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This is our calling.


Community Report 2011


Saint Joseph Regional Medical Center is a place of healing. Where every individual is cared for in mind, body, and spirit. Where quality, dignity, and respect are not just words, but actions. A common purpose unites us: caring for the community that we’re a part of. We know that the health of every individual affects us all. So we’ve created a system to deliver exceptional care, close to home, from people who know what living here means. This is our calling.


Table of Contents Letter from the CEO

5

Results

7

Our Policy on Care

9

How We Set the Standard

10

The Impact on Patient Outcomes

12

Technology

15

Sports Medicine

18

Orthopedics

19

Cardiovascular

22

Gastroenterology

26

Oncology

27

Stewardship

31

Mission Statement

33

Reinvestment on Principle

34

This Community Defines Us

38

Other Organizations We Support

39

Service Vital Statistics

41 44

Closing

46

Our Board Members

47


The ever-changing healthcare landscape requires flexibility, adaptability, acumen, and resolve. It also requires an understanding that we are part of something bigger than ourselves. Our community relies on us to provide a higher level of care. So we work relentlessly to do just that. We continue to be at the forefront of advocacy when it comes to healthcare reform. Our vision is of a system that provides effective healthcare regardless of social or economic status. Access to care is important — whether that’s advanced treatment for life-threatening illnesses, or basic preventative medicine. This is what we are advocating with the federal government, on behalf of our entire community. We continue to raise the standard of care, through our resources and knowledge, so that healthcare quality in this region keeps pace with the opportunities and requirements of the industry. Our investment in technology has resulted in our recognition as one of “America’s Most Wired” hospitals. This designation reinforces our commitment to using leadingedge technologies to enhance patient care, clinical quality, and patient safety — for improved outcomes. We continue to monitor the impact of evolving market conditions. As a result, we have invested in key areas to ensure better access to care for all who need it — especially underserved populations. We believe that the health of each person is intimately related to the health and well-being of the community as a whole. We are called to care, in every sense of the word — and that’s a responsibility we don’t take lightly.

Albert Gutierrez President and CEO

5


“At Saint Joseph Regional Medical Center, we envision a region with an affordable healthcare system that leaves no one behind.� Al Gutierrez President and CEO


This is how we step up.

Results America’s healthcare system is in a constant state of change. The issues are complex, and the impact is yet to be determined. But at Saint Joseph Regional Medical Center, we ensure that both patients and physicians have a voice. Our objective is to continue improving access to — and results of — the care we provide. And with the many resources available to us through our parent organization, Trinity Health (the fourth-largest Catholic healthcare system in the United States), we’re daily advocates on your behalf.


We promote and defend human dignity. We treat each person who comes to us for help with deep respect and compassion. And we strive continually to improve the quality of our service.


Our Policy on Care Staying connected to Washington SJRMC President and CEO Al Gutierrez has been an active leader in talking to our federally elected officials. He has traveled to Washington, D.C., for face-to-face discussions. And he works closely with our partners at Trinity Health to understand, respond to, and influence healthcare proposals. As Gutierrez says, “Collectively with Trinity Health representation in Washington, we work to interpret the rules and regulations governing how policies will be enacted. Then we give public comment on those policies. When we have concerns, we engage in direct dialogue with elected officials to give them feedback.” Together, we work to protect the key interests of our community as a whole, the patients we serve, and the physicians in our system so we can sustain our level of exceptional care for all.

Prioritizing value While the effects of changing healthcare policies are not fully known, Saint Joseph Regional Medical Center is already taking action. Because we know that value — the quality of care we provide — is the most important factor. That’s why we:

• Make ongoing cost reductions • Focus on coordinated care for seamless, holistic patient experiences • Leverage technology to continually raise the standard of local care • Collaborate with our physicians and clinical staff to create a stronger healthcare future for the region

As a result, we will continue to improve outcomes and to advocate for those we serve. We’re doing it today. And we’ll continue in the months and years ahead, because we’re called to be better.

9


RESULTS | Saint Joseph Regional Medical Center Community Report FY 2011

How We Set the Standard In 2009, the American Recovery and Reinvestment Act established incentives for the meaningful use of electronic health records (EHRs). Such use is now required of all U.S. hospitals by the year 2015. This is a positive step toward advancing and improving patient care. As an early adopter of EHRs, Saint Joseph Regional Medical Center has already met the first milestones for meaningful use — improving care for our patients. And this year, SJRMC was recognized as one of “America’s Most Wired” hospitals. The designation reinforces our commitment to providing the best possible care by pioneering the use of leading technologies to enhance patient care, clinical quality, and patient safety — for improved outcomes. SJRMC’s electronic health records are already helping us to: Proactively assess care while it’s happening We track every step of care for each individual, from admission through discharge. This ensures that standard protocols are being followed and medical teams are doing the right thing at the right time. As a result, potential problems are caught before the patient goes home — rather than in hindsight. Improve patient safety This summer, we added “point-of-care scanning” capabilities. With wristband bar coding, we can now match patients directly to their medications. So our nurses and pharmacists can be sure that medicines are being given properly. The result: improved safety and peace of mind for each patient and loved one who walks through our doors. Enhance staff confidence With the ability to verify prescribed treatments right at the bedside, staff have added assurance that they’re doing the right thing on behalf of their patients, so they can focus on each individual in a more meaningful way and ensure the best experience possible during challenging times.

