Orthopedic Abroad — Medical Travel
Güven Hospital
Güven Hospital logo
📍 Ankara, Turkey

Güven Hospital

General hospital in Kavaklıdere, Ankara, serving orthopedic and international patients since 1975

Founded
1975
Beds
254
Theatres
12

Key takeaways

  • 1Güven Hospital opened in 1975 and its main campus is in Kavaklıdere, in the Çankaya district of Ankara, turkey's capital.
  • 2The hospital's website lists an orthopedics and traumatology department that covers fractures, arthroscopy, joint replacement, foot and ankle problems, infant hip screening, tumours and deformity correction.
  • 3Güven Hospital states that it holds JCI accreditation (earned six consecutive times), Planetree Gold certification and Global Healthcare Accreditation for medical travel services.
  • 4The hospital's history page cites 254 beds and 12 operating rooms, and its international site says the group has more than 1,700 employees and more than 200 physicians.
  • 5Technology listed by the hospital includes a 3 Tesla MR scanner, PET/CT and a Lokomat robotic rehabilitation device; the pages we read do not name a robotic orthopedic system.
  • 6Emergencies and acute trauma are treated locally first; travelling for surgery suits stable, planned cases only.
  • 7Orthopedics Abroad can coordinate a records review and quote for Güven Hospital through its network, without any ownership or official tie.

About Güven Hospital

Güven Hospital is a general hospital in the Kavaklıdere neighbourhood of Çankaya, Ankara, in turkey, and it has operated since 1975 as a multi-specialty centre with an orthopedics and traumatology department. It is a multi-specialty institution, not an orthopedic specialty clinic. That shapes what an international patient gets: orthopedic surgery sits alongside cardiology, neurosurgery, organ transplantation, oncology and intensive care under one roof.

According to its corporate page, Güven Hospital was founded by the Güven Hospital Foundation to serve the healthcare needs of the capital. The hospital's own site says it has more than 50 years of experience. It now belongs to a wider healthcare group. Its sister organisations include an online services platform, an education and health foundation, a rejuvenation clinic and a nursing services directorate.

What the hospital says about its size

The corporate history page says the hospital has grown into a full-scale general hospital with 254 beds and 12 operating rooms. The hospital's international site says the Güven healthcare group has a multidisciplinary team of more than 1,700 employees and more than 200 physicians. These figures are the hospital's own statements and may change, so ask the coordinator for current numbers.

Orthopedics and traumatology at Güven Hospital

The orthopedics and traumatology page describes a department that operates around the clock and treats disorders of bones, joints, muscles and ligaments. It names fractures, dislocations, soft-tissue injuries, arthroscopic joint surgery, joint replacement, foot and ankle deformities, hip screening in infants, musculoskeletal tumours and deformity correction. Our hospital directory places Güven Hospital orthopedics among the options for an orthopedic hospital Ankara search, and the city page is Ankara; our overview of orthopedics in turkey explains how the national picture fits together.

Why an international patient may consider it

Güven Hospital publishes a dedicated international site that describes an international patient team handling the first consultation, treatment planning, travel logistics and digital follow-up after discharge. The hospital also publishes a list of contracted international insurance companies, and its international website is available in English, French, Russian and Arabic. A general hospital, formal accreditation and a structured international desk together explain its appeal. Patients with several health issues often look at it, as do those who want diagnostics and surgery in one place.

What this page covers

Patients searching for orthopedic surgery in Ankara, joint replacement Ankara options or Güven Hospital Kavaklıdere details will find the main facts here, including the Güven Hospital traumatology scope as the hospital describes it.

Below you will find the orthopedic services, accreditations and equipment. We also cover the international care process, who may suit the hospital, travel notes for Ankara and common questions. Every fact comes from the hospital's own pages. Some things are not published, such as intensive care bed counts, orthopedic sub-units or robotic systems for joint surgery. Where that happens, we say so instead of guessing.

How Orthopedics Abroad fits in

Orthopedics Abroad is a coordination platform. Güven Hospital is available through Orthopedics Abroad's network, but we are not the hospital. We do not own it and claim no official affiliation. We help you prepare records, understand the hospital's published scope and ask the right questions. You can start with a free quote request.

Treatment abroad is for stable or planned patients. If you have just been injured, or have a sudden severe problem, you need emergency care where you are first. Travel for surgery only after local clinicians confirm you are fit to fly.

