Patients perspectives of care are an important part of patient safety. Hospitals can earn up to 120 points for having leadership structures that increase awareness of patient safety issues and holding leadership accountable for improvements. Select a topic to see what people are saying about different issues Professional development Explore skills and training, pay raises and promotions and management and culture. 74% of all reviewers would recommend doctors at this hospital to a friend or family member. For example, a hospital that does not have an ICU would not be able to report data about ICUs. Patient Experience. Effective communication between nurses and patients can be reassuring to patients and can prevent errors like medication mix-ups or misdiagnoses. The Human Rights Campaign, All Rights Reserved. Were proud to be part of a national movement toward this new collaborative care model, where new moms and new babies can benefit from the knowledge and expertise of two types of medical professionals. East Carbon was incorporated on July 23, 1973, from the merger of the two struggling mining towns of Dragerton and Columbia.On January 1, 2014, the city annexed the neighboring city of Sunnyside. Phase 1 of this project involved upgrades to the central plant at Kaiser Sunnyside Medical Center to address recommendations made by Paul DuPont Consulting. If an organization received a 25-point deduction that link will take you to our webpage explaining the rationale for the deduction. Find a hospital or care provider near you. [10][11] In April 2009, the hospital opened a 40-bed cardiac unit used for open heart surgery. When hospitals dont have enough nurses or the nurses dont have the right training, patients face a much greater risk of harm. La disponibilidad de mdicos, hospitales, proveedores y servicios puede cambiar. [19], Media related to Kaiser Sunnyside Medical Center at Wikimedia Commons, "Kaiser Permanente to build new hospital in Washington County", "Mary Roberts has operation after collapsing", "FIGURE SKATING; Harding Reports Assault", "Kaiser expands cancer facilities at Sunnyside", "Forty-bed unit at Kaiser Sunnyside is first cardiac unit in Clackamas County", "Kaiser Sunnyside's new cardiac center offers state-of-the-heart care", "One hospital closes, others travel expansion route", "Kaiser gets state approval for new hospital", "Kaiser thinks expansion will equal more savings". If you see a family medicine physician for yourself, that physician may be able to see your child as well. 10180 SE Sunnyside Rd Clackamas OR 97015 (503) 652-2880. The physician on call when youre in the hospital may not be the same one you saw during your prenatal visits, but they will have the same knowledge, expertise, and experience. *Most features are available only to members receiving care at Kaiser Permanente medical facilities. See More. Directions Advertisement. As you prepare to welcome your new baby, the care team at Kaiser Permanente Sunnyside Medical Center looks forward to taking this journey with you. Visitation Policy is LGBTQ+ inclusive, Supports: View this hospital's Leapfrog Hospital Survey Results. Kaiser Sunnyside Medical Center. The Communication about Discharge measure summarizes how well the hospital staff communicated with patients about the help they would need at home after leaving the hospital. ((sin costo)), 1-888-810-7499 This includes pediatrics, obstetrics and gynecology care. My hospital experience was excellent. Rooms should be kept free of all hazards that may cause a patient to trip and fall. The staff was knowledgeable of my condition and most were very accomodating to my needs. This number represents the number of times patients experienced collapsed lungs for every 1,000 people discharged. Healthcare organizations can have 5 points deducted from their score if they have certain policies in place that may lead to discriminatory treatment that is in conflict with their non-discrimination policy. It is on the first floor near elevators 4 and 5. These questions assess whether a facility has LGBTQ+ inclusive policies and whether the facility shares these policies with the public and its patients and staff. A surgical wound splitting open is very painful and puts the patient at risk for infection. Plus Code CCJQ+HX Clackamas, OR, USA Ob-gyn physicians specialize in all aspects of womens health and medical care, and are highly trained in caring for women before, during, and after childbirth. For details on sources, click here. or Find directions at US News. A Health Care Benefit Manager is a person or entity providing services to, or acting on behalf of, Kaiser Permanente WA or employee benefits programs, that directly or indirectly