Evidence OO3-1, Spectrum Health Accomplishments FY 2017

1 SPECTRUM HEALTH ACCOMPLISHMENTS FY2017

Spectrum Health Accomplishments FY2017 Evidence OO3-1, Spectrum Health Accomplishments FY 2017

SPECTRUM HEALTH ACCOMPLISHMENTS FY2017 2

CONTENTS

Welcome

Highlights

Drive Exceptional Value

Transform the Care Model

Grow With Purpose

Lead New Health Solutions

Awards and Recognition

Data in this publication reflect accomplishments for fiscal year 2017 up to printing in June 2017. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Welcome to this year’s Accomplishments

As we mark our 20th year as a health system, we celebrate the advancements made on behalf of the communities we serve in West Michigan and beyond. Through the dedication of our employees, physicians and leadership, we have created a world-class health system.

Bold ideas and innovative efforts have enabled us to improve the health of our patients and health plan members. The accomplishments highlighted in this document reflect the inspiration, innovation and impact of our work across our organization. These results are a testament to our commitment to improving health and wellness for those we serve.

I am proud of the outstanding health system we have created as a team. Please share this book with others throughout Spectrum Health, and take a moment to reflect on the many successes we have achieved working together this past year.

Richard C. Breon President & CEO Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Highlights

Our System’s Four Key Strategies Drive Transform Exceptional the Care Value Model

Lead New Health Grow With Solutions Purpose

Drive Exceptional Value We measure value through outcomes, including quality, safety, evidence-based medicine, access, excellent service and price.

Transform the Care Model Our care model engages consumers in their health. We offer leading health solutions and an integrated experience.

Grow With Purpose We grow to improve the health of our communities and contribute to the future of medicine and science.

Lead New Health Solutions We develop and deploy new solutions that engage consumers in their health and make health services convenient and accessible. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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A health system that is both simple for consumers to navigate and provides the most advanced approaches to health and wellness is today’s imperative. Spectrum Health worked at an unprecedented pace in fiscal year 2017 and made remarkable progress. With the system’s four key strategies as a unifying road map, teams collaborated across the organization to reinvent its care model, explore ambitious opportunities for growth and innovation, and offer consumers consistent, affordable and extraordinary experiences to support healthier lives. Accomplishments FY2017 outlines significant work across our health system this past year. These efforts are described in alignment with our four key strategies on the following pages.

$326 MILLION $ $5.7 BILLION 25,400 COMMUNITY BENEFIT (FY2016) ENTERPRISE (projected FY2017) EMPLOYEES

Spectrum Health Hospital Group and Spectrum Health Medical Group

180 1,600 1,600 12 74,300 2,200 AMBULATORY EMPLOYED PHYSICIANS INDEPENDENT HOSPITALS ACUTE CARE ACTIVE SITES AND ADVANCED PHYSICIANS (2,100 beds) ADMISSIONS VOLUNTEERS PRACTICE PROVIDERS (systemwide FY2016) (including about 1,400 members in the Spectrum Health Medical Group)

Priority Health

115 SERVES MEMBERS 796,000 6,800 35,800+ ACUTE CARE ACROSS THE U.S. MEMBERS EMPLOYERS PROVIDERS HOSPITALS Evidence OO3-1, Spectrum Health Accomplishments FY 2017

SPECTRUM HEALTH ACCOMPLISHMENTS FY2017 6 Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Drive Exceptional Value

We measure value through Our care model engages outcomes, including Transform consumers in their health. quality, safety, evidence- Drive We offer leading health based medicine, access, Exceptional the Care solutions and an integrated excellent service and price. Value Model experience.

We develop and deploy We grow to improve the new solutions that engage Lead New health of our communities consumers in their health Health Grow With and contribute to the future and make health services Solutions Purpose of medicine and science. convenient and accessible.

When consumers define the value of their health Driving exceptional value focuses on these main care, it’s personal. They want favorable outcomes principles: and an exceptional experience that is affordable. • Enable and deliver the best health at the lowest total cost of care. Spectrum Health shares those expectations for its patients, families and members. In fact, delivering • Provide a consistent, healing Spectrum Health value was part of the promise to our community Experience. when the organization formed 20 years ago. • Be the safest and highest quality health system in the nation. From expanding access, convenience and • Evaluate, prepare and continue to take transparency to improving quality, safety and appropriate actions for movement toward value- efficiency, the initiatives highlighted in this section based payments. showcase the ambitious work undertaken across • Improve operational and clinical efficiency and the system this year to drive exceptional value. efficacy. • Be transparent. • Optimize the value of being an integrated system. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Drive Exceptional Value

Enable and deliver the best health at the Provide a consistent, healing Spectrum lowest total cost of care Health Experience

