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HCA Healthcare

Medical Center of Trinity seeks new ways to improve care

October 24, 2018 By B.C. Manion

Anyone who has driven along the State Road 54/State Road 56 corridor during the past few years can easily see that the landscape is rapidly changing in Pasco County.

Subdivisions and businesses are popping up everywhere, and the need for medical services continues to grow.

Responding to that explosive growth and to evolving patient needs is only part of the equation, though. Keeping up with medical advances, staying abreast of new treatment approaches, equipping hospital staff with leading edge technology and adjusting to changes in government regulation, are other elements in Medical Center of Trinity’s quest to set itself apart for its quality of care, said Leigh Massengill, the hospital’s chief executive officer, during a recent North Tampa Bay Chamber luncheon.

Leigh Massengill, the chief executive officer of Medical Center of Trinity, was the featured speaker at a recent North Tampa Bay Chamber luncheon. She shared news that the hospital will be expanding services and will be adding a medical residency program next year. (B.C. Manion)

“We try to strategize very carefully to meet the needs of the growing community, to identify the things that people are going to need — recognizing that health care is changing at a fast pace while we’re trying to make those decisions,” Massengill said.

For instance, “more and more things are being done on an outpatient basis.

“Whoever thought that you could get your total knee replaced in an ambulatory surgical setting and go home the same day? What next?”

While the main hospital campus is now on State Road 54, the hospital had its start in New Port Richey.

“We celebrated our 40th anniversary of providing health care as Community Hospital of New Port Richey, just shortly before we moved in February of 2012 to this new location,” Massengill said.

The hospital had to retool itself and rethink its approaches, as it shifted from taking care of a group of patients with an average age of 82, to one that serves patients ranging from neonatal care to the senior population.

It was quite a culture shock for the organization, the CEO said, and continues to be an adventure as the hospital contemplates how it will grow with the community.

The hospital executive brings a wealth of experience to the challenge. Her background includes working in hospitals ranging from 150 beds to 1,500 beds in both public and faith-based settings. She began her career as a registered nurse and has held a number of leadership roles in nursing and hospital operations.

The hospital sits on a 55-acre campus and is currently occupying about 24 acres.

Additional services to meet area needs
“Since we moved in, we opened a neonatal intensive care unit, which was the first in Pasco County and is the only still, in Pasco County. That has enabled us to keep mommas, that have high-risk pregnancies, within their hometown.

“Before that, we were consistently referring people down to Pinellas and Hillsborough counties for that higher level of care. We’re now able to retain them closer to home, closer to family, especially, if you have a child that’s going to be in an intensive care unit for three weeks after their birth, invariably, you have two other kids at home and who’s taking care of that while you’re traveling 50 miles down to All Children’s Hospital?

“Two years after opening, the hospital began doing open heart surgery, now completing about 150 open heart surgeries annually.

“We keep getting more minimally invasive, as you know, and just about any type of invasive procedure is getting more and more catheter-based, more and more teeny incisions, or more and more robotic,” Massengill said.

The hospital is part of HCA West Florida, which is part of the HCA Healthcare family, and it has  distinguished itself in the HCA system, which includes 180 acute hospitals, Massengill said. The hospital’s surgery/ortho/spine unit was ranked No. 1 within HCA.

She praised the hospital’s staff for the accomplishment, noting the distinction is based on document excellence in a wide range of measures and required substantial work to achieve.

On another front, the hospital has added 14 observation beds, next to the emergency department. That change came in response to new government regulations.

“The government has changed reimbursement. The expectation is, if you show up at a hospital, we have the obligation to determine, as you’re rolling through the door, whether you’re going to require two hospital nights, in order to be considered admitted and an inpatient.

If we’re not certain, we have to keep you in an observation status, do as many diagnostic tests that are necessary to determine whether you’re going to need an inpatient stay, or to stabilize you and have that care continue on an outpatient basis. They give you 24 hours to accomplish that diagnostic testing,” she said.

Current expansion plans on the main campus call for completion of the east side of the fifth floor, and to do the east side of sixth floor for further growth and expansion.

“We continue identifying ways to differentiate ourselves relative to quality,” Massengill said.

The hospital has extended its footprint, to extend its care by adding three freestanding emergency departments, with one in Lutz, Citrus Park and Palm Harbor.

“In those facilities, 95 percent of the patients are treated and released,” she said.

The hospital also plans to add a behavioral health unit for the elderly at the New Port Richey campus.