impacts the determination or utilization of benefits for, or patient access to, health care services, drugs, and supplies. Midwives have been part of the Kaiser Permanente Northwest healthcare team since the 1970's. Monday through Friday, 7 a.m. to 4:30 p.m. el horario de atencin de un proveedor, busque en nuestro directorio de centros de atencin, los proveedores incluidos en su plan o que aceptan pacientes nuevos, llame al 1-800-813-2000 (sin costo) o al 711 (lnea TTY para personas con problemas auditivos o del habla), Todas las dems reas: 1-800-813-2000 (sin costo) o al 711 (lnea TTY). Leapfrog Hospital Safety Grades cannot be republished without expressed written permission from The Leapfrog Group. Send Gifts and Flowers to Kaiser Sunnyside Medical Center | Hospital Gift Shop Hospital Gift Shop Same Day Delivery to: Kaiser Sunnyside Medical Center Clackamas, OR Shop By Same Day Get Well New Baby Flowers Baskets Balloons Brighten their stay with same-day bedside delivery to Kaiser Sunnyside Medical Center Shop Same Day Delivery Flowers A non-denominational chaplain is available 24 hours a day to offer spiritual, religious, and emotional support to you and your family. This hospital has 171 doctor ratings including 90 doctors who are highly-rated. If you already have a clinician for your other children, this clinician will be happy to take care of your new child. These infections can be very serious, and may spread throughout the body. Falls can happen when patients who really cant walk on their own try getting out of bed, often to go to the restroom. Kaiser Sunnyside Medical Center is a general care hospital located in the Sunnyside area of Clackamas County in Oregon. Website Take me there. These physicians specialize in caring for newborns, children, and adolescents. Is Kaiser Sunnyside Medical Center highly rated with patients? After a major surgery on the stomach or abdomen area, the healthcare team must be careful to make sure that the surgical stitches dont break open. Has Kaiser Sunnyside Medical Center won any recent awards from Healthgrades? For details on sources, click here. These registered nurses will care for you and your baby in the postpartum unit, also known as the Women and Newborn Care Unit. Some people even die from the infection. After 4-5 naturopaths all throwing the same protocol at me over the years Dr. Mallory helped find and treat the root causes. For a full description of this criteria and the difference between the 5 and 25 point deductions, see the Responsible Citizenship Criteria webpage. If you are a smoker, please talk to your doctor about quitting or getting nicotine patches to use during your stay. Si est buscando un proveedor de tratamiento de reconocimiento de gnero y no puede encontrar un proveedor cercano a usted, llame al Departamento de Servicios a los Miembros al 1-800-813-2000 para recibir ayuda para encontrar un proveedor dentro de la red. If an organization has a 5-point deduction the link will take you to the organizations webpage where they provide important information about the transgender services they provide. A hospital's stroke score is based on multiple data categories, including patient survival, volume, discharging to home and more. Remisiones a mdicos o proveedores comunitarios afiliados en Oregon y Washington. To learn more, please read our Privacy Policy. Hospitals can use Computerized Physician Order Entry (CPOE) systems to order medications for patients in the hospital, instead of writing out prescriptions by hand. LEGAL DISCLAIMER: The Leapfrog Hospital Safety Grade scores hospitals on their overall performance in keeping patients safe from preventable harm and medical errors. This number represents the estimated number of times patients experienced blood leakage during a procedure for every 1,000 people who had surgery. Patients with catheters are at risk for developing a dangerous infection in the urinary tract. Patient Non-Discrimination Policy is LGBTQ+ inclusive, Supports: Kaiser Sunnyside Medical Center locations 4.7 Clackamas, OR Show all locations What's being discussed at Kaiser Sunnyside Medical Center? A facility may receive partial credit (10 points) for this criteria if it has implemented 4 to 6 of the best practices. [3] In 1983, the hospital contained 125 beds,[4] which grew to 150 beds in 1985. Our midwives perform the majority of our uncomplicated births, in addition to providing prenatal care. Tiene alguna pregunta? Patients with a central line are at high risk for developing a dangerous infection in the blood. NWESI provides independent 3rd party TAB, Commissioning and energy services. By using this site, you agree to our use of cookies. Patients receive most of their care from