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University Medical Center--Las Vegas, NV--Health Information 2/6/92 [OA 7567] [1]
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University Medical Center--Las Vegas, NV--Health Information 2/6/92 [OA 7567] [1]
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Folder Title:
University Medical Center--Las Vegas, NV--Health Information 2/6/92 [OA 7567] [1]
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3
1
National Hospital week
May 10- May 16
- - focus puts attention hospital
makes to the community
Sponsor : American Hospital Assor.
840 N.Lake shore Dr.
Chicago, Ill 60611
800-621-9212
Tom SCULLEY - -OMB
395- 5178
THE WHITE HOUSE
Office of the Press Secretary
(Las Vegas, Nevada)
February 6, 1992
For Immediate Release
REMARKS BY THE PRESIDENT
TO MEDICAL CENTER STAFF AND GUEST
University Medical Hospital
Las Vegas, Nevada
5:25 P.M. PST
THE PRESIDENT: Thank you all very much. And again, I
apologize if we've kept this distinguished group, busy people,
waiting. But we're delighted to be here. It's kind of a hit-and-
run day. It started in Cleveland where I announced the fundamentals
of a new national approach for health care, which I intend to work
very hard for. But I want to thank Dr. Brandness and single out the
Governor of the state who has been most hospitable to me since we've
been here. Also Barbara Vukanovich who is a Congressman here, a
great friend of mine of longstanding -- and simply say that I'm very
pleased to be here to thank all of you for this afternoon's tour.
You can't help but when you walk through these halls and
see the incredible work and dedication of the people, as we saw both
at the neonatal care and the burn care center -- you can't help but
count your blessings for those who are devoting their lives to
helping others. When you see somebody treating babies like that,
tiny preemies or those ravaged by burns, it just, at least in my
heart, evokes tremendous gratitude and admiration for what you do.
So I hope you know that people outside the medical profession are
extraordinarily grateful to those who give of themselves as you all
do.
I did release this comprehensive health care program
earlier today. And let me just, without giving you the full load,
summarize a little bit. I know you're used to extended debates about
health care. You probably get a lot of requests for free advice on
this subject and many others. But I think everyone understands that
sometimes -- understands all of you do something that politicians
sometimes forget, and that is that America's medical system offer the
best care in the world.
It's not simply that we start with the scientific and
research end with far more Nobel Prize winners in medicine than any
other country. It is just generally the quality of care. And when
people from other countries seek the best possible care, you just
have to look, where do they go? Well, they come to the United States
of America.
And with all the problems and all the breathless press
reports about health care, I think of the guy who got in a car
accident. And when he got to the hospital, the doctor set his broken
bones, examined him carefully and assured him that he could go home
the next day.
The next day came and the doctor rushed to the patient's
room, with a look of great anxiety and concern. "Is something
wrong?" the patient said. The doctor replied, "I'm not sure. Just
to be safe, I'd like you to stay another day. You see, I didn't know
how badly you were injured until I read about your accident in the
newspaper.' (Laughter.)
MORE
- 2 -
Well, there's a parallel here. Reports of the demise of
American medicine, in my view, are greatly exaggerated. And I will
repeat, American medicine is the best in the entire world. My
comprehensive health care plan builds on the strengths -- on these
strengths -- of our medical care system. I will not endorse, nor go
with a nationalized -- they used to say socialized medicine -- a
nationalized plan that will guarantee only long lines, indifferent
service, and very high taxes.
And I've worked hard to come up with a plan that will
work. And that's the plan that we are proposing. It addresses
Americans' basic concerns about health care -- that too many people
don't have access to care. I think we could all agree on that, that
it costs too much and that you can't be sure of keeping coverage if
you change your job or you or someone in your family has an illness
or an injury. This plan ensures that every worker, regardless of
health status, can get health care coverage, can choose providers,
can afford care, and can keep it.
Let me just outline the plan in brief for you. It's got
four points. One, we make health care affordable by offering a
health insurance tax credit, a voucher, to low-income individuals and
families, and then a health insurance tax deduction to middle-income
individuals and families. Poor people who pay no taxes at all are
covered, and they'll get insurance for free. These measures will
help 95 million Americans purchase the health insurance that they
need.
Two, we improve the efficiency of our system by
reforming the insurance system and developing what we call health
insurance networks. You probably refer to it as pooling. These
networks will improve efficiency and they literally will help drive
insurance costs down. We make consumers of health care better able
to compare costs, keep competition in the health care system.
Three, we're going to work hard to wring out the waste
and excess. And we start by putting a lid on these outrageous
medical malpractice lawsuits. Over the past decade, malpractice
insurance -- the premiums have risen by an average of more than 15
percent per year. This national epidemic of lawsuits has persuaded
some doctors to avoid such vital specialties as surgery or
obstetrics. America's love for the lawsuit has just got to stop.
And we've got legislation up there trying to do something about it.
(Applause.) And it really is important in cost control, as everyone
knows. It's very, very fundamentally important in how we pay for the
whole program.
Fourth, we're going to get the growth of federal health
programs under control. This isn't easy politically. But we've got
to do it. Medicaid went up 38 percent this year alone. And we'll
encourage major innovation at the state and local levels, and we'll
do this without cutting benefits, and I believe it can be done
without raising taxes.
America has been blessed by the world's best doctors,
the best hospitals -- I heard today how this hospital has been able
to battle down the costs, eliminating some of the deficit that has
been around. We've got the finest training institutions in this
country -- really, we have the finest. And this plan will not
undermine this base of quality and excellence. You don't need your
hands bound by red tape, either, and you don't need these
stethoscopes replaced by federal millstones. (Applause.)
Having been around hospitals and blessed by seeing
loving care for our kids, I am absolutely convinced that the medical
profession is dedicated to the concept of service. This debate must
not diminish that, must not take that away from the medical community
at all. And I think you need our support. Everyone has got to play
a part. I'm prepared to play mine in building a healthier nation.
- 3 -
Every hospital depends also, as we all know, not just on
professionals, but also on volunteers. And you know this better than
anyone -- all of you do. Hundreds of thousands of people across this
country, in literally hundreds of thousands of groups and
organizations give their time to make medical care accessible to
others. And every community relies not just on professionals, not
just on physicians, but also on teachers, on counselors, on nurses,
people giving of themselves to help others along the path to good
health. Our Secretary of HHS, Dr. Lou Sullivan, has talked
eloquently about the rule of character in health. He's mounted an
effective campaign to encourage preventive care. He teaches people
about good habits, decent behavior, promotes the cause of
immunization.
Celebrities, including my friend, Arnold Schwarzenegger,
promote active, healthy lifestyles. I might say a word about him.
He's head of our Commission on Fitness, and he's taken it very
seriously. He's gone to 28 states, all pro bono, and taken a message
out there that the young people of this country are responding to.
So lifestyle is important. And I don't know about you, but when
Arnold says exercise, I exercise. (Laughter.) The point I'm trying
to make is that everyone has a role. And this plan really encourages
everyone to work together.
And so I just again want to thank the doctors across
this country, using all of you as the audience here today, but others
-- not just here, but around the country, for the careers that you've
embarked on and are ennobling, on the challenge that you've chosen.
And I am determined to push for a health care plan that will work. I
think we've got it, and I think we can do it without diminishing,
losing the wonder of individual initiative and excellence. That's
the hallmark, that's the underpinning of this plan, and needless to
say, I don't want to see this many influential people assemble
without putting in a pitch for it.
So please help us if you can if you agree with US. And
thank you for what's been a wonderful few minutes for me in a busy
day -- started in Cleveland where we went to a hospital in Cleveland
and talked in a little more detail about this plan -- then here today
and San Diego tomorrow, going in this evening. But it's been a
joyous day for me. And thank you for what you do in helping other
people across this country. Thank you so much. (Applause.)
END
5:35 P.M. PST
UNIVERSITY MEDICAL CENTER
AFFILIATED WITH THE UNIVERSITY.OF NEVADA SCHOOL OF MEDICINE
BOARD OF TRUSTEES
William U. Pearson, Chairman
Don Schlesinger, Vice Chairman
Jay Bingham
Paul J. Christensen
Thalia M. Dondero
UMC
Karen Hayes
Bruce L. Woodbury
MODERN TRAUMA CENTER AND PEDIATRIC E.R. BEING DEVELOPED AT
UNIVERSITY MEDICAL CENTER IN LAS VEGAS, NEVADA
CONSTRUCTION IS ACCOMPANIED BY A MAJOR FUND-RAISING EFFORT
Construction is underway at University Medical Center on the
nation's most modern trauma treatment center and the first pedia-
tric emergency department in the state.
The construction project is paralleled by a major fund raising
effort by the University Medical Center Foundation which has
pledged to generate the funds needed to equip the new facility.
During the past year the Foundation has raised more than $1.3
million for the purchase of equipment.
