1. 1 General information Shizuoka General Hospital General information Shizuoka General Hospital President: Issei Tanaka, M.D. Ph.D. Hospital Deputy : Hiroshi Nonogi, M.D. Ph.D.

2. General Information of Shizuoka General Hospital Shizuoka General Hospital Heliport for emergency medicine G B C D E A ( Now Construction ) Advanced critical care and emergency center

3. 3 History of Shizuoka General Hospital Opened in 1983 (through merger of Prefectural Chuo Hospital and Prefectural Fujimi Hospital; 600 beds for general medical service and 100 beds for tuberculosis patients) Prefectural Chuo Hospital: General hospital Prefectural Fujimi Hospital: Hospital dedicated to tuberculosis patients during decade of 1955-1965 → Hospital dedicated to patients with respiratory system diseases during decade of 1965-1975 1986: Computer system (total ordering system) installed in West Wing 2000: North Wing (beds for general medical service increased to 620; heliport built on rooftop) 2003: New computer system 2006: Electronic medical record system PET Imaging Center 2008: Cardiovascular Center 2015: beds for general medical service increased to 662

4. 地方独立行政法人 静岡県立病院機構 Shizuoka Prefectural Hospital Organization 3 hospitals

5. 5 Shizuoka General Hospital Plans 1.Medical care on which efforts to be made on a priority basis ① Cardiovascular diseases ② Cancer ③ Emergency medical care 2.Survey and clinical research on medical care: Use of medical records and information; provision of information 3.Education: Medical Skill-Up Center; training programs 4.Support for the local community: Networking, joint use, and dispatch of doctors 5.Medical assistance during disasters 6.Securing and training of human resources

6. 6 Specialized Medical Departments at Shizuoka General Hospital Internal Medicine Hematology Diabetes, Endocrinology Department of Neurology Department of Respiratory Medicine Department of Gastroenterology Department of Cardiology, Department of Nephrology Department of Pediatrics Department of Surgery Department of Breast Surgery Department of Orthopedics Department of Orthopedic Surgery Department of Neurosurgery Department of Thoracic Surgery Cardiovascular Surgery Department of Dermatology Department of Urology Department of Obstetrics and Gynecology Department of Ophthalmology Department of Head/Neck and Otolaryngology Department of Dental and Oral Surgery Department of Rehabilitation Department of Anesthesiology Department of Radiology Emergency Department Department of Psychosomatic Internal Medicine Department of Psychiatry Department of Pathological Diagnosis Department of Cardiac Rehabilitation Oncology Internal Medicine 31 departments listed above (In-hospital departments: Department of General Diagnosis and Treatment, Women’s Department, Department of Palliative Medicine, etc…)

7. ● Nurses (including fixed-term employment staff) Note: Data for April 1 of each fiscal year ● Doctors (including residents) People Establishment as a local independent agency Number of Employees ● Medical technicians ● Clerical work, etc.

8. 8 Medical Services at Shizuoka General Hospital Number of beds: (Beds for general medical service; 662 beds in 18 wards; 50 beds in 1 tuberculosis wards) Number of outpatients: Daily average of 1,686 patients Number of inpatients: Daily average of 581 patients (43 new admissions per day) General sickbed occupancy rate: 90.4%; Average length of hospitalization: 12.1 days Referral rate: 85.0%; Reverse referral rate: 127.5% Number of ambulances accepted: 4,441 per year Number of operations: 7,860 per year (of which 3,718 cases under general anesthesia); number of childbirth deliveries: 429 cases per year (Actual results between April 2014 and March 2015)

9. Fujinokuni Network using same medical electronic records and medical imaging in Shizuoka Prefecture Type of facility Number of facilities that have disclosed information Number of facilities where medical information can be referenced Core hospital131 Rearward alliance hospital 17 Clinic2123 Health insurance pharmacy 58 Home-visit nursing care station 13 Care insurance facility 1 Total15213 Total: 13,176 people Note: As of July,2015 Facilities that have currently disclose medical information

10. Medical network system “Fujinokuni Net” and telemedicine Home nursing movie Remote clinic Hospital Ambulance, Doctor Heli

11. Medical Equipment MRI 3T / 1.5 T x 2: 3 units MDCT (64-slice): 3 units, 320-slice IVR-CT: 1 unit PET-CT: 3 units Angiography equipment: 3 units CT system for treatment planning: 2 units LINAC (linear accelerator) radiotherapy equipment: 3 units Brachytherapy equipment for prostrate cancer treatment: 1 unit Navigation surgery system: 1 unit Integrated cardiovascular IT system: 1 unit PACS system: 1 unit Endoscope filing system: 1 unit Automatic biochemical analyzer: 1 unit Blood specimen conveyance system: 1 unit da Vinci Surgical System

12. 12 Newly developed equipment Advanced Critical Care and Emergency Center Since 2015