“We’ve had many physicians come to us, asking us to create this kind of a program,” Massengill said. “We’re looking forward to opening that, once the state gives us the seal of approval.”

The hospital also recently received approval to begin a medical residency program, which will begin in 2019, the hospital leader said.

As it continues to operate in an environment of almost constant change, the hospital remains focused on achieving excellence in staff performance and patient outcomes, Massengill said.

“We know that the consumer of health care is getting more and more savvy, and they shop for excellence before they make the decision,” she said.

Medical Center of Trinity

  • Opened Feb. 7, 2012
  • 288 all-private rooms on its main campus

2017 figures

  • Total annual admissions: 16,222
  • Total annual emergency visits: 77,096
  • Total patients treated: 119,298
  • Active physicians: 380
  • Total employees: 1,482
  • Taxes paid: $8.1 million
  • Charity and uncompensated care: $22 million
  • Salaries, wages and benefits: $113 million

Source: Presentation by Leigh Massengill, Medical Center of Trinity, to members of the North Tampa Bay Chamber

Published October 24, 2018

Filed Under: Health, Local News Tagged With: All Children's Hospital, Community Hospital of New Port Richey, HCA Healthcare, Leigh Massengill, Medical Center of Trinity, North Tampa Bay Chamber, State Road 54, State Road 56

Veterans lobbying for where in Pasco new VA clinic should go

September 4, 2014 By Michael Hinman

The men and women who have served our country during times of war, or in case of war, have been fighting a new conflict to ensure they have access to the federally provided health care they were promised.

But now part of that battle might turn into a turf war between the west and east sides of Pasco County.

Kathleen Fogarty, chief of the James A. Haley VA Medical Center in Tampa, shares some of the issues her facility has faced in recent months during a packed town hall meeting of veterans hosted by U.S. Rep. Gus Bilirakis, right. (Michael Hinman/Staff Photo)
Kathleen Fogarty, chief of the James A. Haley VA Medical Center in Tampa, shares some of the issues her facility has faced in recent months during a packed town hall meeting of veterans hosted by U.S. Rep. Gus Bilirakis, right.
(Michael Hinman/Staff Photo)

Veterans gathered at the West Pasco Government Center last week to tell U.S. Rep. Gus Bilirakis where they want to build a new consolidated center made possible thanks to a Veterans Affairs bill signed by President Barack Obama last month.

The bill has set aside $1.3 billion to create or expand 27 VA clinics around the country, including Florida’s only new one — a planned 114,000-square-foot facility that would consolidate five existing locations on the west side of the county.

Many veterans have come to depend on having those centers in New Port Richey and Port Richey, and some are balking at the idea of moving the new consolidated center into Land O’ Lakes, or even into Zephyrhills or Dade City.

No plans have been finalized, or even proposed, on where this new facility would take place. But a majority of those speaking up last week were pushing for the government to take over the former Community Hospital campus in New Port Richey. That hospital shut down in 2012 after its owner, HCA Healthcare, opened the new Medical Center at Trinity on State Road 54 just east of Little Road.

But bringing that building up to the standards needed for a new VA clinic could be costly.

“We tried to get Community Hospital about seven years ago,” said one veteran, Paul Rizzo. “We met with the VA, and they turned us down, because they said the building was unsafe. It was only built for one floor, but it’s three floors.”

Despite that, Rizzo wants to have the new clinic there.

“I still say that Community Hospital is one of the best places that we could use,” he said. “It’s been standing there for 50 years now, so how is that unsafe? They say we need a complete overhaul of the building there, but what we really need is a complete overhaul of the VA.”

The Land O’ Lakes area has also been shared as a possible location for a new VA clinic, since it’s in central Pasco. However, east Pasco also remains on the radar simply because of the available land out there in case VA officials decide to build something new.

But getting out that way might create as many problems as simply going to the James Haley VA Medical Center in Tampa, some say. Plus, a clinic already exists near Florida Hospital Zephyrhills. That facility will not be a part of the consolidation, officials said.

“Most people, especially disabled veterans, have financial problems, and transportation is a huge factor in their lives,” said Lauren Price, an Iraqi war veteran who is one of the founders of the VeteranWarriors advocacy group. “We have some limited mass transit here in West Pasco, and there is much more minimal mass transit that gets out to Trinity. And before someone offers all that real estate out in Dade City or Zephyrhills, I will remind them that the only mass transit out there are the mud swamp runs.”

