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DRIVINGchangeANNUALREPORTTOTHECOMMUNITYFiscalYearEnding2013respectcompassionjusticeintegrityqualityinnovationstewardshipgrowth OurMissionTheMissionofBonSecoursHealthSystemistobringcompassiontohealthcareandtobeGoodHelptoThoseinNeedespeciallythosewhoarepooranddying.AsasystemofcaregiverswecommitourselvestohelpbringpeopleandcommunitiestohealthandwholenessaspartofthehealingministryofJesusChristandtheCatholicChurch.OurVisionInspiredbythehealingministryofJesusChristandtheCharismofBonSecoursAsapropheticCatholichealthministrywewillpartnerwithourcommunitiestocreateamorehumaneworldbuildhealthandsocialjusticeforallandprovideexceptionalvalueforthoseweserve. Deningauturewheretheonlyconstancyischangeisanopportunitytocometogetherasasystemocaregiversreneandarmourcommitmentsandworktowardscreatingamorehumaneworlddespitetheuncertaintyotheeconomyorothervariables.BonSecoursHealthSystemhasbeendrivingchangethroughinitiativeslikeClinicalTransormationandHealthyCommunitiesGoodHelpACOtobringpatient-centeredcareacrossallcaresettingsaStewardshipProgramthatlastyearsavedcloseto70millionsystem-wideandaCommunityInvestmentProgramthatputspeopletoworkbuildsschoolsandmakessaeafordablehousingavailable.Partnershipswhichplayamajorroleinoursuccesscomeromallsectorsincludinggovernmentbusinesseducationandthecommunitiesweserve.Thevariableshavinganimpactonhealthcareorganizationsaremanyandvaried.RegardlesswearesustainedbyourmissionandguidedbyourStrategicQualityPlan.Wehaveimplementedprogramsthatenhancequalityincreasecommunicationamongcareprovidersdecreasecostsimprovetheenvironmentandmakewholecommunitiesbetterplacestoliveandwork.Manyoourgoodworkshavegainedlocalandnationalrecognition.OurHealthyCommunityInitiativeshavebeenaheadothecurvebyhelpingbuildhealthiercommunitiesthroughsocialservicesjobsplacementsaeandafordablehousingaccesstonutritiousoodandeducation.Scoresopartnershipshelptomaketheseprogramssuccessul.RecentlytheBaltimoreBusinessJournalhighlightedBonSecoursHospitaloritscommitmenttocommunitybettermentcitingthehospitalasputtingallithasintoservicesmeanttoimproveitscommunity.InJanuary2013theCentersorMedicareandMedicaidServicesnamedGoodHelpACOasoneo106newAccountableCareOrganizationsnationwidetomanagetotalcareoraspecicpopulation.SixtythousandMedicareee-or-servicebeneciariesstandtobenetromthecoordinatedcareprogramsoferedthroughtheGoodHelpACOwithourphysicianpartnersandothersprovidingtherightcareattherighttimeintherightplace.Clinicaltransormationcontinuestodriveimprovementsinpatientcareandsaetyaswellasimproveeciencyandreducecosts.WehavebecomearecognizedleaderorourelectronicmedicalrecordEMRsystemBonSecoursConnectCare.ImplementationbeganevenbeoretheAmericanRecoveryandReinvestmentActsmandateorelectronichealthrecords.Oursuccessinlargepartisduetothestrongleadershipoclinicaloperationalandtechnologyteams.In2013weobservedthe30thanniversaryoBonSecoursHealthSystem.WearegrateultotheSistersoBonSecoursandBonSecoursMinistriesorgivingusthisvenueinwhichvaluesarenotjustproclaimedbutlivedeveryday.WealsothanktheBonSecoursHealthSystemBoardoDirectorsthehealthsystemleadershipandourdedicatedco-workers.YoumakeitpossibleorourhealthsystemtodrivechangeandulllourpromiseoGoodHelptoThoseinNeed.SincerelySr.PatriciaA.EckC.B.S.ChairpersonBoardofDirectorsBonSecoursMinistriesDrivingChangeinUncertainTimesDonaldG.SeitzM.D.ChairpersonBoardofDirectorsBonSecoursHealthSystemRichardJ.StatutoPresidentandCEOBonSecoursHealthSystemrespectcompassionjusticeintegrityqualityinnovationstewardshipgrowth StrategicQualityPlanBonSecoursHealthSystemsStrategicQualityPlanorSQPisaroadmapthatisrevisitedandredrawneverythreeyearstokeeppacewiththeevolvinghealthcareenvironmentandtokeepaithultoBonSecoursmissionandvalues.DevelopmentothenewFY2013-2015SQPbeganinNovember2011withbroadinputdrawnromeverycornerotheorganization.About6000employeesparticipatedthroughhuddlesdepartmentmeetingsandonlinesurveys.AshealthcarereormchangesthetraditionalwayodoingbusinessbyintroducingnewrequirementsandincentivesBonSecoursHealthSystemsabilitytoadaptandraiseitsleveloperormancebecomesextremelyimportant.Thishasbeendemonstratedoverthehealthsystems30-yearhistoryduringwhichgreatstrideshavebeenmadeinclinicalcareandsaetyintheengagementoemployeesphysicianspatientsandresidentsandinthecommitmenttomakingcommunitieshealthierineverysenseotheword.ThelatestSQPincludesanewgoalExpressOurCatholicIdentityinadditiontotheourgoalsthatwerepartothepreviousSQP.Thetimingispropitiousashealthcareorganizationsdefneauturewherethereisalackocleardirection.ForBonSecourstheuncertaintimespresentanopportunitytocometogetherasasystemocaregiverscommittedtohealingcompassionprovidingGoodHelpandcreatingamorehumaneworld.StrategicGoalsBonSecoursiscommittedtoaithullyrespondtoGodsgitocompassionhealingandliberationthroughtheollowingfvegoalsorFY2013-2015EnsureOurCareisExtraordinaryTransormOurHealthDeliveryBringOurCommunitiestoWholenessLiberateOurPeoplesPotentialExpressOurCatholicIdentityrespectcompassionjusticeintegrityqualityinnovationstewardshipgrowth 3DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMOurcommitmentsaretoprovidecomprehensivepatientresidentandfamilyeducationandensureourpatientsandresidentsreceiveanextraordinaryexperienceofcareandachievethebestoutcomespossible.ClinicalTransformationDrivingOutcomesBonSecoursHealthSystemsCenterorClinicalExcellenceandInnovationdrawsonexpertiseromthroughoutthesystemtoguideandacilitatetheworkoClinicalTransormation.TheintensebodyoworkassociatedwithClinicalTransormationmeasurablyimprovesqualitycreatesholisticpatient-andresident-centeredcareexperiencesandreduceshealthcarecostsbydecreasingwastevariationsincaredeliveryandsuppliesandserviceduplication.SincelaunchingtheClinicalTransormationinitiativein2007thehealthsystemhaswitnesseddramaticimprovementsonmanylevels.Hospital-acquiredsepsishasdroppedbyhaltheuseobloodoropen-heartsurgerypatientshasbeenreduced45percentbothinthenumberopatientsreceivingbloodandtheamountobloodusedandadecreaseinpressureulcersandrelatedinectionshasledtoimprovedhealthoutcomesandareductioninmortalityreadmissionsandcosts.EnsureOurCareIsExtraordinaryQualityofCareTheCenterorClinicalExcellenceandInnovationhasintegratedtheefortsomultiplegroupstodriveoutcomesorextraordinarypatientandresidentcare.TheseincludetheInstituteorNursingPracticeInstituteorPatientandResidentSaetyandInstituteorClinicalInormaticsandEvidence-BasedPracticeaswellasthehealthsystemsNursingCollaborativeandPhysicianCollaborativebothproessionalpracticeimprovementgroups.Thecenterworkscloselywithspecicdepartmentstoprovidebusiness-developmentandmarketsupportandguidanceonsystemsimplementationanduse.ThecenterespeciallyassistswithoptimizationotheelectronicmedicalrecordsupportedbyConnectCareoracuteambulatoryandphysicianpracticesPointClickCareorlong-term-careacilitiesandMcKessonHomecareorBonSecourshomehealthprograms.EightLearningCommunitiescomprisedointerdisciplinarymulti-acilitygroupsledbyachienursingocerchiemedicalocerandchienancialocerexisttoenhancecareinareassuchascardiacsurgerycriticalcareandmortalitysurgicalservicesandtheemergencydepartmentandtoreducemortalityhospitalreadmissionsandcostswhileimprovingengagementthroughimprovedcarecoordination.EachLearningCommunityissupportedbyateamoexpertsincludingaprojectmanagerclinicalvaluesupplychainanalystConnectCarerepresentativeandothersdependingonthesubjectmatter. 4DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMPalliativeCarePalliativecarecanbeprovidedtoanyoneoanyageandatanystageoanillnesswhethertheillnessiscurablechronicorliethreateningtorelievesymptomssuchaspainanxietyorlossoappetite.Itisappropriateorpatientsundergoingdicultmedicaltreatmentsorprocedureslikechemotherapyorsurgery.InFY2013BonSecoursHealthSystemsPalliativeCareCouncilbroughttogetherlocalsystemleadersinpalliativecaretocreateandimplementimprovementsinpalliationincludingearliersymptomsmanagementandchronicdiseasemanagementtoenhancethequalityolieorpatientsandtheiramilymembers.GettheShotNottheFluBonSecoursHealthSystemenactedafushotpolicyinFY2013asjustonemoresaeguardoremployeespatientsandresidentswhoarevulnerabletocontractandspreadthefu.TheseasonalinfuenzavaccineisnowrequiredorallBonSecoursemployeesaliatedmedicalstavolunteersandotherswhoworkinBonSecoursacilitiesincludingadultvolunteerscontractorsandvendorswhodobusinesswithBonSecoursHealthSystem.IndividualswhochoosenottogetthefuvaccinationarerequiredtowearasurgicalmaskatworkorthedurationothefuseasonwhenworkingatanyBonSecourspatientorresidentcareacility.MedicalRecordAdoptionModelEMRAMwhichisusedtotrackprogressathospitalsandhealthsystems.HIMSSrecognitionoBonSecoursambulatoryclinicsincluded107providersin31practicesprimaryandspecialtycarelocatedinBonSecoursVirginiaHealthSystemsRichmondandHamptonRoadscommunities.BonSecoursHealthSystemtwooitslocalsystemsBonSecoursSt.FrancisHealthSystemandBonSecoursVirginiaHealthSystemandoneBonSecourshospitalOurLadyoBelleonteHospitalachievedMostWiredstatusin2013.HospitalsHealthNetworksthefagshippublicationotheAmericanHospitalAssociationsponsorstheannualMostWiredSurveyconsideredbymanyasanindustry-standardbenchmarkstudythatmeasurestheleveloITadoptioninU.S.hospitalsandhealthsystems.BonSecoursConnectCareOnepatientonerecordisthevisionthatlaunchedBonSecoursConnectCarethehealthsystemselectronicmedicalrecordEMRsystemwhoserstgo-livetookplaceinJuly2008atBonSecoursSt.FrancisHealthSysteminGreenvilleSouthCarolina.TodayConnectCarehasbeenimplementedthroughoutBonSecoursHealthSystemsacutehospitalambulatoryandphysicianpracticesettings.InveyearsthehealthsystemhasbecomearecognizedleaderintheimplementationanduseotheEMRsystemitssuccessinlargepartduetothestrongleadershipoclinicaloperationalandtechnologyteams.HIMSSAnalyticsrecognizedBonSecoursinJuly2013asoneothersthealthsystemsinthenationtoachieveStage7EMRadoptionoritsphysiciansthehighestlevelontheElectronic respectcompassionjusticeintegrityqualityinnovationstewardshipgrowth 6DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMManagingPatientPrivacyintheElectronicEraMandatedbytheederalgovernmentinthe2010PatientProtectionandAfordableCareActelectronichealthrecordsareheretostay.Sotooisthecontinuousquestorinormationsecurityandpatientprivacy.ManagingpatientprivacyandsecurityisatoppriorityorBonSecoursHealthSystemwhoseCodeoConductcontainsasectiononmaintainingcondentialityincludingthecondentialityandprivacyoprotectedhealthinormationasgovernedbytheHealthInormationPortabilityandAccountabilityActHIPAAo1996.BonSecoursemployeesreceiveavarietyoin-personandonlinetrainingprogramsreinorcingtherequirementsandmoretargetedefortshavebeenmaderegardingimprovementstobusinessprocesses.DrivingNursingandPhysicianExcellencethroughCollaborationIntodayshealthcareenvironmentexcellencecannotexistwithoutcollaboration.BonSecoursCenterorClinicalExcellenceandInnovationoverseesandsupportstheevolvingworkonumerouscollaborativegroupssystem-wideincludingtheNursingCollaborativeandPhysicianCollaborativewhoseoverlappingefortsareinvestedinimprovingqualityocarethroughtheirjointanddiscipline-speciceforts.ThecenterutilizestheClinicalCollaborativeClinicalInormaticsPartnershipandmulti-disciplinaryLearningCommunitiestoidentiyandimplementareasorimprovement.System-wideimprovementsinnursingpracticeexcellencetakeplacethroughalabyrinthoactivitiesandleadtoacknowledgementssuchasMagnetrecognitionandPathwaytoExcellencedesignationromtheAmericanNursesCredentialingCenter.BonSecourshospitalshaveeitherachievedtheserecognitionsortheyareworkingtowardthem.BonSecoursVirginianursingleadersarealsoseekingtheNursesImprovingCareorHealthsystemEldersNICHEdesignationateachotheBonSecoursVirginiahospitalstorecognizeefortstoimprovethequalityocareprovidedtoolderadultpatients.InFY2013specicareasoimprovementledbynursingleaderssystem-wideincludedpalliativecareandpressureulcerprevention.PhysiciansexpandedtheirocusinFY2013toexaminetheentirecontinuumocarelookingatthewayindividualsexperienceBonSecoursateverypointocareandhowproviderstransitionpatients.Theirgoalissmoothseamlesstransitionsutilizingtechnologyandthecoordinatedcaredeliverysystemthatnursingandphysicianleadershavebeenworkingtodevelopandexecute.CriticalareasoocusorthePhysicianCollaborativeincludedreducingmortalitybyimprovingtheidenticationandtreatmentosepsispatientstreatingchronicdiseasesandappropriatelytransitioningpatientstopalliativecareandhospicecare. 7DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMCaringforSeniorsThecomplexityocaringorseniorsastheyageledBonSecoursHealthSystemtoembarkonasystem-wideinitiativeinFY2013todevelopabroad-basedseniorservicesstrategicplan.TheoundationothisworkwillprovidethehealthsystemwithanunderstandingosignicantissuessuchasseniorsperceptionsoagingtheinfuenceoBabyBoomershousingandseniorserviceorganizationmodelsandmore.Becauseseniorsvulnerabilityincreaseswithagingcoordinatedcareamongallprovidersisessentialorqualityandcarecontinuity.TothisendBonSecoursocusisonprovidingcoordinatedseamlesstransitionsromonecaresettingtoanotherwhetherhospitalsambulatoryservicecentersskillednursingacilitiesassistedlivingacilitieshomecareormedicalgrouppractices.TheBonSecoursGoodHelpACOorexampleoersCompassionateCareTransitionsoCareandComplexCareManagementprogramsinwhichaNurseCareManagercoordinatesthecareacrossthecontinuumorMedicareee-or-servicebeneciariesintheACO. respectcompassionjusticeintegrityqualityinnovationstewardshipgrowth 9DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMGoodHelpACOPartnersinAccountableCareOnJanuary102013GoodHelpACOwasselectedasoneo106newAccountableCareOrganizationsnationwidebytheCentersorMedicareandMedicaidServicesCMS.AnewelementinBonSecoursministryGoodHelpACOrepresentsanewmodelocaredeliveryintendedtomanagethehealthopopulationsthroughnetworksoproviderswhilebringingcommunitiestowholeness.Directedto60000Medicareee-or-servicebenefciariesGoodHelpACOacilitatescooperationamonghealthcareproviderswhileassistingbenefciariesinnavigatingthehealthcaresystemwithintheollowingBonSecourslocalsystemsBonSecoursBaltimoreBonSecoursCharityBonSecoursKentuckyBonSecoursSt.FrancisandBonSecoursVirginia.IncludedintheGoodHelpACOgroupisSt.ClaireRegionalMedicalCenterinMoreheadKentuckywhichissponsoredbytheSistersoNotreDame.GoodStewardshipLeadstoSavingsBonSecoursHealthSystemsStewardshipProgramachievedanimpressive63.8millioninrevenueimprovementsandexpensereductionsinFY2013130millioninoperationalimprovementshavebeenconfrmedsincetheprogramstartedinSeptember2011.Signifcantfnancialandqualityimprovementshavebeenachievedbythe22initiativeteams.TheStewardshipSteeringCommitteehastargeted45millioninimprovementsorFY2014.TransormOurHealthDeliveryBonSecoursoffersamulti-disciplinaryapproachonethatutilizesallclinicaldisciplinesacrossthecontinuumofcarethatintegratesourservicesofwellnessandpreventionmedicalhomesemergencyhomecareassistedlivingandacuteandlongtermcareservices.Ourinnovativetechnologyandqualitycompassionatecareareinplacetoprovidetreatmentandpatientresidentandfamilyeducationacrossthecontinuumofcare. 10DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMPreparingforICD-10CodingOnOctober12014akeyelementothedataoundationotheUnitedStateshealthcaresystemwillundergoamajortransormationtransitioningromtheoutdatedNinthEditionotheInternationalClassicationoDiseasesICD-9setodiagnosisandinpatientprocedurecodestoavastlylargermuchmoredetailedTenthEditionothecodesetsorICD-10usedbymostdevelopedcountriesthroughouttheworld.Theregulationsareintendedtoacilitatethetransitiontoelectronichealthrecords.OriginallyscheduledorimplementationonOctober12013themandatewasdelayedoneyear.ForthreeyearsBonSecoursHealthSystemhasbeenworkingtoimplementthismassivechangeinthecodingsystemwhichwillimpactallacilitiesthatusehealthcareinormationcontainingadiagnosisorinpatientprocedurecode.EachlocalsystemhasassembledanICD-10TransitionOversightTeamandisnowworkingtoensurereadinessorthego-livedateoOctober12014.FiscalYear2013FinancialsForthescalyearendedAugust312013BonSecoursHealthSystemreportedoperatingincomeo123.9milliona3.7operatingmargin.TheseresultswereimprovedromtheprioryearendedAugust312012whichhadoperatingincomeo118.0millionalsoa3.7operatingmargin.Theresultsorscalyear2012includeda16.7millionMedicareBudgetNeutralitySettlement.Operationallyacuteinpatientvolumesasmeasuredbyadjusteddischargeswere4.0belowthepriorscalyearandthemixwasmoremedicalthansurgical.Outpatientsurgicalvolumeswerealsobelowthepriorscalyearby2.8.TheconsolidatedbalancesheetasoAugust312013indicatedassetso3.2billionexceededliabilitieso2.1billionoratotalnetassetpositiono1.1billionascomparedto843.5millionatAugust312011.TotalnetassetpositionisavorabletoprioryearduetothepositiveOperatingIncome123.9millionTotalNetRevenue3.4billionAcuteDischarges127509AdjustedDischarges296589TotalCommunityBenetDollars296.0millionpensionliabilityadjustmento171millioninadditiontotheavorableoperatingmargin.Totalunrestrictedcashandinvestmentswere1087.8millionrepresenting128.2daysodailycashoperatingexpenseswhichisavorabletothe110daysromtheprioryear.Thedebt-to-capitalizationratioo47.6improvedcomparedtothescalyear2012ratioo57.0andissignicantlylessthandebtcovenantrequirementso65.0.Investmentreturnsnishedtheyearpositivelywithgainso78.0milliona6.3returncomparedtolastyearsgainso54.6milliona4.8return.Thecapitalmarketscontinuetohavevolatilitywithinterestratesondebtcontinuingtodecrease.InDecember2012FitchStandardPoorsandMoodysafrmedtheSystemsbondratingsatA-A-andA3respectivelyallwithstableoutlooks.BonSecoursHealthSystempresentedscalyear2013perormancetotheRatingAgenciesinNovember2013. 11DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMBringOurCommunitiestoWholenessHealthyCommunityInitiativesDeliverGoodHelpFouryearsagoBonSecoursHealthSystemlaunchedaHealthyCommunityInitiativeoundedonlong-termcollaborativerelationshipsineachoitseightlocalsystems.TheseinitiativesmanyundedbytheBonSecoursMissionFundandBonSecourslocalsystemoundationshavebroughttogetherindividualsandorganizationswhosemissionisholistichealthandqualityolie.InFY2013HealthyCommunityInitiativesincludedthreearmersmarketsourcommunitygardensthreewalkingtrailsthreemobilehealthprogramsandseveralprogramstoengageteenageyouth.Someotheseprogramsarehighlightedbelow.Ourorganizationreachesbeyondtheboundaryofgoodhelptoindividualstointegratewiththelifeofthebroadercommunitytobringpeopletohealthandwholeness.AtBonSecoursweworkwithourcommunityleadersneighborsandotherexistingresourceswithineachlocalsystemtoreachandserveat-riskpopulations.Oneexcellentexampleisoureffortinseveralcommunitiestomakesafeaffordablehousingmoreaccessible.HealthyFoodInitiativesservemultiplepurposesincludingjobscreation.InNewYorkhealthyreshruitsandvegetablesarenowavailabletounderservedcommunitiesinBronxCommunityBoardNo.8thankstonumerouscommunitypartnershelpingtoincreasetheavailabilityohealthyproduceatcornerstoresandinaseparateprogramengagingyoungresidentsinlearningaboutgardeningwhiledevelopingentrepreneurialskills.InthecommunityoSterlinginGreenvilleSouthCarolinaeightraisedgardenbedsprovideacommunityocusorphysicalnutritionalsocialeducationalandemotionalwellbeingwhilepromotingenvironmentalsustainability.AndinBaltimoreCityBonSecoursBaltimoreanditscommunitypartnershaveconvertedrun-downpropertiesintogardenswhileengagingadultsandyouthsinnew-skilldevelopmentandjobs-creationprograms.BonSecoursVanMinistryagatewaytoacontinuumocareorthousandsomedicallyunderservedindividualscontinuestodeliverGoodHelpindieringwaystocommunitiesromNewYorktoKentucky.BonSecoursVirginiasRichmondandHamptonRoadsCare-A-Vanunitsoperatemobilehealthservicesintheirrespectivecommunitiesprovidinghealthscreeningsvaccinationsschool-relatedphysicalsexaminationsandtreatmentosickuninsuredpatients.AnewMobileLearningKitchenwasaddedtothefeetinFY2013toeducatecommunitiesaboutwholesomeeatingandliestylediseasepreventionandchronicdiseasemanagement.InGreenvilleSouthCarolinatheBonSecoursSt.FrancisHealthSystemMobileDentalUnithasexpandedalmostexponentiallysinceitslaunchin2006establishingaprogramwithnumerouspartnerstobringdentalcaretothousandsoindividualschildrenandadultswhootherwisemightnotreceivedentalcare.OurLadyoBelleonteHospitalinAshlandKentuckyusesvanstoserveitsruralcommunitieswherealackotransportationpresentsamajorbarriertoaccessingdoctorsclinicsandoutpatientservices.BydayBonSecoursKentuckysVanMinistryshuttlescommunityresidentstoandromappointmentswithina25-mileradius.ByeveningthesevehiclesdeliverreediabetestestingCPRclassesandmoretoministertotheneedy. 12DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMDrivingChangeinSouthwestBaltimoreFormorethan20yearsBonSecoursCommunityWorksormerlytheBonSecoursoMarylandFoundationpartoBonSecoursBaltimoreHealthSystemhasbeenbringinggoodhelptoSouthwestBaltimoreacommunitywherecrimeishighincomesarelowandtheneedorhealthandsocialservicesisgreat.Anon-protorganizationCommunityWorkspartnerswithnumerouscommunityorganizationstorevitalizetheneighborhoodssurroundingBonSecoursHospitalthersthospitalsponsoredbytheSistersoBonSecours.Itsprogramsexisttobuildhealthiercommunitiesthroughsaeandafordablehousingeconomicdevelopmentconnectionstohealthandsocialservicescareerdevelopmentenvironmentalcleanuparmersmarketsandmore.EcologicalStewardshipRecognizedBonSecoursHealthSystemsEcologicalStewardshipprogramwhichcompleteditssecondyearinFY2013continuestoimplementsustainableactivitiesafectingtheEarththroughlocalsystemgreenprogramsandsystem-levelcommitments.Nineteenteamshavecontributedtotheworkoredesigningandimplementingchangesacrossthehealthsystem.Thesechangesenablegreatersystemnesshighereciencylowercostsandenhancedqualityallwhilepromotingecologicalawarenessanduturesuccess.ArespectedecologicalstewardBonSecourshasbeenrecognizedorachievementsinareasoregulatedmedicalwastewastemanagementrecyclingenergyconservationandenvironmentallypreerredpurchasing.ItswastemanagementprogramhasbeenparticularlysuccessulwithBonSecoursreceivingnationalawardsorBestinClassperormanceorrecycling35percentoallwasteandreductionohazardousred-bagwasteincommunitylandlls5percentototalwaste.Thehealthsystemsaved2millionthroughenergyconservationinFY2013andiscreditedwithreducinggreenhousegasemissionsromenergyconsumedandgeneratedby2percent.ForthethirdyearBonSecoursHealthSystemreceivedPracticeGreenhealthsSystemorChangeAwardorimprovingenvironmentalperormanceanddedicationtoahigherstandardosustainability.Localhealthsystemsandacilitieswererecognizedaswellortheirecologicalstewardship. 13DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMGlobalMinistriesBringsAidtoMostVulnerableSpanningveyearsandwiththehelpovariouspartnersBonSecoursHealthSystemhasextendeditsoutreachtoprovidepublichealthprogramssupportemergencyrelieefortsandimproveclinicalandcommunity-basedhealthcaretovulnerablepeopleinseveralareasaroundtheglobe.From2008to2012BonSecoursGlobalMinistriesreachedoutto42000peoplewithcontributionsomorethan1.1million.InFY2013alonethisoutreachpositivelyimpactedanother23000beneciariesinPeruHaitiSouthSudantheCentralAricanRepublicandtheUnitedStateswithcontributionsexceeding580000.ImprovingthehealthowomenandchildrenisoneoGlobalMinistriescoreprograms.InLatinAmericawherematernalandchilddeathratesareunacceptablyhighBonSecoursanditsin-countrypartnersinPeruandHaitihavebeenabletoreachmarginalizedcommunitiesandimprovethehealthounderservedwomenandchildren.TakingCareoYouDuringtheFirst1000DaysisaprograminPeruthatispartoUnitedAgainstChildMortalitywhichaimstoimprovethehealthandnutritionopregnantwomenandchildrenunderveyearsold.TheCatholicMedicalMissionBoardleadstheprogramwithkeycollaborationromtheSistersoBonSecoursinPeruBonSecoursHealthSystemCHRISTUSHealthandthePeruvianMinistryoHealth.Beneciariesinclude600womenchildrenandcommunityhealthworkerswholiveinthemarginalizedgeographicareasoTrujilloandHuancayowheretheSistersoBonSecourshaveactiveministries.InHaitiBonSecoursHealthSystemsin-countrypartnerMidwivesorHaitidevelopedanefectivestrategytoreducematernalmortalitytrainingmidwivestoexpandthenumberoskilledbirthattendants.InFY2013MidwivesorHaitigraduatedovertenmidwivesandconductedclinicalmobileservicesbenetingover3000patients.Itsmobileprenatalclinicvisits16villageseachmonthprovidingpregnantwomenwithhealthevaluationsphysicalexamsironsupplementstreatmentorintestinalwormsandtestingorsexuallytransmitteddiseasesandmalaria.High-riskcasesareidentiedandcriticalpatientsarereerredortransporteddirectlytohospitals. respectcompassionjusticeintegrityqualityinnovationstewardshipgrowth 15DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMCommunityBeneftsForthescalyearendingAugust312013BonSecoursHealthSystemprovidedover296millionincommunitybenetservicesandcommunitybuildingactivitiesatacostwellinexcessothevalueoitspotentialtaxobligation.FiscalYearEndedAugust312013ThousandsofDollarsCharityCareatcost151066GovernmentSponsoredHealthCarenetexpense84384AllOtherCommunityBeneftServicesnetexpenseCommunityHealthImprovementServicesandCommunityBenetOperations23472HealthProessionsEducation15264SubsidizedHealthServices11460Research22FinancialandIn-KindContributions10342TotalAllOtherCommunityBeneftServices60560TotalQuantifableCommunityBeneftServices296010CommunityInvestmentProgramEstablishedinFY2009theBonSecoursHealthSystemCommunityInvestmentProgrammakesinvestmentsthroughnancialintermediarieswiththepurposeocreatingjobsandaordablehousingprovidingnecessaryinrastructureandmicronanceloansandoeringotherbenecialeconomicactivities.InFY2013BonSecourscommittedanother3.25milliontotheprogrammakingitsinvestmenttotal15.825millionthroughlow-interestloansto16organizationsacrosseightlocalsystemscommunitiesaswellascommunitiesinthenationsoPeruHaitiandSouthArica.Theour-yearannualreturnonthisinvestmentis2.3percent.Theprogramssocialreturnismeasuredbyitsimpactoncommunitydevelopmentsuchasjobscreatedschoolsbuilthousingunitsmadeavailableandbenetsservingthecommunities.Theprogramexpectstohave18millioninvestedbytheendoFY2014.BonSecoursHealthSystemMissionFundFourteengrantstotaling682500arebringinggoodhelptotheneedyinBonSecourscommunitiesromNewYorktoFlorida.ThegrantswereawardedinFY2013throughtheBonSecoursHealthSystemMissionFundestablishedin1999tohelpBonSecourslocalsystemsaddressneedsothepoorandunderservedinitscommunities.FromitsinceptionthespecialundhasbeenacatalystorextendingBonSecoursmissiontoimprovethehealthandwellbeingocommunitiesholisticallyandindividualbyindividual.Over15yearstheMissionFundhasosteredscoresoinnovativeprogramsinconjunctionwithBonSecourspartnersandriends.Inmanycasestheseedmoneyprovidedbytheundhasallowedprogramstofourishandsucceed. 16DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMBonSecoursHealthSystemMissionFundBonSecoursCharityFoundationCommunityGardensPhase467500BonSecoursRichmondHealthSystemTheLearningKitchen85000BonSecoursCommunityWorksBaltimoreWorkingFamiliesInitiative85000BonSecoursSt.PetersburgHealthSystemHCICollaborationGrants85000BonSecoursKentuckyHealthSystemIrontonCommunityProject43000BonSecoursNewYorkHealthSystemHealthyLivingHealthyCommunities85000BonSecoursHamptonRoadsHealthSystemHopeCityNewportNewsHealthyCommunities30075CongestiveHeartFailure12-StepProgram20550LetsGetReal30000FamilyFocus4375BonSecoursSt.FrancisHealthSystemBilingualRegisteredNurseforCommunityOutreach35000NursePractitionerforFreeClinic50000BonSecoursKentuckyHealthSystemHealthyChoicesKentucky42000RoperSt.FrancisHospitalFoundationHopeHousing20000TotalGrantDollarsAwarded682500BonSecoursCommunityGrantFundforSouthwestFloridaTheBonSecoursCommunityGrantFundforSouthwestFloridaprovidesgrantstothecommunitiesofPeaceRiverRegionalMedicalCenterinCharlotteCountyandthecommunitiesofVeniceRegionalMedicalCenterinsouthSarasota.ThefundwasestablishedwhenBonSecoursHealthSystemsolditshealthcarefacilitiesinthosecommunities.InFY2013theBonSecoursHealthSystemCommunityGrantFundforSouthwestFloridaawarded250000through12grantsinthecommunitiesofPortCharlotteandVeniceFlorida. 17DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMPeaceRiverCharlotteCountyGrantsCharlotteCountyHealthyStartCoalitionInc.PrenatalCareforUninsuredWomen15000CharlotteCountyYMCAKidsinMotion12500CharlotteCountyHomelessCoalitionCapacityBuildingandDevelopment41250PregnancyCrisisCarelineSupportforPregnantWomen11250VirginiaB.AndesVolunteerCommunityClinicInformationTechnologyGrant41250TotalGrantsFunded121250VeniceSarasotaCountyGrantsCatholicCharitiesDioceseofVeniceOurMothersHouse20000HabitatforHumanityBuildingHomesChangingLives12500TheHealthSupportNetworkSouthCountySupportGroup20000TheCommunityPharmacyPrescriptionsforUninsured21500BigBrotherBigSisteroftheSunCoastGatewaytoSuccess15000LovelandCenterPhaseIIHolisticCare22500SeniorFriendshipCenterCenterforHealthyAging15000TotalGrantsFunded126500 respectcompassionjusticeintegrityqualityinnovationstewardshipgrowth 19DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMEmployeeHealthandWellbeingGoodHelptoThoseinNeedstartsathomewithhealthyemployeesandcaregivers.TheBonSecoursMedicalPlancontinuestoemphasizeaccesstomedicalcoverageorallitsemployeesandamilyincludinglegallydomiciledadultsandchildreninthehomesoitsemployees.HelpingemployeestoadopthealthierliestyleswhetherquittingsmokinglosingexcessweightordevelopinganexerciseroutineispartoanoverallinitiativetoenhancethehealthandwellbeingoBonSecoursemployees.TothisendinFY2013eachlocalsystemaddedprogramstoeducateemployeesandengagetheminopportunitiestoaddresshealthchallengestheymaybeacing.EmployeeswhoparticipateintheBonSecoursMedicalPlanareeligibletoearnupto900inwellnesscreditsthroughtheHealthyMeHealthyYouLiberateOurPeoplesPotentialemployeewellnessinitiative.Additionalincentiveprogramsareinplaceornon-participantsinthehealthplan.BonSecoursHealthSystemhasseveralprogramsinplacetoInallourinteractionswestrivetocreateanenvironmentthatinvitesthebestineachofusandallthosewetouchtojoinourministrytocreateamorehumaneworldbuildhealthiercommunitiesandintegrateandprovidethebestcare.Insupportofthiswefactorinouremployeespersonalwellbeinginbodymindandspirit.Westrivetopositivelyengageemployeesintheservicesweprovideenablingthemtobethehealthyvaluedproductivepeopletheydesiretobe.supportemployeesinentry-levelandlower-payingjobs.InFY2013thejustwageoreachlocalsystemwasincreasedbyanaverageo3percentwith349employeesreceivingpayincreasestoreachthenewjustwage.Somelow-incomeemployeesareeligibletoreceiveasubsidytowardtheirhealthinsurancepremiums.InadditionthehealthsystemhaspartneredwiththeBonSecoursMissionFundtoprovideneeds-basedgrantstoimprovethehealthandwellbeingoemployeeswhoareeligibleorthejustwage.TheBonSecoursBoardoDirectorsinFY2013approved5millionortheMissionFundtoprovideassistancetoemployeesintimesofnancialhardship. 20DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMEmployeePatientandPhysicianEngagementAnoutstandingworkorcecorrelatestohighmarksinemployeepatientandphysicianengagement.BonSecoursHealthSystemmadestridesinallthreecategoriesinFY2013.ForthesecondconsecutiveyearGalluprecognizedBonSecourswithitscovetedGreatWorkplaceAwardwhichisbasedonmultiplecriteriaincludingoverallemployeeengagement.Theawardwaspresentedtoonly32organizationsworldwidein2013.BonSecoursHealthSystemmaintainsitsocusonensuringthatemployeesareengagedintheirwork.In2006employeeengagementwasataGrandMeano3.86andnursingengagementwas3.75.In2012justsixyearslaterateranall-outeforttochangethecultureoengagementatBonSecoursemployeeengagementhasreached4.34andnursingengagementisat4.31.Theseimpressivescoreswouldmeanlittleitheywerenotassociatedwithdramaticimprovementsintheorganizationsphysicianandpatientengagementandclinicalandnancialindicators.Physicianengagementhasexceeded4.0orthepastthreeyearsandpatientengagementhasalsoreachedhighlevelsorthethreeyearssince2010.Employeeturnoverhasdroppedrom21.0to13.2.Clinicalindicatorshaveshownadramaticimprovementinqualityandthesystemsnancialperormanceisatitshighestlevelinyears. respectcompassionjusticeintegrityqualityinnovationstewardshipgrowth 22DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMEducationandTrainingTheBonSecoursInstitutesupportsBonSecoursleadershipcareeranddevelopmentinitiatives.IntheareaoclinicallearningtheBonSecoursInstituteprovidesdesignconsultationanddeliverytosupportidentieddevelopmentopportunitiesspecicallybuildingonlinenancemodulesornurseleadersdevelopinganonlinepalliativecarecurriculumoferingFacilitativeLeadershiporchienurseexecutivesandtheirnurseleaderteamsandhelpingtobuildchangecapabilityworkingwithotherteamsonkeyclinicalinitiatives.TheInstitutealsoprovidessupportorlocalsystemConnectCareimplementationsandothersignicantsystem-wideprojectssuchasthetransitionromICD-9toICD-10coding.ParticipationintheFacilitativeLeadershipprogramisrequiredoallseniorandexecutiveleadersandavailabletoothers.IntegratingtheCharismoBonSecoursandBonSecoursvaluestheprogrampresentssevenleadershippracticesandpracticaltoolstoleadwithcompassionjusticeandintegrity.Ongoingreinorcementothecourseworkissupportedthroughmonthlycommunitiesopracticewebinarsorthe1225BonSecoursgraduatesotheprogram.InadditionacadreoFacilitativeLeadershipcoachesisbeingassembledwithineachlocalsystemtosupportemploymentretentionandcontinuedlearning. InBonSecoursweknowthatourworkexpressesthehealingministryoChrist.AstrongandvibrantCatholicidentityinourinstitutionensuresthateverythingwesayanddoisareectionoaithulnesstothevaluesthatareuniquetoourtradition.Withinhumansueringcanbeoundasavinggracewhenpeoplewhoareinspiredmakethemselvesullypresenttothosewhoaresuering.ForthepeopleoBonSecourscompassionreachesbeyondjustempathyandimpelsustotakeactiononthesueringoothers.CatholicidentityshinesorthintheollowingdeenseotheunbornandcompassionatecareothedyingcommitmenttocaringorthewholepersonbodymindandspiritsocialresponsibilitytocareorthosewhoarepoororwithoutsufcientmeansandaithulnesstotheEthicalandReligiousDirectivesorCatholicHealthCareServices.ExpressOurCatholicIdentity 24DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMBonSecoursHealthSystemCelebrates30YearsTheSistersoBonSecourscreatedBonSecoursHealthSystem30yearsagoin1983.Butthehealthsystemsstoryreallystartsbeoretheninthelate1960swhentheSistersoBonSecoursknewthattheyneededtostrengthentheirsenseomissionandidentityortheirhealthcareacilitiestocontinuetosucceed.Throughoutthe1970sthesistershealthcareacilitiesbeganworkingtogethertoestablishprioritiesandshareresourcesandpersonnel.OnJuly11983BonSecoursHealthSystemwasormedwithheadquartersinBaltimoreMarylandlatermovingtoColumbiaandthenMarriottsvilleMaryland.Atthattimeitoperatedouracute-careacilitiesandonenursinghomeinMarylandVirginiaFloridaMichiganandMassachusetts.Thesistersremainedinvolvedinthenewhealthsystemandplayedstrategicgovernancerolesonthehealthsystemlevelaswellasservingassisterpresidentsolocalsystemboards.CatholicIdentityandtheCenterforMinistryLeadershipTheCenterorMinistryLeadershipistheresourcecenterorministryormationatBonSecoursHealthSystemprovidingprogramsandprocessesorleadersthatempowercompetentandconfdentministryleadersinthelocalsystems.ThecenterhasdevelopedandacilitatednumerousCatholicministryormationandleadershipprogramsontopicsgroundedinCatholichealthcaretraditionsethicsandthehistoricexampleotheFrenchsistersseekingtohelpthepoorsickanddisenranchisedaroundtheworld.InobservanceoBonSecoursHealthSystems30-yearanniversarytheCenterorMinistryLeadershiptooktheopportunitytoexpandministryormationtoallemployeesthroughamonthlynewslettertracingthehistoryothesisterstheCharismoBonSecourstheroleotheSponsorandpracticalinormationonsystemresourcesandprocesses.Throughacquisitionsandjointventureswithotherreligiousandnon-sectarianorganizationsthesystemhasaddedmanyacilitiesmostlyalongtheeasternseaboard.Between1983and2006thesisterswerethesolesponsorsorBonSecoursHealthSystem.In2006theVaticanapprovedtheormationoBonSecoursMinistriesasthesponsoroBonSecoursHealthSystem.ThenewmodelenablessharedsponsorshipwithlayministryleaderswhoseroleassponsorshelpstoensurethecontinuanceothesistersCatholichealthministry.OvertheyearsothercongregationsoreligiouswomenjoinedwiththeSistersoBonSecourstoexpandthehealingministryotheCatholicChurch.Todaytheseco-sponsoringcongregationsaretheBernardineSistersotheThirdOrderoSt.FrancisNewportNewsVirginiaandtheSistersoCharityoSt.ElizabethConventStationNewJersey.IwassittinginorientationmyseconddayatBonSecourswhentheMissionLeaderaspartoherpresentationsaidthewordsYouarenotherebyaccidentyouarecalledtobehereservinginthisministry.ThatwaseightyearsagoandIcanstillrememberthestrongconnectionIelttothatstatementthenandthestrongconnectionIstilleeltoday.MyjourneywithBonSecourshasbeenonewithaDECEMBER2012YouAreNotHerebyAccidentA30-yearcelebrationithasgonebysoquicklyIn1983IwaslivinginRichmondVirginiaandministeringasahomehealthnursewiththenewly-bornHomeHealthServiceoSt.MarysHospital.ItwasanexcitingtimeormeandorthoseouswhowerepartothecreationoandtheearlydaysoSt.Maryshomehealth.InthosedaysIhadotendreamedoandwonderedwhathomenursingwouldbelikesowhenSt.Marysbeganponderingthedevelopmentoonearound1979-1980Itranserredromthehospitalandbecamepartoasmallteamthatbeganitsdesign.Wewrotepoliciesproceduresandguidelines.OneyearlaterIbecamepartothenursingstaandoraboutthenextveyearsIhadoneothemostmeaningulandincrediblyhumblingexperiencesomynursingcareer.Beingonthepatientsturratherthanthepatientbeinginourhospitalwasasignicantbutimportantchangeormeasanurseanditchangedmyapproachtonursingromthenon.Laterinthe1990swhenIdidhospicenursinginBaltimoreIdrewuponmanyotheseearlierexperiences.InactitsairtosaythattheexperienceshaveinfuencedmostowhatIhavedoneasaSisteroBonSecourssincethenwhetheradministrationgovernancesponsorshipandnowleadershipwithintheSistersoBonSecours.Overthese30yearsIhavealsobecomeincreasinglyandconsistentlyawareothecommitmentanddedicationoourco-workerstothemissionandministryoBonSecours.AsaSisteroBonSecoursitllsmewithgreathopethatthisministryoundedover188yearsagohasavibrantuturebecauseothat.ItistheinspirationbehindthishaikuthatIwroteaewyearsagobutstillholdsmeaningormeintermsoourutureCare-drenchedrootssproutingperennialirisbulbsbearingourfutureHealingLiberationCompassion...at30faithfullyrespondingtoGodsgiftfaithfullyrespondingtoGodsgiftfaithfullyrespondingtoGodsgiftBySisterRoseMarieJasinskiCBSCountryLeaderSistersofBonSecoursU.S.A.ByCharmaineRochesterVicePresidentFinanceBonSecoursHamptonRoadsHealthSystemHomeNursingSoIncrediblyHumblingInspiringFuturestrongsenseocallingtoserveinthisministry.MycorevaluesalignstronglywiththevaluesotheBonSecoursandthatservestouelmypassionortheministry.WhenIgottheopportunitytoparticipateinMinistryLeadershipFormationMLFasamemberoCohortIVitaddedevenmoresignicancetothecalltoserve.ThroughtheMLFjourneyIgotagreaterappreciationortheprinciplesuponwhichtheministrywasoundedandthelegacythatisoursasleaderstoperpetuate.AsservantleaderstheSistersoBonSecoursOurSponsorwereocusedonmakingadierenceorthoseonthemarginsosocietyandwerenotthwartedbychallengesoradversity.Servantleadersdonotseektheirownrewardbutinsteadseektousetheirpowerandinfuencetochangetheirworldorthebetter.TheMLFjourneyhelpedmetoappreciatethatasleadersintheministrywehavethesamecallingtobeadvocatesandpropheticvoicesinhealthcaretoday.AsaFinanceproessionalIamnotindirectcontactwithourpatientsandresidentsbutasIwalkthehallwaysothehospitalsandnursinghomesIcanseethegreatworkwearedoingandIhearthestoriesocompassioncaringandIamdeeplyencouraged.TheworkotheministryinvolvesmanydierenthandsandacesandIamgrateultobeservingalongsideotherswiththesamesenseocallingandcommitmenttotheministry.DeepeningourSpiritualityForhuddlesorjournalingWhatdoyoufrstrememberaboutcomingtoworkoraCatholicHealthMinistryAquestionforhuddlesorjournalingHowdoyouknowyouhavebeencalledintothisministryIn1824aterthedevastationotheFrenchRevolutiontwelveSpirit-ledwomencametogethertoormtheCongregationoBonSecoursoParis.Theyletbehindthesecurityothecloistertonursethesickanddyingintheirhomes.DecadeslaterMrs.WhedbeeanAmericanvisitingParisellillandreceivedthehealingministriesoaSisteroBonSecourswhospokeEnglish.ReturningtoMarylandMr.andMrs.WhedbeewithseveralphysiciansimpresseduponArchbishopGibbonsthegoodhelpthatcouldbeaordedBaltimorebytheSistersoBonSecoursinwhomtheywouldfndsomeintelligenthelportheirsickpeople.In1881theSistersoBonSecourscrossedtheAtlantictoestablishtheirfrstministryintheUnitedStates.ThethreechosentobeginthenewmissionwereSistersSt.FerdinandDomitilleandFlavie.AllspokeEnglishthelanguageothepeopletheyweregoingtoaid.SisterSt.FerdinandaBretonhadrecentlyrecoveredromapersonalillnessandwasservinginLondonwhenshereceivedhernewassignment.SistersDomitilleandFlaviewereministeringinCork.Eachwonderedatbeingchosenorthetask.Sr.DomitilleconsideredhersellikeamuleandSr.FlaviewroteMotherGeneralIwasastonishedthatyourchoiceorsuchanimportantundertakingshouldalluponme.AllthreeacceptedtheassignmentnotingGodiscallingmeelsewhere.SEPTEMBER2012OurpioneersembarkedorNewYorkatQueenstownIrelandnowknownasCobhaporttheyusedortravelbetweenIrelandFranceandEngland.TheirberthwasalittlecabinontheParthiaortheireleven-dayvoyage.TheSisterssueredgreatlyromseasicknessassistedwithauneralduringthecrossingandeltsolittlesoardownbetweenheavenandtheseaTheyarrivedindenseoginNewYorkCitybyHellsGate...aterriblenamegiventoaverydangerouspassageway...totheport.InspiteotheiratiguethethreeimmediatelytookatraintoBaltimoreeagertobegintheirnewwork.TheywerewhiskedbycarriagetoMrs.JohnSmallshomeat70MacColloughStreet.AchildlesswidowMrs.SmallknewandexperiencedthecareotheSistersoBonSecoursinCorkIreland.ShetoodesiredtohavetheSistersinBaltimoreandarrangedwithArchbishopGibbonstoshelterthemuntiltheycouldprocureaconvent.OurpoorEuropeanssueredagreatdealromtheheatandmosquitobitesbuttheyneverlosttheircourageorgoodhumor.InspiringPastCrossingtheAtlanticSoFarDownbetweenHeavenandtheSeaIwasastonishedthatyourchoiceforsuchanimportantundertakingshouldfalluponme.-Sr.FlavieDeepeningourSpiritualitycontinuedonnextpageOurSistersQ.WhatmadeyoudecidetojointheconventandtheorderoftheSistersofBonSecoursAsayounggirlgrowingupineastBaltimoreIwatchedmyparentshelpthoseinneed.MyatheraCityCouncilmanhelpedpeoplefndjobsandmymotherarestaurantownerhelpedeedthoseintheneighborhood.ItwasonlynaturalthatIwouldcarryoutthevaluesinstilledinme.MyamilywasalwaysGoodHelptoThoseinNeed.SisterMaryCabriniBonnettCBSanursewhoworkedintheemergencyandmaternitydepartmentsatBonSecoursHospitalBaltimoreservedasSuperiorandAdministratorotheAngelusConvalescentHomeinWildwoodNewJerseyworkedasthereceptionistattheHealthSystemOfceinMarriottsvilleMarylandandheldotherrolesinNewYorkandPhiladelphia.Ihadastrongdesiretodedicatemylietotheserviceoothers.AtersharingthatdesirewithalocalpriestitwastheHolySpiritwhoguidedmetotheSistersoBonSecours.IwasnotamiliarwiththeorderbutaterlearningmoreabouttheirmissionIknewIhadoundmyplace.SixweekslaterIjoinedandeltagreatsenseopeacewithourLord.Q.TellusaboutyourministrySisterCabrini.Throughoutmy64yearsasaSisteroBonSecoursmygreatestjoyswereoundintheemergencydepartmentsintheBonSecoursHospitalinBaltimoreJohnsHopkinsUniversityHospitalinBaltimoreandMt.HealingLiberationCompassion...at30faithfullyrespondingtoGodsgiftfaithfullyrespondingtoGodsgiftfaithfullyrespondingtoGodsgiftTheParthiaInterviewwithSisterMaryCabriniBonnettCBSbySeanBallard 25DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMModelandAdvocateSocialJusticeSupportingcomprehensiveimmigrationreormandsaeguardingtheAfordableCareActweretwocentralissuesoBonSecoursHealthSystemsadvocacyactivitiesinFY2013.BonSecoursalsosupportedinitiativespromotingagreenercleanerenvironment.ThehealthsystemalsoteamedupwiththeCatholicHealthAssociationingrassrootsefortstourgelawmakerstocratmeaningulnationallegislationtoopposegunviolenceandtoeliminatethescourgeohumantrackingandhelpthevictimsinitswake.TargetedadvocacyefortsatBonSecoursBaltimorestrengthenedsupportservicesandprogramsoramiliesthroughexpandedchildcareworkorcedevelopmentandeducationandtraining.OnesignicantoutcomeromthisworkisthecreationoaHealthEnterpriseZonewitha5milliongrantromtheStateoMarylandtosupportpopulation-basedhealthprogramsandoutreach.DiversityandInclusionBonSecoursHealthSystemhasmadepositiveachievementsinbuildingadiverseandinclusiveplacetowork.Asthepopulationcontinuestobecomemoreheterogeneousthereismoreocusonthebenetsoadiverseandinclusiveworkorcethanever.Thesystemsrstthree-yearDiversityandInclusionplanFY2010-2012resultedinnumerousaccomplishments.AmongotherhighlightsBonSecourswasnationallyrecognizedbytheHumanRightsCampaignsHealthcareEqualityIndexasaLeaderinLesbianGayBisexualandTransgenderHealthcareEquality.Thehealthsystemalsobeganocusingonthehiringoveteransespeciallydisabledveteransandspousesoveterans.Overaten-monthperiod151veteranswerehired.Overathree-yearperiod42percentoadministrativeresidentsandellowshiredwereminoritystudentswhichhelpsstrengthenthepipelineordiversehealthcareleaders.In2013alllocalsystemsadoptedSchoolatWorkacareer-ladderdevelopmentprogramorentry-levelemployeeswhichespeciallybenetsminorities.ShareholderAdvocacyBonSecoursHealthSystemrepresentativescontinuetoworkwithmembersotheInteraithCenteronCorporateResponsibilityICCRtoengagecorporationsindialoguesonhealthreormintheUnitedStatesandaccesstomedicationsordevelopingnations.Dialogueswereconductedwithpharmaceuticalcorporationsencouraginggreateraccesstolie-savingmedicinesinlow-incomecountries.InFY2013healthsystemrepresentativestookamoreactiveroleincorporateengagementonthetopicsonutritionandwaterconservation.InadditionthehealthsystemassistedinsponsorshipotheICCRWaterConerenceorcorporateandnon-governmentorganizationleadersandcontinuestalkswithSouthernCompanyanelectricpowerandutilitycompanyonwateruseandrecyclinginpowergeneration. 26DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMBONSECOURSBALTIMOREHEALTHSYSTEMBonSecoursHospitalreceivedPracticeGreenhealths2013PartnerorChangeAwardorecologicalstewardship.BONSECOURSCHARITYHEALTHSYSTEMGoodSamaritanHospitalHomeCareDepartmentwasnamedtothe2012HomeCareEliteListasaTopAgencywhichranksitinthenationstop25percentohomecareagencies.GoodSamaritanRegionalMedicalCenterwonthe2012NorMetQualityandPatientSaetyAward.GoodSamaritanRegionalMedicalCenterearnedTheJointCommissionsGoldSealoApprovalorbothmanagementoAcuteMyocardialInarctionheartattackandmanagementostroke.GoodSamaritanRegionalMedicalCenterreceivedtheGetWithTheGuidelinesStrokeGoldPlusQualityAchievementAwardromtheAmericanHeartAssociation.BonSecoursCommunityHospitalGoodSamaritanRegionalMedicalCenterandSt.AnthonyCommunityHospitalreceivedawardsromPremierortheirefortstoimprovecommunityhealth.BONSECOURSKENTUCKYHEALTHSYSTEMBellefonteHomeHealthCareAgencywasnamedtothe2012HomeCareEliteListasaTopAgencywhichranksitinthenationstop25percentohomecareagencies.HealthGradesnamedOurLadyofBellefonteHospitalnumberoneinKentuckyorgeneralsurgeryorthesecondstraightyearandnumberoneinKentuckyandbestintheregionorgastroenterologyservicesor2013.OurLadyofBellefonteHospitalwasnamedaBlueDistinctionCenterorSpecialtyCarebytheBlueCrossandBlueShieldAssociationorkneeandhipreplacements.OurLadyofBellefonteHospitalreceivedthePremierPartnershiporPatientsAwardandtheSupplyChainExcellenceAward.OurLadyofBellefonteHospitalwasnamedMostWiredbyHospitalsHealthNetworksmagazine.BONSECOURSST.FRANCISHEALTHSYSTEMHealthGradesnamedBonSecoursSt.FrancisHealthSystemoneoAmericas100BestHospitalsorOrthopedicSurgeryorthesecondyearinarowandrstinSouthCarolinaorOverallOrthopedicServicesortwoyearsinarow.St.FrancisalsoreceivedtheHealthGradesJointReplacementExcellenceAwardorthethirdyearinarow.BonSecoursSt.FrancisHealthSystemwasnamedaBlueDistinctionCenterorSpecialtyCarebytheBlueCrossandBlueShieldAssociationorspinesurgeryandkneeandhipreplacement.BothSt.FrancisHospital-DowntownandSt.FrancisHospital-EastsidewerecitedorexcellencebythePremierhealthcarealliancesQUESTHighPerormingHospitalscollaborative.St.FrancisHospital-DowntownreceivedtheAmericanHeartAssociationsMissionLielineGoldReceivingCenterQualityAchievementAward.St.FrancisHospital-EastsideandSt.FrancisHospital-DowntownwererecognizedwithanAHospitalSaetyScorebyTheLeaprogGroup.St.FrancisHospital-DowntownandSt.FrancisHospital-EastsidereceivedPremiersQUESTAwardsorHigh-ValueHealthcare.BonSecoursSt.FrancisHealthSystemwasnamedMostWiredbyHospitalsHealthNetworksmagazine.ConsumerReportsmagazinerankedBonSecoursSt.FrancisHealthSystemasMuchBetterthanAverageinsurgicaloutcomesascomparedwithnearly2500hospitalsnationally.InanationalreportbyCBSNewsBonSecoursSt.FrancisHealthSystemwaslistedamongthetoptensaesthospitalsinthecountry.BONSECOURSST.PETERSBURGHEALTHSYSTEMBonSecoursSt.PetersburgHomeCarewasnamedtothe2012HomeCareEliteListasaTopAgencywhichranksitinthenationstop25percentohomecareagencies.TheFloridaGovernorsPanelonExcellenceinLongTermCareawardedBonSecoursMariaManorNursingandRehabilitationCenterthedistinguishedGoldSealAward.BonSecoursSt.PetersburgHealthSystemwashonoredwiththeLeadingAgeFloridaQualityFirstAward.BONSECOURSVIRGINIAHEALTHSYSTEMForthesecondyearinarowBonSecoursVirginiaHealthSystemwasnamedaBestPlacetoWorkinVirginiabytheVirginiaChamberoCommerceVirginiaBusinessmagazineandtheVirginiaSocietyorHumanResourceManagement.TheAmericanHeartAssociationrecognizedBonSecoursVirginiaHealthSystemasaPlatinumFit-FriendlyWorkplaceorhelpingemployeesimprovetheirhealthandwellbeing.WorkingMothermagazinenamedBonSecoursVirginiaHealthSystemoneotheBestCompaniesorHourlyWorkersor2013.BonSecoursVirginiaHealthSystemreceivedthe2013VirginiaHealthcareInnovatorAwardoritsemployeewellnessprogram.BonSecoursVirginiaHealthSystemwasnamedbyAARPandtheSocietyorHumanResourceManagementasamongthetopplacesinthecountrytoworkorpeopleolderthan50.QualityAwards 27DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMBonSecoursVirginiaHealthSystemwasnamedMostWiredbyHospitalsHealthNetworksmagazine.BonSecoursVirginiaHealthSystemwasnamedtoModernHealthcaresnationallistingothe100BestPlacestoWorkinHealthcareor2013.BONSECOURSVIRGINIA-HAMPTONROADSBonSecoursMaryviewMedicalCenterwasnamedoneothenationstopperorminghospitalsorqualitybyTheJointCommission.BonSecoursMaryviewMedicalCenterreceivedtheGetWithTheGuidelinesStrokeSilverPlusQualityAchievementAwardromtheAmericanHeartAssociation.BonSecoursVirginia-HamptonRoadsreceivedtheprestigious2012AlredP.SloanAwardorExcellenceinWorkplaceEfectivenessandFlexibility.BonSecoursMaryImmaculateHospitalachievedthePathwaytoExcellencedesignationbytheAmericanNursesCredentialingCenterANCC.BonSecoursDePaulMedicalCenterreceivedtheAmericanHeartAssociationAmericanStrokeAssociationsGetWithTheGuidelinesStrokeSilverPlusQualityAchievementAward.EmployeesatBonSecoursInMotionattheVictoryFamilyYMCAYorktownVirginiawerehonoredwith2013HealthCareHeroesAwardsbyInsideBusiness.TheAmericanNursesCredentialingCenterANCCandCernerCorporationawardedBonSecoursMaryImmaculateHospitalthe2013PathwayAward.BonSecoursMaryviewMedicalCenterBonSecoursDePaulMedicalCenterandBonSecoursMaryImmaculateHospitalearnedtheAmericanHeartAssociationsMissionLielinerecognitionorheartattackcare.BonSecoursMaryviewMedicalCenterandBonSecoursMaryImmaculateHospitalwererecognizedwithanAHospitalSaetyScorebyTheLeaprogGroup.BonSecoursInMotionreceivedaccoladesromreadersotwoHamptonRoadspublicationsHamptonRoadsmagazineandTidewaterWomenmagazine.SentaraPrincessAnneHospitalajointventurewithBonSecoursHamptonRoadsHealthSystemwasrecognizedbyU.S.NewsWorldReportasamongthebesthospitalsinthemagazinesannual2013-2014BestHospitalsrankings.ConsumerReportsmagazinerankedBonSecoursDePaulMedicalCenterandBonSecoursMaryImmaculateHospitalasBetterthanAverageinsurgicaloutcomesascomparedwithnearly2500hospitalsnationally.BONSECOURSVIRGINIA-RICHMONDBonSecoursVirginia-RichmondmadeWorkingMothermagazines2012listo100BestCompaniesorWorkingMothers.TheCriticalCareUnitatMemorialRegionalMedicalCenterreceivedtheBeaconAwardorExcellence-GoldStandard.BonSecoursSt.MarysHospitalwasnamedamongthetophospitalsinthenationandtheonlyoneincentralVirginiaorinpatientcardiovascularservicesbyTruvenHealthAnalytics.BonSecoursMemorialRegionalMedicalCenterwasnamedoneoAmericasBest100HospitalsbyHealthGrades.BonSecoursSt.MarysHospitalwasawardedthe2013CommunityBenetAwardbytheVirginiaHospitalHealthcareAssociationVHHA.BonSecoursMemorialRegionalMedicalCenterandBonSecoursSt.MarysHospitalwererecognizedwithanAHospitalSaetyScorebyTheLeaprogGroup.BonSecoursSt.FrancisMedicalCenterreceivedthePremierPartnershiporPatientsAward.BonSecoursSt.FrancisMedicalCenterreceivedtheAmericanHeartAssociationAmericanStrokeAssociationsGetWithTheGuidelinesStrokeGoldPlusQualityAchievementAwardandtheTargetStrokeHonorRolldesignation.BonSecoursSt.MarysHospitalwasre-designatedasaMagnethospitalbyTheAmericanNursesCredentialingCenterANCC.TheEmergencyDepartmentatBonSecoursRichmondCommunityHospitalwasrecognizedbytheEmergencyNursesAssociationwithaLanternAwardorexcellenceinemergencycare.BonSecoursSt.MarysHospitalwasrecognizedbyU.S.NewsWorldReportasamongthebesthospitalsinthemagazinesannual2013-2014BestHospitalsrankings.ROPERST.FRANCISHEALTHCARERoperSt.FrancisHealthcarewasnamedtoHealthcareITNews2012listothebestInormationTechnologydepartmentsatU.S.hospitals.BonSecoursSt.FrancisHospitalearnedTheJointCommissionsGoldSealoApprovaloritsbariatricsurgeryprogram.BonSecoursSt.FrancisHospitalwasnamedtothe2013TruvenHealthAnalytics100TopHospitalslist.RoperSt.FrancisHealthcareearnedtheWorkingWellGoldStarAwardorachievingthehigheststandardoexcellenceincreatingacultureowellnessintheworkplace.MountPleasantHospitalwasnamedaBaby-FriendlyFacilitybyBaby-FriendlyUSAInc. 28DRIVINGchangeANNUALREPORTFY2013BONSECOURSHEALTHSYSTEMNewYorkBonSecoursCharityHealthSystemBonSecoursNewYorkHealthSystemMarylandBonSecoursBaltimoreHealthCorporationBonSecoursHealthSystemInc.VirginiaBonSecoursVirginiaHealthSystemHamptonRoadsBonSecoursVirginiaHealthSystemRichmondKentuckyBonSecoursKentuckyHealthSystemSouthCarolinaBonSecoursSt.FrancisHealthSystemRoperSt.FrancisHealthcareFloridaBonSecoursSt.PetersburgHealthSystemJointVentureTodayBonSecoursmorethan23000caregivershelppeopleintencommunitieswithinsixstatesoperating19acutecarehospitals10owned9jointventured1psychiatrichospital5nursingcareacilities4assistedlivingacilities6retirementcommunitiesseniorhousing14homecareandhospiceprovidersWorkingTogetherinMinistryOvertheyearscongregationsoreligioussistershavejoinedwiththeSistersoBonSecourstoexpandthehealingministryoJesusChristandtheCatholicChurch.InthesesituationstheSistersoBonSecoursandtheotherreligiouscongregationsareconsideredco-sponsorssharingsponsorshipresponsibilities.Todaytheseco-sponsoringcongregationsareBernardineSistersotheThirdOrderoSt.Francis-NewportNewsVirginiaSistersoCharityoSt.ElizabethConventStationNewJersey-SufernNewYorkTheHealthSystems BonSecoursHealthSystemInc.ChrisAllenExecutiveDirectorCEODetroitWayneCountyHealthAuthorityDetroitMichiganRichardBlairRetiredChieFinancialOfcerAllinaHealthSystemBlaineMinnesotaSisterElaineDaviaC.B.S.DirectoroFormationSistersoBonSecoursMarriottsvilleMarylandMarciaDushPrincipalBuckConsultantsWashingtonD.C.StephanieL.FergusonPh.D.PresidentStephanieL.FergusonAssociatesAmherstVirginiaDavidJimenezRetiredChieOperatingOfcerCatholicHealthcarePartnersOoltewahTennesseeGerardKellsRetiredHumanResourcesExecutiveJohnsonJohnsonNaplesFloridaLaurieLaontaineVicePresidentFinanceandTreasuryAllinaHealthSystemMinneapolisMinnesotaPeterF.MaddoxRetiredChieFinancialOfcerCHRISTUSHealthSanAntonioTexasJennierOBrienVicePresidentandChieComplianceOfcerUnitedHealthcareMinnetonkaMinnesotaSusanSandlundPartnerVeritasPartnersNewYorkNewYorkDonaldG.SeitzM.D.ChairpersonRetiredOrthopedicSurgeonRichmondVirginiaRichardSerafniRetiredPartnerDeloittePonteVedraBeachFloridaSisterMaryShimoC.B.S.SecretaryArchivistCongregationotheSistersoBonSecoursoParisMarriottsvilleMarylandRichardJ.StatutoPresidentandChieExecutiveOfcerBonSecoursHealthSystemMarriottsvilleMarylandSisterAliceTaloneC.B.S.SistersoBonSecoursMarriottsvilleMarylandBonSecoursMinistriesChrisAllenExecutiveDirectorCEODetroitWayneCountyHealthAuthorityDetroitMichiganCharlesH.BrownIIITaxDirectorEllinTuckerCharteredBaltimoreMarylandReginaM.ClitonRetiredHealthCareExecutivePinellasParkFloridaSisterPatriciaDowlingC.B.S.DirectoroVocationsSistersoBonSecours-USAMarriottsvilleMarylandSisterPatriciaA.EckC.B.S.ChairCongregationLeaderSistersoBonSecoursoParisMarriottsvilleMarylandSisterNancyGlynnC.B.S.ChairInternationalSponsorshipCommitteeSistersoBonSecours-USAMarriottsvilleMarylandSisterRoseMarieJasinskiC.B.S.ViceChairCountryLeaderSistersoBonSecours-USAMarriottsvilleMarylandSisterAnneM.LutzC.B.S.TreasurerExecutiveVicePresidentSponsorshipBonSecoursHealthSystemInc.MarriottsvilleMarylandDonaldG.SeitzM.D.ChairpersonBoardoDirectorsBonSecoursHealthSystemInc.RichmondVirginiaBoardoDirectorsMembersrespectcompassionjusticeintegrityqualityinnovationstewardshipgrowth 1505MarriottsvilleRoadMarriottsvilleMD21104bshsi.comThis2013BonSecoursHealthSystemAnnualReporttotheCommunityisavailableonline.ForadirectlinktoviewordownloadthePDFscanthisQRcodeorvisitthewebsiteatBSHSI.com.BonSecoursworkingtopromotesustainableenvironmentalpracticesAspartofBonSecourscommitmenttoourcommunitiesandtoenvironmentallyfriendlygreenpracticeswehavepreparedthisreportforelectronicpublication.Pleaseconsidertheenvironmentbeforeprintingit.ThankyouAllcommerciallyprintedcopiesofthisreporthavebeenresponsiblyproducedwithenvironmentallyactivesuppliersandmaterials.respectcompassionjusticeintegrityqualityinnovationstewardshipgrowth