Your Guide to Hospital
Corporation of America
By Bekah Jarosinski
An Overview

HCA is a Healthcare System located in multiple states throughout the nation
with one being outside of the US. About 204,000 individuals are employed by
this system. There are a total of 165 hospitals with 115 free-standing surgical
centers.

The states and country included are: Alaska, California, Colorado, Florida, Georgia,
Idaho, Indiana, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Nevada, New
Hampshire, Oklahoma, South Carolina, Tennessee, Texas, Utah, Virginia, and the
United Kingdom.
 This
presentation is going to focus specifically
on the Healthcare System located in Virginia
Origins and Statistics

HCA was founded in 1968 by two physicians with their base located in
Nashville, Tennessee.

They are considered the world’s leading provider of healthcare services and
are one of the first national hospital companies.

Inpatient care comprises about 4-5% of all care in the hospital systems of the
US today.

This system is very committed to keeping it’s facilities up to date and invests
around $1.5 billion dollars every year to ensure this.
Dr. Thomas Frist Sr. and
Dr. Thomas Frist Jr.
The Virginia HCA Healthcare System

There are three divisions in Virginia where you can find this system:

Northern Virginia: 3 hospitals, 6 outpatient centers


Hospitals: Reston Hospital Center and StoneSprings Hospital Center

Behavioral Health Centers: Dominion Hospital and CHOICES Outpatient Services

Outpatient Centers: Include cancer, surgical, and imaging centers.
Central Virginia: 7 hospitals, 3 emergency centers, 16 outpatient centers

Hospitals: Chippenham, Johnston-Willis, John Randolph Medical Center, Henrico Doctor’s Hospital, Parham
Doctors’ Hospital, Retreat Doctors’ Hospital, and Spotsylvania Regional Medical Center

Behavioral Health Center Locations: Parham Doctors’ Hospital, Chippenham, Spotsylvania Regional Medical
Center

Outpatient Centers: Includes imaging centers, surgery centers, sports medicine, and cancer centers.

Emergency Centers: Hanover Emergency Center, Wes Creek Emergency Center, and Swift Creek Emergency
Center
Continuation

Southwest Virginia: 4 hospitals, 8 outpatient centers

Hospitals: LewisGale Medical Center, LewisGale Hospital Alleghany, LewisGale
Hospital Montgomery, and LewisGale Hospital Pulaski

Behavioral Health Centers: LewisGale Behavioral Health Center, Salem, Senior
Transitions and LewisGale Hospital Alleghany

Outpatient Centers: Surgery, imaging, and cancer centers.
HCA Services

Primary Care

ER Care

Rehabilitation

Cancer Care

Sports Medicine

Surgical Innovation

Behavioral Health

Neuro & Stroke Care

Women’s Care

Orthopedic & Spine Care

Transplant Center

Tests and Imaging

Heart and Vascular Care
 HCA is heavily involved within
the community and sets up
different events such as
health screenings,
educational events, blood
drives, health and wellness
classes, as well as support
groups.
 This system also works with
nonprofit organizations to
better serve the community
with health-related services.
Lets Look at One Hospital System:
Spotsylvania Regional Medical Center

Opened in June of 2010.

Located at:

4600 Spotsylvania Pkwy
Fredericksburg, VA 2240

Contact info:

Phone: (540) 498-4000
(PBX)
Fax: (540) 498-4066
Website:
http://spotsrmc.com/

Number of beds: 133
• Main Services Provided:
Bone and Joint Care
Women’s and Children’s Services
Lab Testing Services
Surgical Services
24- Hour Emergency/ Compassionate Care
Cardiac Care
Cancer Care
Rehabilitation
Behavioral Health
Pediatric Friendly Emergency Care
Women’s Health
Imaging Services
Bone and Joint care

Under this service, doctors will help to diagnose and treat various bone,
ligament, and joint problems.

This facility treats patients through 3 areas: medical, mechanical, and
surgical.
1.
Medical  Medications
2.
Mechanical  PT and OT
3.
Surgical  Joint replacements, sports injuries, treatment of tears, disc
herniation, and various syndromes

Preoperative classes and information booklets are available for the patient so
they know what to expect before, during, and after the surgery.
Women’s and children’s services

This service includes labor, delivery, and other medical services related to this.

Parenting classes are available to help future moms and dads to prepare for the baby’s
arrival and what to expect when going home.

Patients have the option to pre-register their baby before arriving at the hospital.

This facility boasts having all tests/ measurements of your baby done in the same room
to ensure as much bonding with the family as possible.

Other related services are antepartum/postpartum, childbirth education classes, labor
and delivery, lactation services, newborn nursery, NICU, and perinatology.
Lab testing services

This facility performs a wide range of tests on patients to help with diagnosis
and treatment of various disorders.
Surgical Services

Surgical services provided by this facility are general surgery, gynecology,
vascular surgery, orthopedics, urology, and weight loss surgery.