Despite hosting the town hall, Bilirakis will have minimal input on where the new facility will be located, he said. That decision, instead, will rely on the VA department itself, which also will receive an additional $10 billion to outsource some of the care to private doctors when VA officials get behind. It also gives Robert McDonald, the U.S. Department of Veterans Affairs secretary, the power to remove senior executives not meeting expectations more easily than before.

Congress put the legislation in motion this past summer after a series of reports highlighting backlogs in service and other problems at VA hospitals around the country. A government investigation found some of those hospitals were guilty of flubbing appointment lists while supervisors turned a blind eye.

The report, however, said there was nothing connecting the delays created by that activity with preventable deaths.

But some of the veterans in New Port Richey still feel like they’ve been treated improperly by the system. However, James Haley VA Medical Center chief Kathleen Fogarty said many of the delays and problems experienced locally are from the sheer volume facilities like hers have taken on.

“I am very pleased to tell you that all of our clinics were audited, and we did not have any discrepancies in the scheduling,” Fogarty said. “But will I tell you that we don’t have any waiting lists? Absolutely not.”

That’s because her system handles 89,000 unique patients every year, she said. Haley has 4,000 patients a day, and conducts 42,000 consultations a month.

“I am very blessed to have the University of South Florida a bridge away from me,” Fogarty said. “They don’t have a hospital they use to train all of their doctors. We are the primary facility they use, which is a great thing for us because I think we get the best doctors out there.”

Besides where the new consolidated clinic should be located, the more than 100 veterans who attended also shared some of the services they’d like to see there. That includes urgent care, physical therapy, radiology, women’s care and greater access to dental, Bilirakis spokeswoman Summer Robertson said.

If any other veterans wants to express their preferences on where the clinic should go and what should be there, they can call Bilirakis’ office at (813) 501-4942, or send an email to the congressman through his website at Bilirakis.house.gov.

Published September 3, 2014

See this story in print: Click Here

Filed Under: Health, Local News, Top Story Tagged With: Barack Obama, Community Hospital, Dade City, Florida Hospital Zephyrhills, Gus Bilirakis, HCA Healthcare, James Haley VA Medical Center, Kathleen Fogarty, Land O' Lakes, Little Road, Medical Center at Trinity, New Port Richey, Paul Rizzo, Port Richey, Robert McDonald, State Road 54, Summer Robertson, U.S. Department of Veterans Affairs, University of South Florida, West Pasco Government Center, Zephyrhills

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Live Oak Theatre is now selling tickets for its Acorn Theatre production of “Aladdin jr.” Performances will be March 18 through March 28, at the Carol and Frank Morsani Center for the Arts, 21030 Cortez Blvd., in Brooksville. Seats are $15 for adults and $8 for children ages 13 and younger, when accompanied by an adult. For show times and tickets, visit LiveOakTheatre.square.site, email , or call 352-593-0027. … [Read More...] about ‘Aladdin jr.’

03/05/2021 – Apple Pie Bombs

The Pasco County Library Cooperative will offer “Foodie Feast: Apple Pie Bombs” on March 5. Participants can learn how to make tasty, apple pie bombs. Watch the prerecorded video between 10 a.m. and 5 p.m., online at Facebook.com/hughembrylibrary or Facebook.com/newriverlibrary. For information, call 352-567-3576, or email Danielle Lee at . … [Read More...] about 03/05/2021 – Apple Pie Bombs

03/06/2021 – Bridal Trunk Show

The Gulfside Hospice New Port Richey Thrift Shoppe, 6117 State Road 54, will host a Bridal Trunk Show on March 6 from 1 p.m. to 5 p.m. There will be more than 250 dresses to choose from, starting at $29.99 and many brand new. Admission is free, but limited spots are available to allow for social distancing. Brides must register online in advance, by March 3, at bit.ly/NPR-Bridal-Trunk-Show. All proceeds from the shop go to help hospice patients in Pasco County. For questions, contact Jeremi Sliger at , or call 727-842-7262. … [Read More...] about 03/06/2021 – Bridal Trunk Show

03/11/2021 – Economic security

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03/13/2021 – ‘Grease’ event

T-Mobile will sponsor “Grease is the Word” on March 13 from 4 p.m. to 8 p.m., at Land O’ Lakes Heritage Park, 5401 Land O’ Lakes Blvd. There will be a sing-along contest pitting Pasco County Fire Rescue against the Pasco County Sheriff’s Office, a free movie “under the stars,” and a classic car show with prizes. There also will be food trucks and games. Admission is free. … [Read More...] about 03/13/2021 – ‘Grease’ event

03/13/2021 – Exhibitors needed

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