Güven Hospital's story begins in 1975, when the Güven Hospital Foundation opened it to deliver healthcare at international standards in the capital. The hospital's history page says it started as a small hospital with an experienced team and has grown into a full-scale general hospital, and it cites a facility of 40,000 square metres. Its mission statement speaks of international-standard healthcare, and the pages we read stress a human-centred approach to care.

Group context

The corporate pages present Güven as a healthcare group rather than one building. Besides the hospital there are an online platform with appointments and results, an education and health foundation, a rejuvenation clinic and a nursing services directorate. For a patient the practical point is that appointments, results and second-opinion requests are offered through the group's online services and a mobile app.

Two campuses in Ankara

The contact page lists two locations. The main hospital stands on Şimşek Sokak in the Kavaklıdere area of Çankaya. The second, Güven Çayyolu Medical Center, is part of the Güven Çayyolu Healthy Living Campus in the Çayyolu district on Alacaatlı Caddesi. The hospitals page calls the Çayyolu centre a surgical medical center with a personalised approach. The international site describes it as a modern outpatient and procedural center. Because the descriptions differ, confirm with the coordinator which campus will host your consultation, imaging and surgery.

Departments around orthopedics

An orthopedic operation depends on the services around it, and the department list shows several. There is a radiology department and an interventional radiology department, an anesthesiology and reanimation department, and a general intensive care unit. A physical medicine and rehabilitation department covers orthopedic rehabilitation, post-sports-injury rehabilitation, hand rehabilitation and orthosis applications. Pediatric services are broad, including pediatric surgery, and neurosurgery covers spinal surgery for conditions such as disc herniation, spinal stenosis and scoliosis.

Intensive care

The general intensive care unit page describes care for people recovering from major surgery. It also covers multiple organ problems, severe infection and the need for advanced breathing, heart or neurological support. It describes round-the-clock operation, advanced monitoring systems and modern mechanical ventilators, with intensive care physicians and specially trained nurses working with surgeons and other specialists. The number of ICU beds is not published on the pages we read.

Quality and safety systems

The website carries a certificates section and a page of quality indicators within its patient guide, and mentions quality and information-security policies. The accreditations that the hospital highlights are covered in the accreditation list below. Certificates are time-limited. Ask for the current status, and the survey dates if they matter to you, before you commit.

Emergency service and wider scope

The hospital states that it runs a 24-hour emergency service. It also lists home care, an in vitro fertilisation centre, a bone marrow transplant centre and an organ transplant centre among its services. For an orthopedic patient with heart disease, diabetes or another complicating condition, having these specialties in the same institution can simplify pre-operative assessment. It does not remove the need to share your full medical history, which our medical record review guide explains.

Location character

Kavaklıdere is a central, established part of Ankara that is known for embassies, shops and restaurants, which suits visitors who want services within walking distance. Our travel and accommodation guide and the getting-there section of this page give more detail on staying in the capital.

Orthopedics and traumatology at Güven Hospital

The orthopedics and traumatology department at Güven Hospital covers fracture care, arthroscopic surgery, joint replacement, foot and ankle surgery, infant hip screening, tumour management and deformity correction, according to its own page. The page does not publish named sub-units. This section therefore describes the scope as the hospital states it and flags what is left unsaid.

Trauma and fracture management

The department lists fractures, dislocations and soft-tissue injuries as core work, and stresses that early diagnosis and treatment help prevent complications. A hospital with a 24-hour emergency service and a department that operates continuously is set up to receive injuries. For people travelling for planned surgery, this mostly means late-stage problems such as a badly healed fracture. Read about foot and ankle fracture surgery if that applies to you. Fresh trauma should be handled near home.

Arthroscopic (keyhole) surgery

The hospital describes arthroscopic techniques that let the surgeon see inside a joint through small incisions, and says they bring smaller scars, less tissue damage and faster recovery. The page says that problems of the hip, knee, shoulder, hand and ankle can be treated this way, including meniscus tears, ligament ruptures, cartilage problems and tendon tears. That is why we list knee arthroscopy and shoulder arthroscopy. Please confirm the exact operation with the hospital.

