2009 YEAR IN REVIEW

THE
CARE
STANFORD HOSPITAL & CLINICS HAS TOuCHED THOuSANDS OF LIvES THROugHOuT ITS 50-YEAR HISTORY, uNDERSTANDINg THAT EACH PATIENT IS A uNIQuE
INDIvIDuAL WITH SPECIAL NEEDS AND CONCERNS. INSIDE ARE THE INSPIRINg STORIES OF EIgHT PATIENTS WHO CAME TO uS SEEKINg THE RIgHT CARE AND
THE DEDICATED PHYSICIANS, NuRSES AND STAFF IN WHOSE HANDS THEY PLACED THEIR TRuST.
RIGHT 9
0
0
2
 On an intersection adjacent to the existing Stanford Hospital, a
transformational, new community asset is being created. The New Stanford
Hospital—technologically advanced, patient-centered, and filled with beautiful,

THE RIGHT
healing-supportive spaces—will significantly expand the capacity of the existing
hospital and redefine what a hospital stay can be.

TIME
DRAMATIC TRANSFORMATION

to create the hospital of the future
On behalf of the Stanford Hospital & Clinics Board of Directors, I am pleased to share this Year in Review with all who are
committed to assuring the future of health care in our community, in our nation and around the world. As we stand
With its medical innovations, exquisite aesthetics and expanded capacity, the New Stanford Hospital will
meet this community’s needs well into the future. The state-of-the-art Andreessen Emergency Department
will be significantly larger than the existing one. Intensive care capacity will also substantially increase. The
interventional suites—hybrid platforms capable of surgery, catheterization, advanced imaging, and other
diagnostics and treatments—will revolutionize the delivery of acute care. With its atrium design, garden Floor
and Patient Care Pavilions, the building will be infused with light, art, music, beauty—and the most uplifting,
restorative patient experience possible.
For more details about the New Stanford Hospital, please see page 24.

together on the threshold of a transformative era in medicine and biotechnology that will bring advances unimaginable
today, we are creating an environment in the New Stanford Hospital that will redefine the hospital experience for
patients, families and caregivers. It will also ensure that the pioneering research Stanford is known for worldwide is
supported by a clinical facility that will accelerate translation of laboratory breakthroughs into patient care.

There is no better place to do this than at Stanford, in the heart of Silicon Valley, and no better time than now, when
the urgent need to replace a 1950s facility presents this unprecedented opportunity. If we apply the same creativity,
resourcefulness and generosity that generations have before us, we can make this bold vision a reality.

Today, Stanford Hospital is strong financially and well prepared to take the next critical steps ahead. We are tremendously
grateful to Martha Marsh for her leadership over the past eight years and are conducting a national search for a successor
who will continue the outstanding progress she has helped make possible.

The New Stanford Hospital will build on a proud legacy of innovation and discovery that has benefited patients everywhere.
In our own community, it will ensure that our families, friends, neighbors and colleagues will have the finest medical
resources available anywhere just minutes from home, matched by patient experience and service commensurate with
Stanford’s quality of care.

None of us can predict when a personal need, regional disaster or emergency will occur, but we do know that being in the
right place when it matters most will make all the difference. That is why I hope you will join me and so many others in
creating the future as we know it can be — an era of hope, healing and health that enriches life for everyone.

Mariann Byerwalter
Chair, Board of Directors
Stanford Hospital & Clinics

3
 DID YOu KNOW? THE ExISTINg STANFORD HOSPITAL WAS BuILT IN 1959. uPDATINg THE EISENHOWER-ERA FACILITY TO MEET THE NEEDS OF 21 ST CENTuRY MEDICINE
L

AND TECHNOLOgY IS A PRIMARY gOAL OF THE STANFORD MEDICAL CENTER RENEWAL PROJECT. FOR MORE INFORMATION, vISIT STANFORDPACKARD.ORg.
E
G
FOR OUR Providing the right care, at the right time, in the right setting, by the right team, is at the heart of our commitment
to every patient at Stanford Hospital & Clinics. In this Year in Review, we are proud to highlight how that A
COMMUNITY C
commitment is being fulfilled and how it is making a real difference in the lives of our patients.

In these pages, you will meet people who came to Stanford Hospital when it mattered most. We are truly grateful
to them for sharing their stories.

Y
when it matters most Just over a year ago, we opened the Stanford Medicine Outpatient Center in Redwood City. This beautiful new
facility has demonstrated that the inspiring vision to create new environments and service commensurate with
Stanford’s quality of care can be realized.

Four years ago, we set an ambitious goal to lead the nation in bringing the benefits of a fully electronic medical
record system to our patients. Stanford Hospital is now among only a handful of institutions to have achieved the
highest-level designation for such systems, a milestone that sets the stage for a future of unlimited opportunities.

Stanford Hospital is the right choice today — for patients needing the latest advances in diagnosis and treatment,
for generous donors seeking to make a lasting difference, and for a community wanting to ensure that the finest
health care available anywhere will be here when they need it.

