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                         “ L U c I O , d e s P I T e H I s c O n d I T I O n , I s a H a P P Y L I T T L e B OY. ”




Gaze into the face of 16-month-old Lucio Torres and you’ll see                            “It was a very long operation,” Dr. Da Silveira recalled.
his eyes − they gleam, keen and alert, almost mirthful. Lucio,                       “After they removed the tumor, it left a huge defect on Lucio’s
despite his condition, is a happy little boy.                                        skull.”
    Lucio was born with a teratoma, a Greek medical term                                  Efforts to correct that asymmetry then began. Dr. Da
that roughly translates as “monstrous tumor.” At birth, the                          Silveira made a plaster cast of Lucio’s face to determine what
side of Lucio’s head was grossly misshapen, the bulging tumor                        facial features needed work. Next, she needed to locate a
threatening his left eye, ear and brain.                                             company willing to design a special corrective infant “helmet”
    “Before, when you had problems like this, you were                                   that would not only protect the head and apply corrective
sent to Dallas or Houston,” said Adriana Da Silveira,                                    pressure to deformities of the skull – but would also include
DDS, PhD, a craniofacial orthodontist who is part of the                                 a special attachment to reform the cheekbone.
remarkable team at Dell Children’s Medical Center of                                          Dr. Da Silveira’s search led her to local orthotics
Central Texas that continues to work with Lucio.                                         designer Arie J. “Bud” Bronkhorst with Hanger Prosthetics
    When Lucio was four months old, doctors removed                                      & Orthotics Inc. who agreed to design the special cheek
the tumor. “Lucio’s surgery was very complex because it                                  guard.
was so close to the brain, close to the eye, close to the                                     Now, under the watchful eyes of the team, Lucio’s face
ear,” Dr. Da Silveira added.                                                             is carefully being reshaped. And despite the hard reality
    The procedure was performed by some of the best                                      that he will need continued treatment − orthodontic care,
doctors in the business − Patrick Kelley, craniofacial surgeon                       bone grafts, reconstructive surgery − probably until he stops
and medical director of Pediatric Plastic Surgery, and pediatric                     growing, Dr. Da Silveira believes Lucio has a bright future.
neurosurgeons Timothy George and Patricia Aronin.                                         “He’s all smiles.”




Lucio Torres, held by his grandmother Rosie Regalado, is thriving under the watchful eye of his healthcare team: (from left) dr. adriana da silveira, craniofacial
orthodontist; dr. Patrick Kelley, craniofacial surgeon; Bud Bronkhorst, orthotics designer; Mary Breen, Rn, advanced practice nurse; dr. Patricia aronin, pediatric
neurosurgeon; and dr. Timothy George, pediatric neurosurgeon.
                                       acc LaI M
                                                  “seTOn nURses KnOW THeY HaVe a VOIce.
                                                    THeY KnOW THeY MaKe a dIFFeRence.”


                                                    How long does a nurse typically work in an emergency
Magnet is the gold standard.                        department before choosing a less-demanding, less-stressful
                                                    environment?
Not only is the Seton Family of                          “Usually about two years,” said Leigh Anne Wilmot, an RN
Hospitals the largest healthcare
                                                    with Seton Medical Center Austin’s ED. “I’ve been here 10.”
system in Central Texas, but it
is also the area’s only hospital
                                                         Her love of the job shines through her work in the ED,
network with Magnet facilities.                     which she refers to as the gateway to the hospital. “We’re
   What is Magnet? It is the                        using cutting-edge technology on a day-to-day basis while
gold standard of nursing quality                    most of the country is still years behind.”
as determined by the American                            For example, one case Leigh Anne remembers is that of
Nurses Credentialing Center,                        an 18-year-old girl who presented to the ED. She couldn’t
part of the American Nursing                        move the right side of her body or speak comprehensibly. Her
Association. Fewer than 5                           nurse thought she might be having a stroke and activated the
percent of the hospitals in the
                                                    Stroke Team. She was given Viprinex, a snake venom derivative
United States are awarded
Magnet status – and Seton has
                                                    not available in most facilities that helps to dissolve the blood
four: Dell Children’s Medical                       clot. Within days of treatment, the girl was released from the
Center of Central Texas,                            hospital without any signs or symptoms of a stroke.
Seton Medical Center Austin,                             Leigh Anne believes SMCA’s Magnet nursing designation
Seton Northwest Hospital and                        is indicative of the teamwork and compassion she and her
University Medical Center at                        colleagues demonstrate. “Magnet is the gold standard for
Brackenridge.                                       nursing,” she pointed out. “It means we’re constantly asking
   Most importantly, Magnet                         ourselves ‘how are we doing as a hospital? How can we get
status says loud and clear to
                                                    better?’ ”
patients that they can expect
the very best care because
                                                         Leigh Anne has worked in some other EDs including Johns
Seton nurses are the best in the                    Hopkins in Baltimore, generally considered one of the nation’s
business.                                           finest hospitals. “Not what I expected,” she recounted. “Some
   Three other Seton hospitals                      of the challenges they face are not the case here at SMCA.
have been designated as                             That’s why I know this is where I want to be.”
Nurse-Friendly™ facilities by the                        So, do other nurses in the SMCA ED share Leigh Anne’s
Texas Nurses Association − Seton                    dedication and commitment? “The average vacancy rate for
Edgar B. Davis Hospital in                          ER nurses is 8.5 percent. We’re at zero percent. While the rest
Luling, Seton Highland Lakes
                                                    of the nation is averaging about 20 percent, our turnover is 1.7
Hospital in Burnet and Seton
Southwest Hospital in Austin.
                                                    percent − and zero for the last six months, which is unheard
To earn Nurse-Friendly status,                      of.”
these sites underwent a very                             Leigh Anne points to the team-based approach and the
vigorous review, proving they,                      commitment to keep getting better as reasons why SMCA ED
too, are among the best in the                      nurses want to stay put.
business.                                                “Seton nurses know they have a voice. They know they
                                                    make a difference.”




