Newsletter - December 2020.Year End pptx

In the Know with the CEO

HCA Houston Healthcare Northwest

2020 YEAR END REVIEW

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Mission Statement 2

HCA’s Mission Statement:
Above all else, we are
committed to the care and
improvement of human life.

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Welcome!

Colleagues,

I am excited to release our year in review edition of our “In the Know with
the CEO newsletter.” This edition continues to detail all of the great things
that are happening at HCA Houston Healthcare Northwest. Please take
some time to review all of the exciting things happening at our hospital.

Scott J. Davis, FACHE This newsletter will highlight the construction and safety/security updates
Chief Executive Officer throughout the hospital in making HCA Northwest a better place for our
employees, our physicians, our patients, our visitors, and our community.
These projects are creating a great impression for our facility and create a
safer and more secure environment for everyone that comes to our
facility. I am excited for all of these changes and the benefit it will bring to
all of us.

This newsletter will also focus on all the actions we have taken in response
to your feedback from the last employee engagement survey and details
on benefits and other important items to you all as employees. We also
have updates on our patient experience and quality initiatives. I am
extremely proud of the quality care we have provided in our organization,
especially given the acuity of the COVID-19 disease. We have saved
many lives that were expected to pass away with their conditions.

Finally, thank you to each of you for your efforts during this unique time of
the pandemic. All of you have stepped up in many different ways
including picking up extra shifts, working in other areas, and staying
committed to our organization. Thank you!

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 3

CMO Update

HCA Houston Healthcare Northwest

2020 YEAR END REVIEW

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Congratulations! 5

Ahmad Maarouf, M.D. Named Chief Medical Officer
at HCA Houston Healthcare Northwest

Ahmad Maarouf, M.D., has been named chief medical officer (CMO) of HCA Houston
Healthcare Northwest, effective March 1, 2021. As CMO, Maarouf will ensure high quality, patient-
centered care by leading clinical and quality initiatives that support the provision of consistent clinical
performance and practice standards across the hospital.

Maarouf received his medical degree from Damascus University College of Medicine in
Damascus, Syria. He went on to complete a residency in Internal Medicine at Western Reserve Care
System / Forum Health. Maarouf furthered his education at the University of Pittsburgh Medical
Center (UPMC) as a visiting scholar where he also conducted research. He went on to complete a
nephrology fellowship in 2009 and a critical care fellowship in 2011, both at UPMC. Maarouf
advanced his educations by receiving a master’s degree in business administration from Case Western
Reserve University in 2018.

From 2009 – 2010, Maarouf served as a faculty member at Henry Ford Hospital’s Nephrology
and Hypertension Division. For nine years, from 2011 until his move to HCA Houston Healthcare
Northwest earlier this year, he held numerous medical directorships, committee chairmanships, and
staff positions at Beaumont Health, Michigan’s largest health system. Maarouf also served as a clinical
assistant professor at Michigan State University from 2016 until present, and also as the associate
program director for the Internal Medicine Residency Program at Beaumont Health – Trenton. While
in Michigan, he served as an advisory board member for Life Gift. Earlier this year, Maarouf made the
move to Houston, becoming the medical director of critical care at HCA Houston Healthcare
Northwest.

An accomplished lecturer and teacher, Maarouf has received many awards and accolades. He
has also authored numerous published articles and abstracts, as well as posters and invited talks.

Maarouf is a member of American College of Physicians, the American Society of
Nephrology, and the Society of Critical Care Medicine. He is board certified in internal medicine,
nephrology and critical care.

“Dr. Maarouf is dedicated to meticulous quality. He believes in fostering data driven, patient-
centered, collaborative care for every hospitalized person,” said Scott Davis, CEO of HCA Houston
Healthcare Northwest. “We are excited to have him as our new chief medical officer and are looking
forward to how he will further his impact on our colleagues and community.”

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

COVID-19 Update

HCA Houston Healthcare Northwest

2020 YEAR END REVIEW

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

COVID-19 Update

• Census – we have maintained a census in the 40s/50s over the last couple months as our
community experienced another surge. Thank you for your efforts in managing this
census with our great work with discharges. We are still at about 85% of our July high so
that is good. Please listen to my call each Monday at 4:30 pm to stay updated on our
numbers.

