Middlesex Hospital

Programs: In the fiscal year ending 9/30/2017, inpatient care represented 13,986 discharges and 56,486 patient care days. Armed with skilled staff, progressive diagnostic tools and advanced surgical techniques, the hospital was well positioned to ensure a comfortable, safe environment for exceptional medical treatment and recovery. Inpatient care from registration through discharge is carefully managed to exceed regulatory requirements and ensure quality, patient satisfaction, and best practice with each aspect of the inpatient experience, including all elements of care from nursing competency and compassion, to meal quality, lab and diagnostic testing, safe and secure physical surroundings to patient education. Middlesex hospital, licensed for 275 beds and 22 bassinets, provides acute care from dedicated health care teams which include surgeons, hospitalists, family practitioners and residents, medical staff physicians, magnet nurses, physician assistants, patient care technologists, diagnostic technicians, pathologists, administrators, environmental services, security, engineering and a host of others working together to enable the organization's success. The hospital units including intensive and critical care, medical surgical, oncology, orthopedic, pulmonology, vascular and cardiology, gastrointestinal, maternity, a 20 bed psychiatric floor, and hospice services specialize in the specific needs of their patients and are staffed to accommodate the unique treatment requirements of each. All ancillary services including labs, radiology, food services, pathology, pharmacy, medical transcription and information services too are a part of the hospital team. Patient care is developed with full consideration of the whole individual, as they are assigned to condition specific care pathways and services to secure best treatment and recovery.

middlesex hospital emergency department delivers care at the whalen emergency center at the hospital's main campus as well as two satellite sites located at the shoreline medical center in westbrook and the middlesex hospital medical center in marlborough. The emergency department treat and release visits for the fiscal year ending 9/30/2017 were 78,659. In each, emergency care is deployed by expert, board-certified emergency medicine doctors and specifically trained physician assistants, nurses, patient care technicians and other support personnel. Emergency care is provided 24 hours a day, 7 days a week. The departments are supported by a broad spectrum of diagnostic capabilities and sophisticated information systems. In addition to emergency care there are also isolation and decontamination areas in the emergency department and a helipad on site for life star medical helicopter transports. Middlesex hospital is committed to providing the highest standard of care for both the physical and behavioral health needs of our psychiatric patients. The emergency department at the hospital houses an eight bed emergency department crisis unit. Treatment is provided regardless of the patient's background or status. Ed services are staffed with clinical personnel specifically trained to care for the unique needs of their patients (psychiatrists, staff nurses, patient care technicians/mental health workers, secretaries, nurse educator, social workers, cotas, ot and others). Together the staff partners with hospital staff and community resources to develop the best care plan for patients throughout their stay in the hospital and upon discharge. In fy 17, the emergency room activity accounted for 78,659 emergency department visits. Demand continues to rise and the services provided continue to be recognized for continuous patient satisfaction in particular as a recipient of the press ganey summit award for achieving a 99% customer satisfaction rating for twelve consecutive years.

the hospital's homecare department makes over 96,000 revenue generating visits a year to community residents. Homecare is staffed with specialty nurses, home health aides, physical therapists, occupational therapists, speech therapists, medical social workers and nutritionists to meet the physical and behavioral health needs of patients cared for in their homes and outside the hospital setting. Homecare services include: specialized cardiac care; including tele monitoring and the heart smart program (a multidisciplinary program which includes the full spectrum cardiac self management support and clinical care), full spectrum geriatric care, infusion therapies, lifeline services, and a significant range of respiratory, pulmonary and medical rehabilitation services as well as providing outpatient hospice and palliative services throughout the community. The homecare department generously provides community health services including flu shots, health fairs, and coordination of linkages with meals on wheels, transportation, adult day care and other services on contract with local organizations.

other services incorporate a wide range of care provided to patients that are not specifically captured in the three largest categories. This designation accounts for approximately 500,000 visits. These services include care provided at the cancer center such as diagnostic testing, treatment and such supports as alternative medicine therapies/integrative medicines, and hereditary risk assessments. Physical medicine and rehabilitation services also are folded into this grouping. Services are available at multiple locations which offer comprehensive rehabilitation and occupational medicine and physical therapy (including hand therapy) services. Care is delivered by experienced, highly-qualified staff, with advanced training in physical and occupational therapy, speech language pathology and related fields. In each clinical case, patients are evaluated and receive a unique treatment plan, which includes desired goals, anticipated outcomes and the time frame necessary to achieve clinically optimal results. Additional services are available by the wound and skin team at middlesex hospital. The multidisciplinary team provides treatment which focuses on clinical wound, ostomy and skin issues. The hospital has careful and ongoing services for individuals with chronic diseases. A sampling of such programs include pulmonary rehabilitation services which provide respiratory therapy and care for patients with chronic obstructive pulmonary disease as well as diabetes education and medical nutrition therapy at the center for chronic care management provided to individuals with a new diagnosis and uncontrolled diabetes. Many behavioral health services are provided to patients in the outpatient setting in addition to counseling and support groups. Programs include the day treatment program (intensive outpatient services for adults, geriatric patients, and dually-diagnosed patients), services at the outpatient center for behavioral health (psychotherapy and medication management for adults) and the family advocacy program (mental health treatment for patients under 18 years old and their families). In fiscal year ending 9/30/2017, there were 7,331 revenue generating ambulatory surgery cases from endoscopy/colonoscopy to orthopedic and other outpatient procedures. Ambulatory or outpatient surgery is performed at middlesex hospital and the middlesex outpatient center.