/ en Fri, 30 May 2025 15:44:15 -0500 Tue, 08 Apr 25 16:17:46 -0500 /role-hospitals-st-joseph-hospital-safe-nurses-maine-hospital-provide-specialized-care-sexual-assault-survivors <div class="container"><div class="row"><div class="col-md-9"><div class="row"><div class="col-md-5"><p><img src="/sites/default/files/2025-04/ths-st-joes-saft-700x532.jpg" alt="St. Joseph Hospital. A female nurse in scrubs talks with a female patient sitting in a hospital bed" width="700" height="532"></p></div><p>More than half of women and nearly one in three men have experienced sexual violence involving physical contact during their lifetime, according to the <a href="https://www.cdc.gov/sexual-violence/about/index.html#:~:text=Over%20half%20of%20women%20and,1" target="_blank">Centers for Disease Control and Prevention</a>. In the state of Maine each year, more than 19,000 people will experience sexual violence, according to a <a href="https://bpb-us-w2.wpmucdn.com/wpsites.maine.edu/dist/2/115/files/2023/01/2022-Maine-Crime-Victimization-Report_Final.pdf" target="_blank">2022 report</a>.</p><p>The emergency department at St. Joseph Hospital in Bangor, Maine, has Sexual Assault Forensic Examiner (SAFE) nurses ready to care for any person who has been sexually assaulted. SAFE nurses have received specialized training and clinical preparation to provide trauma-informed care for survivors of sexual assault, domestic violence, and child or dependent adult abuse or neglect. These nurses perform a comprehensive medical examination and provide treatment for injuries and sexually transmitted infections, and if requested, can document injuries and collect evidence that can be used later in a trial.</p><p>The medical screening is confidential, and adults can receive this specialized care with or without reporting the sexual assault to police — or they may choose to file a police report at a later date. If requested and needed, a SAFE nurse can act as a factual or expert witness in court.</p><p>All the services provided by SAFE nurses are patient driven, and “everything is a personal choice,” emphasizes the hospital team. “We realize you have just been through a traumatic experience. We are here to care for you and do what is best for each individual.”</p><p><a class="btn btn-primary" href="https://stjosephbangor.org/services/emergency-department/safe-nurses" target="_blank">LEARN MORE</a></p></div></div><div class="col-md-3"><div><h4>Resources on the Role of Hospitals</h4><ul><li><a href="/center/population-health">Improving Health and Wellness</a></li><li><a href="/roleofhospitals">All Case Studies</a></li></ul></div></div></div></div> Tue, 08 Apr 2025 16:17:46 -0500 Trauma-Informed Care /case-studies/2022-11-30-umc-southern-nevada-nevada <div class="container"> <div class="row"> <div class="col-md-8"> <h2><span>Overview</span></h2> <p><img alt="UMC of Southern Nevada, Nevada." data-entity-type="file" data-entity-uuid="8e20fe26-ff40-48e2-a585-83f19ba783c2" src="/sites/default/files/inline-images/UMC-of-Southern-Nevada-Nevada.jpg" width="513" height="311" class="align-right">University Medical Center of Southern Nevada (UMC) is the largest public hospital in the state of Nevada, serving the Las Vegas and southern Nevada area as the region’s Metropolitan Anchor Hospital (MAH). In operation since 1931, UMC is also the oldest hospital in the region, and it strives to provide patient-centered care in a fiscally responsible and learning-focused environment.</p> <p>UMC is the only hospital in southern Nevada with a Level 1 trauma center and transplant center. In addition, UMC sets itself apart by maintaining an accredited children’s hospital, a Ryan White-accredited HIV/AIDS clinic, and one of the nation’s 64 verified burn centers.</p> <p>A partnership with the University of Nevada, Las Vegas (UNLV) Medical School has also helped establish UMC as a leading academic medical center. UMC’s robust ambulatory division provides primary and urgent care across 15 clinics throughout the valley and serves between 300,000 and 400,000 patients per year.