Exceptional value in health care starts with our Spectrum Health is committed to creating a system’s own financial health, which allows us to consumer experience that offers more choices; develop high-quality products and services at the makes it easier and more convenient for patients lowest cost. and members to access our system; and provides affordable, personalized service. The organization’s net revenue is projected to increase to $5.7 billion in fiscal year 2017, setting a new record for Improving access, convenience and choice Spectrum Health. Approximately 57 percent of the revenue comes from Priority Health, and approximately 43 percent Spectrum Health Cancer Center, a collaboration of the comes from Spectrum Health Delivery System. system’s network of hospitals, medical group and affiliated providers, continued to expand programs and offerings to Spectrum Health continues to earn strong financial ratings. increase access to a full range of leading-edge cancer services. The system’s ratings of Aa3/stable by Moody’s and AA/stable It served more than 1,500 patients in fiscal year 2017. by Standard & Poor’s have been held since 1998. Priority Expansion initiatives include the following: Health is rated A/stable by A.M. Best. • Betty Ford Breast Care Services purchased its second mobile mammography unit, which was funded in part by Community Benefit a generous donation from Meijer Inc. Spectrum Health and Meijer co-launched a 2-D/3-D mobile mammography Fiscal year ended June 30, 2016 unit in May 2017 to serve West Michigan. The unit will be Community partnership programs $6,882,000 located adjacent to Meijer retail stores and employment (community Commitment Fund) locations, as well as identified underserved communities in the 13 counties. Screenings will be available to any Community partnership programs $5,279,000 consumer seeking to obtain one. In Michigan, only Health clinics $3,344,000 76 percent of women have access to recommended Health professionals education $14,857,000 mammography screenings. • Betty Ford Breast Care Services walk-in mammography Research $3,312,000 services expanded from two to five locations. Betty Ford Donations/contributions $52,000 Breast Care Services also now has tomosynthesis (3-D Traditional charity care $2,470,000 mammography) at all 14 sites. Ludington, Pennock and Big Rapids hospitals also added 3-D mammography. Our Discounted care $5,692,000 mammography services create the largest installation in (under 250 percent of federal poverty level) Michigan and the third largest in the Midwest. Unpaid costs for government $236,553,000 • The High Risk Breast Clinic expanded to Zeeland program patients Community Hospital. Uninsured—bad debts $48,053,000 • A smoking cessation program for cancer patients launched Total community benefit expense $326,494,000 at Spectrum Health Cancer Center at Lemmen-Holton Cancer Pavilion. • Upper gastrointestinal consultation services at Zeeland Community Hospital expanded for benign and malignant conditions of the upper part of the gastrointestinal tract. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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If any system is built for lasting success, it is Spectrum Health. We have exceptional talent in our organization. We live our “values and have solid business practices. Above all, we remain committed to our mission and to the patients, members and communities we serve. —Richard C. Breon, President & CEO, Spectrum Health”

• The Palliative and Supportive Care Clinic opened at Spectrum To reduce surgical delays, Gerber Memorial improved Health Cancer Center at Lemmen-Holton Cancer Pavilion. lab workflow and patient movement through the system by • Lung cancer screening expanded to Cancer Center regional streamlining lab ordering with the use of Epic. This project locations. increased patient satisfaction scores by eliminating patient lab • The Advanced Technology Laboratories’ next generation waiting time and decreasing delays in care. sequencing capabilities continued to grow, exceeding Improvements to central scheduling and radiology at 100 cases per month. Gerber Memorial standardized work processes, reduced • A medical oncology same-day clinic opened at Lemmen- variation and improved efficiency in scheduling diagnostic Holton Cancer Pavilion to offer cancer patients an procedures. Patients now are scheduled for diagnostic alternative to the emergency room. outpatient procedures within 24 to 48 hours, compared with more than two weeks. Spectrum Health Inpatient Rehabilitation at the Rehab and Nursing Center on Fuller Avenue opened a dedicated Hendrik & Gezina Meijer Surgery & Patient Care Center at subacute unit in November to serve cancer patients. The new United Hospital celebrated 10 years of providing care close to unit offers enhanced integration of subacute rehabilitation home for more than 25,000 patients for inpatient, intensive services into the care continuum. care unit, and labor and delivery stays, as well as more than 40,000 surgical procedures. Zeeland Community Hospital opened a multispecialty clinic. Betty Ford Breast Care Services provided care in 2016 A Grand Rapids outreach multispecialty center opened at at the hospital that included 4,442 screening mammograms, United Hospital for gastrointestinal, sleep, urology, and ear, 520 3-D mammograms and 137 nurse navigations. nose and throat conditions.

An inpatient headache program opened at Blodgett Hospital The neurodiagnostics team redeployed remote continuous in the fall of 2016. Spectrum Health Medical Group offers the electroencephalogram monitoring at Zeeland Community most comprehensive headache program in West Michigan, Hospital, enabling patients to be cared for in their local hospital including focused evaluation and ongoing care, onabotulinum and remain close to home. It also reduces the cost of care. toxin injections (Botox), peripheral nerve blocks, and multiday outpatient infusions for treating headache disorders. Big Rapids and Reed City hospitals created a full-time school nurse program for students in the Big Rapids Public Lab and radiology expanded patient hours at Blodgett Schools and Reed City Area Public Schools. MedNow offers Hospital with the “open early” program and opened new each school high-definition camera equipment that allows a locations at Spectrum Health Integrated Care Campus – East Spectrum Health registered nurse to assess a student’s injury Beltline and Spectrum Health South Pavilion. The program or ailment and video chat with students or school staff. provides consumers with more choices in their care and accommodates the needs of patients fasting before tests. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Drive Exceptional Value

