A YEAR TO REMEMBER. A FUTURE TO EMBRACE. 2018 REPORT TO THE COMMUNITY 1 Unexpected challenges bring out our best 2 For more than 50 years, Harris Health System has served as the safety net for the people Our vision of Harris County, providing exceptionally Harris Health will become the premier public high-quality healthcare to those most in need. academic healthcare system in the nation. Hurricane Harvey made this last fiscal year even more eventful than most, which is why we are especially proud to present this annual report. Our mission It is our privilege and our passion to be here, Harris Health is a community-focused as always, sharing our community’s triumphs academic healthcare system dedicated to and challenges while working to provide the improving the health of those most in need in best care, the latest technology and the most Harris County through quality care delivery, innovative healthcare services. coordination of care and education. 3 Message to our community No look back at the past year can ignore the devastating storm that dominated our lives and headlines. As Harvey’s drama unfolded, we saw Houstonians come together in amazing ways. But Harvey also confirmed something we’ve known for more than 50 years. As the health system for those most in need in our community, we have a critical responsibility to always be ready to provide the highest level of treatment and service. We are pleased to be making substantial investments and improvements throughout our system. Vital renovations at Ben Taub Hospital are moving forward. We’ve added home-based dialysis and Houston Hospice care programs. At Lyndon B. Johnson Hospital, we’re building the first of what we hope to be many community gardens to foster better nutrition. Our Bridge to 2020, a long-view strategic plan that guides us to improve outcomes for our patients and strengthen our family and our home through innovative new programs that help people get and stay healthy instead of only treating them when they’re sick. Finally, we’d like to extend our sincerest gratitude to all of you who so generously support the work we do for anyone in need of safe, high-quality, high-value healthcare. We hope you can see why we’re so excited to present this information to you in the pages that follow. Sincerely, George V. Masi Anne Clutterbuck President and CEO Chair, Board of Trustees 4 6 PROGRESS | Bridge to 2020 8 STRENGTH | A valued partnership 10 PRIORITIES | Our patients 14 CULTURE | Our family 16 COURAGE | Hurricane Harvey 18 INNOVATION | Our home 22 TRANSFORMATION | Pathway to the future 26 STEWARDSHIP | Financial highlights 28 ALIGNMENT | Our leadership 30 GENEROSITY | Community involvement 32 PHILANTHROPY | Foundation and donors TABLE OF CONTENTS TABLE 5 Bridge to 2020 6 Thanks to the collaborative efforts of everyone from our board of trustees, executive leadership and generous donors to our prestigious medical school partners and all of our skilled professionals on the front lines every day, we’ve made great progress addressing the goals of our recently established strategic plan, Bridge to 2020. + To maintain a strong financial foundation + To consistently improve the patient experience by having patient safety as our top priority, and through measurable improvements in quality and patient satisfaction + To be the preferred health system of employment for our Harris Health staff and the preferred venue for teaching, research and patient care for our physician partners + To continue to develop Harris Health as a state-of-the-art health system through consistent investment in facilities infrastructure modernization, medical equipment and information technology + To design and implement a transformative model of care that is grounded in population health and sustained by wellness, prevention, disease management and acute care intervention The Bridge to 2020 provides direction and operational guidance for Harris Health System. It also serves as an inspirational reminder of the exciting possibilities and priorities that lie ahead for us all. PROGRESS 7 STRENGTH 8 A valued partnership Harris Health System is extremely fortunate to have built a strong partnership with Houston’s renowned Baylor College of Medicine and McGovern Medical School at UTHealth. Along with their highly skilled physicians and researchers, Harris Health stays abreast of the latest technology and medical advances as we proudly train the next generation of healthcare providers. As a result, Harris Health patients receive a level of care that is second to none. 9 Our patients We’re here for the health of the residents of Harris County. Everything we do, every decision we make, must have their well-being at heart. It really is that simple. And yet, given the enormity of that responsibility, we must be resourceful, innovative and thoughtful in our efforts