Fort Sanders Regional Medical Center

Programs: Orthopedics, neurology and rehabilitation:the ortho/neuro/rehab program at fort sanders regional medical center is a comprehensive program of inpatient and outpatient services designed to restore optimal function and independence to individuals who are impaired due to orthopedic or neurological illness or injury. More information about these services is on schedule o. Orthopedics, neurology and rehabilitation: expenses - $57,888,441; revenue - $57,302,242from hip, knee and shoulder replacement to other commonly performed orthopedic procedures like hand, foot and ankle and spine and back surgery, fort sanders regional (fsr) possesses a commitment to service excellence and to improving the patient experience in every way. These commitments are reflected in the comprehensive care provided orthopedic surgery patients, including:* in-depth education that fully prepares patients for surgery and recovery;* infection prevention protocols that minimize infection risks;* experienced, specialized surgeons and operating room teams that use state-of-the-art techniques;* a dedicated inpatient orthopedic nursing unit staffed by expert nurses and caregivers who know how to help patients recover from orthopedic surgery; and* a wide array of rehabilitation and therapy services, inpatient and outpatient, to help patients return to an active lifestyle. At the fsr joint and spine center, patients undergoing knee or hip replacement surgeries are not treated as "sick" but as healthy adults undergoing a procedure that will allow them to return to an active life. The goal is to get patients out of bed and moving as quickly as possible. This is accomplished through education, surgical expertise and intense physical therapy. Patients are provided information about joint replacement and are challenged to take the lead in their recovery. Patients go through the program with a family member, who is designated as the patient's "coach and is taught how to assist the patient at home. Outpatient rehabilitation services are provided on the hospital campus and at a network of community based outpatient therapy centers. These centers offer a wide variety of therapy services, many of which are unique in the community. They include: * physical, occupational and speech therapy, * wound care, * aquatic therapy, * lymphedema treatment, * low-vision and adaptive driving programs, * certified hand therapy, * vestibular rehabilitation, and * functional capacity evaluations. In 2016 the hospital recorded 8,156 wound care center patient visits and 16,512 outpatient physical therapy visits. Conditions and diseases of the brain, spinal cord and nervous system can affect how people walk, talk, comprehend and function. Fsr's neurologists specialize in the diagnosis and treatment of epilepsy, tumors, stroke, alzheimer's disease, dementia, parkinson's disease and multiple sclerosis. As a neuro-spine center of excellence, fsr has made the commitment to offer the latest advancements in neurology, neurosurgery, spine surgery, and neuro-interventional radiology. Whether a patient needs medical, surgical or neuro-radiological intervention, the goal is to provide the most appropriate care to optimize patient outcome. At the fort sanders sleep disorders center, the area's first accredited sleep center, neurologists work with patients who suffer from a host of sleep/wake disorders including sleep apnea, insomnia, narcolepsy, and restless leg syndrome. The center treated 660 patients in 2016. Fort sanders' neurosurgeons provide surgical intervention for brain tumors, aneurysms and hemorrhages, as well as a host of spine conditions. They also provide surgical relief for issues caused by nerve and muscle diseases, carpal tunnel syndrome, chronic back pain and conditions resistant to medical management, like parkinson's disease. The stealthstation treon is an example of the hospital's commitment to state-of-the-art technology, which helps guide fsr's neurosurgeons through a variety of operations, including neurological and spinal procedures. This innovative 3d-imaging system uses global positioning technology to give physicians real time views inside the body, without radiation. The technology allows less invasive operations and helps avoid brain and nerve damage. Fsr was the first facility in the area to combine ct and bi-plane angiography with a full-time neuro-interventional radiologist to provide our region with new, minimally-invasive options for treating stroke, aneurysms, and other vascular diseases in the brain. With this system, neuro-interventional radiology procedures can be performed that would have previously required surgery and an extended hospital stay or would not have been options for some patients. Bi-plane technology improves imaging and resolution creating comprehensive 3d views of the blood vessels in the brain. Having a more precise picture of an abnormality makes it easier to diagnose and repair. A team of specialized technologists and nurses work to assist the performing radiologist with each procedure. All technologists are certified by the american association of radiological technologists. These procedures often involve very short hospital stays, all while keeping radiation exposure to a safe minimum and avoiding major surgery. The patricia neal rehabilitation center (pnrc) is east tennessee's recognized leader in helping stroke, spinal cord, brain injury, orthopedic and cancer patients rebuild their lives through the delivery of optimal rehabilitation services. Opened in 1978 as an integral part of the ortho/neuro/rehab program at fsr, the pnrc offers a comprehensive team approach to care. Physical, occupational, recreational, behavioral medicine and speech language therapists work with nurses and physiatrists - doctors whose specialty is physical medicine and rehabilitation. This team develops the best individual care plan to return patients to their recovery potential as quickly as possible. Rehabilitation nurses and other specialists also educate patients, teaching them self-care skills to function as well as possible upon returning home. The center holds 10 separate