Connection September 2012 by Go Design

September 2012

The Saint Thomas Health

CONNECTION Weâ&#x20AC;&#x2122;re here. For life. In This Issue: l M essage

From Dr. Mike Schatzlein

l S aint Thomas

Family Health Centers: An Everyday Mission Trip

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for the Caregiver: Learn more about SmartHealth

September 2012

A Newsletter For Saint Thomas Health Associates

CONNECTION Dear Friends,

Mike Schatzlein

On the Cover: From left to right: Patient Services Representative Michelle Basham and Mayra Diaz, LPN of the Saint Louise Clinic in Murfreesboro, Tenn.

In a 2007 article, “Are We In This Together? The Preconditions for Strategy”, business consultant David Maister explored the accuracy of the often-quoted saying that “everyone wants to be a part of something bigger than themselves.” One of his conclusions was that, while the saying may be accurate, there is no guarantee that the “something bigger” is the purpose or Mission of the organization where they work. He goes on to describe categories of people who are motivated by different work experiences and how to engage all of them in the overall efforts of the organization. We know from both organization-wide surveys and personal stories that the majority of our associates came to our Ministry or remain with us because the Mission of the organization touches something within them. Our challenge is to communicate and demonstrate how our day-to-day activities and the broad initiatives we undertake are working together to further that Mission. There are three major areas of effort in our goal of transforming healthcare in Tennessee for the benefit of our patients, our physicians and the communities we serve. These three strategies are: 1) seamless access to health information, 2) to accept accountability for the health of individuals and populations, and 3) to make our operations and performance the most efficient and effective we can. “One Patient. One Chart.” is the name given our information technology integration strategy. This means that, no matter how a patient accesses our services or where they receive treatment, caregivers have immediate access to the information needed to provide care. We have

made remarkable progress in incorporating computerized order entry in our hospitals and are embarking on a project to incorporate seamless information exchange between the inpatient and outpatient environments. We are also launching Web portals for both patients and consumers. In July, our MissionPoint Health Partners was accepted as part of the Medicare Shared Savings Program, a terrific milestone in the development of this new platform for healthcare delivery. While, in general, MissionPoint fits the definition of an accountable care organization, our commitment to personalized care goes far beyond the standard care delivered by most ACOs. And, the telehealth aspect of MissionPoint allows us to connect our patients with clinicians and services across a broad geographic region. Recently, our hospitals have been recognized for safety, value and overall excellence in care. This is a testament to the efforts made in ensuring that we provide Healthcare That is Safe and in applying the principles of “Lean” to creating more value for our patients while striving to keep healthcare accessible and affordable. We will need to be relentless as we go forward in raising quality and lowering costs. The purpose of The Connection newsletter is to provide you with information on the goals and aspirations of our Ministry so that you understand how your work and support contributes to “something bigger,” namely, our Vision of helping individuals lead healthier lives through our delivery of holistic, reverent care. Sincerely, Dr. Mike Schatzlein President & CEO, Saint Thomas Health

Saint Thomas Health is a member of Ascension Health, the nation’s largest not-for-profit health care system. Our ministry includes Saint Thomas Hospital, Baptist Hospital,The Center for Spinal Surgery, Middle Tennessee Medical Center and Hickman Community Hospital. www.sths.com

Baptist Sports Medicine –

The Power of the Patch

aptist Sports Medicine (BSM) is known for its injury and prevention programs backed by its network of physicians and sports medicine

professionals. However, moving forward BSM is making a commitment to the area of sports performance. By focusing on performance BSM is developing a relationship with the athlete which will allow them to assist the athlete in improving his or her game. It’s another way to enhance the BSM brand, promote their physicians and therapists, and to carry out our mission of improving the health of their communities. The sports performance programs include nutrition education and guidance, physiological testing to determine how many calories are being burned during the time of activity and running gait analysis. Mari-Etta Parrish of BSM is the only certified sports dietician in Nashville and one of only six in Tennessee. With her guidance, BSM can offer athletes a diet geared toward their needs taking into consideration their specific sport and any weight gain or

