Cedars-Sinai Medical Center

Cedars-Sinai Medical Center
Cedars-Sinai Health System
The Cedars-Sinai Medical Center's North and South Towers in September 2006
Geography
Location	8700 Beverly Boulevard, Los Angeles, California, United States
Coordinates	34°04′31″N 118°22′50″W / 34.075198°N 118.380676°WCoordinates: 34°04′31″N 118°22′50″W / 34.075198°N 118.380676°W
Organization
Care system	Non-profit
Hospital type	Academic health science center
Affiliated university	UCLA, USC, WGU, other
Services
Emergency department	Level I trauma center
Beds	958 beds
History
Founded	1902
Links
Website	www.csmc.edu
Lists	Hospitals in California

Cedars-Sinai Medical Center is a non-profit, tertiary 958-bed hospital and multi-specialty academic health science center located in Los Angeles, California.^[1] Part of the Cedars-Sinai Health System, the hospital employs a staff of over 2,000 physicians and 10,000 employees.^[2][3] A team of 2,000 volunteers and more than 40 community groups support a patient-base of over 16,000 people.^[4] Over 350 residents and fellows participate in more than 60 graduate medical education programs.^[5]

Cedars-Sinai focuses on biomedical research and technologically advanced medical education—based on an interdisciplinary collaboration between physicians and clinical researchers.^[6] The facility has research centers covering cardiovascular, genetics, gene therapy, gastroenterology, neuroscience, immunology, surgery, organ transplantation, stem cells, biomedical imaging and cancer—with more than 800 research projects underway (led by 230 Principal Investigators).^[7][8]

Certified as a level I trauma center for adults and pediatrics, Cedars-Sinai trauma-related services range from prevention to rehabilitation and are provided in concert with the hospital's Department of Surgery.^[9] Cedars-Sinai is affiliated with the California Heart Center, University of Southern California and David Geffen School of Medicine at the University of California, Los Angeles (UCLA).

As of 2013, U.S. News & World Report ranked Cedars-Sinai #13 out of hospitals across the United States and #3 in the western United States, behind only UCLA Medical Center and UCSF Medical Center.^[10] Cedars-Sinai also earned national rankings in 12 adult specialties including #5 for gastroenterology, #9 in cardiology and heart surgery, #9 in orthopedics, #10 in urology, #12 in gynecology, #14 in diabetes and endocrinology, and #14 in neurology and neurosurgery.^[11] Located in the Harvey Morse Auditorium, Cedars-Sinai's patient care is depicted in the Jewish Contributions to Medicine mural.^[12] The heart transplantation program at Cedars-Sinai Medical Center has experienced unprecedented growth since 2010. Statistically, Cedars-Sinai currently performs more annual heart transplants than any other medical center in the world, having performed 95 heart transplants in 2012 and 87 in 2011.

History

Founded and financed by businessman Kaspare Cohn, Cedars-Sinai was established as the Kaspare Cohn Hospital in 1902.^[13][14] At the time, Cohn donated a two-story Victorian home located at 1441 Carroll Avenue in the Angeleno Heights neighborhood of Los Angeles to the Hebrew Benevolent Society to create the hospital as a memorial to his brother Samuel.^[14] Just 12 beds when opening on September 21, 1902, the hospital's services were initially free.^[14]

From 1906 to 1910, Dr. Sarah Vasen, the first female doctor in Los Angeles, acted as superintendent.^[15] In 1910, the hospital relocated and expanded to Stephenson Avenue (now Whittier Boulevard), where it had 50 beds and a backhouse containing a 10-cot tubercular ward.^[14] It gradually transformed from a charity-based hospital to a general hospital and began to charge patients.^[16]