It has been a privilege to lead this organization for the past eight years, and I am very proud of what we have
accomplished. I have been honored to work with so many individuals who are truly committed to our patients.
As I look ahead to my retirement at the end of this fiscal year, on August 31, 2010, I want to express my deepest
appreciation to everyone for the dedication that has made so much possible and my great confidence that an even
brighter future lies ahead.

Martha Marsh
President & CEO
Stanford Hospital & Clinics

1
 BARIATRIC SURGERY

A LIFE RENEWED

By the time Nat Ezray was in the fifth grade, he was already a Weight Watchers member. By 42, he had become
a rabbi and also developed diabetes — and had his first heart attack. He tried to keep fit, tried to diet, but lost and
gained weight over and over again. He knew he needed more help. When he talked to Stanford Bariatric Surgery
Program Director John Morton, MD, MPH, he discovered a physician who understood that success would depend
on a whole package of changes, in addition to gastric bypass surgery. Ezray was also reassured because the surgeon
had completed more than 1,000 such surgeries with no serious complications. The program requires that patients
be carefully screened with full psychological evaluations, participate in support groups and receive frequent
check-ups. Today, Rabbi Ezray is no longer obese, has eliminated nearly all of his medications and routinely hits
the hiking trails.

to conquer a tough challenge

Stanford Hospital’s Bariatric Surgery program has one of the best patient outcome records in the u.S.
It is the only one in Northern California recognized by the American College of Surgeons as a Level 1A
Center for Excellence. With sensitivity and compassion, the program carefully counsels its patients,
working with them to create a plan that will address all the issues involved in weight loss aided by
surgery. The program engages its patients in support groups right from the start to provide them a place
where they can feel safe to express their feelings and to have a sense of community. The program’s team
includes a multidisciplinary group of nurses, nutritionists, psychologists and other clinicians who monitor
their patients’ progress for an extended period of time. The research emerging from this program is also “I feel wonderful on many
providing more clarity to the complex interaction between weight and health, knowledge that will refine levels—the degree of vitality, the
treatment for an even greater degree of success. degree of energy, the degree of
enthusiasm just to greet the day.
I feel like I have the pieces in
place for longevity.”
—Rabbi Nat Ezray

3
 TRAUMA CENTER

BEATING THE ODDS

Officially, Katharine Decker Johnson’s heart stopped twice before she arrived at Stanford Hospital’s
Emergency Department. Out for a bicycle ride one spring morning, she ended up hurtling through the
air off the front of a garbage truck. Nearly every bone in her body was broken; her lungs collapsed,
her skull fractured. Stanford’s team of specialists in trauma medicine went to work. Decker Johnson
doesn’t remember the first days of her hospital stay. “The voices are what I remember, the soothing
voices,” she says. And the small gestures. “I rang the buzzer for a nurse once when I was in ICU and
really out of it. ‘I’m lonely,’ I said, and she held my hand.” Two years after her accident, Decker
Johnson has returned to riding—only this time, it’s on her trusty chestnut-colored horse, Matrix.

no matter where or when

When injured patients with the most extreme medical needs arrive at Stanford Hospital’s Emergency
Department, whether by local ambulance or by Life Flight aircraft from hundreds of miles away, their
chances of survival immediately surpass the national average. Stanford’s Level 1 Trauma Center
provides the highest level of care achievable, a distinction of multidisciplinary expertise that saves
lives often thought lost. As part of the only hospital to offer Level 1 Trauma services between
San Francisco and San Jose, Stanford’s multidisciplinary team of physicians and nurses pushes
beyond the status quo, developing innovative programs to reduce infection, speed diagnostic results
“The medical care for me was obviously
and strengthen post-discharge care.
great, but Stanford also kept my family
and my husband in the loop, helping
them deal with what had happened
and to care for me. The outreach was
so important.”
—Katharine Decker Johnson

4
 CARDIOVASCULAR SERVICES

DID YOu KNOW? THE STANFORD HOSPITAL & CLINICS WOMEN’S HEART HEALTH PROgRAM IS ONE OF ONLY A FEW DOZEN SuCH CENTERS IN THE u.S. DEDICATED
MORE THAN THE HEART “It’s our hope that we can help women
At 49, former firefighter Cindi Lubeck had always been fit and active. But when she began tiring on the treadmill, do a better job of protecting their
and feeling nauseous and anxious, she knew something wasn’t right. She called 911 and ultimately was diagnosed heart health and of recovering from
with a heart attack. At Stanford, Lubeck found Jennifer Tremmel, MD, an interventional cardiologist who heart disease. We know that effective

N
not only understood the physical aspects of her heart disease, but also asked, “How are you, apart from your treatment is not as simple as opening
heart?” Lubeck benefited from Stanford’s Heart-Mind Connection, a multidisciplinary approach that teaches
a blocked artery or improving
women how to cope with the stress of their condition. She learned mindfulness techniques and joined a hospital
diet and exercise.”
support group where she discovered other women who understood just how she was feeling. She’s back to a full

S
—Jennifer Tremmel, MD
life now, one that includes keeping up with her young grandchildren—and hitting the slopes on her snowboard.