“For us, quality healthcare means doing the right thing, for the right patient, at the right time — every time. EHRs are helping us do that.” Devin Zimmerman, M.D. Chief Medical Information Officer

Implement Evidence-based medicine We apply evidence-based clinical protocols, agreed upon by the medical community across the county, to treat patients. These protocols are used to assess, monitor, and treat, in a standard way, common medical conditions such as heart disease, stroke, joint replacement, and pneumonia to ensure patients have the best possible outcomes. Raise the bar for the future SJRMC never settles. We’ve taken the first steps toward bringing the latest technology into patient care. But we know this journey never ends. With each new system, we’re looking to the future. We seek enhanced tools to help us provide exceptional care. And our spiritually guided principles drive us to achieve excellence at every step, on behalf of everyone we serve. The technologies we employ today will expand our horizons tomorrow.


Outpatients having surgery who received the right kind of antibiotic (Oct. 2009–Sep. 2010) 100

80

94%

95%

99%

In this age of healthcare reform, SJRMC continues to meet and exceed government thresholds for patient quality and clinical measures. We are transparent with our scores — you can see how SJRMC measures up against national and regional benchmarks on the U.S. Department of Health and Human Services’ website: hospitalcompare.hhs.gov.

60

40

20

Top Hospitals represents the top 10% of hospitals nationwide. Top hospitals achieved a 100% rate or better.

30 Average for all reporting hospitals in the United States

Average for all reporting hospitals in Indiana

Saint Joseph Regional Medical Center

Point-of-care scanning Bar codes enhance the care we provide, ensuring accurate, timely care at every step. Since implementing this tool in the summer of 2011, we’ve already seen positive impacts on our patients and staff.

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RESULTS | Saint Joseph Regional Medical Center Community Report FY 2011

The Impact on Patient Outcomes Today, hospitals’ quality of care is under more scrutiny than ever. SJRMC’s unwavering commitment to its patients is reflected in its high scores on key assessments, including the following: • The Centers for Medicare and Medicaid’s Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction assessment • Specific quality-of-care measures regarding heart attack, heart failure, pneumonia, and other critical points of care To see more of SJRMC’s rankings on specific measures, we invite you to visit the U.S. Department of Health and Human Services’ website, hospitalcompare.hhs.gov.

HCAHPS 100

Indiana Hospitals United States Hospitals SJRMC – Plymouth SJRMC – Mishawaka

90

80

Hospital Consumer Assessment of Healthcare Providers and Systems

70

HCAHPS surveys measure patient satisfaction with their care during hospital stays. In these surveys, patients provide an assessment of their overall hospital experience. The chart shown here demonstrates how SJRMC ranks when compared to others in our state and across the country.

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Surgical Care Improvement Program 100

Indiana Hospitals United States Hospitals SJRMC – Plymouth SJRMC – Mishawaka

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Quality Assessment: Surgical Care By giving patients appropriate medications at the right time on the day of surgery, we can minimize the risk of wound infections later.

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Heart Attack 100

Indiana Hospitals United States Hospitals SJRMC – Plymouth SJRMC – Mishawaka

90

80

Quality Assessment: Heart Attack 70

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Pneumonia 100

Indiana Hospitals United States Hospitals SJRMC – Plymouth SJRMC – Mishawaka

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This chart shows several recommended treatments for patients with pneumonia. It demonstrates the percentage of SJRMC patients who receive the optimum care. io n

Quality Assessment: Pneumonia

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Heart Failure 100

Indiana Hospitals United States Hospitals SJRMC – Plymouth SJRMC – Mishawaka

90

80

Quality Assessment: Heart Failure When heart failure weakens the body’s ability to pump blood efficiently, the body may not receive enough oxygen and nutrients. This chart shows several of the recommended treatments for patients with heart failure. It demonstrates the percentage of SJRMC patients who receive the appropriate care.

70

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13


This is how we look ahead.

Technology Our continued investment in facilities and technology ensures that we can provide exceptional care. Through these investments, we’re able to deliver faster and more accurate diagnoses, more rapid responses to time-sensitive emergencies, and more holistic approaches to healing. These are just a few of many stories about the ways in which enhanced procedures have impacted the lives of individuals — right here in our community.


We attend to the whole person. We recognize that sickness and injury cause more than just physical suffering. Health means well-being of the whole person; therefore, we provide psychological and spiritual care. And we attend to the social relationships that can support the healing of our patients and residents.