loss goals along with providing pre and post workout recovery recommendations. By adding physiological testing, such as VO2 Max Testing, Hydrostatic Weighing and Resting Metabolic Rate calculation, BSM can set up a unique, individual diet for each athlete. In addition, BSM performs running gait analysis to look for flaws in the running or walking gaits of the athlete. This is especially helpful for athletes experiencing pain or discomfort. BSM professionals can plan corrective measures and offer insight on the best equipment to use based on the assessment. BSM will continue to treat injuries with a commitment to get athletes back on the playing field. In addition to the services already being offered, BSM is working to add specific sport instruction for the individual athlete or teams by ex-professional athletes or expert instructors. Recently, BSM hosted five such training camps with former Titans’ players with great success. “With our physicians, therapists, athletic trainers, sports medicine professionals and our relationship with the Tennessee Titans and former NFL greats, we have the capability to build a better athlete,” said Jeff Cook, Director of Sports Medicine. For more information about BSM, visit www. baptistsportsmedicine. com.

Recently, Baptist Sports Medicine partnered with former professional athletes to offer area high school students the chance to learn from the pros. The camps included: Defensive Back Camp hosted by Nick Harper, Receiver Camp hosted by Derrick Mason, Kicker Camp hosted by Craig Hentrich, Offensive Line Camp hosted by Brad Hopkins, Quarterback Camp hosted by Kerry Collins, and Running Back Camp hosted by Eddie George.

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One Patient. One Chart.™ Bridging Together Information to Improve Patient Care

patient may begin their experience with Saint Thomas Health at a variety of points;

the Emergency Department (ED), Labor and Delivery or their Primary Care Physician’s (PCP) office are just a few. Throughout the years, this same person may receive care at both Baptist Hospital and Saint Thomas Hospitals. They may have an ED visit at MTMC and follow up with their PCP at Nashville Medical Group. Each time this person is seen at one of Saint Thomas Health’s (STH) entities, they have a chart that contains pertinent medical information. They are asked for their personal information, insurance information, medical history and questions about that particular visit. The goal of One Patient. One Chart.™ is to bring together all of this information so the right data is available to caregivers anytime, anywhere it is needed.

Saint Thomas Health is making progress in our path to One Patient. One Chart.™ As of 2011, STHe was firmly at Level 3 of adoption of electronic health records (EHR), meaning our health ministries were imputing patient data into a computer. The implementation of Computerized Physician Order Entry (CPOE) in the hospitals’ ED moved us to Level 4; meaning physician orders are directly communicated to professional services departments like Lab, Radiology and Pharmacy via the computer. In 2012, Bar Code Medication Administration (BCMA) has been implemented to ensure accuracy in dosage, delivery and time for patient medications. Level 5 of adoption is obtained when areas with CPOE also use BCMA. Only 2.3 percent of all hospitals in the United States have reached Level 5; STHe will join them by the end of

summer. The final stages of adoption are Levels 6 and 7 – Physician Documentation will take us to Level 6 and sharing all this information across venues of care and throughout the community will allow us to achieve Level 7. Work toward levels 6 and 7 are already underway. Our goal is to achieve EHR Adoption Level 7 by 2014.

he journey to One Patient. One Chart.™ requires a lot of work by many STHe and AHIS associates and impacts the day to day workflow for virtually all STHe associates. Millions of dollars will be invested across STHe to realize our goals. The more systems that are brought on-line, the more transformative the work for our clinicians will become. One might ask why STHe is doing this. The answer is simple: it’s the right thing to do for our patients. One Patient. One Chart.™ has the

B ri g ht F u t u re A Message from Jason Dinger MissionPoint Health Partners CEO

MissionPoint becomes Medicare Provider Partner, Plans New Programs The last few months have been quite eventful for those in the healthcare industry. I want you to know that MissionPoint is working to ensure that you benefit from all the changes now underway and those coming in the years ahead.

Supreme Court Ruling By far, the most significant event in healthcare this year was the U.S. Supreme Court’s upholding of the Affordable Care Act. Now that it has been ruled constitutional, all the various components will be moving into place. MissionPoint will be working with our network of physicians and hospitals to ensure that members are getting the maximum from their coverage, and are utilizing the benefits under the law, particularly in the area of preventative care. 4

ability to improve patient safety, reduce redundant testing, allow for collaborative care, increase convenience for patients and clinicians and increase personal engagement from the patient in their care.

hen a patient visits the MTMC ED complaining of pains in his stomach, the treating physician will be able to tell that he was recently treated for an upper respiratory infection at his PCP at Nashville Medical Group in Mt. Juliet and had his gallbladder removed at Saint Thomas Hospital two years earlier. When his visit at MTMC is completed, his PCP in Mt. Juliet will know about his experience and be able to view his test results before taking further action in his care. One Patient. One Chart.™ will make the right information available to caregivers anytime, anywhere it is needed to the benefit of the patient and their caregivers.