"Providing our major not-for-profit hospital and major medical
teaching center with support in acquiring this needed technology
should be a community concern,' said Diane Dickerson Merica,
chairman of the UMC Foundation. "Anyone of us, for example,
could become a trauma victim and we would be just as concerned
about having that service available as we are about having
police and fire protection."
Located adjacent to the hospital, the new trauma/pediatric center
will include a number of specialized services.
The first floor of the five story building will be devoted solely
to trauma care and will house five major trauma resuscitation
rooms; six longer term evaluation beds; three operating rooms,
including one dedicated to repairing heart injuries; a 14-bed
intensive care unit; and a high-speed CT scanner designed for use
with trauma patients, and a digital angiography room.
The second floor of the building will house the Medical Center's
new pediatric department including a 14-bed intensive care unit,
an intermediate care unit, and general pediatric beds.
The third floor will house Nevada's first pediatric emergency
department, pediatric ambulatory care facilities and laboratories
and offices for the University of Nevada School of Medicine's
Department of Pediatrics.
UNIVERSITY MEDICAL CENTER
1800 W. Charleston Blvd.
Las Vegas, Nevada 89102
(702) 383-2000
An Equal Opportunity (including the handicapped) - Affirmative Action Employer
University Medical Center was designated in 1988 as the Level II
Trauma Center for Southern Nevada. The .hospital is currently
treating more than 2,000 trauma patients annually.
"The importance of this facility and the type of care it will
deliver is obvious when you look at the statistics which lists
trauma as the number one killer of people 44 years of age and
younger, " said Dickerson Merica.
"We want to make this the premier facility of its kind in the
entire United States" added Dickerson Merica. "This will be a
major asset to our community for years to come and we want the
community to be a part of making it a reality."
The new trauma and pediatric center will open this year.
For additional information about the Foundation's fund-raising
efforts, please call 383-2326.
Burn Unit x 2268
VICKI HEDDERMAN
celebrating Burn
awarem3, week in the
burn unit@ umc
2/6/92
(702) 383-2203
Las Vegas, Nevada 89102
1800 W. Charleston Boulevard
OF SOUTHERN NEVADA
UNIVERSITY MEDICAL CENTER
Chief Executive Officer
DAVID R. BRANDSNESS
UNIVERSITY MEDICAL CENTER
UMC SOUTHERN NEVADA
Doug McKinze
Kelly Bannon Med. Center start nat" it's bum awareness SNOW/BUNTON week
[*96 38 220]
f tour center
VEGAS1
DRAFT ONE
FEBRUARY 4, 1992
new
PRESIDENTIAL REMARKS: HEALTH CARE
UNIVERSITY MEDICAL Genter HOSPITAL
210
LAS VEGAS, NEVADA
THURSDAY, DECEMBER 6, 1992
4 P.M.
Brandness intro Chut admin for hosp.
50-60 drs physician
4:45
Februag
may be a few students LV
[Acknowledgments)] Wayne Newton @ Hiton, Robert Goulet -e Dunes
I've got to admit, there's something about Las Vegas that
makes me feel as if my speech should be preceded by a warm-up
act. [mention one of the local headliners]
As you may know, I released my comprehensive health care
plan earlier today. I've come here to see what you do, and to
talk about how my plan fits into your work.
Now, I know you're used to extended debates about health
care. You probably can't get through a family reunion with at
understand something that politicians sometimes forget: That
America's medical system offers the best care in the world. When
Tsshe 86, 87, not 90% procein
decish not to due one
lan
least a dozen requests for free advice. 11 But family members
people from other countries seek the best possible care, they
come here. That includes many of our Canadian neighbors.
With all the complaints and all the breathless press stories
about health care -- I think of a story about a fellow who got in
a car accident. When he got to the hospital a doctor quickly set
-Dave
[not a
his broken bones, examined him carefully and told him he could go
home the next day.
kalbangh
BOARD OF TRUSTEES
William U. Pearson. Chairman
Don Schlesinger. Vice Chairman
Jay Bingham
Paul J. Christensen
Thalia M. Dondero
Karen Hayes
UMC
Bruce L. Woodbury
ITEM OF INTEREST
Monday, January 27, 1992
UNC RECEIVES LEVEL III NEONATAL DESIGNATION - THE HIGHEST
CERTIFICATION OF NEWBORN CARE GRANTED BY THE STATE University
Medical Center's nursery has received designation from the state
of Nevada as a Level III neonatal center, the highest
certification of newborn care granted by the state.
Designation by the state required that the Medical Center meet an
exhaustive list of regulations and requirements for newborn care
and is the culmination of a project that started late in 1990
with remodeling of UMC's nursery facilities. That project
expanded the neonatal capabilities from 18 Level II neonatal beds
to 28 Level III beds.
UMC's nursery, as requirement of designation, is staffed around
the clock by a neonatologist, a pediatrician who specializes in
the treatment of newborns. UMC now has four staff
neonatologists.
The neonatal unit is an intensive care unit for newborns and is
equipped with advanced monitoring equipment that constantly
keeps check of a baby's heart rate, respiration, and blood oxygen
levels. High-tech radiant warmers and isolettes also are
utilized to maintain a baby's body temperature and comfort.
The nurses that staff the unit all have advanced training in
neonatal life support. The nursery also serves as a teaching
center for family practice and obstetric residents and University
of Nevada School of Medicine students.
Care of neonatal patients at UMC involves a multidisciplinary
approach utilizing a team of physicians, nurses, clinical
pharmacists, respiratory therapists, clinical nutritionists and
an infant developmental team that includes speech, physical and
occupational therapists, and a medical social worker.
UNIVERSITY MEDICAL CENTER
1800 W. Charleston Blvd.
Las Vegas, Nevada 89102
(702) 383-2000
An Equal Opportunity (including the handicapped) - Affirmative Action Employer
As a result of designation sick and premature newborns may be
transported to UMC from other hospitals for advanced care. These
infants would be transported aboard the Medical Center's Critical
Care Transport Unit (CCTU).
The CCTU is an intensive care unit on wheels equipped with state
of the art medical monitoring systems that enable its team of
critical care transport nurses to provide advanced treatment for
neonatal patients, critically ill or injured children and adults,
and obstetrical patients.
The purpose of the transport unit is to provide a safe,
comfortable mode of transportation for patients from hospitals in
outlying communities to UMC where specialized treatments and an
advanced level of care are available.
11:30 BOSTAPPING am
SNOW/BUNTON
VEGAS2
DRAFT TWO
FEBRUARY 4, 1992
PRESIDENTIAL REMARKS: HEALTH CARE
UNIVERSITY MEDICAL HOSPITAL
LAS VEGAS, NEVADA
THURSDAY, FEBRUARY 6, 1992
4 P.M.
Thank you all, and thank you, Dr. Brandness for that
introduction.
This is an extraordinary medical center, and I want to thank
you for this afternoon's tour. Let me tell you, no one who walks
through these halls, and sees the incredible work you do in the
neonatal care unit and the burn unit -- no one who sees you
treating young babies or helping those ravaged by horrible burns
-- can have anything but the greatest admiration and gratitude
for what you do. I know that this is National Burn Awareness
week. 11
As you know, I released my comprehensive health care
proposal earlier today. I'd like to talk a few minutes about how
that plan fits into your work.
Now, I know you're used to extended debates about health
care. You probably can't get through a family reunion without at
least a dozen requests for free advice. 11 But your families
understand something that politicians sometimes forget:
America's medical system offers the best care in the world. When
people from other countries seek the best possible care, they
come here. That includes many of our Canadian neighbors.
2
With all the complaints and all the breathless press stories
about health care -- I think of the story about a fellow who got
in a car accident. When he got to the hospital a doctor set his
broken bones, examined him carefully and assured him he could go
home the next day.
But when the next day came, the doctor rushed into the
patient's room, with a look of great anxiety and concern. "Is
something wrong?" the patient asked.
The doctor replied. "I'm not sure. Just to be safe, I'd
like you to stay another day. You see, I didn't know how badly
you were injured until I read about your accident in the
newspaper. "
Well, reports of the demise of American medicine are greatly
exaggerated. My comprehensive health care plan builds on the
many strengths of our medical care system. I don't want to roll
the dice -- that's a local reference -- on a nationalized plan
that can guarantee only long lines, indifferent service, and very
high taxes. I want a plan that will work.
That's my plan. It addresses Americans' basic concerns
about health care: that it costs too much; that you can't always
get access to care -- or if you do, you can't choose the doctors
you want; and that you can't be sure of keeping coverage if you
lose your job or fall victim to a debilitating injury or illness.
My plan ensures that everyone -- regardless of employment or
health status -- can get health care coverage, can choose
providers, can afford care, and can keep it.