Joint replacement

The page mentions joint replacement with prosthetic implants and describes infection-prevention protocols around it. It refers to all types of joint prosthesis operations without naming joints, and it does not give implant brands or say whether robotic assistance is used. Hip and knee are the most common replacements worldwide, so we link total knee replacement and total hip replacement. Before booking, ask which implants are offered, how the surgeon is chosen and what happens if revision is needed. Our knee replacement cost guide and hip replacement cost guide explain what drives the cost of care.

Foot and ankle

The hospital names bunions (hallux valgus), claw toes, flatfoot deformities, nerve compressions and diabetic foot complications. These map to bunion surgery and flatfoot reconstruction; the conditions are explained in our pages on bunions and flat feet. See also the foot and ankle hub.

Infant hip screening and pediatric orthopedics

The department says its specialists perform hip ultrasound to detect dislocation in babies early, and advises screening at 1 to 3 months of age. This is a screening and early-treatment service for newborn and infant hips rather than an adult one, and the hospital also lists congenital deformity correction. Parents of children should ask what age range and what follow-up the hospital's team provides.

Tumours and deformity

The department states that musculoskeletal tumours are managed in collaboration with other disciplines, and that congenital and acquired bone deformities are corrected. Complex cases of this kind need a careful records review beforehand and often a multidisciplinary meeting, so share imaging and reports early.

Spine through neurosurgery

Spinal operations are not listed on the orthopedic page. The neurosurgery department, however, lists lumbar and cervical disc herniation, spinal stenosis and scoliosis surgery, with microsurgical and endoscopic techniques mentioned for the department. If your problem is spinal, you will probably be assessed by neurosurgery, so see spinal decompression, scoliosis surgery and the spine hub.

Rehabilitation

The physical medicine and rehabilitation department lists pain management, orthopedic rehabilitation, post-sports-injury rehabilitation, hand rehabilitation and orthoses. Equipment includes electrotherapy, hydrotherapy, traction, shock-wave therapy, exercise machines and occupational therapy. The hospital also lists a Lokomat, a robotic gait-training device. Read more in our rehabilitation guide.

Services at a glance

AreaWhat the hospital statesWhat to confirm
TraumaFractures, dislocations, soft-tissue injuriesWhich injuries suit planned travel
ArthroscopyMinimally invasive surgery for hip, knee, shoulder, hand and ankle problemsWhich technique suits your joint
Joint replacementProsthetic implants with infection controlJoints, implant types, robotics
Foot and ankleBunions, flatfoot, diabetic complicationsSurgical options and recovery plan
Pediatric hipUltrasound screening in infantsAge range and follow-up
Tumours and deformityMultidisciplinary tumour care; deformity correctionCase review by the team
SpineVia neurosurgery: discs, stenosis, scoliosisWhich department leads
RehabilitationOrthopedic and sports rehabilitation, hand therapyInpatient and outpatient options

What is not published

We did not find sub-specialty units for hip, knee, shoulder or hand, nor counts of procedures, nor implant brands. Do not assume any of these exist. The questions to ask before surgery abroad give you a checklist to put to the coordinator.

Güven Hospital: accreditations, technology and facilities

Accreditations

  • Güven Hospital states that it has earned Joint Commission International (JCI) accreditation six consecutive times.
  • The hospital says it holds Planetree Gold certification for person-centred care.
  • Güven Hospital reports that it was the first hospital in turkey to receive Global Healthcare Accreditation (GHA) for medical travel services.
  • The site has a certificates section and quality indicators in the patient guide; ask the coordinator for current certificates and survey dates.

Technology

  • 3 Tesla MR (magnetic resonance imaging).
  • Mobile MRI unit.
  • PET/CT scanner.
  • Ultrasonography systems, including hip ultrasonography used in infant screening.
  • Lokomat robotic gait-rehabilitation device.
  • da Vinci robotic surgery system (listed for the hospital, not specified for orthopedics).
  • AI-assisted imaging and MR fusion, according to the international site.
  • Electrotherapy, shock-wave therapy and traction equipment in rehabilitation.

Facilities

  • Main hospital on Şimşek Sokak, Kavaklıdere, Çankaya, Ankara, in operation since 1975.
  • Güven Çayyolu Medical Center within the Çayyolu Healthy Living Campus, a second location in Ankara.
  • A 24-hour emergency service.
  • A general intensive care unit with continuous monitoring and mechanical ventilation.
  • Radiology and interventional radiology departments.
  • A physical medicine and rehabilitation department with electrotherapy, shock-wave therapy and exercise equipment.
  • Organ transplant and bone marrow transplant centres, an IVF centre and home care services.
  • Radiology and laboratory results available through the Güven Online mobile app.

