St. Clair Hospital_HouseCall Vol X Issue 2

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VOLUME X ISSUE 2

HouseCall GROUNDBREAKING GROWTH St. Clair’s largest expansion in decades

Ranked Among the Nation’s

See page 19


GROUNDBREAKING GROWTH

It’s time to grow again

St. Clair embarks on the largest building project in the Hospital’s history St. Clair recently announced a $142 million expansion at its main campus, the centerpiece of which is a new 280,000-square-foot comprehensive outpatient center.

T

he new outpatient center is targeted to open in fall 2020 and will result in the employment of 150 additional health care professionals at St. Clair, the South Hills’ largest

employer with 2,500 employees. Groundbreaking is scheduled for later this year. The investment represents the largest expansion at the Hospital’s main campus in four decades and is in response to the 130 percent growth in St. Clair’s outpatient volume since 2006. “As a leading health care organization, we are dedicated to providing state-of-the-art medical care in our region,” says John T. Sullivan, M.D., MBA, Senior Vice President and Chief

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The covered main entrance to the new addition.

Medical Officer at St. Clair Hospital. (Please see feature story on

medical imaging; cardiodiagnostics; physical and occupational

Dr. Sullivan, pages 12–13.) “Advancements in medical science have

therapy; Sipe Infusion Center; outpatient surgery with 10 operating

dramatically changed how medical care will be delivered in the

rooms, two procedure rooms, and 51 pre- and post-surgical rooms;

future, and we are addressing that evolution by creating a facility in

a spacious endoscopy (GI) suite with six exam rooms; other multi-

which next generation treatments can be provided in a convenient,

disciplinary clinical programs; conference space; multiple seating

easy-to-access, patient-focused setting. The new outpatient center

options; a café serving chef-prepared offerings; underground

will prove to be a transformative experience for patients by consoli-

parking; and a commercial pharmacy.

dating high-quality clinical and support services under one roof.”

“All of these clinical services and amenities will be complemented

Dr. Sullivan says the new six-story building will offer comprehensive

by the addition’s modern architectural features, including a two-story

diagnostic and therapeutic outpatient services, including: laboratory;

atrium that will flood the building with natural light,” Dr. Sullivan says. Continued on page 4 Volume X Issue 2 I HouseCall I 3


GROUNDBREAKING GROWTH Continued from page 3

Committed to delivering health care for generations to come St. Clair is expanding to accommodate its steady growth in patient volume and to facilitate health care delivery to future generations.

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his truly represents ‘groundbreaking growth’ for St. Clair Hospital,” says James M. Collins, President and Chief Executive Officer at St. Clair Hospital. “St. Clair is already a national

leader in patient safety, quality, patient satisfaction and value. With this addition, St. Clair will have forward-looking facilities commensurate with its growth and the rapid changes in how health care will be delivered in the future.” The new outpatient center will be constructed on property that spans Mt. Lebanon and Scott Township on N. Wren Drive and will


An interior view of the atrium, monumental staircase and café.

be connected to the existing Hospital. The project also includes

Pennsylvania region. An impact study conducted by the Allegheny

the construction of a new Employee Parking Garage (which opened

Conference’s Pennsylvania Economy League of Greater Pittsburgh

in May) and a new central power plant that will modernize the

estimates the project will add 1,632 direct, indirect and induced

campus’ infrastructure. For added public safety, the project includes

jobs to the region, and contribute approximately $262.4 million

realigning N. Wren Drive to better connect with Bower Hill Road

in direct revenue and $145 million in value-added services to

and Firwood Drive, as well as the installation of new traffic signals

the region’s economy.

and sidewalks. The expansion will also increase the Hospital’s already significant contribution to the economic vitality of the southwestern

Funding for St. Clair’s $142 million building project is being supported by philanthropy, government grants, tax-exempt bonds, and Hospital funds. Continued on page 6

Volume X Issue 2 I HouseCall I 5


GROUNDBREAKING GROWTH Continued from page 5

A building for the future of health care

S

t. Clair is committed to providing excellent health care and

choosing to receive their care at St. Clair and this building

an exceptional patient experience. As medicine continues

project will enable St. Clair to meet the growing demand for

to evolve, the Hospital is growing with it. Today, St. Clair

services, especially for outpatient services, on its main campus.