3
Here's my four-point plan in brief. One: We make health
care affordable by offering a health-insurance credit to low-
income individuals and families, and a health insurance tax
deduction to middle income individuals and families. These
measures will help 95 million Americans purchase the health
insurance they need.
Two: We improve the efficiency of our system by developing
health insurance networks. These networks drive costs down.
Three: We wring out waste and excess -- and we start by
putting a lid on outrageous medical malpractice lawsuits. Our
legal system too often treats healers like criminals -- and it
persuades dedicated doctors not to pursue such vital specialties
as surgery or obstetrics. Over the past decade, medical
malpractice insurance premiums have risen by an average of more
than 15 percent per year. That's just insane.
Four: We'll get federal health programs under control, and
encourage innovation at the state and local levels -- without
cutting benefits and without raising tax rates.
America has been blessed by the world's best doctors, and
the world's finest training institutions. My health care plan
will reward your hard work. American doctors don't need their
healing hands bound by red tape. You don't need your
stethoscopes replaced by federal millstones. You need the
freedom to serve others.
You also need support. Everyone must play a part in
building a healthier nation.
4
Every hospital depends not just on professionals, but also
on volunteers. Every community relies not just on physicians,
but also on teachers, counselors, nurses -- people who teach, who
show others the path to good health.
My Secretary of Health and Human Services, Dr. Louis
Sullivan, has talked eloquently about the role of character in
health. He has mounted an effective campaign to encourage
preventive care. He teaches people about good habits, and
promotes the cause of immunization. Celebrities, including
Arnold Schwarzenegger, promote active, healthy lifestyles. I
don't know about you, but when Arnold says, "Exercise!" I do it.
The point is, everyone has a role. And my plan encourages
everyone to work together.
Congratulations on the challenging and noble careers you
have chosen. Together, we'll make the world's best health care
system even better -- and we'll show the world once again that
there's nothing Americans can't do.
Thank you. May God bless you and the United States of
America.
####
Kelly Gannon
Med. Center stall not". it's burn awareness SNOW/BUNTON week
center
VEGAS1
DRAFT ONE
[*** 38 220]
FEBRUARY 4, 1992
PRESIDENTIAL REMARKS: HEALTH CARE
UNIVERSITY MEDICAL Genter HOSPITAL
210
LAS VEGAS, NEVADA
THURSDAY, DECEMBER 6; 1992
4 P.M.
Brandness into admin for how
50-60 drs /physician
4:45
Februag
may be a few students LV
[Acknowledgments] Wayai Newton --- @ Haton, Robert Goulet e Dunes
I've got to admit, there's something about Las Vegas that
makes me feel as if my speech should be preceded by a warm-up
act. [mention one of the local headliners]
As you may know, I released my comprehensive health care
plan earlier today. I've come here to see what you do, and to
talk about how my plan fits into your work.
Now, I know you're used to extended debates about health
care. You probably can't get through a family reunion with at
least a dozen requests for free advice. 11 But family members
understand something that politicians sometimes forget: That
America's medical system offers the best care in the world. When
people from other countries seek the best possible care, they
come here. That includes many of our Canadian neighbors.
With all the complaints and all the breathless press stories
about health care -- I think of a story about a fellow who got in
a car accident. When he got to the hospital a doctor quickly set
his broken bones, examined him carefully and told him he could go
home the next day.
'92-02-03 14:53 DOUG GAMBLE
P.1
DOUG GAMBLE
424-36th Place
Manhattan Beach, CA 90266
Feb. 3/92
(310) 546-6409
TO: CHRISTINA MARTIN
2 Pages
LAS VEGAS, DOCTORS (Tony Snow)
THERE'S SOMETHING ABOUT BEING IN LAS VEGAS (IN CAESAR'S PALACE) THAT MAKES
ME FEEL MY SPEECH SHOULD BE PRECEDED BY A WARMUP ACT.
SOMEBODY TOLD ME THE LAS VEGAS CHAMBER OF COMMERCE GETS TOGETHER ONCE A WEEK
TO GIVE THANKS TO THE ALMIGHTY. AND ONE WEEK, WAYNE NEWTON SHOWED UP TO SAY
"YOU'RE WELCOME."
IT'S NOT TRUE THAT I'VE COME TO LAS VEGAS TO PERSONALLY CHECK OUT THE LATEST
ODDS ON THE PRESIDENTIAL ELECTION.
CANADA'S SYSTEM OF NATIONALIZED MEDICINE HAS PRODUCED AN EXODUS OF PATIENTS
TO THE U.S. SEEKING BETTER AND FASTER CARE, AND AN EXODUS OF DOCTORS SEEKING
BETTER WORKING CONDITIONS AND AN ESCAPE FROM GOVERNMENT-MANDATED FEES. AS
OUR MESSAGE GETS OUT, I HOPE THERE WILL BE ANOTHER EXODUS -- AN EXODUS AWAY
MISGUIDED
FROM THE/NOTION THAT SUCH A SYSTEM IS RIGHT FOR AMERICA.
MORE
'92-02-03 14:53 DOUG GAMBLE
P.2
- 2 -
DOUG GAMBLE
TO: CHRISTINA MARTIN - LAS VEGAS, DOCTORS (CONT'D)
IF AMERICANS WANT TO GAMBLE, THEY'RE BETTER OFF COMING TO LAS VEGAS THAN
TAKING THE RISKS ASSOCIATED WITH A SYSTEM OF NATIONALIZED HEALTH CARE.
YOU SPEND ENOUGH TIME TENDING TO YOUR PATIENTS WITH A STETHOSCOPE AROUND
YOUR NECK, WITHOUT THE ADDED BURDEN OF GOVERNMENT BUREAUCRACY ON YOUR SHOULDERS.
THE LAST THING AMERICA'S DOCTORS NEED IS TO HAVE THEIR HEALING HANDS BOUND
UP IN GOVERNMENT RED TAPE.
IF, AS CALVIN COOLIDGE SAID, "THE BUSINESS OF AMERICA IS BUSINESS," THEN THE
FUTURE OF AMERICA IS HEALTH -- THE CURES, THE CARE, THE PREVENTIVE MEDICINE
THAT WILL KEEP US A ROBUST AND VIBRANT SOCIETY. YOU ARE AS VITAL TO THE
WELL-BEING OF OUR NATION AS THE MILITARY IS TO THE PROTECTION OF OUR INTERESTS.
JUST AS I AM COMMITTED TO A STRONG NATIONAL DEFENSE, I AM COMMITTED TO STRONG
NATIONAL HEALTH CARE -- NATIONAL BUT NOT NATIONALIZED.
SNOW/BUNTON
VEGAS2
DRAFT TWO
FEBRUARY 4, 1992
PRESIDENTIAL REMARKS: HEALTH CARE
UNIVERSITY MEDICAL HOSPITAL
LAS VEGAS, NEVADA
THURSDAY, DECEMBER 6, 1992
4 P.M. FEDRUARY
[Acknowledgments]
I've got to admit, there's something about Las Vegas that
makes me feel as if my speech should be preceded by a warm-up
act. [mention one of the local headliners]
I released my comprehensive health care plan earlier today.
I've come here to see what you do, and talk about how my plan
fits into your work.
Now, I know you're used to extended debates about health
out
care. You probably can't get through a family reunion with at
least a dozen requests for free advice. 11 But family members
understand something that politicians sometimes forget:
America's medical system offers the best care in the world. When
people from other countries seek the best possible care, they
come here. That includes many of our Canadian neighbors.
With all the complaints and all the breathless press stories
about health care -- I think of a story about a fellow who got in
a car accident. When he got to the hospital a doctor set his
broken bones, examined him carefully and assured him he could go
home the next day.
2
When the next day came, however, the doctor rushed into the
patient's room, with a look of great anxiety and concern. "Is
something wrong?" the patient asked.
The doctor replied. "I'm not sure. Just to be safe, I'd
like you to stay another day. You see, I didn't know how badly
you were injured until I read about your accident in the
newspaper."
Well, reports of the demise of American medicine are greatly
exaggerated. My comprehensive health care plan builds on the
many strengths of our medical care system, rather than gambling
everything on a nationalized plan that can guarantee only long
lines, indifferent service, and very high taxes.
My plan addresses Americans' basic concerns about health
care: that it costs too much; that you can't always get access to
care -- or if you do, you can't choose the doctors you want; and
that you can't be sure of keeping coverage if you lose your job
or fall victim to a debilitating injury or illness.
My plan ensures that everyone -- regardless of employment or
health status -- can get health care coverage, can choose
providers, can afford care, and can keep it.
Here's my four-point plan in brief. One: We make health
care affordable by offering a health-insurance credit to low-
income individuals and families, and a health insurance tax
deduction to middle income individuals and families. These
measures will help 95 million Americans purchase the health
insurance they need.
3.