What One Patient. One Chart.™ Looks Like Meet Michael – he’s a 48-year-old man from White House, Tenn. Michael is an insurance agent and works in an office on West

End. He’s being treated for several chronic conditions, including high blood pressure, arthritis, and acid reflux, at Nashville Medical Group. One day at work, Michael starts feeling dizzy and complains of numbness in his left arm. Michael passes out and co-workers call 911. The ambulance takes him to Saint Thomas Hospital’s Chest Pain Center. His caregivers are able to access his records from Nashville Medical Group as they prepare Michael’s treatment plan. It turns out Michael is not having a heart attack. After his tests results come back normal and his symptoms reside, Michael is released and instructed to follow up with his PCP. At his PCP appointment one week later, Michael’s physician already has the test results from his visit to Saint Thomas Hospital and is able to consider them when determining the next steps in Michael’s care.

Meet Sarah – she’s a 19-year-old student at Middle Tennessee State University. Sarah is healthy student athlete

at MTSU. She only sees a doctor in Murfreesboro when necessary. During an intermural soccer game Sarah falls down and hurts her left leg. She is unable to put weight on it and is taken to the MTMC ED. At the ED, x-rays are taken. No broken bones are found and she has an MRI. Sarah is referred to an orthopedic specialist. At her appointment the next day, the specialist already has the films from Sarah’s ED visit and her medical history. This means the specialist does not have to order another set of tests and can diagnose her injury and begin treatment immediately.

Meet Tim – he’s a 35-year-old homeless man in Nashville, Tenn. Tim is constantly on the move as he seeks shelter and food.

He only seeks medical care in an emergency. He always utilizes the Emergency Department, but sometimes he goes to Saint Thomas Hospital and other times he visits Baptist Hospital. Recently, he went to the Saint Thomas Family Health Center South in Antioch. One Patient. One Chart.™ allows for the caregivers who see Tim to gather a more accurate medical history so they can better treat Tim.

While the changes underway are dramatic, we are excited to play a central role in helping to deliver smarter, more patientfocused and more efficient healthcare services. The results of our efforts will be better health for the individuals in the communities we serve, reduced healthcare costs and a better patient experience.

Now a Medicare ACO MissionPoint is also pleased to announce that it has been chosen by the Centers for Medicare & Medicaid Services as an Accountable Care Organization in its Shared Savings Program. This program is designed to improve coordination and cooperation among providers to improve the quality of care and reduce costs for Medicare fee-for-service beneficiaries. MissionPoint will be working with more than 20,000

Medicare beneficiaries in the Middle Tennessee area as a part of the program. With more than 40,000 members, MissionPoint is working hard to deliver new and unique services that continue to enhance your healthcare experience. While Smart Health and Ascension remain your insurer, please call us if you need help finding a physician, completing a health risk assessment or require a home visit. MissionPoint is committed to improving health outcomes, improving patient satisfaction and lowering costs for its members. The Affordable Care Act and the Shared Savings Program share these goals, so we are looking forward to working together with our providers, facilities, employers and members to make those benchmarks a reality. 5

v itals ch E C k A Message from Craig Polkow Chief Financial Officer of Saint Thomas Health

Saint Thomas Health completed its 2012 fiscal year (FY12) on June 30. FY12 was challenging with continued declines in reimbursement and patient volumes being less than budgeted. It is very likely that the weak economy was a significant driver of lower patient volumes. Expense control was good overall which helped offset the lower revenue. Of special note, Saint Thomas Health provided $47.2 million in Community Benefit/Care of the Poor. This is $13 million more than was budgeted. While this is reflective of the challenging economy, it is also a strong indicator of the commitment by Saint Thomas Health to provide quality healthcare to those in need. Thus far in FY13, Saint Thomas Health leadership has had to make several tough decisions to reduce operating expenses. Volumes are down in hospitals across the nation and Saint Thomas Health is no exception. In addition to ongoing efforts to serve more patients, there will be a continued focus on reducing expenses by lowering supply costs and implementing LEAN strategies to reduce waste. We need the support of each and every one of you to meet the challenges we face. It is through you that we are able to provide healthcare that works, healthcare that is safe and healthcare that leaves no one behind. Thank you for your contributions to the mission of Saint Thomas Health.