I
G
H
to treat the whole person

TO WOMEN’S CARDIOvASCuLAR DIAgNOSIS, TREATMENT AND RESEARCH.

Stanford Hospital’s cardiovascular surgeons and cardiologists made history when they performed one
of the first successful human heart transplants in 1968, which was soon followed by a pioneering
T
heart-lung transplant operation. This legacy lives on, with Stanford physicians making great strides
against the challenges of heart disease with research, clinical trials and patient care. More than 5,000
cardiac patients each year find the help they need at Stanford, whose program is ranked among the
best in the nation for its clinical outcomes and continuing development of breakthrough diagnostic tools
and treatments. Stanford also offers specialty clinics and programs. Its Marfan Syndrome Center
is the largest in the u.S. Its Hypertrophic Cardiomyopathy Clinic is the only center in the West to treat
this silent but deadly condition. And the Women’s Heart Health program is one of the nation’s most
comprehensive, offering a broad spectrum of care for a long-neglected health issue.

7
 ORTHOPAEDICS & SPORTS MEDICINE
to restore a full and active life
“The quality of care at Stanford is just
extraordinary—the doctors, the nurses
and, of course, the results.”
—Kevan Del Grande
8 9
R
OVERCOMING WEAR AND TEAR
DID YOU KNOW? PATIENTS IN THE ORTHOPAEDIC SURGERY & SPORTS MEDICINE CLINIC NOW BENEFIT FROM SIX STATE-OF-THE-ART OPERATING ROOMS AT THE
OUTPATIENT CENTER IN REDWOOD CITY. PAIN MANAGEMENT AND IMAGING SERVICES—BOTH SO CRUCIAL IN DIAGNOSING AND TREATING MUSCULOSKELETAL
Like many athletes, amateur and professional, Kevan Del Grande played hard despite injuries.
After more than six decades of tournament-level handball, Del Grande had pushed his body
to the limit. Handball stresses every part of the body. “You don’t actually jump up the side of the
E
walls,” says Del Grande, “but the wall is not very forgiving.” His rotator cuff, the shoulder joint’s
protective sleeve of muscles and tendons, was shredded. Del Grande knew where he wanted to
go—to see the physicians at Stanford’s Sports Medicine Clinic, part of the Hospital’s Orthopaedic
Surgery Department. Instead of opening up Del Grande’s shoulder with a six-inch incision,
S
surgeons made three small cuts to do the repair arthroscopically. Del Grande healed quickly and
can depend on the repair to last. At 77, he’s back to winning national handball titles.
T
O
R
Stanford’s extensive team of specialists, expert in every aspect of bone health and
E
AILMENTS—ARE CONVENIENTLY JUST STEPS AWAY.
function, treat every sort of bone injury, musculoskeletal tumor and chronic spinal
condition. Its Spine Center physicians are internationally recognized as leaders in
research translated to patient care. Ranked as one of the nation’s best, the Orthopaedics
Department is moving beyond traditional treatments to techniques that offer longer-
lasting bone and joint repairs and replacement that incorporate the latest knowledge on
how to speed healing and durability. In Sports Medicine, the orthopaedic clinicians treat
a variety of patients, whether high school students, seniors or professional athletes,
including the San Francisco 49ers. Another group of orthopaedic specialists focus on
reconstructive surgery to save limbs and restore function. Stanford orthopaedists take
a collaborative approach to care, working closely with specialists in pain management,
for instance, to address an element of care that deeply affects recovery.
 NEUROSCIENCE
EMBRACING A FUTURE
Tara MacInnes had already had multiple mini-strokes in her brain when she was finally diagnosed by Stanford’s
chief of neurosurgery and one of the world’s most experienced Moyamoya surgeons. The disease, which tangles
the brain’s arteries and blocks blood flow with devastating effects, strikes just one in a million. For almost 20
years, Gary Steinberg, MD, PhD, has led ground-breaking research and offered life-saving surgery to hundreds
of Moyamoya patients. Steinberg performed a complex and painstaking revascularization procedure, connecting
arteries in MacInnes’ scalp to those in her brain, with sutures finer than a hair and needles no larger than an
eyelash. MacInnes, now a college sophomore majoring in social service, is an independent young woman who
relishes long, open-water swims. “I don’t really worry about it now,” she says. “I plan to live as long as anyone.”
10
“I knew I was in the best hands possible.
Dr. Steinberg was very calm about the
way he described things. I don’t really
worry about it now.”
—Tara MacInnes
to create new pathways
It gives humans the power to think, act, speak and dream. As the master control center of the body, the
brain issues commands in ways still mysterious to medicine. Stanford neurologists and neurosurgeons
are making significant advances in better understanding how the brain works—and how to fix it when
something goes wrong. New, minimally invasive surgical approaches in the hands of skilled Stanford
neurosurgeons now give patients a chance at survival in the worst of circumstances. The Hospital’s
Stroke Center takes advantage of unique imaging software to see problem arteries in the brain, measuring
details that reveal crucial information for surgery infrequently performed elsewhere. The Hospital’s
Moyamoya team is the world’s most experienced and knowledgeable about a rare condition that can
cause stroke after stroke. Physician researchers have also developed new ways to map the brain’s
activity, and plant electrodes deep inside to make life more functional for patients facing challenging
illnesses such as epilepsy and Parkinson’s disease.
 TRANSpLANTATION
A TRANSpLANT CHAIN
Yvette Aziz was desperate to help her husband of 26 years, Fred. Three times a week, the former engineer spent
hours hooked up to a dialysis machine that did the work for his failing kidneys. He was going downhill. “He was
tired all the time. He wouldn’t eat. He couldn’t sleep,” Yvette recalls. Her kidneys weren’t a match for his, and
certain components in her husband’s blood barred him from a transplant from roughly half the U.S. population.
Then Stanford Hospital’s Kidney Transplant Program accepted him for a special kind of donation. His wife
would donate one of her kidneys to a person she matched, and her husband would receive one of the other
donated kidneys in a transplant chain that connected 16 patients and eight kidney transplants at five hospitals
over two days. After two years on a waiting list, Fred Aziz had his life back.
12
“The whole team did a great job, from
the lowest level to the highest. god
bless every person at Stanford.”
—Fred Aziz
to provide second chances
Stanford’s transplant programs have always been ahead of the curve, with high standards that support
patient success and continuous quality improvement. A collaborative, multidisciplinary team carefully
evaluates prospective patients, working to include their families in these life-changing procedures. After
a transplant, the team maintains close contact with patients to guide and encourage them. To offer more
people the chance at a new life, Stanford transplant teams are pioneering new treatment options, such
as kidney chain donations that connect donors and recipients across the country. using protocols
built on solid scientific evidence, Stanford Hospital’s transplant programs are known internationally
for a tradition of innovation. The kidney program is among the nation’s leaders in patient outcomes.
The liver, lung and heart-lung transplant teams are nationally recognized for excellence.
 CANCER