is embarking on a major transformation, a transformation that

“This is more than just a building project at St. Clair. This

includes constructing new facilities to ensure its patients have

will create the platform to transform how care is delivered in

better access to the latest services and technologies.

an outpatient setting into the future,” says Michael J. Flanagan,

St. Clair is the region’s fastest growing hospital. In an era

Senior Vice President and Chief Operating Officer at St. Clair.

when inpatient cases are declining, St. Clair’s grew by nearly

“In addition, realigning outpatient services into one convenient

28 percent since 2006. During that same period, outpatient

location on campus enables St. Clair to devote more space for

volume grew by 130 percent. Simply put, more patients are

the delivery of inpatient care.”

An exterior view of the new addition from N. Wren Drive.

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Outpatient testing and minimally invasive procedures

“Our goal is to make outpatient care more accessible and

and surgeries have changed how health care is delivered.

convenient — to have all the services that one would need

Providing all these services under one roof delivers

seamlessly integrated together,” says Mike. “In the new

significant benefits to patients, from reduced costs to an

addition, patients will be able to get their blood work done,

enhanced experience.

see a physician, have a procedure, get their prescription

St. Clair wants to make outpatient procedures more

filled, and receive physical therapy and more. Services that

comfortable and convenient for its patients and their families.

in the past would require multiple stops, you’ll be able to

Constructing a separate addition for outpatient services on its

get under one roof.”

main campus will create an experience that’s easier and less stressful for patients and will allow inpatient testing to

Continued on page 8

proceed more quickly and efficiently.

To continue to provide an outstanding patient experience and to position the Hospital for further growth, St. Clair has re-imagined its space and created a new vision for delivering health care. The new outpatient addition will be a state-of-the-art facility offering the latest advances in medicine. It will allow the Hospital to provide the quality of care, convenience and amenities that patients have come to expect from St. Clair. Volume X Issue 2 I HouseCall I 7


STRATEGIC EXPANSION GROUNDBREAKING

GROWTH

Continued from page 7

Convenient. Accessible. State-of-the-art. The new addition to the Hospital will deliver the best in modern medicine, along with the convenience and accessibility of a one-stop, state-of-the-art health care facility that promises modern architectural features, including a two-story atrium that will flood the building with natural light.

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An exterior view of the new addition from the existing Hospital.

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he centerpiece of St. Clair’s multi-million expansion at

design incorporates curtainwall, storefront, architectural metal panels,

its main campus is unquestionably the comprehensive

and ground face block, all of which were selected to integrate with the

outpatient center. The vision is to offer patients one easily

existing Hospital buildings while reflecting current design principles.

accessible building that features a wealth of services in spaces designed with the needs of patients and visitors at the fore. The architect, IKM, Inc. of Pittsburgh, is designing the building’s six

“The organization of the various internal areas reflects the institution’s philosophy of patient-centered care,” says John C. Schrott, President, IKM Architecture and a resident of Mt. Lebanon.”A superior

stories to be numbered 2 through 7 to align with floor numbering in

patient experience will be promoted from the moment of the patient’s

the existing Hospital, which will be physically connected to the new

arrival at the drop off/entry with placement of convenient amenities,

addition. Levels 2, 3 and 4 will house patient parking and facility

clear defined pathways, natural light, visual and physical access to the

support space. Vehicles and pedestrians will enter at Level 5, which will

outdoors, and family groupings in the waiting spaces. The clinical care

include Diagnostic Imaging services and a variety of public spaces.

spaces are designed to separate patient and staff circulation and

Operating rooms and other procedural spaces will be located on Level

promote staff efficiency, reducing staff travel distances and therefore

6, while Level 7 will house medical offices.

encouraging more time for direct patient/clinician interactions.

The building will feature a monumental staircase, separate elevators for the public and staff, outdoor plazas and landscaping. The exterior

The design facilitates a discreet discharge process to support patient

GROUNDBREAKING VISION

ease and privacy.”

