JOHN MUIR HEALTH
1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597 www.johnmuirhealth.com

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Organizations Filed Purposes: THE MISSION OF JOHN MUIR HEALTH IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION. JOHN MUIR HEALTH OFFERS THE COMMUNITY A NETWORK OF PRIMARY CARE AND SPECIALTY PHYSICIANS, TWO MEDICAL CENTERS, INCLUDING THE COUNTY'S ONLY TRAUMA CENTER AND A BEHAVIORAL HEALTH CENTER. THE HEALTH SYSTEM ALSO OFFERS A FULL-RANGE OF MEDICAL SERVICES, INCLUDING PRIMARY CARE, OUTPATIENT AND IMAGING SERVICES, AND IS WIDELY RECOGNIZED AS A LEADER IN MANY SPECIALTIES - NEUROSCIENCES, ORTHOPEDIC, CANCER, CARDIOVASCULAR, TRAUMA, EMERGENCY, PEDIATRICS AND HIGH-RISK OBSTETRICS CARE.

JOHN MUIR HEALTH IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION.

THE CORE OF JOHN MUIR HEALTHS SERVICE TO THE COMMUNITY IS IN ITS GENERAL MEDICINE AND SURGERY PROGRAM, WHICH PROVIDES COMPREHENSIVE CARE FROM EMERGENCY TO HIGH LEVEL CRITICAL CARE TO DISCHARGE SUPPORT AND HOME HEALTH PATIENTS WITH A VARIETY OF CONDITIONS. JOHN MUIR MEDICAL CENTER, WALNUT CREEK SERVES AS THE ONLY COUNTY-DESIGNATED TRAUMA CENTER FOR THE AREA, WORKING CLOSELY WITH LOCAL EMERGENCY SERVICES LEADERS. THE JMH TRAUMA CENTER RECEIVED THE AMERICAN COLLEGE OF SURGEONS COMMITTEE ON TRAUMA UNCONDITIONAL RE-VERIFICATION AS A LEVEL II TRAUMA CENTER. JMH TRAUMA CENTER BECAME THE FIRST TRAUMA CENTER IN NORTHERN CALIFORNIA TO OFFER WHOLE BLOOD TRANSFUSION, WAS RE-DESIGNATED AS CONTRA COSTAS ONLY TRAUMA CENTER FOR TEN YEARS WITH AUTOMATIC RENEWAL EVERY YEAR THEREAFTER. NATIONAL RECOGNITIONS RECEIVED IN 2019 INCLUDE: (1) RECOGNITION OF JOHN MUIR HEALTH WALNUT CREEK MEDICAL CENTER BY U.S. NEWS & WORLD REPORT FOR THE 13TH YEAR IN A ROW AS ONE OF "AMERICAS BEST HOSPITALS." NEPHROLOGY, ORTHOPEDICS AND PULMONOLOGY & LUNG SURGERY SERVICES AT THE WALNUT CREEK CAMPUS WERE RECOGNIZED AS AMONG THE TOP 50 IN THE UNITED STATES. (2) RECOGNITION BY U.S. NEWS & WORLD REPORT OF EIGHT SERVICES COMBINED AND NINE ADULT PROCEDURES AND CONDITIONS COMBINED AS HIGH PERFORMING AT JOHN MUIR HEALTHS WALNUT CREEK AND CONCORD MEDICAL CENTERS. (3) FOR THE THIRD STRAIGHT YEAR, THE CONCORD MEDICAL CENTER WAS ONE OF ONLY 57 HOSPITALS NATIONWIDE (APPROXIMATELY 1%) TO RECEIVE A HIGH PERFORMING RATING IN ALL NINE ADULT PROCEDURES AND CONDITIONS EVALUATED. (4) U.S. NEWS & WORLD REPORT ALSO RANKED THE WALNUT CREEK MEDICAL CENTER #2 AND CONCORD MEDICAL CENTER #3 OUT OF 44 HOSPITALS IN THE SAN FRANCISCO METRO AREA BASED ON PATIENT SURVIVAL, PATIENT SAFETY, AND CARE-RELATED FACTORS SUCH AS NURSING AND PATIENT SERVICES, AND REPUTATION. THE TWO HOSPITALS WERE ALSO RANKED #13 AND #15 IN CALIFORNIA OUT OF 400 ACUTE CARE HOSPITALS. (5) JOHN MUIR HEALTHS CONCORD AND WALNUT CREEK MEDICAL CENTERS ALSO EARNED THE DESIGNATION OF BEST REGIONAL HOSPITALS BY U.S. NEWS & WORLD REPORT. (6) THE WALNUT CREEK MEDICAL CENTER WAS NAMED ONE OF AMERICAS 50 BEST HOSPITALS BY HEALTHGRADES FOR THE SIXTH STRAIGHT YEAR (TOP 1% OF HOSPITALS NATIONWIDE), AND RECEIVED RECOGNITION AS A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE FOR THE TENTH CONSECUTIVE YEAR. (7) THE CONCORD MEDICAL CENTER WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICAS TOP 50 HOSPITALS FOR CARDIAC SURGERY AND ONE OF AMERICAS TOP 100 HOSPITALS FOR JOINT REPLACEMENT. (8) THE WALNUT CREEK MEDICAL CENTER RECEIVED FOUR CLINICAL EXCELLENCE AWARDS FROM HEALTHGRADE, AND, COMBINED, THE TWO MEDICAL CENTERS HAD 19 FIVE-STAR RATINGS FOR SERVICES, PROCEDURES AND TREATMENTS. (9) NEWSWEEK RANKED THE WALNUT CREEK AND CONCORD MEDICAL CENTERS AS TWO OF THE BEST IN THE U.S. AND AS TWO OF WORLDS BEST 1,000 HOSPITALS. (10) BOTH MEDICAL CENTERS RECEIVED 'A' SAFETY GRADES FROM LEAPFROG. OUR PROGRAM EMPHASIS IN 2019 WAS ON CONTINUED OUTREACH TO UNINSURED, UNDERSERVED, AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS, SUCH AS THE DENTAL COLLABORATION OF CONTRA COSTA COUNTY, MOBILE HEALTH CLINIC, AND SUPPORT FOR OPERATION ACCESS, VIOLENCE PREVENTION, CONTRA COSTA CARES, AND ELEMENTARY SCHOOL-BASED NURSING.