International patient services

  • A dedicated international website and an international patient team, with a contact form and a phone line.
  • Initial consultation and treatment planning for overseas patients.
  • Coordination of medical travel logistics.
  • Digital follow-up and support after discharge, with second-opinion requests available online.
  • A published list of contracted international insurance companies.
  • Website versions in English, French, Russian and Arabic.

Orthopedic procedures available at Güven Hospital

61 procedures listed from the hospital's own pages. Hover to pause, select one to read about it.

International patients at Güven Hospital

International patients at Güven Hospital are handled by a dedicated international patient team, which the hospital says coordinates consultation, treatment planning, travel logistics and digital follow-up. The international site lists a contact form, a phone line and guidance for overseas patients. This section explains the process and where our network comes in.

Step 1: records review

You send your reports, imaging and history, either to us or through the hospital's contact form. We help you organise them following our medical record review guide. The clinical team can then judge whether your case suits a planned operation. Recent MRI, X-ray or CT images in digital form are the most useful items.

Step 2: plan and quote

After review, the hospital proposes a plan. Ask for it in writing, including the operation, the expected hospital stay, which implants are used and what the quote covers. Our treatment planning guide shows the points to compare. Prices are not shown here; request a personalised quote.

Step 3: travel and admission

Plan your trip around the pre-operative assessments. Our hospital admission guide and travel and accommodation guide describe what usually happens. The hospital says its team handles travel coordination. Ask exactly what is included, such as airport transfer or accommodation help, because the pages we read do not list these items.

Step 4: stay and recovery

Plan for time in Ankara after surgery to let the wound settle and begin rehabilitation. The hospital's rehabilitation department covers orthopedic and sports rehabilitation, and our rehabilitation guide and flying after surgery guide help you plan the return. Your surgeon sets the flying date.

Step 5: follow-up at home

The hospital describes digital follow-up after discharge. Our follow-up after returning home guide explains how to involve your local doctor and physiotherapist. Keep your operation note, implant details and discharge letter.

What to organise

ItemWhy it mattersWhen
Medical reports and imagingAllows a clinical opinion on suitabilityBefore booking
List of medicines and allergiesAnaesthesia and safety planningBefore booking
Written plan and quoteAvoids misunderstandings on scopeBefore travel
Insurance detailsThe hospital contracts with some insurers; check yoursBefore travel
Companion plansSupport in hospital and at the hotelBefore travel
Discharge papers and implant cardNeeded for home follow-upBefore leaving

Questions to settle in writing

Before you travel, ask the coordinator to confirm in writing which campus will be used, which surgeon will lead the operation, which implants are planned and what the quote includes. Keep that message with your records so that your local doctor can see the plan if you need advice after you return home.

Honest limits

The pages we read do not state interpreter staffing, airport transfer, VIP rooms or a remote-consultation format, so we do not promise them. The English, French, Russian and Arabic site versions show that those audiences are expected, not that every clinician speaks those languages. Ask who will speak with you in hospital. Our companion guide helps whoever travels with you.

Is Güven Hospital right for your orthopedic surgery?

Güven Hospital may suit adults who want orthopedic care inside a large general hospital, especially when other health conditions make a wider medical team valuable. That is a fit statement, not a ranking; no hospital is right for every patient, and this page does not compare Güven Hospital with others.

Patients who may find it a fit

People with knee, hip or foot problems, fractures that need reconstruction, or arthroscopic needs fall within the scope the hospital lists. Patients who also have cardiac, kidney or diabetic issues may value access to cardiology and intensive care in the same institution. Families who need a child's hip checked may value the infant hip ultrasound and the pediatric departments. People with a disc problem should know that spine work is listed under neurosurgery.

Conditions you may be comparing

Typical reasons include knee osteoarthritis, hip osteoarthritis and herniated disc. Our knee and hip hubs describe the choices before you commit to a hospital.