                         Leigh anne Wilmot, Rn, seton Medical center austin, already knew she wanted to be a nurse when she was just 7 years old.
                             acH I eVe
                  “an acadeMIc enVIROnMenT IMPROVes THe LeVeL OF PaTIenT caRe.”



THe dOcTOR                                                                     THe TeacHeR

There are training grounds … and then there are training                       Dr. Thomas Kirksey, a longtime Central Texas surgeon, teaches
grounds. For a trauma surgeon, the best training comes in the                  part time at UMC Brackenridge.
middle of a war.                                                                    “I see myself as an educator; I’m teaching junior medical
     “In August of ’06, I went to Iraq,” recounted Carlos Brown,               students. We have transitional interns and I interact with them.
MD, director of Trauma Services for University Medical Center                  I teach about four hours a week.
at Brackenridge. “From a personal standpoint, it was hard.                          “Our interns are wonderful. They’re scholarly. Some of
But from a professional standpoint, I can’t imagine a better                   them are going into radiology, dermatology, ophthalmology
environment for a trauma surgeon.”                                             and other specialties.
     Dr. Brown combines his experience as a battle-line surgeon                     “I think that students mirror their instructor. It’s important
with a thorough background in academic medicine.                                  that we have a very keen sense of what’s right and wrong.
The Westlake native and graduate of the University of                             A lot of what we ask patients to do is tough − take lots
Texas Medical Branch at Galveston spent much of the                               of medicine, undergo chemotherapy, etc. The reason they
past decade in Los Angeles running the Navy Trauma                                comply is because of the level of personal interaction and
Center at L.A. County Hospital, which is affiliated                               trust between the physician and the patient. So when you
with the University of Southern California.                                       lose that human factor, you lose a lot.”
     “An academic environment improves the level
of care that patients receive,” Dr. Brown said. “The
academic world tends to drive how we practice medicine and                     THe ResIdenT
how changes are made.”
     To Dr. Brown’s point, the acceleration of academic medicine               Mark Tabarrock is a resident who graduated from Auburn
at UMC Brackenridge is transforming the level of care available                University and attended medical school at the University of
in Central Texas. Research currently being conducted at the                    Alabama Birmingham.
renowned Brain & Spine Center is changing the way strokes are                      “UAB was pretty heavy into research, but, as med students,
treated. Dr. Brown’s Trauma Department has a study currently                   we were never really exposed to it. When I came to Austin,
underway to examine the effects of Texas’ lack of a motorcycle                 there wasn’t much research in place. That’s definitely changed
helmet law. The Clinical Education Center offers students                      now.
and practicing clinicians a wide spectrum of simulators,                           “The connection between academic medicine and patient
skill labs, high-fidelity mannequins and an innovative team-                   care is absolutely huge. We have such a great resource here
based curriculum that will improve skills and create a steady                  in Seton. We have to be able to take that and build on it as
employment pipeline to fill tomorrow’s medical jobs.                           we go into all these different avenues. The move to academic
     The pace with which Seton is developing academic                          medicine can only improve our programs, improve our hospital,
medicine is already turning heads around the country.                          improve our reputations, improve our care to the patient.”
     “Academic medicine and continuing education are critical
on all levels,” Dr. Brown concluded. “We’re putting things in
motion that will enhance our academic connections and our
academic reputation.”




 during 2007, seton provided 31 directly and jointly sponsored continuing Medical education activities that included
 751.25 hours of instruction for 3,744 physician participants and 2,679 non-physician participants.


