2012cbr-final-lowrez

CommunityBenefit Report

S a i n t J o S e p h h e a l t h S y S t e m

2011Saint Joseph - Berea • Saint Joseph East • Saint Joseph - Jessamine • Saint Joseph Hospital • Saint Joseph - London • Saint Joseph - Martin • Saint Joseph - Mount Sterling •

Flaget Memorial Hospital • Saint Joseph - Berea • Saint Joseph East • Saint Joseph - Jessamine • Saint Joseph Hospital • Saint Joseph - London • Saint Joseph - Martin • Saint

Joseph - Mount Sterling • Flaget Memorial Hospital • Saint Joseph - Berea • Saint Joseph East • Saint Joseph - Jessamine • Saint Joseph Hospital • Saint Joseph - London • Saint

Joseph - Martin • Saint Joseph - Mount Sterling • Flaget Memorial Hospital • Saint Joseph - Berea • Saint Joseph East • Saint Joseph - Jessamine • Saint Joseph Hospital • Saint

Joseph - London • Saint Joseph - Martin • Saint Joseph - Mount Sterling • Flaget Memorial Hospital • Saint Joseph - Berea • Saint Joseph East • Saint Joseph - Jessamine •

Saint Joseph Hospital • Saint Joseph - London • Saint Joseph - Martin • Saint Joseph - Mount Sterling • Flaget Memorial Hospital • Saint Joseph - Berea • Saint Joseph East • Saint

Joseph - Jessamine • Saint Joseph Hospital • Saint Joseph - London • Saint Joseph - Martin • Saint Joseph - Mount Sterling • Flaget Memorial Hospital • Saint Joseph - Berea •

Saint Joseph East • Saint Joseph - Jessamine • Saint Joseph Hospital • Saint Joseph - London • Saint Joseph - Martin • Saint Joseph - Mount Sterling • Flaget Memorial Hospital •

Dear Friends,

Saint Joseph Health System’s commitment to community outreach continues to be at the center of everything we do. We provided more than $48 million in charity care from July 1, 2010, through June 30, 2011. Combined with our various programs and services, we provided more than $81 million in outreach care for which limited or no reimbursement was received.

This represents who we are as a faith-based organization dedicated to creating healthier communities and advocating on behalf of those who are disadvantaged and underserved.

As a Catholic organization, we believe that everyone, regardless of their ability to pay, has the right to health care – it is a basic human right, not a privilege. This was our founding Sisters’ mission more than a century ago and one that we are still called to live out today.

In this community benefit report, you will learn how we lived our mission in 2011, caring for those in need both inside and outside our hospital walls.

One example of local outreach is the story of our Congestive Heart Failure Outreach Program in London. Through the free program, a nurse visits discharged patients in their homes to provide follow-up care to reduce their chances of readmission. Tied to the program is the Pharmaceutical Assistance Program which helps patients and families obtain the medicine they need.

Our partnership with Love on a Leash allows us to bring therapy dogs inside our halls to visit with patients and families in Lexington, helping to relieve anxiety and boost morale. This is a different type of outreach, but part of our overall comprehensive approach to provide compassionate care to everyone from all walks of life, no matter their financial situation. You’ll learn more about this program and others inside these pages.

Thanks for your support as we continue our journey to transform health care across the state of Kentucky.

Bruce A. Klockars, FACHEInterim Chief Executive OfficerSaint Joseph Health System

The content of this report (representing July 1, 2010-June 30, 2011) is reflective of Saint Joseph Health System prior to the creation of KentuckyOne Health. In January 2012 Saint Joseph Health System joined Jewish Hospital & St. Mary’s HealthCare to form KentuckyOne Health, the state’s largest health system.

1 essentials

Saint Joseph Health System (SJHS) includes Flaget Memorial Hospital, Bardstown; Saint Joseph - London; Saint Joseph - Martin; Saint Joseph Hospital and Saint Joseph East, Lexington; Saint Joseph - Berea; Saint Joseph - Jessamine; and Saint Joseph - Mount Sterling. The system has 917 licensed beds, approximately 6,000 employees and approximately 1,300 physicians on its medical staffs, including more than 100 employed physicians.

By combining the technology, services, expertise and caring of eight of the best health care facilities in the region, everyone in every community we serve benefits. Together as SJHS, we provide more state-of-the-art care reaching out to more communities, more specialists able to serve more patients, and more of the latest technology.

Combined, the member facilities have received the following honors: Recognized 20 times as being among the 100 Top Hospitals in the nation by Thomson Reuters; Winner of the Joint Commission’s Codman Award for quality improvements; Named one of Kentucky’s Best Places to Work four years in a row; Awarded the highest honor by the Kentucky Center for Performance Excellence; Received the Kentucky Hospital Association Quality Award; Received the Distinction for Service Excellence Award by J.D. Power and Associates.

SJHS’s commitment to community outreach is deeply rooted in the work of the founding congregations of religious women – the Sisters of Charity of Nazareth, Congregation of Divine Providence, and the Sisters of Charity of Cincinnati. The heart and soul of these pioneer women in health care was their commitment to community outreach to the poor and underserved. This tradition is carried on today in each of the facilities comprising SJHS.

Essentials Our MissionThe mission of Saint Joseph Health System and

Catholic Health Initiatives is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the Gos-pel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities.

Our VisionOur vision is to live up to our name as one CHI:•Catholic: living our mission and core values• Health: improving the health of the people and communities we serve

• Initiatives: pioneering models and systems of care to enhance care delivery

Our DestinySaint Joseph Health System is a faith-based com-

munity united in our unwavering commitment to person-centered care. Our destiny is to grow our heal-ing ministry as a national quality leader.

Our Core ValuesOur core values guide how we live our mission on

a daily basis and are the touchstone upon which all strategic and operational decisions are made.

• Reverence: Profound respect and awe for all of creation, the foundation that shapes spiritual-ity, our relationships with others and our jour-ney to God.

• Integrity: Moral wholeness, soundness, fidel-ity, trust, truthfulness in all we do.

• Compassion: Solidarity with one another, capacity to enter into another’s joy and sorrow.

• Excellence: Preeminent performance, becom-ing the benchmark, putting forth our personal and professional best.

ContEnts

1 Essentials

2 Introduction

4 Feature: Outreach Program Empowers CHF Patients

6 Feature: Building Relationships in Belize

8 Saint Joseph - Berea

10 Saint Joseph Hospital/Saint Joseph East/Saint Joseph - Jessamine

12 Saint Joseph - London

14 Saint Joseph - Martin

16 Saint Joseph - Mount Sterling

18 Flaget Memorial Hospital

20 Feature: Love On A Leash

23 Foundation Community Benefit Report

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Primary Tax Exempt PurposeThroughout Saint Joseph Health System (SJHS)

the emergency departments frequently serve as the primary source of care for many of the uninsured and underinsured of their respective communities. This year 229,831 outpatient visits were made to the emer-gency rooms throughout the system.

A hospital board comprised of business, physician, and religious leaders advises and directs the CEO on issues impacting the system, as well as, strategic plan-ning and community health needs.

All hospitals participate in Medicare, Medicaid, CHAMPUS, TRICARE and/or other government-spon-sored health care programs.

Community Benefit Approach•Our mission to create healthy communities continu-

ally challenges us to explore with representatives of business, social agencies and religious organizations opportunities for addressing the changing needs of our communities. We seek new ways to extend our healing ministry through projects focused on improving the health and quality of life of those we serve, especially, the poor, the underinsured and

Creating Healthier Communitiesuninsured. Through the establishment of a Healthy Communities Council, SJHS is working with repre-sentatives from each community we serve to iden-tify existing programs, explore community needs throughout the system and develop projects.

•This Community Benefit Report addresses the loca-tions and demographics of each community served, by facility.

•SJHS follows Catholic Health Initiatives’ standards and guidelines for the provision of charity care. Our income guidelines are based on 130 percent of the HUD Very Low Income Levels. We communicate this charity program to all patients through signage, information in the patient handbook, and oral com-munication. Any patient presenting to a facility without insurance is apprised of the available assis-tance programs including charity, Medicaid and the Kentucky Hospital Care program. Financial counsel-ors are available to meet with patients and discuss financial assistance options. Financial counselors are also available by phone and make extra efforts to contact patients after their discharge to communi-cate every available financial assistance alternative.