The hospital relocated again in 1930 to 4833 Fountain Avenue, where it was renamed Cedars of Lebanon after the religiously significant Lebanon Cedars, which were used to build King Solomon's Temple in Jerusalem in the Bible, and could accommodate 279 patients.^[14][16] In 1918, the Bikur Cholim Society opened a second Jewish hospital, the Bikur Cholim Hospice, when Great Influenza Pandemic hit America.^[16] In 1921, the hospice relocated to an 8-bed facility in Boyle Heights and was renamed Bikur Cholim Hospital.^[16] In 1923 the Bikur Cholim Hospital became Mount Sinai Home for the Incurables.^[17]

Entrance to old Cedars of Lebanon Hospital, 1956

On November 7, 1926, a newly named Mount Sinai Hospital moved to a 50-bed facility on Bonnie Beach Place.^[14][16] In 1950, Emma and Hyman Levine donated their property adjacent to Beverly Hills, and by 1955 the construction completed and Mount Sinai Hospital opened on 8700 Beverly Boulevard (now Cedars-Sinai Medical Center).^[14] The original building stood until 1994 when it was damaged in the Northridge earthquake. Cedars of Lebanon and Mount Sinai Hospitals merged in 1961 to form Cedars-Sinai Medical Center.^[16][18]

Donations from the Max Factor Family Foundation allowed the construction of the current main hospital building, which broke ground on November 5, 1972 and opened on April 3, 1976.^[19]

In 1994, the Cedars-Sinai Health System was established, comprising the Cedars-Sinai Medical Care Foundation, the Burns and Allen Research Institute and Cedars-Sinai Medical Center.^[20] The Burns and Allen Research Institute, named for George Burns and his wife, Gracie Allen, is located inside the Barbara and Marvin Davis Research Building.^[21] Opened in 1996, it houses biomedical research aimed at discovering genetic, molecular and immunological factors that trigger disease.

In 2006, the Medical Center added the Sapperstein Critical Care Tower with 150 ICU beds.

In 2008, Cedars-Sinai served 54,947 inpatients and 350,405 outpatients, and there were 77,964 visits to the emergency room.^[22] Cedars-Sinai received high rankings in eleven of the sixteen specialties, ranking in the top 10 for digestive disorders and in the top 25 for five other specialties as listed below.^[23]

In 2013, Cedars-Sinai opened its 800,000-sq.-ft. Advanced Health Sciences Pavilion, which consists of eight stories of program space located over a six-story parking structure, on the eastern edge of its campus at the corner of San Vicente Boulevard and Gracie Allen Drive. Designed by architectural firm HOK, the Pavilion brings patient care and translational research together in one site. The Advanced Health Sciences Pavilion houses the medical center's neurosciences programs, the Cedars-Sinai Heart Institute and Regenerative Medicine Institute laboratories, as well as outpatient surgery suites, an imaging area and an education center.^[24]

Rankings

Cedars-Sinai ranks as follows in the nationwide U.S. News Best Hospitals 2013–14 report:^[25]

Specialty	Ranking
Cancer	26
Cardiology and Cardiac surgery	9
Diabetes and Endocrinology	14
Ear, Nose, & Throat (Otolaryngology)	29
Gastroenterology and GI surgery	5
Geriatrics	23
Gynecology	12
Nephrology	22
Neurology and Neurosurgery	14
Orthopedics	9
Pulmonology	20
Urology	10

Cedars-Sinai ranks as follows in the Los Angeles area residents' "Most Preferred Hospital for All Health Needs" ranking:^[26]

Specialty	Ranking
Digestive Disorders	10
Cardiology and Cardiac surgery	13
Endocrinology	19
Neurology and Neurosurgery	15
Respiratory Disorders	29
Geriatrics	33
Gynecology	23
Kidney Disease	20
Orthopedics	26
Urology	38

In 2013, Cedars-Sinai Hospital was ranked in 12 specialties by U.S. News & World Report.^[23]

Worth Magazine selected Cedars-Sinai Heart Institute as one of the United States' Top 25 Hospitals for Cardiac Bypass Surgery.^[27]

Cedars-Sinai's Gynecologic Oncology Division was named among the nation's Top 10 Clinical Centers of Excellence by Contemporary OB/GYN in 2009.^[28]

