centers

Key Healthcare Services

– 24-station renal center– 2 on-site nephrologists– Hemodialysis and CAPD– Home Hemodialysis– Epogen clinic– MSW on staff to assist patients

with financial needs and other support

Dr. Ravinder N. Agarwal Renal Center

– Specialty trained physicians and nurses– 2 hyperbaric oxygen chambers– Cares for wounds that have not healed in

30 days or more– 97% heal rate – specialty trained to treat all types of

non-healing wounds, including:• diabetic ulcers• pressure ulcers• venous/arterial ulcers• Post-operative infections• surgical wounds• gangrene/necrosis• late effects of radiation

Key Healthcare ServicesRev. Thomas T. Patterson Wound Healing Center

Designations/Status

• Accredited by DNV• American College of Surgeons’ Commission on

Cancer accreditation with commendation for our Cancer Center

• Breast Health Center accredited by the National Accrediting Program of Breast Centers

• Breast Imaging Center of Excellence• Nationally accredited echocardiography lab• IHI Mentor Hospital for 4 clinical initiatives

2012 Services Accessed• 62 Postal Codes• Services accessed:

– Obstetrics– Primary Care (Health Centers)– Dermatology– Medical Oncology– Surgical Services– Laboratory– Diagnostic Imaging– Physical Rehab– Mental Health Services

Canadian Patients

• Because of the cost of care, Canadians that are able to access our services usually have disposable income

• We have marketed our services in Ottawa, targeting residents with upper level incomes

• Strong relationship with the US Embassy in Ottawa

Canadian Experience

• Highest volume of Canadian patients occurred about 6 years ago when a chemotherapy drug was unavailable in Canada– OHIP paid to have Canadians treated in our

Cancer Center– OHIP would contact our Cancer Center and

request a quote for the type of care needed. Once approved, they paid for the patient’s care

• For other services, patient works with OHIP to try to get services covered

Most Requested Services*• MRI– Brain = $3,375– Abdomen = $3,910

• CT Scan– Brain = $1,890– Chest = $1,450

• Breast Biopsy = $2,380• Sleep Study = $2,250• Colonoscopy = $1,100• Cancer = varies on type of treatment*prices subject to change; current pricing provided at time of request

Accessing our Services

• Call Amy Robinson at 315-713-6703• Describe services needed• Amy will provide a quote that includes all services

needed• Amy can assist making appointments with providers• Patients can establish themselves with a primary care

physician on our staff• Patients that require an overnight stay, the cost is

included in the quote provided

Accessing our Services

• Many services require physician order– Can become a patient of a U.S. physician– In some cases, Claxton-Hepburn’s Chief Medial Officer

will work with a Canadian physician to order tests/exam• Accept American insurances, otherwise payment is required

at time of service

Accessing our Services

• For most services, there is no wait time• Check our website: www.claxtonhepburn.org• You may also contact our Call Center: 1-888-908-2462– Answered 24 hours per day, 7 days per week

We invite you to tour our facility!

THANK YOUTHANK YOU