CARDIOVASCULAR IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. CARDIOVASCULAR AWARDS AND ACCREDITATION IN 2019 INCLUDES: CHEST PAIN MI REGISTRY: JOHN MUIR MEDICAL CENTER - CONCORD AND WALNUT CREEK ARE THE RECIPIENTS OF THE CHEST PAIN MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2019. THE AWARD RECOGNIZES A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS AND SIGNIFIES THAT JMH HAS REACHED AN AGGRESSIVE GOAL OF TREATING THESE PATIENTS TO STANDARD LEVELS OF CARE AS OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION CLINICAL GUIDELINES AND RECOMMENDATIONS. TO RECEIVE THE CHEST PAIN MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD, JMH HAS DEMONSTRATED SUSTAINED ACHIEVEMENT IN THE CHEST PAIN MI REGISTRY FOR EIGHT CONSECUTIVE QUARTERS AND HAS PERFORMED AT THE TOP LEVEL OF STANDARDS FOR SPECIFIC PERFORMANCE MEASURES. GET WITH THE GUIDELINES HEART FAILURE: JOHN MUIR MEDICAL CENTERS CONCORD AND WALNUT CREEK HAVE BOTH EARNED THE 2019 GET WITH THE GUIDELINES - HEART FAILURE GOLD PLUS QUALITY ACHIEVEMENT AWARD. THIS AWARD RECOGNIZES BOTH MEDICAL CENTERS COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGH STANDARD OF HEART FAILURE CARE BY ENSURING THAT OUR HEART FAILURE PATIENTS RECEIVE TREATMENT THAT MEETS NATIONALLY ACCEPTED, RESEARCH-BASED GUIDELINES FOUNDED IN THE LATEST SCIENTIFIC EVIDENCE. THE GOAL IS SPEEDING RECOVERY AND REDUCING HOSPITAL READMISSIONS FOR HEART FAILURE PATIENTS. CALIFORNIA REPORT ON CORONARY ARTERY BYPASS GRAFT SURGERY: THE CALIFORNIA REPORT ON CORONARY ARTERY BYPASS GRAFT (CABG) SURGERY 2015-2016: HOSPITAL AND SURGEON DATA WAS RELEASED BY THE CALIFORNIA OFFICE OF STATEWIDE PLANNING AND DEVELOPMENT IN MARCH OF 2019. JOHN MUIR MEDICAL CENTER CONCORD IS ONE OF ONLY TWO HOSPITALS IN THE STATE, AND THE ONLY ONE IN THE BAY AREA, PERFORMING SIGNIFICANTLY 'BETTER' THAN THE STATE AVERAGE IN CABG MORTALITY OUTCOMES. THIS PUBLIC REPORT PROVIDES QUALITY RATINGS FOR THE 126 CALIFORNIA-LICENSED HOSPITALS PERFORMING CORONARY ARTERY BYPASS GRAFT (CABG) SURGERY IN ADULTS DURING 2015 AND 2016, THE MOST RECENT DATA PUBLISHED. U.S. NEWS & WORLD REPORT: FOR THE THIRD STRAIGHT YEAR, CONCORD MEDICAL CENTER WAS ONE OF ONLY 57 HOSPITALS NATIONWIDE (APPROXIMATELY 1%) TO RECEIVE A HIGH-PERFORMING RATING IN THE FOLLOWING ADULT PROCEDURES AND CONDITIONS -- ABDOMINAL AORTIC ANEURYSM REPAIR, AORTIC VALVE SURGERY, HEART BYPASS SURGERY AND HEART FAILURE. SOCIETY OF THORACIC SURGEONS (STS) 3 STAR RATING: JOHN MUIR HEALTHS CARDIAC SURGERY PROGRAM RECEIVED A 3 STAR RATING IN THE CORONARY ARTERY BYPASS GRAFT COMPOSITE SCORE, AORTIC VALVE REPLACEMENT COMPOSITE SCORE AND THE MITRAL VALVE REPAIR AND REPLACEMENT COMPOSITE SCORE. THE SOCIETY OF THORACIC SURGEONS HAS DEVELOPED A COMPREHENSIVE RATING SYSTEM FOR THE QUALITY OF CARDIAC SURGERY AMONG HOSPITALS ACROSS THE COUNTRY. APPROXIMATELY 12-15% OF HOSPITALS RECEIVED THE '3-STAR' RATING, WHICH DENOTES THE HIGHEST CATEGORY OF QUALITY. HEALTHGRADES OUTSTANDING QUALITY RECOGNITION: CONCORD MEDICAL CENTER RECEIVED A 2019 QUALITY RECOGNITION FROM HEALTHGRADES, RANKING AMONG AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY. THIS REPRESENTS THE TOP 1% OF HOSPITALS IN THE UNITED STATES. HEALTHGRADES AMERICA'S BEST HOSPITALS IS BASED SOLELY ON CLINICAL QUALITY OUTCOMES FOR 32 CONDITIONS AND PROCEDURES. THIS PREMIER DISTINCTION REWARDS HOSPITALS THAT CONSISTENTLY EXHIBIT EXCEPTIONAL, COMPREHENSIVE CARE. BLUE DISTINCTION CENTER DESIGNATION: CONCORD MEDICAL CENTER IS RECOGNIZED AS BLUE DISTINCTION CENTER FOR CARDIAC CARE.