Notable staff

• Jeremy Swan co-invented the pulmonary artery catheter together with William Ganz while at Cedars.^[29]
• Keith Black Department chair of neurosurgery and director of the Maxine Dunitz Neurosurgical Institute. Successfully performed over 4,000 brain surgeries and has made significant medical advances relating to neurosurgery.
• David Ho was a resident at Cedars when he encountered some of the first cases of what was later labelled AIDS.^[30]
• Verne Mason, internist and chairman of the Howard Hughes Medical Institute's medical advisory committee. Mason gave the disease sickle cell anemia its name.
• David Rimoin, Chair of Pediatrics for 18 years, specialized in genetics and was a pioneer researcher in dwarfism and skeletal dysplasia. Together with Michael Kaback, discovered the enzyme screening for Tay Sachs disease, reducing incidences of the deadly disease by 90%.^[31]
• William Shell was a Director of the Cardiac Rehabilitation at Cedars-Sinai Medical Center.^[32]
• Esther Somerfeld-Ziskind, a neurologist and psychiatrist who was chair of the psychiatry department
• Adam Springfield, who acted on the PBS series Wishbone, is now a Labor and Delivery scheduler.

Notable deaths

• July 11, 1937: Composer George Gershwin died of a brain tumor.
• May 29, 1951: Fanny Brice, cerebral hemorrhage.^[33]
• February 1, 1966: Hedda Hopper, gossip columnist and actress. Died of pneumonia.
• December 20, 1973: Actor and singer-songwriter Bobby Darin died after a surgical team worked for over six hours to repair his damaged heart.
• May 4, 1975: Moe Howard, American actor and comedian, leader of the Three Stooges died from Lung cancer.
• August 19, 1977: Actor and comedian Groucho Marx died of pneumonia.
• July 12, 1979: Singer-songwriter Minnie Riperton died from metastatic breast cancer.
• December 15, 1983: American film actress Eden Hartford died from cancer.
• November 4, 1982: Actress Dominique Dunne died five days after being strangled by her former boyfriend
• May 16, 1984: Actor and entertainer Andy Kaufman from renal failure that was related to lung cancer.
• December 10, 1987: Violinist Jascha Heifetz from complications arising from a fall and subsequent neurosurgery.^[34]
• April 26, 1989: Actress and comedian Lucille Ball died of a dissecting aortic aneurysm.
• May 20, 1989: SNL comedian Gilda Radner died of ovarian cancer.
• July 10, 1989: Mel Blanc, famed voice artist, died from Cardiovascular disease.
• July 18, 1989: Actress Rebecca Schaeffer was shot at her home by stalker Robert John Bardo, and died a few minutes later in the hospital.
• February 24, 1990: Singer Johnnie Ray, of liver failure.
• November 10, 1992: Actor Chuck Connors died of lung cancer and pneumonia
• October 31, 1993: Actor River Phoenix was pronounced dead at the hospital after a drug overdose at Johnny Depp's Nightclub The Viper Room.
• February 23, 1995: Temptations bass singer Melvin Franklin died of heart failure after he was admitted following a series of seizures.
• March 26, 1995: Rapper Eazy-E, real name Eric Lynn Wright, formerly of N.W.A, succumbed to AIDS and died. He had been admitted to the hospital earlier, then announced his condition publicly.
• May 24, 1996: John Abbott, of natural causes
• October 28, 1996: Actor and comedian Morey Amsterdam died from a heart attack
• March 9, 1997: Rapper Christopher Wallace, also known as The Notorious B.I.G., died as a result of 4 gunshot wounds to the chest and abdomen, suffering internal organ damage and blood loss.
• May 14, 1998: Singer and film actor Frank Sinatra died from a heart attack.
• November 18, 1999: Actress Beatrice Colen died from lung cancer.
• February 7, 2000: Magician Doug Henning died of liver cancer.
• July 15, 2001: Rapper Anthony Ian Berkeley, also known as Poetic, the founder of Gravediggaz, died of colorectal cancer.
• January 7, 2002: Actor Avery Schreiber died from a heart attack.
• July 4, 2003: Soul singer Barry White died from kidney failure
• July 12, 2003: Jazz musician Benny Carter died from complications of bronchitis
• August 30, 2003: Actor Charles Bronson died from pneumonia.
• November 12, 2003: Actor Jonathan Brandis died from injuries after a suicide attempt.
• January 23, 2005: The Tonight Show host Johnny Carson died of respiratory failure arising from emphysema.
• January 6, 2006: Musician Lou Rawls died from cancer
• February 24, 2006: Actor Don Knotts died from pulmonary/respiratory complications due to pneumonia that was related to lung cancer.
• August 13, 2006: Actor Tony Jay died at the age of 73 due to complications from having a non-cancerous tumor removed from his lungs during a surgery.
• January 27, 2007: Actress and producer Marcheline Bertrand died after eight-year battle with ovarian and breast cancer.
• August 12, 2007: Creator of Jeopardy! and Wheel of Fortune, Merv Griffin, died from prostate cancer.
• October 30, 2007: Singer Robert Goulet died from idiopathic pulmonary fibrosis
• August 24, 2007: Film Producer and Political Activist Aaron Russo died from bladder cancer
• November 11, 2007: Film/Television Director Delbert Mann died from pneumonia
• August 21, 2009: Entrepreneur Frank Fertitta Jr. died from heart complications.
• December 20, 2009: Actress Brittany Murphy died from cardiac arrest due to pneumonia.
• March 23, 2011: Actress Elizabeth Taylor died from heart failure. She had been troubled by her health through much of her life.
• April 11, 2011: Designer Bijan Pakzad died from stroke.
• November 8, 2011: Rapper Heavy D died from complications from pneumonia after collapsing outside his home.
• July 8, 2012: Actor Ernest Borgnine died from renal failure.
• September 3, 2012: Actor Michael Clarke Duncan died from heart complications.
• February 18, 2013: Los Angeles Lakers' owner Jerry Buss died at age 80 after being hospitalized with an undisclosed form of cancer. His immediate cause of death was listed as kidney failure.
• October 14, 2014: Actress Elizabeth Peña died at the age 55 after a brief illness.
• January 9, 2015: American film producer Samuel Goldwyn Jr. died at age 88 of congestive heart failure.
• December 31, 2015: Singer–songwriter, actress Natalie Cole died at age 65 of congestive heart failure.