Three generations of medicine and academic health care come together at UMc Brackenridge: (from left) dr. carlos Brown, director of Trauma services;
dr. Thomas Kirksey, central Texas surgeon and cec educator; and Mark Tabarrock, medical resident.
                                                                                                                     26
                                                                                                                          LAMPASAS
1. seton Medical center austin                  10. seton Topfer community                                                                                                                                19. seton Lockhart Family
                                                    Health center                                                                                                                                             Health center
A Certified Stroke Center, Austin’s largest
medical/surgical acute care center is home
to Central Texas’ only heart transplant
                                                In the past year, this North Austin health
                                                center helped fulfill Seton’s Mission of
                                                                                                                                                                       BELL                               This health center provides much-needed
                                                                                                                                                                                                          minor emergency and routine healthcare
center.                                         serving the uninsured/underinsured by                                                                                                                     services.
                                                providing 11,524 medical visits, 5,886
2. University Medical center                    prescriptions and 4,316 immunizations.                                                                                                                    20. seton diabetes education center
   at Brackenridge
                                                11. seton Medical center austin                                       BURNET                                                                              In the past year, Seton’s Certified Diabetes
This Certified Stroke Center not only is            Outpatient Rehabilitation                                                                                                                             Nurse Educators provided diabetes
the destination for complex care, but is                                                                                                                                                                  education classes and one-on-one
also the place where some of the nation’s       Offering physical, occupational and                                                                                                                       instruction to 3,367 patients at the center
finest medical minds are redefining             speech therapy, the center has an adult                                                                                                                   and in four Seton facilities.
expectations.                                   and pediatric gym with state-of-the-art

3. dell children’s Medical center
                                                equipment used to improve recovery time
                                                from injuries or ailments/diagnoses.                                                               WILLIAMSON                              35
                                                                                                                                                                                                          21. seton Kozmetsky community
                                                                                                                                                                                                              Health center
   of central Texas                                                                                                        14
Almost one-half million square feet are
                                                12. seton Outpatient Pulmonary
                                                    Rehabilitation center                       LLANO           13                                                                                        Helping to fulfill Seton’s Mission of
                                                                                                                                                                                                          serving the uninsured/underinsured, this
dedicated to serving Central Texas children                                                                          15                                                                                   community health center treated more
including a pediatric trauma program, a         From education to exercise, patients                                                                                                                      than 4,200 patients who generated 11,258
Plastic and Reconstructive Surgery Center       suffering from chronic lung disease receive                                                                                                               medical encounters and received 1,463
as well as a host of other services.            rehab plans tailored to their personal                                                         7                                                          immunizations and 5,751 prescriptions.
                                                needs.
                                                                                                                                      8
4. seton shoal creek Hospital                                                                                                                                                                             22. seton Mccarthy community
                                                13. seton Highland Lakes Hospital                                                                                                          6                  Health center
For 30+ years, patients of all ages have
received 24-hour assistance with emotional
crises, depression, drug and alcohol
                                                This 25-bed critical access hospital in
                                                Burnet provides high-quality medical care
                                                                                                               16                                                                                         Last year, clinicians helped to fulfill
                                                                                                                                                                                                          Seton’s Mission of serving the uninsured/
dependence, etc. Outpatient services are        to a six-county area and operates four                                                                                                                    underinsured by treating 3,744 patients
also available.                                 healthcare centers for patients in Burnet,                                                                                                                who received 5,007 prescriptions and an
                                                Lampasas, Marble Falls and Bertram.                                                                                                                       estimated 10,390 lab tests.
5. seton northwest Hospital

The Level IV Trauma Center offers the latest
                                                14. seton Bertram Healthcare center
                                                                                                                                TRAVIS                                                                    23. seton Medical center Hays

medical technologies, superior women’s          This Hill Country healthcare center offers                                                                                                                Construction on the newest addition
services and a vast network of specialists to   primary and preventive care for residents                281                                                  5    10                  9                  to the Seton Family is underway in Kyle.
treat unexpected illness and injury around      of Bertram, Liberty Hill, Burnet and the                                                                                                                  Scheduled to open in November 2009,
the clock.                                      surrounding area.                                                                                                                                         the new hospital will offer a full range of
                                                                                                                                                                                                          medical, surgical, diagnostic and maternity
                                                                                                                                      24                 20
6. seton Medical center Williamson              15. seton Burnet Healthcare center
                                                                                                                                                                  11                                      services.

Serving the growing Williamson County           Located adjacent to Seton Highland
                                                                                                BLANCO                                             1                   12    3                            24. central Texas
community, Seton’s newest hospital              Lakes Hospital, the healthcare center                                                      4                                                                  Rehabilitation Hospital
features a dedicated women’s center,            offers primary and preventive care and
diagnostic and imaging services as well as      social services for Burnet and Marble Falls                                                                                                               A joint venture of the Seton Family and
an oncology center.                             residents.                                                                       17                                                                       RehabCare Group, Inc., the 20-bed
                                                                                                                                                         2                                                comprehensive physical rehab hospital
7. cedar Park Regional Medical center           16. seton Marble Falls                                                                              21                                22                  provides patients with guidance, education,
                                                    Healthcare center
                                                                                                                                                              25                                          support and motivation to achieve the
A joint venture of the Seton Family and
Community Health Systems, Cedar Park’s
first hospital includes physician offices,
                                                Serving the fast-growing Hill Country area,
                                                the center offers primary and preventive
                                                                                                                                                                                                BASTROP   highest level of functional independence.