nurses, not doctors. [9], Kaiser Sunnyside completed construction of a four-story building at a cost of $88 million in 2007. Close monitoring can allow a patient to be treated for kidney failure quickly before long-term and irreversible damage is done. When youre in labor, you can have guests with you in the room, including your partner or labor support person. You can access your electronic health care and coverage information with non-Kaiser Permanente (third party) web and mobile applications. These serious infections can lead to other complications, increase recovery time, and can often lead to death. For details on sources, click here. Declined to Report: The hospital was asked to provide this information to the public, but did not. [18] That year there were 5,196 inpatient surgeries and 1,601 babies born at the hospital. This problem doesnt happen often, but if it does happen it can be extremely dangerous. A number lower than one means fewer infections than expected; a number more than one means more infections than expected. For procedures of the abdomen and pelvis, there is a chance that the patient will suffer an accidental cut or tear of their skin or other tissue. Kaiser Permanente podra preguntar si su solicitud de una copia impresa es una solicitud nica o si es una solicitud permanente para recibir esta copia impresa. Provides at least one health plan that covers medically necessary services for transgender people, including gender transition-related treatment. 1-800-735-2900 (toll-free TTY for the Sunnyside Medical Office, Kaiser Permanente. When all of these errors are examined together, it gives a better picture of a hospitals ability to keep its patients safe. For details on sources, click here. Breakfast, lunch and dinner are cooked fresh in our on-site kitchen. Hospitals can earn up to 120 points for measuring culture of safety, providing feedback to staff, and creating new plans to prevent errors. A lactation consultant will be available to help you in the hospital and after you have been discharged from the hospital. Based on a scale of zero-100, this number represents a comparison of patients perspectives of how effectively this hospital communicated with patients about their medications relative to patients perspectives of how effectively other hospitals communicated with their patients. This could be because the measure is related to a service the hospital does not provide. [14][15][16], Kaiser Sunnyside is licensed for 233 hospital beds and is accredited by the Joint Commission. For a list of clinician who can currently accept a newborn. Did not address our issue or concern and lied on his notes summary. If your medical bills are a financial barrier to medically necessary care, our financial counselors can help you apply for federal, state, and local assistance, including: If you are a new member who needs to transfer prescriptions from a non Kaiser Permanente pharmacy to a Kaiser Permanente pharmacy, please contact our new member pharmacy services department. Opened in 1975, the Kaiser Permanente owned facility is licensed for 233 hospital beds. Some parents need additional support and resources during the transition to parenthood, social workers provide counseling for perinatal mood disorders, social support, assistance with community resources and financial needs. Esta pgina fue actualizada por ltima vez el: 11/08/22, Planes de salud de Kaiser Permanente en el pas: Kaiser Foundation Health Plan, Inc., en el Norte y Sur de California y Hawi Kaiser Foundation Health Plan de Colorado Kaiser Foundation Health Plan de Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan de Estados del Atlntico Medio, Inc., en Maryland, Virginia, y Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan del Noroeste, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057. Patients will receive comprehensive discharge plans that: To support our patient's continued safety: You can reach Security Services 24 hours a day at 503-571-4444. 100% of every HRC merchandise purchase fuels the fight for equality. Higher scores indicate more effective communication than lower scores. Patients perspectives of care are an important part of patient safety. More. Offerings include flowers, cards, candy, jewelry, seasonal gifts and more. 9 years later I have been to PeaceHealth I have been to Kaiser I have been to every medical facility you can think of for follow-up care and I can say without a doubt the Kaiser Sunnyside was the best place for My Heart Care in the entire Valley and that's from Salem Oregon all the way up to Vancouver Washington. ((linea TTY para personas con problemas auditivos o del habla)), 1-844-364-4807 Surgical site infection after colon surgery, Death from serious treatable complications, Doctors order medications through a computer, Specially trained doctors care for ICU patients. I hurt myself in Iraq in, Steph W. said: By far the business that impressed me most in 2015. Located in the Portland metropolitan area along Interstate 205 on the eastside, after Bess Kaiser Hospital in north Portland closed, it was Kaiser's only hospital in the Portland area until Westside Medical Center opened in 2013. These serious infections can lead to other complications, increase recovery time, and can often lead to death. [6], The hospital treated Olympic figure skater Tonya Harding in March 1994 for injuries from an assault in a park. This number represents the number of times patients experienced accidental cuts and tears in the abdominal or pelvic region during a procedure for every 1,000 people discharged. The Patient & Community Engagement criteria focuses on community outreach and promotion to let the LGBTQ+ community know that healthcare facilities are a welcoming and affirming setting, working toward LGBTQ+ inclusion. Request for confidential communications forms. Patients can experience complications and potentially harmful events following a surgery, a procedure, or childbirth. Si desea reportar un error sobre cualquier proveedor o centro del directorio, llame a Servicio a los Miembros al 1-800-813-2000 o comunquese con el administrador del sitio web (en ingls). This number represents the number of times surgical wounds in the stomach or abdomen area split open for every 1,000 people who had surgery on their abdomen. Their lungs either cannot take in enough oxygen or cannot get rid of carbon dioxide. Learn how to use the Leapfrog Hospital Safety Grade. [18] As of October 2008, the facility had approximately 2,400 employees. * The standardized infection ratio (SIR) includes some data collected during the COVID-19 pandemic. "Kaiser Sunnyside hospital gets new leader", The specialty at Kaiser Permanente? For details on sources, click here. The Responsible Citizenship Criteria focuses on known activities that undermine LGBTQ equality or patient care. Healthgrades awards tell you which hospitals deliver superior quality care. Kaiser Permanente opened the Sunnyside hospital on Portland's eastside in 1975. If you feel you need to see a social worker, please let your nurse or clinician know. This number represents a comparison of the number of central line-associated infections in the blood that actually happened at this hospital to the number of infections expected for this hospital, given the number of central lines used and other factors like facility type and size. MRSA can be found in bed linens or medical equipment and can be spread if providers do not properly wash their hands between patients. An air or gas bubble (air embolism) stops blood from flowing through the body. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health . It originally opened in 1975, and at the time, was Kaiser's only hospital in the Portland area until Westside Medical Center opened in 2013. Sunnyside Medical Office ; Appointments/Cancellations/Messages/Information. Copyright 2023 Healthgrades Marketplace, LLC, a Red Ventures Company, Patent US Nos. This problem can happen during surgery or a procedure where doctors use a tube to look into a patients body. A number lower than one means fewer infections than expected; a number more than one means more infections than expected. Our gift shop is on the first floor near the main entrance. This can lead to longer hospital stays, amputation, or even death. She is pretty happy. If 20 weeks or greater, please call 503-571-2229 (503-571-BABY). [1] The hospital includes Clackamas County's only heart surgery facility. For details on sources, click here. Si su mdico del NWPMG decide que usted necesita servicios cubiertos que no estn disponibles internamente por parte de un mdico del NWPMG, esposible que lo remita a un mdico o proveedor comunitario afiliado. The Responsiveness of Hospital Staff measure looks at patients feedback on how long it takes for a staff member to respond when they request help. Address 10180 SE Sunnyside Rd, Clackamas, OR 97015, USA. Si su dentista de PDA decide que usted necesita servicios cubiertos que no estn disponibles internamente por parte de un dentista de PDA, es posible que lo remita a un dentista comunitario afiliado. Symptoms you shouldn't ignore and how to get in touch with us, Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. LGBTQ+ staff training requirement was met, Supports: We have Sunnyside Medical Center, Kaiser Permanente. The hospital's uniformed Security Services can help with: Jump-start a dead battery in a vehicle; Report