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Saint Thomas Physician Services: A Re-introduction

aint Thomas Physician Services (STPS) began more than two years ago with the goal of bringing top-notch physician practices into the Saint Thomas Health family. Now STPS has more than 700 associates and 150 physicians under its umbrella. STPS physician practices cover everything from primary care to neurology and pediatricians to cardiologists. STPS has positioned itself to be able to care for its patients across the continuum of care, no matter what their needs. They are here to help guide patients throughout their health care journey, thus, changing and enhancing the way they receive care. In simple terms,

PROVE stands for how we work together with the physician practices and hospitals to provide great care to our patients.

Behind the excellent care is the underlying philosophy of STPS: PROVE. PROVE stands for People, Revenue cycle enhancements, Operational efficiency,Vision toward integration and mission, and EHR Optimization. In simple terms, PROVE stands for how we work together with the physician practices and hospitals to provide great care to our patients.

“PROVE really represents what STPS offers to our physicians and patients,” said Charlie Powell, President and CEO of STPS. “At STPS, we are rapidly structuring ourselves to be an integrated medical group with a vision to provide an enhanced patient and caregiver experience. PROVE is an internally shared acronym which serves as a reminder of how we will realize our vision and seamlessly align with the Saint Thomas Health continuum of services.” The organization also has a physician-led board that provides practices with strong strategic leadership. With Dr. Jay Williams serving as the Chairman of the Board, the board consists of Dr. George Crossley, Dr. Barry Jarnagin, Dr. Michael Kaminski, Dr. Evans Kemp, Dr. Douglas Kennedy, Dr. Melvin Lightford, Dr. Laura Lawson, Dr. Donald Patterson, Dr. Mike Schatzlein, Dr. Bill Thompson and Dr. Brian Wilcox. As a part of STHe, STPS physicians are also a part of MissionPoint Health Partners. By choosing a STPS physician, MissionPoint members receive lower copayments and the highest benefit levels when seeing a STPS physician. To view a complete list of STPS’ locations, go to www.sths.com and click on ‘Saint Physician Services.’

S a i n t Th o m a s F a m i l y H e a l t h C e n t e r s

An Everyday Mission Trip

erving those in need has been at the very heart of Saint Thomas Health’s mission for more than a century. The Saint Thomas Family Health Centers honor this guiding legacy by offering medical help and hope directly to the underserved in Middle Tennessee. With eight facilities included in the program, these clinics represent a welcome frontline to health care that many area residents would not otherwise receive because care is given, regardless of their ability to pay. “We are like a doctor’s office or a primary care clinic, and we take care of people from birth to death,” said Retha Thomas, Director of Community Clinics for the Saint Thomas Family Health Centers South and West, both of which are located in Nashville. “We do take insurance and self-payments from those who can afford them, but our essential goal is to serve the poor and vulnerable; we want them to have the same health care that the fully insured have.” And by filling such an important need, the centers create the opportunity for individuals to obtain ongoing quality health care instead of soley relying on the emergency department in a time of crisis.

The centers, which are staffed by licensed medical professionals, primarily family practice nurse practitioners, treat approximately 60 patients a day. And many of the staff members are bilingual, further meeting the communities’ needs. Among the extensive list of services offered are physicals, vaccinations, preventive testing and screenings, pediatrics, general medical management for chronic conditions such as diabetes and hypertension, specialized women’s health and prenatal care, nutritional counseling, and mental health services. “We provide a full spectrum of care in response to the needs that present to us,” said Retha. The newest Saint Thomas Family Health Center is located in Murfreesboro, Tenn. The Saint Louise Clinic opened its doors in October 2011 and provides primary care, obstetrics, gynecology and palliative care services to the community. “Our patients are so grateful for what we do. People need health care and we provide it whether they can afford it or not,” Retha said. “We are just carrying on what began with the Daughter’s of Charity. At our clinics, we are on a mission trip every day.”