                                                                                                                                                                                                          25. clinical education center
labs and diagnostic services.                   care as well as social services for residents                                                                                                                 at Brackenridge
                                                of the Marble Falls, Kingsland and Granite
8. seton Outpatient Rehabilitation              Shoals area.                                                                                                                                              To address the growing shortage of
   services at cedar Park                                                                                                                                                                                 healthcare professionals and to establish a
                                                17. seton southwest Hospital                                                                                                                              reliable pipeline of these critical caregivers,
In association with Dell Children’s, the
“Children’s Therapy Gym” offers a full line     This acute-care hospital provides a
                                                                                                                          HAYS                                                                            Seton opened the CEC in collaboration
                                                                                                                                                                                                          with UT Austin and its School of Nursing,
of quality interdisciplinary rehabilitation     range of high-quality inpatient and                                                                                                                       UT Medical Branch, ACC and Concordia
services for children.                          outpatient medical, surgical, obstetric and                                                                                                               University. Texas Tech University Health
                                                rehabilitation services.                                                                                                                                  Science Center School of Nursing recently
9. seton Pflugerville                                                                                                                          23                                                         joined the collaborative.
   Healthcare center                            18. seton edgar B. davis Hospital
                                                                                                                                                                                                          26. seton Lampasas Healthcare center
Offering a wide range of diagnostic and         With 24-hour emergency care, this                                                                                           19
therapeutic services, the center provides a
convenient location for doctors in private
                                                acute care hospital offers comprehensive
                                                diagnostic and treatment services, health
                                                                                                         COMAL                                                                                            Serving residents in the Lampasas and
                                                                                                                                                                                                          Kempner area, this healthcare center offers
practice.                                       education and wellness programs.                                                                                                                          primary and preventive care to families as
                                                                                                                                                                        CALDWELL                          well as outpatient lab testing.




                                                                                                                                                                                 18
                        Through a unique 11-year collaboration with the Austin Independent School District, nurses with Dell Children’s provide healthcare for approximately 90,000 students. The program was the first of its kind and has been                                                                                                                                                                                                       replicated in schools throughout the nation. • Seton’s Nurse Triage Call Center makes registered nurses available around the clock – 24 hours a day, 7 days a week – free of charge to assist callers with urgent care needs




                                                                                                                                                                                                                                                                       acc ess




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  and schedule doctor appointments to avoid unnecessary emergency room visits. The Call Center received approximately 81,800 calls during FY07. • Last year, Seton implemented a smoke-free campus policy at all of its facilties.
The new Seton Medical Center Williamson includes 109 miles of voice and data cable, 2,800 ports in 13 communication closets, 115 wireless access ports, 793 phones, 317 PCs, 111 laser printers and 73 specialty printers.




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              seton Research

