1. Harborview Medical Center
Paul Hayes, RN, executive director

2. UW Medicine UW Medicine Valley Medical Center and associated clinics
Harborview Medical Center and associated clinics
University of Washington Medical Center and associated clinics
Northwest Hospital & Medical Center and associated clinics
Valley Medical Center and associated clinics
UW Neighborhood Clinics
UW Physicians
UW School of Medicine
Airlift Northwest
UW Medicine also shares in the ownership of the Seattle Cancer Care Alliance and Children’s University Medical Group and has a longstanding comprehensive affiliation with Seattle Children’s.

3. Governance Mission driven Owned by the citizens of King County
Managed by the University of Washington
Governed by a Board of Trustees appointed by King County
Harborview receives no operating budget support from King County
Harborview has received voter approved bonds for specific capital projects, 1989 bond for new trauma center completed in 1997 and a 2001 bond for the Maleng Inpatient Building (seismic upgrade, 50 new beds and 8 new OR’s) opened in 2008
Bed capacity
Charity Care
Employees #
Research $$$ U Washington second to only Harvard
413 bed hospital
FTEs
Admissions: 19-20K
ED Visits: 68,000
OR Procedures: 13K

4. Mission Statement
Harborview Medical Center is owned by King County, governed by the Harborview Board of Trustees, and managed under contract by the University of Washington.
Harborview Medical Center is a comprehensive healthcare facility dedicated to the control of illness and the promotion and restoration of health. Its primary mission is to provide healthcare for the most vulnerable residents of King County; to provide and teach exemplary patient care; to provide care for a broad spectrum of patients from throughout the region; and to develop and maintain leading – edge centers of emphasis. As the only Level I Adult and Pediatric Trauma Center in Washington, Harborview Medical Center Provides specialized comprehensive emergency services to patients throughout the region, and serves as the disaster preparedness and disaster control hospital for Seattle and King County.
The following groups of patients and programs will be given priority for care:
Persons who are non-English speaking poor
Persons who are uninsured or underinsured
Persons who experience domestic violence
Persons who experience sexual assault
Persons incarcerated in King County’s Jails
Persons with mental illness, particularly those treated involuntarily
Persons with substance abuse
Persons with sexually transmitted diseases
Persons who require specialized emergency care
Persons who require trauma care
Persons who require burn care
Harborview’s patient care mission is accomplished by assuming and maintaining a strong leadership position in the Pacific Northwest and the local community. This leadership role is nurtured through the delivery of health services of the highest quality to all of its patients and through effective use of its resources as determined by the Harborview Board of Trustees.
Harborview, in cooperation with UW Medicine, plans and coordinates with Public Health Seattle and King County, other County agencies, community providers, and area hospitals, to provide programs and services.
Harborview fulfills its educational mission through commitment to the support of undergraduate, graduate, post-graduate and continuing education programs of the health professions of the University of Washington and other educational institutions, as well as programs relating to patient education.
Harborview recognizes that the delivery of the highest quality of healthcare is enhanced by a strong commitment to teaching, community service and research.

5. Harborview Medical Center
Operates the 413 bed acute care hospital
Admits over 17,000 inpatients per year
Average Length of Stay= 8.0 days
Manages the facility at 98%+ occupancy
Performs in excess of 16,000 surgical procedures/year
Employs 4,500 FTEs all are UW employees
Provides access to 1,700 employed UW Physicians in every specialty and participates in all UW residency and fellowship training programs
Quality & Safety Scorecard ranks HMC in the top 21 academic medical centers in the country.
Operates the facility on a 1% margin

6. Harborview Medical Center
Vital Resource for our Community, our State and our Region
We are mission driven and endeavor to improve the health of the public
We are dedicated to excellence in the provision of healthcare, education and discovery
We are passionate about reducing harm and providing safe, quality care in a culture that focuses on our patients and families

7. Harborview Medical Center
High volume Level I Adult & Pediatric Trauma & Burn Center
≈ 5,500 Trauma admissions per year
≈ 60% of these are from Seattle/King County
of these are pediatric patients
650 burn admission per year
Only Level I trauma facility and burn center for the citizens of Washington State but also Alaska, Montana and Idaho

8. Level I Trauma Services
Highest level of trauma care facilities
Washington State uses Level I-V
Provides all life saving and subspecialty services 24/7
Response times of 5 minutes from notification of critical patient arrival
Immediate access to operating room with staff available to open within 5 minutes of notification
Responsible for education of the next generation of physicians and the community
Must have an ACGME accredited residency program
Must have an active trauma research program applicable to both adult and pediatric trauma population
Public injury prevention and education programs
Responsible as a leader in identification of community injury trends and development of injury prevention strategies

9. Burn Center
Only ABA Verified Burn Center for Washington, Alaska, Montana and Idaho
Patient care from resuscitation through grafting an outpatient services
Provides all therapy support, rehabilitation planning and outpatient care for adult and pediatric patients.
Strong community education program not only for public but also initial stabilization/treatment to referral facilities throughout the region
Active development of telemedicine
Virtual clinic visits
Tele-consults
Burn pics

10. Harborview Level I Services Stand Ready
2015
2016
WASHINGTON
1089 Patients
1064 Patients
ALASKA
120 Patients
129 Patients
MONTANA
83 Patients
72 Patients
IDAHO
20 Patients
29 Patients
WYOMING
0 Patients

11. Designated Centers of Emphasis
Trauma, Burn, Orthopedics, Rehabilitation and Reconstructive Surgery, AIDS/STD, Behavioral Health, Neurosciences, Vascular and Eye Institute
Centers of Emphasis provide:
Excellent patient outcomes and quality care
High nurse to patient ratios
Nationally acclaimed UW physicians and staff
Leading-edge research and technology .

12. Judy Otteson, Toppenish, WA Survivor of a serious skin infection
Inpatient Origins
Our role as a regional resource/safety net hospital
Over 60 percent of our inpatients come from Seattle and King County.
5% – Out-of-state
34% – Other WA
45% - Seattle
Judy Otteson, Toppenish, WA Survivor of a serious skin infection
16% – Other King Co.

13. Outpatient Origins Living our mission International Medicine Clinic
A majority of our outpatients come from Seattle and King County.
1% - Out-of-State
1% - Unknown
15% - Other WA
17% - Other King Co.
International Medicine Clinic
Mission of caring for the underserved populations
66% - Seattle

14. HMC Charity care 2001 - 2014 HMC CHARITY CARE 2003 – 2016
DRAFT
HMC CHARITY CARE 2003 – 2016
Gross Charges Written Off to Charity (in Millions)
HMC Charity care
Harborview provides a significant amount of care to the underserved including those who are unable to pay. Charity write-offs quadruped in the ten years between 2003 and The decrease in 2014 is not because HMC is seeing fewer patients, but is attributed to more patients having insurance coverage under the Affordable Care Act through expanded Medicaid and the healthcare Exchanges. Medicaid still does not cover the cost of delivering care.

15. Exceptional Care Without Exception