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ValleyCare Health System Community Benefit Report FY 2005-2006 ADDITION OF PHYSICIAN SPECIALTIES BASED ON COMMUNITY NEED ValleyCare has taken a proactive review of the Healthcare needs of fhe community in the Tri-Valley through researching the growing needs as they arise. With an increase in laparoscopic surgeries being performed in 2005/2006, the need for ageneral/ laparoscopic surgeon became evident. Additional needs included a urologist and a gastroenterologist. ValleyCare recruited and added physicians in all three specialties by mid-2006. ValleyCare management also noted a shortage of primary care physicians in the Tri- Valley, and is expecfed to continue in the future based on the Physician Need Assessment of 2005 and 2010 prepared by Cattaneo & Stroud in August 2005 for ValleyCare's service area. Future physician recruitment includes a second cardiac surgeon, and an equipment grant to ensure that a corneal surgeon is added in 2007. CARDIOI~ASCULAR SURGERY PRQGRAM During the spring of 2005, ValleyCare began pursuing the feasibility of developing a cardiovascular program. Calendar year 2005 inpatient data supports a growing need in the Tri-Valley for these services in the next five years: Growth % Growth 2005-2010 2005-2010 S ecialt Dischar es' Da s CARDIOLOGY 23.3% 23.5% OPEN HEART 25.3% 24.3% THORACIC SURGERY 22.4% 25.7% VASCULAR 25.1% 25.7% Several factors support adding this specialty to ValleyCare. Specifically, local demographics are favorable with substantial population growth projected in the Tri- Valtey abng with the aging of the population, there is no current total competition that is seen as a center of excellence, and there is strong support of many of the focal medical community, especially the cardiologists based at ValleyCare. ' Solucient Market Planner Plus CY 2005 I/P Demand DRG Fstimales 11