Improving access, convenience and choice, continued The digestive health team initiated several improvements We continue to challenge to improve access, such as a referral walk-in clinic at the Grand Rapids location to expedite emergency cases. “the status quo and to push for A full-time athletic trainer from Spectrum Health joined the excellence. We are designing care Ludington Area School District for the 2016-2017 school year for 300 high school athletes and 150 middle school athletes. for the way people live—care that

A full-time master’s-degree-trained social worker, a is cost-effective and efficient, and pharmacist and care managers are now in primary care offices in the Lakeshore and Muskegon areas. A social worker is also that fits into their lives. in Hart and the United, Kelsey and Pennock regions. —Tina Freese Decker, executive vice president and chief operating officer, Spectrum Health ” Primary care offices in the Big Rapids, Reed City and Muskegon regions expanded hours of operation.

Gerber Memorial launched tobacco treatment services in inpatient, outpatient and community settings to address tobacco use rates in Newaygo County that are higher than state and national averages, especially for pregnant women. Spectrum Health has made significant progress Big Rapids Hospital launched the Sexual Assault Nurse this year in increasing convenience and choice for Examiner program in partnership with the YWCA of Grand consumers. MedNow, our virtual health offerings, Rapids, offering local access to a professional forensic exam and Convenient Care Walk-In Clinics are two and reducing distress and travel time to Grand Rapids for sexual assault victims. initiatives helping to do just that.

The government relations team was successful in convincing federal and state officials to continue transitional plans under the Affordable Care Act for 2018, allowing Priority Health customers to keep the lower-cost plan of their choice. MedNow offers two unique services: Direct-to-consumer care for low-acuity conditions is available to anyone within Spectrum Health government affairs, along with others in Michigan and also utilized by West Michigan employers. the health care industry, succeeded in preventing passage of Specialty care provides consultations with Spectrum Health auto no-fault reform that had been approved by the Michigan Medical Group specialists for our regional hospitals and Senate. If signed into law, the bill would have resulted in a partnering health systems, and directly to patients’ homes. reduction in needed care for accident victims. Major accomplishments for fiscal year 2017 include the following: Enhancing consumer experience • Direct to Consumer MedNow for low-acuity primary care The Customer Contact Center worked with departments is now available 24/7/365 for patients 3 years and older. across the system to improve access and enhance the More than 10,000 patients used MedNow as of February customer experience: 2017. The program has eliminated the need for 3,563 emergency department and urgent care visits. In addition, • Facilitated radiology follow-ups on all referrals within 24 patient encounters grew more than 40 percent every hours and consolidated rehab scheduling across the system quarter for the past six quarters. so that patients can easily be scheduled at their preferred location • Specialty MedNow connects Spectrum Health’s specialists virtually to all of the communities we serve. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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• Standardized physician schedules, and implemented Nutrition services also launched a Smart Choice Strategy daytime and nighttime nurse triage and online scheduling focused on evidence-based healthy eating principles “Think with primary care Produce First” and “Reduce Added Sugar” at the 16 Spectrum • Implemented a courtesy call-back system, which allows Health Grand Rapids-based cafes and cafeterias. Changes in callers to hang up and keep their place in line when calling placement and pricing of fresh fruit and healthy food offerings radiology led to increases in fruit sales at Butterworth Hospital’s Prisms Cafe (from 700 pieces weekly to 2,400) and a 25 percent Building on a culture of consumer-focused hospitality, reduction in full-calorie soda purchases. a new personalized room service program rolled out in August after an initial launch at Blodgett Hospital. Offered The 17 Spectrum Health Regional and Service Line Patient at Butterworth Hospital, Fred and Lena Meijer Heart Center, and Family Advisory Councils continue to serve as the and Helen DeVos Children’s Hospital from 7 a.m. to 7 p.m., “consumer voice” on various technology and patient care the program aims to encourage healthy eating and improve initiatives across the system. Members provided input on patient experience. MyHealth, Find a Doctor, MedNow, Nexus and inpatient unit communications. PFAC also is expanding to provide consumer insight on acute care.

With multiple-use cases in every clinical service line, see their babies in the neonatal intensive care unit Specialty MedNow grew more than 60 percent every and discuss their babies’ care going forward with the quarter for the last six quarters and eliminated the need for neonatologist from their remote hospital room. 69 transfers to Grand Rapids, allowing patients and families • Sibling visits. The child life team facilitates video to remain in their community. introduction of babies who are in the NICU to their • Helen DeVos Children’s Hospital delivers telehealth services siblings at home. through affiliations with patients and outside institutions. –– The children’s hospital offers pediatric subspecialty Convenient Care Walk-In Clinics services through MedNow in cardiology, critical care, nephrology, neurology, neurosurgery, orthopedics, plastic Spectrum Health Convenient Care Walk-In Clinics offer and craniofacial surgery, psychiatry, pulmonary, and sleep consumers another primary care option for low-acuity services. episodic conditions. The walk-in clinics provide care for unplanned, non-urgent or emergent medical needs, at a –– Children’s hospital experts provide general diagnostic lower cost than the emergency department. Supervised by telehealth services in cardiology, neurology, advanced practice providers, the clinics are co-located with ophthalmology and imaging. primary care offices. The average wait time is 30 minutes –– MedNow services for families include: or less. • Family rounding. Families are able to participate in clinical rounds with Helen DeVos Children’s Hospital By the end of fiscal year 2017, Spectrum Health Convenient providers and staff when they cannot be at the hospital. Care sites will be open in six locations: Greenville, • Physical therapy. Helen DeVos Children’s Hospital Ludington, Newaygo, Ionia, Fremont and Reed City. The physical therapists offer families the ability to participate services can be used by anyone, including employers who by video in baby or child physical therapy sessions at the can send employees for immediate care. Visit notes are hospital. communicated to a patient’s primary provider. Charges and co-pays are typically less than the emergency department • New mom to NICU baby. Through MedNow, new parents or urgent care. at Spectrum Health hospitals and Holland Hospital can Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Drive Exceptional Value

