Giving care for anything to anyone – all of the time

They are invisible – until times of medical need. That’s when the “anything, everything” team – Community’s nurses, medical staff and other skilled professionals – puts its pride and purpose to work.

A year after Community Regional Medical Center became the premier hospital in downtown Fresno with the second busiest emergency department in California, the team continues tackling the region’s growing needs every day.

“It’s not a big sign outside the door that we’ve got a great group of very talented physicians but the impact on care delivery is profound,” said registered nurse Bruce Kinder, Community’s vice president of academic affairs who is currently running Community Regional’s emergency department. “More people have access, more people have access to expert practitioners.”

Kinder, a longtime Community care professional, called nursing “the best adventure ever. … You want to go to a hospital that has great doctors, but you need to go to a hospital that has great nurses.” Kinder spoke recently about meeting the needs of patients and their families in an interview with Cindy Suryan, host of Community’s MedWatch television program.

Community Regional is the hub of the nonprofit hospital system’s growing network and home to the only combined burn and Level 1 trauma centers between Los Angeles and Sacramento. 

Many hospitals have emergency rooms, but only a handful provide the range of expertise of a Level 1 trauma center.

“You have to have CT scans available 24 hours a day. You have to have X-ray services, IR, interventional labs, cath labs, you have to have access to all of the things from the lowest level of acuity to the highest level of acuity and it has to be ready to go 24 hours a day, 365 days a year,” said Kinder. “And it’s a fun and exciting environment to be in.”

Community also is expanding its campuses and services at Clovis Community Medical Center and Fresno Heart & Surgical Hospital, recruiting physicians from around the country and investing in high-tech medical equipment and information technology.

Community partners with the UCSF Fresno Medical Education Program in educating medical residents and third- and fourth-year medical students.

Kinder said it’s a delicate balancing act matching needs and resources, especially with increasing numbers of uninsured, government-mandated but unfunded programs and proposed cuts in government reimbursement.

“The idea that we have put together this tertiary academic regional medical center, with these fabulous physician and technological resources and it’s available to anybody? That’s a pretty neat thing. And, that probably differentiates you from any other business,” Kinder said. 

John Taylor reported this story. He can be reached at