Mission Leaders

Ben Wiederholt, Interim Vice President of Mission Integration

Saint Joseph Health System

Lisa Rutherford, Vice President of Mission

Saint Joseph - London & Saint Joseph - Martin

Flora Washburn, Manager of Mission Services

Saint Joseph - Berea

Sr. Janet Carr, CDP, Mission Leader/Chaplain

Saint Joseph - Mount Sterling

“Never walk away from someone who deserves help; your hand is God’s hand for that person.” Proverbs 3:27

intRoduCtion3

Saint Joseph Health System Community Benefit Fiscal Year 2011

Community Benefit Provided For The Poor FY 2011

Cost of charity care provided $48,735,633

Unpaid cost of Medicaid $22,614,037

Unpaid cost of indigent programs $8,131,503

Non-billed services for the poor $78,993

Cash and in-kind donations for the poor $117,115

Other benefits provided to the poor $205,160

Total cost of community benefit provided to the poor $79,882,441

Benefits Provided For The Broader Community FY 2011

Non-billed services for the community $615,806

Education and research provided to community $831,127

Other benefits provided to the community $355,555

Total cost of community benefit provided to the community $1,802,488

Total cost of community benefit $81,684,929

Community benefit % operating expenses before restructuring 9.8%

Uncompensated CareAs described in the above table, SJHS provides

a significant level of free care each year. In fiscal year 2011, the cost of charity care provided by the organization was more than $48 million. SJHS also

incurred more than $22 million in unreimbursed costs for services provided to Medicaid patients. Frequently, the cost of providing services to Medicaid patients is greater than the payments SJHS receives from the Medicaid program.

Saint Joseph Health SystemBoard of DirectorsMike AdesRalph Alvarado, MD (Medical Staff Representative)Jeff AmburgeyJeff BrotherDavid BrownRobert Granacher, MDBob Hewett, ChairMiller HoffmanBruce Klockars, Interim CEO Chris Mays, CNO RepresentativeMichael Rowan, CHI COOPat RutherfordMichael Stahl, PhDSr. Liz Wendeln, SCN, Vice Chair

Saint Joseph Health SystemPresident’s CouncilBruce Klockars, Interim CEO, SJHSEd Carthew, CHRO, SJHSGary Ermers, CFO, SJHSMark Streety, CIO, SJHSDaniel Varga, MD, CMO, SJHSVirginia Dempsey, President, SJLSue Downs, President, FMHGreg Gerard, President, SJBKen Haynes, President, SJH/SJE/SJJBenny Nolen, President, SJMSKathy Stumbo, President, SJMJackie Kingsolver, Associate Counsel, CHIBen Wiederholt, Interim VP, Mission Integration, SJHS

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Registered nurse Rita Taylor (left) teaches patients to live healthier and Debra Mills (right) helps patients obtain the medicines they

need through an outreach program at Saint Joseph - London.

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By Tanya J. Tyler

Two innovative programs are helping Saint Joseph - London (SJL) make a difference in the health of people in its community.

The Congestive Heart Failure (CHF) Outreach Program began three years ago when SJL received a $170,819 grant from the Catholic Health Ini-tiatives Mission and Ministry Fund. The funding was used to design and implement a program to help reduce the high rate of hospital readmission for patients with CHF. The aim was to improve the disease-management abilities of patients who had been discharged with a primary diagnosis of CHF by having a nurse visit them in their homes. The nurse would teach them about following a healthy diet and the importance of exercise and how to monitor their weight.

The program has been a great success. Rita Taylor, RN, who is primarily responsible for making the visits, took over the program in September 2010. “Since then, the 30-day readmission rate for patients participating in our pro-gram is zero,” she said.

Taylor checks the hospital census daily to find patients that fit the program criteria. They must live within a 30-mile radius of the hospital and be discharged to their home, not to a nursing home or home-health care.

“I contact them and explain the program, and if they agree to join it, I go to their home and see them,” Taylor said. She visits the patient for a total of six months, first once a week for four weeks, then once every other week for four visits and then once a month. The number of patients vary, but the average is about 40 at any given time. “I’m always picking up new patients and always discharging patients,” Taylor said.

On the initial visit, Taylor and the patient discuss the causes and symptoms of CHF and what the patient can do to stay healthy. Taylor stresses the importance of controlling sodium intake and teaches the patient how to read food labels.

Chester Newby, Sr., 61, participates in the CHF Outreach Program. Eleven years ago, with his health failing due to lung and heart problems as well as diabetes, he was told he only had three months to live. Two years ago, his physician referred him to the program. Newby enjoys working with Taylor.

“Rita makes home visits, checks my blood pressure, listens to my lungs and has taught me the importance of daily weights and my diet,” he said. “She helps me with my medication needs. She calls to check on me, and if I need her, she will either talk to me on the phone or be right here. Without her, I could not make it.”

Taylor believes that personal aspect of the program is an integral part of its success.

“The patients see that I’m not just somebody from the hospital bringing all this stuff out to them. I care what happens to them,” she said.

Taylor lets patients know adhering to the recommendations of the program

might not be easy, but it will definitely be worth it if they do. “I tell them, ‘If you’re just willing to do a few lifestyle changes, your quality of life is going to be so much better,’” she said.

The grant ended this past July, but SJL decided to keep the program going because it was so effective.

“Our CHF Outreach Program has been won-derful,” said June Rawl-ings, RN, BSN, director of Healthy Community Outreach at SJL. “We’re just so excited about it and just can’t say enough about it.”

Tied into the CHF Outreach Program is the Pharmaceutical Assistance Pro-gram, which helps patients and their families obtain the medicine they need to treat and control such health challenges as diabetes, chronic obstructive pulmonary disease and asthma.

“If they don’t have their medications, the CHF program is not going to be successful,” Taylor said.

Laurel County resident Paul Sizemore, 65, has benefited from the Pharma-ceutical Assistance Program. He was hospitalized at SJL several times over the past five years due to chronic diabetes and open-heart surgery. With large bills to pay, he worried that he could not afford his medicine. A discharge planner told him about the assistance program. Sizemore says it has relieved his anxiety and fear about getting his medicine.

“I would not have had money for food if I would have had to buy my medica-tions,” he said.

The CHF program encourages the patients to have a hand in their own health maintenance, says Lisa Rutherford, VP for Mission Integration at SJL.

“I look on this as an empowerment for the patients because the more knowl-edge they have, the more they’re able to take control of what they’re about,” she said. “That to me makes all the difference because it’s not just us going in and doing something; it is us helping patients understand better how they can help themselves stay well, and that’s the key.”

Outreach Program Empowers CHF PatientsVisiting nurse teaches about lifestyle changes

featuRe

7 featuRe

By KaThie STampS

Would you happily live in a wobbly structure with dirt floors and a tarp for walls? Hundreds of people outside of Belize City do, and they’re actually

quite content.“They are such people of faith,” said Billie Turner, RN, chief operating officer

and chief nursing officer at Saint Joseph - Martin. “They are very thankful for what they have, and are very happy.”

Flora Washburn, manager of mission services at Saint Joseph - Berea, agreed. “We tend to think of third-world countries as being disadvantaged, which eco-nomically they are,” she said, “but they have so many cultural, spiritual and family situations in place that are extremely strong and resilient.”

Turner and Washburn were two of a dozen Americans who traveled to Belize on Valentine’s Day 2011 for a weeklong mission trip in the small village of Las Flores, a suburb of the capital city of Belmopan in Belize. The projects for the trip were organized through the Sisters of Charity of Nazareth (SCN). SCN has a strong presence in Belize City.

“This was my first time on a mission trip,” Turner said. “I want to do it again!”The mission team was charged with the task of working on home repairs

for three different families in Las Flores. With the help of some of the villagers, they laid a concrete floor in one home for a mother and her six children, where sand, cement and water were mixed on the ground itself because there were no cement mixers available. They added an extra room to another structure by putting up plywood walls and topping them with an aluminum roof. The third project was to start a house from scratch, which basically consisted of building a frame so concrete could be poured at a later date.

“We were quite taken aback by the situation at the first home we went to,” Turner said. But as the week progressed, she knew she would be encouraging co-workers and family members to think about doing something similar.

“It is one of the most rewarding things I’ve ever done,” she said. “It gives you a different picture of the world. Our neighbors are not just the people next door; we have solidarity with people all over the world.”

In the fall of 2010, Sister Liz Wendeln, SCN and Saint Joseph Health System (SJHS) board vice-chair, challenged the SJHS Leadership Development Institute to become involved with international missions “to expand our vision and see what goes on beyond ourselves,” Washburn recalled.

SCN worked with local village leaders in Las Flores to determine the home repair projects before the Americans arrived.

“We go there with great intentions of helping them, but we are the ones

who end up becoming richer from it,” Washburn said. “The difficult part is when you see the needs of someone else. Coming from the American culture, we want to try to ‘fix’ it,” she said.

Turner said, “Until you see those situations and how people are living, you don’t realize how much we take for granted.”

Early in the week, when members of their group found out that kids were sleeping on a dirt floor – and yes, it all turned to mud when it rained – their first thought was to buy bunk beds for them. “A few of us went out for a couple of hours one morn-ing looking for bunk beds!” Washburn said. As it turned out, they liked sleep-ing in hammocks. What the family really needed and wanted was linoleum for the floor. “We bought a piece of linoleum and you would have thought it was Christmas,” Washburn said. “They were so excited to no longer be sleeping on a dirt floor or walking in mud in the bedroom.”

She was immediately reminded of a piece of advice from Diane Jones at Catholic Health Initiatives: “Build relationships. Find out how you can help – what they want, not what you think they need.”