Continued on page 10

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GROUNDBREAKING GROWTH Continued from page 9

Groundbreaking investment An impact study by the Allegheny Conference’s Pennsylvania Economy League of Greater Pittsburgh estimates the new outpatient addition will: Add 1,632 direct, indirect and induced jobs during construction and operations phases

THE

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Contribute approximately $262.4 million in direct revenue

Contribute approximately $145 million in value-added services to the region’s economy

IN HOSPITAL PATIENT

SAFETY


St. Clair continues to invest in the Hospital. And the community. As the South Hills’ largest employer, St. Clair creates thousands of jobs and spends millions of dollars that have a direct impact on the economy. The Hospital invests millions in programs that keep our communities healthy and informed. In addition, St. Clair provides charity, discounted and uncompensated care for those who need it.

Our direct annual economic impact on the region*

The human factors**

Community Benefit Programs $3.64 million

Employees 2,500

Economic Ripple Effect $265.7 million

Charity, Discounted and Uncompensated Care $48.18 million

Physicians 600

Total Benefit $530.4 million

Value of Service $51.82 million

SALARIES:

Taxes Paid to the Community $7.39 million

TOTAL SPENDING: Hospital $264.7 million

Hospital $95 million Economic Ripple Effect $71.2 million

* Numbers as of FY 2016, the most recent year available.

Patients Seen 112,000 Inpatient Admissions 15,988 Outpatient Visits 316,726 ER Visits 63,591 ** Numbers as of FY 2017.

TOTAL: $166.2 million

The Leapfrog Group, a national, independent, patient-safety watchdog, has awarded St. Clair Hospital special recognition for 6 years, making St. Clair the region’s only hospital to consistently earn an ‘A’ grade for patient safety. The grades rate how well hospitals protect patients from preventable medical errors, injuries and infections. To learn more about our Hospital Safety Score, or St. Clair’s performance as a national leader in quality and patient satisfaction, please visit stclair.org.

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NEW LEADERSHIP

JOHN T. SULLIVAN, M.D., MBA

Introducing St. Clair’s New Senior Vice President and Chief Medical Officer John T. Sullivan, M.D., MBA has journeyed all over the world, throughout his years of military service, his medical education and career, and his personal love of travel, but he never anticipated that he would eventually land in Pittsburgh. Nevertheless, he is here, happily so, having recently accepted an appointment as Senior Vice President and Chief Medical Officer for St. Clair Hospital. For this deeply experienced veteran of academic medicine, research, administration and tertiary-level specialty care, his appointment offers a new challenge and an exciting opportunity.

S

Jim Collins and the entire leadership team. Their track record of

and departments. Everyone is engaged and motivated and shares

quality improvement, safety, and cost containment is outstanding.

the institutional goals.”

t. Clair Hospital is really very special,” Dr. Sullivan says.

In addition, I’m impressed by the integration of the leadership

“The Hospital is nationally rated for its high quality. What

team. At my first few meetings, there was such a broad range of

initially attracted me to St. Clair was the leadership: CEO

managers in attendance, representing many different disciplines

St. Clair is fortunate to have excellent leaders who are strategic and smart. I feel strongly about the high quality of leadership here.” Dr. Sullivan is an anesthesiologist who has specialized in

St. Clair’s selection for membership in the Mayo Clinic Care Network was another factor in Dr. Sullivan’s decision to become the Hospital’s Chief Medical Officer. “Mayo Clinic is academically

obstetric anesthesia. Prior to joining St. Clair, he served as

strong and operationally excellent, and highly selective. The fact

Associate Chief Medical Officer for Academic Affairs at North-

that they chose to include St. Clair in their network speaks volumes.

western Memorial Hospital and as Professor of Anesthesiology

The clinical collaboration with Mayo Clinic provides an enormous

at Northwestern University Feinberg School of Medicine, in

benefit to patients, whose physicians can get them second opinions

Chicago, Ill. He is the immediate past president of the Society

at a very high level, at great convenience and no cost. One of my

of Obstetric Anesthesia and Perinatology. One of his priorities for

goals at St. Clair is to promote greater utilization of this.”

