Scott & White Healthcare

Scott & White Healthcare is a non-profit collaborative health care system established in 1897 in Temple, Texas. Among the leading health care systems encompassing one of the nation’s largest multi-specialty group practices, Scott & White provides personalized, comprehensive high quality care enhanced by medical education and research to residents in a 29,000-square-mile service area. The system owns, partners or manages 12 hospital sites, two additional announced facilities, more than 60 clinics and a 229,000+-member health plan.

Level 1 Trauma Center

Scott & White Hospital – Temple, is the only Level 1 Trauma Center between Dallas and Austin.

Research and Education

Scott & White is the principal clinical research and education campus for The Texas A&M Health Science Center College of Medicine and a partner in the state’s first Health and Bioscience District. Teaming with the District and Temple College, Scott & White is part of a unique effort to train high school and college students in the fields of health and science through the Texas Bioscience Institute.

At a Glance

• Founded in 1897
• More than 900 physicians and scientists
• 43,699 surgeries (FY2011)
• 537,000 unique patients
• 35 ACGME accredited residency and fellowship programs; 15 non-ACGME physician and clinical doctorate programs
• More than 13,000 employees
• 2.2 million patient visits (FY2011)
• 50,745 discharges (FY2011)
• More than 400 medical residents and fellows in training

Centers of Excellence

• Cancer Institute: The Scott & White Cancer Institute includes the Cancer Treatment Center, the Cancer Research Institute and the Drug Development Institute. The Cancer Institute has 12 multidisciplinary, site-specific cancer teams and is one of only 21 academic health centers around the country designated as a Siemens One Center. State-of-the-art technologies include Mammosite®, da Vinci® Si HD Surgical System, Intensity-Modulated Radiation Therapy (IMRT), and the Novalis TxTM radiosurgery platform. The Cancer Institute has received Approval with Commendation as a Teaching Hospital Cancer Program by the American College of Surgeons Commission on Cancer. Scott & White is also home to the only Accredited Breast Cancer Center in Central Texas as designated by the American College of Surgeon’s National Accreditation Program for Breast Cancer Centers.
• Bone & Joint Institute: The Scott & White Bone and Joint Institute is comprised of experts in the fields of joint replacement, spinal surgery, foot and ankle surgery, hand surgery, pediatric and oncologic orthopedics, sports medicine, orthopedic trauma and medical orthopedics.
• Heart & Vascular Institute:  Scott & White has been listed in Thomson Reuters 100 Top Hospitals®: Cardiovascular Benchmarks for ten consecutive years, and is one of three facilities in the state that performs the MAZE procedure to treat atrial fibrillation. Scott & White surgeons were the first in Central Texas to use the Gore thoracic endograft stent to treat aortic aneurysms.
• Neuroscience Institute: The multidisciplinary Neuroscience Institute at Scott & White combines health care experts in neurology,neurosurgery, neuroradiology and neuropsychology to treat patients with neurological disorders and conditions.

Other Centers for Specialized Care

• The Children’s Hospital at Scott & White: Staffed by specially-trained physicians, surgeons, nurses and allied health professionals, the Children’s Hospital is committed to assuring the best possible outcome for each child entrusted to its care. On July 12, 2011, a 20-year partnership agreement with Texas Children’s Hospital was signed to provide a greater scope of pediatric health services to Central Texas.
• Eye Institute: The Eye Institute physicians are fellowship-trained in all 11 subspecialty fields of ophthalmology, which include vitreoretinal, glaucoma, oculoplastic, pediatric, neuro-ophthalmology, corneal and external disease, refractive surgery, and ophthalmic pathology.

Recent Awards

• 100 percent accreditation survey score by the National Committee for Quality Assurance
• 2012 – Scott & White Healthcare system: Top 100 Health Systems by Thomson Reuters
• 2011/12 – Scott & White Health Plan: Highest ranked Medicare health plan in Texas with a national rank of 35, according to the NCQA’s Medicare Health Insurance Plan Rankings
• 2012 – Scott & White Hospital – Round Rock: Honor Roll site status from the American Stroke Association’s Target: Stroke Program, a national quality improvement campaign to improve outcomes for ischemic stroke patients; one of 10 hospitals in the state and only hospital in Central Texas to receive award

Central Texas Veterans Health Care System 

The Central Texas Veterans Health Care System (CTVHSC) is one of the largest VA Medical Consortiums in the United States with approximately 2,600 staff and a budget of almost $300 million. In fiscal Year 2005, CTVHSC provided 792,408 outpatient visits and 7,152 acute impatients were treated. Total patients treated were 68,154. CVTHSC is comprised of the Olin E. Teague Veterans' Center in Temple, a 146 bed, medical/surgical hospital in Temple a large psychiatric hospital in Waco, two VA nursing home units, a 500 bed domiciliary unit in Temple and outpatient clinics in Palestine, Brownwood and Bryan/College Station, Austin and Cedar Park.

The Olin E. Teague Veterans' Center has been a principal teaching campus for the Texas A&M Health Science Center College of Medicine since the College's inception in 1977. Third and Fourth year medical students participate in clinical training in the areas of general surgery, orthopedics, internal medicine, urology, ophthalmology, anesthesiology, plastic surgery anesthesiology, pulmonary disease, hematology, oncology, cardiovascular disease, gastroenterology, sleep medicine, family medicine, and pathology.