“These people were so appreciative and thankful for what we did,” Turner said. “I left there feeling like they did more for me than I did for them.”

Known as British Honduras until 1973, Belize is about half the size of Ken-tucky (the Commonwealth has 4 million more people, though). It is the north-ernmost country of Central America. Although the official language is English, many of the people in Las Flores speak Spanish, as they are refugees from El Salvador, Guatemala and other countries.

Washburn and Turner are headed back to Belize in early 2012 to meet with the sisters and local officials on a needs assessment trip. Perhaps SJHS can help establish a full-time health care presence, or maybe the outreach will be on a routine basis with groups of medical professionals providing services for the people of Belize.

“It is all about the people and building an ongoing collaborative relationship,” Washburn said, “where we learn from one another and can build a sustainable future together.”

Building Relationships in BelizeGod’s grace is worldwide

8

Saint Joseph - Berea (SJB), established on the grounds of Berea College in 1898, is a 25-bed critical care access hospital, serving the residents of Madison, Jackson, Rock-castle, Estill and Garrard counties. The hospital includes a fully-staffed 24-hour emergency department, Berea Family Medicine, Berea Specialty Clinic, Diabetes and Nutrition Center, Heart Institute, Rehabilitation Services, Sleep Wellness Center and Surgical Services. Additional services include: Senior Renewal Center, Wound Center and Pain Center.

SJB was recognized as a nation’s Top Performer in Quality by The Joint Commission in 2011 and received the Distinction for Service Excellence award by J.D. Power and Associates.

Community Outreach For People Who Are Poor

A Day of Hope SJB participates in a community-wide program

designed to provide resources for parents to improve children’s health and nutrition. Organizers provide a free meal, groceries, haircuts, community services and other resources. SJB financial counselors provide infor-mation and education regarding health care and other programs available to low-income families. This year, employees donated mittens and hats for the children and more than 500 children were served.

Berea Health Ministries PartnershipSJB’s partnership with Berea Health Ministries

(BHM), a faith-based medical clinic, was formed in the spring of 2010. SJB provides in-kind support that includes office and clinical space, maintenance, cleaning, information technology and other support as needed; in turn the clinic provides primary care, education and support for all people, but primarily the poor, uninsured and underinsured. SJB’s in-kind support was $38,973. The ministry has been able to extend hours to provide more options to patients through a Mission and Ministry grant provided by Catholic Health Initiatives. The grant is in its second year and has helped BHM to see an additional 1,100+ patients in fiscal year 2011.

Saint Joseph - Berea

Henrietta Child Fund SJB provided funding for orthopedic, emergency

surgery, orthotics and/or gynecological care in the amount of $27,962 for 29 Berea residents who were uninsured, indigent patients and met the poverty guidelines.

the Indigent Care Program SJB provided free medications and/or chemother-

apy treatments for 21 uninsured patients. This effort was made possible through collaborative efforts with various pharmaceutical companies.

Lights for Life Emergency Medical services Fund

SJB provided more than 200 prescriptions at a savings of $19,180 to low-income, uninsured patients. This fund is supported by employees and community members with the purpose of helping the uninsured and underinsured patients.

Patient and Family Assistance FundSJB provided close to $10,000 to patients and fami-

lies for accommodations, meals, transportation, etc., as needed. Many employee hours went into providing these services. Funds were raised by the SJB Founda-tion through employee and community contributions.

Community Outreach For The Broader Community

Community DonationsSJB gave $9,425 in donations to support local fun-

draising efforts, disaster response, charities and com-munity events and organizations.

st. Mark’s Catholic schoolSJB educator and departments provide monthly

presentations on various disease and health-related educational programs for awareness and disease pre-vention.

student Volunteer ProgramThrough the Summer Junior Volunteer Program, SJB

provided training and supervision for students who are interested in pursuing health care careers.

new opportunity school for WomenThis program was developed to help low-income

women have a second chance to gain new skills. In

9 BeRea

2011, SJB provided free physicals, blood tests and mammograms for 19 participants.

LifelineSJB assisted 41 elderly citizens to subscribe to the

Lifeline Program. Lifeline is sponsored by the Public Service Commission of Kentucky and provides emer-gency personal response for the elderly.

Collaborative Efforts To Improve Community Health

Blue Grass Energy Members Meeting SJB provided First-Aid services and hosted a health

fair to include Sleep Wellness Center, Diabetes and Nutrition Center, general service information and give-aways (including medication cards).

Madison County Health DepartmentSJB partners with the Madison County Health

Department to assess community needs and set goals for creating a healthier community.

safety CoalitionSJB is helping to promote safety in its communities

through this coalition.

Health Professions EducationSJB is a clinical site for Eastern Kentucky Univer-

sity, Spencerian and Berea College nursing programs. SJB precepts nursing students and evaluates their performance. SJB also performs competencies on the students if they want to “camp” a procedure. SJB pro-vided volunteer training, placement and supervision for pre-med Berea College students and supervised interns

in Health Information, Pharmacy, Lab and Radiology.

Community Health and WellnessSJB provided health and wellness education, as well

as vaccinations, for 127 community members in order to educate and prevent against disease. Education was also provided to 168 students on healthy options, effects of illness and a career in health care.

spoonbread FestivalSJB provided First-Aid, medication cards, education

and general information about services including the Diabetes and Nutrition Center. SJB served as the pre-senting sponsor of the festival’s 5K run/1 mile walk with emphasis on health and fitness.

Get Healthy BereaSJB’s hospital-sponsored community event promotes

physical activity, nutrition and healthy alternatives. During the event, local and community vendors set up booths promoting healthy alternatives. SJB provided blood pressure screenings, cholesterol and blood sugar checks, and heart health information. The event also sponsored a “fun walk” and 8K run. The SJB Founda-tion sponsored the event. Hospital employees supplied labor and some supplies.

Hispanic Resource FairSJB hosted a fair targeted to the growing Madison

County Hispanic population and provided health edu-cation/wellness, general resources regarding commu-nity services, and legal information for 50 people. The fair was a collaborative effort between SJB, Madison County Health Department, EKU-Migrant Education and Kentucky Foothills Project.

“Saint Joseph - Berea’s commitment to the community is realized in several ways, i.e., improving patient care; listening to patients and families and responding to needs; creating an environment that promotes teaching individuals to care for themselves upon discharge; promoting creative outlets during hospital stays through art; assisting individuals who are disenfranchised to find resources they need; and promoting healthy ways of living through Get Healthy Berea, as well as a co-sponsor of the farmers market.”

– Ruth R. hawkins, health education diRectoR, Madison county health depaRtMent

“This hospital was founded on the desire to help serve our community. We continue this today through the programs we offer to the community and through our employees who generously give of their time and resources. It is rewarding to know we can make a difference.”

– GReG GeRaRd, saint Joseph - BeRea pResident

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Saint Joseph Hospital (SJH), Lexington’s first hospital, was founded in 1877. It has grown into a 433-bed medical center, with a full range of services, including the nation-ally award-winning Heart Institute and leading-edge da Vinci robotic surgery. Also known as Lexington’s “heart hospital,” SJH has pioneered many firsts in the health care community.

SJH has been nationally recognized for treatment in the areas of cardiology, orthopedics and stroke, by Thomson Reuters and U.S. News and World Report. SJH received an Excellence Through Insight award from HealthStream in 2011 for overall emergency department satisfaction and a Silver Medal of Honor from the U.S. Department of Health and Human Services for surpassing national organ dona-tion goals. In 2011, SJH also received the Distinction for Service Excellence award by J.D. Power and Associates.

Saint Joseph East (SJE), a community hospital with 218 beds, complements SJH’s 134-year health care mis-sion through multiple services and specialties. At SJE, maternal and childcare, cardiology services, ambula-tory surgery and 24-hour emergency care are supported through traditional inpatient and outpatient programs. Additional specialty services include the Heart Institute, Breast Center, Sleep Wellness Center and the Center for Weight Loss Surgery.

SJE received an Excellence Through Insight award from HealthStream in 2011 for overall patient satisfaction for its outpatient-cardiology unit and for overall outpatient satisfaction. Also in 2011, SJE became a four-time winner of the “100 Top Hospital” award from Thomson Reuters. In 2011, SJE received the Distinction for Service Excellence award by J.D. Power and Associates.

Saint Joseph - Jessamine RJ Corman Ambulatory Care Center (SJJ) opened on January 2, 2009. It is Jessamine County’s first and only full service, 24/7 emergency department. It also provides diagnostic imaging, labora-tory services and offices for doctors and staff.

Saint Joseph HospitalSaint Joseph East

Saint Joseph - Jessamine


surgery on sundayAndy Moore, MD, started the Surgery on Sunday

(SOS) program in 2005 thanks in part to a $145,000 grant from Catholic Health Initiatives and in-kind donations amounting to $567,000. Since the beginning, 2,000 outpatient surgeries have been performed. SOS now has 250 volunteer surgeons and 450 other medi-cal and non-medical volunteers. SJH nurses provide a large portion of the care. The surgeries are performed in donated space in the Lexington Surgery Center the third Sunday of every month.