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Being at the forefront of
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Central Texas medicine is
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              nothing new for the Seton
                                                                                                                                                                                                                                           The Seton Family of Hospitals was founded more than 100 years
                                                                                                                                                                                                                                           ago by the Daughters of Charity. Since that time, Seton has
                                                                                                                                                                                                                                                                                                                                                      sYsTeMWIde sTaTIsTIcs FOR caLendaR YeaR 2007                                                                                   2007 FInancIaL & sTaTIsTIcaL sUMMaRY                                                                                                     Family of Hospitals. For more
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              than a century, Seton has
                                                                                                                                                                                                                                           become the leading provider of healthcare services in Central                                                                                                                                                                                                                                                                                                                      faced challenges and overcome
                                                                                                                                                                                                                                                                                                                                                      available Beds                                                      1,505                                                      2007 Financial Highlights
                                                                                                                                                                                                                                           Texas – growing from one 40-bed hospital to six urban acute                                                                                                                                                                                                                                                                                                                        them through innovation. That
                                                                                                                                                                                                                                           care hospitals, two rural hospitals, a mental health hospital,                                             Inpatient surgical Visits                                          16,978                                                      Total Operating Revenue                               $1,102,000,000                                                                     philosophy continues today.
                                                                                                                                                                                                                                           several strategically located outpatient service facilities and                                            Open Heart surgeries                                                 420                                                       Labor Costs                                           $ 467,000,000                                                                      Consider the incredible number
                                                                                                                                                                                                                                           three primary community healthcare clinics for the uninsured                                                                                                                                                                                                                                                                                                                       of research projects that are now
                                                                                                                                                                                                                                                                                                                                                      Obstetrics (Deliveries)                                            10,257                                                      Other Operating Expenses                              $ 531,000,000                                                                      underway – projects that could
                                                                                                                                                                                                                                           with more than 1,500 licensed beds.
                                                                                                                                                                                                                                                A member of Ascension Health, the nation’s largest non-                                               neonatal Intensive care Unit                                        1,363                                                                                                                                                                                               truly impact the health of the
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              community. In fact, more than
                                                                                                                                                                                                                                           profit and largest Catholic healthcare system, Seton is Central                                            Psychiatry (Inpatient Stays at Seton Shoal Creek)                   3,711                                                      cost of care for the                                                                                                                     200 active studies are in progress,
                                                                                                                                                                                                                                           Texas’ largest community service organization and second-                                                                                                                                                                                 Uninsured and Underinsured                                                                                                               and that number only promises
                                                                                                                                                                                                                                                                                                                                                      Total admissions                                                   62,342
                                                                                                                                                                                                                                           largest private corporate employer with 9,700 associates.                                                                                                                                                                                                                                                                                                                          to increase dramatically in the
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Community Benefit                                     $ 167,906,000
                                                                                                                                                                                                                                                The Seton Family contributes to the positive health status                                            Babies Born                                                        10,050                                                                                                                                                                                               next few years. Here are just a
                                                                                                                                                                                                                                           of the 1.4 million people it serves in an 11-county area                                                   Heart Transplants                                                      12
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Charity Care                                          $ 114,273,000                                                                      few examples:
                                                                                                                                                                                                                                           through delivery of patient services, care to the elderly and
                                                                                                                                                                                                                                                                                                                                                      number of associates                                                9,700                                                                                                                                                                                               Categories:
                                                                                                                                                                                                                                           indigent, patient education and health awareness programs
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Reinvestment in Infrastructure and
                                                                                                                                                                                                                                           for the community as well as medical research. Seton’s concern                                             diabetes education center (Patient Visits)                          4,425
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     new Facilities to Meet community needs
                                                                                                                                                                                                                                           for all human life and the dignity of each person leads the                                                                                                                                                                                                                                                                                                                        • Nursing Research
                                                                                                                                                                                                                                                                                                                                                      emergency department (Treat and Release)                         219,396                                                                                                                                                                                                • Injury Prevention
                                                                                                                                                                                                                                           organization to provide medical services to all people in the                                                                                                                                                                             Technology, Infrastructure and Construction           $ 209,000,000
                                                                                                                                                                                                                                                                                                                                                      Total Outpatient Visits                                          495,264                                                                                                                                                                                                • Stroke Treatment
                                                                                                                                                                                                                                           community without regard to race, creed, national origin,                                                                                                                                                                                                                                                                                                                          • Children’s Trauma Services
                                                                                                                                                                                                                                           economic status or ability to pay.                                                                         Outpatient surgical Visits                                         24,851                                                                                                                                                                                               • Surgical Resident Medical
                                                                                                                                                                                                                                                                                                                                                      Patients served at seton’s community Health centers                11,253                                                                                                                                                                                                  Education
                                                                                                                                                                                                                                           Here are some examples:
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              General Topics:
                                                                                                                                                                                                                                           • Seton’s three community healthcare centers managed care
                                                                                                                                                                                                                                             for more than 4,580 unfunded patients during FY07.                                                                                                                                                                                                                                                                                                                               • Behavior Modification
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Using Brief Motivational
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Interviewing
                                                                                                                                                                                                                                           • According to the American Hospital Association, $2 of
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • Traumatic Brain Injury
                                                                                                                                                                                                                                             every $3 spent on hospital charity care in Travis County are                                                                                                                                                                                                                                                                                                                     • Post-Traumatic Stress Disorder
                                                                                                                                                                                                                                             provided by the Seton Family of Hospitals.                                                                                                                                                                                                                                                                                                                                       • Public Health Interventions
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                for Substance Abuse-Induced
                                                                                                                                                                                                                                           • From 2001 to 2007, charity-care dollars provided by Seton                                                                                                                                                                                                                                                                                                                          Injuries
                                                                                                                                                                                                                                             have increased by 225 percent. Since 1998, charity-care                                                                                                                                                                                                                                                                                                                          • Coagulopathy in Trauma
                                                                                                                                                                                                                                             dollars provided by Seton have increased by 536 percent.                                                                                                                                                                                                                                                                                                                           Patients
                                                                                                                                                                                                                                                                                                                                                       Going Green                                        seton’s Rn Residency Program                             LIVesTROnG™                                   Indigent care collaboration                    Portable Ultrasound
                                                                                                                                                                                                                                           • Seton’s University Medical Center at Brackenridge is the                                                                                                                                                                                                                                                                                                                         Pediatric Topics:
                                                                                                                                                                                                                                                                                                                                                       Dell Children’s is a “green”                       Because Central Texas will need                          Last September, Dell Children’s               During FY07, the participating                 University Medical Center at
                                                                                                                                                                                                                                             third-leading, non-public provider of charity-care in Texas.                                              facility that features reduced                     an additional 2,000 nurses                               was proud to join forces with the             partners of the Indigent Care                  Brackenridge and Dell Children’s                              • Traumatic Brain Injury
                                                                                                                                                                                                                                                                                                                                                       demand for electricity with                        in the next 15 years, Seton                              Lance Armstrong Foundation                    Collaboration, including Seton’s               Medical Center collaborated with                                 Rehabilitation
                                                                                                                                                                                                                                           • Last year, Seton provided more than $123,000 to 70 other                                                  sunlight providing 80 percent                      launched the acclaimed Seton                             to dedicate the LIVESTRONG™                   multiple      clinics,   provided              the Austin-Travis County EMS                                  • Acute Stress and Post-
                                                                                                                                                                                                                                             community organizations primarily through the work of its                                                 of natural daytime light, water-                   Versant RN residency program                             Survivorship Center in Austin.                more than 730,289 encounters                   STAR Flight team on a unique                                    Traumatic Stress Disorder
                                                                                                                                                                                                                                             Grants Committee.                                                                                         conserving plumbing features,                      for nurse graduates. With a                              The center has educational and                (inpatient, outpatient, emergency,             study – the only one of its                                   • Non-accidental Trauma
                                                                                                                                                                                                                                                                                                                                                       a rainwater collection system,                     mix of classroom and hands-                              support programs in place to                  clinic, lab/X-ray, dental, non-                kind in the country. It will help                             • Clinical Pathways for Pediatric
                                                                                                                                                                                                                                                                                                                                                       glare-reducing roofing and                         on instruction, the 18- to 22-                           address the long-term physical                medical) to 217,846 low-income                 determine whether a portable                                    Trauma Management
                                                                                                                                                                                                                                                                                                                                                       glazing, compressed wheat-                         week program smoothes the                                and emotional needs of                        uninsured and underinsured                     ultrasound machine can be used                                • Injury Prevention Intervention
                                                                                                                                                                                                                                                                                                                                                       board cabinetry, absorption                        transition from graduate to                              childhood cancer survivors, and               patients in Travis, Hays and                   by STAR Flight paramedics and                                   Evaluation
                                                                                                                                                                                                                                                                                                                                                       chillers and heat recovery                         clinical practice.                                       to offer them the tools to live as            Williamson counties.                           nurses to effectively place IVs                               • Behavioral Determinants
                                                                                                                                                                                                                                                                                                                                                       systems.                                                                                                    fully as possible.                                                                           in patients considered “difficult                                of Trauma
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                sticks” – for example, patients
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                who are chronically ill, in shock,
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                obese, etc.