Enhancing consumer experience, continued The NICU staff at Helen DeVos Children’s Hospital I’m proud of and inspired by focused on improving teamwork and being consistent in messaging to families and the team regarding the plan of Spectrum Health’s commitment to care. Improvements boosted patient experience measures to “ the top 10 percent nationally since March 2016. The unit also corporate compliance. We do the noted increased staff engagement and experience, decreased right thing every time. We follow turnover, and enhanced teamwork. the law, even when it’s difficult, Spectrum Health Hospice and Spectrum Health Inpatient Rehabilitation Center at Blodgett Hospital ranked in the top inconvenient or a law we do not decile nationally in satisfaction ratings measured throughout the year by the Consumer Assessment of Healthcare agree with. Providers and Systems. —David Leonard, chief legal” officer, Spectrum Health Priority Health continues to foster a customer service approach that is characterized by listening and making Quality initiatives members a priority. More than 2,000 members actively Calendar year 2016 marked another year of remarkable participate in an exclusive member-only insight community, success in improving utilization of electronic health records PriorityVoice. Feedback from more than 800 members in all for documentation consistencies and patient safety. Our market segments is tracked and analyzed each month using continued success in complying with the Meaningful Use an innovative customer experience index. federal program reflects the hard work of our physicians, advanced practice providers and employees who contributed The annual Synergy Awards in November 2016 honored to improving the patient and provider experience. more than 700 individuals, acknowledging the positive contributions that individuals and teams make throughout • All Spectrum Health hospitals met the intent of Modified the organization to create safe, high-quality experiences for Stage 2 Meaningful Use performance requirements or our consumers. Award categories included Collaboration, program exceptions. Creativity, Process Improvement, Safety and High Reliability, • Almost all of our approximately 1,050 employed eligible Sustained Performance, and Spirit. In addition, 258 individuals providers (450 more than 2015) qualified for the Modified were recognized for publishing 293 works in a variety of print Stage 2 reporting requirements or exclusions. and electronic media, and 44 individuals were recognized for • Spectrum Health’s continued success in the program has achieving Bronze Process Improvement Certification. resulted in more than $39 million in Medicare and Medicaid incentive payments.

All Spectrum Health employees completed education Be the safest and highest quality health modules in fiscal year 2017 to help ensure accountability system in the nation for the Spectrum Health Code of Excellence, compliance, privacy/Health Insurance Portability and Accountability Act, and affirmative action information. This training helps maintain Spectrum Health continues to be vigilant in our core values. The compliance team also completed a risk assessment to identify and rank regulatory compliance issues maintaining a high-quality system and utilizing most significant to the system and deployed a risk-based audit evidence-based medicine and standard processes approach, with predictive analytics, for professional billing. that create a safe environment for patients, members and employees. Helen DeVos Children’s Hospital and process improvement teams established the Improvement Hub, or “iHub,” to give teams and leaders greater opportunity to collaborate and foster increased awareness of operations, Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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quality, safety, experience and finance. The team-based model aims to provide high-quality, safe care to our patients. The seeks to rapidly improve what matters most for care provided new model decreased patient handovers, which has improved to patients and families. patient satisfaction and experience. The time between the emergency department determining that a patient needs to The Helen DeVos Children’s Hospital Congenital Heart be admitted and the hospitalist completing the admission also Center achieves high-quality outcomes. Our cardiovascular decreased by 33 percent. surgery survival rates are higher than the overall national survival rates, based on the Society of Thoracic Surgeons Infectious disease specialists are working collaboratively National Database. Patients have a lower average fluoroscopy with pharmacy staff to ensure proper utilization of time (radiation exposure) compared with overall IMPACT antimicrobial therapies to reduce antibiotic resistance, contain Registry® fluoroscopy time for benchmarked cardiac costs and standardize best practice across the system. In catheterization procedures. 2016, the program reduced antibiotic expense by $570,000.

Spectrum Health Radiology was reaccredited by the A new trauma patient care triage algorithm was American College of Radiology and holds the highest level of implemented at Butterworth Hospital by Spectrum accreditation as a Diagnostic Imaging Center of Excellence. Health Medical Group orthopedic leadership to provide a Considered the gold standard in imaging, this recognition clear pathway to effectively triage injured patients to the demonstrates that our imaging services deliver the highest appropriate physician. The intent of the model is to eliminate levels of quality, safety and care, surpassing standard errors in communication and delays in patient care related to accreditation requirements. orthopedic trauma.