DID YOu KNOW? STANFORD’S BLOOD AND MARROW TRANSPLANT PROgRAM HAS TREATED ALMOST 4,000 PATIENTS SINCE 1986. IT HAS ALSO BEEN RECOgNIZED BY
E
TRICKING IMMUNE CELLS

For eight years, Albert Yu, 66, had kept his lymphoma at bay with advanced chemotherapy and clinical trial
treatments offered by his Stanford Hospital physicians. Despite everything, the cancer kept coming back.
Yu’s options were dwindling. But he had read about a special bone marrow transplant protocol, developed

X
at Stanford, which would increase the chances that his body would accept donor cells transfused into it to build
a new immune system. Yu decided to take the risk. At Stanford’s Blood and Marrow Transplantation Program,
he would be cared for by a team of specialist physicians and nurses with years of experience. They became like
family to him. “It was very emotional for me,” he says. “I felt somebody gave me life.” Two years later, Yu’s cancer

C
is in remission, and he is gratefully back to perfecting his tennis swing and enjoying life with his wife, Mary.

E
L
L
for personalized treatment

THE NATIONAL CANCER INSTITuTE FOR ExCELLENCE IN CARE AND RESEARCH.

E
N
Stanford’s Cancer Center is one of just 65 in the u.S. to earn a National Cancer Institute (NCI) Cancer
Center designation. granted through a rigorous peer-review process, the NCI designation recognizes
Stanford’s scientific excellence, the advanced care offered to patients, and its investigation of new
approaches to cancer prevention, diagnosis and treatment. The clinical Cancer Center is a state-of-the-

C
art facility infused with light, warmth and music. In addition to clinical trials, treatment options include
an important set of tools that few facilities have: the CyberKnife, developed by a Stanford physician; the
da vinci robotic surgery system; and the Trilogy linear accelerator. Together, they make it possible
to treat once-untouchable cancers in the brain, lungs and liver. Stanford research created new types of
“When it comes to translating the latest
blood and marrow transplants, which offer another level of hope for patients. Specially trained Cancer research into practice, Stanford is

E
Center volunteers support patients through what can be an overwhelming experience, directing them unparalleled. This bench-to-bedside
to special Stanford services that promote ongoing healing. leadership literally saved my life.”
—Albert Yu

