St. Dominic Health Services

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S T. D O M I N I C H E A LT H S E R V I C E S Skilled Hands, Compassionate Hearts 2018 COMMUNITY BENEFIT REPORT

The legacy of Christian healing the Dominican Sisters began over 70 years ago will continue well into the future.

2018 Community Benefit Report For more than 70 years, the Dominican Sisters of Springfield, Illinois, have sponsored St. Dominic’s, helping guide the organization as it provides high quality health care and wellness outreach services to the people of Mississippi. Because of the Sisters’ unwavering commitment to their original mission and vision, St. Dominic’s is among the top health care providers in the state. However, due to diminishing numbers, the Dominican Sisters of Springfield decided it was necessary to seek a transfer of sponsorship. In partnership with the Sisters, St. Dominic Health Services agreed to enter into discussions with the Franciscan Missionaries of Our Lady Sisters, who sponsor the Franciscan Missionaries of Our Lady Health System (FMOLHS) based in Baton Rouge, Louisiana, regarding a sponsorship transition. While St. Dominic’s sponsorship may change, what our patients, residents, associates and community have come to expect from St. Dominic’s will remain the same. The legacy of Christian healing the Dominican Sisters began over 70 years ago will continue well into the future. As you will see from the stories presented in this edition of the Community Benefit Report, St. Dominic’s continues to invest in the future with many significant projects, improvements and expanding services that benefit the people in our communities. For example, in 2018, construction began on St. Dominic’s Emergency Department Renovation and Expansion project, which will ultimately improve patient flow and allow for a better patient experience. St. Dominic’s Radiology Department invested in state-of-the-art technology to enhance the hospital’s stroke and interventional radiology services. Several community outreach events were held throughout the year to provide health and wellness information to the community. In addition, St. Dominic’s continued to build its tele-medicine program to give those in outlying communities easier access to specialty care. These are just a few of the many projects, improvements and community outreach activities that you will read about in this report. St. Dominic’s is indeed blessed to have the continued support of its Sisters, board members, physicians, employees, volunteers, and other community members who give of themselves to help St. Dominic’s remain a top health care provider and valued community partner. Through this publication, we are pleased to share St. Dominic’s many endeavors in 2018 and give thanks to those who made these achievements possible. Claude W. Harbarger, FACHE President, St. Dominic Health Services Claude W. Harbarger, FACHE St. Dominic Health Services 2018 Community Benefit Report 1

S T. D O M I N I C H E A LT H S E R V I C E S St. Dominic Health Services announced on September 28 that it has entered into exclusive discussions with the Franciscan Missionaries of Our Lady Sisters to assume sponsorship of the organization. The Franciscan Missionaries of Our Lady Sisters sponsor the Franciscan Missionaries of Our Lady Health System, a not-for-profit, missionfocused Catholic health care ministry based in Louisiana. The system is comprised of a network of hospitals, clinics, physicians, elderly housing, integrated information systems and a clinically integrated delivery network. For more than 70 years, the Dominican Sisters of Springfield, Illinois, have sponsored St. Dominic’s, helping guide the organization as it provides health care and wellness services to Mississippians. The Franciscan Missionaries or Our Lady Health System currently consists of five hospitals, 1,747 licensed beds, and nearly 2,000 medical staff members across St. Dominic Health Services Enters into Sponsorship Discussions with Franciscan Missionaries of Our Lady Sisters Louisiana. 2 St. Dominic Health Services 2018 Community Benefit Report After deep discernment, the Dominican Sisters of Springfield decided that in order to secure the future of St. Dominic’s it was necessary to seek a transfer of sponsorship. “We want St. Dominic’s to continue to serve Mississippi for generations yet to come, but our diminishing number of Dominican Sisters cannot sustain our role as its sponsor,” said Sister M. Dorothea Sondgeroth, OP, Associate Executive Director, St. Dominic Health Services Foundation. “It has been a difficult decision, yet it’s the right one for our organization and for our community because it will help St. Dominic’s secure its future.”