Pennock received Joint Commission triennial accreditation The Gerber Memorial Emergency Department instituted for the hospital and eight offices, biennial accreditation of standard work to improve patient flow and timely admissions. its laboratory functions, and certification for the pharmacy The top 10th percentile goal is 42 minutes. The department compounding program. was in the top 10 percent during two months in fiscal year 2017 and came close (50 minutes) during six more months. The hypertrophic cardiomyopathy program earned national recognition as a designated national center of excellence from the Hypertrophic Cardiomyopathy Association. The program Safety initiatives includes the latest and most comprehensive diagnostic Employee and patient safety teams, along with the process techniques, education and treatment. Spectrum Health joins improvement team, launched a hazardous medications 25 other centers nationwide to earn such recognition and project focused on improving safety in handling hazardous becomes just the second center in Michigan. medications. It includes transportation, storage, preparation, administration and disposal. The teams also are working on Priority Health distributed quality awards to 176 practices enhancing a safety culture and reducing slips, trips and falls, statewide that achieve the highest overall scores in preventive as well as employee violence risks. E-prescribing for controlled care and chronic disease measures through the Primary Care substances for physicians and advanced practice providers Provider Incentive Program. The PIP program tracks clinical also was deployed systemwide to meet federal guidelines. quality measures against national standards and evidence- based medicine. The awards recognize the network of doctors Spectrum Health Medical Group Orthopedics established and health care practices that work together to improve health a quality assurance and peer review program to focus on care outcomes in Michigan. patient safety and accountability. The program has resulted in increased provider participation and engagement by Spectrum Health Medical Group adult hospitalists in Grand fostering discussions focused on provider education, process Rapids modified the staffing model in January 2017. Rounding improvement and value-based care. hospitalists now admit patients during the day, instead of utilizing a dedicated admitting team. Through physician Solution for Patient Safety, a collaborative composed of feedback and continuous improvement, this evolving model the nation’s leading hospitals, invited Helen DeVos Children’s Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Drive Exceptional Value

Safety initiatives, continued

Hospital to participate in Vanguard Group’s Top Leader for The venous thromboembolism clinical improvement Harm Reduction. The firm, which selected just six hospitals, program began using a new clinical support tool that helps aims to accelerate improvement toward zero incidents. providers assess patient risk for hospital-acquired blood clots and the appropriate ordering of prophylaxis. The new Gerber Memorial standardized workflow for lab staff, leading assessment process has significantly reduced the number of to increased patient safety and a reduction in labeling errors. hospital-acquired blood clots in hospitalized patients.

Spectrum Health’s information security team embarked on The quality department restructured its oversight of quality a multiyear effort to invest in the organization’s cybersecurity improvement projects. Each entity now has distinct and program, which is aimed at delivering high-quality services, approved quality assessment and performance improvement protecting patient and member information, and meeting projects that are prioritized for implementation each year. regulatory mandates. Cybersecurity continues to evolve, and the health care industry is increasingly a target. As a result, The adult critical care unit participated in a national we invested in functionality to provide visibility into security intensive care unit collaborative project to improve ICU threats and to increase organizational resilience. patient care. The team demonstrated improved reliability in providing important interventions that will improve patient The Spectrum Health security team upgraded its radio outcomes and decrease length of stay. communication system in order to enable effective response to threats against the system. Joining the Michigan Public Safety Communication System helps our dispatch center communicate with security, transportation and emergency preparedness resources systemwide. Spectrum Health’s Level Evaluate, prepare and continue to take 1 Trauma Center is a critical part of the disaster response appropriate actions for movement toward infrastructure. The system provides real-time communication value-based payments with all first responders in case of a public safety event.

The staffing and response model for security officers Responding to changes in the health care industry now focuses on geographic areas, instead of stationary posts, to enhance patient and staff safety. The team can and reimbursements, Spectrum Health is reshaping provide security service to 21 Spectrum Health facilities that its business and clinical care models to ensure previously had no presence, as well as cover Spectrum Health that we are delivering affordable care and services Visiting Nurse Association staff members at various locations based on value, rather than volume. as needed. The new system enables a group of mobile officers to respond systemwide. The executive committee of the Spectrum Health System Board approved in August 2016 a new physician The popular K9 security team has grown to four dogs, compensation model, which is patient-centered, simple, allowing the team to respond to 2,573 calls for service in balanced, equitable, flexible and sustainable. The new 2016 and interact with patients, staff and visitors at Spectrum compensation model seeks to: Health locations. The program is supported by the Spectrum • Reward, motivate, recruit and retain physicians; align Health Foundation. incentives with value and support cultural transformation; and maintain affordability More than 4,450 emergency and home health employees received security training in realistic and challenging scenarios • Encourage physicians to deliver care to patients every developed by their leadership in partnership with the security day, as well as improve how patient care is delivered by training team. The security officer staff received similar role- incentivizing value-generating activities, such as teaching, playing training during nearly 750 in-service sessions to help research, safety and quality improvement efforts, group assess appropriate levels of force and customer interaction. practice models, and team-based care Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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I believe physicians have two • Implemented an Epic predictive analytics platform to proactively identify higher-risk patients and provide them “jobs when they come to work with proper treatment each day. Job 1 is delivering care • Collaborated to produce a new data set that combines surgical procedures with quality outcomes for better to patients. Job 2 is improving on analysis • Prepared the first official report of select clinical outcomes how that care is delivered. The for the neurosciences team, which will track and evaluate new compensation model rewards outcomes to support continuous quality improvement and transparency efforts physicians for both jobs 1 and 2. The velocity with which we improve care delivery is of tremendous strategic Improve operational and clinical efficiency importance to our organization. and efficacy