                                                                                                                                                                                                                             Seton teamed up with The University of Texas at Austin School of Nursing, providing a $1.6 million donation to help increase the school’s undergraduate enrollment by 10-20 additional students. • With the help of the   City of Austin and other community partners, Seton helped launch the Summer Shot Roundup initiative several years ago. During summer 2007, the program provided 31,748 immunizations for Austin-area children.
                                        asTOUnd
                                                    “I KneW THaT BeFORe I cOULd HeaL MY LeGs,
                                                             I Had TO HeaL MY HeaRT.”


                                                       Thursday, November 16, 2006. Life was good. Rene Don
                                                       Juan owned a general contracting business and was going to
                                                       be married in two days. The band was hired, the food was
                                                       ordered and the relatives were heading to Austin. But in an
                                                       instant, everything changed.
                                                           Driving to work, a vehicle clipped Rene’s bumper. He lost
                                                       control of his truck, spun and flipped. Tools, generators and
                                                       Rene himself went tumbling down the highway. He was rushed
                                                       to University Medical Center at Brackenridge. Rene’s injuries
                                                       were overwhelming: a damaged liver, broken ribs, punctured
                                                       lungs, a fracture at the T-12 vertebra and a spinal cord injury.
                                                       Suddenly, thoughts of work, dreams of marriage and family
                                                       were swept away. Rene was in a fight for his life.
                                                           Doctors in the UMC Brackenridge Emergency Department
                                                       systematically treated Rene’s complex panorama of injuries.
                                                       Charlotte Smith, MD, a physical medicine and rehabilitation
                                                       physician with the Brain & Spine Center, remembers Rene’s
                                                       struggle to survive. “There was so much trauma that Rene was
                                                       beginning to show signs of a catastrophic complication that
                                                       could lead to paralysis.”
                                                            Ultimately, the crisis passed, but, as Rene recalled, “I
                                                       couldn’t feel anything. I couldn’t sit up.”
                                                            Rene describes his condition after the accident as that
                                                       of “an infant learning to crawl. If I was at another hospital, I
                                                       would not have gotten the kind of treatment I received.”
                                                            The clinicians at the Brain & Spine Center helped not just
Seton’s Trauma Center, located
                                                       physically, but also spiritually. While the staff developed a
at UMC Brackenridge, provides                          sophisticated rehabilitation schedule, Rene performed a simple
trauma care to the Central                             act: he prayed. “I knew that before I could heal my legs, I had
Texas community regardless                             to heal my heart,” he said.
of a patient’s ability to pay.                              Today, Rene’s pace of recovery continues to impress his
Designated a Level II Trauma                           therapists. “Rene’s progress has been remarkable,” Dr. Smith
Center – the busiest in Texas –                        said. “He really is a miracle.”
the center reported 2,885                                   Rene believes that his recovery has been a product of
trauma admissions through the
                                                       teamwork, his own hard efforts in tandem with the talented
Emergency Department and a
total of 19,385 trauma-related
                                                       staff of the Brain & Spine Center. “They are people who care,
visits during FY07.                                    people who are looking for results.”
                                                            And yes, Rene did get married. Life is good again.