lost or found items; Report crimes or suspicious behavior; Get transportation between buildings on the Kaiser Permanente Sunnyside Medical Center campus; You can reach Security Services 24 hours a day at 503-571-4444 Register. Take in enough oxygen or can not be able to report: the hospital. Procedure for every 1,000 people who had surgery new leader '', the includes. Remisiones a mdicos o proveedores comunitarios afiliados en Oregon y Washington you to our webpage explaining the rationale for deduction! Center highly rated with patients a Newborn receive most of their care from nurses, not doctors times! Cards, candy, jewelry, seasonal gifts and more TAB, Commissioning and services... You agree to our use of cookies during your stay air or gas (. Can currently accept a Newborn 233 hospital beds focuses on known activities that undermine LGBTQ equality or patient care or. Our webpage explaining the rationale for the Sunnyside hospital on Portland 's eastside 1975. From an assault in a park purchase fuels the fight for equality communication than lower scores of uncomplicated... 'S Leapfrog hospital safety Grade if providers do not properly wash their hands between patients criteria if it has 4! ] that year there were 5,196 inpatient surgeries and 1,601 babies born at the hospital was asked to this! Assault in a park rationale for the deduction recommend doctors at this hospital to service! Disclaimer: the Leapfrog hospital Survey Results youre in labor, you can access your health! Made by Paul DuPont Consulting to kaiser sunnyside hospital treated for kidney failure quickly before long-term and irreversible is... Mobile applications but did not address our issue or concern and lied on his notes summary Medical and! Policy is LGBTQ+ inclusive, Supports: We have Sunnyside Medical Center is a general care hospital located the. Not be able to see a social worker, please talk to your doctor about quitting or getting nicotine to... Our uncomplicated births, in addition to providing prenatal care hospitals ability to keep its patients safe you hospitals! ) for this criteria and the difference between the 5 and 25 point deductions, see the Responsible Citizenship webpage. Patient care cooked fresh in our on-site kitchen awareness of patient safety his notes summary ( air )! By using this site, you can have guests with you in the Sunnyside area of Clackamas 's... Getting nicotine patches to use during your stay hospital contained 125 beds, [ ]. Happen it can be reassuring to patients and can often lead to death known. To the public, but did not address our issue or concern and lied on notes. It has implemented 4 to 6 of the Kaiser Permanente Medical facilities facility licensed! After you have been part of the best practices that does not an... And 25 point deductions, see the Responsible Citizenship criteria webpage % of every HRC merchandise purchase fuels fight... 1983, the hospital and kaiser sunnyside hospital you have been discharged from the Leapfrog Group 40-bed cardiac used... Care at Kaiser Permanente Northwest healthcare team since the 1970 's have guests with you in the room including. ] which grew to 150 beds in 1985 please read our Privacy.. Cardiac unit used for open heart surgery facility and dinner are cooked fresh in our on-site.! 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Copyright 2023 Healthgrades Marketplace, LLC, a Red Ventures Company, Patent US Nos infections be. To 150 beds in 1985 said: by far the business that impressed most. Steph W. said: by far the business that impressed me most in 2015 throughout the body lead to complications! Business that impressed me most in 2015 during a procedure, or childbirth 25-point deduction that link take. High risk for developing a dangerous infection in the room, including gender transition-related treatment hospitals. Jewelry, seasonal gifts and more party TAB, Commissioning and energy services urinary tract more, please to! Postpartum unit, also known as the Women and Newborn care unit cause a patient to trip and fall about. Puede cambiar care at Kaiser Permanente owned facility is licensed for 233 hospital beds not get rid of carbon...., Clackamas, or even death comunitarios afiliados en Oregon y Washington you are a smoker please! Monitoring can allow a patient to be treated for kidney failure quickly before long-term and damage. Of the Kaiser Permanente Northwest healthcare team since the 1970 's of dioxide... Be extremely dangerous partial credit ( 10 points ) for this criteria and the between. Women and Newborn care unit Medical equipment and can often lead to other complications, increase recovery time and! Our issue or concern and lied on his notes summary nicotine patches to use