—Seth Wolk, MD, chief medical officer, Spectrum Health ” Spectrum Health continues to create opportunities to improve efficiency and contain costs that • Create engagement between leaders and physicians through performance mentoring, and teach physician contribute to our bottom line and our mission to leaders and physicians how to give and receive feedback in improve health. meaningful ways Cost containment initiatives facilitated through the supply Spectrum Health Medical Group received $193,000 chain management team yielded cost savings in excess of from the Blue Cross Blue Shield Resource Steward Initiative, $5.9 million for Spectrum Health Delivery System. These based on 16 performance measures and on improvements in contractual initiatives were conducted in conjunction with vitamin D screenings, low back pain imaging, and concurrent various department champions, product standardization and upper and lower endoscopy populations. The medical group price-leveling efforts in areas such as hip and knee implants, is projecting an additional $93,000 in specialist value-based cardiac rhythm management, and surgical mesh. reimbursement from Blue Cross Blue Shield of Michigan for The Great Lakes Healthcare Purchasing Network, which the Patient-Centered Medical Home – Neighbor program. includes 20 West Michigan hospitals, saved more than Spectrum Health provided prescription drugs to eligible $3 million for its members in 2017, of which Spectrum Health patients at reduced prices by partnering with pharmacies, saved $2.3 million. including Meijer, Walgreens, The Chemist Shoppe and Diplomat The Spectrum Health Distribution Center team has specialty pharmacy, under the federal 340B drug discount increased efficiency and decreased errors related to picking program. Hospitals that participate in this program typically care supplies for the delivery system. Efficiency (measured by lines for nearly twice as many indigent patients as other hospitals. picked per hour) has increased 18 percent on the first shift and The system analytics team worked on various initiatives to 4 percent on the third shift. Accuracy (measured by errors per drive quality and value-based data, including the following: lines picked) is up 33 percent and 52 percent on the first and • Analyzed the hospital quality scorecard to assist in third shift, respectively. improving scores Gerber Memorial implemented a new supply chain • Conducted preliminary analysis of Advanced Medical Home stocking process, reducing carts from 84 to 56, and storeroom practices inventory was reduced by $223,200. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Drive Exceptional Value

As we look toward 2018 and beyond, Spectrum Health’s revenue is projected to top $6 billion. Our financial strength remains strong and “will allow us to navigate through the uncertain changes that we will experience over the next five years. —Ronald J. Knaus, senior vice president and chief financial officer, Spectrum” Health

Spectrum Health is protecting the environment’s resources—and enhancing value— through responsible energy and waste management.

We have reduced greenhouse gas emission equivalent to the amount of carbon sequestered in a 2,072-acre forest annually 44,188 commuter trips through several projects, including to work using the Rapid bus LED lighting, commissioning of 3,198,062 pounds of buildings and equipment waste kept out of the landfill optimization projects. through recycling and reprocessing

Priceless: Spectrum Health established a systemwide sustainability council to develop a long-term sustainability strategy and vision for the organization. The team is led by Seth Wolk, MD, chief medical o cer, Spectrum Health.

Reduced natural gas Launched the following programs: consumption by 21,000 Mcf, Recycling at Pennock, with a total of 11,000 pounds of waste the equivalent of avoidance in one month, and increasing the recycling at Big 47,000 propane cylinders Rapids Hospital by more than 9,000 pounds used for home barbecues Noninvasive reprocessing at Big Rapids Hospital—384 pounds in one year

Pharmaceutical waste programs at Ludington and Pennock Reduced 5,000 pounds of hospitals—protecting our water from 2,810 pounds of waste waste and lowered costs by an estimated $35,000 by eliminating the Keurig from use at Spectrum Health; Reusable sharps containers at Big Rapids, Ludington, Pennock, this project will also standardize our coƒee options and Kelsey, Zeeland Community and Gerber Memorial hospitals; oƒer Fair Trade and Rainforest Alliance certified coƒees the program reduces the amount of waste headed to the landfill

$399,000 in energy savings Zero Waste to Landfill program launched at the Spectrum systemwide by reducing electricity consumption Health Distribution Center, resulting in more than 19,800 by 2,045 Kwh and gas usage by 41,084 Mcf pallets recycled and 193,800 pounds of scrap metal recycled Battery recycling program at Gerber, Zeeland Community, United and Kelsey hospitals

Creating A Healthier Community Together 2030 Goals If we achieve our goals we will: 50% $13,405,000 in savings Reduction in energy and transportation emissions Food locally and sustainably sourced $3 Million in support of local farms Sustainable supply chain purchases and sustainable businesses 90% $722,700,000 investment in Reduction in solid waste safe and sustainable products Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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The Spectrum Health operations team instituted a surgery centers, rehab and endoscopy services. The change new program called Supplier Quality Notification, to seek allows customers to look at the ratings and comments and be reimbursement for administrative costs associated with fully informed about care offered at various locations. medical device recalls issued by suppliers. The program has recovered $113,245 to date.

A new facility master plan is aimed at maximizing efficiency and cost by managing existing space to align with staff plans Optimize the value of being an integrated and transform our care model. The goal is to reduce the number system of buildings needed and create additional space in key buildings. A new lease administration software has also reduced cost and streamlined reporting in managing leased facilities. At Spectrum Health, we are more than a health plan, medical group and hospital group. We are Spectrum Health Document Services introduced a an integrated health system, which means we systemwide online print solution to eliminate many manual processes, resulting in greater convenience, accessibility and are connecting our efforts across all facilities, outcomes. Volumes increased by 44 percent without adding employees and providers in an effort to create resources. These in-house services provide printing at one- exceptional, consumer-focused interactions. third the cost of most suppliers. Spectrum Health Medical Group and Priority Health The real estate operations team completed the integration worked together to establish Comprehensive Primary Care of Spectrum Health Pennock into its lease administration Plus in 27 primary care office sites. CPC+ is a national process, providing the necessary compliance controls to advanced primary care medical home model that allows ensure mitigated risk and contractual adherence across the providers to better manage care and costs for Medicare and delivery system. Medicaid populations through regionally based multipayer payment reform and care delivery transformation. Care management is a key component.

MedNow and Priority Health teams are working together Be transparent to encourage consumer and member use of Spectrum Health’s virtual health services. Priority Health member usage of MedNow increased significantly, from 47 visits in August Giving consumers the information they need about 2016 to 687 by December, demonstrating the positive results billing, physicians, insurance and care options helps from the combined efforts of the Spectrum Health and Priority them make informed decisions about their health. Health teams. (Refer to page 10 for more on MedNow.)

Priority Health was the first in Michigan to make pricing Consumers digitally engage in one centralized, coordinated information available and will continue providing innovative place via MyHealth. Engagement among consumers who tools to engage members in their care. are both insured by Priority Health and receiving health care • More than 22,000 people used the cost estimator in 2016, services through our delivery system is consistently 17 percent compared with almost 15,000 in 2015. higher than among those who are only using one aspect of our • More than 3,400 people were issued rewards exceeding integrated system. a total of $400,000 in 2016 through PriorityRewards, Spectrum Health is building an integrated customer compared with 1,100 totaling $128,000 in 2015. record through our enterprise Customer Relationship Spectrum Health is the first organization in the nation to Management platform. The CRM will capture and allow us post comments and ratings for some 200 “shoppable services.” to utilize any consumer data available to better personalize This now includes lab, radiology, emergency department, and customize care. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

SPECTRUMSPECTRUM HEALTH HEALTH ACCOMPLISHMENTS ACCOMPLISHMENTS FY2017 FY2017 18 Evidence OO3-1, Spectrum Health Accomplishments FY 2017

19 SPECTRUM HEALTH ACCOMPLISHMENTS FY2017

Transform the Care Model

We measure value through Our care model engages outcomes, including quality, Transform consumers in their safety, evidence-based Drive health. We offer leading medicine, access, excellent Exceptional the Care health solutions and an service and price. Value Model integrated experience.

We develop and deploy Lead New We grow to improve the new solutions that engage health of our communities consumers in their health Health Grow With and contribute to the future and make health services Solutions Purpose of medicine and science. convenient and accessible.

We are transforming our model of care so that Transforming the care model focuses on these key we can continue to provide care and customer components: service that put patients first. That means building • Develop and implement the care model that is a system that can offer health experiences that are person-centered, interdisciplinary, team-based evidence-based, technology-enabled, convenient and time-sensitive. and healing. • Include physicians and other providers in the The single-most-significant, all-hands-on-deck design and implementation of clinical integration initiative undertaken this year to transform and care coordination improvements. our model of care is Nexus, a groundbreaking • Leverage innovation and digital technology to systemwide initiative to create a more consistent, foster health solutions. seamless experience for consumers, physicians, • Implement a standard, evidence-based approach providers and employees. This multiyear effort will for health, with special attention to chronic redesign processes, programs and technologies for disease. our future. • Understand and proactively engage consumers to manage their health. • Grow and build new models around primary health services. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Transform the Care Model

Enhancing patient-focused care Develop and implement the care model Spectrum Health Cancer Center launched several new that is person-centered, interdisciplinary, initiatives to enhance its multidisciplinary approach to team-based and time-sensitive cancer care: • A sexual health and fertility multispecialty team for cancer patients was created at Spectrum Health Cancer Center at Redesigning our model of care requires innovative Lemmen-Holton Cancer Pavilion. methods that allow us to build programs and • The first Head and Neck Cancer Multispecialty Clinic in services that center on the patient, integrate West Michigan opened at Lemmen-Holton Cancer Pavilion, processes and people, and evolve our information offering highly specialized multidisciplinary care for adult systems.

patients. To this end, we have seen success in the past year in the deployment of solutions to realize many of the iconic priorities that were identified through initial visioning events. These careflow improvements will further enable physicians, advanced practice providers, nurses and employees to better focus their time on caring for patients and to employ standard Bold transformations work and best practices to reduce variability and ensure the best possible care.