    after being seriously injured in a traffic accident, Rene don Juan relied on his faith, family and the Brain & spine center at UMc Brackenridge to help him get back on his feet.
                                More than 100 years ago on Sunday, March 10, 1901, some 3,000 people gathered to lay the cornerstone of the             Growth is dynamic. The Mission of the Seton Family − to bring, safe, affordable healthcare to all Central Texas
                                Seton Infirmary. The tin box placed in the cornerstone contained the list of people who contributed to the purchase     residents − requires that we not simply respond to growth, but that we direct it, manage it, even create it.
                                of the site for the Infirmary. From that day to the present, the women and men of Central Texas have contributed             In the past year, we’ve opened exciting new facilities: Dell Children’s Medical Center of Central Texas and Seton
                                their time, their energies and their finances to work side by side with the Daughters of Charity in building the        Medical Center Williamson. We are also well underway in the construction of Seton Medical Center Hays.
                                Seton Family of Hospitals into what it is today: a place of healing and compassion. We have been moved by your                We are accelerating our commitment to academic medicine in the region, reflected in the newly renamed
                                commitment, touched by your spirit and blessed by your leadership and collaboration as you share in our Mission         University Medical Center at Brackenridge. The Clinical Education Center is training physicians, nurses and other
                                to serve the healthcare needs of this community.                                                                        clinicians and is also creating an employment pipeline to meet the growing shortage of qualified caregivers. At UMC
seton League House                   These are challenging times. As we look to the future, we know that Central Texas faces an exploding               Brackenridge as well as Dell Children’s and Seton Medical Center Austin, we are conducting research projects that        seton Medical
                                population, a growing number of underinsured and uninsured persons and an increased demand for the provision            will change the medical landscape.                                                                                       center Williamson
Seton League House, located     of health care. Just as more than 100 years ago the building of the first facility could not have taken place without         The great work of our 9,700 associates has been remarkable, garnering national attention. Seton has been
close to Seton Medical Cen-     the collaboration of our neighbors and friends, so too, as we look toward tomorrow, we know that our ability to         named the Best Integrated Healthcare System in Texas; we were awarded the Ernest Amory Codman award for our              Along with the best in complex
ter Austin, provides families                                                                                                                                                                                                                                                    care, including minimally invasive
                                move into the future is dependent on that same spirit of generosity and compassion.                                     Perinatal Safety Initiative; and we have once again earned the coveted Magnet Status for nursing excellence.
a nearby place to stay while                                                                                                                                                                                                                                                     cardiovascular procedures, the
                                     During fiscal year 2007, the Seton Family of Hospitals provided more than $282 million in charity care and               The upcoming year will be one of continued medical and academic achievement, but we are also strengthening         new medical center boasts an
loved ones are hospitalized.    benefits to the community of Central Texas. Of that amount, more than $168 million was provided to those                community roots. Our corporate offices will relocate to the Mueller development site, thereby demonstrating our
During FY07, the Seton                                                                                                                                                                                                                                                           enhanced patient experience
                                persons who were unable to pay for their services. We believe that these totals reflect a continued commitment          strong belief in the residents, neighborhoods and businesses of East Austin.                                             with fresh-to-order meals and
League House served 2,562
visitors.                       by the Daughters of Charity, the Seton Family of Hospitals and especially by you, our collaborators, to fulfill our           The pace of growth in Central Texas represents a daunting challenge to the entire healthcare infrastructure.       on-demand movies; a dedi-
                                Mission that calls us to provide ”Healthcare that Works, Healthcare that Is Safe and Healthcare that Leaves No          The Seton Family of Hospitals, in collaboration with local organizations, associations, faith groups, schools and        cated Women’s Center; and
                                One Behind.”                                                                                                            government, is meeting that challenge.                                                                                   GoodHealth Commons offering
                                                                                                                                                                                                                                                                                 Chinese medicine and nutrition
                                Sister Helen Brewer, Daughter of Charity,                                                                                                                                                                                                        services.
                                Chair, Seton Board of Trustees                                                                                          Charles J. Barnett, President/CEO,
                                                                                                                                                        Seton Family of Hospitals
seton Board of Trustees
                                                       Timothy C. Taylor                     additional seton Family
Sister Helen Brewer, DC, Chair                         Judy Trabulsi                         Organizations
Charles J. Barnett, President/CEO                      Michael Watkins, MD
Donna D. Carter                                                                              Brackenridge Development Council                       Seton.net
Marie Crane, PhD                                       Life Trustees                         Children’s Foundation Council
Patrick J. Crocker, DO                                                                       Children’s Foundation Circle of Friends