“Technology investments have enabled our physicians to deliver an even higher standard of care. There’s power in the combination of talented professionals and innovative tools.” Lynnette Watkins, M.D. Chief Medical Officer

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TECHNOLOGY | Saint Joseph Regional Medical Center Community Report FY 2011

“About 1 in 10 athletes suffer concussions each year — and incidence is increased when considering accidental injuries to children. Our participation in the concussion study will help us better understand the effects.” Stephen M. Simons, M.D. Director, Sports Medicine Fellowship Program Team Doctor for the United States, 2004 Summer Olympic Games

Sports Medicine Emerging technologies help treat more cases The Sports Medicine Institute at SJRMC provides advanced diagnostics and treatments for all types of sports and other overuse-related injuries. The team’s objective, lead by Dr. Stephen Simons, is to help prevent injuries and treat pain using cutting-edge technology while improving performance. Platelet-rich plasma therapy Platelets in our blood help us heal, build tissues, and stop bleeding. Platelet-rich plasma therapy takes advantage of this natural healing process. The procedure allows us to draw blood from a patient and separate out the platelet-rich plasma. The plasma can then be injected into an injured area (such as an affected tendon) to promote faster, more effective healing. Risks of the treatment are minimal since the platelets come from the patient’s own blood and will not be rejected by the body. Benefits can include:

• Decreased inflammation and pain • Increased tissue repair • Increased bone density • Improved development of new blood cells

Musculoskeletal ultrasound Improved imaging technology over the past few years makes it possible to more easily diagnose sports-related injuries. SJRMC’s musculoskeletal ultrasound system gives us a detailed view of internal organs and tissues. So we can more easily and accurately find — and then treat — problems such as:

• Tendon tears • Muscle abnormalities • Tumors that may exist in soft tissues • Rheumatoid arthritis • Other problems related to inflammation

Concussion study underway at SJRMC Dr. Simons recently began using the Axon Sports Computerized Cognitive Assessment Tool (CCAT) to help with a study that will benefit children across the country. Goals for the study are to: • Understand the normal changes in cognitive function at key age ranges during development • Compute ranges for normal performance • Compare the performance on tests while in supervised clinical settings vs. performance while completing tests at home The study will track young people ages 5 through 18 using simple online testing to understand the development of the brain. Dr. Simons says, “These tests are used to establish normal reaction time, short-term memory, and concentration for children participating in sports that put them at high risk of concussion. The results of this study will help establish age-based standards.” With standards in place, researchers can develop percentile charts similar to those for children’s height and weight. As a result, physicians will be able to better distinguish normal changes in thinking as children develop versus changes that result from injuries like concussions.


Last year, SJRMC ranked #1 in Indiana — and in the top 10% of the nation — for orthopedic care, based on a study by HealthGrades. 2010 HealthGrades 5-Star Rating (9th straight year) 2011 Orthopedic Surgery Excellence Award 2011 Joint Surgery Excellence Award 2011 Spine Surgery Excellence Award

Orthopedics Minimally invasive knee procedure speeds recovery Millions of Americans are living with painful knees, and with baby boomers aging, that number is growing. For many, that means surgery and a lot of rehab. But doctors at Saint Joseph Regional Medical Center are performing a minimally invasive knee replacement surgery that is giving many patients a leg up on a much faster recovery. Minimally invasive knee replacement at SJRMC involves the use of a smaller incision than the one used in traditional procedures. In the traditional method, the incision averages 8 to 10 inches in length; in minimally invasive knee surgery, it is only 4 to 6 inches long. Dr. Jeffrey Yergler says, “When you’re doing the procedure, you are not dislocating the knee or the kneecap, and you don’t cut into the muscle or thigh at all, and that’s really what speeds the recovery.”

“Minimally invasive surgery requires only a small incision, causing less trauma to the soft tissues which helps speed recovery.” Jeffrey Yergler, M.D. Orthopedic Surgeon

Other advantages to the patient include: • Less pain than with traditional procedure • Rapid recovery • Minimal rehab • Minimally invasive incision • Precision implant position • Easy recovery • Preservation of healthy tissue • Patient-specific, custom fit for men and women The surgery is usually complete in less than two hours. What’s more, a comprehensive management pathway that coordinates SJRMC’s nursing, surgical, and physical therapy teams may even help the patient avoid an overnight stay. Minimally invasive knee surgery is one example of SJRMC’s team approach to equally weighted preoperative, intraoperative, and postoperative care that is helping many in our community eliminate the pain and gain back their independence.

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TECHNOLOGY | Saint Joseph Regional Medical Center Community Report FY 2011


Walking Tall. Prior to undergoing minimally invasive knee surgery at age 57, Alan Pisarski said, “I’ve had severe knee pain for approximately ten years, and it’s actually come down to quality of life.” Alan’s leg had become deformed due to degenerative arthritis, and he was unable to straighten his leg completely. With no muscle or tendons cut, Alan was in physical therapy less than three hours after surgery. Two weeks later, he played a round of golf.