S T. D O M I N I C H E A LT H S E R V I C E S After thoughtful deliberation, St. Dominic’s entered into exclusive discussions with the Franciscan Missionaries of Our Lady Sisters to assume sponsorship of the organization. “We are grateful to the Dominican Sisters of Springfield for their commitment to the health of our community and our state,” said Claude W. Harbarger, FACHE, President, St. Dominic Health Services. “We are also grateful for their leadership in championing our next chapter and ensuring the long-term sustainability of our organization.” Upon completion of an agreement, expected in July 2019, St. Dominic’s will become part of the Franciscan Missionaries of Our Lady Health System, which currently consists of five hospitals, 1,747 licensed beds, and nearly 2,000 medical staff members across Louisiana. Joining a larger Catholic, not-forprofit health system will provide St. Dominic’s the added resources and backing necessary to continue strengthening the high-quality, personalized care that has made it one of the most trusted healthcare providers in the state of Mississippi. Sister Trinita Honored with Brain Injury Association’s Lifetime Achievement Award Sister M. Trinita Eddington, OP, was honored in 2018 with a Lifetime Achievement Award by the Brain Injury Association of Mississippi. According to the Association, the award “is presented to an individual who has dedicated their life to promote, protect and advocate for the health of the disabled and disadvantaged people in Mississippi, and who has, by word and deed, significantly changed and improved the lives of all Mississippians.” The award was presented to Sister Trinita on November 29 at the Association’s 2018 “Salute to Our Heroes” Gala held at the Country Club of Jackson. Marshall Ramsey, speaker and political cartoonist, emceed the event, and NFL Hall of Fame athlete Robert Brazile was the keynote speaker. In addition to this honor, Sister Trinita has also been recognized with a Lifetime Achievement Award by the Catholic Health Association of the United States. Presently, Sister Trinita is responsible for the administration of the St. Dominic Community Health Clinic in west Jackson, which provides primary and preventive health care, free-of-charge, to those in need. In addition to her duties at the clinic, Sister Trinita works closely with organizations providing care to the underserved, such as Stewpot, Inc., Prison Fellowship, Mental Health Association, United Way, Habitat for Humanity, Red Cross, Catholic Charities of Jackson, Gateway Mission, Salvation Army and many other community programs. Throughout her years as a nurse, Sister Trinita has enhanced the Catholic health ministry in myriad ways. Her caring hands, loving heart and gentle spirit give hope and comfort to the lonely, disenfranchised, sick and abandoned when they come to the clinic seeking help and wholeness. sister m. Trinita Eddington, OP St. Dominic Health Services 2018 Community Benefit Report 3

S T. D O M I N I C H E A LT H S E R V I C E S Two Additional Dominican Sisters Join St. Dominic’s In August, St. Dominic’s welcomed two additional Dominican Sisters, Sister Marian Joseph Joerger, OP, and Sister Kelly Moline, OP, to the health system and the community. Sister Marian Joseph Joerger, OP Sister Kelly Moline, OP Sister Joerger is originally from Mendota, Illinois, a small town not far from Chicago. She and her four sisters grew up being taught by Dominican Sisters in school as well as interacting with three aunts who are also Dominican Sisters. She said, “[that is where] the seed of my vocation as a Springfield Dominican began.” Sister Joerger went on to receive a Bachelor of Education from Quincy College and a master’s degree from the University of Illinois. For 12 years she taught fourth through eighth grades in various elementary schools throughout Illinois and then moved on to Marian Catholic High School in Chicago Heights to work in the school’s accounting department. She was with the school for 23 years before a process of discernment led her to St. Dominic’s. She is now working in the hospital’s business office. Sister Moline’s path to becoming a Sister was very different. She was born in Minneapolis, Minnesota, and grew up in St. Louis, Missouri. She attended Missouri State University where she studied gerontology and found a passion for helping older adults to live their lives to the fullest. She worked with residents and staff of several retirement communities in Missouri, Connecticut and Illinois. In Illinois she was sent to Springfield to work. She first came across the Motherhouse of the Springfield Dominicans while driving around the area. She soon found herself regularly interacting with the Sisters. “As I began working, living, worshiping and playing in Springfield, God kept putting Sisters along my path,” she said. “Recognizing the joy and hospitality of these Sisters I realized I could not say no to God any longer and entered the Springfield Dominicans on August 1, 2013.” “Recognizing the joy and hospitality of these Sisters I realized I could not say no to God any longer and entered the Springfield Dominicans on August 1, 2013.” —Sister Kelly Moline, OP 4 St. Dominic Health Services 2018 Community Benefit Report