Controversy

According to articles in the Los Angeles Times in 2009, Cedars-Sinai was under investigation for significant radiation overdoses of 206 patients during CT brain perfusion scans during an 18-month period.^[35][36] Since the initial investigation, it was found that GE sold several products to various medical centers with faulty radiation monitoring devices.

State regulators had also found that Cedars-Sinai had placed the Quaid twins and others in immediate jeopardy by its improper handling of blood-thinning medication.^[37]

In 2011, Cedars-Sinai again created controversy by denying a liver transplant to medical marijuana patient Norman Smith. They removed Mr. Smith from a transplant waiting list for "non-compliance of our substance abuse contract",^[38] despite his own oncologist at Cedars-Sinai having recommended that he use the marijuana for his pain and chemotherapy.^[39] Dr. Steven D. Colquhoun, director of the Liver Transplant Program, said that the hospital "must consider issues of substance abuse seriously", but the transplant center did not seriously consider whether Mr. Smith was "using" marijuana versus "abusing" it.^[40] In 2012, Cedars-Sinai denied a liver transplant to a second patient, Toni Trujillo, after her Cedars-Sinai doctors knew and approved of her legal use of medical marijuana. In both cases, the patients acceded to the hospital's demand and stopped using medical marijuana, despite its therapeutic benefits for them, but were both sent 6 years back to the bottom of the transplant list.^[41] Mr. Smith's liver cancer returned after Cedars refused to replace his liver, and he died in July 2012.^[42] His death inspired Americans for Safe Access to lobby for the California Medical Cannabis Organ Transplant Act (AB 258), which was enacted in July 2015 to protect future patients from dying at the hands of medical establishments prejudiced against the legal use of medical cannabis.^[43]