• Screening process – we will be making some adjustments to our screening process with
some facial recognition scanners/thermometers. On entering the campus, we are asking
all employees to attest to not having symptoms. Thank you for your help in this process.

• Resources - we are continuing to add staffing resources from a nursing and physician
perspective to help with the surge.

• Volume – we are reviewing our cardiac and surgery schedule each day to try and alleviate
volume pressure on our hospital staff and still accommodate procedures when necessary.
We have also closed our hospital to transfers on many occasions due to our census to
help provide some relief to all of us. Though not a great decision financially we felt it has
been important to do this over the last month to get us through this surge.

• Vaccine – we have submitted requests to the State for more vaccine to be able to
vaccinate our employee/physician family members, our physician office staff, and other
community partners. Please stay tuned and will send communication on this availability
as soon as we hear if we will get the requested vaccine.

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 7

Safety & Security

HCA Houston Healthcare Northwest

2020 YEAR END REVIEW

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Security at HCA Northwest

Brad Korth, Director of Security Hello HCA Northwest Team,
[email protected]
281-631-8765 Your Security team is here to support you and ensure that you are safe. Most recently, HNW
secured a new patrol vehicle to help raise visibility of Security rounds as well as provide a
comfortable form of transportation for taking patients/ visitors or staff to their vehicles. We
will respond to calls for service on the campus and investigate any suspicious activities
reported to or observed by Security. At the entrances, we are assisting the screeners with
enforcing our new COVID restrictions and are always willing to assist in educating visitors and
others when the screeners can use additional support. Security is constantly tasked with
rounding throughout the entire facility as well as assisting with lost/found, patient property
and even evidence retrieved in the Operating Room. If weapons are brought into the facility
we seize them and place them in a safe, locked area until a time is determined on when they
can be safely returned to their owner, or released to police. When codes are called
overhead, we always place that as a first priority and respond appropriately to assist. We are
all TEAM or CPI-trained and ready to respond to volatile patients/visitors.

Outside of all of the ‘duties’ of Security at Houston Northwest, we are here daily to greet you,
be your friend and ally to each of you. Our #1 goal each day is to keep you safe and help you.
Please never hesitate to reach out!

9

Security Camera System

We are finalizing the installation of the new, 350+
security camera system. Camera views are being
uploaded to the server/system and the views are being
validated for appropriateness.
Here are some examples of our live views

10

Security Camera System

The features of this new camera system are fantastic!
Here a couple illustrations of the zoom capabilities and
movement tracing.

11

Facility & Construction
Updates

HCA Houston Healthcare Northwest

2020 YEAR END REVIEW

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Generator Replacement

Our 5 emergency backup generators are
expected to be safe and ready-for-use in
March 2021. These units will assist us in
providing emergency power throughout the
hospital in various scenarios such as
hurricanes, tropical storms, power blips,
etc.

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 13

Waterproofing (Visitors Parking Garage)

This project will span from Oct. 2020 – Feb. 2021. Improvements include the replacement
of joint sealants, horizontal concrete repairs, spandrel repairs, new traffic coating & line

and new parking wheel stops and a fresh coat of paint for stairwell handrails.

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 14

Front Entrance Beautification

Remaining Scope of Work (March 2021 Completion)

Helipad Fencing/gates, striping of lot,
code blue cabling, water
meter installation, lighting

MRI Lot Fencing/gates, striping of lot,
landscaping/irrigation
St. Edwards Drive &
Strip Center Lot Fencing/gates, electric/water
meter installation,
landscaping/irrigation

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 15

Flooring Improvements 16

Anti-slip
material
applied
for safety

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Landscaping Improvements

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 17

Employee Engagement

HCA Houston Healthcare Northwest

2020 YEAR END REVIEW

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

19

20

21

22

23

24

25

Nursing Update

HCA Houston Healthcare Northwest

2020 YEAR END REVIEW

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

HHH Northwest is officially on the JOURNEY to Magnet Excellence!
Taking our Pathways to Excellence to the NEXT LEVEL!
Come to your nurse practice council and get engaged!
Use your voice and share your ideas to make our hospital even better!

Re-designated October 2019
Over 300 nurses surveyed.
Amazing facility family culture!
Solid foundation.
We can continue to grow…

Check the monthly nursing newsletter for more ways to get involved.