Two: We improve the efficiency of our system by developing
health insurance networks. These networks drive costs down.
Three: We wring out waste and excess -- and we start by
putting a lid on outrageous medical malpractice lawsuits. Our
legal system too often treats healers like criminals -- and
persuades dedicated doctors not to pursue such vital specialties
as surgéry or obstetrics. Over the past decade, medical
malpractice insurance premiums have risen by an average of more
than 15 percent per year. That's just insane.
Four: We'll get federal health programs under control, and
encourage innovation at the state and local levels -- without
cutting benefits and without raising tax rates.
America has been blessed by the world's best doctors, and
the world's finest training institutions. My health care plan
will reward your hard work -- and enable you to gain the respect
you deserve. American doctors don't need their healing hands
bound by red tape, and they don't need their stethoscopes
replaced by federal millstones. You need the freedom to serve
others.
You also need support. Everyone must play a part in
building a healthier nation.
Every hospital depends not just on professionals, but also
on volunteers. Every community relies not just on physicians,
but also on teachers, counselors, nurses -- people who teach, who
show others the path to good health.
4
My Secretary of Health and Human Services, Dr. Louis
Sullivan, has talked eloquently about the role of character in
health -- and he has mounted an effective campaign to encourage
preventive care. He teaches people about good habits, and
promotes the cause of immunization. Celebrities, including
Arnold Schwarzenegger, promote active, healthy lifestyles. I
don't know about you, but when Arnold says, "Exercise!" I do it.
The point is, everyone has a role. And my plan encourages
everyone to work together.
studits
not
Congratulations on the challenging and noble careers you
have chosen. I know that most Americans appreciate what you do,
respect what you do, and want to make it easier for you to heal
others. Together, we'll make the world's best health care system
even better -- and we'll show the world once again that there's
nothing Americans can't do.
Thank you. May God bless you and the United States of
America.
#
#
#
#
2
When the next day came, however, the doctor entered the
patient's room looking very worried. "Is something wrong?" the
patient asked.
The doctor replied. "Just to be safe, I think you'd better
stay another day. I didn't know how badly you were injured until
I read about your accident in the newspaper."
Well, reports of the demise of American medicine are greatly
exaggerated. My comprehensive health care plan builds on the
many strengths of our medical care system, rather than gambling
everything on a nationalized plan that can guarantee only long
lines, indifferent service, and very high taxes.
My plan addresses Americans' basic concerns about health
care: that it costs too much; that you can't always get access to
care -- or if you do, you can't choose the doctors you want; and
that you can't be sure of keeping coverage if you lose your job
or fall victim to a debilitating injury or illness.
My plan ensures that everyone -- regardless of employment or
health status -- can get health care coverage, can choose
providers, can afford care, and can keep it.
Here's my four-point plan in brief. One: We make health
care affordable by offering a health-insurance credit to low-
income individuals and families, and a health insurance tax
deduction to middle income individuals and families. These
measures will help 95 million Americans purchase the health
insurance they need.
3
Two: We improve the efficiency of our system by developing
health insurance networks. These networks drive costs down.
Three: We wring out waste and excess -- and we start by
putting a lid on outrageous medical malpractice lawsuits. Our
legal system too often treats healers like criminals -- and
persuades dedicated doctors not to pursue such vital specialties
as surgery or obstetrics.
Four: We'll get federal health programs under control, and
encourage innovation at the state and local levels -- without
cutting benefits and without raising tax rates.
America has been blessed by the world's best doctors, and
the world's finest training institutions. My health care plan
will reward your hard work -- and enable you to gain the respect
you deserve. American doctors don't need their healing hands
bound by red tape, and they don't need their stethoscopes
replaced by federal millstones. You need the freedom to serve
others.
You also need support. Everyone must play a part in
building a healthier nation.
Every hospital depends not just on professionals, but also
on volunteers. Every community relies not just on physicians,
but also on teachers, counselors, nurses -- people who teach, who
show others the path to good health.
My Secretary of Health and Human Services, Dr. Louis
Sullivan, has talked eloquently about the role of character in
health -- and he has mounted an effective campaign to encourage
4
preventive care. He teaches people about good habits, and
promotes the cause of immunization. Celebrities, including
Arnold Schwarzenegger, promote active, healthy lifestyles. I
don't know about you, but when Arnold says, "Exercise!" I do it.
The point is, everyone has a role. And my plan encourages
everyone to work together.
Congratulations on the challenging and noble careers you
have chosen. I know that most Americans appreciate what you do,
-
respect what you do, and want to make it easier for you to heal
others. Together, we'll make the world's best health care system
even better -- and we'll show the world once again that there's
nothing Americans can't do.
Thank you. May God bless you and the United States of
America.
#
#
#
#
City/State: Las Vegas, NV
Event: UMC Hospital
Date:
1-31-92
OFFICE OF PRESIDENTIAL ADVANCE
CONTACT SHEET
Office
Phone Number
Name
202/456-7565
Presidential Advance Office
202/456-2820
Presidential Advance Fax Number
LEO TOMEU
PRESIDENTIAL ADVANCE
202/456-7565
JOHN HERRICK
PRESIDENTIAL ADVANCE/PRESS
202/456-7565
PEGGY HAZELRIGG
PRESIDENTIAL ADVANCE
202/456-7565
USSS
202-395-4011
STEVE CALVERY
Michele Nix
Jim CURTIS
White HSpeechariting House
202456-7750
202-395-4040
Rick Hadsworth
A.S.S.S.
702-388-6571
Mike MAllister
UMC
702-383-2000
Irving B. Sawyers
U.M.C
702-383-2203
JOHN WISSLER
MARINE CORPS AIDE TO THE PRESIDENT 202-395-1747
TETEN VAR JAN WHITE HOUSE Communication 202757-5553
LV- - 6 Feb.
walk four Opportunity Village
home 4 retarded admts
did Reagan-Bush - carpaign butons
[uin. Med. Center neomatal unit]
award wing hospital
mot going there now
goss. convention center
shipping in California Medical Center
Peggy Haziring
Nine Morrisey on Opp: bd. knows Sig
record Porus J eats, golfie
learned In watch COTUS
22, 000 fayilis los Vegas Touchel by asnn Syndame
THE WHITE HOUSE
WASHINGTON
January 30, 1992
MEMORANDUM FOR PRE-ADVANCE PARTICIPANTS
FROM:
JAY PARMER
Jay Paner
SPECIAL ASSISTANT TO THE PRESIDENT AND
DIRECTOR OF PRESIDENTIAL ADVANCE
SUBJECT:
PRE-ADVANCE TO CLEVELAND, OH AND LAS VEGAS,
NEVADA
Attached for your information is a list of participants and an
outline schedule for the Pre-Advance to Cleveland, Ohio and Las
Vegas, Nevada, January 31-February 1, 1992.
PRE-ADVANCE PARTICIPANTS
Office of Presidential Advance
Leo Tomeu, Assistant Director (Meets in Cleveland)
John Herrick, Special Assistant to the President for Advance
(Meets in Cleveland)
Peggy Hazelrigg, Assistant Director
Ed Cowling, Lead Advance (Meets and drops in Cleveland)
Rob Vincent, Press Advance (Drops in Cleveland)
Bob Coffin, Site Advance (Drops in Cleveland)
Office of Communications
Michelle Nix, Researcher
White House Military Office
Major John Wissler, U.S. Marine Corps Aide to the President
Cal Dixon, HMX-1 Advance
Major Gene Eiring, Air Force One Advance (Meets and drops in
Cleveland)
Major Tom Schafer, Air Force One Advance (Meets and drops in
Cleveland)
Rex Jordan, Air Force One Advance (Meets in Las Vegas)
United States Secret Service
Steve Calvery, ATSAIC, Presidential Protective Division
Bob Bray, Lead Agent (Drops in Cleveland)
Don Balberchak, Lead Agent Supervisor (Drops in Cleveland)
Mark Monroe, Site Agent (Drops in Cleveland)
Tim Koerner, Site Agent (Drops in Cleveland)
Al Stension, Special Agent (Drops in Cleveland)
T. Caddigan, Special Agent (Drops in Cleveland)
D. Brickey, Special Agent (Drops in Cleveland)
V. Newell, Special Agent (Drops in Cleveland)
White House Communications Agency
Captain Jim Curtis, Travel Officer
TBD
Greg Dustin, Trip Officer Supervisor (Meets and remains in
Cleveland)
Mike Curry, Trip Officer (Meets and remains in Cleveland)
PRE-ADVANCE SCHEDULE
Friday, January 31, 1992
7:20 am
Vans depart West Basement for those requiring
transportation to Andrews Air Force Base.
(Drive Time: 30 Minutes)
7:50 am
Vans arrive Andrews Air Force Base.
8:00 am
C-9 departs Andrews Air Force Base en route
(E.S.T.)