15
 THE RIGHT
QUALITY for the best outcomes
Nothing matters more at Stanford Hospital than the quality of care we provide to our patients, whether they come from
our neighboring communities or from around the world. We hold ourselves to the highest standards and are proud of the
recognition we have received over the past year.
• In the U.S. News & World Report rankings of America’s best hospitals, Stanford Hospital & Clinics was 15th this year
and for the ninth consecutive year achieved Honor Roll status, a distinction earned by only 21 hospitals out of 5,000.
• In the Leapfrog Hospital Survey, we were one of only 45 hospitals nationwide to receive recognition among more
than 1,200 reviewed. Leapfrog is an organization formed by a group of large employers to initiate breakthrough
improvements in the safety, quality and affordability of health care for Americans. The annual survey rates hospitals
on a range of quality and safety practices that all hospitals should follow.
• Stanford Hospital & Clinics is a Magnet-designated hospital by the American Nurses Credentialing Center (ANCC),
recognizing quality patient care, nursing excellence and innovations in professional nursing practice. Only 6 percent
of all healthcare organizations in the United States have achieved ANCC Magnet Recognition® status.
Quality depends on much more than rankings, which cannot fully convey how patients benefit by choosing Stanford. Our
physicians, nurses and other health professionals work together as integrated, interdisciplinary teams to provide the highest-
quality, personalized care. From surgical procedures not available elsewhere, to innovative cancer therapies, complex organ
transplants and more than 65 specialty clinics, Stanford Hospital & Clinics provides a depth and breadth of expertise that
today generates outcomes that are among the best in the nation.
The pace of advances in patient care will accelerate even more rapidly with development of the New Stanford Hospital.
We are designing much more than a building —we are literally creating new delivery systems that will benefit patients
here and everywhere, ensuring that breakthroughs developed by Stanford physicians will improve life and health for all.
Kevin Tabb, MD
Chief Medical Officer
16
THE MOST ADVANCED ELECTRONIC MEDICAL RECORDS SYSTEM
Stanford Hospital is among the very few institutions nationwide to have achieved the highest-level designation for
an electronic medical record system from the Healthcare Information and Management Systems Society (HIMSS)
Analytics Database, the industry organization focused on the use of information technology in health care.
In early 2010, Stanford Hospital & Clinics became the fourth healthcare organization and one of only six
nationwide among more than 5,000 to achieve this top-level designation, known as “Stage 7.”
For patients, this means that health information can be securely shared with their primary care physicians and other
providers to improve coordination of care. It will also mean that patients can easily access their personal records
online at home and engage in dialogue with their Stanford doctors.
For community physicians, it will mean easier, faster and more convenient access to Stanford Hospital resources.
As a leading research institution, Stanford Hospital & Clinics will use its vast database of clinical information
to drive improvements in delivery of care and outcomes, increase patient safety and enhance efficiency—
ensuring that the investment Stanford has made in this advanced technology will benefit hospitals and
patients worldwide.
SERVICE COMMENSURATE WITH QUALITY OF CARE
AT OUTpATIENT CENTER
“How can we help you?” That’s the first question that patients and visitors
are likely to hear upon entering the Stanford Medicine Outpatient Center
in Redwood City. The Center, which opened in February 2009, aims to
deliver health care in an innovative way. With service at its core, the Center
features cozy couches, fresh flowers, ambient lighting and beautiful
artwork. Employees are specially trained to ensure that the patient experience
is a positive one. Digital whiteboards in waiting rooms display up-to-the-
minute information on appointment times, while a monitor provides privately
coded status updates on patients in surgery. The facility includes extensive
diagnostic imaging services, rehabilitation services and six operating
rooms. Clinical specialties are Dermatology, Digestive Health, Imaging,
Orthopaedics and Sports Medicine, Pain Management, and Sleep Medicine.
17
 EXCITING NEW MENU FOR INpATIENTS “If Stanford Hospital can play a leadership
In collaboration with nationally recognized organic chef and restaurateur Jesse Cool, Stanford Hospital this role and be an advocate for organic, local
year introduced a brand new menu option of healthy meals made from organic, locally grown and sustainable and sustainable foods for patients, we’re
ingredients featuring seasonal fruits and vegetables. Stanford Hospital & Clinics’ Farm Fresh debuted with
proud to take that responsibility.”
made-from-scratch soups—bright, appealing and tasty—an evolution from traditional hospital fare. Stanford
offers its patients the kinds of meals that are high in nutritional value and an asset to healing. The Hospital’s —Martha Marsh
decision to embrace a new style of cooking puts it at the forefront of a movement endorsed by the American
Medical Association and the American Nurses Association. Patients can select from a special menu each
day, with delicious choices such as carrot-ginger soup with curry, organic herb-crusted chicken or
grass-fed beef meatloaf. The rolls are whole grain, and organic seasonal fruit with raisin stuffing completes
a quality meal.

