advancing healthcare through innovation, quality and culture one community, one patient and one...
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Advancing Healthcare Through Innovation, Quality and Culture
One Community, One Patient and One Employee at a Time
Cindy Stutts, MS, RNBon Secours Virginia Health System
Virginia Health Care ConferenceJune 5th, 2014
“Change is not something that we should fear. Rather, it
is something that we should welcome. For without
change, nothing in this world would ever grow or blossom,
and no one in this world would ever move forward to
become the person they’re meant to be.”
Author Unknown
Volume 2013 Acute Care 9 hospitalsInpatient Beds 1,500 licensedEmployed Physicians 460 providersTotal Medical Staff 3,000 Total Employees 12,252Emergency 380,400 visitsDischarges 76,900Surgeries 91,700
Transforming Healthcare Throughout Virginia
Good Help
190 Years of Good Help
Focused on Quality
Providing Care in the Community
Driving Innovation
Mobile Outreach to the Community
Total Fleet = 15 Vehicles• 5 Vans• 4 SUVS• 1 Box Truck• 1 Cargo Van• 1 Passenger Van• 1 Trailer• 1 Truck• 1 Mobile Learning Kitchen
Mobile Learning Kitchen
• Vehicle to educate the community, especially the underserved, about wholesome eating & lifestyle for preventative health and chronic disease management.
Providing Care for Employees and Families
Driving Culture
Culture of Health and WellnessTobacco-free campus 2009; Nicotine-free hiring began in November 2011.Annual Personal Health Assessments – about 90% participation.Bon Secours began using an Accountable Care Organization model with a focus on diabetes, obesity, and hypertension.Now piloting Partner for Health, a Bon Secours-created program with free advanced lab testing and personal health coaching. Driving engagement through Wellness Incentives – up to $900 off medical costs On-site health clinics.Healthy Foods Initiatives in cafeterias and vending.Recognizable Brand for Wellness.Movin’ Mania childhood obesity initiative.
3 Componentsto the Bon Secours Wellness Incentive
o Targeted Health Coaching o Telephonic, Web Based, 1:1
o Condition Managemento Diabeteso Hypertension
o Building the Culture (Commit to be Fit Campaign)o Cyclingo Walking pathso Stairwell Campaigno Healthy Foodso Wellness Focused Leader Dayo Leadership Challenges
o Dedicated Web Portal for Wellnesso Wellness Wednesday’so Good Health Onsite Clinicso Cleveland Clinic-Stress Managemento HDL Advanced Laboratory Screenings
Building a Healthy Culture
1
The Business Case for Wellness
12
Driving Engagement
13
Bon Secours’ Employee ACO JourneyTransition from High Risk Condition Management Population Health Management
ACO I202 ParticipantsStarts with PHA
High Risk
Condition Management: Hypertension,
Asthma & Diabetes
PCP Referral
ACO II282 ParticipantsStarts with PHA
High RiskCondition
Management: Hypertension &
DiabetesPCP Referral
ACO III2024 ParticipantsStarts with PHA & Advanced Testing
High, Moderate &
Low Risk
Condition Management or
Lifestyle Coaching
PCP Referral & PCMH
2011-2
012 2
012-
2013 2
013-2
014
Strategic Engagement Target Coaching PCP Partners
What Advanced Lab Testing Taught Us Related to Diabetes and Heart Disease
68%
32%
Optimal High Risk
Advanced lab testing uncovered 32% of participants at risk for developing diabetes who may not have been identified by the typical Bon Secours PHA test.
62% of participants with high risk for CVD were not identified by the typical Bon Secours PHA test. (Total cholesterol, HDL)
Targeted Coaching
Early Signs of Success
2013-2.2%
2013 Total Health Insurance Benefit Expense vs. National Trends
2012
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