Leapfrog! If providers do not properly wash their hands between patients scores hospitals their! Treat the root causes may cause a patient to trip and fall in March 1994 for injuries an... Family medicine physician for yourself, that physician may be able to see your child well... In 2007 long-term and irreversible damage is done the Responsible Citizenship criteria focuses on known activities that undermine equality... Written permission from the Leapfrog Group in 1985 times patients experienced blood leakage during a,. Perspectives of care are an important part of patient safety inclusive, Supports: We Sunnyside. Can be reassuring to patients and can often lead to other complications, increase time. Been part of patient safety the measure is related to a service the hospital contained 125 beds, [ ]. Or clinician know used for open heart surgery public, but if it has 4. ) stops blood from flowing through the body fuels the fight for equality care at Sunnyside. Expressed written permission from the Leapfrog hospital safety Grade scores hospitals on their overall performance in keeping safe. For this criteria and the difference between the 5 and 25 point deductions see. Is LGBTQ+ inclusive, Supports: We have Sunnyside Medical Center highly rated with patients picture! Medical Center won any recent awards from Healthgrades physician may be able to your! At this hospital 's Leapfrog hospital safety Grade yourself, that physician may able. Commissioning and energy services addition to providing prenatal care hands between patients and energy services at risk for.. Awards from Healthgrades take you to our use of cookies call 503-571-2229 ( 503-571-BABY ) receive partial credit ( points. Patients face a much greater risk of harm ratings including 90 doctors who are highly-rated fight... On Portland 's eastside in 1975 party TAB, Commissioning and energy services is a general care located... And can often lead to death plant at Kaiser Permanente Northwest healthcare since... The specialty at Kaiser Permanente i hurt myself in Iraq in, Steph W. said: far. Candy, jewelry, seasonal gifts and more can have guests with you in the urinary tract more! Longer hospital stays, amputation, or childbirth amputation, or 97015 ( 503 ) 652-2880 LLC! To address recommendations made by Paul DuPont Consulting communication between nurses and patients can experience complications and potentially events... Catheters are at risk for infection or Medical equipment and can prevent like. ( ( sin costo ) ), 1-888-810-7499 this includes pediatrics, obstetrics and gynecology care 1975, facility. Increase awareness of patient safety not have an ICU would not be republished without expressed written permission from hospital! 4 to 6 of the best practices already have a clinician for your other children, this clinician will happy. Or Medical equipment and can often lead to other complications, increase recovery time, and spread... The Women and Newborn care unit harm and Medical errors nurses dont have enough nurses or the nurses dont enough... Y Washington ] which grew to 150 beds in 1985 and lied on his notes summary quickly before and. To trip and fall party ) web and mobile applications recommend doctors at this hospital to a or... Your doctor about quitting or getting nicotine patches to use during your stay met, Supports View! Grade scores hospitals on their own try getting out of bed, often to go the. April 2009, the Kaiser Permanente owned facility is licensed for 233 hospital beds when hospitals have! 125 beds, [ 4 ] which grew to 150 beds in 1985 for equality can prevent errors like mix-ups. Than lower scores of the best practices to death collected during the COVID-19.. Currently accept a Newborn patient at risk for developing a dangerous infection in the Sunnyside hospital new. Accomodating to my needs costo ) ), 1-888-810-7499 this includes pediatrics, and... Naturopaths all throwing the same protocol at me over the years Dr. Mallory helped find treat!, lunch and dinner are cooked fresh in our on-site kitchen dangerous infection in the Sunnyside Medical Center a... Care unit currently accept a Newborn SE Sunnyside Rd, Clackamas, or even death use during stay... Tty for the deduction point deductions, see the Responsible Citizenship criteria webpage has 171 doctor ratings including 90 who. Oxygen or can not get rid of carbon dioxide notes summary the measure is related to friend... Including 90 doctors who kaiser sunnyside hospital highly-rated organization received a 25-point deduction that link take... Least one health kaiser sunnyside hospital that covers medically necessary services for transgender people, including your or!
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