For special soup recipes created especially for Stanford Hospital by Jesse Cool, please visit:
stanfordhospital.org/farmfresh/souprecipes

for a healthier life

ExECuTIvE CHEF BENI vELAZQuEZ, CEO MARTHA MARSH, AND CHEF JESSE COOL

INCREASING FITNESS AND REDUCING FALLS IN OLDER ADULTS

Prevention is good medicine. That is why Stanford Hospital sponsors numerous community programs
to help people stay healthy. Strong for Life is an easy-to-follow, group exercise program that helps older
adults increase strength, balance and mobility, and reduce isolation. Another initiative, Farewell to Falls,
aims to reduce falls in older adults by offering a free home-based prevention program. Occupational
therapists provide home visits, perform risk assessments, make follow-up calls to monitor compliance
and perform yearly evaluations. Says one participant, “Farewell to Falls has improved my balance,
my self confidence ... my life.”

18 19
 HEALTH LIBRARY CELEBRATES 20 TH ANNIVERSARY

As one of the first hospital-based health libraries in the u.S., the Stanford Hospital Health Library grew
quickly and now supplies 8,000 catalogued volumes, 700 health-related videos, a database of 400
medical journals, thousands of articles from 2,200 general-interest publications and a large Chinese-
language health collection. The Health Library’s five branches now include locations at the Hospital, the
Stanford Shopping Center, the Stanford Cancer Center, the Oshman Family Jewish Community Center
and the Ravenswood Health Clinic. It sponsors regular classes and lectures on a broad range of health
topics by Stanford physicians, available as online videos. The Health Library’s medical librarians offer
individualized help, free of charge, to people around the world.

CREATIVE HEALING THROUGH ART

Six days a week, specially trained volunteers wheel a cart full of pastels, watercolors, gouache and
other art-making materials into patient rooms, in search of those who might want to try their hand
at self-expression. For patients coping with illness, this break from the routine—and the release of stress
it can provide—is an important part of feeling positive about their future. Every six months, the patients’
work is displayed in a nursing unit hallway. The images include those made by a woman whose pregnancy
was at risk, a man fighting cancer, and a patient in isolation while a bone marrow transplant took hold.
With disease or injury can come anxiety, fear and distress. Art for Health is a healthy distraction that also
brings hope.

for you and your family

NO REQUEST TOO LARGE OR TOO SMALL LOVE ON A LEASH

A massage for a patient in pain. An interpreter to make sense of a doctor’s diagnosis. Soothing sounds of a When people are away from home and not feeling well, sometimes the best
piano. Stanford Hospital’s guest Services department recognizes that thoughtful gestures, big or small, can medicine is a reminder of home, with a wet nose and warm fur. Pet-Assisted
go a long way for the well-being of patients and their families. The Hospital offers a comprehensive array of Wellness at Stanford (PAWS) brings a well-trained, well-groomed, specially
programs and services designed to ensure that a hospital visit is as comfortable as possible. certified group of dogs, cats and, occasionally, rabbits of various breeds
to spend a few minutes with patients each week. The magic they work
• Aging Adult Services • Hospital Auxiliary • Patient Representation has nothing to do with words, but often the affectionate interaction between
• Art Program • Hospital Tours • Pet-Assisted Wellness at animal and human releases smiles and emotions long held inside. For more
Stanford (PAWS) than a decade, the Hospital has supported the program’s therapeutic visits
• Cancer Concierge Services • Interpreter Services
• Smoking Cessation Program of these furry friends. Although patients can’t bring their own pets to keep
• Stanford Hospital gift • Lifeline
Shop and the Helen • Spiritual Care them company, the PAWS group does its best to fill the gap.
Salzman Boutique
• Massage Therapy
• Stanford Health Library
• Health Insurance
• Music Program
Counseling and Advocacy
• vials of Life
• Partners in Caring
Program