to provide the safest, highest quality healthcare for so many in need. Here are just a few of the ways we’re achieving our goals on behalf of those who entrust us with their lives. PRIORITIES 10 Home-based peritoneal dialysis program By providing training and supplies for patients to use in their own homes, Harris Health offers life-saving dialysis treatment to many more people than our facilities can accommodate. Even better, those enrolled are seeing excellent results. Hospice care through our Community Health Choice HMO network Now we can offer care in a more comfortable, appropriate environment for those in their final stage of life while freeing up needed hospital beds for other patients needing acute care. Hospital room modernizations With the conversion of all four-bed patient wards completed by year’s end, Ben Taub and Lyndon B. Johnson will offer semi-private and private hospital rooms, exclusively. I owe Dr. Perez and Harris Health my life. Medical home care coordination “ Before this program, I was so sick and ” As one of the nation’s first to embrace the concept of integrated care, Harris Health System tormented, I didn’t want to live. continues to lead the way in offering a lifetime of coordinated care through our network of community-based preventive, specialty and acute care facilities. Javier Muñoz Recent peritoneal dialysis program participant whose life House Call Service has been transformed within months of in-home treatment Harris Health’s House Call Service has made outstanding progress in fiscal year 2018. We now have 25 doctors and nurse practitioners caring for 1,000+ patients, providing primary, geriatric and palliative care to homebound patients, preventing unnecessary illness and ER visits. HEMODIALYSIS VS. PERITONEAL DIALYSIS Zero harm to patients 4 HOURS A DAY 30 MINUTES A DAY Enlisting the ideas and collaboration of our leaders and staff, Harris Health is committed 3 DAYS A WEEK 3 TIMES A DAY to consistently improving the quality of our patient care, with the ultimate goal WAITING TIME of reducing patient harm to zero. NO WAITING TIMES Times are approximate. TRAVEL TIME NO TRAVEL TIME 11 Giving a WWII veteran his life back, and his family, peace of mind Old-fashioned house calls make a life-saving comeback By the time Leon Bernsen Sr. learned of Harris Health’s House Call Service, he’d been in and out of hospitals in Corpus Christi with an infection he couldn’t shake. “They kept releasing him before he was well,” says his daughter, Dianna Bernsen who, living in Houston, became terribly frustrated by the treatment he was receiving. “Then, he’d go to a rehabilitation center and he’d get re-infected,” she explained. The ordeal was exhausting for Leon. The third time around, Dianna’s husband arranged for his father-in-law to be transported to Houston by ambulance. After successful treatment at a local hospital, Leon transferred to Braeswood Personal Care, an assisted living home where he enjoys a safe environment near his family. Leon’s luck continues From there, Susan Di Filippo, the home’s owner, referred them to Harris Health’s House Call Service. She helped set him up with Anita Major, MD, who visits Leon personally once a month and coordinates a full course of care for him and other homebound patients without them having to travel. To Dianna, the House Call Service is not only easier, safer and healthier for her father, she believes it saved his life. Since Dr. Major regulated his wildly fluctuating blood pressure, Leon has regained his strength and is happy again. He celebrated his birthday in June, and while he struggles at times Dr. Anita Major visits Leon Bernsen Sr. with his short-term memory, as his daughter says, playfully, at home regularly “At 92 years old, he’s entitled.” 12 F Y All our best for those who need us most It’s such a wonderful program; 2 0 1 8 I can’t speak highly enough of it. R hospitals, including a Level I “ ” E S 3 The people are first class. U and a Level III trauma center L T S Dianna Bernsen 18 community health centers 305,739 5 same-day clinics unique patients 5 school-based clinics 60 3 large multi-specialty clinics uninsured 1 freestanding dental center 1 dialysis center $651M geriatric assessment center charity care 1 10 homeless shelter clinics Community Health Choice 430,000 network members Mobile immunization and medical outreach programs 13 Our family Harris Health provides outstanding medical services, from world-class trauma care to innovative treatments like robotic surgery and peritoneal dialysis, and none of this would be possible without our extraordinary teams of professionals. They include physicians and researchers, of course, but also thousands of exceptional nurses, technicians, caregivers and support staff, often unsung heroes who keep the wheels of progress spinning and patient satisfaction high.