Nursing Leadership Changes /
Advancements

• Mary Claire Palmer, DNP, MSN, RN, FACHE - Assistant Chief Nursing
Officer

• Amber Ferro MSN, RN, NE-BC, CVRN - Director, Critical Care
• Kristen Eberly MSN, RN - Director, Inpatient Surgical Units
• Laura Crockett BSN, RN, CVRN, RN-BC - Manager, 6 South
• Esther Martinez BSN, RN - Manager, Emergency Department
• Babette Quintanilla MSN, RN - Manager, Neonatal ICU
• Jasmine McDuffie MSN, RN, RNC-OB - Women’s / Children’s Educator
• Lesa Cordova, RN - Interim Manager, 6 North
• Geraldina Collins MSN, MBA, RN, CNOR, CSSM - Surgical Director

Development Program

Lorena Mendez | 6 North

I would like to recognize Lorena Mendez, Charge Nurse for going
above and beyond to assist a patient with a special request.
We have a paraplegic patient from a previous 18-wheeler accident.
During the Nurse Leader Rounding, the patient told Lorena that it had
been more than a year since he had a shower. The patient came
from home and had multiple wounds.
Due to his physical condition, we could not accommodate him in one
of our showers so Lorena reached out to our friends in Rehab and
they happily showed us their shower room and the equipment we
would need to get the patient to Rehab and into their shower there.
Because of the patient's physical immobility, it took a lot of work and
some innovation to make this happen but, ultimately, Lorena was
able to get the patient to the Rehab shower room and he enjoyed his
30 minute shower very much. Due to his condition, she had to lift up
his legs during the whole wheelchair trip to rehab. She got him into
the shower and proceeded to wash and clean him.
The patient had multiple wounds which required extensive cleaning.
She took care of that in the shower and then completed all of the
wound care once she got him back to his room. He said that he felt
like a new person after his shower and was touched by the staff who
worked to make this happen for him.

Patient Experience

HCA Houston Healthcare Northwest

2020 YEAR END REVIEW

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Patient Experience

Inpatient Emergency Department Surgical Services

100 100 100 99

80 80 80

60 60 60 61
40
20 22 46 55 40 40

0 34 27 20 9 2 13 7 20 20 16 4 16 9
06 0
13
Q4'19 Q1 '20 Q2'20 Q3'20 Q4'20 Q1'21 Q4'19 Q1 '20 Q2'20 Q3'20 Q4'20 Q1'21

Q4'19 Q1 '20 Q2'20 Q3'20 Q4'20 Q1'21

Goal Goal Goal

Outpatient Test & Treat 100 Inpatient Rehab 99

100 80 81
80 71
60
40 60

20 29 24 20 40 48
07 4 1 30

Q4'19 Q1 '20 Q2'20 Q3'20 Q4'20 Q1'21 20

Goal 0

Q4'19 Q1 '20 Q2'20 Q3'20 Q4'20
Goal

“I had my baby here on December 22 and I am honestly very surprised with this hospital. I had never been here before so it
was my first time, the staff was so amazing and polite and they were quick to acknowledge my needs during my stay. It
was such a beautiful experience.”

- Patient comment from Google in December 2020

Patient Quality

HCA Houston Healthcare Northwest

2020 YEAR END REVIEW

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

“Bricks and mortar do not make a hospital. People do.”
Dr. Thomas Frist, Sr.

Your efforts have not gone unnoticed. Take a look at all of the great
accomplishments Northwest achieved during a challenging and
unpredictable year.
• Leap Frog Safety Grade of A (Fall 2020)
• 2020 Get with the Guidelines Gold Plus for Stroke
• NICU Level III Designation
• HCA Model Staff Bylaws
• Ongoing, real time disaster privilege credentialing in the wake of COVID-19
• Adoption of a new Medical Staff Organizational chart
• And the list goes on………………
Despite the many challenges faced, the Northwest family continued to make
great strides in Quality, Medical Staffing and Patient Safety. Thank you for your
commitment to improving the care and improvement of human life.
Quality Resources, Infection Prevention, Patient Safety, Risk Management &
Medical Staffing

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 33

Northwest Clinical Excellence and Quality Achievements 2020

Fall

Unit of NICU Level III
Distinction Designated
OR # 2 in HCA
34
2020-
21

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Clinical Excellence Quality Celebration

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution. 35

Care. Above All Else.

HCA Houston Healthcare Northwest

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.