20 21

WHY pHILANTHROpY MATTERS
To meet its mission—the delivery of outstanding medical care—Stanford Hospital & Clinics looks to another group of
visionaries: the people of this community who have made Stanford Hospital & Clinics a philanthropic priority. As a
private, nonprofit hospital, Stanford Hospital & Clinics relies on their generosity.
Donors have a variety of options for making the impact they seek. Annual gifts to the Stanford Hospital Partners sustain
the excellence and innovation of patient care. Commitments to the New Stanford Hospital will help create a state-of-the-
art facility that will define the region’s medical care for the future. Planned gifts, through bequests, charitable trusts
or annuities, help donors achieve a philanthropic impact well beyond their lifetime.
To find out where you can make a difference in the life and health of this community, please contact us.
Office of Hospital Development • 3330 Hillview Avenue, Palo Alto, CA 94304
Tel: 650.723.7643 • E-mail: hospitalgiving@stanford.edu • stanfordhospital.org/giving
for your generosity
NEW STANFORD EYE INSTITUTE
The Stanford Eye Institute (SEI) is a comprehensive, interdisciplinary center
for all patient care, clinical research and training in ophthalmic medicine.
Drawing on Stanford’s exceptional research strengths, the Eye Institute
will deliver an integrated collection of vision services for diseases such
as glaucoma, cataracts and macular degeneration in one modern facility.
Funded through a $30 million capital campaign chaired by Brook Byers,
the SEI will open in fall 2010.
22
DID YOu KNOW? THANKS TO THE gENEROSITY OF HELEN AND PETER BINg, TENS OF THOuSANDS OF BLOOMINg TuLIPS, DAFFODILS, IRISES, ROSES AND SuNFLOWERS
GIVING THIS COMMUNITY THE HOSpITAL IT DESERVES
When it comes to Stanford ties, An and Clement Chen’s are about as deep as they come. Their
parents were undergraduates at Stanford together. Clement’s father contributed to the design
of the original Stanford Hospital. Clement (Stanford ’77) has supported Stanford Hospital
and Lucile Packard Children’s Hospital as the owner of the Sheraton Palo Alto since the 1970s.
Then An, the executive director at a healthcare think tank, began consulting for the University of
Pennsylvania, where she met an impressive hospital administrator by the name of Martha Marsh.
Marsh arrived at Stanford (as president and CEO) the same week the Chens’ daughter was born
there. “Our lives are entwined,” An laughs.
Today, the Chens live with son Calvin and daughter Patti in Hillsborough. They are advocates,
volunteers and donors for the New Stanford Hospital. “I want people my age to understand that
when it comes to your family’s health care, you cannot compromise,” says An. “We need to build
PROvIDE A CALMINg BACKDROP FOR PATIENTS, STAFF AND vISITORS IN STANFORD HOSPITAL’S BINg gARDENS.
this new hospital as a legacy for our children.”
“Stanford Hospital is a world-class
hospital and research facility, but it’s not
something we can take for granted. We
need to support the Hospital to ensure
that it will be there when we need it.”
— An & Clement Chen, Stanford Hospital & Clinics
donors & volunteers
23
 THE NEW STANFORD HOSpITAL offers this community a once-in-a-generation opportunity—the chance to redefine our “It’s time to reimagine the
medical care for the next 50 years. With the help of private gifts of all sizes from individuals, foundations and corporations, Stanford Hospital.”
Stanford will build a hospital of the future, featuring the most powerful diagnostic and treatment facilities, in a setting
—William Younger, Board member and
of privacy, comfort, personal attention and uplifting aesthetics.
donor to the New Stanford Hospital

pRIVACY: Spacious, single-patient rooms ENTRANCE FLOOR: Lobby and atrium, Emergency
Department, Advanced Imaging Center, pedestrian
FAMILY COMFORT: Overnight accommodations in
promenade and gardens
patient rooms
SECOND FLOOR (TECHNOLOGY): Interventional suites
pATIENT CARE pAVILIONS: Natural light and views of the
(surgical/catheterization/imaging/monitoring), intensive
gardens, campus, Santa Cruz foothills and San Francisco Bay
care unit, waiting room
ANDREESSEN EMERGENCY DEpARTMENT: Significantly
THIRD FLOOR (GARDEN): gardens, café, conference
larger than the existing Emergency Department; the area’s
center, meditation room
only Level 1 Trauma Center
FOURTH FLOOR: Intensive care
INTERVENTIONAL SUITES: One location for surgery,
catheterization and imaging FIFTH THROUGH SEVENTH FLOORS: Patient Care
Pavilions, clustered by medical specialty
CApACITY: 600 beds, sufficient to meet the region’s
future needs

SUSTAINABILITY: Designed to be the equivalent of Silver

LEED (Leadership in Environmental and Energy Design)
for our community’s hospital of the future

Design by Rafael viñoly Architects

24 25
 CHARITABLE gIFTS IMPROvED PATIENT CARE PROgRAMS, SuPPORTED TREATMENT INNOvATIONS AND ENHANCED THE AESTHETICS OF STANFORD HOSPITAL & CLINICS.
C

DID YOu KNOW? IN FISCAL YEAR 2008–2009, NEARLY 2,300 DONORS gAvE A RECORD-SETTINg TOTAL OF $22.5 MILLION TO STANFORD HOSPITAL & CLINICS.
HOSpITAL pARTNERS “I have found my hospital. Stanford has
Our Hospital Partners Program provides the annual support that keeps our patient care at the leading edge state-of-the-art technology, efficient
of clinical medicine. Discretionary funds that can be used wherever the need is greatest, Partners’ gifts
systems, and people who are warm,
have in the past year supported the new Farm Fresh inpatient meals (see page 18); purchased new breast
reassuring and professional. We want

O
biopsy equipment for better detection of cancer, and enhanced the telecommunications capacities of the
Life Flight Helicopter. to support that.”
— Lois Meredith, Hospital Partners donor
We thank our Hospital Partners, and all our donors, with a series of informational and appreciation events.

M
M
U
N
for the health of our community

I
T
A GRATEFUL pATIENT GETS A pROpER DIAGNOSIS

Six years ago, when Lois Meredith was struck with a mysterious illness
that left her weak, anemic and in need of repeated blood transfusions, a

Y
gastroenterologist told her, “You will have to learn to live with it.”

Not likely. “I didn’t know what was wrong with me, but I knew I wasn’t
going to take that advice,” says Lois, a painter, writer and swimmer who
lives with her husband, Bob, in Tiburon.