Cleveland, Ohio.
(Flying Time: 1 Hour 10 Minutes)
(Time Change: None)
(Food Service: Breakfast)
9:10 am
Arrive Cleveland-Hopkins International Airport,
(E.S.T.)
Cleveland, Ohio and proceed to Vans.
Ramp:
TBD
Met by:
Mr. John Polk
Greater Cleveland Growth Association
216/621-3300 (w)
216/221-1939 (h)
9:20 am
Board Vans and depart Cleveland International
Airport en route Stouffer Tower City Plaza Hotel.
(Drive Time: 15 Minutes)
9:35 am
Arrive Stouffer Tower City Plaza Hotel and proceed
to Severance Meeting Room, 4th Floor.
9:45 am
Arrive Meeting Room and begin Meeting.
Event site and Advance Hotel:
Stouffer Tower City Plaza Hotel
24 Public Square
Cleveland, OH 44113
216/696-5600
Contact: Ann Howley
10:45 am
Conclude Meeting and begin Site Survey.
*
ADDRESS GREATER CLEVELAND GROWTH ASSOCIATION
- Open Press
- Remarks TBD/Teleprompter TBD
- 1,500 Attendees
- Grand Ballroom
11:45 am
Conclude Site Survey, board Vans and depart
Stouffer Tower City Plaza Hotel en route
Cleveland-Hopkins International Airport.
(Drive Time: 15 Minutes)
12:00 pm
Arrive Cleveland-Hopkins International Airport and
board C-9.
12:10 pm
C-9 departs Cleveland, Ohio en route Las Vegas,
(E.S.T.)
Nevada.
(Flying Time: 4 Hours 30 Minutes)
(Time Change: Back 3 Hours)
(Food Service: Lunch)
1:40 pm
Arrive Las Vegas, Nevada and proceed to Vans.
(P.S.T.)
Ramp:
TBD
Contact: Lila Holdsworth
Executive Director
Opportunity Village Industries
702/384-8170, ext. 312
1:50 pm
Depart Airport en route TBD.
Arrive TBD and begin Meeting.
TBD Schedule
SITE SURVEYS:
*
OPPORTUNITY VILLAGE
*
TBD HOSPITAL
Pre-Advance Hotel:
Las Vegas Hilton
3000 Paradise Road
Las Vegas, NV 89109
Contact: Jeff Globe
Telephone: 702/732-5162
NOTE: Advance Hotel is TBD
RON Las Vegas, Nevada
Saturday, February 1, 1992
8:10 am
Board Vans and depart Las Vegas Hilton Hotel en
route Las Vegas Airport.
(Drive Time: 15 Minutes)
8:25 am
Arrive Las Vegas Airport and proceed to board
C-9.
8:30 am
C-9 departs Las Vegas, Nevada en route
(P.S.T.)
Andrews Air Force Base.
(Flying Time: 4 Hours 10 Minutes)
(Time Change: Ahead 3 Hours)
(Food Service: Breakfast/Snacks)
3:40 pm
C-9 arrives Andrews Air Force Base.
(E.S.T.)
3:50 pm
Vans depart Andrews Air Force Base
en route White House.
(Drive Time: 30 Minutes)
4:20 pm
Vans arrive White House.
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DEPARTMENTOF HEALTH & HUMAN SERVICES
Office of the Secretary
/
/
Executive Secretariat
Washington, D.C. 20201
FACSIMILE
PLEASE NOTIFY OR HAND-CARRY
THIS TRANSMISSION TO THE
FOLLOWING PERSON AS SOON AS
POSSIBLE:
Name:
Mel Lukens
Address:
Telephone:
456-7565 FAY 456-2820
Number of pages being transmitted (including this one)
5
FROM:
LISA FARMER
FAX number:
Office Number: 245-2527
TONY AAS
DR.
DAVID DRANDNESS MED FOR CNTR-
NOT CAUSED
YET.
UNLY UNR DIR. TEACHING UNIV UNIV HOSP
MIKE MODRESEY
KNOWS HIS
702/383-2000
GUY=
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UNIVERSITY MEDICAL CENTER
ADDRESS:
1800 W. Charleston Boulevard
Las Vegas, NV 89102
There are 0 hospitals In Clark County. University Medical Centar opened
as a twenty-bed hospital In 1931, staffed by only one doctor and one nuree.
Today, 59 years later, University Medical is licensed for 448 beds and has more
than 550 highly-skilled physicians on Its medical staff. This Includes
cardiologists, podiatricians, surgeons, neurologists, oncologists, orthopediate,
and a heat of other specialists and family practitioners.
University Medical Center's physicians are supported by hundreds of
highly-trained nurses, therapiate, technicians and other skilled employees who
are all working toward one goal to provide state-of-the-art health care at the
lowest possible cost to the patient, and to foster an educational environment
that advances acience and meets Nevads's growing need for highly trained
physicians.
Nevada's first kidney transplant was performed In UMC's surgical
department on Christmas Day In 1989. The Hospital also operates the meat
comprehensive, hospital-based Inpatient and outpatient physical rehabilitation
unit In Southern Nevada, Including a program specifically designed for victims
of traumatic brain Injuries. The Hospital was the first In Novada to operate an
Extracorpores Shock Wave Lithotripter, which uses shock waves to pulverize
kidney stones, eliminating the need In most cases for painful surgery.
Expectant mothers receive the finest care available in UMC's Obstatrice
Unit, where the staff is specially trained to handle high-risk deliveries.
Comprehensive prenatal care is offered to expectant mothers through UMC's
Outpatient Clinic and the Medical Center's Maternal and Child Clinic at 600 W.
Owens in Las Vegas.
Neonatal and pediatric Intensive care services are available for
newborns, Infants and children who require specialized medical care.
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The Intest and most sophieticated advancements In cancer treatment
also are available at UMC's Comprehensive Cancer Center which collaborates
with other research hospitals around the country. The Gastroesophageal
Function Laboratory is specially equipped to diagnose problems of the
esophague, Including chronic heartburn.
For the treatment of minor Illnesses and Injuries, UMC's Quick Care
Centers provide an alternative to the high costs and long waits associated with
most emergency departments. A Quick Care Center la located at the Hospital
and operates 24 hours daily. The Quick Care Center at 2780 Lake Sahara Drive
In Las Vegas, is open from 7:00 A.M. to $100 P.M. daily throughout the week.
The Quick Care Centers at 4033 Rancho Boulevard and 4833 Las Vegas
Boulevard, will be open in January, 1991. Appointments are never needed.
University Medical Center serves as Nevada's major olinical campus,
and trains doctors who someday will staff hospitals and clinics throughout the
state. Because of Its affiliation with the University of Nevada School of
Medicine, UMC is recognized as providing the most extensive and complete
teaching program for physicians and nurses In Southern Nevada. Residency
programs In Internal medicine, general surgery, obstetrics and gynecology,
and family practice are offered at UMC through Its affiliation with the medical
school.
University Medical Center, in response to the needs of Southern
Nevada's growing senior population, has developed a unique and free
community based program for those fifty and older. The Sliver Advantage
Network has brought together Clark County's three non-profit hospitals - -
University Medical Center, St. Rose Dominican Hospital, and Boulder City
Hospital to serve the special needs of mature adults and to encourage
wellness among seniors. The program has more than 12,000 members!
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OTHER NEW INITIATIVES
The University Medical Center's Prenatel Clinic le a new facility that was just
accredited on January 29, 1992. The Medical Center is accredited by JCAH. Because
the Prenatal Clinic is new, the State Title XIX Agency In Nevada has no history on the
Prenatal Clinic. However, there have been no problems In other areas with the
University Medical Center.
The Center is now seeking funding for the construction and equipment for
expansion of Its Level II Trauma Center In Las Vegas. This would be a free-standing
Center, located next to the Hospital at Goldring and Rose Streets, to serve Nevada
and Clark County and Southern Nevada's repidly growing population.
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UMC
UNIVERSITY MEDICAL CENTER
IRVING B. SAWYERS, JR.
Associate Administrator
UNIVERSITY MEDICAL CENTER
OF SOUTHERN NEVADA
1800 W. Charleston Boulevard
Las Vegas, Nevada 89102
(702) 383-2203
UMC
MIKE McALLISTER
Director
UNIVERSITY MEDICAL CENTER
Management Services
UNIVERSITY MEDICAL CENTER
OF SOUTHERN NEVADA
1800 W. Charleston Boulevard
Las Vegas, Nevada 89102
(702) 383-2007
UMC
UNIVERSITY MEDICAL CENTER
1800 West Charleston Blvd.
Las Vegas, NV 89102
ALTA
BANCHO
TONOPAH
SHADOW
CHARLESTON
6
SERVICES
TRAUMA
U M C
Trauma - you see it on the nightly news
Most emergency departments have a
and read about it in the daily paper.
number of doctors on duty and others on
Motor vehicle accidents, burns, criminal
call, but at UMC the trauma team, which
assaults and falls are all considered cases of
includes three surgeons; several nurses;
trauma, a national epidemic that is the
anesthesiologists; blood bank, X-ray,
number one killer of Americans between the
laboratory, respiratory personnel; and other
ages of 1 and 44. Trauma kills more than
highly trained specialists can be assembled in
96,000 people each year in the United States.
minutes to start treatment the second a
That's more deaths than are caused by
patient arrives.
cancer, heart disease, AIDS, or any other
Preparations are also underway in the
disease.
