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FiscalYear2012AnnualReporttotheCommunityettingReadyforHealthReform ETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityOurMissionTheMissionofBonSecoursHealthSystemistobringcompassiontohealthcareandtobeGoodHelptoThoseinNeedespeciallythosewhoarepooranddying.AsasystemofcaregiverswecommitourselvestohelpbringpeopleandcommunitiestohealthandwholenessaspartofthehealingministryofJesusChristandtheCatholicChurch.OurVisionInspiredbythehealingministryofJesusChristandtheCharismofBonSecoursAsapropheticCatholichealthministrywewillpartnerwithourcommunitiestocreateamorehumaneworldbuildhealthandsocialjusticeforallandprovideexceptionalvalueforthoseweserve. ettingReadyforHealthReformAlthoughPresidentObamasignedtheAordableCareActintolawonMarch232010majorprovisionsothelawwerenotscheduledtotakeeectorthreeormoreyears.Becauseothelongtimelinesomeprovidersdelayedtheirresponseandsomemayevenhaveassumedthatthelawwouldbeoverturned.HoweverevenbeoretheAordableCareActbecamelawatBonSecoursHealthSystemwehavebeenworkinghardtoprepareorthenewutureohealthcare.BythetimetheSupremeCourtupheldthelawinJune2012wewerealreadywellonthewaytoadaptingtothenewrealitiesthatwillaecteveryAmericanandeveryhealthcareprovider.AmongtheinitiativesthathavepositioneduswellorhealthcarereormareclinicaltransormationimprovementstosaetyandpatientcarethestewardshipeorttoimproveefciencyandreducecostseortstoimprovethehealthoourownemployeesandcommunitiesandpartneringwithphysiciansandotherproviderstocreateAccountableCareOrganizationstomanagecareoraspecifcpatientpopulation.ClinicalTransormationhasbeenpartoBonSecoursoralmostfveyearsandhasalreadyaccomplishedimprovementsinqualitysaetyandefciencythroughtheimplementationoevidence-basedcareandinnovation.Ithascreatedacultureoholisticpatientandresident-centeredcareandservicethathasimprovedpatientandresidentsatisaction.Throughtensystem-widelearningcommunitiesclinicalleadershavesharedbestpracticesandencouragedstandardizationinthecareprocessestoprovidethebestpossibleoutcomes.TheimplementationotheBonSecoursConnectCareelectronichealthrecordssystembeginningin2005andnowliveintenoouracutecarehospitalsandemergencydepartmentsandambulatorycaresitesthroughoutthesystemhasalsohelpedplaceBonSecoursontheleadingedgeinpreparingorhealthcarereorm.FiscalYear2012wasawatershedyearinourquesttoprovidehigh-qualityhealthcaremoreefcientlyandatalowercost.Westartedathree-yearStewardshipProgramtoreducecostsandeliminatewaste.Inthisthefrstyearotheinitiativeweoundalmost70millioninsavingsandhopetoachieveanother60millioninFY2013.Atthesametimeweimprovedourpurchasingprocessesattainedbettercontroloourcontractedservicesandourassetsandevenbecamebetterstewardsotheenvironment.Thisyearalsowealsoresolvedtohelpouremployeesbecomemoreawareotheirownhealthandwellnessandincreasetheuseopreventivecareservices.UndertheAordableCareActproviderswillhavetheopportunitytoimprovethehealthoadefnedpopulationsoinapilotprogramweundertooktohelpouremployeesgethealthier.AllouswhoworkatBonSecoursarenowencouragedtotakealookatourliestylesandhabitstomanageourrisksandbecomeagoodexampletoourpatientsandresidents.AtBonSecourswehavelongbeenawarethatahealthycommunityinvolvesmorethanjustphysicalhealth.Inmanyinnovativewaysourlocalsystemsareaddressingtheneedsotheircommunitiestobringthemtohealththroughabetterquality-o-lie.EachlocalsystemhasdevelopedaHealthyCommunityInitiative.Communitygardenshavesprungupinmanyoourcommunitiesandotherinitiativesaretacklinglocalissueswithhousingoodeducationemploymentpublicsaetycleanairandwaterandrecreation.AspartoourHealthyCommunityInitiativesourlocalsystemshavealsodevelopedpartnershipswithotherareaproviderstoimprovethecoordinationocare.ThesepartnershipsarethefrststepsinthecreationoAccountableCareOrganizationstomanagehealthcareorspecifcpatientpopulations.WewanttothanktheSistersoBonSecoursBonSecoursMinistriestheBonSecoursHealthSystemBoardoDirectorsthehealthsystemleadershipandeachoourdedicatedco-workerswholiveourmissioneveryday.Yourguidanceyourleadershipandhardworkhavehelpedusprepareortheexcitingchallengesohealthcarereorm.SincerelySr.PatriciaA.EckC.B.S.ChairpersonBoardofDirectorsBonSecoursMinistriesDonaldG.SeitzM.D.ChairpersonBoardofDirectorsBonSecoursHealthSystemRichardJ.StatutoPresidentandCEOBonSecoursHealthSystemETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityG ETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunity2StrategicGoalsIn2012BonSecoursHealthSystemcompletedthelastyearoathree-yearStrategicQualityPlan.Thesystemremainscommittedtoitscommunitiesandclinicaltransormationothewaycareisdelivered.DuringFY2010throughFY2012BonSecoursundertooktoIncreaseitscommitmenttocommunityhealthtoincludetheglobalcommunityandthehealthotheenvironmentFormrelationshipswithinthecommunityofproviderssothatpeoplewhoseekinormationorservicesromBonSecourscanbelinkedwiththebestcommunityresourcesCreatevalueasperceivedbythecustomerwhichincludesnotonlypatientsandresidentsbutalsophysiciansemployeesandcommunitymembersandAchievenancialsustainabilitysothatBonSecourscanensurelong-termrelationshipswithandvalueorthoseitserves.BonSecoursiscommittedtoaithullyrespondtoGodsgitocompassionhealingandliberationthroughtheollowingourgoalsorFY2010-2012CreateanExtraordinaryIndividualExperienceofCareLiberatethePotentialofOurPeopletoServePartnerwithOurCommunitiestoCo-createaMoreHumaneWorldImproveHealthandModelSocialJusticeBecomeaTrustedHealthPartnerbyProvidingExceptionalLife-LongValueHealthCareReformInJune2012theSupremeCourtlargelyupheldthehealthcarereormlawthePatientProtectionandAordableCareAct.Thedecisionhelpstoensurethatnationalhealthcarereormwillbeimplementedinphasesbeginningin2013.AmongthechangesexpectedtoaectBonSecoursHealthSystemaretheollowingReductionsinMedicarepaymentstohospitalsPenaltiesforhospital-acquiredconditionsBundlingofpaymentsMedicareandMedicaidprovideasinglepaymentorthemultipleservicespatientsreceiveduringanepisodeocare.Forexampleinsteadoasurgicalproceduregeneratingmultipleclaimsrommultipleproviderstheentireteamiscompensatedwithabundledpaymentthatprovidesincentivestodeliverhealthcareservicesmoreefcientlywhilemaintainingorimprovingqualityocare.PenaltiesforexcessreadmissionsforheartattackheartailureandpneumoniaAccountableCareOrganizationsACOsBeginningin2013hospitalsmaycooperatewithphysicianstoprovideleadershipinvoluntaryACOswhichareresponsibleormanagingthecareocertainbenefciaries.Anysavingsromimprovedcarecouldbesharedwithproviders.Value-BasedPurchasingBeginningin2013aValue-BasedPurchasingprogramorhospitalpaymentswillbeestablishedbasedonhospitalperormancein2012onmeasuresthatarepartothehospitalqualityreportingprogram.NationalQualityStrategyDevelopsanationalqualityimprovementstrategytoimprovedeliveryohealthcareservicespatientoutcomesandpopulationhealth.EstablishesCommunity-BasedCollaborativeCareNetworkProgramtosupportconsortiaohealthcareproviderstocoordinateandintegratehealthcareservicesoruninsuredandunderinsuredpopulations.BonSecoursHealthSystemhasbeenintheorerontinanticipatingthechangesrelatedtotheAordableCareAct.DuringFY2012thesystemhasintensifeditseortstoprepareortheloomingchangesintheAmericanhealthcaresystem. ETTINGREADYforHealthReformG3BONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityCreateanExtraordinaryIndividualExperienceofCareIneverywaywetouchthosewhocometousorcareweserveaithullyasaCatholicministryandalivingexpressionotheBonSecoursCharismandweholdourselvestohighstandardssetbythegospelandourproessionalcommunitiesinordertocontributetothecreationoamorehumaneworldbuildhealthiercommunitiesandtransormthewaywedelivercare.ThroughitsClinicalTransormationjourneyBonSecourshasparalleledthegoalsonationalhealthreormandocusedonthecreationoacomprehensiveinterdisciplinaryapproachtoredesigncaredeliverytoachieveexcellencethroughoutthecarecontinuum.ClinicalTransormationsetstherameworknecessaryorBonSecourstoprovidepatientsandresidentswithevidence-basedextraordinarycareandservice.AsasidebenetClinicalTransformationinparticulartheimplementationofBonSecoursConnectCaremakesBonSecourseligibleorfnancialincentives. ETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunity4ClinicalTransformationInFY2012BonSecoursHealthSystemcontinueditsclinicaltransformationjourneyacomprehensiveinter-disciplinaryapproachtoachievecaredeliveryexcellencethroughoutthepatientcarecontinuumthatmeasurablyimprovesqualitycreatesholisticpatient-centeredcareexperiencesandreduceshealthcarecostsbyreducingwasteandoptimizingthevalueproposition.Thisisdonethroughtheeffectivealignmentofpeopleprocessandtechnologythatenablesandsupportsrapidcycletestsofinnovationleadingtocreativeeffectivesolutions.QualityofCareOnceagainBonSecoursHealthSystemhasexcelledinthe2011CenterforMedicareandMedicaidServicesHospitalQualityIncentiveDemonstrationHQIDpay-for-performanceproject.BonSecoursasasystemreceivedatotalof70awardsinYear6themostofanysystemintheproject.MemorialRegionalMedicalCenterpartofBonSecoursVirginia-RichmondMechanicsvilleVirginiawasoneofonlytwohospitalswith12outof12possibleawardsandtheonlyhospitalwithsixTopPerformerawards.MemorialRegionalwasalsotheonlyhospitaltorepeatthisachievementfromlastyear.OverthepastthreeyearsBonSecoursHealthSystemhassavedover1.1millionbystandardizingcareofheartbypassandcardiacvalvereplacementsurgeries.Heartsurgeonshelpedcreatenewbloodtransfusionguidelinesacrossthesystemthatreducedtransfusionsinheartsurgerypatientsfrom66to42andtheaverageamountofbloodtransfuseddroppedbynearlytwo-thirds.Inadditionthecomplicationratewentdownandthelengthoftimepeoplespentinthehospitalwentdown.BonSecoursSt.FrancisHealthSystemGreenvilleSouthCarolinaannouncedanimpressivequalitycaremilestoneduringthepastveyearsnoneofitspatientshaveexperiencedanICU-relatedcentralline-associatedbloodstreaminfectionCLABSI.PatientswhodevelopCLABSIstakelongertorecoverandareatincreasedriskofdeath.BonSecoursSt.FranciseliminatedCLABSIsbyimplementingapatientsafetyprojectcalledtheComprehensiveUnit-basedSafetyProgramCUSPascience-basedapproachusingthelatestevidencetoimprovethewayclinicalteamscareforpatients. ETTINGREADYforHealthReformG5BONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityProjectREDPartoclinicaltransormationincludesaocusonreducingunplannedhospitalizationsandimprovingthetransitionsocareorpatientsinsidethewallsotheacutecareacilitiesaswellasacrossthecontinuum.AmajorocushasbeeninimplementingthecomponentsoProjectREDRe-EngineeredDischargeapatient-centeredstandardizedapproachtodischargeplanningthatimprovespatientpreparednessorsel-careandreducespreventablereadmissions.TheProjectREDinterventionuses11discretemutuallyreinorcingactionstepsshowntoimprovethedischargeprocessanddecreasehospitalreadmissions.Theinitiativeensuresthatpatientshaveaclearunderstandingotheirater-hospitalcareinstructionsincludinghowtotaketheirmedicinesandwhentomakeollow-upappointments.LifeCoachesInadditiontotheProjectREDworkallothelocalsystemseitherhaveimplementedorareevaluatingtheLifeCoachModeloCare.ThegoalotheLifeCoachModelofCareistoimproveaccesstocareinanappropriatesettingbydevelopingrelationshipswithcommunityresourcestobetterservetheeconomicallypoorwithrespectanddignity.Inonlyoneyearinoneacilitytheliecoacheshaveservedover1000uninsuredpatients.PalliativeCareRecognizingthat23oMedicarepatientswithmorethanourchronicconditionsaccountor68oMedicarespendingandthat70opatientswithchronicillnessareadmittedtothehospitalduringtheirlastsixmonthsolieBonSecoursisassessingpalliativecareservices.MorethansixpercentoalldischargesreceiveapalliativecareconsultandBonSecoursbenchmarkspalliativecareserviceswithnationalstandards.BonSecoursConnectCareApieceotheClinicalTransormationinrastructureisBonSecoursConnectCarethesystemselectronicmedicalrecordwhichprovidesthetechnologyandtoolstoacceleratetransormationaleorts.TheConnectCarerolloutcontinuestogrowandexpandandisnowoperationalintenacutecarehospitals.AdditionallyallemergencydepartmentsinBonSecoursCharityHealthSystemhavebeenbroughtliveonConnectCareandprimarycarepracticesinVirginiaandKentuckyareallusingtheambulatorycomponentoConnectCare.Over50000patientshaveaccessedMyChartthepatientportalorConnectCareallowingpatientstoaccessinormationromtheirmedicalrecordrequestappointmentssendmessagestotheircareprovidersandactivelyengageintheirhealthcarebyenteringtheirownhealthdataintofowsheets.Thisunctionalityishelpingimprovecommunicationandtransparencyaroundhealthcareandallowspatientstobemoreactivelyengagedintheirowncare.BonSecoursConnectCareImplementationAcuteCareBonSecoursSt.FrancisHospital-EastsideGreenvilleSouthCarolinaBonSecoursSt.FrancisHospital-DowntownGreenvilleSouthCarolinaMemorialRegionalMedicalCenterMechanicsvilleVirginiaBonSecoursRichmondCommunityHospitalRichmondVirginiaBonSecoursSt.FrancisMedicalCenterMidlothianVirginiaBonSecoursSt.MarysHospitalRichmondVirginiaOurLadyofBellefonteHospitalAshlandKentuckyBonSecoursMaryImmaculateHospitalNewportNewsVirginiaBonSecoursMaryviewMedicalCenterSuffolkVirginiaBonSecoursDePaulMedicalCenterNorfolkVirginiaEmergencyDepartmentBonSecoursCommunityHospitalPortJervisNewYorkGoodSamaritanHospitalSuffernNewYorkSt.AnthonyCommunityHospitalWarwickNewYorkWatkinsCentreFreestandingEmergencyDepartmentMidlothianVirginiaAmbulatoryCarePrimarycarepracticesHamptonRoadsandRichmondVirginiaPrimarycarepracticesAshlandKentuckyBonSecoursHealthCenteratHarbourViewSuffolkVirginiaBonSecoursInMotionPhysicalTherapyCentersNorfolkandVirginiaBeachVirginia ETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunity6NursingExcellenceBonSecourshasinvestedtimeandresourcesinprogramstodevelopcompetentandcondentphysiciansnursesandministryleaders.ThesystemhaspartneredwiththeWatsonCaringScienceInstitutetocreateworkenvironmentsthatpromotecaringandhealingwhererelationshipsarethepriority.InthepasttwoyearstheInstituteforNursingPracticecreatedanddeployedacredentialingprogramorCaringAdvocatesclinicianswithexpertcompetenciesinCaringSciencetoleadeortsatthebedside.MagnetHospitaldesignationandthePathwaystoExcellenceprogramoeredbytheAmericanNursesCredentialingCenterrecognizehospitalsandhealthcareorganizationsthatprovideexcellenceinnursing.ThreeBonSecourshospitalsBonSecoursSt.MarysHospitalRichmondVirginiaMemorialRegionalMedicalCenterMechanicsvilleVirginiaandBonSecoursSt.FrancisHospitalCharlestonSouthCarolinahavereceivedMagnetdesignationandthreehospitalshavereceivedPathwaytoExcellencedesignationBonSecoursMaryImmaculateHospitalNewportNewsVirginiaBonSecoursRichmondCommunityHospitalRichmondVirginiaandBonSecoursSt.FrancisMedicalCenterMidlothianVirginia.BothMagnetandthePathwaystoExcellenceprogramsuseanevidence-basedrameworktobuildacultureonursingexcellenceandorganizationalworkenvironmentthatdeliversonqualityoutcomes.turnoverdeclinedby10romtheprioryearastatisticthatdemonstratesgreateremployeeengagementandcorrelateswithimprovementsinclinicalcareandoutcomes.CollectivelyBonSecoursvelong-termcareacilitiesreachedtheirreadmissiontargetortheyearreducingtheirhospitalreadmissionrateby22overtheprioryear.BonSecoursMariaManorNursingandRehabilitationCenterpartoBonSecoursSt.PetersburgHealthSystemSt.PetersburgFloridawashonoredasaFive-StarFacilitybytheFloridaAgencyorHealthCareAdministration.ThisachievementrefectsMariaManorsqualityasdesignatedwithinthetop20oskillednursingacilitiesintheSt.Petersburgregion.ForthesecondyearinarowBonSecoursMaryviewNursingCareCenterpartofBonSecoursVirginia-HamptonRoadsSuffolkVirginiareceivedahighrankingovestarsoverallinU.S.NewsWorldReports2012BestNursingHomes.BonSecoursMemorialCollegeofNursingpartofBonSecoursVirginiaRichmondVirginiahasonceagainhada100successrateorgraduatestakingtheNationalCouncilLicensureExamNCLEXorregisterednurses.ThisistheninthyearinarowtheCollegehashada100passrateanditisrankedthebestinthenationorpassrates.Non-AcuteCareBonSecourshomecareagenciesdevelopedaprocessfowromhospitaltohomehealthandidentiedailurepointsthatledtoreadmissions.Ahometelehealthmonitoringsystemhasbeenverysuccessulinassistingwiththemanagementohomecarepatientsandareductioninhospitalreadmissionrates.Agencieshaveexperiencedagreaterthan95utilizationotelehealthmonitorsandseveralmarketshaverequestedadditionalmonitors.Thesystemslong-termcareacilitieshaveseengreatimprovementsinqualityandengagement.Firstyearemployee ETTINGREADYforHealthReformG7BONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityPartneringwithOtherProvidersPartothereormprovisionsincludethevoluntarydevelopmentoAccountableCareOrganizationsACOstoparticipateintheMedicareSharedSavingsProgram.AsagroupoprovidersandsupplierscoordinatingcareorspecifcpatientpopulationsanACOisaccountableormeetingorexceedingsetqualityperormancestandardstobeeligibletoreceiveanysharedsavings.BonSecoursappliedtotheCentersorMedicareandMedicaidServicestodevelopanACOcalledGoodHelpcare.GoodHelpcareisdesignedtomanageapopulationoatleast5000Medicarebenefciariesandconsistsoanumberophysicianpracticeshospitalsambulatorycareprovidersandotherhealthcareprovidersandservices.Otherlocalsystemshavealsoinitiatedpartnershipswithotherareaproviderstoimprovethecoordinationocareandtoprepareorhealthcarereorm.ForexampleOurLadyofBellefonteHospitalpartofBonSecoursKentuckyHealthSystemAshlandKentuckyhaspartneredwithHighlandsRegionalMedicalCenterPrestonburgKentuckyandSt.ClaireRegionalMedicalCenterMoreheadKentuckytoformaclinically-integratednetworkcalledtheEasternKentuckyHealthcareCoalition.Eachacilitywillmaintainitsautonomywhileworkingtogetheronselectprojectsthatprovidecollectiveefcienciesorthehospitalsandimprovepatientaccess.InAprilBonSecoursMedicalGroupthephysicianpracticeoBonSecoursVirginiaHealthSystemRichmondVirginialaunchedanAccountableCareOrganizationACOwithCigna.Themodelisbasedonthepatient-centeredmedicalhomemodelocareunderwhichprimarycarephysiciansarerewardedorimprovedoutcomesandloweredmedicalcosts.Theinitiativecoversapproximately8000Cignabenefciaries.BonSecoursMedicalGrouppartoBonSecoursSt.FrancisHealthSystemGreenvilleSouthCarolinaandBlueCrossBlueShieldoSouthCarolinadevelopedanewhealthcaremodelinupstateSouthCarolinacalledapatient-centeredmedicalhome.ThenewmodelwillinitiallyocusonpatientswithdiabeteshypertensionorcongestiveheartailureoracombinationoftheseconditionswhoareBlueCrossmembersormembersoBlueChoiceHealthPlanoSouthCarolinaortheStateHealthPlan.AspatientcaremedicalhomestheBonSecoursMedicalGrouppracticeswillputtheprimarycareproviderinchargeocoordinationoallservicestoensurethatallothepatientsproblemsareaddressed.BonSecoursCharityHealthSystemPortJervisSuffernandWarwickNewYorkhaspartneredwithSt.LukesCornwallHospitalCornwallandNewburghNewYorkandSt.FrancisHospitalandHealthCentersPoughkeepsieNewYorktoormHudsonHealthPartners.Thenewentitywillocusonclinicalcollaborationssuchaswellnessinitiativesandhomehealthcarequalityinitiativesthatensureexceptionalcareorarearesidentsandphysicianservicesincludingrecruitmentandpracticemanagementservices. LiberatethePotentialofOurPeopletoServeInallourinteractionswestrivetocreateanenvironmentthatinvitesthebestineachofusandallwetouchtojoinourministrytocreateamorehumaneworldbuildhealthiercommunitiesandintegrateandprovidethebestcare.Oneofthegoalsofhealthcarereformistoimprovethehealthofthepopulationthroughpreventivecareandwellnessinitiatives.BonSecoursHealthSystemfocusedinitiallyonimprovingthehealthofitsownemployeepopulation.BycreatingincentivestoidentifypersonalhealthrisksandundergopreventivecarescreeningsBonSecourshasencouragedemployeestobecomemoreawareoftheirownhealthandtomakelifestylechangestoreducetheirhealthrisks.BonSecoursVirginiahasevenpilotedanAccountableCareOrganizationforitsemployees.ETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunity8 ETTINGREADYforHealthReformG9BONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityEmployeeHealthandWell-BeingBonSecoursHealthSystemiscommittedtothehealthandwell-beingoitsemployees.Over90oemployeesparticipateintheannualPersonalHealthAssessmentBiometricScreeningtoinormthemobasichealthrisks.Resultsothescreeningshavehelpedeachlocalmarkettoidentiyemployeehealthrisksandtodevelopathree-yearplanorimprovingemployeewellness.Amongthefndingsromthescreeningswastheactthat40oemployeesareobeseand70areconsideredoverweight.Asaresultmanyothelocalsystemsareocusingonweightmanagementandencouragingmoreactiveliestyles.InaboldemployeewellnessmoveBonSecoursVirginiaHealthSystemRichmondandHamptonRoadsVirginiaimplementedanicotine-reehiringpolicyintheallo2011.Allapplicantschosenorapositionaretestedornicotineaspartotheirpre-employmentscreening.Jobapplicantswhotestpositiveornicotineareeliminatedromconsiderationandtheirjoboersarerevoked.Currentemployeesarenotaectedbythenewpolicy.ThesystemcontinuestooersmokingcessationsupportincludingclassesandaccesstotheAmericanCancerAssociationQuitLine.EmployeeACOPilotAnEmployeeAccountableCareOrganizationACOisbeingpilotedwithBonSecoursVirginiaHealthSystememployeestoimprovehealthandreducetheoverallcostofcare.SinceNovember2011incentivizedACOCareManagementprogramsordiabeteshypertensionandasthmahavebeenoeredtohigh-riskemployeesinRichmondandHamptonRoads.GoodHealthNavigatorsmakeoutreachphonecallstohigh-riskemployeesinordertoestablishgoalsandtrackprogress.AninterimassessmentotheACOhasshownanumberosuccessesincludingimprovedclinicaloutcomesreducedhealthcarecostssuccessulenrollmentohigh-riskemployeesinACOcaremanagementprogramsandincreasedreerralstotheBonSecoursMedicalGroupandpatient-centeredmedicalhome. ETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunity10DiversityandInclusionAsthepopulationothenationcontinuestogrowmorediversetheneedtorespectincludeandcelebratethatdiversitygrows.ForthepastthreeyearsBonSecoursHealthSystemhasexpandeditsdiversityandinclusioneorts.InFY2012thehealthcaresystemcelebratedDiversityandInclusionCulturalAwarenessMonthwithavarietyoactivitiesthroughoutthesystemincludingprayerservicesdiverseoodsmusicdancesandgames.The2012leaderreviewscalledTalentConnectionincludedanewcomponentrelatedtodiversity.EachlocalsystemwasprovidedwithracedemographicsotheirExecutiveManagementTeamsandtheirprimaryserviceareas.Eachlocalsystemwasaskedtodevelopanactionplantomovetowardsthedemographicsotheirlocalserviceareas.Thisdatawillbetrackedonanongoingbasisorthetop250seniorandexecutiveleaders.AlsothroughtheTalentConnectionreviewslocalsystemsidentifedtheirhighpotentialdiversetalentanddevelopedplansortheirutureadvancement.BonSecoursHealthSystemjoinedHeroHealthHireacoalitionocompaniesandotherentitiesinthehealthcareindustrythatareunitedwiththegoaloemployingwoundedwarriorsandveterans.AdditionallyBonSecoursHealthSystemearnedtopmarksin2012oritscommitmenttoequitableinclusivecareorlesbiangaybisexualandtransgenderpatientsandtheiramiliesbytheHumanRightsCampaignFoundation.EmployeePatientandPhysicianEngagementBonSecoursHealthSystemwasnamedoneo27recipientsothe2012GallupGreatWorkplaceAward.Theawardhonorsorganizationswhoseemployeeengagementresultsdemonstratetheyhavethemostproductiveandengagedworkorcesintheworld.TheEmployeeEngagementSurveyresultsor2012continuetobeverygoodwithtwooutotheourinclusiveindicatorsscoringasbestpractice.Localsystemsalsoearnedhonorsfortheirworkplaces.BonSecoursVirginiaHealthSystemwasnamedaBestPlacetoWorkinVirginiabytheVirginiaChamberoCommerceVirginiaBusinessmagazineandtheVirginiaSocietyforHumanResourceManagement.ModernHealthcaremagazinerankedRoperSt.FrancisHealthcare27thoverallinthenationothe100BestPlacestoWorkinHealthcareor2011andourthamonglargecompaniesonthelist.EducationandTrainingWiththeadventohealthcarereormnothingismoreconstantthanchange.Inanticipationothecomingchangesinthehealthsystemin2012BonSecoursHealthSystemprovidedaChangeToolkitorleadersandemployees.Thisresourcebringstogethermaterialsintegratingcurrentandbestpracticesorleadingchange.TheToolkitcontainsthemodelorchangeandpracticaltoolsthatleaderscanusetoincreaseeectivenessefciencyandstrategicengagementokeystakeholdersinchangeprojects.TheToolkitiscurrentlyinusetoguideandsupportmajorchangeeortswithparticularocusontheStewardshipProgram.AdditionallyleadershipstaarerequiredtoattendaFacilitativeLeadershipProgramwhichpresentssevenleadershippracticesandpracticalwaystoleadchangeintheworkplace.InFY2012theCenterorMinistryLeadershipincollaborationwiththeDirectoroChangeManagementdesignedandoeredtwoadditionalclinicalleader-specifcleadershipormationprogramsorthesystemsChieMedicalOfcersandChiefNurseExecutives.AdditionallytheCenteroeredtheFoundationsoCatholicHealthcareLeadershipclassto24employedphysiciansinBonSecoursVirginiaHealthSystemwithadesignofanadditionaldayonvocationcommunityandethicsaslivedoutinthephysician-patientrelationship.Eightentry-levelworkersatBonSecoursVirginia-HamptonRoadsgraduatedromthehealthsystemsreeSchoolatWorkprogramonJuly19.ThecareerdevelopmentprogramprovidesareresherinbasiceducationorthosewithaGEDorhighschooldiplomaandcanbeaspringboardorpeopletoseekacollegeeducation. ETTINGREADYforHealthReformG11BONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityPartnerwithOurCommunitiestoCo-createaMoreHumaneWorldImproveHealthandModelSocialJusticeWebuildRightRelationshipsandhealbrokenrelationshipsthatincreaseourcapacitytocreateamorehumaneworldbuildhealthiercommunitiesandintegrateandprovidethebestcare.Akeypartofhealthcarereformistheexpectationthathealthcareproviderswillpartnerwitheachothertoimprovethehealthofapopulationespeciallytheunderinsuredandtheuninsured.BonSecoursbelievesthathealthinvolvesmorethanphysicalhealth.Therearemanythingsotherthanaccesstoqualityhealthcarethatneedtocometogethertocreateahealthycommunityincludingfunctionalandaffordablehousingfreshandnutritiousfoodeducationemploymentpublicsafetycleanairandwaterandrecreationalandculturalopportunities. ETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunity12HealthyCommunityInitiativesBonSecourscollaborateswithotherorganizationstobeneftthepeopleinthecommunitiesitservesbyadvocatingandprovidingservicestohelpmeethealthcareandrelatedsocio-economicneedsopooranddisadvantagedindividualsandthebroadercommunity.BonSecoursisparticipatinginHealthyCommunityInitiativesthatareoundedonlongtermcollaborativerelationshipsinwhichserviceorganizationsengageandempowermembersoadefnedgeographiccommunitytosupporttheminimprovingtheirquality-o-lieandholistichealth.BonSecourshasaHealthyCommunityInitiativeineachoitslocalsystems.ForexampleBonSecoursVirginia-Richmondawarded50000tosixpeoplelookingtostartorgrowabusinessintheChurchHillarea.ThehealthsystempartneredwithLocalInitiativesSupportCorporationtocreateabusinessplancompetitionSupportingEastEndEntrepreneurshipDevelopmentorSEEDaspartoaneorttorevitalizeandgrowthebusinesscommunityinChurchHill.Atrashserviceacoeeshopapiebakeryahairsalonabreadmakerandajanitorialservicewerepickedouto20applicantsandawardedgrantsrom4000to10000.AspartoitsHealthyCommunitiesInitiativeBonSecoursSt.PetersburgHealthSystemprovideda30000MissionFundgranttosupportacity-widesurveyoresidentsage45andolderinSt.PetersburgFloridatodeterminehealthandquality-o-lieneeds. ETTINGREADYforHealthReformG13BONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityCommunityandSocialInvestmentsBonSecoursMissionFundThepurposeotheBonSecoursHealthSystemMissionFundistoassistlocalsystemsintheireortstodevelophealthiercommunitiesaddresshealthconditionsinconjunctionwithpublichealthinitiativesandimproveaccessoruninsuredpopulations.TheBonSecoursMissionFunddistributed800000through15grantsacrossalllocalsystemsinFY2012.InadditiontheBonSecoursHealthSystemCommunityGrantFundorSouthwestFloridaawarded319625through14grantsinthecommunitiesoVeniceandPortCharlotteFlorida.CommunityInvestmentProgramTheBonSecoursHealthSystemCommunityInvestmentProgrammakesinvestmentsthroughfnancialintermediarieswiththepurposeocreatingjobsandaordablehousingprovidingnecessaryinrastructureandmicrofnanceloansandoeringotherbenefcialeconomicactivities.TheprogrambecameoperationalinFY2009andcommittedanother3.3millioninFY2012.Thetotalinvestmentstandsat12.575millionthroughlow-interestloansto15organizationsacrosseightlocalsystemcommunitiesandwithinthenationsoPeruHaitiandSouthArica.Inadditiontothefxedannualreturno2.35thesocialreturnismeasuredthroughimpactonthedevelopmentothecommunity.ShareholderAdvocacyHealthsystemrepresentativesworkwithmembersotheInteraithCenteronCorporateResponsibilitytoengagecorporationsindialoguestourthersystemgoalsparticularlyintheareasoU.S.healthreormandaccesstomedicationsordevelopingnations.ThehealthsystemsupportsaccesstohealthinsurancethroughnationalhealthreormincreasedaccesstomedicationsforHIVAIDSaswellastropicaldiseasesindevelopingnationsprotectionohumanrightsorlaborersincludinganendtohumantrafckingandenvironmentalprotectionsandsustainabilityortheplanet.EcologicalStewardshipTheBonSecoursHealthSystemEcologicalStewardshipworkbeganin2009andhasachievedimpressiveresultsinthreeyearsonthreekeyinitiativesrecyclingwastestreammanagementandenergyconservation.Inamatterothreeyearsrecyclingincreased90rom5.0millionpoundsto9.7millionpoundsandregulatedmedicalwastedecreased69rom4.9millionpoundsto1.5millionpounds.Aremarkable4800tonsowastehavebeendivertedromcommunitylandfllswhilesimultaneouslyreducingthesystemswastedisposalexpenseby20percent.BonSecoursinitiatedanenergyconsumptionreductioneortwithallacilitiesimplementing24standardizedEnergyConservationMeasuresbasedonbestpractices.Despiterecord-settingheatinthesummermonthsBonSecoursreduceditsenergyuseanaverageo2.5andreducedequivalentgreenhousegasemissionsover2orenergyusedtooperatebuildings.TheseeortsearnedrecognitionasthenationalSystemorChangeAwardromPracticeGreenHealth.AdditionallySt.FrancisHospital-EastsidepartoBonSecoursSt.FrancisHealthSystemGreenvilleSouthCarolinapassedtheEnergyStarDesignationAuditmakingitthefrstEnergyStarhospitalinSouthCarolinaandinBonSecoursHealthSystem.BonSecoursoMarylandFoundationInc.partoBonSecoursBaltimoreHealthSystemBaltimoreMarylandhasbeenimplementingacleanandgreenprogramtoeliminatevacantlotsinlow-andmoderate-incomeareasoSouthwestBaltimorereplacingthemwithgreenspaceandsideyardsorresidents.BonSecoursoverseesmorethan85greenlotsandreceivedsupportromthecityoBaltimorebywayoa180000grantin2012. ETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunity14GlobalMinistriesDuringFY2012BonSecourshasbuiltuponitsoundationoworkingorthosewhoaremostvulnerableandexcludedaroundtheworld.SpecialemphasiscontinuedtobeplacedonmaternalandchildhealthactivitiesinHaitiandPeruaswellasHIVAIDSeffortsinSouthAfrica.AssistancetoHaitialsoincludedsupportingthepost-earthquakeeortsorebuildingtheSt.FrancoisdeSalesHospitalinPort-au-Prince.Inresponsetosystem-wideinterestGlobalMinistriesisalsoworkingtodevelopdeeperandmorecomprehensiveorganizationalsystemsorthedistributionosurplusmedicalequipmentandthedeploymentomedicalproessionalswishingtovolunteertheirservicesabroad.BonSecoursHealthSystemMissionFundIn1999BonSecoursHealthSystemcreatedaspecialundorthesolepurposeomeetingtheneedsothosewhoarepoorandunderservedinthecommunitiesservedbythehealthsystem.Healthcareandwomensandamilysupportservicesareanimportantocus.TheseedmoneyprovidedbytheMissionFundhasallowedmanyprogramstofourishandsucceed.TheMissionFunddistributed800000through15grantsacrossalllocalsystemsinFY2012.CommunityBeneftsForthescalyearendingAugust312012BonSecoursHealthSystemprovidedover291millionincommunitybenetservicesandcommunitybuildingactivitiesatacostwellinexcessothevalueoitspotentialtaxobligation.FiscalYearEndedAugust312012ThousandsoDollarsCharityCareatcost143575GovernmentSponsoredHealthCarenetexpense94634AllOtherCommunityBeneftServicesnetexpenseCommunityHealthImprovementServicesandCommunityBenetOperations20538HealthProfessionsEducation9188SubsidizedHealthServices16998Research0FinancialandIn-KindContributions6184TotalAllOtherCommunityBeneftServices52908TotalQuantifableCommunityBeneftServices291117BonSecoursCharityFoundationCommunityGardensPhase391000BonSecoursKentuckyHealthSystemCommunityServices47000HealthyCommunityPrograms51000BonSecoursoMarylandFoundationOpenSpaceManagement40000WorkingFamiliesInitiative10000YouthEmploymentEntrepreneurship47000BonSecoursNewYorkHealthSystemResponsetoCommunityFoodAssessment97000BonSecoursSt.FrancisHealthSystemFaithMinistriesSocialWorker47000GoodHelporSanSebastianCommunity25000MobileDentalUnitSoftTissueLaser10000SterlingTrail15000BonSecoursSt.PetersburgHealthSystemHCICollaborationGrants97000BonSecoursVirginiaHealthSystemHamptonRoadsEastOceanView92000BonSecoursVirginiaHealthSystem-RichmondMRMCACommunityMapsItsFuture97000RoperSt.FrancisHealthcareServicestoHIVHomelessPersons35000TotalGrantDollarsAwarded800000 ETTINGREADYforHealthReformG15BONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityVeniceSarasotaCountyGrantsBigBrotherBigSisteroftheSunCoastGatewaytoSuccess20000BoysandGirlsClubofSarasotaKidsCafandCulinaryArtsProgram10000TheCommunityPharmacyPrescriptionsforUninsured32625HabitatforHumanityBuildingHomesChangingLives18750LovelandCenterPhaseIIHolisticCare30000SeniorFriendshipCenterCenterforHealthyAging20000VeniceAreaPregnancyCareCenterCribsBassinettesandInfantSupplies2000TotalGrantsFunded133375BonSecoursCommunityGrantFundforSouthwestFloridaTheBonSecoursCommunityGrantFundforSouthwestFloridaprovidesgrantstothecommunitiesofPeaceRiverRegionalMedicalCenterinCharlotteCountyandthecommunitiesofVeniceRegionalMedicalCenterinsouthSarasota.ThefundwasestablishedwhenBonSecoursHealthSystemsolditshealthcarefacilitiesinthosecommunities.InFY2012theBonSecoursHealthSystemCommunityGrantFundforSouthwestFloridaawarded319625through14grantsinthecommunitiesofPortCharlotteandVeniceFlorida.PeaceRiverCharlotteCountyGrantsCenterforAbuseandRapeEmergenciesC.A.R.E.AugmentedServicesforVictimsofDomesticViolence15000CharlotteCountyHealthyStartCoalitionInc.PrenatalCareforUninsuredWomen20000CharlotteCountyYMCAKidsinMotion18750CharlotteCountyHomelessCoalitionCapacityBuildingandDevelopment55000ManasotaSOLVEInc.SouthCountyMaternityHome7500PregnancyCrisisCarelineSupportforPregnantWomen15000VirginiaB.AndesVolunteerCommunityClinicInformationTechnologyGrant55000TotalGrantsFunded186250 SustainabilityBecomeaTrustedHealthPartnerbyProvidingExceptionalLife-LongValueWecareullystewardthegitswehavebeengivenbyGodsothatweliveinharmonywiththosegitsandbringthemtocreateamorehumaneworldbuildhealthiercommunitiesandintegrateandprovideexceptionallie-longcare.Healthcarereormisaboutprovidinghigh-qualityhealthcaremoreefcientlyandatalowercost.Loomingreductionsandotherchangesinhealthreimbursementarespurringhealthcareproviderstoexaminetheiroperationsorefcienciesandcostsavingswhileimprovingthequalityocare.AtBonSecoursHealthSystemthequestorimprovementsintensifedearlyinFY2012withthedevelopmentotheStewardshipProgramathree-yearinitiativetoreducefxedcostsandeliminatewasteulness.ETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunity16 