Patients are the working poor who have no health insurance. For income-eligible patients, all services and supplies, from the pre-operative visit with a vol-unteer surgeon, to the imaging studies, to the medi-cations needed before and after surgery, to physical therapy, to the post-operative appointment, are free. In response to the great need and long waiting list, SJH offered its surgical space and supplies to add another Sunday to the SOS rotation once a quarter.

saint Joseph Continuing Care ClinicSJH operates a free health clinic for residents of

central Kentucky (primarily of Fayette County) who are low-income and do not qualify for Medicaid ser-vices. The clinic provides primary health care services including pharmaceuticals. In fiscal year 2011, the clinic served 1,885 patients during 2,825 visits and provided $3,711,674 in the market value of free medi-cations. The clinic also began a redesign process to identify ways to better serve people who leave the hospital without follow-up care to improve appropriate utilization of services and reduce readmissions.

PharmAid Program and Prescription Assistance

SJH, SJE and SJJ strive to ensure patients have the prescriptions needed to further their healing process when they leave the facility. A social worker assists low-income patients in finding resources to provide their prescription medication at low or no cost. If the medication is not available through one of these pro-grams, or if the patient does not qualify, the pastoral care team utilizes a fund to help patients obtain a three-day supply of selected medications and a seven-day supply of many antibiotics.

11 hospital • east • jessamine

Baby Health serviceSJH provides space and utilities to Baby Health

Service. Baby Health Service is the oldest children’s health clinic in the Commonwealth. Baby Health Service is about healthy families and a healthier com-munity. Its name may be misleading, as its patients are children age birth to 17 years in families without any form of health insurance and whose families do not qualify for Medicaid.

All services are free for children. “Well Child” visits, sick visits, medications, lab tests and immunizations are paid by Baby Health Service. The dollar value of the volunteer medical services averages nearly $300,000 annually. Started in 1914, the non-profit has more than 90 years of service to Lexington’s children and families. The clinic is open Monday-Friday from 7:30 a.m. until noon.


Appalachian outreach ProgramAppalachian Outreach Program is a community-

based program that provides home visits for patients discharged from SJH, SJE, SJB, SJMS and SJL. The services provided include spiritual care, social work, clinical nutrition and dietitian consultation/education for the patient and caregiver/immediate family. The program made 18,220 contacts with people in fiscal year 2011 as it celebrated its 25th anniversary.

Eastern Kentucky Mobile ClinicThe Eastern Kentucky Mobile Health Service pro-

vides primary medical/health services in Morgan, Wolfe and Lawrence counties. These sites are in high-risk very remote rural areas of eastern Kentucky. The Mobile Health Service utilizes a forty-foot long, eight-foot wide and twelve-foot tall coach to deliver the services.

The services provided include health promotion, prevention, monitoring of illness and referrals. Practi-tioners accomplish this through a primary care model which includes assessments, counseling, education and screening. The Eastern Kentucky Mobile Health Service is in an evolutionary process with the estab-lishment of primary care clinics, within our sixty county service area, providing telehealth connectivity to primary care and specialty physicians in the Saint Joseph Health System network.

Perinatal EducationSJE has a well established community education

program on breastfeeding, childbirth preparation, and teen parent care for newborns. SJE also hosts a Mater-nity Fair annually that provides education to hundreds of attendees.

Education of Medical/Paramedical Professionals

SJH, SJE and SJJ serve as clinical education sites for medical professionals offering classes and resi-dency programs. Health professionals include medical students, family practice residents, Pharm D students, physical therapy students, respiratory therapy stu-dents, radiology students, nursing students, social work students, surgical technicians, and students earning master’s degrees in public health.


SJH, SJE and SJJ work with several community partnerships in an effort to improve the health status of its communities. They support the participation of employees on several foundation and community boards. They support, through both monetary dona-tions and employee educators, the continuing educa-tion and support of several foundations working for a healthier community (e.g., American Cancer Society, Ronald McDonald House, YMCA Black Achievers, Camp Horsin’ Around, American Heart Association, American Diabetes Asso-ciation and Habitat for Humanity).

SJH, SJE and SJJ also participate in the education of healthy living through offering hand hygiene, sleep wellness, bariatric and diabetes education at schools and businesses throughout central Ken-tucky. SJH and SJE also participate in collaborations with the local government, the Lexington-Fayette Coun-ty Health Department, and other health care facilities to evaluate and improve community health.

“Our partnership with Saint Joseph is a natural connection because our mission is the same: to create a healthier community. For Baby Health, we focus specifically on improving the health of uninsured children birth through age 17, and we could not do it without your support. Whether it be providing for our physical space needs or supporting needed diagnostic tests, Saint Joseph has always been there for us.”

– nellie wilkinson, pResident, BaBy health seRvices

“Saint Joseph Hospital has always embraced its founding mission, set forth by the Sisters of Charity of Nazareth, of reaching out to those less fortunate, those in need of compassion and quality health care. For the past 134 years, Saint Joseph Hospital has looked for ways to meet these needs and build healthier communities, understanding that a healthy community starts with healthy people. Saint Joseph Hospital, Saint Joseph East and Saint Joseph - Jessamine are dedicated to embracing their neighbors and helping them to achieve healthy lives. Through multiple programs and outreach services, we have given more than $38.4 million in quantifiable community benefit”

– ken haynes, saint Joseph hospital, saint Joseph east and saint Joseph - JessaMine pResident

12

Saint Joseph - London (SJL) opened a new facility on August 19, 2010 that increased its capacity to 120 beds. SJL provides a full range of medical, emergency, surgical and obstetrical services. The new facility features the latest technology including expanded award-winning cardiovascular services, expansive interior spaces, private rooms, beautiful labor and delivery rooms and comprehensive outpatient diag-nostic services. Other services provided in the com-munity include respiratory and cardiovascular care, pediatrics, orthopedics, neurology, endocrinology and sleep wellness.

For three years in a row SJL has been designated as a “100 Top Hospital” for cardiovascular care by Thomson Reuters. In 2011 the hospital received the Distinction for Service Excellence award by J.D. Power and Associates.

Saint Joseph - London


Pharmaceutical Assistance ProgramThe Pharmaceutical Assistance Program was estab-

lished to help uninsured and underinsured individuals with their medication needs. Serving Laurel, Whitley, Clay and Knox Counties the program addresses medi-cation needs specific to cardiac, diabetes, hyperten-sion, cholesterol and COPD. Through the program 672 people were assisted with more than 1,132 free prescription medications provided by pharmaceutical companies at a market value of $519,300. Part-time staff members assist individuals in the application process and with follow-up needs.

summer Feeding ProgramOrganized and federally funded through United Way

of Laurel Co., SJL joined with other agencies and companies to provide daily lunches (Monday-Friday) to children in the area. The Summer Feeding Program is designed to deliver lunch to children in underserved areas. Lunches are provided at more than 50 desig-nated locations with agencies/companies assigned to a specific location. This year 80 employees volunteered to serve more than 1,000 lunches in the eight weeks of the program.

sEED (senior EducationEvent Dinner) Program

Over the past four years SJL has provided health education at the local Catholic Church to senior adults living on fixed incomes. These monthly programs offer an opportunity for seniors to socialize, have lunch and hear about specific health issues. It is also a time for them to ask questions regarding health issues and have monthly health checks to assist in monitoring their wellness. On average, between 30 and 35 attend.

Flu ClinicsThrough SJL’s Healthy Community Program, 520

individuals were provided free flu vaccinations from January through March 2011. Clinics were set up to meet the needs of the uninsured/underinsured at: Kentucky Home Place, Community Care Corporation, Old Persons Activity Center (OPAC), Homeless Shelter and at the monthly SEED (Senior Education Event Dinner) Program.

13 london

Donations of supplies & EquipmentThe closing of the former hospital afforded SJL an

opportunity to work with Supplies Over Seas (SOS), an organization dedicated to recycling equipment and supplies to hospitals and clinics in the states and foreign countries. Approximately $59,000 in equip-ment was distributed through the SOS agency. In late spring of 2011 more than $400 in medical supplies were donated to the hospitals ministering to tornado victims in Alabama.

Medication/Durable Medical Equipment (DME) and transportation

In the past year, SJL has assisted patients on lim-ited incomes with medications, transportation and DME needs at their discharge. Often medication assis-tance is given to patients until they can receive help through the Pharmacy Assistance Program and/or are eligible for Medicaid. Self-pay patients who have major infections and require an antibiotic on discharge are also eligible for assistance. Transportation assistance is provided in cases where patients have no money or medical card to assist with transit buses or taxis. Through the Social Services department more than $49,000 was dispensed to meet these needs.