Medical Center's operating room and on the
According to the American College of
intensive care unit, two other areas of the
Surgeons, the care of trauma patients
hospital always manned and ready to care for
requires a specialized team of medical
trauma patients.
professionals prepared to respond 24 hours a
Trauma has been defined a "surgical
day to the needs of the severely injured. In
disease" and most often requires immediate
Southern Nevada, that type of advanced care
access to a surgical suite where physicians
is available only at University Medical Center,
can stop severe, life-threatening bleeding.
the state-designated Level II Trauma Center.
Because it is a Level II Trauma Center, instant
Trauma care is a concept born from the
access to a surgical suite is guaranteed.
Korean and Vietnam Wars in which survival
UMC's trauma team is supported by other
rates among wounded soldiers increased
Medical Center services including Nevada's
dramatically due to improved medical
only burn care unit, a pediatric intensive care
response times. Helicopters manned by
unit, an advanced radiology department,
paramedics brought the emergency
modern laboratory and the state's most
department to the victim and then
comprehensive physical rehabilitation
transported the wounded to Mobile Army
program.
Surgical Hospital (MASH) units.
Trauma care is more than the emergency
Today in Southern Nevada, highly trained
department. It involves having all the
pre-hospital personnel utilize well equipped
services and capabilities of the Medical
ambulances and rescue helicopters to
Center available for a severely injured
transport severely injured patients to
patient, even before they arrive at the
University Medical Center.
hospital.
From the moment paramedics arrive at an
This is important because medical research
accident scene, the lifesaving actions of
has shown a direct relationship between the
UMC's trauma team can be put into action.
amount of time that passes before a trauma
Based on information provided by
victim receives appropriate care and the
paramedics at the scene of an injury,
victim's chances of survival.
emergency department personnel can
UMC's trauma team is designed to save
activate the trauma team - a specialized
precious minutes by being prepared to
in-house medical unit that is backed by the
provide its specialized brand of treatment 24
Medical Center's full range of services.
hours a day.
UMC
UNIVERSITY MEDICAL CENTER
1800 West Charleston Blvd.
Las Vegas, NV 89102
CRAIG RD.
FORT APACHE
RANCHO RD.
NORTH
N
I-15
W. CHARLESTON
VEGAS BIVD.
W. SAHARA
LAS
LAKE SAHARA DRIVE
CENTERS
C A R E
Q U I C K
U M C
When you or someone you care
own X-ray facilities and a laboratory
about is ill or injured, prompt,
capable of conducting many routine tests.
convenient and professional medical
In addition, some of the Quick Care
care is an immediate priority. Meeting
Centers have their own pharmacy and
that need is what the Quick Care
mammography screening equipment.
Centers are all about.
Treatment at a Quick Care Center is
Operated by University Medical
reasonably priced too, and is about half
Center, the Quick Care Centers are
the cost of comparable emergency
open seven-days a week, offer either
department care. To save time and
24-hour care or extended hours of
reduce paperwork payment may be
operation, and an appointment is
made at the time of your visit with
never necessary. We know that illness
cash, check or credit card. Most
and injury don't care what time it is
insurances also are accepted.
when they strike.
If you require medical follow-up
Quick Care Centers are located in
after a visit to a Quick Care Center, you
many areas of the community, making
will be referred to a private physician
them easily accessible from just about
who is well qualified to provide you
anywhere. And treatment is available
with on-going care.
for the entire family, no matter what
UMC's Quick Care Centers are your
their age.
start toward a complete health care
Each Quick Care Center is staffed by
network that combines convenience
medical doctors, nurses and
with professional and caring medical
technicians. For your convenience, and
treatment.
to allow prompt medical diagnosis,
For more information, call the Quick
each Quick Care Center also has its
Care Center nearest you.
UNIVERSITY MEDICAL CENTER
QUICK CARE
Centers
FOR YOUR CONVENIENCE
PROMPT NEIGHBORHOOD HEALTHCARE
1800 West Charleston
Open 24 Hours
2760 Lake Sahara Dr
383-2074
254-4900
N
RANCHO DR.
RANCHO LN.
TONOPAH
LAKE EAST
CITIBANK
LAKE
WEST SAHARA
SAHARA
UMC
QUICK CARE
......
CHARLESTON
DURANGO
Las Vegas Blvd. North at
North Rancho at Craig Road
Craig Road
4333 North Rancho
4333 Las Vegas Blvd. N.
658-4507
644-8701
QUICK CARE CRAIG RD.
CRAIG RD.
CHEYENNE
QUICK CARE
RAINBOW
N. RANCHO DRIVE
CHEYENNE
JONES
DECATUR
L.V. BLVD.
NELLIS
CHARLESTON
Insurance Including Health Plan of Nevada,
Medicare and Major Credit Cards Accepted.
No Appointment Necessary
UMC
At University Medical Center,
years of experience have taught us
valuable lessons in efficiency,
communications, and management
techniques. We have used this
knowledge to plan specialized
units that can offer our personnel
UNIVERSITY
the best of their chosen fields and
our patients the time and personal
involvement of our staff.
MEDICAL
Our affiliation with the
University of Nevada School of
CENTER
Medicine affords an unparalleled
opportunity for research,
development, and professional
education. The presence of the
most advanced technology attests
to our investment in a pro-active
health care system. Because
technology is only as good as those
who use it, to achieve the best, we
Affiliated with
offer the best - from Administrator to
University of Nevada
Staff to patient.
School of Medicine
Trauma Center (Level II State
Designated)
Nevada's only Burn Care Unit
Pediatrics- Pediatric Intensive Care-
Level II Neonatal Unit
Cardiac Care
Oncology (Only Comprehensive
Cancer Care Center in Las Vegas)
Orthopedics
Renal Dialvsis
Rehabilitation Center-General and -
1. Traumatic Brain Injury Unit
2. Pain Management Unit
Neurological Unit
Critical and Intensive Care Units
Outpatient Surgical Center
Quick Care Centers (open 24 hours
daily for minor illnesses)
Silver Advantage Program (wellness
program for age 50+)
Gastroesophageal Function Lab
Extracorporeal Shock Wave Lithotripter
Obstetrics
Open Heart Surgery
Kidney Transplant
Maternal and Child Center
Perinatal Testing
AIDS Unit
University of Nevada School of
Medicine Teaching Program
Residency Programs in Surgery,
Obstetrics, Pediatrics, Orthopedics
and Family Practice
UMC
UNIVERSITY MEDICAL CENTER
1800 West Charleston Blvd.
Las Vegas, NV 89102
SHADOW
TONOPAH
RANCHO
ALTA
CHARLESTON
University Medical Center's goal is to
approach to the care of patients. Special
provide inpatient and outpatient care
services are available in emergency
to residents of Clark County and to
medicine, radiology, clinical labs, surgery
serve as an academic and countywide
and intensive care units. In-house
medical center.
medical staff and ancillary support
Additionally, the hospital will continue
personnel are immediately available for
with its strong affiliation with the
the trauma patient.
University of Nevada School of Medicine
Our Oncologists, working with Family
and associated Residency Programs, as
Physicians, have developed one of
the teaching hospital for the program in
Nevada's top cancer programs. Aided by
Southern Nevada.
research shared among leading cancer
University Medical Center, through
institutes, they are able to provide their
the University of Nevada School of
patients with the latest treatment
Medicine currently offers residency
advances. UMC is the only
programs in Obstetrics, Family Practice,
Comprehensive Cancer Center in Las
Internal Medicine and Surgery.
Vegas. Our nursing staff has special
University Medical Center provides
education in oncology care and are
high quality care and continues as a
certified by the National Oncology
Center of Excellence for the community.
Nursing Society.
This is accomplished through the
University Medical Center was the site
commitment to our patients, employees,
of the first kidney transplant performed
and medical staff in terms of resources,
in Nevada.
support, and funding.
Expectant mothers can depend upon
Physicians on the medical staff
modern facilities and our superior health
represent all medical specialties and are
care with Obstetrical Residents, in-
supported by highly trained nurses,
lind
house Anesthesiologists, and
therapists, technicians and
Pediatricians, all available on a 24 hour
administration
basis. They and their babies receive the
We take extreme pride in being the
benefits of our strong health education
highest level State designated Trauma
programs and our community
Care Center in Clark County designed
involvement. Neonatal and Pediatric
for utmost efficiency in dealing with
Intensive Care Units are available for
trauma patients. Our trauma team
newborns, infants and children who
experts utilize a multi-disciplined
require specialized care.
