dc’s current hospital system...the fierce urgency of now 3 while african americans make up 46% of...

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Page 1: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African
Page 2: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

DC’s Current Hospital System 2

April 30, 2020

Washington, DC is home to a nationally recognized system of care, but hospitals are not evenly distributed.

Hospital Level Location

Medstar Georgetown Tertiary NW

Medstar Washington Hospital Tertiary NW

Howard Tertiary NW

George Washington Tertiary NW

Children’s National Specialty/Tertiary NW

Sibley Community NW

United Medical Center Community SE

Page 3: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

The Fierce Urgency of Now 3

While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African Americans.

85% of Washingtonians who have died of COVID-19 had underlying chronic conditions, including 70% who had hypertension, 50% who had diabetes, and 70%

who had two or more conditions.

April 30, 2020

Page 4: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

Health Disparities in DC 4

Cause of Death Age Adjusted per 100K residents

Ward 7

Ward 8

District-Wide

Heart Disease 305.3 369.4 186.2

Cancer 219.2 235.6 166.3

Diabetes 34.0 82.7 25.6

Stroke 62 60.2 37.6

Rates of preventable and early detectable cancers (breast,

cervical, lung, colon, and liver) are higher in African Americans,

Latino residents, and residents in Ward 5, and, most especially, in

Wards 7 and 8.

Disparities in health outcomes are directly tied to education, employment, income, housing, transportation, food access, and medical care.

April 30, 2020

Page 5: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

Disparities in Life Expectancy 5

87.6

85.3

81

80.9

79.1

76.4

76.7

72

0 10 20 30 40 50 60 70 80 90 100

Ward 3

Ward 2

Ward 4

Ward 1

Ward 6

Ward 5

Ward 7

Ward 8

Life Expectancy For District Residents By Ward

April 30, 2020

Page 6: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

ReOpenDC with a Focus on HOPE 6

Together, we will build a healthier and more equitable DC – a DC that reflects our

shared DC values.

HEALTH • OPPORTUNITY • PROSPERITY • EQUITY

April 30, 2020

Page 7: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

A new GW Health Hospital at St. Elizabethsand a new Howard Hospital will improve

access to high quality, integrated care for all District residents and help address disparities

in health outcomes.

A Healthier, More Equitable Future

April 30, 2020

Page 8: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

A New Network of Care in Wards 7 and 8 8

New GW Health Hospital at St. Elizabeths

New Ambulatory Center at St. Elizabeths

Two New Urgent Care Facilities in Ward 7 and Ward 8

April 30, 2020

Page 9: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

A New Community Hospital at St. Elizabeths 9

§ 136 inpatient beds built to expand to 196 in the future

§ ICU, Surgery and Operating Rooms

§ Newborn Delivery and Women’s Services

§ Level II NICU

§ Adult and Children’s Emergency Department

§ Physicians, medical students and research in partnership with the George Washington School of Medicine and Medical Faculty Associates

§ Parking and Transportation Services to Congress Heights Metro

§ $306 million

Opening: Fall 2024

April 30, 2020

Page 10: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

A Full Network of Care 10

§ Full diagnostic and imaging suite§ Clinic§ Outpatient and specialty surgery§ Community and Educational

Space§ $69 million (District funded)

§ Outpatient and clinical services§ Prenatal care and education§ $22 million (UHS Funded)

Two urgent care facilities one in Ward 7 and one in Ward 8

Ambulatory Center atSt. Elizabeths

Opening: Fall 2023 Opening: Fall 2021 and Early 2022

April 30, 2020

Page 11: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

A New Network of Care in Wards 7 and 8 11

Sample of Services at the new GW Health Hospital and Ambulatory and Urgent Care Facilities

Specialty services to meet the specific needs of the community: nephrology, cardiac and hypertension, orthopedic, cancer, urology

General surgery

Neonatal and

obstetrics

Acute, medpsych, and outpatient behavioral

health services

Wound care and rehabilitation

services

Infectious disease

April 30, 2020

Page 12: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

Timeline for the New GW Health Hospital 12

April 30, 2020

Introduce Legislation and Agreements to Council

SUMMER 2020

Contract with Architect for Full Design of Hospital, Ambulatory Center and Garage

Release and Award Construction Contracts

Open New 801 East Shelter and Deconstruct Old Shelter

Break Ground on Hospital, Ambulatory Pavilion and Garage

Ambulatory Pavilion Opens

New Hospital Opens

FALL 2020

SUMMER 2021

FALL & WINTER 2021

EARLY 2022

FALL 2023

FALL 2024

01 02 03 04 05 06 07

Page 13: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

A New Howard University Hospital

Preserving Our History & Investing in Our Future

April 30, 2020

Page 14: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

A New Howard University Hospital 14

§ Level I Trauma Center

§ Academic Teaching Hospital

§ 225 bed facility

§ 600,000 square feet

§ Current hospital remains open until new facility is constructed.

§ $450 million

Open By 2026

April 30, 2020

Page 15: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African

Centers of Excellence 15

In addition to a $225 million partial tax abatement and a $25 million investment in infrastructure, the District is providing $26.6

million over six years to support five Centers of Excellence at Howard University Hospital.

Sickle Cell

Women’s Health

Oral Health

Trauma and

Violence Prevention

Substance Use and

Co-Occurring Disorders

April 30, 2020

Page 16: DC’s Current Hospital System...The Fierce Urgency of Now 3 While African Americans make up 46% of DC’s population, 80% of DC residents who have died due to COVID-19 have been African