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TECHNOLOGY | Saint Joseph Regional Medical Center Community Report FY 2011

“High-quality imaging allows for better pictures, without having to retake them multiple times. This creates significant efficiencies for physicians and also provides patient benefits such as less time, higher accuracy, and low radiation.” Thomas L. Poulin, M.D. Vascular Surgeon

Cardiovascular Hybrid catheterization lab and operating room ensures rapid treatment for aneurysms An abdominal aortic aneurysm (AAA) is a balloon of blood, which can rupture and cause sudden death. Typically, dangerous and invasive techniques are required for treatment. But today, Saint Joseph Regional Medical Center offers an innovative treatment in an innovative space. Our hybrid catheterization lab allows for high-quality imaging, surgical preparation, and catheter procedures all in one area. For patients with an AAA, the hybrid lab and operating room offers specialized tools for a minimally invasive surgery. The procedure requires collaboration among a team of surgeons, cardiologists, anesthesiologists, nurses, and technologists. Through an efficient team approach, a catheter is used to insert an expandable synthetic graft that reinforces the aorta and prevents rupture of the aneurysm. There are many advantages to this teambased approach: • More precise stent placement • Reduced blood loss • Minimal trauma to the aorta • Less potential for complications • Fewer (or no) days in intensive care In addition, Dr. Imraan Ansaarie notes that the environment makes it easier for patients and loved ones to see what’s going on. “Everything is available for the patient and their family to see right at the bedside,” he said. “So the patient is actively involved in treatment and can see results on screen.” But the best result by far is that more individuals are surviving and getting home more quickly.


Matters of the Heart. When Gregg Thomas, 69, felt as if “an elephant had jumped on his chest” while at the gym, he knew immediately he was having a heart attack. He asked the manager to call 911, and told the EMS crew that he wanted to go to Saint Joseph Regional Medical Center. SJRMC had perfected use of its Code STEMI protocol, which helped Thomas receive rapid and effective care. 8:36 a.m. — A  mbulance crews called SJRMC after EKG testing was done. Dr. Farid Jalinous was alerted in the CathLab. 8:49 a.m. — Thomas arrived at the ER and was cared for by Dr. Kurt DeJong, Dr. Jalinous, and two ER nurses. 9:03 a.m. — Thomas was in the CathLab only 14 minutes from the time he had arrived in the ER. By 9:16 a.m., the blockage in Thomas’s artery had been cleared — just 49 minutes after he arrived. Thomas says, “The care I received was instantaneous and simply great.” His wife Sharon stated it more simply: “You (SJRMC) saved his life.”

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TECHNOLOGY | Saint Joseph Regional Medical Center Community Report FY 2011

“With speed and efficiency, we are providing effective health services and giving our community a trusted resource for heart and stroke care.” Ashfaq Turk, M.D., FACC Cardiovascular Specialist

Speed Counts. Cardiac protocol provides better care in heart and stroke emergencies At SJRMC, our cardiology and neurology teams are continually striving to improve outcomes for our emergency patients. That means responses must be fast, accurate, and well coordinated across all aspects of treatment. We already rank near the top of all U.S. hospitals when it comes to cardiac care. And we’re continuing to improve each day. “With speed and efficiency, we are providing effective health services and giving our community a trusted resource for heart care,” said Ashfaq Turk, M.D., FACC. Now, SJRMC is focusing on educating the community about early signs of cardiac and stroke emergencies. With faster reporting to emergency teams, we can further improve outcomes for patients experiencing heart problems.


Code “STEMI” 913

Code “Stroke” 914

In recent years, we’ve enacted a system specifically designed to respond to heart attack emergencies. Dubbed “Code STEMI” (for ST-Segment Elevation Myocardial Infarction), this protocol ensures a timely response from key personnel. “Our system is an entirely coordinated effort between the EMS units, ER, CathLab, and cardiologists,” said Farid Jalinous, M.D., Medical Director, Cardiac Rehab.

“The Code STEMI activation has been so successful in improving outcomes for heart attack patients, the stroke team replicated this team mobilization for patients that arrive in the ER with strokelike symptoms,” said Steven Susler, M.D., FACEP, Emergency Department Medical Director and Department Chair.

EMS teams alert emergency rooms that a cardiac patient is on the way. “The system is incredibly efficient,” said William S. Sarnat, M.D., Program Director, Cardiology Services. “The ER already knows what is going on before the patient arrives — and this makes the ER a critical link in the chain. They have been excellent in getting a jump-start on things.”

The effort begins with the EMS teams. The key steps include: 1. EMS performs the Cincinnati Stroke Scale, which is a simple neurological test on anyone with stroke-like symptoms. 2. EMS alerts the emergency room that a patient with stroke symptoms is on the way. 3. An ER nurse triages the patient upon arrival to assess for stroke symptoms and initiates a stroke protocol to make sure all the appropriate tests are ordered. 4. An ER physician or ER nurse activates the Code Stroke system, which alerts all the team members, including CT, X-ray, EKG, lab, pharmacy, and the stroke nurse. 5. The neurologist is also contacted to determine immediate treatment for the patient and whether they are a candidate for a “clot-busting” drug.