ETTINGREADYforHealthReformG17BONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityStewardshipProgramTheStewardshipProgramwasoundedinSeptember2011withthevisiontoimproveBonSecoursHealthSystemsoperatingperormanceby150to200milliondollarsoverthreeyearswhileocusingonprosperityqualityandstewardship.Theprogramobjectivesareocusedonsystemnesseectiveuseoresourcesminimizingsystem-wideduplicationandbuildingcareers.ThesavingswillpositionBonSecoursortheanticipatedchangesromhealthcarereormincludingincreasedaccessorpatientsandreductionsinrevenue.Thecost-reductionopportunitywasestimatedromaxedcostassessmentperormedduringthesummero2011.Theprogramhasalsohadtheeectoenhancingcareersocertaintalentedstabyoeringthemaleadershipopportunity.TheStewardshipinitiativeembodiesresponsibleplanningandmanagementoresources.Theprogramincludes18initiativeteamsornearlyeveryaspectothesystemsoperations.ExistinginitiativesorclinicaltransormationsupplychainphysicianintegrationandemployeehealthandwellnesshavealsobeenbroughtintothisStewardshipstructure.InFY2012therstullyearotheinitiativesavingstotaledapproximately69.6million.ManyothesavingsresultedromstandardizationacrossthesysteminwhichBonSecoursuseditssystem-widevolumetonegotiatebetterpricesonservicesandsupplies.Someothecost-savingactionsincludesystem-widecontractsorclinicalassetmanagementdietaryservicesandoodandotherpurchasedservices.Additionaleortshavebeenundertakeninenvironmentalservicesacilitieslaundryandlinenrealestatesecurityandutilities.Another60millioninsavingsisprojectedorFY2013.FiscalYear2012FinancialsForthescalyearendedAugust312012BonSecoursHealthSystemreportedoperatingincomeo118.0milliona3.4operatingmargin.TheseresultsweresignicantlyimprovedromFY2011whichhadoperatingincomeo85.5milliona2.6operatingmargin.OperationallyacuteinpatientvolumesexceededFY2011by1.6andoutpatientsurgicalvolumeswerestrongexceedingthepriorscalyearby7.5.TheconsolidatedbalancesheetasoAugust312012indicatedassetso3.1billionexceededliabilitieso2.2billionoratotalnetassetpositiono843.5millionascomparedto851.0millionatAugust312011.Totalnetassetpositionisslightlylessthanprioryearduetothehighpensionliabilityadjustmentoanegative129millionosettingtheoperatingincome.Totalunrestrictedcashandinvestmentswere959.0millionrepresenting110daysodailycashoperatingexpenseswhichisunchangedromtheprioryear.Thedebt-to-capitalizationratioo57.0isalsofatcomparedtotheFY2011ratioo57.2andissignicantlylessthandebtcovenantrequirementso65.0.Atertheall2012meetingwiththebondratingagenciesStandardPoorsandFitchafrmedtheA-ratingstableoutlookandMoodysafrmeditsA3ratingstableoutlookonapproximately1billionooutstandingbondsissuedonbehaloBonSecoursHealthSystem.TheratingkeepsBonSecoursbondsintheuppermediumgradequality.TheagenciescitedthesystemsimprovedprotabilityinFY2012.OperatingIncome118.0millionTotalNetRevenue3.4billionAcuteDischarges131389AdjustedDischarges309304TotalCommunityBeneftDollars297.6million ETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunity18QualityAwardsBonSecoursCharityHealthSystemuBonSecoursCommunityHospitalwasnamedtoTheJointCommissions2010listotop-perorminghospitals.uGoodSamaritanHospitalreceivedtheHealthGradesMaternityCareExcellenceAwardandrankedinthetop5inthenationormaternitycare.GoodSamaritanHospitalSt.AnthonyCommunityHospitalandBonSecoursCommunityHospitalallreceivedfve-stargynecologysurgeryawardsromHealthGrades.BonSecoursKentuckyHealthSystemuOurLadyofBellefonteHospitalwasrankednumberoneinKentuckyforgeneralsurgeryandthebesthospitalintheregionorgeneralsurgeryor2012byHealthGrades.ThehospitalwasalsorankedamongthetopfveinKentuckyforgastroenterologyservicesortheourthstraightyear.uOurLadyofBellefonteHospitalwasrecognizedasaMostWiredhospitalaccordingtotheresultsothe2012MostWiredSurveybyHospitalsHealthNetworksmagazine.uOurLadyofBellefonteHospitalreceivedanOutstandingPatientExperienceAwardromHealthGrades.BonSecoursSt.FrancisHealthSystemuBonSecoursSt.FrancisHealthSystemwasrecognizedbyHealthGradesasnumberoneinthestateorOverallOrthopedicServices.St.Francisalsoreceivedthe2012OrthopedicSurgeryExcellenceAwardandthe2012JointReplacementExcellenceAwardsecondyearinarow.BonSecoursSt.Francisalsoreceivedfve-starratingsorourotherjointreplacementprocedures.uBonSecoursSt.FrancisHealthSystemreceivedanOutstandingPatientExperienceAwardromHealthGrades.uTheLeapfrogGroupnamedBonSecoursSt.FrancisHealthSystemorthethirdconsecutiveyearasanationalTopHospitalorachievingthehigh-levelostandardsopatientsaetyqualityocareandoperationalefciency.uBonSecoursSt.FrancisHospital-DowntownwasnamedoneoPremiers2011TopPerormingHospitalsandqualifedoramonetaryaward.uBonSecoursSt.FrancisHealthSystemwasrankedninthbestinthenationinConsumerReportsmagazinesTop10Hospitalsrankingsthatassessedsaetyperormanceat1159hospitalsacross44states.BonSecoursSt.PetersburgHealthSystemuBonSecoursSt.PetersburgHomeCarewasnamedtothe2011HomeCareEliteListasaTopAgencywhichranksitasoneothenationstop25homecareagencies.uBonSecoursSt.PetersburgHealthSystemwasrecognizedbythecityoSt.PetersburgLeisureandCommunityServicesDepartmentoritsdedicatedparticipationinsupportinghealthandwellnessinthedowntownSt.Petersburgarea. ETTINGREADYforHealthReformG19BONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityBonSecoursVirginiaHamptonRoadsuTheSurgicalWeightLossCenteratMaryImmaculateHospitalwasnamedaBariatricSurgeryCenteroExcellencebytheAmericanSocietyorMetabolicandBariatricSurgery.uBonSecoursVirginia-HamptonRoadsEmergencyServicesreceivednationalrecognitionromtheEmergencyNursesAssociationandtheBoardofCerticationforEmergencyNursingoritscommitmenttoincreasingthenumberonationallyboard-certifedemergencynurses.uBonSecoursHomeCarewasnamedtothe2011HomeCareEliteListasaTopAgencywhichranksitasoneothenationstop25homecareagencies.uBonSecoursMaryImmaculateHospitalwasnamedoneothefvetophospitalsinarankingohospitalsandnursingfacilitiesbyVirginiaHealthInormation.uBonSecoursMaryviewNursingCareCenterreceivedahighrankingofvestarsoverallinU.S.NewsWorldReports2012BestNursingHomesforthesecondconsecutiveyear.uBonSecoursMaryviewMedicalCenterandBonSecoursMaryImmaculateHospitaleachreceivedaPatientSaetyExcellenceAwardromHealthGrades.uBonSecoursDePaulMedicalCenterwasrankedeighthbestintheUnitedStatesor30-dayre-admissionratesorheartattackpatientsbytheCentersorMedicareMedicaidServicesCMSHospitalComparedatabase.uForthesecondconsecutiveyearBonSecoursMaryviewMedicalCenterearnedtheMissionLifelineBronzeQualityAchievementAwardromtheAmericanHeartAssociation.BonSecoursVirginiaRichmonduMemorialRegionalMedicalCenterwasoneoonlytwohospitalswith12outo12possibleawardsandtheonlyhospitalwithsixTopPerormerawardsinthe2011CenterorMedicareandMedicaidServicesHospitalQualityIncentiveDemonstrationpay-or-perormanceproject.uMemorialRegionalMedicalCenterwasrankedfrstohospitalsandnursingfacilitiesbyVirginiaHealthInformationVHIinitsannual2011IndustryReportVirginiaHospitalNursingFacilities.uMemorialRegionalMedicalCenterandSt.MarysHospitalwerenamedPremiers2011TopPerormingHospitalsandqualifedoramonetaryaward.uMemorialRegionalMedicalCenterwasincludedonHealthGradeslistoAmericas100BestHospitals.uBonSecoursSt.MarysHospitalwaslistedasoneotheThomsonReuters100TopHospitalsintheTeachingHospitalscategoryandwasalsorecognizedasoneo12EverestAwardwinnersthosehospitalsamongthe100winnersthatdeliveredthegreatestrateoimprovementoverfveyears.uBonSecoursSt.MarysHospitalreceivedaPatientSaetyExcellenceAwardromHealthGrades.uBonSecoursMemorialCollegeofNursinghada100successrateorgraduatestakingtheNationalCouncilLicensureExamNCLEXforregisterednursesortheninthyearinarow.TheCollegeisrankedthebestinthenationorpassrates.uBonSecoursVirginia-RichmondwasrecognizedasaMostWiredhospitalaccordingtotheresultsothe2012MostWiredSurveyinHospitalsHealthNetworksmagazine.RoperSt.FrancisHealthcareuTheNeuro-SpineCenteratRoperSt.FrancisHealthcarewasnamedtoBeckersHealth101HospitalswithGreatNeuro-SpineProgramslist.TheNeuro-SpineCenterisalsoaBlueDistinctionCenterorSpineSurgery.CareChexalsoratedtheNeuro-SpineCenternumberthreeinthecountryin2012orqualityinbothspinalsurgeryandspinalusionprocedures.uTheBariatricandMetabolicServicesprogramatRoperSt.FrancisHealthcarehasbeennamedaBariatricSurgeryCenteroExcellencebytheAmericanSocietyorBariatricandMetabolicSurgery.uBeckersHealthidentifedRoperSt.FrancisHealthcareasoneothe61IntegratedHealthSystemstoKnow.uRoperSt.FrancisHealthcarewasincludedintheourthannualThomsonReuters100TopHospitals15TopHealthSystemslistinthesmallhealthsystemscategory.uTheStrokeCenteratRoperHospitalearnedtheAmericanHeartAssociationAmericanStrokeAssociationshighestrecognitionforexcellentstrokecaretheGetWithTheGuidelinesStrokeGoldPlusQualityAchievementAwardorthesecondconsecutiveyear.uBonSecoursSt.FrancisHospitalhasbeenlistedasoneotheThomsonReuters100TopHospitalsinthe100-249bedhospitalscategory.uBonSecoursSt.FrancisHospitalandRoperHospitalreceivedOutstandingPatientExperienceAwardsromHealthGrades.uRoperSt.FrancisHealthcarewasoneo12hospitalsnationwidetoreceiveanawardromtheCriticalCareSocietiesCollaborativeinpartnershipwiththeU.S.DepartmentoHealthandHumanServicesoritssuccessulandsustainedeortstopreventhealthcare-associatedinections. ETTINGREADYforHealthReformGBONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunity20TheHealthSystemsNewYorkBonSecoursCharityHealthSystemBonSecoursNewYorkHealthSystemMarylandBonSecoursBaltimoreHealthCorporationBonSecoursHealthSystemInc.VirginiaBonSecoursVirginiaHealthSystemHamptonRoadsBonSecoursVirginiaHealthSystemRichmondKentuckyBonSecoursKentuckyHealthSystemSouthCarolinaBonSecoursSt.FrancisHealthSystemRoperSt.FrancisHealthcareFloridaBonSecoursSt.PetersburgHealthSystemJointVentureTodayBonSecoursmorethan21000caregivershelppeopleintencommunitieswithinsixstatesoperating19acutecarehospitals10owned9jointventured1psychiatrichospital5nursingcarefacilities4assistedlivingfacilities6retirementcommunitiesseniorhousing14homecareandhospiceprovidersWorkingTogetherinMinistryOvertheyearscongregationsofreligioussistershavejoinedwiththeSistersofBonSecourstoexpandthehealingministryofJesusandtheCatholicChurch.InthesesituationstheSistersofBonSecoursandtheotherreligiouscongregationsareconsideredco-sponsorssharingsponsorshipresponsibilities.Todaytheseco-sponsoringcongregationsareBernardineSistersoftheThirdOrderofSt.Francis-NewportNewsVirginiaSistersofCharityofSt.ElizabethConventStationNewJersey-SuffernNewYork ETTINGREADYforHealthReformG21BONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityLucretiaM.McClenneyRetiredDirectorCenterorMinorityVeteransAlexandriaVirginiaSusanSandlundPartnerVeritasPartnersNewYorkNewYorkDonaldG.SeitzM.D.ChairpersonRetiredOrthopedicSurgeonRichmondVirginiaRichardSerafniRetiredCPAPartnerPonteVedraBeachFloridaMylesN.SheehanS.J.M.D.ProvincialSocietyofJesusofNewEnglandWatertownMassachusettsSisterMaryShimoC.B.S.DirectorofVolunteersBonSecoursHospitalBaltimoreMarylandRichardJ.StatutoPresidentandChieExecutiveOfcerBonSecoursHealthSystemMarriottsvilleMarylandSisterAliceTaloneC.B.S.SistersoBonSecoursMarriottsvilleMarylandCharlesH.BrownIIITaxDirectorEllinTuckerCharteredBaltimoreMarylandReginaM.ClitonRetiredHealthCareExecutivePinellasParkFloridaSisterPatriciaDowlingC.B.S.DirectorofVocationsSistersoBonSecours-USAMarriottsvilleMarylandSisterPatriciaA.EckC.B.S.ChairCongregationLeaderSistersoBonSecoursoParisMarriottsvilleMarylandBoardofDirectorsMembersBonSecoursMinistriesChrisAllenExecutiveDirectorCEODetroitWayneCountyHealthAuthorityDetroitMichiganRichardBlairRetiredChieFinancialOfcerBlaineMinnesotaSisterElaineDaviaC.B.S.DirectoroFormationSistersoBonSecoursMarriottsvilleMarylandMarciaDushPrincipalBuckConsultantsWashingtonD.C.ElderGrangerM.D.PresidentandCEOThe5PsLLCCentennialColoradoRogerHuangKennethR.MeyerProfessorandDepartmentChairDepartmentoFinance-UniversityofNotreDameNotreDameIndianaDavidJimenezRetiredHealthCareExecutiveSpringboroOhioGerardKellsRetiredHumanResourcesExecutiveSkillmanNewJerseyLaurieLafontaineVicePresidentFinanceandTreasuryAllinaHealthSystemMinneapolisMinnesotaBonSecoursHealthSystemInc.SisterRoseMarieJasinskiC.B.S.ViceChairCountryLeaderSistersoBonSecours-USAMarriottsvilleMarylandSisterAnneM.LutzC.B.S.TreasurerExecutiveVicePresidentSponsorshipBonSecoursHealthSystemInc.MarriottsvilleMarylandDonaldG.SeitzM.D.ChairpersonBoardoDirectorsBonSecoursHealthSystemInc.RichmondVirginia RespectCompassionJusticeIntegrityQualityInnovationStewardshipGrowth1505MarriottsvilleRoadMarriottsvilleMD21104www.bshsi.org