Clinica Nueva Vida – Helping Deliver Healthy Babies More than two months before her due date, Maria, a Middle Tennessee resident pregnant with her first child, began feeling some unusual discomfort. But the 20 year old quickly recognized the changes in her body as preterm labor because of her participation in Saint Thomas Health Center South’s Clinca Nueva Vida. The program, which is also available at Saint Thomas Health Center West, provides comprehensive prenatal care to women in the Hispanic community who fall within poverty guidelines. Tish Rainey, a certified midwife with Clinca Nueva Vida, said the program, through which approximately 230 babies are delivered annually, has made great strides in improving the wellbeing of many mothers like Maria and their unborn children. “One of our

goals was to provide an alternative to emergency room care, but we also wanted to prevent infant and maternal mortality and morbidity. It’s very clear that prenatal care can make a significant difference.” she said. Along with health care, the women are encouraged to join a group of mothers who will deliver within the same time frame. They meet six to eight times to discuss labor preparation, fitness, childcare and relationship issues, and what to expect and not to expect while pregnant, including the signs of preterm labor.

Davidson County

Saint Thomas Family Health Center West 5201 Charlotte Avenue Nashville, TN (615) 222-1900

Saint Thomas Family

Health Center South 4928 Edmonson Pike Suite 205 Nashville, TN (615) 222-1400

La Clinica Nueva Vida 4928 Edmonson Pike Suite 205 Nashville, TN (615) 222-1409

Baptist / UT Medical

Clinic Enrollment in Bridges to Care is required 1911 State Street Nashville, TN (615) 284-5185 To make an appointment: (615) 284-2487 Rutherford County

Saint Louise Clinic 503 E. Bell Street Suite 103 Murfreesboro, TN (615) 396-6620

Eagleville Medical Group 341 South Main Street Eagleville, TN (615) 274-6207

Hickman County

Hickman Medical Clinic – Lyles 5047 Highway 100 Lyles, TN (931) 670-6525

Hickman Medical Clinic – Centerville 150 East Swan Street Centerville, TN (931) 729-3091

Saint Thomas Health

Healthy For Life 

out in the

coMMUNity

On Saturday, May 12, Saint Thomas Health kicked off its Healthy for Life initiative at L.P. Field. The event provided health information, healthy snacks, entertainment and tours of the Titans’ locker room for associates and their families.

MS Walk  Murfreesboro

Tour de Cure

 Patrick, Carla and Morgan McNally participated in the 2012 Tour de Cure to support the American Diabetes Association. MTMC was the presenting sponsor of the event that offered 60 and 100 mile rides for participants.

Saint Thomas Health was the presenting sponsor of both the MS Walk in Nashville and Murfreesboro in May of 2012.

MS Walk  Nashville

March for Babies Nashville 

Baptist Hospital was the presenting sponsor of the 2012 March for Babies in Centennial Park. The Baptist Hospital Team (pictured) raised more than $50,000 for the March of Dimes. 8

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Saint Thomas Health and its associates are out in the community making a difference every day! Take a look at some recent events in the Middle Tennessee area in which we’ve been able to educate the community, raise awareness and funds for great causes and have some fun.

Sounds Game

 Thursday, May 10 was Saint Thomas Health Night with the Sounds at Greer Stadium. The event was part of Saint Thomas Health’s Hospital Week and 10th Anniversary Celebration.

Strike Out Stroke May 2012 

March for Babies Murfreesboro  The 2012 March for Babies in Rutherford County was held on the MTMC Campus.

Medical Mission at Home at Green House Ministries 

The Saint Thomas Health Stroke Centers and Nashville Sounds teamed up for the second annual “Strike Out Stroke” event with the Nashville Sounds on Friday, May 25 at Greer Stadium. Saint Thomas Health Stroke Center staff members performed nearly 100 free blood pressure screenings and handed out information on stroke such as warning signs and risk factors. Announcements about stroke heath were also made over the loudspeaker throughout the game.

On Saturday June 23, Saint Thomas Health and MTMC hosted a Medical Mission at Home at Green House Ministries in Murfreesboro, Tenn. The event provided free medical, dental, vision and pharmacy care to those in need in the community. Seven hundred medical encounters were had by more than 150 patients.