S T. D O M I N I C H E A LT H S E R V I C E S Care-A-Van Provides Free Screenings to Vulnerable Children With health prevention as its focus, St. Dominic’s Care-A-Van, a 42-foot mobile screening bus, travels throughout Mississippi conducting both screenings and educational programs for vulnerable children and mature adults. In 2018, Care-A-Van staff and volunteers served 6,221 school-aged children and medically-underserved senior citizens who do not have easy access to preventative health care resources in Copiah, Hinds, Leake, Madison, Rankin and Sunflower counties. In segments of the community where there is an identified need, the CareA-Van targets city and county public and parochial schools plus Boys and Girls Clubs conducting basic health screenings. The majority of the children screened come from families who do not have access or do not utilize available preventive health care resources. A typical screening includes checks for vision and hearing prob- lems, appropriate height and weight, blood pressure and scoliosis. When potential health problems are found, both the school and parents are notified so that appropriate referrals and proper treatment can be given. One of the many sites the CareA-Van visited in 2018 was the Redeemer’s School in Jackson where a total of 47 students received free screenings and educational materials about heart health, nutrition and fitness. Jewell Hillary, Director of Development and Marketing for the school, said, “Our students were really excited to see the Care-A-Van. It makes going to the doctor a more positive experience for them. Because of the Care-A-Van, several of our children were further treated for concerns like vision problems and now have glasses. The Care-A-Van provides a much-needed service to the community with professionalism, love and gentleness!” One of the many sites the Care-A-Van visited in 2018 was the Redeemer’s School in Jackson where a total of 47 students received free screenings and educational materials about heart health, nutrition and fitness. St. Dominic Health Services 2018 Community Benefit Report 5

S T. D O M I N I C H E A LT H S E R V I C E S New Directions Focuses on Community Needs New Directions members contributed funds and resources to support the new Emergency Room expansion through the New Directions’ Compass Fund with a goal of 25,000. 6 St. Dominic’s New Directions for Over 55 senior program was developed 30 years ago to help meet the needs of an aging population. Built on the premise that social interaction, enrichment opportunities and wellness education help promote healthy, active lifestyles among seniors, New Directions for Over 55 staff works to bring these and numerous benefits together into a membership-based program. Throughout 2018, New Directions for Over 55 focused on gearing many of its programs and workshops toward the findings outlined in the 2016-2018 Community Needs Assessment. According to the assessment, five leading community needs in the Jackson area were access to care, behavioral or mental health needs, chronic disease care, St. Dominic Health Services 2018 Community Benefit Report HIV prevention/treatment and senior health services. New Directions held several health and wellness programs throughout the year geared toward increasing awareness and understanding of these needs. In an effort to educate members about issues surrounding heart disease, New Directions held a program for its members called “Sleep Apnea as It Relates to Heart Disease.” New Directions also offered a diabetes program and a six week chronic disease course designed to create awareness of how diabetes can lead to heart disease and stroke. New Directions members also contributed funds and resources to support the new Emergency Room expansion through the New Directions’ Compass Fund with a goal of 25,000.

