Trinity Health Annual Report 2008

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CARE TRANSFORMATION Identifying Blood Clot Risks In June 2008, Trinity Health became the first organization in the nation to activate a digital advisory tool that helps physicians and clinicians identify risks for blood clots that can form in veins and arteries. A cross-functional team of clinical and technical experts developed the VTE/DVT Discern Advisor to calculate patient risk factors and recommend appropriate treatments for the following types of venous thromboembolism: • Deep vein thrombosis (DVT): Partial or complete blockage of blood flow by a blood clot inside a deep vein, commonly located in the calf or thigh • Pulmonary embolism (PE): Blockage of the pulmonary artery, or a branch of it leading to the lungs, by a blood clot, usually from the leg The tool is a valuable resource to physicians and clinicians. Pulmonary embolisms cause 200,000 deaths annually in the United States, and the majority of these patients have no clinical symptoms beforehand. Cerner’s VTE/DVT Discern Advisor is now a routine check when assessing acute care patients 18 and older. Sanctuary Nurtures Elder Adults, Families Trinity Health’s long-term care organization – Trinity Continuing Care Services – changed its name to Trinity Senior Living Communities to reflect a new vision and identity. All 33 senior commu nities in Michigan, Indiana and Maryland have been renamed Sanctuary. The new model encourages nourishing and nurturing relationships among elders, their families and caregivers. With Sanctuary, elders are empowered to make decisions affecting their lives. The staff is focused on hospitality, companionship and encouraging residents to live their best lives. Trinity Senior Living Communities serves more than 35,000 seniors each year through independent living, assisted living, nursing care and memory care. Some communities offer rehabilitation services including occupational, speech and physical therapy as well as therapeutic recreation. There’s no doubt that leading technologies, mobile computers, electronic health records and computerized physician order entry are revolutionary breakthroughs that transform the way medicine is being taught, practiced and advanced. But these tools are only as good as the processes behind them. The enormous potential of health IT on patient quality can only be harnessed through focused evidencebased process improvement. To take full advantage of the technology we have in place, specially trained Care Transformation Teams study ways to improve workflow with new technologies for the betterment of the patient experience. Care Transformation Teams have created digitized order sets in the areas of acute coronary syndrome, heart failure and orthopedics. The order sets give clinicians reliable decision support tools such as guidelines, reference materials and evidence to make informed decisions. One of the many changes has been an initiative to decrease the “time to needle” – the time from when a patient arrives in the emergency department with chest pain to the moment at which a needle is injected for starting a stent in the cardiac catheterization lab. With an automated process, an EKG is automatically forwarded to the data repository and even to the doctor’s hand-held device – saving precious moments and improving the patient’s odds for a full recovery. In many other ways, Trinity Health is making the latest evidence-based practice treatment standards and medical research available to physicians at the point of care. And with Trinity Health’s massive clinical data repository numbering 6.2 million records and growing, physicians have more evidence-based knowledge than ever before to assist with informed decisions and diagnoses. PATIENT CARE EXCELLENCE We all want to be valued, even treasured by the person we are trusting with our lives. It is reflected in the way we relate with our patients and with fellow caregivers. It is expressed in the way we communicate and work as a team, and how we support each other. It can be seen in small ways such as a smile, a handshake or a friendly greeting. How patients are treated as a person is just as important as clinical quality. As a patient’s most trusted health partner for life, Trinity Health caregivers strive to exceed the expectations of care and caring down to the smallest detail. At Trinity Health, respect, responsiveness and understanding are considered to be fundamental components of customer service. The ultimate measure of patient satisfaction and loyalty is a simple yes or no answer to the question, 12 Elder residents of Trinity Senior Living Communities benefit from the hospitality, companionship and expertise of caregivers like Yangse.
