Memorial Health System

Programs: Information technologymemorial health system continues to be proactive in implementing technology that both improves patient safety, quality and clinical effectiveness, and improves memorial health system's business processes. Memorial health system's staff of experienced information technology professionals is on the cutting edge of medical and business technology. They support a vast array of patient care and business applications. During fy2017, significant information technology projects included: enhanced interoperability by adding 10% more connections to local and regional providers and now having nearly all patient care locations in the region connected; introduced phenom, a custom-built population health management system and expanded it to local physician partners; added psychiatry services to the electronic health record, thereby completing implementation in all clinical areas of memorial medical center on the ehr; increased our data center capacity and efficiency with new storage, processing and server technology; and strengthened our connections to our 2 largest partnered physician groups for seamless flow of patient information to advance care and improve efficiency.

building and facility expansion and improvementsmemorial health system's mission is to improve the health of the people and communities we serve. Safe, functional facilities are the foundation of the healthcare services we provide. Clinical projects that began in fy2017:-3c intensive care unit (icu) renovations - build out of a 15 bed icu and waiting area. -2e oncology - renovation of existing oncology unit to include larger patient rooms. -morgue renovations - renovation of morgue space to create a more functional work area to include a larger body box. Other projects completed for the medical center include:-dietary bar renovation - replacement of existing food warming equipment and replacement of casework. -siu center for family medicine (siu cfm) addition and renovation - project included building addition and back renovation of existing facility to accommodate the southern illinois university (siu) family medical practice. -2d/3d renovation - upgraded space for improvement and expansion of medical education support space. -nursing units 2b, 3b, 4b, 5b, and 6b - renovated to improve the interior of patient rooms and to upgrade some mechanical, electrical, and plumbing (mep) conditions. Double occupancy rooms were converted into single occupancy rooms for improvement of the patient care environment. In the area of system facility planning and management construction, siu center for family medicine opened its new expansion at the 520 n. 4th street facility owned by memorial health system. The expansion doubled the clinic's space and increased the number of exam rooms by 70% to 62 exam rooms and 6 counseling rooms. The expansion was needed because since becoming a federally qualified health center in 2012, the number of patient visits doubled to 60,000 this year. As a community health center, the clinic serves a largely low-income population. Memorial physician services opened its first retail walk-in clinic inside the hy-vee supermarket. In addition to adding a retail clinic, memorial opened its fourth expresscare location. Each of these additions to mhs's ambulatory practice improved access to healthcare within the community. For end of life care, memorial opened a 19-bed inpatient hospice unit at heritage. The facility, a joint venture between memorial health system and heritage enterprises, is attached to heritage manor skilled nursing facility located immediately north of the mmc emergency department. This facility will augment our existing memorial home services hospice program and meet a significant demand for palliative and end-of-life patient care, especially for patients awaiting discharge from mmc. Memorial collaborates with community providers to serve low income and uninsured populations. In fy2017, as mentioned above, memorial began construction on a facility expansion for the siu family and community medicine clinic federally qualified health center (fqhc). This expansion will dramatically increase the number of poor and vulnerable patients served by the fqhc. In addition to funding the facility expansion, memorial medical center provides inpatient and outpatient services to all referred siu fqhc patients, regardless of ability to pay. Mmc assists these patients to apply for any insurance programs for which they are eligible and accepts the fqhc recommended slide scale fee or, if the patient is not able to pay his/her portion of the bill, the amount is forgiven under the hospital's charity care program.