St. Clair is to continue the effort to recruit top-notch specialists,

A native of Detroit, Dr. Sullivan earned his medical degree

to enhance and advance the Hospital’s array of specialty clinical

at the University of Michigan Medical School. He completed a

services. “St. Clair is offering a level of specialty care that one

residency in anesthesiology at Massachusetts General Hospital,

can usually find only at a large tertiary medical center. This level

which is affiliated with Harvard Medical School. He also

of care, close to home, provides our community a great advantage.

earned an MBA degree from the Kellogg School of Management

St. Clair has done an excellent job of attracting high quality

at Northwestern University in Evanston, Ill. He has served in

physicians and I expect to be heavily involved in continuing

the Navy for 31 years, including active duty on a cruiser and an

that recruitment.”

aircraft carrier. Dr. Sullivan left active duty in 2000 but continues

Many aspects of St. Clair’s operations and environment have

to serve as a Commander in the Naval Reserve. He has three

made a strong impression on Dr. Sullivan. “St. Clair has award-

teenage children and loves to travel — especially to southern Italy

winning patient satisfaction, and that can be attributed to the

— and to read, primarily non-fiction and biographies. Pittsburgher

entire team, but it’s likely due to excellence in nursing. The

David McCullough is a favorite author. Although he has not yet

patient’s experience is mostly determined by the care provided

found a permanent home in Pittsburgh, he is enjoying getting to

by our the nursing staff, and St. Clair has outstanding nurses.

know the city. “Pittsburgh has been great,” he says. “I’m intrigued

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by the history, the city’s rebound and all the innovation going on here. There is an optimism in Pittsburgh that I find appealing.” Equally appealing, he says, is the culture of St. Clair Hospital. “It’s easier to accomplish goals when the team is focused on the patient experience. The question that drives everyone at St. Clair is, ‘How can we deliver the highest quality and safety to our patients and our community?’ The new outpatient addition adjacent to the Hospital will expand St. Clair’s capacity for high quality care. The concentration of outpatient services in an attractive, convenient and state-of-the-art setting shows that St. Clair understands the needs of the community and patients. These are among the strengths that keep St. Clair Hospital strong.” n

ST. CLAIR IS OFFERING A LEVEL OF SPECIALTY CARE THAT ONE CAN USUALLY FIND ONLY AT A LARGE TERTIARY MEDICAL CENTER. THIS LEVEL OF CARE, CLOSE TO HOME, PROVIDES OUR COMMUNITY A GREAT ADVANTAGE.

JOHN T. SULLIVAN, M.D., MBA, SENIOR VICE PRESIDENT, CHIEF MEDICAL OFFICER, ST. CLAIR HOSPITAL

John T. Sullivan, M.D., MBA

JOHN T. SULLIVAN, M.D., MBA Dr. Sullivan is Senior Vice President and Chief Medical Officer at St. Clair Hospital. He earned his medical degree at the University of Michigan Medical School and completed a residency in anesthesiology at Massachusetts General Hospital, an affiliate of Harvard Medical School. Dr. Sullivan also earned a master’s in business administration from the Kellogg School of Management at Northwestern University, Evanston, Ill. Prior to joining St. Clair, he served as Associate Chief Medical Officer for Academic Affairs at Northwestern Memorial Hospital and as Professor of Anesthesiology at Northwestern University Feinberg School of Medicine, Chicago, Ill. Dr. Sullivan serves as a Commander in the Naval Reserve, following 31 years of active duty. Volume X Issue 2 I HouseCall I 13


DONOR SPOTLIGHT

It’s not just a building. There’s always someone here to hold your hand, someone you can count on. That’s what St. Clair is. It’s the heart and soul of our community. And it starts from the moment of birth all the way through the circle of life.

STEVE YOUNG, PATIENT

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___ WHY I ___

GIVE Steve Young: A grateful patient

Having access to an excellent hospital that’s in the community, for the community, means the world to Steve Young, his wife, and their family of two daughters and seven grandchildren. “All my grandchildren were born here,” says Steve. “Twenty-two years ago, I was in the birthing room with the first one. At that moment, holding the newborn in the Hospital, I was overcome with the feeling of what St. Clair means to the circle of life.”