UMC has the only Burn Care Center
paramedics and patients, UMC operates
in Nevada. It also provides the most
the largest medical library in Southern
complete hospital-based Rehabilitation
Nevada.
program available in the Southern
Nevada area. Caring for a variety of
The Quick Care Center at UMC is one
patient needs from stroke to spinal cord
of the most innovative programs. It is
injury to traumatic brain injury, the
an alternative to the Emergency
Rehab Unit contains 33 general rehab
Department for the treatment of
beds and 30 Traumatic Brain Injury beds,
illnesses and injuries that are not severe
with a staff of 40 nurses and 44 speech,
enough for emergency care, but are
occupational and physical therapists.
serious enough to need professional
medical attention. In an effort to address
The goal at UMC Rehabilitation Unit is
to help our patients realize their fullest
the increasing medical needs of the
potential and resume independent,
community, UMC is meeting those
productive lives within the community.
needs and reaching out into the
community by opening satellite Quick
UMC was the first hospital in Nevada
Care Centers around the Valley.
to operate an Extracorporeal Shock Wave
Lithotripter, a machine that uses shock
Profoundly important to the success
waves to crush kidney stones eliminating
of any hospital is the nursing staff. At
in most cases the need for surgery.
UMC, when it comes to providing care
for our patients, no one takes on more
The Gastroesophageal Function
jobs - or handles them more brilliantly -
Laboratory at UMC is specially equipped
than the nurses. They serve at the very
to diagnose problems of the esophagus,
core of patient care, ministering not only
including chronic heartburn.
to the physical, but also to the unique
Silver Advantage Network which
emotional, spiritual and social needs of
brought together the areas three not-for-
each patient. They nurture family and
profit hospitals offers an extraordinary
friends through enormous stress. They
package of free health services for adults
monitor and plan treatment. But most
50 and older.
of all, they combine objectivity with
exceptional sensitivity.
In conjunction with the training and
continuing education of physicians,
University Medical Center is truly the
nurses, residents, medical students,
"Jewel of Medicine" in the desert.
Fill out this application & drop it in the
mail. All applications are processed at
383-2095
UMC.
Be The Best You Can Be!
Las Vegas, NV 89102
-1800 W. Charleston Blvd.
University Medical Center
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of the Silver Advantage Network.
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Las Vegas, NV 89102
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program for
383-2095
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adults who
St. Rose Dominican Hospital
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102 East Lake Mead Drive
Policy or Code #
are fifty or
Henderson, NV 89015
Employer
564-4582
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older
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Boulder City Hospital Inc.
Address
901 Adams Blvd.
Phone
Boulder City, NV 89005
Relationship
293-4111
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subscription to Prime. Initial here
Silver
SPECIAL BONUS
If you are 50 or older you can now turn to the
Silver Advantage Network for health care
benefits.
FOR SENIORS
The Silver Advantage Network is a free
membership program offered through Southern
OVER 65
Nevada's three not-for-profit hospitals-
NETWORK
University Medical Center, St. Rose Dominican
Hospital
and THIS Boulder City PROGRAM Hospital. IS ABSOLUTELY FREE Medical TO Savings YOU
LAS VEGAS, NV 89195-2011
1800 W. CHARLESTON BLVD.
Silver Advantage Network
UNIVERSITY MEDICAL CENTER
POSTAGE WILL BE PAID BY ADDRESSEE
FIRST CLASS MAIL PERMIT NO. 775 LAS VEGAS, NEVADA
BUSINESS REPLY MAIL
The Network will waive Medicare
Physician and Health
deductibles for inpatient and outpatient
Care Referral
services if a member does not have supple-
mental insurance. In addition to waiving the
The Network has specially trained Coordinators
Silver Advantage is not an insurance company
deductible, the remaining balance of your
who assist members in receiving quick,
or health plan, but works in conjunction with
bill, if any, will be discounted by 50 percent.
personalized attention to their health care
both to provide you extra savings and services.
needs, as well as physician referrals.
The program is unique because it goes beyond
Interest Free Payment
just providing health care discounts. Silver
Health Education
The Network will provide an interest free
Advantage is reaching into the community to
give seniors free health screenings, exercise
and Screening
payment plan for any charges not covered
programs, lectures and information they need
by Medicare or your supplemental
Free or discounted programs are designed to
insurance.
to maintain good health. When hospitalization
heighten your awareness of special health
is required, the Network assures its members
concerns, keep you healthy and teach
the highest quality care at substantial savings.
management of acute and chronic medical
No Claim Forms
conditions.
And unlike other senior programs, you don't
At no cost to you, the Network will file all
have to be 65 to enjoy the benefits of the Silver
claim forms for hospital services with
Advantage Network. Starting at age 50 you can
receive significant medical discounts as well as a
Monthly Calendar
Medicare and your supplemental insurance
monthly calendar, health education and
A free monthly calendar found in your free
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screening, and access to the program's
subscription to PRIME will keep you informed
coordinators.
of our programs and events.
Medicare Claims Assistance
Membership in the Silver Advantage Network is
Program
absolutely free and provides you with an array
Discount on Inpatient
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UNITED STATES
of valuable services.
IN THE
IF MAILED
NECESSARY
POSTAGE ON
Services for Seniors 50-64
your claims and refer you to our Medicare
If you have any questions, please contact the
When your insurance pays 80 percent of your
specialists if you have a question or
Silver Advantage Coordinator at 383-2095.
hospital bill, and you have met your deductible,
unresolved claim.
the Network will discount the balance of your
inpatient bill by 50 percent.
The Team Approach
1800 West Charleston
University
N
Medical
Center
RANCHO DR.
RANCHO LN.
TONOPAH
Rehabilitation
Unit
UMC
CHARLESTON
North Rancho at Craig Road
4333 North Rancho
CRAIG RD.
University
CHEYENNE
Medical Center
UMC
z
RANCHO DRIVE
Rancho Rehab
RAINBOW
JONES
DECATUR
University Medical Center
CHARLESTON
UMC
Rehabilitation Centers
1800 W. Charleston Las Vegas, Nevada-89102
UMC CENTER
RANCHO CENTER
4333 N. Rancho Dr. Las Vegas, Nevada-89130
383-2250
&
656-0470
MISSION STATEMENT
It is the mission of UMC Rehabilitation Centers to
train and educate physically and/or cognitively impaired
patients in order for them to live as independent and as
functional as possible within the limits of their disability.
Notes -
O
UR GOAL
To restore the ill or injured person to self suffi-
ciency and to achieve the highest attainable skills and
function in the shortest time possible. Thus, the inten-
sity of treatment and number of disciplines involved.
The goals of the comprehensive rehabilitation
programs at UMC and UMC Rancho are:
Assess abilities as well as disabilities (what can the
patient do)
Build on the abilities which have not been affected
Compensate for abilities which are diminished or
lost
Restore function
Assist the patient and the family with psychosocial
issues; coping with, and adaptation to limitations
and lifestyle changes
Community reintegration
Return to home or home-like setting
Vocational counseling and return to work
20
1
RETURN TO THE COMMUNITY
F
UNCTIONAL PROBLEMS
Community re-orientation and continuation of
TREATED
treatment programs after discharge will increase
independence. Most patients will be scheduled to
attend an outpatient program for continuing treatment
Limited function or motion in arms, legs, or trunk
and evaluation of progress.
Inability to move about in bed, manage a wheelchair
OUTPATIENT SERVICES
or walk
A full scope of outpatient services are available.
Inability to perform activities of daily living, such
Rehabilitation outpatients seeing two or more disci-
as eating, grooming, bathing, dressing, and
plines on a regular basis are presented to an outpatient
homemaking
interdisciplinary team, with the medical director in
attendance. All services are available as a single
Bowel or bladder incontinence
modality also on an outpatient basis.
Emotional crisis that interferes with the patients
ability to function or cope with disability
Swallowing problems
Problems with balance and coordination
Speech and language problems
Perceptual/cognitive (thinking) problems
Inability to pursue leisure activities
Inability to work
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19
F
AMILY PARTICIPATION
C
RITERIA FOR
ADMISSION
Families are encouraged to take an active role in
the patient's rehabilitation program. If needed, they are
To be admitted to the rehabilitation centers of
trained in skills necessary to assist the patient following
UMC, patients must meet several basic criteria. These
discharge. This helps them to better understand the
include the following:
program and is also vital to the patient's progress both
in the hospital and at home.
Treatment requires more than one therapy
The patient has received prior evaluation for
rehabilitation potential by the Medical Director and/
L
EISURE TIME
or designee
The patient is medically stable
Leisure time should be quality time for patients.