“Would you recommend this facility to your family and friends?” With this in mind, Trinity Health rates customer satisfaction in three areas: Respect: I was treated with care, compassion and respect. Responsiveness: My needs (including pain management) were responded to in a timely fashion. Understanding: I understood what was happening to me and why – and I was involved in the decision. It takes everyone at Trinity Health to create excellence in the care experience for any person who visits our facilities. ADVANCING PALLIATIVE CARE When patients face serious chronic or life-threatening illness, they need relief from pain, symptoms and stress. They and their families need to better understand their condition and choices for care. They need to improve their ability to tolerate chosen medical treatments. And most importantly, they need the ability to carry on with everyday life or prepare well for the end of life. Interdisciplinary palliative care serves these needs. In fiscal 2008, Trinity Health recognized the contribution that palliative care makes to the patient care experience. A new palliative care function led by Sister Gretchen Elliott, RSM, was created to ensure every Ministry Organization has a defined program in place by 2009. Sister Elliott is the chair of the national Palliative Care Organization. Of the many palliative care programs in place across Trinity Health, three organizations operate nationally recognized programs: Mercy Medical Center – North Iowa, Mason City, Iowa: Since launching a palliative care program in 2006, Mercy Medical Center – North Iowa, has helped hundreds of patients by relieving suffering and enhancing their quality of life. David Wensel, DO, and Anne Zook, RN, Palliative Medicine Coordinator, run the palliative care program for both inpatient and outpatient candidates. MMC-North Iowa’s W. David Clark, MD, also initiated one of only 30 palliative care fellowships for physicians available nationally. It is the only community hospital-based accredited palliative medicine fellowship in the United States. Mount Carmel Health System, Columbus, Ohio: Mount Carmel Health System is one of six designated Palliative Care Leadership Centers in the United States and has helped nearly 120 teams, several from affiliated Trinity Health hospitals, learn about best practices in palliative care programs. Since the program’s inception in 1997, Mount Carmel has served 14,000 patients and families. Mary Ann Gill, RN, is the program’s Executive Director and Founding Director of the hospice and palliative care programs. Phil Santa Emma, MD, serves as Medical Director. St. Joseph Mercy Oakland, Pontiac, Michigan: Making palliative care part of the culture at St. Joseph Mercy Oakland has been an ongoing commitment since the hospital first launched Mercy Supportive Care in 2000. The program received the prestigious Circle of Life Award in 2006 from the American Hospital Association. Led jointly by Peg Nelson, RN, and Ken Richter, MD, the program offers an intensive training program for staff, plus continuing education in pain management, palliative care and ethics education. Rita Garrett and daughter Savannah with Carole Conners, RN, Pam Dziadosz, RN, and Gail Harrison, OB Tech, who helped husband Spc. Robert Wesley Garrett experience the birth from Iraq. Soldier in Iraq Hears Firstborn’s Cry Gail Harrison, an obstetrics technician at Saint Joseph Regional Medical Center, South Bend, Ind., was surprised to receive calls half a world away from an anxious U.S. soldier in Iraq whose wife was about to deliver their first child. U.S. Army Specialist Robert Wesley Garrett began calling the hospital every 10 minutes to get the latest update on his wife Rita’s labor and delivery. “The nurses kept coming in telling me my husband was on the phone from Iraq,” his wife, Rita Harrison recalled. “As we were getting closer, I finally had to tell my mom to tell him I can’t talk – I’m trying to push this baby through.” While Rita was giving birth, Harrison transferred the phone into the labor room. A nurse put the phone on the bed and told him what was going on. “It was like she was doing a ballgame,” Rita laughed. “‘It’s crowning… okay, I can see the head…it’s a girl!’” This not-so-typical delivery was one the Garrett family will cherish forever. “When I first heard her cry, it really hit home to me that I had a daughter,” Specialist Garrett said. “It really is the greatest.” 13
Page 1 and 2: We are Trinity Health Y o u r M o s
Page 3 and 4: TABLE OF CONTENTS MISSION We serve
Page 5 and 6: Highlights A Network of Ministry Or
Page 7 and 8: Together, these strategic prioritie
Page 9 and 10: with the government and others that
Page 11 and 12: ng Highlights Safer, Faster, Better
Page 13: Most health systems in the country
Page 17 and 18: Saint Joseph Mercy Health System, A
Page 19 and 20: Highlights Enhancing Community Bene
Page 21 and 22: The “New Moms” program provides
Page 23 and 24: “Dr. Bolton and all of the physic
Page 25 and 26: Financial stewardship is an essenti
Page 27 and 28: ASSETS 2008 2007 CURRENT ASSETS: Ca
Page 29 and 30: TOTAL ASSETS (in millions of dollar
Page 31 and 32: partners in mission board of direct
Page 33 and 34: partners in mission system leadersh
Page 35 and 36: ministry organizations CALIFORNIA S
Page 37: TRINITY HEALTH: An Integrated Healt
Page 40: Sponsored by Catholic Health Minist

Trinity Health Annual Report 2008

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