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teve has been coming to St. Clair Hospital as a patient for 35 years, since he first moved to Mt. Lebanon. “There is a culture of caring that permeates the whole environment,” he says. “It translates into a much better experience for

the patient from both a medical and emotional perspective.” From births through the bumps of life, St. Clair has been here for Steve and his

family. His wife had a hip replacement here. His brother had open-heart surgery. And Steve sees the Hospital’s cardiologists regularly for atrial-fibrillation. “I would recommend St. Clair at every turn, for any discipline,” he remarks. “From the heart group to GI to orthopedics, these are high-level docs, some of the top guys in the country. The Hospital has positioned itself so it can attract those types of doctors. Most people don’t understand how amazing that is.” A few years ago, Steve had a medical scare when he became very ill after a business trip to Costa Rica. “I was bitten by something poisonous,” he recalls. “I chose to come to St. Clair.” Steve developed pleural effusion, a build-up of fluid around the lungs. During the painful draining process, he vividly remembers his nurse. “She came over and held my hand the whole time. I couldn’t have done it without that.” For years, Steve has been a dedicated donor to the Hospital and believes it’s important to give back to the institution that has always been there for him and his family. n

Volume X Issue 2 I HouseCall I 15


Need to see a doctor?

Get in line, online. When you need to see a St. Clair Urgent Care physician, why sit in the waiting room when you can wait in your own home or office? Reserve your check-in time, in advance, online at stclair.org/urgent-care.

1.

Visit stclair.org/urgent-care.

2. Click the link to get in line. 3. Choose your check-in time. Receive a text message when 4. it’s time to arrive. It’s urgent care from a hospital known as a national leader in quality, patient safety, patient satisfaction and value.

OPEN 7 DAYS A WEEK, 365 DAYS A YEAR 9 A.M.—9 P.M. (9 A.M.—5 P.M. ON MAJOR HOLIDAYS)

ST. CLAIR HOSPITAL OUTPATIENT CENTER—VILLAGE SQUARE

2000 Oxford Drive

Bethel Park, PA 15102

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412.942.8800

WALK-IN PATIENTS WELCOME MOST INSURANCES ACCEPTED


MAYO CLINIC CARE NETWORK UPDATE

CREATING AND SUSTAINING A CULTURE OF PATIENT SAFETY Mayo Clinic's campus in Scottsdale, Arizona.

ST. CLAIR HOSPITAL CLINICIANS CONFER WITH MAYO CLINIC COUNTERPARTS AT PATIENT SAFETY SYMPOSIUM IN ARIZONA

A

s one of only three percent of

CPPS, CPHQ, Director, Patient Safety and

Nurse Manager; Kathe Dvorsak, M.S.N.,

hospitals in the country to

Regulatory Affairs at St. Clair, said the

R.N., Director, Psychiatry and Mental

patient safety symposium was an excellent

Health; Laura Pollice, B.S.N., R.N., O.C.N,

safety for six years running, St. Clair is

opportunity for St. Clair to supplement

CCRC, Nurse Manager; and Ron Dermitt,

already the region’s leader. But it’s not

its knowledge of how to keep its patients

RPh, MBA, Director, Pharmacy.

resting on its laurels.

safe while under the Hospital’s care.

receive an “A” grade for patient

St. Clair recently sent eight clinical

Joining Anne at the symposium —

Timothy Morganthaler, M.D., symposium facilitator and Chief Patient Safety Officer

leaders to a Patient Safety Symposium at

which focused on best practices for

for Mayo Clinic, presented an overview of

Mayo Clinic’s campus in Scottsdale, Ariz.

improvement of patient safety — were:

the Mayo Clinic Patient Safety Program

John T. Sullivan, M.D., MBA, Senior Vice

and the “Top Ten Patient Safety Issues.”

As a member of the prestigious Mayo Clinic Care Network since 2016, St. Clair’s

President and Chief Medical Officer;

Other sessions covered a variety of topics,

clinicians regularly confer with Mayo’s

David Kish, R.N., MHA, Executive Director

including pro-active risk assessment and

world-renowned physicians, scientists and

of Emergency Services; Thomas Natcher,

the “five mindful behaviors” to improve

researchers on ways in which to improve

M.S.N., R.N., CNOR, Director of Peri-

patient care. Anne Mitchell, R.N., M.S.,

Operative Services; Sharon Cropp, R.N.,

patient safety. n

Volume X Issue 2 I HouseCall I 17


ASK THE DOCTOR

Ask the Doctor RYAN W. ZUZEK, M.D., FACC

Q A

My cardiologist wants me to undergo a cardiac catheterization. What is involved in such a procedure and how can it benefit me?