Lois decided to be treated at Stanford and three months later, she was
walking through France on a painting trip. “Stanford Hospital has it
right,” she says. “Our gifts are our way of helping it continue to make
a difference.”

26 27
 Stanford Hospital & Clinics is a nonprofit healthcare provider known worldwide for advanced treatment
of complex disorders in areas such as cardiovascular care, cancer treatment, neurosciences, surgery and organ
transplants. The Hospital is internationally recognized for translating medical breakthroughs into the care
of patients. It is part of the Stanford University Medical Center, along with the Stanford University School
of Medicine and Lucile Packard Children’s Hospital at Stanford.
In fiscal year 2009, Stanford expanded its ambulatory care capacity by opening the Stanford Medicine
Outpatient Center in Redwood City, California, and also increased inpatient volume.
COMMUNITY BENEFITS SUMMARY
In addition to delivering outstanding patient care, Stanford Hospital & Clinics provides an extensive range
of community benefit programs. All free of charge or largely subsidized, these include health and education
programs such as the Stanford Health Library, the Stanford Cancer Supportive Care Program, Strong for Life
senior adult exercise program and Lifeline services. The Hospital also provides financial contributions and
services to several community-based clinics, and programs that offer culturally appropriate cancer education
and outreach.

Over the past year, key initiatives have focused on improving the health and well-being of older adults, as well
as improving access to care and reducing cancer-related health disparities.

The table below summarizes Stanford Hospital’s significant investment in community benefit programs.

COMMuNITY BENEFITS
(Dollars in millions)
Benefits for vulnerable Populations $94.8
Medicare (uncompensated Expense) $65.8
Benefits for the Larger Community $3.6
Health Research, Education and Training $26.0
Total Excluding Medicare $124.4
Total Including Medicare $190.2

NET OPERATINg REvENuE (Dollars in millions)

HOSPITAL STATISTICS
Inpatient Care $961 52.6%

Outpatient Care $804 44.0% Licensed Beds 613

(465 operating)
Other $63 3.4%
Licensed ICu Beds 67
(66 operating)
Operating Rooms 37
Staff
Medical 1,833
Interns and Residents 900
RNs 1,848
NET OPERATINg ExPENSES (Dollars in millions)
LvNs 16
Salaries and Benefits $787 43.1% Nursing Assistants 158
Nonmedical Employees 2,261
Supplies $265 14.5%
Total Staff 7,016
Purchased Services $434 23.7%
volunteers 868
Depreciation $74 4.0%
volunteer Hours of Service 75,092
Interest Expense $38 2.1%
Admissions Per Year
Transfers and Other $135 7.4% Inpatient 23,744
Reinvestment, Net $95 5.2% Outpatient visits 531,807
ER visits 48,744
Stanford Health Library visits 13,500 walk-in/year; 30,000 online/month
Total Net Operating Revenue and Expense: $1.828 billion

28 29
 BOARD OF DIRECTORS EXECUTIVE TEAM

mariann byerwalter martha marsh

chair president & ceo
daniel ginsburg
john scully chief operating officer
vice chair

marc andreessen carolyn byerly

chief information officer
bryan bohman, md
nancy lee
vice president, patient care
sue bostrom and chief nursing officer
bruce cozadd jerrold maki
vice president, clinical services
christopher dawes
daniel morissette
john freidenrich c hief financial officer

stephen hearst l. timothy portwood

vice president, development
joel hyatt
barbara ralston
ron johnson vice president, international
and guest services
john levin
sridhar seshadri
john lillie vice president, cancer center
and process excellence
martha marsh
kevin tabb, md
albert martin, md chief medical officer
Stanford Hospital & Clinics 2009 Year in Review
john morgridge jenni vargas is a publication of the Office of Communications
vice president, business development and Public Affairs at Stanford Hospital & Clinics.

woodrow myers, md Shelley Hébert

helen wilmot Executive Director for Public Affairs
vice president, ambulatory care
denise o ’ leary Gary Migdol
Director of Communications

philip pizzo, md Susan Kinkead

Managing Editor

christopher redlich Contributing Writers: Elizabeth Sloan, Sara Wykes

Photography: Mark Tuschman, Norbert von der Groeben

kathryn renschler, md Design: 1185 Design, Palo Alto, CA

norman rizk, md
The brochure cover was printed with virtually VOC-free
ultra-violet curable inks on Cougar Opaque Super Smooth Cover.
peter stamos Cougar contains 10% post consumer recycled fiber. Cougar is
FSC-Certified, SFI Fiber Sourcing Certified and endorsed by the
steve young Rainforest Alliance.

The text pages were printed with vegetable-based inks on

william younger NewPage Centura. Centura contains 10% post-consumer
recycled fiber.

30
STANFORD HOSPITAL & CLINICS, 300 PASTEUR DRIVE, STANFORD, CA 94305
stanfordmedicine.org