accreditations from the commission on the accreditation of rehabilitation facilities (carf) and provides a comprehensive array of inpatient rehabilitation services that would otherwise be unavailable in the community. Fsr is committed to maintaining access to unique services such as those at the pnrc. Through donations and other community support, the hospital, through the fort sanders foundation, provides scholarships to allow patients with limited resources access to the rehab center's services. The patricia neal innovative recreation cooperative (irc) was created in 1994 to meet the needs of individuals who have suffered a life-changing illness or injury. The program was designed to be part of the continuum of care in the rehabilitation process. Its scope is to host clinics under an umbrella of education and awareness: education to teach leisure skills to enhance quality of life in a safe environment and awareness to heighten the understanding of disabilities in the community. In its existence, the irc has seen over 10,000 participants and volunteers. The goal is to remove all the barriers to develop each individual's right to self-directed leisure for a healthier lifestyle. This program is supported by community donations, grants and a hospital subsidy. Older adults are a significant portion of the patient population in ortho/neuro/rehab. Fsr is committed to special health care for older adults and was the first niche-certified (nurses improving care for health system elders) facility in the east tennessee region. Care is provided to help prevent complications such as skin breakdowns, falls/injuries, pain, acute confusion, and the loss of strength and mobility.

cardiovascular services:from diagnosis to rehabilitation, fort sanders regional's award-winning heart center has one of the most comprehensive cardiac services available. Our advanced diagnostics, interventional technologies, cardiovascular surgery, and clinical trials are tailored to meet each patient's cardiac needs. Fort sanders regional's program is designed to help patients regain their strength and stamina. In 2016 the hospital recorded 1,278 admissions to the cardiology unit with 5,864 patient days. More information about cardiology services is on schedule o. Cardiovascular services: expenses - $36,302,480; revenue - $37,575,952fort sanders regional medical center's cardiology department is the recipient of the 2016 american college of cardiology foundation's ncdr action registry - 2016 gwtg platinum performance achievement award. The award recognizes the hospital's commitment and success in implementing a higher standard of care for heart attack patients. Honored hospitals have maintained a 90% or better performance of care guidelines for eight consecutive quarters. Fort sanders regional medical center is one of three "valve centers" in the covenant health system, allowing the most complex cardiovascular problems to be treated locally. Covenant health is also the first health system in east tennessee and only one of 10 in the entire state to offer tavr, a breakthrough procedure for replacing heart valves. State-of-the-art cardiac diagnosticsthere were 40,456 cardiac diagnostic procedures performed at fort sanders regional medical center's cardiology department in 2016. A fast, accurate diagnosis of a heart condition significantly improves a patient's chance for recovery after a heart attack. State-of-the-art diagnostic tools available at fort sanders regional include:* the area's first lightspeed 64-slice vct scanner captures an incredibly precise image of the heart in just five heartbeats. * vivid 7 echocardiography uses ultrasound to produce a moving cardiac image in real time. * nuclear stress tests find difficult-to-detect problems in the heart's outer covering. * electrocardiograms provide reliable diagnostics and stress tests performed right in the hospital assure immediate care if a problem is discovered. Minimally-invasive treatmentgreat strides have been made in minimally-invasive procedures for heart-related issues. Minimally-invasive procedures allow physicians to implant valves and repair holes in the heart wall without a major incision. *the new innova 2100-iq all-digital cath lab gives cardiologists unprecented image clarity to better view hard-to-see blood vessels, with less radiation exposure for patients and physicians. *radio frequency ablation controls rapid heartbeats with radio waves. *drug-eluting stents open blocked arteries and help prevent a recurrence of the blockage. Cardiovascular surgerycardiovascular surgery includes surgical procedures to correct abnormalities within the heart and/or great vessels. The hospital recorded 321 cardiology surgical cases in 2016. Some of the more common procedures are coronary artery bypass grafting, also referred to as cabg, which is a treatment option for clogged arteries, valve repair or replacement, correction of congenital heart defects, and repair of aortic aneurysyms. Robotically-assisted surgerythe da vinci robotics system gives surgeons the capability to perform select heart procedures without opening the patients chest and patients usually experience fewer side effects and faster recovery times. Cardiac rehabilitationheart patients often need to strengthen weakened heart muscles and learn heart-healthy practices. Fort sanders regional's complete cardiac rehabilitation outpatient program (crop) combines education, exercise, counseling, and more to help heart patients regain their functional capacity and reduce the possibility of future heart problems. In 2016 there were 14,632 cardiac rehabilitation visits recorded. Information for heart failure patientsfort sanders regional has developed a resource booklet for patients who are being treated for heart failure. This booklet includes details about heart failure, how it is diagnosed and treated, and lifestyle information for those seeking to be as healthy and active as possible while dealing with heart failure. The booklet also contains tracking sheets to record information that can be helpful for a patient and the healthcare provider, as well as a list of related resources and services within covenant health.