Maternity FairThe Maternity Fair is organized by the Southeast-

ern Kentucky Area Health Education Center (AHEC) and assisted by SJL and the Laurel County Health Department. The one-day event had 181 mothers and 172 guests in attendance from Laurel, Clay, Knox and Whitley counties. The program is designed to assist young mothers in the care of their newborns, infants and toddlers. Participating moms ranged between the ages of 15 to 44 years. They were required to attend educational break-out sessions on relevant topics, such as labor anesthesia-epidurals, breastfeeding & nutrition, pregnancy and early childhood development, to be eligible for prizes and gifts. Fifty-four vendors offered educational materials and information on a host of items and services available within the com-munity.

CHF outreach ProgramThrough SJL’s Congestive Heart Failure (CHF) Out-

reach Program, a full-time nurse educates and assists CHF patients in monitoring and controlling their chronic disease process. This past year more than 175 patients were followed through the program. In addi-tion to education of patients, the nurse has provided in-service education on caring for CHF patients to the staff of home health agencies and nursing homes.

Education Projects and ProgramsThroughout the year SJL staff members have collab-

orated with other agencies and organizations in pro-viding the following educational opportunities to the community: Cardiac Symposium, Diabetic Symposium, Cancer Survivors Dinner and Pulmonary Symposium.


SJL served as a clinical education site for more than 100 students in the following areas of study: nursing, public health, radiology, laboratory, pharmacy, respira-tory therapy, paramedics and cardiac cath technicians.

“Saint Joseph - London has a rich history of reaching out to the community by providing health screenings, education and programs. In addition, we collaborate with other area hospitals and health care agencies to provide the maximum impact for those we serve. Last year, Saint Joseph - London provided $19.5 million in quantifiable community benefit.”

– viRGinia deMpsey, saint Joseph - london pResident

“Saint Joseph - London is an asset to our community and a great collaborating partner. This partnership affords us the opportunity to combine our resources and talents to meet the needs of our community. Their positive impact on our community is visible through the programs they offer, such as the congestive heart failure outreach program, and the outstanding care they provide their patients.”

– MaRk hensley, diRectoR, lauRel county health depaRtMent

14

Saint Joseph - Martin (SJM), established in 1947, is located in the beautiful Appalachian Mountains. The 25-bed critical access facility provides patients with holis-tic, personalized care. In addition to the hospital, SJM operates four rural health clinics located in Wheelwright, Betsy Layne and Martin.

SJM strives for excellence and garnered the Kentucky Hospital Association Quality Award in 2007, 2009 and 2011. In 2011, SJM received the Distinction for Service Excellence award by J.D. Power and Associates. SJM con-tinues to collaborate with community partners to improve the health and wellness of those served.


social services ProgramsThrough SJM’s Social Services programs, 596 people

were assisted with transportation, medication, sup-plies and other basic needs totaling near $16,000.

Patient Financial Counselors SJM financial counselors made 7,750 patient con-

tacts to assist individuals with medical bills and to seek assistance with programs such as Kentucky Hospital Care Program (KHCP).

Christmas Basket ProgramSJM assisted the efforts of employees who donated

1,374 items for 63 families through the Christmas Bas-ket Program. The program is organized through Social Services in collaboration with Martin First Baptist Church.


Dental/oral Health Care InitiativeThe Dental/Oral Health Care Initiative was formed

as a result of four focus groups – consumers, health care providers, business and industry leaders, and religious leaders who met in 2005 to address the important issue of improving health care access in our community.

Saint Joseph - Martin

The Dental/Oral Health Care Initiative completed its fifth year screening students of Floyd County. This year, grades 6-8 were added and 1,530 students were screened. The Dental/Oral Health Initiative is a collab-orative effort of Big Sandy Health Care, Floyd County Health Department, Floyd County Schools and SJM.

Floyd County Communities Against Drug Addiction (CADA)

Healthy Floyd County 2010 Drug Action Team com-bined forces with CADA because the ultimate goal of each is to decrease drug use in Floyd County. The Drug Action Team is one of the three original Healthy Floyd County 2010 Action Teams – Drug, Economy/Employment and Education.

In June, CADA hosted the “Drug Abuse Kills – Ride for Life” event, a poker run. Twenty-two riders enjoyed the ride through several neighboring counties and close to $5,000 was raised for education and drug rehabilitation treatment vouchers.

SJM participated with Operation UNITE (Unlawful Narcotics Investigation Treatment and Education), a federal program initiated by Rep. Hal Rogers to assist in dealing with the local drug epidemic, for the “Shoot Hoops – Not Drugs” event.

Relay for LifeSJM supported the efforts of employees’ fundraising

events that raised close to $16,000 for American Can-cer Society’s Relay for Life; this surpassed their goal of $10,000 and exceeded the previous year’s efforts by $4,000.

senior Health FestSJM hosted its annual Senior Health Fest in Octo-

ber serving more than 90 seniors. Free flu shots and blood pressure screenings were provided. The seniors were treated to lunch and entertained by the Swing-ing Sensations.

school ProgramsSJM’s Community Health Outreach Department col-

laborates with all area schools and many community organizations to provide prevention programs. The fol-lowing programs were presented to more than 4,000 students: Let’s Talk About Drugs (primary); Tobacco Pre-vention (primary, middle and high schools); Nutrition (pri-mary and middle schools); Heart Health/CPR Information (middle and high schools); CPR Heartsaver (middle and high schools); Student Self-Breast Exam (high schools).

15 martin

SJM continues to be dedicated to Respect – an abstinence-based program for 6th and 7th grade females, which began in 1994. Real Care dolls are an integral part of the program. The program was conducted in six of the seven middle schools in Floyd County serving more than 100 students. A parent said the following about the program: “i think it should be that they have to do this, not optional. it was a great training experience for (my daughter). Thank you for having this program.”

Community DonationsSJM donated more than $2,000 to support local

efforts that aligned with community needs and its mission.


SJM continues to lead and be a champion for col-laborative efforts and networking with the community to fulfill the goal of building a healthier community through the works of the Healthy Floyd County 2010 Initiative.

Healthy Floyd CountyThe Healthy Floyd County Coordinating Committee

remains committed to building a healthier community. Two action teams, Drug Action Team and the Dental/Oral Health Team, of the Healthy Floyd County 2010 initiative continue their effort in building a healthier community.

Floyd/Pike AsAPSJM is a member of the Floyd/Pike ASAP – Agency

for Substance Abuse Policy – a state program estab-lished in 2000 to help manage local policies that will help overcome illegal drugs and underage tobacco use.

Floyd County Diabetes CoalitionSJM is a member of the Floyd County Diabetes

Coalition, a branch of the Tri-County Coalition (Floyd, Johnson and Magoffin) that was created approxi-mately three years ago by the Friedell Committee. The goal is to investigate and address the needs of people with diabetes in the three previously mentioned coun-ties. According to The Courier Journal (2005), in the eastern Kentucky area, adult diabetes rises as much as 74 percent above the national average.

Health Professions EducationSJM serves as a clinical site for nursing and respira-

tory students.

Community Building ActivitiesSJM actively fosters partnerships to help build

a healthier community. Staff collaborates with all schools in Floyd County to provide prevention pro-grams covering some of the most pressing health issues today such as nutrition and drugs.

Members of the Community Outreach Department serve on the following committees to assist in build-ing a healthier community: Floyd County Chamber of Commerce Women’s Council; Floyd County Diabe-tes Coalition; Floyd County Cancer Coalition; Floyd County Schools District Emergency Management Support Team; Allen Elementary Family Resource Youth Services Center Advisory Council; May Valley Elementary Family Resource Youth Services Center Advisory Council; Allen Central High School Youth Services Center Advisory Council; Floyd County Com-munities Against Drug Addiction (CADA); Floyd/Pike Agency for Substance Abuse Policy (ASAP); Floyd County Schools Tobacco Education Facilitators Com-mittee; Built Environment/Healthy Communities Com-mittee Family Consumer Sciences Advisory Council; and, Floyd County Community Council on Domestic Violence.

“We are honored to continue the legacy of care established by our Foundresses in 1947. Our mission is to build a healthier community and this guides us in the programs we provide and strengthens our partnerships with other organizations. It is our goal to serve all people with compassion and respect.”

– kathy stuMBo, saint Joseph - MaRtin pResident

“Big Sandy Health Care, Inc. has been a participant in the Floyd County 2010 Oral Health Coalition since 2006. Since its inception, the coalition’s oral health program has expanded to include 11 elementary and middle schools in Floyd County. During the 2010-2011 school year, the coalition provided services to over 1,500 school children in Floyd County. Without the efforts, dedication and the contribution of Saint Joseph - Martin, this program would not have achieved this level of success.”

– ancil w. lewis, chief executive officeR, BiG sandy health caRe, inc.

16

Saint Joseph - Mount Sterling (SJMS), founded in 1918, is committed to serving the people of the Mount Sterling area, including Montgomery, Bath, Menifee and Powell counties. SJMS opened a new replacement facility June 16, 2011.