Care for the Caregiver Learn more about SmartHealth

he leadership at Saint Thomas Health understands your challenges with the many changes to your benefits package in 2012. To help answer some of your questions, please review this Quick Reference Guide information. This is not all of the answers, but it will assist you in navigating your benefits. Use MissionPoint (Tier I) Providers. Receive office

visit co-pay of $15 for Tier I versus $35 for Tier II primary care providers and pay $25 for Tier I specialist visit versus $45 for Tier II specialist providers. Review the MissionPoint Health Partners network of physicians on the www.mysmarthealth.org website to find a physician who participates as a Tier I provider. Click on ‘Members’ and select ‘Saint Thomas Health’ and ‘Submit’. From the main menu, choose ‘Provider Directory’ and search by name or specialty. Use Saint Thomas Health facilities and joint ventures for Tier I benefit level for inpatient and outpatient medical procedures. Review the choices on

www.mysmarthealth.org website. Click on ‘Members’ and select ‘Saint Thomas Health’ and ‘Submit’. From the main menu, choose ‘Provider Directory’ and then click on ‘Facilities/Other Services’ and choose the facility or service. Use lab services provided through LabPlus to receive Tier I benefit level. LabPlus is the consolidated

outreach service for all Saint Thomas Health hospitals. Locations include: • Baptist Hospital – breezeway between Medical Arts Building and Baptist Hospital • Baptist Hospital Medical Office Building – 8th floor at LabPlus draw station in the 20th Avenue medical building

• MTMC – outpatient services area • MTMC DePaul Medical Office Building – 4th floor – Middle Tennessee Medical Group • Saint Thomas Hospital – 2nd floor of Plaza East Medical Office Building For help with LabPlus services or billing, call 222-2835. Confirm that your provider is using the correct billing destination. At the time of treatment, please

present your SmartHealth identification card and ask the provider to call 1-888-494-4600 or go to www. mysmarthealth.org to review the claim filing information. If your provider participates in the MissionPoint network, the claim will be filed with ABS (Automated Benefit Services). ABS for SmartHealth PO Box 37705 Oak Park, MI 48237-7705 Electronic Payer ID: 38259 If your provider is not a member of MissionPoint, the claim will be filed with the Blue Cross/Blue Shield office in the state in which the service was provided. Using an in-house pharmacy should provide the highest benefit level for your prescription drug needs.

The Saint Thomas Plaza Pharmacy serves the associates of Saint Thomas Hospital and provides twice a week

pickup and delivery of prescriptions to Middle Tennessee Medical Center and Metro Center associates. They are located on the second floor of the Medical Plaza East office building on the Saint Thomas Hospital campus. You may contact David Neu, Pharmacy Manager, at 222-5898 or by e-mail at dneu@stthomas.org. Rx Express serves the associates of Baptist Hospital and provides prescriptions by mail to Middle Tennessee Medical Center and Hickman Community Hospital associates. They are located at 300 20th Avenue North, Suite 105. You may contact Henry Dunklau, Pharmacy Manager, at 320-8410 or by email at henry.dunklau@ gmail.com. Call Automated Benefit Services (ABS) at 1-888494-4600 to speak with a representative concerning any question you may have regarding claim payment. They will be able to answer questions

concerning claims from MissionPoint (Tier I) providers as well as those from Blue Cross/Blue Shield (Tier II) providers. They can verify whether a claim has been filed and also help you with any questions concerning the Explanation of Benefits statement. Call MissionPoint at 1-855-288-6747 if you would like your physician contacted about becoming part of the MissionPoint network of providers or need assistance with navigating the medical plan.

You may access the claim payment system to review claims and Explanation of Benefit statements. You must register as a new user in order to

access the claim payment system and to review your claims and Explanation of Benefits statements. Please go http://lin.abs-tpa.com and register as a new user. This will allow you to review the claims that have been processed for you and your family and also the Explanation of Benefit statements. Become familiar with the www.mysmarthealth. org website for the following information. Providers

participating in the Tier I (MissionPoint) network as well as those who participate in the Tier II (Blue Cross/ Blue Shield) network. • Pharmacy Benefits • Plan Document for 2012 • Schedule of Benefits • Affiliated Websites • Benefit Information • Prior Authorization Form • Medical Policies/Criteria • Appeal Process • Deductible Information Sheet As a reminder, associates and family members should request physician referrals to Tier 1 ancillary areas (i.e. lab, medical imaging, pharmacy).