oncology services: expenses - $32,206,694; revenue - $33,989,045fort sanders regional medical center features extensive inpatient and outpatient oncology care provided by exceptional oncologists who practice throughout the knoxville area. In 2016 fort sanders regional medical center had 1,578 admissions to the oncology unit with 9,298 patient days. More information about oncology services is on schedule o. Oncology services: expenses - $32,206,694; revenue - $33,989,045the oncology center of excellence at fort sanders regional offers a comprehensive approach to patient care which minimizes patient disruption and maximizes clinical quality and efficiency. Each staff member on the oncology unit is uniquely trained in the care of cancer patients. The oncology team includes a dedicated oncologic pharmacist, dietitian, social worker, and rn case manager. This team communicates regularly to ensure excellent patient care from admission to discharge. From dietitians, to pharmacists and radiologists, to housekeeping staff, fort sanders provides oncology education to every employee who may come in contact with patients. By completing this 360-degree education, fort sanders provides better patient care. Within the oncology center of excellence, many of the nurses are oncology certified at a national level. Staff attends special lectures and conferences hosted by local and national medical oncologists and radiation oncologists to keep up with the newest innovative treatments available. Due to the close proximity of fort sanders regional medical center to thompson cancer survival center, the surgeons and staff at fort sanders regional work closely with the cancer center's multidisciplinary treatment teams in the collaboration of care and treatment plans for patients with chest and breast cancer. A team of cancer specialists in differing areas of expertise, including surgeons, gather and evaluate each patient's case to determine possible treatment options. Each specialist then meets individually with the patient to go over treatment choices and answer questions. The oncology center of excellence at fort sanders regional holds the prestigious certificate of approval from the commission on cancer. The commission on cancer certification is awarded only to facilities with oncology programs committed to providing the best comprehensive cancer care. The oncology nursing unit serves as the inpatient component of the accredited stem cell center based at the thompson cancer survival center. This stem cell treatment center in conjunction with our oncology nursing unit has accomplished accreditation by the foundation of accreditation for cellular therapy, also known as fact. As part of outpatient oncology care, fort sanders regional has two outpatient infusion centers in the area providing many of the chemotherapy medications for cancer patients. There were 6,777 visits to the infusion centers in 2016. Safety is the number one priority in the oncology center of excellence. Due to the nature and potency of the medications used in this area, strict safety processes are performed by doctors, pharmacists and certified nurses who work as a team to double and triple check these medications for accuracy. Nurses trained in chemotherapy work with oncologists to make sure each patient receives the correct chemotherapy drug, in the right dosage cycle, every time. Surgical oncology focuses on the surgical management of cancer. The medical staff at fort sanders regional medical center includes general surgical oncologists as well as thoracic surgical oncologists, gynecologic oncologists and other sub-specialists that specialize in treating cancer patients. Outcomes in surgical cancer care are positively associated to surgeon volume -- i. E. The more cancer cases a surgeon treats, the more proficient the surgeon becomes, thus improving overall outcomes and survival rates. In 2016 fsr had 466 surgical oncology cases. Fort sanders regional medical center, through the patricia neal rehabilitation center is the only place in east tennessee, and one of a handful in the country that offer a cancer rehabilitation program. The cancer program combines many of the rehabilitation techniques currently used for patients with brain and spinal cord injuries and strokes because the impairments cancer patients experience can be very similar to those of traumatic injuries. The health-care team includes:* each patient's personal physician * medical, radiation and surgical oncologists * physiatrists - doctors whose specialty is physical medicine and rehabilitation * rehabilitation nurses * physical, occupational and recreational therapists * psychologists * speech language pathologists * pharmacists * dietitians * case managers at patricia neal, the cancer rehab team creates a special care plan for each patient with the goal of helping patients regain as much ability and independence as possible. The center treats many of the impairments that can result from cancer, cancer surgery, radiation therapy, chemotherapy and other treatments. Patricia neal has a positive, encouraging atmosphere and is known for outstanding resources, from a rooftop therapy park to a computer life-skills lab. The center also offers:* fully-equipped therapy gyms * special adaptive equipment programs * animal therapy * support groups * community outings * family and caregiver training * tools to improve communication * adaptive driving programs* balance programs * an adaptive living apartment to ease the transition back to everyday life

as a full-service acute care hospital and regional referral center, fort sanders regional medical center treats patients across a broad spectrum of medical specialties in addition to those highlighted above.