Located on a 30-acre campus, the new 114,000-square-foot, 56-bed facility features private rooms, the latest tech-nology including MRI services and digital mammography, an Infusion Center, and original artwork from Kentucky artists. The two-story facility will allow for the expansion of several service lines, such as cardiology, imaging, OB-GYN and same-day surgery. The hospital will reach more community members from the local and surrounding areas with its modern hospital, and continue its impres-sive record of delivering quality health care.

SJMS received the Distinction for Service Excellence award by J.D. Power and Associates in 2011.

Saint Joseph - Mount Sterling


the Better Breather’s ClubThe Better Breather’s Club is a free social/educa-

tional support group for patients, their families and/or friends with chronic lung disease such as COPD. The Better Breather’s Club helps people better understand and deal with their lung disease and gives them the opportunity to discuss their concerns with other people with the same issues. At each meeting, there is an average of ten participants and educational top-ics are discussed, such as respiratory medications, the disease process and illness prevention, as well as other topics that may be requested by the patients.

the Healthy Hearts ClubThe healthy hearts Club is a free educational sup-

port group for patients with heart disease and their families/friends. Healthy Hearts Club offers support for people who have been diagnosed with heart problems or people who are trying to prevent heart disease. An educational topic is offered each month that informs these patients of new treatments, exer-cise and prevention strategies. There is an average of ten participants each month.

smoking Cessation ClassesSmoking cessation classes are offered by the car-

diopulmonary rehabilitation staff. The Cooper Clayton Method for smoking cessation is offered to employees as well as the community at large free of charge. The Montgomery County Health Department partners with SJMS in providing the first two weeks of nicotine replacement for free to help with the initial cost for people who wish to quit smoking. There is an average of ten participants each month.

Walk to RememberThe “Walk to Remember” event was held in October

2010 at Easy Walker Park and about 75 people par-ticipated. The event supports those in the community who have suffered the loss of a child. The women’s care department was the primary sponsor and respira-tory, same day surgery, purchasing, human resources and risk management were integral members of the event’s success.

17

presentation of their reflections on their experience activities.

The purpose of the Pharmacy Technician Extern-ship is to bridge the information learned in the class-room to real-life experiences in a pharmacy workplace. To successfully matriculate beyond this program, the student must master all primary learning objectives and any additional learning objectives as directed by the director of the Pharmacy Technician Program.

mount sterling


SJMS participated as a training site for Sullivan Uni-versity Pharmacy Technician Program, Appalachian College of Pharmacy and University of Kentucky. This fiscal year, nine students participated logging 1,300 hours.

The Pharmacy Technician Externship represents a hands-on opportunity to experience the pharmacy operations. The Pharmacy Tech-nician Externship is a 200-hour experiential encounter consisting of 100 hours of community phar-macy experience and 100 of hospital pharmacy experience. Students are scheduled based on the availability of the practice site and the students’ schedules for each of the two experiences. Upon completion of the extern-ship, students are required to recap their experience via a writ-ten reflection and subsequent

“Saint Joseph - Mount Sterling has the privilege of ministering quality care and compassion to our community and surrounding area. We delivered this kind of service to almost 7,000 indigent patients last year. We view this as part of our mission and calling to serve everyone who is in need, regardless of their ability to pay. Our desire is to always deliver this kind of care. This is at the heart of who we are.”

– Benny nolen, saint Joseph - Mount steRlinG pResident

“The Montgomery County Health Department has had a long-standing relationship [with Saint Joseph - Mount Sterling]. Their commitment to the community coupled with public health’s mission to strive toward a healthier community serves as a strong foundation for us to partner on a number of health care issues. Saint Joseph - Mount Sterling is fortunate to have a skilled and compassionate staff who are eager to work with community partners to improve the lives of the individuals that we all serve.”

– Jan chaMness, puBlic health diRectoR, MontGoMeRy county health depaRtMent

18

Flaget Memorial Hospital (FMH), a 40-bed facility, is the only hospital in the Nelson County (Bardstown) area and treats those from Washington, Spencer, Bullitt and LaRue counties in addition to Nelson County. The hospital became part of Saint Joseph Health System in early 2008. Services are provided to the community through Flaget Cancer Center, Flaget Center for Weight Loss Surgery, Flaget Birth Center, Pain Management Center, Sleep Disorders Center, Skilled Nursing, Wound Center and Surgical Services. Off-site services are provided through Cardiopulmonary Rehabilitation, Flaget Immediate Care Clinic, Flaget Health Connection, Hospice of Nelson County and Bardstown Rehabilitation Services.

FMH is a five-time winner of the “100 Top Hospital” award from Thomson Reuters. In 2011, it was recognized by Becker’s Hospital Review as one of the 65 greatest community hospitals and received the Distinction for Service Excellence award by J.D. Power and Associates.

Flaget Memorial Hospital


Prescription Assistance ProgramFMH has an employee dedicated to coordinating

the prescription assistance program, which serves people who otherwise could not afford to pay for their prescription medications. By utilizing the assistance options through pharmaceutical companies, the pro-gram is able to ensure patients get the medications they need at no cost. This enables the patients to bet-ter manage their health and avoids unnecessary uti-lization of high cost emergency department services.

If there is a gap between when the patient needs a medication and when the pharmaceutical assistance begins, the program includes a bridge through a voucher system with local retail pharmacies so people have immediate access to vital medicine. Last year 2,294 free prescription medications were distributed at a market value of $1,162,769. This comprehensive service walks patients through the application process and follows up with patients to make sure their long-term needs are met.

nelson County Community ClinicFMH works with other community members and

organizations to support the operations of a free clinic, which offers basic medical and dental services for peo-ple who are working but do not have health insurance. FMH provides financial assistance and supplies to the clinic and receives referrals from the clinic’s patients with needed advanced diagnostic tests.

Back to school DriveEvery August, FMH employees provide multiple

boxes of school supplies to local children to make sure they have the physical tools they need to develop and excel as students.

Food DriveThe annual Fall Harvest Food Drive is an opportu-

nity for departments across the organization to engage in friendly competition to see who can donate the most amount of food to benefit the local Saint Vincent de Paul Mission Store. The winning departments are determined by weighing the food that is donated and typical collections are around 2,000 pounds.

19 flaget

Christmas Family sponsorshipsIn collaboration with the local Com-

munity Action Agency, several depart-ments in the hospital receive referrals to sponsor families for Christmas. This effort builds community within the departments in the process of shop-ping and wrapping the gifts and it creates a more joyful Christmas for local families.

Donations of supplies &Equipment

FMH partners with Supplies Over Seas (SOS), which offers an envi-ronmentally-friendly and cost-effective way of dealing with surplus medical products while simultaneously helping people in desperate need. SOS relies on these product donations to supply their qualified recipient institu-tions in the economically developing world with a wide variety of equipment and supplies.


Baby FairThe annual Baby Fair is organized by FMH employ-

ees with the support of local community partners. This year marked the largest Baby Fair yet with 350 attendees and 40 vendors. The program is designed to empower mothers with the knowledge and resources they need in the care of their newborns, infants and toddlers. The fair included educational opportunities on topics such as breastfeeding, epidurals, post-partum blues, childbirth with confidence, and kangaroo care.

Flaget Health Connection The Flaget Health Connection provides holistic care

programs to promote wellness for a healthy commu-nity. The program accounts for more than 2,500 visits annually through services such as free blood pressure checks daily, free glucose testing monthly, 55 Alive Driving Course annually and “Trim Down Bardstown” weight loss program annually. Other services consist of health and wellness information, referrals; and, com-munity social services referrals including prescription assistance, domestic violence shelters, rape crisis lines and mental health crisis lines. The health connection

coordinator also publishes week-ly health information articles in the local newspaper.


FMH provides a clinical site for health care professionals, including students pursuing careers in nursing and imaging services.

Counseling/supportGroups

Through Hospice of Nelson County and the Community Education Room at the Flaget Immediate Care Clinic, public

meeting rooms are available free of charge for com-munity groups and organizations. Through Hospice, comprehensive grief support is offered, which includes support groups for people coping with the loss of loved ones at any age.


Event sponsorshipsFMH partners with the following organizations in a

collaborative effort to improve the health of our com-munities: local parishes/churches and the Bardstown/Nelson County Ministerial Association, St. Vincent de Paul Society, American Heart Association, American Cancer Society, Community Action and March of Dimes.

FMH’s “Go Red for Women” campaign through the American Heart Association included a presentation from Dr. Mark Abramovich on the topics of cardiac health, weight control, genetics and hyperlipidemia. The 80 women who attended also received gift bags with health information and an opportunity to receive free blood pressure checks.

In support of the American Cancer Society’s “Relay for Life” event, FMH raised more than $8,000 and employees participated in the walk. FMH also was a leading sponsor in the March for Dimes event “March for Babies” with several employees walking and rais-ing $2,500.

