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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