Advancing Healthcare Through Innovation, Quality and Culture

One Community, One Patient and One Employee at a Time

Cindy Stutts, MS, RNBon Secours Virginia Health System

Virginia Health Care ConferenceJune 5th, 2014

“Change is not something that we should fear. Rather, it

is something that we should welcome. For without

change, nothing in this world would ever grow or blossom,

and no one in this world would ever move forward to

become the person they’re meant to be.”

Author Unknown

Volume 2013 Acute Care 9 hospitalsInpatient Beds 1,500 licensedEmployed Physicians 460 providersTotal Medical Staff 3,000 Total Employees 12,252Emergency 380,400 visitsDischarges 76,900Surgeries 91,700

Transforming Healthcare Throughout Virginia

Good Help

190 Years of Good Help

Focused on Quality

Providing Care in the Community

Driving Innovation

Mobile Outreach to the Community

Total Fleet = 15 Vehicles• 5 Vans• 4 SUVS• 1 Box Truck• 1 Cargo Van• 1 Passenger Van• 1 Trailer• 1 Truck• 1 Mobile Learning Kitchen

Mobile Learning Kitchen

• Vehicle to educate the community, especially the underserved, about wholesome eating & lifestyle for preventative health and chronic disease management.

Providing Care for Employees and Families

Driving Culture

Culture of Health and WellnessTobacco-free campus 2009; Nicotine-free hiring began in November 2011.Annual Personal Health Assessments – about 90% participation.Bon Secours began using an Accountable Care Organization model with a focus on diabetes, obesity, and hypertension.Now piloting Partner for Health, a Bon Secours-created program with free advanced lab testing and personal health coaching. Driving engagement through Wellness Incentives – up to $900 off medical costs On-site health clinics.Healthy Foods Initiatives in cafeterias and vending.Recognizable Brand for Wellness.Movin’ Mania childhood obesity initiative.

3 Componentsto the Bon Secours Wellness Incentive

o Targeted Health Coaching o Telephonic, Web Based, 1:1

o Condition Managemento Diabeteso Hypertension

o Building the Culture (Commit to be Fit Campaign)o Cyclingo Walking pathso Stairwell Campaigno Healthy Foodso Wellness Focused Leader Dayo Leadership Challenges

o Dedicated Web Portal for Wellnesso Wellness Wednesday’so Good Health Onsite Clinicso Cleveland Clinic-Stress Managemento HDL Advanced Laboratory Screenings

Building a Healthy Culture

1

The Business Case for Wellness

12

Driving Engagement

13

Bon Secours’ Employee ACO JourneyTransition from High Risk Condition Management Population Health Management

ACO I202 ParticipantsStarts with PHA

High Risk

Condition Management: Hypertension,

Asthma & Diabetes

PCP Referral

ACO II282 ParticipantsStarts with PHA

High RiskCondition

Management: Hypertension &

DiabetesPCP Referral

ACO III2024 ParticipantsStarts with PHA & Advanced Testing

High, Moderate &

Low Risk

Condition Management or

Lifestyle Coaching

PCP Referral & PCMH

2011-2

012 2

012-

2013 2

013-2

014

Strategic Engagement Target Coaching PCP Partners

What Advanced Lab Testing Taught Us Related to Diabetes and Heart Disease

68%

32%

Optimal High Risk

Advanced lab testing uncovered 32% of participants at risk for developing diabetes who may not have been identified by the typical Bon Secours PHA test.

62% of participants with high risk for CVD were not identified by the typical Bon Secours PHA test. (Total cholesterol, HDL)

Targeted Coaching

Early Signs of Success

2013-2.2%

2013 Total Health Insurance Benefit Expense vs. National Trends

2012