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TECHNOLOGY | Saint Joseph Regional Medical Center Community Report FY 2011

Gastroenterology Innovative, non-invasive procedure for acid reflux offered at SJRMC Sixty million Americans suffer from occasional acid reflux, or GERD (gastroesophageal reflux disease). Acid reflux occurs when the valve between the esophagus and stomach does not close completely after swallowing. As a result, stomach acid backs up into the esophagus, causing heartburn, among other symptoms.

“Patients have an 80 percent chance of coming off all acid-blocking medications after the procedure.” Brian Piazza, M.D. One of only five surgeons in Indiana trained for TIF procedure

Now, the EsophyX TIF procedure offered through SJRMC allows surgeons to lower a scope through the mouth and reinforce that valve. Doctors can see with a camera placed on the scope, and the results can be remarkable. The advantages for patients include: • A safe, fast, and comfortable treatment • No incisions and only minimal downtime for the procedure itself • Requires only a one-night stay in the hospital and may become an outpatient procedure in the future Patients are put on a liquid-only diet for several weeks after the EsophyX TIF procedure and return to a normal diet within about two months. “This technique helps our patients return to a more normal way of life,” says Brian L. Piazza, M.D., “so they can enjoy all those times so many of us take for granted. Special events and times with friends and family become much more enjoyable when they can enjoy common foods without feeling sick later.”


The SJRMC Oncology Program was recently awarded: Commission on Cancer Three-Year Accreditation Award with Commendation National Accreditation Program for Breast Centers (NAPBC)

Oncology Improved physical and emotional outcomes for women suffering from breast cancer For women facing the loss of one or both breasts due to either an incidence of cancer or uncommonly high risk factors, there are both physical and emotional concerns. Body image and self-esteem can play major roles in recovery following a mastectomy procedure. That’s why SJRMC has recently begun to perform a new, single-stage reconstruction procedure following mastectomy. Becker Expander The new Becker Expander implant functions first as a tissue expander that is put in place during the mastectomy. It then converts to a breast implant once the tissues have been expanded sufficiently. This eliminates the more commonly required second surgery to place a separate implant. Personal impact The new procedure is less invasive. And it allows surgeons to preserve more breast tissue so women experience much less prominent scarring and a natural appearance. As a result, women can wake up from surgery cancer-free — and feeling whole.

“Nipple-sparing surgery allows for reconstruction of the breasts in a single, solitary procedure with mastectomy.” Michael C. Rotkis, M.D. Medical Director, Breast Cancer Services

SPY imaging When complications occur with breast reconstruction, it’s often from poor blood flow or poor circulation in preserved tissue. With new SPY imaging available at SJRMC, surgeons can monitor blood supply during surgery and make critical, real-time decisions to help improve results. Independent studies in breast reconstruction have already shown that the use of SPY decreases rates of: • Post-operative tissue death • Non-healing wounds • Subsequent surgery requirements • Prolonged hospital stays

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TECHNOLOGY | Saint Joseph Regional Medical Center Community Report FY 2011


Conquering Cancer. Kari Hazelbaker is a 35-year-old wife and mother of two. And she was recently diagnosed with breast cancer. After receiving a mammogram, SJRMC doctors ordered an MRI and a PET scan — which showed that Kari’s cancer was not invasive. “After I got through all of my treatment, I had time to think about it,” she says. “We discussed a double mastectomy, and I thought for me that was the best route to go. This is going to give me peace of mind.” Dr. Michael Rotkis believes women who beat a deadly disease should not have to be maimed with scars that remind them for a lifetime. “This procedure helps women feel good about the way they look. They’re not at all embarrassed when they get out of the shadow and walk in front of the mirror. Kari is going to live a long time, and we want her to feel good about the appearance of her breast after treatment for breast cancer and when she awakens from this procedure. I think it’s very important to be able to offer this option here at Saint Joseph Regional Medical Center.” Today, Kari is home with her family — and is completely cancer-free.

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This is how we’re called to care.

Stewardship In a world most often concerned with saying the right thing, we at SJRMC prefer to quietly do the right thing —  even if it’s costly or challenging. Through our philanthropic endeavors and our internal desire to fulfill our mission, SJRMC is a responsible manager and generous sharer of our finances, our time, and our talents. On the next several pages are examples of just a small portion of what we did this past year to benefit the communities we serve.


We act in communion with the church as we steward our resources. Our healthcare professionals have been blessed with talents and energy. And, collectively, we have received resources to help us carry on our ministry. These gifts have come to us from our institution’s founders, associates, physicians, volunteers, and board members — and from our fellow citizens. We take responsibility to preserve and enhance their value and to use them well to accomplish the mission.


Mission Statement We serve together in Trinity Health, in the spirit of the Gospel, to heal body, mind, and spirit, to improve the health of our communities, and to steward the resources entrusted to us.