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Balance Bringing Incentives to Eat Healthy at Hospital Cafeterias The Food Guide Pyramid is a practical tool to help you make food choices that are consistent with the Dietary Guidelines for Americans. Using the Pyramid enables you to eat a variety of foods daily so that you can get the nutrients you need. To make the most of the Pyramid, you need to know what counts as a serving. Food Group: Meat Serving Size: 2-3 ounces cooked lean meat, poultry or fish (about the size of a deck of cards.) Other foods which count as 1 ounce meat; 1/2 cup cooked dry beans, 1 egg, 2 tablespoons peanut butter or 1/2 cup nuts Food Group: Milk Serving Size: 1 cup milk or yogurt, 1-1/2 ounces natural cheese or 2 ounces process cheese Food Group:Vegetable Serving Size: 1 cup raw, leafy vegetables, 1/2 cup cooked or chopped raw vegetables or 3/4 cup vegetable juice Food Group: Fruit Serving Size: 1 medium piece of fruit, 1/2 cup mixed fruit or 3/4 cup fruit juice Food Group: Bread Serving Size: 1 slice bread, 1/2 bagel or English muffin, 1 ounce ready-toeat cereal, 1/2 cup cooked cereal, rice or pasta, or 5-6 small crackers

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aint Thomas Health wants associates to be happy and healthy and to make eating healthy at work easier. As part of STHe’s Healthy for Life initiative, it will launch Balance, a program offering financial incentives for associates when purchasing healthy foods, along with education about the benefits of eating healthy, balanced meals. Balance began Tuesday, Sept. 4, at all hospital cafeterias and replaces the current associate discount program. Food items that earn the Balance designation must meet certain nutrition criteria for ingredients like fats, proteins, carbohydrates, sugars and salt. In addition, total calories for snacks must not exceed 250 calories per container. Financial incentives are a key component of the program. Associates will receive a 20 percent discount on healthy items they purchase in the cafeteria. Discounts for items not designated as healthy based on the Balance criteria will no longer be given. Also part of the Balance program is a new 10 percent discount for all hospital visitors on healthy items purchased in the Cafeteria. “As part of our commitment to the communities of Middle Tennessee, Saint Thomas Health has chosen to take the lead in promoting health and wellness, not only to our associates, but throughout the community as well,” said Dr. Mike Schatzlein, President and CEO of Saint Thomas Health. “More than two-thirds of U.S. adults are overweight; a third of those are obese. While some associates may be frustrated by the elimination of the discount on unhealthy items, we hope this new program will help us all make better choices to benefit our overall health.”

Balance Designation Criteria:

• Must be a healthy fat such as olive oil, canola oil or a margarine made without trans fat • Have no more than 10% saturated fat • Must NOT contain any trans fat or partially- hydrogenated fat FAT

• If used for cooking, must be a non-hydrogenated canola, soybean or olive oil • Preferable cooking methods include: baked, roasted, steamed, broiled or sautéed in a small amount of the oils listed above • Food must be labeled “zero trans fat” • Must be a healthy protein source, such as fish, chicken, turkey, tofu, legumes, beans, nuts or seeds

PROTEIN

• Nuts and seeds – plain or with spices • Beef items that contain no more than 20% fat • Ground turkey, turkey sausage, or turkey bacon, lean cuts of pork

CARBS and GRAINS CARB BREADS & CEREALS

• Must be a carbohydrate in its “whole” form, such as brown rice, quinoa, or wheat berries • Items must contain ground whole grains as an ingredient • Items such as whole wheat pasta, whole grain bread, or whole grain cereals must contain “whole grains” in the ingredient list • Must be a fruit (fresh, frozen, canned or dried) or vegetable without added sugar or salt

CARB FRUITS & VEGS

• Canned fruits in juice (packed in own juice or water-packed)

DAIRY

• Reduced-fat dairy products such as cheese, milk, and yogurt

SUGAR

• Sugar content must be less than 35% by weight. Percent of sugar and total calorie requirement criteria does not apply for fresh produce, dried fruits without added sugar, and canned fruits in light juice/syrup.

ARTIFICIAL SWEETENER SALT/SODIUM TOTAL CALORIES

• Pre-made salads or pre-cut vegetables served with nonfat dressings. Small portions, 1oz or less, of other dressings made with canola oil, soybean oil, olive oil or non-hydrogenated fat.