What to check before choosing

  • Case complexity. Revision surgery, severe deformity or tumours need confirmation that the team handles them regularly.
  • Surgeon fit. Ask who will operate, their experience with your exact procedure and whether you can meet them by video first.
  • Implants. Ask for brand, model and whether a patient implant card is given.
  • Robotic assistance. The da Vinci system on the technology list is not described as an orthopedic tool; do not assume robotic joint surgery.
  • Intensive care. The unit exists, but the bed count is unpublished; ask if you have a high-risk profile.
  • Language. Confirm interpreters and written reports in your language.
  • Follow-up. Ask how remote check-ups, wound review and complication handling work once you are home.
  • Campus. Confirm whether care is in Kavaklıdere or Çayyolu.

Who should not travel yet

If you were just injured, or have signs of infection, sudden weakness, uncontrolled bleeding or breathing trouble, get emergency care locally. Treatment abroad is for stable or planned patients, and your own doctor should confirm you can fly. Our questions to ask before surgery abroad help you decide whether a trip makes sense.

Extra checks for older patients and complex histories

Older adults, people who take blood thinners and those with kidney, heart or lung disease should share the full list of conditions and medicines early. A general hospital can arrange the relevant specialist reviews before an operation, but only if it knows about them in advance. Ask which tests are done in Ankara and which should be completed at home before you travel.

Next step

If the scope looks relevant, send your records through our quote form and we will pass them to the hospital's international team. You are free to compare it with other options in our hospital directory.

Getting to Güven Hospital in Ankara

Güven Hospital is in Kavaklıdere, a central district of Çankaya, in Ankara, the capital of turkey. The address given on the contact page is Remzi Oğuz Arık Mahallesi, Şimşek Sokak No: 29, 06540. The second location, Güven Çayyolu Medical Center, is in the western Çayyolu district on Alacaatlı Caddesi. Our Ankara city page gives a broader view of the city.

Reaching Ankara

Most international visitors fly into Ankara Esenboğa Airport, and many connect through Istanbul. From the airport you travel into the city by taxi, shuttle or a pre-booked transfer. We do not quote distances or journey times here. Ask the coordinator whether the hospital team can arrange a pickup, because the pages we read do not say so. Our travel and accommodation guide covers visas, luggage and timing.

Staying near the hospital

Kavaklıdere has hotels, restaurants and shops within reach, so companions can manage meals and errands. Pick accommodation with a lift, a bathroom suited to limited movement and, if possible, a bed of a comfortable height. For hip, knee or foot surgery, the first days are often limited to short walks with aids, so avoid stairs and long walks. The Çayyolu campus is in a more residential, newer part of the city, so if your care happens there, search for lodging nearby instead.

Climate and season for recovery

Ankara has a continental climate, with cold winters that can bring snow and ice, and hot, dry summers. Icy pavements are a hazard on crutches, so many patients prefer spring or autumn for planned surgery, when walking outdoors is easier. Summer heat can make swelling and compression stockings uncomfortable. These are general points, not hospital advice, and your surgeon will tell you how long to stay.

How long to stay

The length of stay depends on the operation, your health and how the wound and mobility progress. Your surgical team gives the date when you may fly. Read our flying after surgery guide before booking a return ticket, and keep your flight flexible.

Practical tips

  • Bring printed and digital copies of your reports and a list of medicines.
  • Carry the hospital call-centre number (444 94 94) in your phone; international callers should check dialling format with the coordinator.
  • Arrange a companion to help with mobility and paperwork.
  • Check travel insurance for complications and extended stays.
  • Keep copies of discharge papers and implant details for your doctor at home.

Hospital staff and our coordinators can guide you on the details of your own plan, and the hospital admission guide describes the first day.

Sources for this Güven Hospital guide

Peer-reviewed guidance and institutional sources used to write and review this page.

  1. 01
    Orthopedics and Traumatology Department

    Güven Hospital, 2026

    https://www.guven.com.tr/en/departments/ortopedi-ve-travmatoloji

  2. 02
    Medical Technologies

    Güven Hospital, 2026

    https://www.guven.com.tr/en/medical-technologies

  3. 03
    Contact

    Güven Hospital, 2026

    https://www.guven.com.tr/en/contact

  4. 04
    Accreditation

    Güven International, 2026

    https://www.guveninternational.com/corporate/accreditation

  5. 05
    Global Recognition for Güven Hospital as a Leading Destination for International Patients