This facility has been awarded the AAGL Center of Excellence for Minimally
Invasive Gynecology as well as the National Accreditation from the Metabolic
and Bariatric Surgery Accreditation and Quality Improvement Program.
24-Hour Emergency/ Compassionate
Care

This facility broadcasts it’s average ER wait time on it’s website and can also
be viewed by texting “ER” to 23000.

The ER is open to anyone of any age.

There are board certified Emergency physicians on hand.

iNotify is a system by iTriage that this facility offers for it’s patients. This
allows patients to let the ER know in advance that they are coming in and
quickens the check-in process once they arrive.

This app can be downloaded in the app store.
Cardiac Care

This facility is an Accredited Chest Pain Center.

Services provided are catheterization, ultrasound, echocardiogram, EKG,
treadmill tests, stress tests, holter monitoring, and coronary interventions
and electrophysiology studies with pacemaker and defibrillator implants.

Teams of specialists are brought in to make sure that each patient gets the
best quality of care.
Cancer care

Spotsylvania Regional Medical Center has partnered with VCU Massey Cancer Center so
they can provide patients with the newest radiation oncology services and more options.

Dr. Michael Porrazzo is the Director of Radiation Oncology at this facility.

Services include TrueBeam high energy linear accelerator, IGRT, IMRT, high dose rate
afterloading, partial breast irradiation, stereotactic body radio-surgery, prone breast
treatment, $-D general optima simulator, respiratory gating, and clinical trial options.

Each patient will have a nurse who is specialized in oncology to help them through their
course of treatment.

This facility also takes steps to help reduce the chance of cancer by offering smoking
cessation classes, colonoscopies, mammograms, and lung cancer screenings.

Outpatient services, such as infusions, are also offered here.
Rehabilitation

Various therapy services are provided for patients undergoing many different
health issues.

Services provided are lymphedema therapy, sports/ orthopedic injuries,
neurologic rehab for brain injuries, work related rehab, pediatric therapy,
and speech and swallowing dysfunction.

Professions involved in this are PT, OT, SPT, and Neurological/ cognitive
therapists.

Outpatient services are also provided.
Behavioral health

The acute inpatient setting if available for patients over the age of 18 who
are suffering from behavioral or mental health issues such as depression or
psychosis.

There are 10 beds available in separate rooms for these type of patients to
ensure privacy and safety.

The assigned nurse stays with the patient and oversees the patient’s progress
until they are released. They also help with the assessment and referral
process of the patient.

Services provided are medication management, supportive medical care,
activities therapy, discharge planning, behavioral modification, and group
therapy.
Pediatric Friendly Emergency Care

This facility is one of the best in its region for providing pediatric care. The
ER has board certified pediatric physician, hospitalists, and nurses. They also
keep in contact with local pediatricians to make sure that your child is well
cared for after leaving the hospital.

In the ER, the adult beds are separated from the child beds to ensure a more
friendly environment.

Spotsylvania Regional Medical Center uses the Broselow Artemis System to
make sure that the dosing and administration drugs is correct.

Safety is very important to this facility and they secure their pediatric floors
with locked doors, security cameras, and monitors.
Women’s Health

This facility has a 64 slice CT scanner, MRI, Nuclear Medicine, Ultrasound, and
Interventional Radiology.

These devices will aid in the identification of specific breast and cardiac
diagnoses.
Imaging Services

Includes all sort of injuries, diagnostic, and preventative care.

Includes CT, MRI, Nuclear medicine, ultrasound, interventional radiology, and
PET.

Imaging is digital so that results can be seen quickly and viewed by other
facilities via PACS.
Payer Sources Accepted

If patient is uninsured, monthly payment plans can be implemented if the
patient is unable to pay at that time. They could also be eligible for an
uninsured discount.

Emergency care that cannot be paid for at the present time will be referred
to a financial counselor to see if the patient qualifies for local or state
programs such as County Assistance, Medicaid, Medicare, Get Covered
America, or Charity Discount Policies.

On their website, there is a payment estimate button that can be used to
predict what the total amount of the procedure/hospital stay will be.
Charity Policy and Get Covered America

Charity Policy: Patients that receive an income of less than 200% of the
Federal Policy Level, who receive non-elective care and do not qualify for
Medicaid, can be eligible for this assistance.

The patient must fill out a Financial Assistance Application and provide proof
of current income.

Get Covered America: Under the Affordable Care Act (Obamacare). Helps you
to find a plan that fits your budget.
Insured Patients

Most insurance companies are accepted.

A service claim will be filed with your insurance company. The company may
ask for additional details after reviewing the claim and will pay what it deems
appropriate for the services provided. (30-45 days is usually this length of
time)

The facility will send the patient a bill of the remaining amount to be paid.