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STEWARDSHIP | Saint Joseph Regional Medical Center Community Report FY 2011

Reinvestment on Principle Many hospitals and other businesses do their best to donate a certain percentage of their profit margins based on the previous fiscal year. At SJRMC, we take this principle further. We build in an annual budget — not based on margins or prior performance — specifically for reinvestment in our mission. Here is just some of what we’re doing to that end. We never turn anyone away Spinal surgery donated as part of SJRMC’s charity care commitment Our surgical team recently showed their commitment to service by donating a complex surgical procedure to a patient who was unable to pay for health services. Elvira Carrilo, 62, was diagnosed with a tumor on her spine in November 2006. Within a year, she was experiencing severe pain and was unable to walk. Unfortunately, Elvira was unable to meet the financial demands of the surgery required to remove the tumor. So after she had been turned away by other healthcare facilities, Stephen Smith, M.D., took the case, and SJRMC provided all services free of charge. On August 24, 2011, Elvira underwent surgery. She remained in the hospital for 14 days, and said of her time there, “When I was at the hospital, the level of care was wonderful. For me, it was very special for the hospital to always have a translator near so we could communicate.” Following her time at the hospital, she was transferred to the SJRMC Rehabilitation Institute, where she said, “Everyone has treated me with so much respect. I never felt different in spite of the language barrier. I am very comfortable here and appreciate everything everyone has done for me. I cannot say enough about the care I have received.” By mid-September, having undergone therapy for three hours each day, Elvira was beginning to walk again — for the first time in four years. And she was scheduled to return home to her family in early October. The complex procedure is believed to be the first of its kind performed in this region. Dr. Smith, who performed the surgery, said, “We’re very happy with her progress. Ms. Carrilo’s case was extremely rare — and seeing this positive impact on her life is what our jobs are all about.” As Ken Hall, Chief Nursing Officer at SJRMC, said, “For us, there was no financial reward even considered. Everyone was in it for the patient.”

“The Power of One”

Spiritual Care Program

This unique program is a call to action for each of our team members to contribute to our mission on an individual basis.

Fundamental to our mission, SJRMC continues to minister to the religious and spiritual needs of all we serve. Responsive to the needs of patients and staff, professionally trained and certified chaplains, as well as residents in clinical pastoral education, work in collaboration with religious leaders of all faiths so that pastoral services are available in keeping with patients’ religious beliefs, traditions, and affiliations. Chaplains are available 24/7 to visit, pray with, and console patients and their families and to provide counsel to physicians and care providers.

Each month, we invite our associates to bring an item for those who need it. Every month has a new theme, such as “All About Teeth.” Team members contribute related items — such as toothbrushes, toothpaste, dental floss, and more. The items are then given to the disadvantaged patients who visit our clinics. The program has proven so successful that other local businesses have followed our example and joined us in the giving.


Community benefit services

FY 2011

FY 2010

Total Charity Care (At Charges)

$28,281,000

$25,638,000

$7,560,000

$7,044,000

Total In-Kind Donations

$247,323

$195,853

Total Cash Donations

$583,774

$600,918

$1,561,141

$1,752,305

Charity Care provided through Sister Maura Brannick, CSC, Health Center

Community Health Improvement Services

(includes programs such as: public transportation for indigent patients, tobacco cessation, community outreach, volunteer care)

Number of People Served through Community Health Initiatives

10,457

7,911

Ambulatory Patient Prescriptions

34,939

32,437

100,670

95,313

986

847

Total Hours Given by SJRMC Volunteers Number of Volunteers

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STEWARDSHIP | Saint Joseph Regional Medical Center Community Report FY 2011


Saint Joseph’s High School Construction is Underway. In 2009, Saint Joseph Regional Medical Center made a $2.7 million land donation from our previous facility to provide Saint Joseph’s High School with a place to build its new school. This summer, the school broke ground at the location. The new $35.5 million high school is scheduled to open for the 2012–2013 school year. We’re excited to be a part of this new addition to the downtown South Bend community.

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STEWARDSHIP | Saint Joseph Regional Medical Center Community Report FY 2011

“If you keep the community healthy, the advantage is that there’s not a spread of disease. We have healthier individuals and families who get the same quality of care regardless of income. Here, you’re a child of God, and you deserve respect and dignity.” Sister Laureen Painter, FACHE Vice President, Mission Integration and Ministry Formation