    Global Healthcare Accreditation, 2024

    https://www.globalhealthcareaccreditation.com/news/global-recognition-for-guven-hospital-as-a-leading-destination-for-international-patients

  6. 06
    Corporate history

    Güven Hospital, 2026

    https://www.guven.com.tr/en/corporate/tarihcemiz

  7. 07
    Güven International home

    Güven International, 2026

    https://www.guveninternational.com/

  8. 08
    Joint Commission International accreditation

    Joint Commission International, 2026

    https://www.jointcommissioninternational.org/

  9. 09
    Knee replacement

    NHS, 2026

    https://www.nhs.uk/conditions/knee-replacement/

  10. 10
    OrthoInfo patient education

    American Academy of Orthopaedic Surgeons, 2026

    https://orthoinfo.aaos.org/

Güven Hospital: frequently asked questions

Does Güven Hospital treat international patients?
Yes. Güven Hospital runs an international website and says an international patient team coordinates consultation, treatment planning, travel logistics and digital follow-up. Ask the coordinator exactly which services are included for your case, as the pages we read do not list every item.
Which orthopedic treatments does Güven Hospital offer?
The hospital's orthopedics and traumatology page lists fractures, dislocations, soft-tissue injuries, arthroscopic surgery for the hip, knee, shoulder, hand and ankle, joint replacement, foot and ankle corrections, infant hip screening, musculoskeletal tumour management and deformity correction. It does not list individual operations by name, so confirm your specific procedure before you plan travel.
Is Güven Hospital accredited?
The hospital states that it has earned JCI accreditation six times, holds Planetree Gold certification and received Global Healthcare Accreditation for medical travel services, which it says was a first in turkey. Certificates are time-limited, so ask for the current status and dates before you decide.
Where is Güven Hospital located?
The main hospital is on Şimşek Sokak in Kavaklıdere, in the Çankaya district of Ankara. A second site, Güven Çayyolu Medical Center, is in Çayyolu. Ask which campus will host your consultation, imaging and surgery, since the pages describe the two sites differently.
How many beds does Güven Hospital have?
The hospital's history page describes a full-scale general hospital with 254 beds and 12 operating rooms. The pages we read do not break the figure down by campus or give ICU or orthopedic bed counts, so ask the coordinator for up-to-date numbers.
Does Güven Hospital do robotic joint replacement?
The pages we read do not say so. The hospital lists a da Vinci robotic surgery system, but not as an orthopedic tool, and it does not name a robotic joint-replacement platform. If robotic assistance matters to you, ask the hospital directly and get the answer in writing.
Does Güven Hospital offer spine surgery?
The neurosurgery department lists lumbar and cervical disc herniation, spinal stenosis and scoliosis operations, and mentions microsurgical and endoscopic techniques. The orthopedic page does not list spine surgery, so a spinal case would normally be reviewed by neurosurgery. Confirm which team will lead.
How do I send my records to Güven Hospital?
Send reports and imaging through our quote form, and we will help you organise them following our medical record review guide. The hospital also has a contact form on its international site. Digital MRI, CT and X-ray files, plus a medicine list, are the most useful items.
Can I have a remote consultation?
The hospital mentions online services such as second-opinion requests, but the pages we read do not describe a video-consultation format for international orthopedic patients. Ask the coordinator whether a remote review with the surgical team is possible before you travel.
Which languages does Güven Hospital support?
The hospital's website exists in English, French, Russian and Arabic. That tells you which audiences it addresses, but it does not prove that every clinician speaks those languages. Ask who will speak with you at the bedside and whether reports can be provided in your language.
Does Güven Hospital accept international insurance?
The hospital publishes a list of contracted international insurance companies. Whether your insurer is included, and whether it covers orthopedic surgery abroad, must be checked with your insurer and the hospital before you travel. Do not assume coverage.
How long should I stay in Ankara after surgery?
It depends on the operation and your recovery, and your surgeon sets the date. Keep your return flight flexible and read our flying after surgery guide. Plan for rehabilitation and a wound check before you leave, and arrange follow-up with your doctor at home.
Is Güven Hospital suitable for emergencies?
The hospital states that it runs a 24-hour emergency service, but if you live abroad, an acute injury must be treated locally first. Travelling for surgery is for stable or planned cases that your own doctor agrees are safe for flying.

Ready to plan surgery at Güven Hospital? Start with a record review.