“Flaget Memorial Hospital has been a blessing for us as we seek to fulfill our calling to have a preferential option for people who are poor. Every year the departments across the hospital collect literally a ton of food and it always seems to come when we need it the most. We are just one of the many agencies that Flaget supports in our community and we are proud of our partnership with them.”

– MaRGaRet MattinGly, executive diRectoR, saint vincent de paul

“The motto of our foundresses, the Sisters of Charity of Nazareth, is ‘the love of Christ impels us.’ As we celebrate 60 years of providing health care services to our community, it is that same love that impels us to care for people who are economically poor. In the last fiscal year we provided $7.9 million in quantifiable community benefit, which is a testament to our commitment to serve all people regardless of their ability to pay.”

– sue downs, flaGet MeMoRial hospital pResident

20

Chemotherapy patient Robert Davis and Ned

21 featuRe

By Tanya J. Tyler

It’s a cloudy, chilly Friday. Patients and their loved ones sit in the waiting room at Saint Joseph Hematology Oncology in the Saint Joseph Cancer Center. The patients are there to receive their chemotherapy treatments. The

atmosphere is somber and resigned. It’s quiet except for the ringing of phones and the turning of magazine pages.

Then the door opens, and a fluff of white fur waltzes into the waiting room. With a low “whoooo,” the visitor announces his arrival. And suddenly the feel-ing in the room changes. People put aside their magazines and sit up. Smiles appear on their faces.

Mister is here.

Touch starts with a ‘T’Jamine Hamner is the coordinator of volunteer services for Saint Joseph

Hospital (SJH), Saint Joseph East (SJE) and Saint Joseph - Jessamine (SJJ). At a peer conference, she heard people talking about therapy dog visitation. It sounded like something that would be a perfect fit for SJH.

“The hospital already had a policy for patients to have their own pets come and visit them,” Hamner said. “I felt if the hospital was open to having pets in the hospital, there would be some support for this program.”

The goal of the therapy dog visitation program would be to reduce patient and visitor anxiety and depression associated with hospitalization. Hamner gathered policies from other pet therapy programs and put together one for SJH. She sent it to various departments including security, risk management and infection control. Around the same time, Julie Steffey, manager of oncology support services for the newly opened Saint Joseph Cancer Center Resource Services, contacted Hamner about ways volunteers could help. Not knowing Hamner had already set the wheels in motion, Steffey mentioned incorporating therapy dog visitation.

“I said I was working on this (policy) and waiting for final approval, but since the cancer center was located outside of the hospital, maybe we could start it over there,” Hamner said.

Steffey asked the oncology doctors how they felt about having dogs visit patients receiving chemotherapy. They approved the plan, and Love on a Leash (LOAL) was chosen to provide the service.

“We chose Love on a Leash because they make sure the dogs are prepared,” Hamner said. “Also, they carry liability policies. It just made them a really good group to work with.” Hamner said the successful program has since spread from Saint Joseph Cancer Center to inside SJH and SJE, with therapy dogs visiting units, patient rooms and waiting rooms.

Deb Ratcliffe, president of the central Kentucky chapter of LOAL, said the national program was founded in California in 1984 by author and dog-obedi-ence instructor Liz Palika. The Lexington chapter began about six years ago.

Therapy dogs are different from service dogs.“Therapy dogs go places to let people pet on them and love on them,” Ratcliffe

said, who visits with Dollar, her 9-year-old Boxer. “If you see a service dog help-ing somebody with a disability, they will have a vest on that says ‘Service Dog, Do Not Pet.’”

Liz Young, a LOAL team leader, has a mnemonic for remembering the differ-ence. “Service starts with an S and so does the word ‘stop.’ And therapy starts with a T, which also is the first letter of the word ‘touch,’” she said. Young owns the white fur-ball named Mister. His vest says, “I love working for hugs and kisses.”

Meeting Mister

Young and Mister have been visiting SJH and other ven-ues for about two years. It’s very appar-ent Mister, a 5-year-old Samoyed, loves his work.

“Mister has never met a stranger,” Young said. “I think dogs like Mister know when someone needs their comfort.”

One time Mis-ter sat at the feet of a man who had high blood pressure. Young and the man’s wife watched the man’s blood pressure go down. Another time, a woman who was experiencing back pain realized she didn’t need her medication while she

Love on a LeashTherapy dog visits give chemotherapy patients a “paws”-itive outlook

LOAL Volunteer Liz Young and Mister

22

was patting Mister.“It was a miracle,” Young said. “It was like magic.”Another therapy dog is Ned, a 5-year-old “cockapoo gone bad,” according to

his owner, Janie Fergus, director of information technology for SJH, SJE, SJJ, Continuing Care Hospital and Saint Joseph - Mount Sterling. She and Ned were certified three years ago.

“I was so happy when Saint Joseph went through the process to allow the therapy dogs to come in,” Fergus said. “Ned loves it. I can just see his whole personality coming out when we’re visiting people. He was born to do this.”

Ned shakes hands and dances for patients. Because he is small, patients sometimes ask Ned to get up on the bed with them. “If the nurse approves, they put down a sheet and Ned can get up on the bed,” Fergus said.

A lot of smilesPatients share stories of their own dogs, present and past, as they love on

the therapy dogs.“It’s good for the patients,” Ratcliffe said. “The staff gets a whole lot out of

it, too.”Dr. Monty Metcalfe, with Saint Joseph Hematology Oncology, agrees. “I see

a lot of smiles when the dogs come in,” he said. “It universally makes people happy. The dogs walk in and everybody’s immediately up going to pet them and smiling. It changes the atmosphere totally. It’s an amazing difference that you see in people.”

A dog lover himself, Metcalfe is glad the program has been implemented. “It’s a wonderful program,” he said. “I hope it continues forever.”

Chemotherapy patient Carol McCaslin recently had her first encounter with LOAL. It was a pleasant surprise to receive a visit from Mister. He loved her long nails.

“We take for granted that the medical team is going to do what they need to do for us, but it’s sometimes hard to address the soul,” she said. The therapy dogs fill the void.

“They make you feel good,” added McCaslin, who once had a pet-photography business with her husband. “You just sit there and you’re patting them, stroking them, scruffing them behind the ears. It makes all the difference in the world.”

Robert Neal has enjoyed meeting LOAL participants while taking chemo-therapy treatment for the past five months. He believes Mister is an angel.

“He’s very special,” Neal said. “He really brightens the room up. When I’m sitting there getting the drip done and he comes through the door, it makes my day go better.”

For the human participants, LOAL has proven to be equally uplifting.“It’s the best thing I’ve ever done,” Ratcliffe said. “It’s a blessing. You get so

much more out of it than you give, you really do.”For Fergus, volunteering with LOAL has improved her attitude toward her

job.“This has really helped me remember to keep in touch with what our business

is here,” she said. “It’s brought great rewards to my work.”“Love on a Leash has changed my life,” Young said. “It’s everything I never

knew I always wanted to do. God has laid this out before me and I love it.”

learn more at SaintJosephCancerCenter.com.

Chemotherapy patient Carol McCaslin and Mister

23 community benefit report

During 2011 Saint Joseph Health System (SJHS) cared for people beyond their hospital bedside. SJHS remains dedicated to serving the ever increasing num-ber of patients and citizens in need in its communities. That is why in fiscal year 2011, SJHS invested in and expanded the presence of its local Foundations. The ultimate goal is for each Foundation to support the hospital(s) mission and improve the quality of lives for patients and their families and build healthier com-munities.

In Kentucky, each of SJHS’s five Foundations is unique and conducts their campaigns locally with all funds raised remaining local. Fundraising initiatives include: grateful patient programs, major gifts, grants, employee campaigns, physician campaigns, memorial gifts, planned giving, capital campaigns and events. Monies raised this year were used for equipment and technology, and education and mission outreach programs such as the Patient Family Assistance Fund, Employee Financial Emergency Fund, the Appalachian Outreach Program and Nursing and Allied Health Scholarships.

Saint Joseph Hospital Foundation

The Saint Joseph Hospital Foundation’s mission is to assist the health care professionals of Saint Joseph Hospital, Saint Joseph East and Saint Joseph - Jes-samine by raising and allocating funding for innova-tive programs and projects that enrich the health of patients, family and community in the tradition of the Sisters of Charity of Nazareth.

In 2011, through the heartfelt generosity of grate-ful patients, physicians, clinical and non-clinical employees, hospital and Foundation boards and other community partners, the Foundation returned nearly $325,000 for the mission-related programs, services and technological needs of SJHS.

The following are some specific examples of the $325,000 in critical need projects and outreach programs that generous donors of the Foundation have funded:

•Provided $50,000 in services to the Eastern Ken-tucky Mobile Clinic, including the development of a mental health diagnostic and treatment network for residents in the communities served by the Eastern Kentucky Mobile Health Clinic.

•Provided $12,000 to the award-winning Appala-chian Outreach Program which helped provide nutritional, social and pastoral services to patients and their families in central and eastern Kentucky.

•Awarded scholarships to deserving central and eastern Kentucky students in nursing and radiol-ogy totaling $14,500.