senior leadershipguided by the values of memorial health system, senior leadership is responsible for strategic planning, prioritizing among competing issues and engaging in dialogue and decision-making that will enable memorial health system to achieve its mission (to improve the health of the people and communities we serve), its vision (to be a national leader for excellence in patient care) and its strategic goals (to achieve great patient outcomes, be a great place to work, be a great partner for physicians, provide a great regional presence and demonstrate great financial stewardship. )in fy2017, mhs senior leadership reviewed and confirmed the organization's strategic plan, 5 year goals and measures of success to reflect emerging priorities related to health reform, quality improvement, population health, care coordination and the results of our comprehensive community health needs assessment. In addition, the leadership team executed the health system strategic and fiscal year action plans and reported results to its board. In fy2017, memorial health system refined its performance excellence model to sharpen our focus on patient safety quality and health outcomes. Memorial health system was selected again to receive the top quality award in the 2017 iha quality excellence achievement award competition. The project, "integration of behavioral health staff improves patient outcomes 74% and contributes to 13% neighborhood crime reduction", was selected in blinded review by a national expert panel as the best submission in the community partnerships category. This submission reflects a family of projects directed at improving the health of an entire local community-the enos park neighborhood. Collaborative work among memorial physician services, memorial behavioral health, the siu school of medicine department of family and community medicine federally qualified health center, and other partners implemented behavioral health services within school and primary care medical settings. Memorial medical center, the health system's flagship hospital, received the 2016 american hospital association-mckesson quest for quality award in recognition of our efforts to develop an integrated healthcare quality, safety, and operations improvement program. Subsequently in early 2017, the american hospital association requested that memorial health system submit an updated application as its representative to a similar international quality competition, the international hospital federation (ihf) 2017 excellence award for quality, safety, and patient centered care. Memorial health system was selected as honorable mention/runner up for the international 2017 excellence award, for the submission, "reaching new frontiers of quality and safety using an innovative 30/30/30 lean six sigma approach". To further accelerate advancements in quality, patient safety and clinical innovation in fy2017, mhs and the midwest health quality alliance (mhqa) hosted its third annual fundamentally human patient safety and simulation symposium at the memorial center for learning and innovation. The event focused on critical issues in preparing caregivers and healthcare professionals for effective end-of-life and palliative care conversations with patients and families. Topics included evolving perspectives on opioid medications in comfort management, care-of-the-caregiver methods to reduce risk of "second victim" impact when caring for persons with serious or terminal conditions, and other innovations in patient safety and quality. The lean six sigma (lss) process improvement program grew this year with 30% growth in the number of certified black, green and white belts, 41% growth in the number lss projects completed and an average of 38% improvement in outcomes. In addition to improvements in quality and patient safety, these lss projects reduced expenses related to "rework and "waste" by $12. 5 million. In the area of leadership development and learning, memorial health system was recognized by the national center for healthcare leadership (nchl) as one of the nation's top 10 best organizations for leadership development. The award committee noted that mhs has advanced the utilization of leadership competencies promulgated by the nchl by highly integrating the competencies into the organization's strategic planning, leadership performance appraisal and leadership development processes. In fy2017 memorial health system completed its year one community health needs assessment (chna) implementation plan to address access to care, obesity and mental health, the top community health priorities. One part of the chna implementation plan is the "enos park access collaborative" in partnership with hshs st. John's hospital in springfield and the siu school of medicine department of family and community medicine federally qualified health center. Starting in fy2016, mmc and hshs st. John's hospital each is providing 50% of the funding for community health workers (chw) and an elementary school-based mental health counselor to work in the community. These chw and mental health counselors have identified health needs (including social determinants of health) and barriers to accessing needed services for the most vulnerable populations in a targeted residential neighborhood with significant levels of poverty and other risk factors. They also work with local health and social service providers to overcome identified barriers to receive the help they need. Through this collaborative, we organized a steering committee, a community advisory group (neighborhood residents), and a provider alliance group (local social service agencies). We partnered with the enos park neighborhood improvement association. The second year of implementation has greatly exceeded our expectations: 640 people have been impacted (some assisted through more than one service). Highlighted results include: 136 clients served by chws, 100% are now insured and in a primary care medical home; chws accompanied clients to 490 md visits (81% show rate); 46 dental appointments; 103 received mental health services; 22% reduction in unnecessary emergency department visits; 43 youth in summer bike club and the summer enrichment program; 8 families through the memorial behavioral health's mosaic program; 39 parolees; addressed housing needs; 479 referrals to social service agencies and 22% reduction in police calls. Two system-wide initiatives in fy2017 were successful in addressing mental health and obesity priorities that were identified in the community health needs assessment. In fy2017, the nationally sanctioned, evidence-based mental health first aid (mhfa) trained 795 community members. Memorial weight loss and wellness center provides a comprehensive, multidisciplinary approach to support individuals on a path of wellness. The center offers surgical and medical (non-surgical) weight loss services, diabetes education, the center for healthy families, surgical optimization and outpatient nutrition therapy to individuals of all ages. In fy2017, the center held an average census of 490 medical weight loss patients (non-surgical), completed 313 bariatric surgeries, provided diabetes education to 115 patients, and provided family-based wellness services to 25 kids, teens and their families. Services are offered in springfield, jacksonville, lincoln, taylorville (diabetes services), decatur and bloomington. To continue to improve the organization's population health, chronic disease management and care coordination capabilities and infrastructure, a memorial ambulatory health strategic plan is in place to improve information sharing to better coordinate care across multiple sites of care. This plan lays out a road map for better coordinating the care provided by our mental health affiliate, home services, hospice, primary care physician offices, durable medical equipment company, expresscare clinics, memorial weight loss and wellness program and memorial care coordination services. The focus of the plan is to strengthen our data and workflows around the population health building blocks of physician leadership, wellness and prevention, clinical protocols, chronic disease management, population targeting, network management, utilization management, care map adherence, care management, outreach and patient engagement.

other revenue includes partnership income and miscellaneous income for mhs and memorial health partners (mhp). Mhp is a disregarded entity owned 100% by mhs. For fy2017, mhs recorded a loss in midwest healthcare quality alliance, llc (mhqa) and a gain in llhie. Mhs also had care coordination payments for mhp, a chargeback for staff time to lincoln land health information exchange, llc in which mhs is a 27. 27% owner.