WOMENSS AND CHILDRENS SERVICES IS THE THIRD LARGEST PROGRAM WITHIN JOHN MUIR HEALTH. THE PEDIATRIC INTENSIVE CARE UNIT AT THE WALNUT CREEK MEDICAL CENTER IS CERTIFIED BY THE CALIFORNIA CHILDRENS SERVICES. ACCOMPLISHMENTS IN 2019 INCLUDES: (1) SELECTION BY THE AMERICAN ACADEMY OF PEDIATRICS VIP NETWORK AS A SITE TO PARTICIPATE IN THE QI COLLABORATIVE TO STANDARDIZE THE USE OF IV FLUIDS AND REDUCE LABORATORY TESTING. (2) IMPLEMENTED THE USE OF VIRTUAL REALITY GOGGLES AND THE SEVO THE DRAGON SYSTEM TO BE USED AS A DETRACTION TECHNIQUE WHEN CHILDREN ARE UNDERGOING PROCEDURES. (3) ALL DAY PEDIATRIC SPECIALTY SEMINAR PRESENTED TO THE SCHOOL NURSES FROM MT. DIABLO SCHOOL DISTRICT. SPECIALTIES INCLUDED WERE PEDIATRIC ENDOCRINOLOGY, CARDIOLOGY, GI, ORTHOPEDICS/SPORTS MEDICINE AND SPINE TREATMENT. (4) ON BOARDING OF MULTIPLE PEDIATRIC SUB SPECIALTIES. (5) ON MAY 1, 2019, THE NICU CELEBRATED 3 YEARS OF BEING CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI) FREE. (6) JOHN MUIR HEALTH RECEIVED APPROVAL FROM CALIFORNIA CHILDRENS SERVICES TO TRIAL THE NEONATAL SURGICAL PROGRAM. (7) IMPLEMENTED THE VOLUNTEER CUDDLER PROGRAM AT NICU. THIS WAS MADE POSSIBLE THROUGH A GRANT FROM HUGGIES. (8) PEDIATRIC AND PICU NURSES PARTICIPATED IN THE SUMMER FUN THURSDAYS SERIES HELD AT SUN VALLEY MALL, CONCORD. INFORMATION PRESENTED TO FAMILIES INCLUDED WATER SAFETY, SUN SAFETY, BIKE SAFETY AND NUTRITION. (9) JOHN MUIR HEALTH AND THE JUVENILE DIABETES RESEARCH FOUNDATION PARTNERED TO PROVIDE A TYPE 1 DIABETES TECH TALK TO ADULTS AND CHILDREN WITH TYPE 1 DIABETES. (10) ON BOARDED A NEW RN MANAGER FOR THE PEDIATRIC ACUTE CARE UNIT AND PICU.

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