Patient data security breaches

On June 23, 2014 an unencrypted employee laptop was stolen from an employee's home. The laptop contained patient social security numbers and patient health data.^[44] On June 18 through June 24, 2013 six employees were terminated for inappropriately accessing 14 patient records around the time Kim Kardashian and Kanye West's daughter was born at the hospital.^[45]

Art collection

First developed by philanthropists Frederick and Marcia Weisman, Cedars-Sinai's modern and contemporary art collection dates to 1976 and includes more than 4,000 original paintings, sculptures, new-media installations and limited-edition prints by the likes of Andy Warhol, Robert Rauschenberg, Richard Diebenkorn, Sam Francis, Claes Oldenburg, Willem de Kooning, Raymond Pettibon and Pablo Picasso. 90% to 95% of the collection is on display at any given time. Nine large-scale works are located in courtyards, parking lots and public walkways throughout the approximately 30-acre campus. The collection consists entirely of gifts from donors, other institutions and occasionally the artists themselves.^[46]

References

1. "Bulletin of the National Center for Healthcare Leadership" (PDF). Modern Healthcare. 2007. Retrieved 2010-06-15.
2. Roehr, Bob (2007). "Suspension of Privileges Improves Physician Adherence to Hand Hygiene". WebMD. Retrieved 2010-06-15.
3. "100 Best Places to Work in IT in 2009". Computerworld. 2009. Retrieved 2010-06-15.
4. Tugend, Tom (2006-01-05). "Saul Kroll: Healing Hand at Cedars-Sinai". The Jewish Journal of Greater Los Angeles. Retrieved 2010-06-15.
5. Cedar-Sinai Medical Center Web site — About Us
6. Cedar-Sinai Medical Center Web site — Discoveries
7. Cedar-Sinai Medical Center Web site — Research & Education
8. Cedar-Sinai Medical Center Website – Clinical Research
9. Cedar-Sinai Medical Center Web site — Trauma Program
10. "U.S. News Best Hospitals 2013-14 Overview and Honor Roll". U.S.News & World Report. 2013-10-16.
11. "U.S. News Best Hospitals 2013–14". U.S.News & World Report. 2013-10-16.
12. Cedar-Sinai Medical Center Website – History
13. McGroarty, John Steven (1921). Los Angeles From the Mountains to the Sea. p. 777. Retrieved 2010-06-20.
14. Aushenker, Michael (2002-10-03). "From TB to T-Cell, Tracing the Roots of Cedars-Sinai". Retrieved 2010-06-20.
15. Beardsley, Julie (April 2003). "Dr. Sarah Vasen: First Jewish Woman Doctor In Los Angeles; First Superintendent Of Cedars-Sinai Hospital". Retrieved 2008-02-21.
16. Encyclopaedia Judaica (2008). "Los Angeles". Retrieved 2010-06-23.
17. Historical Perspective
18. Cedars of Lebanon hospital
19. "Historical Perspective" (PDF). Cedars-Sinai Medical Center. July 2003. Archived from the original (PDF) on 2007-11-28. Retrieved 2008-02-21.
20. "IDC Case Study" (PDF). IDC. 2008. Retrieved 2010-07-01.
21. "Ninety-eight-year-old George Burns Shares Memories of His Life". Cigar Aficionado. 2010. Retrieved 2010-07-01.
22. "Our Report To Our Community, 2008" (PDF). Cedars-Sinai Medical Center. 2008. Retrieved 2009-10-26.
23. "America's Best Hospitals". U.S. News & World Report. 2009. Retrieved 2009-10-26.
24. "Advanced Health Sciences Pavilion Wins Award from American Institute of Architects California Council". 2013-09-11. Retrieved 2013-09-25.
25. "Cedars-Sinai Medical Center". U.S. News & World Report. 2013. Retrieved 2013-10-16.