S T. D O M I N I C H E A LT H S E R V I C E S New Directions partnered with St. Dominic’s Behavioral Health Services to reach out to members regarding opioid addiction. To address behavioral and mental health needs, New Directions partnered with St. Dominic’s Behavioral Health Services to reach out to members regarding opioid addiction. Other programs included the Therapeutic Benefits of Gardening, which included monthly garden club meetings discussing how gardening can help with heart health, reduce stroke risk and increase emotional and mental well-being. New Directions also held many other programs and events throughout the year focused on issues regarding senior health and wellness, including a Disrupt Aging Series with a committee of community leaders to address needs such as transportation, housing, health and community resources. In addition, the New Directions’ annual Senior Wellness Fest was held October 24 at the Mississippi Trade Mart. Over 600 senior adults attended the event and received free screenings for cholesterol, glucose, blood pressure, kidney disease, bone density, balance, foot health, hearing analysis, vision, glaucoma, grip strength as well as flu and pneumonia shots. St. Catherine’s Employees Volunteer with At-Risk Youth As part of its Superhero Employee Appreciation Month in May, St. Catherine’s Village administrators invited employees to volunteer at In His Steps Ministries in Canton. On May 5, In His Steps Ministries in conjunction with Fellowship Bible Church held a free teen summit called Christ in Action Youth Rally (CIA) which brought together 110 local at-risk youth from grades 6 through 12. The purpose of the rally was to educate the youth attendees about serving God with their unique gifts and to encourage them to worship together and foster a relationship with Jesus Christ. During the rally, 13 St. Catherine’s employees and family members volunteered to help supervise the program, organize games and even provide lunch. Two St. Catherine’s employees grilled lunch for all attendees and volunteers. In His Steps is a Christian, non-profit organization providing Christ-centered ministries to at-risk children, juvenile offenders and families. Their mission focuses on six ministries: Intervention, Prevention, Family, Sports, ComIn His Steps is a passionate Services and Short-Term Missions. Christian, non-profit organization providing Christ-centered ministries to at-risk children, juvenile offenders and families. St. Catherine’s Village employees and family members volunteered to help supervise the program, organize games and even provide lunch. St. Dominic Health Services 2018 Community Benefit Report 7

S T. D O M I N I C H E A LT H S E R V I C E S The school nurses support student success by providing health care through assessment, intervention and follow-up for all children within the school setting. The school nurses are an active participant in a child’s physical, emotional and mental health, as well as providing preventative care, health and wellness education, hygiene education and allergy oversight. Madison School Nurse Program Supports Student Success In 2018, a total of 50,231 students and 1,839 staff members were seen by school nurses throughout the district. 8 Since 2008, St. Dominic’s has provided school nurses to elementary and middle schools in the Madison County School district at no cost to the schools. Velma Jackson High School was added to the school nurse program in 2014. In 2018, a total of 50,231 students and 1,839 staff members were seen by school nurses throughout the district. Many of those students (18,694) visited the school nurse due to illness, with 3,722 of those students needing further medical care. Many students also visited the school nurse for medication management under a physician’s direction (20,686). St. Dominic Health Services 2018 Community Benefit Report Nurses also help monitor students’ chronic illnesses such as diabetes and assist with treatment and education of the condition under the direction of a student’s physician. If a child sees the nurse for any reason, the nurse will provide the required medical care and then send a note home to inform the child’s parents of the visit. In addition to medical care, the school nurses also address physical, mental, emotional and social health needs of the students. Adam Frazier, Assistant Principal at Ann Smith Elementary School in Ridgeland, said the school nurses make a huge impact on the schools and the communities they serve. “Our school nurse, Tia, shows compassion, care and kindness to our students who need it so badly,” he said. “She is so sweet to them and always has a smile on her face while giving them undivided attention.”

S T. D O M I N I C H E A LT H S E R V I C E S Foundation Grant Purchases Special Chairs for Immobile Stroke Patients St. Dominic Health Services Foundation issued a grant to St. Dominic’s Advanced Comprehensive Stroke Center in 2018 to purchase special chairs for stroke patients with mobility challenges. Wendy Barrilleaux, Neuroscience Service Line Administrator, made an appeal to the Foundation Board to purchase two chairs for the sixthfloor recovery wing in an effort to make life easier for both patients and staff. The board approved the request and combined the grant with a recent gift from St. Dominic Health Services Foundation Board member Joe Goodell to purchase two chairs for 10,000 total. The electronic chair allows immobile patients to go from lying down to a seated position. “The chair helps prevent bed sores and pneumonia as well as helps the patient be more alert,” Wendy said. “Not only is it easier on the patient, but it is also beneficial for staff members by preventing workplace injuries due to less lifting.” As a Joint Commission certified Advanced Comprehensive Stroke Center, St. Dominic’s offers the most up-to-date treatment and technologies available in stroke care. Being a Comprehensive Stroke Center means a hospital is ready 24/7 to deliver advanced stroke care. It is the highest level of stroke certification, earned by meeting standards for the most complex stroke cases. Two-thirds of the estimated 1,500 stroke patients seen annually at St. Dominic’s are transferred in from outside of the Jackson area. “St. Dominic’s Comprehensive Stroke Center is the leader on stroke care in the state of Mississippi and certainly among the top centers for stroke care in the southeastern United States,” said St. Dominic’s Neurologist Ruth Fredericks, MD. Two-thirds of the estimated 1,500 stroke patients seen annually at St. Dominic’s are “Our success is validated by our high-quality scores and low mortality rates. We are proud of our stroke team members for their dedication to providing exceptional and compassionate care to each and every patient we serve.” transferred in from outside of the Jackson area. “Not only is it easier on the patient, but it is also beneficial for staff members by preventing workplace injuries due to less lifting.” —Wendy Barrilleaux, Neuroscience Service Line Administrator St. Dominic Health Services 2018 Community Benefit Report 9