This Community Defines Us That means we feel a deep commitment to provide care to our neighbors. Here are just a few ways we’re going above and beyond to improve the health of Michiana. Our Sister Maura Brannick, CSC, Health Center provides: • $3.5 million in medication assistance each year • 18,000 free medical visits annually • 1,400 dental visits per year • $4.0 million of clinic- and hospital-based services provided to health center patients • 13,636 volunteer hours provided by over 50 primary care physicians, dentists, ophthalmologists, and nurse practitioners Our service to the uninsured in Marshall County provides: • Over 2,300 patient visits annually • Extensive medication assistance • Diabetic patients with services, education, eye exams, and glasses Our Family Medicine Residency Program offers training and healing: • Over 35 residents provide care in the areas of medicine, podiatry, and pharmacy • Residents share their training and knowledge by participating in international and domestic health service missions • Residents and family medicine physicians utilize the Reach Out and Read Program to provide age-appropriate books to low-income patients and their families Our Mobile Medical Unit offers medical and mammogram services: • 1,200 digital screening mammograms annually • Wellness services and education to corporate and community sites • Visits to over 20 different sites monthly to provide services

Our Outreach Program offers athletic trainers to eight Michiana-area high schools as a donated service. These nationally certified and statelicensed trainers offer care during practices, games, and physical education classes: • Early recognition of injuries and immediate treatment to reduce risk of more serious injury or reinjury • Referrals to appropriate physicians • Rehabilitation for the students • Facilitating communication among athletes, coaches, parents, and physicians Our School Health Ministry oversees the well-being of children: • In agreement with Penn-Harris-Madison and School City of Mishawaka, SJRMC provides a nursing paraprofessional in each school who works in conjunction with either a consulting nurse or an on-site registered nurse • School health aides and nurses have over 180,000 school health visits annually • Aides and nurses assist with wellness services and health fairs • SJRMC also underwrites the School Health Ministry program of the Catholic Schools Office for the schools in the South Bend area of the Diocese of Fort Wayne-South Bend Our House Raffle event has returned more than $3.5 million to the community through the services and programs provided by SJRMC and Women’s Care Center, our community partner in offering hope and care for women, babies, and their families.


Other Organizations We Support SJRMC donates funding, equipment, services, and time to support other important organizations in our community that provide valuable services for those in need. These are some of the many organizations we supported in the past year: AIDS Ministries

Hannah’s House

RiverBend Cancer Services

Alzheimer’s Association

Heart and Hands, Inc.

Robinson Community Learning Center

American Heart Association

Hemminger House

Saint Joseph’s High School

American Red Cross

Hope Ministries

Senior Men’s Club Martin Luther King, Jr.

Ancilla College Scholarship

Indiana University School of Medicine

Sisters of Saint Francis

Arthritis Foundation

Indiana University South Bend Sueño Scholarship

South Bend Human Rights Commission

Big Brothers Big Sisters

La Casa de Amistad

St. Joseph County Humane Society

Boys and Girls Club of St. Joseph County

Logan, Inc.

St. Joseph County Minority Health Coalition

Casie Center

March of Dimes Northern Indiana Division

St. Joseph County Right to Life

Center for Hospice and Palliative Care

Marian High School

St. Joseph Valley Detachment Marine Corps

Center for the Homeless

Marshall County Blueberry Festival

St. Margaret’s House

Charles Martin Youth Center

Michiana Cancer Survivors Society

St. Vincent de Paul Society

Children of Abraham

NAACP–South Bend

Susan G. Komen Northern Indiana Affiliate

Christ Child Society

National Multiple Sclerosis Society

United Health Services

Community Foundation of Marshall County

Northeast Neighborhood Revitalization Project

United Way of Marshall County

Community Foundation of St. Joseph County

Northern Indiana Cancer Research Consortium

United Way of St. Joseph County

Diocese of Fort Wayne–South Bend

Northern Indiana Oncology Symposium

University of Notre Dame

Ounce of Prevention Breast Cancer Event

Vietnam Veterans of America 1027

Encore Performing Arts

Penn-Harris-Madison Public Education Foundation

Women’s Care Center

Father Henry’s Village

Project Impact

Food Bank of Northern Indiana

Real Services, Inc.

Diocese of Fort Wayne–South Bend Churches and Schools

YMCA (St. Joseph and LaPorte Counties) Youth Service Bureau YWCA

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This is faith in action.

Service Saint Joseph Regional Medical Center’s mission statement is more than an ideology. It’s an important standard that we hold ourselves to, in everything we do. Our faith principles are at the core of our business. And our faith demands that we do whatever it takes to have a positive impact on those around us. We have been blessed with talented team members who are driven to serve. And we’ve structured our business to do just that.


We act on behalf of justice and care for the poor and vulnerable. Our work is a ministry through which we are privileged to serve people at some of the most significant moments of their lives. We serve everyone regardless of status, giving priority to persons who are poor. We value our spiritual identity and the heritage of our religious founders.


Strength in Numbers Saint Joseph Regional Medical Center is backed by Trinity Health, one of the largest Catholic healthcare systems in the country. We are united by a common purpose — to provide the highest standard of care, because it’s what we’re called to do. And as part of the Trinity Health system, we can commit deep resources to that purpose each day.