26. "2009/2010 Consumer Choice Winners". National Research Corporation. 2009. Retrieved 2009-10-26.
27. "ELITE LIST: Top 25 Hospitals for Bypass Surgery". Sandow Media. December 2009. Retrieved 2010-07-05.
28. Brower, Amanda (2009). "Gynecologic Oncology Clinical Centers of Excellence". Advanstar Communications. Retrieved 2010-07-05.
29. "Cedars-Sinai Medical News" (PDF). Cedars-Sinai Medical Center. 19 May 2003. Archived from the original (PDF) on September 12, 2006.
30. "Media Advisory" (PDF). Cedars-Sinai Medical Center. 2002. Archived from the original (PDF) on September 12, 2006.
31. "Jewish Journal". Jewish Journal. 29 May 2012.
32. http://www.marketwatch.com/investing/stock/trgm/insiders?pid=48268593
33. "Fanny Brice Dies at the Age of 59". New York Times. May 30, 1951. Retrieved 2014-10-26. Fanny Brice, stage and screen comedienne and the Baby Snooks of radio, died at 11:15 A. M. today at the Cedars of Lebanon Hospital. Her age was 59. Miss Brice suffered a massive cerebral hemorrhage last Thursday morning and was rushed to the hospital from her home in Beverly Hills. She never again regained consciousness, although she was placed in an oxygen tent. ...
34. "Violin Master Jascha Heifetz Dies". tribunedigital-sunsentinel. Retrieved 2016-01-16.
35. Zarembo, Alan (2009-10-14). "Cedars-Sinai radiation overdoses went unseen at several points". Los Angeles Times. Retrieved 20 January 2010.
36. Cedars-Sinai investigated for significant radiation overdoses of 206 patients, Alan Zarembo, Los Angeles Times, October 10, 2009; "4 patients say Cedars-Sinai did not tell them they had received a radiation overdose", Alan Zarembo, Los Angeles Times, October 15, 2009; Cedars-Sinai finds more patients exposed to excess radiation, Nicole Santa Cruz, Los Angeles Times, November 9, 2009;
37. Charles Ornstein. "Quaids recall twins' drug overdose". Los Angeles Times. Retrieved 20 January 2010.
38. "Letter from Brenda Durand, RN, Liver Transplant Clinical Coordinator at Cedars-Sinai, to Norman Smith" (PDF). February 1, 2011. Retrieved 2012-02-29.
39. Anna Gorman (December 3, 2011). "Medical marijuana jeopardizes liver transplant". Los Angeles Times. Retrieved 2012-02-29.
40. Kathleen Miles (December 5, 2011). "Norman Smith: Cancer Patient Taken Off Of Liver Transplant List Because Of Medical Marijuana Use". The Huffington Post. Retrieved 2012-02-29.
41. "Second Medical Marijuana Patient Denied Transplant by Cedars-Sinai in the Last Year". Americans for Safe Access. June 11, 2012. Retrieved 2012-06-16.
42. Kris Hermes (August 9, 2012). "Medical Marijuana Patient Norman Smith Passes, But Not Without a Fight". Americans for Safe Access. Retrieved 2012-08-10.
43. Katie Orr (July 6, 2015). "Law Eases Organ Transplant Process For Medical Marijuana Patients". Capital Public Radio (Sacramento, CA).
44. "Cedars-Sinai Medical Center website – Cedars-Sinai Health System Issues Notice of Data Incident". Retrieved 2014-09-08.
45. "Los Angeles Times – Six people fired from Cedars-Sinai over patient privacy breaches". Retrieved 2014-09-08.
46. Deborah Vankin (July 7, 2014), Abstract Frank Stella sculpture 'Adjoeman' joins Cedars-Sinai artworks Los Angeles Times.

External links

• Official Cedars-Sinai website
• This hospital in the California Healthcare Atlas A project by OSHPD