S T. D O M I N I C H E A LT H S E R V I C E S St. Dominic Community Health Clinic Provides Much-Needed Education to Stewpot Summer Campers St. Dominic’s Community Health Clinic provides preventative and primary health care services free-of-charge to the medically uninsured, homeless and working poor of Jackson’s inner city. St. Dominic Community Health Clinic staff members collaborated with Stewpot Community Services to provide health and wellness education to 50 teenagers and 85 children who attended the seven-week Stewpot Recreational Summer Camp in 2018. The camp was established in 1991 to give at-risk children a safe, loving environment during the long summer months off from school. St. Dominic’s Community Health Clinic was established in 1996 to assist those in the Jackson area who cannot afford basic medical care. The clinic provides preventative and primary health care services 10 St. Dominic Health Services 2018 Community Benefit Report free-of-charge to the medically uninsured, homeless and working poor of Jackson’s inner city. In addition, clinic staff also provides a variety of educational programs for children, adolescents and adults in an effort to promote positive lifestyle changes and improve the health and well-being of those served. The St. Dominic Community Health Clinic nurse team, consisting of Director Sister Mary Trinita Eddington, OP, NP, and Beverly Oliver, NP, began working with the Stewpot Recreational Summer Camp in 2017 by providing educational sessions emphasizing proper nutrition. That summer, campers learned how to

S T. D O M I N I C H E A LT H S E R V I C E S grow a garden and cook healthy meals from their garden crops. The overall health focus for the 2018 camp was personal hygiene. Throughout the summer, campers were broken into groups based off age and gender to learn from health care experts about their bodies, what to expect as they grow and how to properly take care of themselves. With donations from United Methodist Women’s Circle, First United Methodist Church of Clinton, St. Catherine’s Village and St. Dominic Hospital, each camper received a sports bag filled with full sized personal care items to take home. A local dental hygienist came to teach the campers about proper dental care. Each child was given a goody bag filled with floss, toothpaste, toothbrushes and mouth wash. Catholic Charities Honors Harbarger and Diamond On June 9, Catholic Charities honored Claude W. Harbarger, President of St. Dominic Health Services, and Lester K. Diamond, President of St. Dominic Hospital, at its annual Bishop’s Ball. Harbarger and Diamond were presented with the Samaritan Award, which recognizes those whose support of Catholic Charities has made a lasting impact on the organization and community. Harbarger and Diamond were presented with the Samaritan Award, which recognizes those whose support of Catholic Charities has made a lasting impact on the organization and community. “Their leadership running a faith-based health care system has greatly enhanced the quality of medical services provided to the community,” said John Lunardini, Chief Operating Officer of Catholic Charities. “Their support of Catholic Charities through St. Dominic’s has enabled us to serve many more people in a more diverse capacity throughout the state.” All campers received a free BMI and blood pressure screening with individual counseling from the clinic nurse team about the risks of hypertension, ways to decrease hypertension and tips on leading a more active, healthy lifestyle. “It was amazing to see the children open up to us,” said Beverly Oliver. “We found that many of the children had never been taught personal hygiene. We are proud to serve Stewpot and support the learning, growth, connection and safety of the children in our community who need it most.” Claude W. Harbarger President of St. Dominic health services Lester K. Diamond President of St. Dominic hospital St. Dominic Health Services 2018 Community Benefit Report 11