A cardiac catheterization, commonly called a cardiac cath,

When the catheter reaches the heart, dye is injected into

is a procedure that is done for diagnostic or therapeutic

the coronary arteries that supply the heart with blood.

purposes. It can help the cardiologist obtain or narrow

Using high-powered medical imaging, the cardiologist can

down a diagnosis; it can also be the means by which the

see if there are blockages formed by plaque. The doctor

cardiologist performs an intervention to treat a heart

may perform an angioplasty to open a blockage and dilate

condition. Most often, a cardiac cath is ordered when the

the artery by inflating a balloon within the artery. He may

person has been having chest pain; when there has been

also place a stent in the artery. A stent is a small, hollow

an abnormal stress test; or when the person has symptoms

tube made of mesh that holds the artery open, so that

that suggest other forms of heart disease, such as a valve

blood can flow freely to the area of the heart that was not

problem or heart failure. Cardiac catheterization is usually

getting enough.

done as an elective procedure, meaning it is planned and

Sometimes, a catheterization will reveal that the patient

scheduled ahead of time, but in the event of an acute heart

will require open chest (open heart) surgery and a coronary

attack, it may be done immediately.

artery bypass graft (CABG) procedure. Other

Many people feel anxiety about having a procedure that

times, a catheterization will show no

involves the heart but cardiac catheterization is safe. St. Clair

issues with the heart or minor problems

Hospital has a state-of-the-art Cardiac Catheterization Lab,

that can be treated with medication.

staffed by critical care nurses and radiology technicians

The entire catheterization procedure

who specialize in cardiac procedures. St. Clair’s cath lab

takes about one hour, or a little longer

performs as many as 2,000 catheterizations every year and

if an intervention such as stent place-

is one of the busiest and most experienced labs in the region.

ment is performed. There are many

On the day of your procedure, you will come to the

benefits to cardiac catheterization. It is

Hospital for pre-procedure testing, including an EKG and

a minimally invasive procedure, so you

blood work. You will be given medication to relax you, but

will not need to be intubated and placed

you will be awake. You will be able to talk to the doctor,

under anesthesia. It will provide

nurses and technicians, and they will be in constant

your cardiologist with precise

attendance. You will not feel any pain. When you are

information about your heart

comfortable on the table, the cardiologist will make a small puncture in either your groin or wrist and will thread a

so that your treatment can

be tailored to you. n

catheter through an artery to the heart. Ryan W. Zuzek, M.D., FACC

RYAN W. ZUZEK, M.D., FACC Dr. Zuzek specializes in interventional cardiology. He earned his medical degree at the National University of Ireland in Galway. His postgraduate training includes an internal medicine residency at the Cleveland Clinic, where he was later an attending physician. He then completed cardiology and interventional cardiology fellowships at Brown University hospitals in Providence, R.I. Dr. Zuzek is board-certified in internal medicine, general cardiology, interventional, and nuclear cardiology. He practices with US Heart and Vascular, P.C. To contact Dr. Zuzek, please call 412.942.8840.

18 I HouseCall I Volume X Issue 2


Tara L. Grahovac, M.D.

GOOD FOR US. BETTER FOR YOU. St. Clair Hospital has once again been recognized as one of the nation’s 100 Top Hospitals®. This marks the third time St. Clair has achieved this prestigious honor since 2012. It affirms St. Clair’s commitment to exceptional patient safety, clinical outcomes, patient satisfaction, and value. St. Clair is proud of the excellent care we provide our patients. We salute our outstanding physicians, employees, and volunteers for this notable achievement. To learn more about our award-winning care, please visit stclair.org.

100 Top Hospitals© is a registered trademark of IBM Watson Health™

1000 BOWER HILL ROAD

.

M T. L E B A N O N , PA 1 5 2 4 3

.

412.942.4000

.

STCLAIR.ORG

Volume X Issue 2 I HouseCall I 19


1000 Bower Hill Road Pittsburgh, PA 15243 stclair.org

General & Patient Information: 412.942.4000 | Physician Referral Service: 412.942.6560 | Medical Imaging Scheduling: 412.942.8150 Outpatient Center–Village Square: 412.942.7100 | Urgent Care–Village Square: 412.942.8800 | Outpatient Center–Peters Township: 412.942.8400

Building on our commitment to the community

HouseCall

is a publication of St. Clair Hospital. Articles are for informational purposes and are not intended to serve as medical advice. Please consult your personal physician.

@StClairHospital


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