• Foods that are artificially sweetened must not contain saccharin • Snacks items may contain no more than 400mg of sodium • Entree items may contain no more than 1000mg of sodium • Snack does not exceed 250 calories per container • Water • Unsweetened coffee or tea • Non-fat Milk (excludes flavored milk)

BEVERAGES

• 100% fruit or vegetable juices • Flavored Water (no added sweetener) • Bottled and carbonated beverages may not contain high fructose corn syrup and must be less than 150 calories per item

Health Care That Leaves No One Behind:

Saint Thomas Health Continues

100 Percent Campaign Phase Two Engages Small Business Community

aint Thomas Health remains dedicated to the principle of 100 percent access, 100 percent coverage. During phase one of the “100 Percent Campaign,” we began the discussion around the Affordable Care Act (ACA) with our associates and elected officials; and started our Medical Mission at Home series, reaching out to those most at need in the community with volunteer medical services. Our advocacy work continues. As part of phase two we continue to support the Ascension Health campaign by engaging small business leaders from our Board of Directors and

In November 2011, President Barak Obama met with the Saint Thomas Health group who went to Washington, D.C. to discuss the Affordable Care Act with elected officials.

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the community at large. In November this group traveled to Washington, D.C. to discuss the ACA with elected officials and President Obama. Now, these leaders have become champions for the ACA right here in our own community. We’re so excited about this strategy; we’ve expanded it and began webinars for small business leaders across the nation. As our journey continues, more than ever we need to provide consistent and unwavering commitment to the principals of 100 percent access and 100 percent coverage. Health care reform is merely a milestone and not the final destination. We need to encourage and educate others in

understanding reform efforts and provide leadership during implementation. We have astounding examples of reform and changes in care that impact lives every day in Middle Tennessee already. Ascension Health has partnered with our local 211 call center to fund Health Navigator and better link people with the resources they need – which could include access to health care, food and shelter. Saint Thomas Health has eight family health clinics seeing thousands of patients across the spectrum of health insurance coverage. We will continue Medical Missions at Home, serving those most at need in our communities and we are just starting to implement MissionPoint Health Partners, a community of health partners dedicated to helping members navigate the world of health care. Health care reform is a significant milestone, yet Saint Thomas Health remains rooted in our mission and vision to serve all persons, with special attention to those who are poor and vulnerable. It is the true mission of health care that leaves no one behind.

What does the Supreme Court ruling means to Saint Thomas Health? We are pleased that, based on an initial read of the ruling, the ACA has been found constitutional and will remain in effect. Saint Thomas Health and CHA have long supported health care reform that expands access and coverage to everyone. As the ruling is examined, STHe will continue to lead health care transformation – finding new and better ways to provide compassionate, high-quality care while strengthening the communities we serve.

Medical Mission at Home at Holy Name, Sept. 22

aint Thomas Health and Catholic Charities of Tennessee

will host a Medical Mission at Home at Holy Name Catholic Church located at 521 Woodland Street Nashville, TN 37206 on Saturday, Sept. 22 from 10 a.m. to 2 p.m. “Our call to action of Healthcare That Leaves No One Behind challenges us to take health care to those most in need to ensure all have access to care. Our mission calls and compels us to a difference in our community, paying special attention to those who are poor and vulnerable. Therefore, Saint Thomas Health, Holy Name Catholic Church, and Catholic Charities are collaborating to sponsor our next Medical Mission at Home for those who are uninsured and homeless,” said Nancy Anness, Vice President of Advocacy, Access, and Community Outreach for Saint Thomas Health. Volunteers are needed in the following areas: Physicians, nurses, pharmacists, pharmacy technicians, medical assistants, dentists, dental hygienists, ophthalmologists, optometrists, optometry technicians/assistants, physical therapists, behavioral health specialists, registrars, clerks, directors, managers, chaplains, supervisors, housekeepers, patient escorts, patient navigators, students, ANYONE willing to help those in need. To volunteer, call 284-6859 or email crodenbu@stthomas.org. Please provide your name, contact information (e-mail address) and whether you are a clinical (physician, nurse, medical assistant, technician, etc.) or non-clinical volunteer (registrar, clerk, administrator, chaplain, etc.). All are welcome and all are needed for this Medical Mission at Home on Sept. 22. Above: Volunteers prepare to give free eye care to patients at Holy Name Catholic

Church. This will be Saint Thomas Health’s 3rd Medical Mission at Home at Holy Name.

Non-Profit Org U.S. Postage

PAID

P.O. Box 380 Nashville, TN 37202

Nashville, TN Permit No. 2116

Upcoming Events

Want to get involved? Check out the upcoming events around Middle Tennessee. Saint Thomas Health and its health ministries will have a strong presence at each event.

October 6 Nashville Heart Walk benefiting American Heart Association

October 27 Susan G. Komen Race for the Cure

8 a.m. – Noon l Vanderbilt University CampusSports Field

l Maryland Farms, Brentwood