The Temple campus was orgianlly developed in 1942 as McCloskey General Army Hospital. Control of this facility was transferred to the Veterans Administration in 1946 for use as a medical and surgical hospital. The Center was eventually named Olin Teague, a decorated World War II hero and congressman from Central Texas. Today little reamins of the original facilities as new buildings have taken their place over the years. In 1998, a $50 million VA hospital opened on the grounds of the Teague Center which provides state-of-the art medical/surgical care. The Teague Center is the specialty care hub of CTVHSC with all tertiary care and speciality services provided either in-house or on contract.

CTVHCS is building its research programs in close collaboration with Texas A&M Health Science Center, Scott & White Hospital and other academic affiliates. Nationally recognized programs to study Liver Diseases, Mental Illness and the Cardiovascular System are expanding with increasing success in obtaining VA and extramural funding. A new Research Building on the Olin E. Teague Campus in Temple was completed in June 2003. The 56,000 square foot building currently houses approximately 40 investigators with over $1.3 million dollars of extramural support a year who are now studying the molecular basis of heart disease. The Neuropsychiatry Research Program located in Temple and Waco has established a Clinical Research Center, which has enrolled subjects in several treatment protocols, in addition to being awarded a VA Special Clinical Research Fellowship in Psychiatry and a grant from the NIH to establish a Brain Tissue Resource for Electron Microscopic and Molecular Biology Studies. Initiatives with the University of Texas and UT Medical Branch in Galveston have been established to promote the development of clinical and health services research at the Austin Outpatient Clinic and other CTVHCS facilities.

These programs hold the promise for improved medical treatments for our veterans in the future. During fiscal year 2005, there were 39 research principal investigators and 96 active (funded and unfunded) research projects at the Medical Center. The total research funding for fiscal year 2005 from VA, NIH and Industry sources was $1,399,590.

Carl R. Darnall Army Medical Center (CRDAMC)

Carl R. Darnall Army Medical Center is located at Fort Hood, between the Central Texas communities of Killeen and Copperas Cove. It provides state-of-the-art medical care to active-duty and retired soldiers and their family members. Within a 40-mile radius, Darnall serves a population of 160,000 beneficiaries. Through the military health plan called TRICARE, about 114,000 are enrolled in TRICARE Prime and receive services through CRDAMC's system of freestanding health care clinics on the post and in surrounding communities. There are five primary care clinics, four troop medical clinics and the 22 speciality clinics within Darnall. Darnall's staff includes 609 military, 907 Federal Civil Service civilians,and 950 civilian contractors and 95 volunteers.

On an average day, there are 31 admissions, seven live births, 3,867 outpatient visits, 5,000 prescriptions filled, 26 surgeries performed, and 170 visits to the Emergency Room.

Darnall's Emergency Medicine Residency Program residents have scored highest in the nation on the annual In-Training Exam for seven years in a row. Its Family Medicine Residency Program was established in 2000 and received the maximum five-year accreditiation in 2005 from the RRC/ACGME. Darnall also provides clinical training for Physician Assistant (PA) students and Nursing Anesthesia (CRNA) students. Darnall trains other military residents in orthopedics, pediatrics, general surgery, obstetrics and psychiatry, and also trains residents from Scott & White in obstetrics, pediatrics, emergency medicine, and dermatology..

The Robertson Blood Center is licensed by the Food & Drug Administration and is accredited by the American Association of Blood Banks and provides blood products to health care facilities throughout the world. The Blood Center is also a blood-product testing lab for Army and Navy blood donors centers.

With 48,000 active-duty soldiers, Darnall has a robust Obstetrics and Gynecology Service housed within the Women's Health Center. The Center provides health care for women of all ages, including obstetrical care, infertility services, family planning, genetic counseling, surgery services, evaluation and treatment of abnormal Pap smears, treatment of urinary incontinence, and hormonal management.

Pregnancy care is a major service. The Women's Health Center supports care for both normal and complicated pregnancies. In addition to board certified obstetrician-gynecologists, it offers both prenatal diagnosis and performs invasive procedures to include amniocentesis and fetal blood sampling/transfusions. The Woman's Health Center offers nutritional counseling, private labor-delivery-recovery rooms, couplet care and lactation support. The hospital's birth rate average is 250 babies per month. The Level III neonatal intensive care unit has 12 beds and teleconferencing capability.

Darnall has a Magnetic Resonance Imaging (MRI) Center and a CT scanning, in addition to nuclear medicine. Hospital services, physicians and administrative staff use a state-of-the-art, third generation Electronic Health Record called AHLTA. AHLTA is used, in conjunction with the Composite Health Care System, to electronically document patient care. It is used to make and trak patient appointments, to order and result ancillary services, e.g. radiology, pharmacy and laboratory, and to support business and decision-making entities including billing and population health management. This information is used throughout the hospital to provide world-class patient care.

Finally, a new state-of-the-art Emergency Room is scheduled to open in 2007. The Emergency Center will result in numerous improvements to the hospital, including doubling the number of examination beds in the Emergency Center, enlarging the waiting area in the Emergency Center, expanding the education center for the hospital and a new library.