The patient has sufficient physical endurance and
Family and friends are encouraged to visit during non-
ability to participate in a physical rehabilitation
treatment times and are welcome to use the dining
program
room, lounge area or patio.
The patient is willing to participate in a rehabilitation
program
Financial responsibility has been established
18
3
OTHER TEAM MEMBERS:
A
DDITIONAL CRITERIA
Consulting physicians
STROKE PATIENTS:
Resident physicians
Audiologist
No history of significant organic brain syndrome
Pharmacist
Not on continuous oxygen or IV
Not on total bed rest
Alcohol/ Substance Abuse Counselors
BRAIN INJURY PATIENTS:
Dentist
May have tracheostomy, gastrostomy or be on
Prosthetist/Orthotist
oxygen
Must exhibit some response to stimuli
Neurological status must be stable or improving
Must have support of family and their willingness to
participate in rehabilitation program
SPINAL CORD PATIENTS:
Must be orthopedically and medically stable
May be on IV or have tracheostomy
Ventilator-dependent quadriplegics evaluated on a
case-by-case basis
4
17
VOCATIONAL COUNSELOR
Other Diagnoses:
Vocational rehabilitation is available to all patients
by referral. Counselors help the patient plan for return
Amputees
to work, or, if indicated, return to school for re-education
or retraining for a new vocation.
Multiple Trauma/Fractures
CLINICAL DIETICIAN
Good nutrition is a very important adjunct to
Neuromuscular & Degenerative
recovery from illness or disability. The dietician, as a
Diseases
member of the rehabilitation team, assesses each
patient's dietary needs and plans menus based on
- Multiple Sclerosis
need and special dietary requirements. The dietician
reviews dietary instructions and special needs with the
- Guillain Barre'
patient and family prior to discharge.
- ALS Amyotrophic Lateral Sclerosis
(Lou Gehrig's Disease)
PASTORAL CARE
- Neuropathies
Meeting the patient's spiritual needs is an
important part of the recovery process in rehabilitation.
Arthritis
Local ministers from a variety of denominations are
encouraged to call upon members of their congregation
who have been hospitalized, and are always available
for spiritual counseling should the patient request it.
16
5
SOCIAL SERVICE
T
HE TEAM APPROACH
The Rehabilitation Social Worker assists the
patient and the family in coping with the changing
lifestyles that have occurred. In coordination with other
In the Rehab Centers, every patient receives an
team members they develop discharge plans, and
individualized program of care, developed by a team of
assist in securing needed adaptive equipment, and
health care professionals. On admission the
funding necessary to provide for the individual's needs.
interdisciplinary team evaluates the patient and plans the
initial treatment program accordingly, with emphasis
Social workers are available at both facilities as
placed on active, one-to-one therapy.
part of the rehabilitation team to address needs unique
to the rehabilitation patient.
TEAM CONFERENCE
PSYCHOLOGY
Interdisciplinary team conferences for treatment
planning are held on a regular basis, and each discipline
Psychological services are provided to assist the
involved in the patient's care participates. Referring,
patient and the family. in understanding the disability.
consulting, and primary care physicians are encouraged
Support and advice is offered that assists in the
to attend. Progress toward the individual's goal is
recognition of physical, emotional, and cognitive
evaluated and treatment plans updated. The focus is on
management.
return to self-care function.
There are many support groups at UMC that
FAMILY CONFERENCES
provide peer support. In addition a Rehabilitation
Counselor is available at these support group meetings
Family conferences will be held on a timely basis.
to answer any questions you may have regarding
Family, friends and significant others are encouraged to
specific disabilities.
attend, and will be asked to join the team in meeting to
develop goals for progress. Family members are also
Neuropsychological testing is done to determine
encouraged to participate in therapy sessions to learn
the abilities of the patient and the extent of the injury.
techniques that will assist in home care after discharge.
This provides a baseline for treatment planning.
6
15
SPEECH AND LANGUAGE PATHOLOGY
The Speech Therapist provides evaluation and
treatment of speech and language disorders. Therapy
is designed to enhance functional communication.
Treatment programs are goal oriented and are directed
towards improving speech, increasing understanding
of written, verbal and visual information, and improving
cognition (mental ability). Our goal is to assist the
patient and the family through a comprehensive speech
program.
Diagnosis and treatment of swallowing
dysfunction may include clinical evaluation of swallowing
and/or video fluoroscopic examination to determine the
patient's ability to manage oral intake.
CHOCK
The speech and language department treats:
Speech disorders
Language disorders
Aphasia
Cognitive impairment
Dysphagia (swallowing)
Voice disorders
Rate-fluency disorders
Hearing disorders
14
7
OCCUPATIONAL THERAPY
T HE CENTERS
Occupational Therapy is the application of pur-
poseful, goal oriented activity in the evaluation, diag-
nosis, and/or treatment of persons whose function is
Thirty-four (34) general rehab beds are available
impaired by physical illness or injury, emotional disor-
at UMC, to treat patients with stroke, amputation,
der, congenital or developmental disability, or the aging
multiple traumas without head injury, fractured hip,
process, in order to achieve optimum functioning, to
arthritis, spinal cord injuries (traumatic or disease
prevent disability, and to maintain health. Specific
process) and neurological degenerative diseases such
services include, but are not limited to education and
as multiple sclerosis, Guillain Barré Syndrome, ALS
training in activities of daily living, (ADL); the design,
Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease)
fabrication, and application of orthoses (splints); guid-
and neuropathies.
ance in the selection and use of adaptive equipment,
therapeutic activities to enhance functional perfor-
These beds are on an existing unit inside our
mance, and consultation concerning the adaptation of
large medical facility, with therapy services adjacent,
physical environments for the hanicapped.
as well as a dining room where patients begin
reintegration, and socialization as a start to community
RECREATIONAL THERAPY
re-entry.
The Recreational Therapist provides activities
At UMC Rancho Rehabilitation Center, thirty four
that assist in community living. Leisure activities are
(34) beds exist in a free standing acute facility. Emphasis
planned to assist the patient in reaching goals suited to
is on traumatic brain injuries, stroke, post craniotomy,
his individual lifestyle.
and other insults to the brain which cause the patient to
present with cognitive deficits as a result of the injury,
Trips outside the hospital are scheduled to help
such as problems with orientation, memory, attention,
the patient function in the community and will include
safety, behavior, and speech. These patients also
such activities as banking, supermarkets, libraries, etc.
present with major functional impairments as well;
in order to assist the patient in understanding accessi-
inability to feed themselves, groom, dress or toilet
bility to needed areas.
without assistance and inability to transfer, propel a
wheelchair or walk without assistance.
8
13
A
DMITTING PROCEDURES
Admission to either of the rehab centers is arranged
by calling (702) 383-2250 or (702) 656-0470.
All patients referred for rehab evaluation are
screened using criteria established by the Federal Gov-
ernment. Established criteria are utilized to justify con-
tinued stay and when to appropriately discharge.
Referrals are accepted from physicians, social
workers, discharge planners, case managers, commu-
nity agencies and families.
Arrangements for admission will be made after an
evaluation and approval by medical director or designee.
Your case manager and the admissions office will assist
you in completing all forms and other necessary re-
quirements for admission.
All patients at University Medical Center are admit-
ted without regard to sex, race, age, national origin or
religious creed.
12
9
PHYSICAL THERAPY
T
HE REHABILITATION
Physical Therapists provide evaluation, and de-
TEAM
velop treatment programs that focus on the quality of
muscle tone, coordination, balance, strength, endur-
MEDICAL STAFF
ance, and joint flexibility.
The Physical Therapist is a key member of the
Medical direction is provided by a physiatrist (a
health care team, and is trained to improve movement
doctor in rehabilitation medicine) and other medical
and function, to relieve pain, and expand movement
specialists with experience in physical medicine and
potential. Through evaluation and treatment programs,
rehabilitation. The medical director serves as leader of
physical therapists treat both existing problems, and
the team of nurses, therapists, and counselors, to
provide preventive health care for people with a variety
devise an individualized treatment program to ensure
of needs.
the best care and highest level of recovery.
The goal for physical therapy is to achieve mo-
REHABILITATION NURSES
bility and function at the optimal level, which facilitates
return to self-care function and independence.
The nursing staff provides education to the patient
and assists in the development of the skills necessary
Registered Physical Therapists are specialists in
to obtain self-care, and self-reliance. At the same time
their field and are able to develop an individualized plan
the nurse instructs the patient on how to care for, and
of treatment that addresses existing disabilities, and
how to prevent medical problems associated with the
provides preventive health care.
patient's illness or disability.
These highly trained professionals collaborate
with the other clinical disciplines in facilitating indepen-
dence, and achievement of independent function.
10
11