Larry Coomes

Q&A with Larry Coomes, CEO of Palm Beach Garden Medical Center

December 11, 2014
by Sean Ruck, Contributing Editor
Larry Coomes leads Palm Beach Gardens Medical Center, a general medical and surgical hospital in Palm Beach Gardens, Fla. He took some time to speak with HCBN about the factors that make his facility unique.

HCBN: What attracted you to the health care field?
LC:
My first career was in automotive. I worked for Ford and Porsche. But my wife is a nurse, so I heard a lot of the trials and tribulations about what goes right and wrong in health care. I went back to school and got my MBA and had a lot of companies interested in my background — they were looking for people with a different view of things, those coming from outside of health care. I’ve been in health care now for 11 years.

HCBN: Do you have any major goals you’re working toward in the short- or long-term for Palm Beach Gardens Medical Center?
LC:
We want to provide the best and safest care for the community. In the long-term, we are working to be the most state-of-the art facility with the most state-of-the-art equipment.

HCBN: Based on Palm Beach Gardens’primary services, is it safe to say that the majority of your patients are older?
LC:
We’re a dynamic market. We have a larger subset of the population that is Medicare eligible and a seasonal market during the winter.

HCBN: Do you have any significant uptick in business in the winter?
LC:
Our business fluctuates about 20 percent higher during the season.

HCBN: What services are most in-demand at your facility?
LC:
I’d say the engine that drives every hospital is the emergency department. Cardiac is our primary service line — we do more open hearts and cath than any other provider in the area. But overall, we’re still a full-service hospital.

HCBN: Are there any services or ways of interacting with patients that are unique to Palm Beach Gardens?
LC:
I would say that we’re a very visible management team here — so daily interaction is the norm. What sets us apart is being proactive, taking care of any issues before they get out of control.

HCBN: Can you talk about the new technologies you’ve added for cardiac and vascular procedures in the hybrid OR?
LC:
The newest thing in the hybrid OR is Siemens’ Zygo — it’s robotic and automatic — when the doctor needs to take an image, the machine comes in, does the image and moves out of the way. In a typical setting, the fluoroscopy machine would be in the way the whole time. Our hybrid OR is also decked out with multiple HD flat screen monitors and a high-tech lighting system. We opened the hybrid OR in July. It allows us to do minimally invasive valve replacement procedures and more work in cranial as well.

HCBN: How popular are the new minimally invasive procedures Palm Beach Gardens offers for valve replacements?
LC:
I think they’re very popular especially for those who have no other surgical options — they couldn’t undergo the anesthesia or recovery time. So this option can really give them a new lease on life. People are scheduling and traveling to us for this.

HCBN: Are there any other procedures new to your facility?
LC:
We just started doing a new procedure called mitral clip — it’s a pretty big deal, it effects about 10 percent of adults age 60 and over — we just did our first successful procedure last week.

HCBN: LeapFrog Group has given your facility an “A” rating in patient safety three consecutive times. How does your staff reach this level of safety and maintain it?
LC:
We’ve also been recognized by Joint Commission as a top hospital. The key to that, we’re a very data-driven organization and we monitor that every day. If we see trends going in the wrong direction, we’re able to fix it. We also have a very committed group of staff and doctors dedicated to the patients.