</p> <h2><span>Patient–Payer Mix</span></h2> <p>Nevada, as a whole, has a large Medicaid population and a high unemployment rate, primarily due to reduced tourism resulting from the COVID-19 pandemic. UMC’s patient-payer breakdown is approximately 48% Medicaid, 18% Medicare, 19% commercially insured, 10% uninsured, and 5% governmental. Two-thirds (66%) of all visits are by Medicaid or Medicare beneficiaries, which account for 72.5% of UMC’s patient discharges. Nearly three-quarters (72%) of UMC’s net patient revenue is Medicaid and Medicare revenue. Each year, UMC typically provides an estimated $40.9 million in uncompensated care.</p> <p>In the last decade, UMC has been able to reinvest its profits back into the hospital system and become a leader in the area, thanks largely to its fiscal discipline. This reinvestment has largely been directed towards facility improvements and human capital like doctors and surgeons, which has allowed UMC to compete with private hospitals. Despite these successes, there is still a need for UMC to secure critical funding for capital improvements to update facility capabilities, address needed technology updates, and focus on desperately needed infrastructure upgrades.</p> <blockquote> <h3><span><em>“We serve a full range of patients…we’re the “hometown hospital” and the Las Vegas community is invested heavily in UMC.”</em></span></h3> <p><span><strong>Mason Van Houweling</strong></span><br> UMC CEO</p> </blockquote> <h2><span>UMC's Unique Approach to Care</span></h2> <p>UMC is a “hometown hospital” serving a broad and diverse population of native Las Vegans and international tourists. The success of UMC can be credited largely to:</p> <h3><span>Community Outreach</span></h3> <p>UMC’s Healthy Living Institute sponsors meetings with schools to talk about health and safety, hosts new parent education sessions, and runs “daddy boot camps” for new fathers. Other programs include exercise classes for seniors to reduce falls and babysitter-certification classes that teach CPR and choking interventions. UMC also hosts health fairs and a variety of other safety education services.</p> <h3><span>Employee Engagement and Investment</span></h3> <p>UMC has achieved an outstanding employee retention rate by striving to make all employees know their contributions are valued. The average tenure for staff is 10 years, but many have worked for UMC for much longer.</p> <h3><span>Commitment to Caring for HIV/AIDS Patients</span></h3> <p>UMC has had a long-standing and proud commitment to caring for HIV/AIDS patients through the UMC Wellness Center. In fact, UMC pioneered HIV/AIDS care in Nevada and continues to lead the way. The Wellness Center offers on-site Ryan White eligibility services as well as case management, social worker, nutritional therapy, and mental health services.</p> <h3><span>Life-Saving Trauma Care</span></h3> <p>Offering the highest level of trauma care in the state of Nevada, UMC is a core component of Nevada's emergency medical system. The level of care for injured patients is continuously pursued through clinical care services, active research and education, and prevention programs. With a service area covering 10,000 square miles including Southern Nevada, parts of California, Utah, and Arizona, the trauma center serves the two million residents of Clark County and the 32 million visitors who come to the area each year.</p> <h3><span>COVID-19 Support</span></h3> <p>UMC has administered nearly 2 million COVID-19 PCR tests, helping to fill much-needed gaps in the community. The hospital has also helped essential workers in the Las Vegas area feel more comfortable returning to work by handing out personal protective equipment (PPE). The hospital has partnered with a local casino to create a vaccination site and has administered an estimated 100,000 vaccines. UMC has also run post-COVID recovery clinics and provided monoclonal antibody clinics in outpatient settings, which have treated approximately 1,000 patients with a 100% survival rate.</p> <h2><span>Metropolitan Anchor Hospitals Need Greater Support</span></h2> <p>Despite the financial challenges that UMC faces, it has found ways to continue serving and supporting the Las Vegas community. But in order to continue this impactful work, including investment in critical infrastructure, staff, and care services, MAHs like UMC need additional financial support.