S T. D O M I N I C H E A LT H S E R V I C E S St. Dominic’s Named Among Mississippi’s Healthiest Workplaces St. Dominic’s encourages its employees to lead healthy lifestyles through the Employee Wellness program, which focuses on engaging all employees in healthy living programs. St. Dominic’s was once again named one of Mississippi’s Healthiest Workplaces by the Mississippi Business Journal, the Mississippi Business Group on Health and the Mississippi Department of Health. St. Dominic’s was the first place winner of the Health Care System category for 2018. The Mississippi Healthiest Workplace Awards recognize the top employers from across the state that show excellence in providing employer health and wellness programs and healthy workplace environments. St. Dominic’s encourages its employees to lead healthy lifestyles through the Employee Wellness 12 St. Dominic Health Services 2018 Community Benefit Report program, which focuses on engaging all employees in healthy living programs. Employees are regularly provided with educational materials, physical fitness activities and healthy eating programs throughout the year with incentives available to those who participate. St. Dominic’s also utilizes the Healthy Lives program, a comprehensive health and wellness program provided as an additional benefit at no cost to employees, spouses and dependents over the age of 18 enrolled in the St. Dominic’s health plan. Those enrolled in the program participate in yearly health screening and can earn cash rewards for healthy behavior and reaching set goals related to health and wellness.

S T. D O M I N I C H O S P I TA L New Technology for St. Dominic’s Diagnostic Imaging Department On June 11, St. Dominic’s Diagnostic Imaging Department reopened its Interventional Radiology (IR) Unit after installing new stateof-the-art technology designed to enhance the hospital’s stroke program and expand its IR services. The old system was replaced with a cutting-edge Siemens Artis-Q Bi-plane unit that can create highly detailed three-dimensional images of a patient’s body on two separate planes. The technology allows patients to be seen in a more efficient manner with better image quality and less radiation, resulting in more accurate procedures with decreased treatment time for patients. The old system was replaced with a cutting- “The interventional angiography system takes performance and precision to the next level,” said Ashley Smith, Director of Radiology. “The IR team—led by Lance Smith and Tracey Slawson, as well as our radiologists—has worked a full schedule over the past couple of months, despite having one less room. I would like to thank them for their hard work and dedication to our patients.” edge Siemens Artis-Q Bi-plane unit that can create highly detailed three-dimensional images of a patient’s body on two separate planes. St. Dominic Health Services 2018 Community Benefit Report 13

S T. D O M I N I C H O S P I TA L Construction Begins on Emergency Department Renovation and Expansion Construction of the multi-year 35 40 million project to renovate and expand the Emergency Department began in the fall of 2018. “When it was originally constructed about 50 years ago, our current Emergency Department was not designed to handle anywhere near the amount of volume we see today.” —Lester K. Diamond, President of St. Dominic Hospital 14 Lester K. Diamond, President of St. Dominic Hospital, said there is a great need for a larger and more efficient emergency room. “In 2010, just over 45,000 patients were treated in our emergency room,” he said. “More recently, those numbers have been closer to 60,000. When it was originally constructed about 50 years ago, our current Emergency Department was not designed to handle anywhere near the amount of volume we see today.” St. Dominic Hospital 2018 Community Benefit Report The project began in the summer of 2017 with the demolition of the original St. Dominic’s Chapel and Rosary Hall, site of the former St. Dominic School of Nursing. In 2018, the elevator for the parking garage was relocated to accommodate a new lane dedicated to emergency traffic only. Next, a massive hole was excavated to accommodate a subbasement for the piping and infrastructure of the expansion. During the excavation about 100 dump truck loads of dirt were removed each day. Construction for the project was about 10 percent complete by the end of 2018.

S T. D O M I N I C H O S P I TA L There are two main phases to the construction project. The first phase is to add an expansion of approximately 25,000 square feet to the existing Emergency Department. This new addition will contain 20 patient rooms, two trauma rooms, an exam room (for more minor issues), five behavioral health rooms, a more efficient pod-style layout, localized waiting areas and in-unit imaging services that are critical to rapid response emergency care. This first phase will also include e

St. Dominic Health Services 2018 Community Benefit Report 1 2018 Community Benefit Report For more than 70 years, the Dominican Sisters of Springfield, Illinois, have sponsored St. Dominic's, helping guide the organization as it provides high quality health care and wellness outreach services to the people of Mississippi. .

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