•Provided $8,000 to the Saint Joseph Continuing Care Clinic to provide health care for the unin-sured in Fayette County.

•Donated more than $240,500 to Saint Joseph Hos-pital, Saint Joseph East and Saint Joseph - Jes-samine RJ Corman Ambulatory Care Center for increased technology, equipment upgrades and continuing education for hospital staff.

For more information, please contact Barry A. Stumbo, President and CEO, at 859.313.1705 or via e-mail at [email protected].

Flaget Memorial Hospital Foundation

The mission of the Flaget Memorial Hospital Foun-dation is to support the hospital’s ministry in building healthier communities in the tradition of the Sisters of Charity of Nazareth. The Foundation embraces the core values of Reverence, Integrity, Compassion and Excellence.

The Flaget Memorial Hospital Foundation empha-sizes a strong culture of philanthropy in Bardstown established by the Sisters of Charity of Nazareth and supports the hospital through fundraising efforts for patient, technological, capital and community needs. It is through the generosity of the community, employ-ees, auxiliary and board members that the Foundation was able to return more than $200,000 in fiscal year 2011 to support the critical programs of Flaget Memo-

Saint Joseph Health System Foundations • Fiscal Year 2011

Community Benefit Reportrial Hospital Foundation and community organizations that fulfill the Foundation’s mission.

The following are some specific examples of the projects and outreach programs that the generous donors of the Flaget Memorial Hospital Foundation have funded:•Provided $100,000 to purchase a Neurosurgical

Microscope for Outpatient Surgery.•Created the YES, MAMM! digital mammography,

breast cancer screening and education campaign through a grant totaling $36,935 awarded from Susan G. Komen Louisville Affiliate.

•Purchased new infant hearing testing equip-ment for the Flaget Birthing Center through a grant from WHAS Crusade for Children totaling $9,303.84.

•Developed the Bruce A. Klockars Employee Educa-tion Fund by raising $9,525.

•Raised $8,141 in donations to help the children of an employee who was tragically killed in an auto-mobile accident.

•Provided $21,902 to the Cardiology Department for Cardiac Stress Test Treadmill equipment.

•Provided $7,030 for blanket warmers for the sur-gery department and the Flaget Cancer Center.

•Provided $7,000 to the Nelson County Community Clinic, the free medical and dental clinic that provided more than two million dollars in value of services to the working, uninsured residents in Nelson County.

•Purchased more than $2,000 of prescription medica-tions for the clients of the Flaget Memorial Hospital Prescription Assistance Program that provided more than one million dollars in value of medications to the uninsured/underinsured residents.

•Purchased a $350 storm door for a needy low-income patient of the Hospice of Nelson County.

For more information, please contact Bobbi Harned, Director of Development, at 502.350.5058 or via e-mail at [email protected].

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Saint Joseph - London Foundation

The newly formed Saint Joseph - London Founda-tion is dedicated to building a healthier community through philanthropic leadership, charitable outreach and educational programming that support the hos-pital’s primary mission of providing compassionate, curative and spiritual care to all who seek it.

With the opening of the new hospital on August 19, 2010, the Foundation embarked on the first ever naming opportunity campaign, “Building for Tomor-row, Committing to the Future.” This provides donors the opportunity to make tax-deductible gifts to place a name on a specific room, department or area of the new hospital in someone’s honor. To date more than $300,000 has been raised for Cardiac Services, the Emergency Department and Respiratory Services. Dur-ing fiscal year 2010, Saint Joseph - London Foundation returned more than $40,000 for Cardiac Services.

For more information, please contact April Nease, Director of Development, at 606.330.6008 or via e-mail at [email protected].

Saint Joseph - Mount Sterling Foundation

The Saint Joseph - Mount Sterling Foundation has continued its mission in 2011 of assisting the health care professionals of Saint Joseph - Mount Sterling by providing financial support to charitable, educa-tional and scientific programs that have helped build a healthier community. The Foundation has remained dedicated to the continued success of the new hospi-tal, working tirelessly to secure funding for social ser-vice programs and equipment. In fiscal year 2011, the Foundation contributed approximately $25,000 to sup-port the vital programs and services of Saint Joseph - Mount Sterling, including assisting more than 40 patients through the Patient Family Assistance Fund.

The Foundation, now in its fourth year of opera-tion, has finished the “One heart, One hospital” capital campaign to bring cardiac catheterization to its seven-county service area. The Foundation to date has received pledges totaling more than $700,000 in support of the campaign, with more than $98,000 of that total coming from employees.

For more information, please contact Martin Riggs, Director of Development, at 859.497.5013

or via e-mail at [email protected].

Saint Joseph Health System is investing in our communities every day to address community health needs whether it is poverty, violence or access to care. The Foundations are extremely appreciative of the generous support of community partners, employees, administration, board members, physicians and grateful patients who believe in this worthy mission. However, the tremendous need for public and private support is greater now than ever before as we continue to build healthier communities in central and eastern Kentucky.

Can we count on you to join us and make a difference in your community today? To make a tax-deductible gift, or for more information about mission-related programs and services at any of our Foundation locations in Kentucky, please call Barry A. Stumbo, Saint Joseph Foundation President and CEO, at 859.313.1705 or visit SaintJosephHealthSystem.org.

Saint Joseph - Berea Foundation

Saint Joseph - Berea Foundation’s mission is to enhance the health care services provided by the hospital by raising and allocating funding for inno-vative programs and projects that enrich the health of patients, family and community. It is through the generosity of the community, employees and board members that the Foundation was able to return more than $100,000 in fiscal year 2011 to support the criti-cal programs of Saint Joseph - Berea and community organizations that fulfill the Foundation’s mission.

The following are some specific examples of the $100,000 in projects and outreach programs that the generous donors of the Saint Joseph - Berea Founda-tion have funded:•Provided $3,000 to the hospital Auxiliary to pro-

vide Lifeline services to community members who cannot afford this service on their own.

•Provided more than $37,000 to update and reno-vate several areas of the hospital including the chapel and three waiting areas.

•Provided $27,000 to fund an Artist-In-Residence program. The goal is to provide healing through art and to enhance the aesthetic look and feel of the hospital.

•Provided nearly $20,000 to the Patient and Family Assistance Fund to give assistance to low-income patients with travel to and from the hospital, food vouchers, lodging, medications, medical testing and supplies.

For more information, please contact Chris Schill, Director of Development, at 859.986.6498

or via e-mail at [email protected].

Saint Joseph Hospital FoundationBoard of Directors

Floyd BlakeM. Cary Blaydes, MDJ. Peter Cassidy, IIILaJava ChenaultBarbara Bailey CowdenDermot Halpin, MDKen Haynes,

SJH/SJE/SJJ PresidentWalter Hillenmeyer, III,

Treasurer Jane Scott Hodges,

SecretaryMartha Jones Mike MarnhoutKatherine McCarty Foster Ockerman, Jr. Tony Ottaiano Porter G. Peeples Robert Salley, MD Tricia ShackelfordBarry A. Stumbo,

Foundation President/CEO Pat Takacs Alan VanArsdall,

Vice-Chair Teresa Wallen,

ChairJane Warner Greg Yeary

Flaget Memorial Hospital FoundationBoard of Directors

John Bradford, Treasurer

Bill Conway, Chair

Sue Downs, FMH President

Tink GuthrieBobbi Harned,

Foundation DirectorNorma Jean Haydon,

SecretaryLarry Hicks, Vice-ChairJack NewcombCarol Rogers, SCNJim RogersMichelle Buckley SparksMatthew Stiles, MDBarry A. Stumbo,

Foundation President/CEO

Saint Joseph - Berea FoundationBoard of Directors

Symerdar Baskin, Secretary

Dorothy BlackburnCathy BroaddusJim Davis,

Vice-ChairSune FrederiksenGreg D. Gerard,

SJB PresidentRay Himes Charles HoffmanBrenda Huser-Taylor, DCDiane Kerby Greg LakesStephanie MooreDavid J. O’Reilly, MDBarry Poynter,

TreasurerKen Riley,

Chair Jim Rousey Barry A. Stumbo,

Foundation President/CEO Flora Washburn,

SJB Chaplain/Mission LeaderTim White

Saint Joseph - London FoundationBoard of Directors

Sean BuckLarry CorumHolbert Hodges, Jr. Dianna Milam,

TreasurerStan Owens Peggy Pratt,

Chair Star Kusiak RobbinsJoe Schenkenfelder,

Vice-Chair Paul Smith, MDWayne SturgeonJames SuttonJane Rice Williams,

Secretary Michael Wood

Saint Joseph - Mount Sterling FoundationBoard of Directors

Granetta Blevins, Treasurer

Sister Janet Carr, CDPCinda FlukeBenny Nolen,

SJMS PresidentTracy Pearce,

ChairOmar Prewitt,

Vice-ChairMartin Riggs,

Foundation DirectorBarry A. Stumbo,

Foundation President/CEO

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