Leo R. Dunn                                            Mary Anderson Abell                        Cedar Park Chapter
Pamela M. Giblin                                       Jim H. Calhoon, MD                         Central Austin Chapter
Jack W. Gullahorn                                      Carolyn Curtis                             Georgetown Chapter
Timothy L. LaFrey                                      Charmaine Denius                           Lake Travis Chapter
Thomas S. McHorse, MD                                  Luci Baines Johnson                        Loop 360 Chapter
Sister Phylis Peters, DC                               Bishop John McCarthy                       Northwest Austin Chapter
Erik Pronske, MD                                       Jack McCreary                              Pflugerville Chapter
Rafael Quintanilla Jr.                                 Sister Mary Rose McPhee, DC                Round Rock Chapter
Allan Shivers Jr.                                      Kerry Merritt                              San Marcos Chapter
Sister Mary Jo Swift, DC                                                                          Uptown Chapter
Jimmy G. Treybig                                       children’s Medical center                  Westlake Chapter
Ian J. Turpin                                          Foundation of central Texas           Elizabeth Ann Seton Board
F. Gary Valdez                                                                               Seton Development Board
                                                       Jim Kozlowski, Chairman               Seton Women’s Development Board
Physician Leadership                                   Tim Crowley, Vice Chairman            Seton Development Board
                                                       Alan Topfer, Treasurer                Outreach Associates
Jim Lindsey, MD,                                       Marci Henna, Secretary                     Giddings Associates                  2007 accolades
      Senior Vice President/Chief Medical Officer      Lori Barr, MD                              Highland Lakes Associates
Christopher Ziebell, MD,                               Nicole Nugent Covert                       Horseshoe Bay Associates             The Seton Family of Hospitals
      President, Medical Staff, Seton Family           Gary Farmer                                La Grange Associates                 continues to be the healthcare
      of Hospitals                                     Edward Furst, MD                           Lago Vista Associates                leader in Central Texas – as
Phillip Berry, MD,                                     Richard Gardner                            Lakeway Associates                   seen by the national recognition
      Chief of Staff, Dell Children’s Medical Center   Morris Gottesman                           Lexington Associates                 achieved this year alone.
      of Central Texas                                 Kate Johnson                               Luling Associates                    Here are just a few examples:
Jeffrey D. Brand, MD,                                  Neal T. (Buddy) Jones                 Seton Forum
      Chief of Staff, Seton Northwest Hospital         Tom Kite Jr.                          Seton League House Board                  Modern Healthcare magazine
Andrew Reifsnyder, MD,                                 Jan Lindelow                          Seton School of Nursing Alumnae           featured Seton among the
      Chief of Staff, University Medical Center        T. Nyle Maxwell Jr.                   Seton Volunteers                          top 100 integrated healthcare
      at Brackenridge                                  Barbara Paul                               Dell Children’s Medical Center       systems nationwide and the
William Reitmeyer, MD,                                 Mark Powell                                   Volunteers                        highest ranked in Texas.
      Chief of Staff, Seton Medical Center             Pat Robertson                              Seton Edgar B. Davis Volunteers
      Williamson                                       Jan Soifer, Esq.                           Seton Highland Lakes Hospital        Seton recognized by Health
Sam Roberts, MD,                                       Hannah Temple                                 Volunteers                        Workforce Solutions LLC as
       Chief of Staff, Seton Medical Center Austin                                                Seton Medical Center Austin          the only health system in
                                                       Life Trustees                                 Volunteers                        Texas for transforming how
The seton Fund                                                                                    Seton Northwest Hospital             healthcare is delivered.
                                                       Susan Dell                                    Volunteers
Allan Shivers Jr., Chairman                            Mary Nell Frucella                         Seton Shoal Creek Hospital           Seton won prestigious 2007
Ben Vaughan III, Vice Chairman                         N. Rudy Garza                                 Volunteers                        Ernest Amory Codman Award
Sister Beatrice Broussard, DC, Secretary               Betty Himmelblau                           Seton Southwest Hospital             from The Joint Commission,
Andrew C. Elliott Jr., Treasurer                       Luci Baines Johnson                           Volunteers                        the nation’s predominant
Robert E. Askew, MD                                    Cindy Kozmetsky                            Seton Sweet Charity Volunteers       healthcare standards-setting
Donna Carter                                           Juan Portillo                              University Medical Center            and accrediting body, for
                                                       Karen Teel, MD                                at Brackenridge Volunteers        efforts to reduce birth trauma.
Sister Mary Anne Digenan, DC
Gretchen Ellis
                                                                                                                                       The Austin Business Journal
JoLynn Free                                            seton Williamson Foundation
                                                                                                                                       named Seton as a “2007
Pamela M. Giblin                                       Board of Trustees
                                                                                                                                       Best Places to Work.”
Dan Herd
Brad Hummel                                            Jim Schwertner, Chairman
Lowell Lebermann                                       Charles N. Avery III, Vice Chairman
Sister Gertrude Levy, DC                               David Hays, Secretary
Joe R. Long                                            Judy McLeod, Treasurer
Alex Massad                                            Jimmy Jacobs
Pat Oles                                               Frank Krenek
Sam Roberts, MD                                        Don Martin
Trey Salinas                                           Steve D. Pena
Tom Segesta                                            Laura Robinson
John Sharp                                             Jennie Shield Ratliff
                                                       David Singleton

				
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