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SERVICE | Saint Joseph Regional Medical Center Community Report FY 2011

Trinity Health Vital Statistics for 2011 Trinity Health aims to be transformational while adhering to and exceeding national performance benchmarks. The culture and operating model are focused solely on how to create a superior patient care experience supported by operational and service excellence. • Fourth-largest Catholic health system in the U.S. • Revenue of $7.4 billion • $453 million in community benefit • 46 hospitals (34 owned, 12 managed) in nine states • 379 outpatient clinics/facilities • 33 long-term care facilities

PATIENT CARE

2011

Physician Network Total Visits

3,486,000

Hospital Patient Total Visits

9,100,000

Emergency Visits

1,184,000

Total Patient Admissions Acute Newborn Patient Surgical Cases

362,000 333,000 29,000 243,000

Inpatient

86,000

Outpatient

157,000

OP Diagnostic Imaging Visits

2,369,000

STAFFING

2011

Employees

56,947

Medical Staff Members

Loyola University Health System In 2011, Trinity Health announced the acquisition of Loyola University Health System (LUHS), located in Maywood, Ill. The consolidation brings together two strong Catholic health systems committed to investing in patient care, infrastructure, facilities and health sciences education and research. This acquisition adds: • Revenue of $1.1 billion • $51.8 million in community benefit • 2 hospitals • 28 outpatient facilities • 2 long-term care facilities

9,800


Saint Joseph Regional Medical Center Vital Statistics for 2011 Our commitment to our work and to you, the community we serve, shows in everything we do. We’re dedicated to providing charitable care for those who would otherwise not receive exceptional health services. Yet we remain focused on managing our resources in a way that ensures financial stability and longevity, so we can continue to serve you for decades to come.

PATIENT CARE

2011

Physician Network Total Visits

185,000

Hospital Patient Total Visits

415,068

Emergency Visits

67,131

Total Patient Admissions

16,766

Acute

15,177

Newborn

1,589

Patient Surgical Cases

10,728

Inpatient

4,148

Outpatient

6,580

OP Diagnostic Imaging Visits

54,932

STAFFING

2011

Employees

2,528

Medical Staff Members

Specialty CARE

789

FY 2010 Inpatient Discharges

FY 2011

Outpatient Visits

Inpatient Discharges

Outpatient Visits

3,055

17,145

2,749

17,281

Cancer

414

11,588

459

11,071

Stroke/Neuro

847

6,716

854

7,110

1,257

9

1,310

7

Other Surgical Orthopedics

386

1,185

429

1,211

Sports Medicine

N/A

2,869

N/A

3,059

Births/Maternity

2,002

3,854

2,017

3,871

406

3,674

370

3,717

Heart & Cardiovascular

Joint Replacement

Gyn/Women’s Pediatrics General Surgery

415

387

362

275

1,187

2,899

1,188

3,222

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SERVICE | Saint Joseph Regional Medical Center Community Report FY 2011

At Saint Joseph Regional Medical Center, our values give us strength. That character guides every decision we make — even when those decisions are complicated, costly, or hard. We honor our mission to heal mind, body, and spirit by investing in technology, people, and capabilities that allow us to set the standard for quality care. Because we answer to a higher calling. This is healthcare, inspired by faith.


Our Board Members Saint Joseph Regional Medical Center — Mishawaka Bilal Ansari, M.D. Kathy Beeler Robert Casalou Uthman Cavallo, M.D. Robert Clemency, M.D. Greg Crawford Rodney Ganey Albert Gutierrez Michael Hammes Richard Korman, Esq., Board Secretary Michael R. Leep, Sr. Scott Malpass Abraham Marcus, Board Vice Chair Carol Mooney, J.D. John J. Oliver, Sr. Robert Oppman, M.D. Rev. Mark Poorman, CSC, Ph.D., Board Chair Sister Kathleen Quinn, PHJC Sister Agnes Anne Roberts, CSC John Rosenthal Charles Viater, Board Treasurer

Saint Joseph Regional Medical Center — Plymouth Ted Chittum Michael A. Eifrid, M.D. Francis K. Ellert Thomas “Tom” Flynn Albert Gutierrez Sister Joan Elizabeth Johnson, CSC Fred J. Kowalinski Kathy Lintner Sister Joy O’Grady, CSC John J. Oliver, Sr., Board Chair Lori Price, President Josephine Randazzo, D.O. Tod A. Stillson, M.D. John Zeglis

Foundation Board of Saint Joseph Regional Medical Center Board of Directors Nafe Alick Bilal Ansari, M.D. Paula Babcock Barbara Books Dru Cash Sandy Clauser Lorraine Cochran Hon. Dean Colvin Mary Cory Corey Cressy Carla Crittendon Jim Gibbons Alfred J. Guillaume, Jr., Ph.D. Albert Gutierrez A. Jack Hickey, Emeritus Jerome Kearns, Emeritus Sister Margaret Mary Lavonis, CSC Fran McDonald Lou Pierce, Board Chair Ann Rathburn-Lacopo Sister Mary Josef Shingler, PHJC Brandon Siegel Lynn Viater Ben Ziolkowski

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SJRMC 2011 Community Report