City of Richmond Heath Care Symposium

1. City of Richmond Heath Care Symposium Framing the Issues and Looking to the Future November 9, 2012 Bon Secours Richmond Health System

2. Overview • Who we are • Our Mission • Community Commitment • Building Healthy Communities

3. Bon Secours Health System • $3.3 billion not-for-profit Catholic health system sponsored by Bon Secours Ministries  • Headquartered in Marriottsville, Maryland • The system owns, manages, or joint ventures • 19 acute-care hospitals, • 1 psychiatric hospital, • 5 nursing care facilities, • 4 assisted living facilities, and • 14 home care and hospice services. • Located in 6 states primarily on the East Coast

4. Bon Secours Richmond Health System • Four acute care hospitals with 850 licensed beds • Bon Secours Medical Group • 118 Primary Care Physicians • 119 Specialists • 91 Medical Practices • FY 2012 • 47,372 total inpatient visits • 206,096 total outpatient visits • 221,107 total emergency room visits

5. Mission

6. Our Mission The Mission of Bon Secours Health System is to bring compassion to health care and to be good help to those in need, especially the poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church.

7. Christ’s Healing Ministry in Richmond Sisters of Bon Secours arrived in Virginia in 1961 “We will dedicate ourselves to repaying this generous welcome with the only coin of the realm we possess – service to the sick and suffering members of this community that has graciously opened its arms to us.” – Mother Germanus, CBS

8. Community Commitment

9. Vision Statement Bon Secours Richmond Health System will be a leader in creating the healthiest community in Virginia. Focusing on our vulnerable and underserved neighbors, we will build sustainable partnerships which provide access to holistic, comprehensive care for those in need.

10. Community Commitment Existing Regional and Statewide Outreach Services • Pediatric Hospice (Noah’s Children) • Cross-Cultural Services • Free Clinic Support & Connection • Access to Care (CareCard) • Volunteer Coordination • Healthy Beginnings – Prenatal Education • Access to Care (St. Joseph’s Outreach Clinic) • Eliminate Domestic Violence (Safe Harbor) • Nutrition Education • Mobile Outreach Services – 2 Care-A-Vans • Children’s Health Insurance (FAMIS) • Prenatal Education & Support (Love & Learn) • Breast & Cervical Cancer Early Detection Program (Every Woman’s Life) • Controlling Asthma (CARMA) and Asthma Screening Program • Faith Community Health Ministry Network • Health Promotion in Churches (Joy Program) • Children’s Health & Education (ROAR – Reach Out & Read)

11. Every Woman’s Life

12. Faith Community Health Ministry

14. CARMAControllingAsthmaacross theRichmondMetropolitanArea

15. Mobile Health

16. Care-A-Van Virginia Patient Visits

17. St. Joseph’s Outreach Clinics • Located on the campus of St. Joseph’s Villa • Provides care to the uninsured and the insured, mostly Medicaid • Collaboration with the Daily Planet, a federally qualified health center

18. Bon Secours CareCard • The CareCard is an extension of the Bon Secours Financial Assistance Plan • Allows qualified patients to seek care with ease and dignity • $81.5 million (cost) in fees were written off by Bon Secours Richmond in FY 2011

19. FQHCs & Free Clinics

20. Community Health Needs Assessment

21. Issues & Concerns Group intoBroad Categories Access to Care Support Services Social services, transportation, etc Wellness Health Prevention & Promotion

22. Healthy Community Initiative

23. Bon Secours Health System Healthy Community Initiative • Process • Vulnerable community identified in each Local System • Based on complex vulnerability analysis • Objectives • Build long term, collaborative community relationships • Engage and empower the community • Improve the overall quality of life and health • Leadership • Dedicated Healthy Community Leader hired for each Local System

24. Bon Secours Health System Healthy Community Initiative • Vulnerability Factors • Household Income • Education • Linguistics and cultural isolation • Access to Insurance and Health Care • Housing and Environment

25. HIGH LOW Vulnerability Index Block Groups 95-100 80-95 60-80 40-60 20-40 00-20 Richmond Vulnerable Communities Color Coded Map

26. HIGH LOW Vulnerability Index Block Groups 95-100 80-95 60-80 40-60 20-40 00-20 Richmond Community of Focus Block Group Clusters Color Coded Map RCH

27. Building Healthy Communities Community Visioning June 2010 Charrette

28. A Year of Progress

29. 2011 SEED Winner

30. Richmond Cycling Corps

31. Creighton Resource Center

32. Transformation

33. Building Healthy Communities • Childhood Obesity (CHHOP) • Richmond Cycling Corps • SEED Funding (Supporting East End Entrepreneurship Development) • Access to Primary Care Services (Creighton Court Resource Center) • 7th District Wellness Initiative • Grocery Store • Prenatal Education (expanded Healthy Beginnings)

34. Mission Standing in the present • Community needs • Organizational gifts • Social and economic challenges Rooted in the past Reaching toward the future • Healing Ministry of Jesus • Charism of Bon Secours • Legacy of Catholic Health Care • Envisioning new models • Embracing lay leadership • Listening….