</p> <p>Increased funding would allow UMC and other MAHs to boost capacity, add beds, and make needed infrastructure and overhead improvements. Sustained, adequate support for MAHs can also help maintain and expand existing community programs while allowing systems to adapt to meet the evolving medical needs of the communities they serve.</p> </div> <div class="col-md-4"> <div class="external-link spacer"><a class="btn btn-wide btn-primary" href="/guidesreports/2022-10-21-exploring-metropolitan-anchor-hospitals-and-communities-they-serve" target="_blank" title="Click here to read the Exploring Metropolitan Anchor Hospitals and the Communities They Serve report and download the PDF.">Read the Exploring Metropolitan Anchor Hospitals and the Communities They Serve report</a></div> <p><a href="/system/files/media/file/2022/10/UMC-of-Southern-Nevada-MAH-Case-Study.pdf" target="_blank" title="Click here to download the UMC of Southern Nevada, Nevada: Metropolitan Anchor Hospitals (MAH)case study PDF."><img alt="UMC of Southern Nevada, Nevada: Metropolitan Anchor Hospital (MAH) case study page 1." data-entity-type="file" data-entity-uuid="f790d609-ce16-42a2-b211-51c3b8d44edd" src="/sites/default/files/inline-images/Page-1-UMC-of-Southern-Nevada-MAH-Case-Study.png" width="695" height="900"></a></p> <hr><div class="views-element-container"> <section class="top-level-view js-view-dom-id-aae304b8f1156e252fe737ef6fa3de057ab80329e501600a68204cc062c92071 resource-block"> <h2 id="mahcasestudies">Metropolitan Anchor Hospital Case Studies</h2> <div class="resource-wrapper"> <div class="resource-view"> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/2024-01-04-adventist-health-bakersfield-california" hreflang="en">Adventist Health Bakersfield | California</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-01-04T08:41:22-06:00">Jan 4, 2024</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2023-12-05-henry-ford-hospital-michigan" hreflang="en">Henry Ford Hospital | Michigan</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2023-12-05T10:22:49-06:00">Dec 5, 2023</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2023-10-25-denver-health-system-colorado" hreflang="en">Denver Health System | Colorado</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2023-10-25T06:00:00-05:00">Oct 25, 2023</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2023-05-12-broadlawns-medical-center-iowa" hreflang="en">Broadlawns Medical Center | Iowa</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2023-05-12T15:13:18-05:00">May 12, 2023</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2023-05-10-mlk-community-healthcare-california" hreflang="en">MLK Community Healthcare | California</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2023-05-10T08:48:40-05:00">May 10, 2023</time> </span> </div></div> </div> </div> <div class="more-link"><a href="/mah-case-studies">More MAH Case Studies</a></div> </section> </div> </div> </div> </div> Wed, 30 Nov 2022 11:59:12 -0600 Trauma-Informed Care /advancing-health-podcast/2021-09-29-trauma-and-trauma-informed-care <p>In this podcast, Rebecca Chickey, senior director of field engagement, behavioral health services of the AHA is speaking with Dr. Glenn N. Saxe, about trauma…new traumatic events seem to be happening every day – a treatment for the impact of trauma, call trauma informed care, and opportunities for hospitals to lead in improving access to this important type of behavioral health treatment.</p> <p>Dr. Saxe is director of the NYU Center for Child Welfare Practice Innovation. He also directs the Trauma Systems Therapy Training Center; Professor of Child & Adolescent Psychiatry; Hassenfeld Children’s Hospital at NYU Langone; Department of Child and Adolescent Psychiatry Child Study Center; New York, NY.</p> <hr /> <p></p> <div><a href="https://soundcloud.com/advancinghealth" target="_blank" title="Advancing Health">Advancing Health</a> · <a href="https://soundcloud.com/advancinghealth/trauma-and-trauma-informed-care" target="_blank" title="Trauma And Trauma Informed Care">Trauma And Trauma Informed Care</a></div> <p> </p> Wed, 29 Sep 2021 09:45:17 -0500 Trauma-Informed Care