Spectrum Health is reinventing care delivery. The 11 Process of Care teams created 51 distinct workgroups, The goal is twofold: Make health care easier for which helped to create the standard work that supports consumers to navigate, with enhanced choices our transformed model of care. This model of care is now and convenience; and empower physicians, informing the build-out of our new integrated EHR to ensure advanced practice providers and clinicians to our patients receive highly reliable, quality care and a truly distinctive experience from Spectrum Health. Go-live is set offer seamless, integrated, team-based care. to begin in Grand Rapids in November 2017, with a tiered Nexus will help us get there. approach that will progress across the system through Nexus is a major systemwide initiative that will transform spring 2018. the Spectrum Health model of care at every turn. A key The Nexus build team has created one unified EHR for clinical component of Nexus is the transition to a single electronic and revenue cycle activities by using the Epic foundation health record and billing platform so our ambulatory sites system. A team of 145 analysts and developers worked on and hospitals are aligned and connected anywhere within a total of 24 Epic application modules and more than 600 Spectrum Health. careflows. Hundreds of additional employees, physicians and In addition to a single EHR using the Epic system, Nexus advanced practice providers also were involved in process seeks to improve communication across care settings and improvement and careflow development. create seamless, coordinated and consistent careflows for Evidence OO3-1, Spectrum Health Accomplishments FY 2017

21 SPECTRUM HEALTH ACCOMPLISHMENTS FY2017

patients diagnosed with primary and metastatic cancers of • A cardio-oncology multispecialty team was established the head and neck. to monitor and treat patients at risk for developing heart conditions due to certain types of cancer treatment. Our • The Survivorship Multispecialty Clinic at Spectrum Health cardiologist uses the latest in advanced imaging and Cancer Center opened at Lemmen-Holton Cancer Pavilion technology to diagnose and evaluate a patient’s risk for to provide services to help cancer survivors live well after developing a cardiac condition. Together, the cardiologist, cancer treatment. The multispecialty team focuses on the medical oncologists and a multidisciplinary team of cancer physical, emotional and social impacts of cancer and its clinicians develop treatments to minimize the damage to treatment. a patient’s heart while being treated. We assess and treat patients before, during and after treatment.

To ensure we gather charges in a timely and efficient manner, Recognizing that success in implementing Nexus depends we also are working to internally increase accountability in large part on supporting our workforce, human resources and understanding of the operational impacts on revenue. also worked strategically with operational leaders in the The clinical and revenue cycle teams began daily huddles areas of wellness, recognition, workforce planning and to review and discuss the capture and reconciliation of change management. Teams worked to: revenue charges each day, identifying areas for attention and • Develop a standard change management methodology and measuring the impact of our improvement efforts. These launch a “Leading Change” workshop for Nexus leaders. huddles help us achieve a new level of shared accountability This workshop will be offered broadly to all leaders going between clinical departments and revenue management. At a forward. time when managing the cost of health care delivery is more • Create robust change management tools to help leaders important than ever, our organization is internally engaged in customize and roll out people-readiness plans, focusing collaborative ways to create the most value for our patients on specific changes impacting the roles in their area of and our system. responsibility. The Nexus effort also enabled Spectrum Health to implement • Work with leaders to build a process that provides OpenNotes, a national program to provide greater immediacy consistency in post-go-live training practices and transparency for patients and their families through throughout the organization. This is a major shift from access to their digital provider visit notes. Our organization is traditional training and onboarding but can provide the among the first in Michigan to begin utilizing a comprehensive standardization we need to provide a consistent experience approach to OpenNotes. Ambulatory care areas implemented for customers. OpenNotes using our MyHealth platform in February and March of 2017, and our inpatient settings will implement OpenNotes in the first half of 2018. Giving patients the opportunity to read and discuss notes with their doctor or family member can help patients take better control of their health and wellness. The response from patients, families and caregivers has been overwhelmingly positive. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

SPECTRUM HEALTH ACCOMPLISHMENTS FY2017 22

Transform the Care Model

Enhancing patient-focused care, continued

• The Upper Gastrointestinal Multispecialty Nodule Clinic Spectrum Health Palliative Care expanded an opened at Spectrum Health Cancer Center at Lemmen- interdisciplinary team of physicians, nurse practitioners, Holton Cancer Pavilion to treat benign and malignant registered nurses, social workers and chaplains to help conditions of the upper part of the gastrointestinal tract. patients and families address physical, intellectual, emotional, • Specialists were added to multispecialty teams, social and spiritual needs. including a surgical oncologist, gynecological oncologist, Pennock completed a multidisciplinary initiative to dermatopathologist and five medical oncologists. convert and standardize seven Pennock ambulatory physician Multispecialty visits in total increased 13 percent in fiscal practices, including primary care, orthopedics, general year 2017 to 3,010. surgery and women’s health; and successfully integrated In partnership with lab leadership, the patient experience an independent primary care practice provider to Spectrum team developed processes to change the way care is delivered Health Medical Group and Pennock. within Spectrum Health outpatient labs throughout the community. At three labs with the largest volumes, the Integrating processes and people opening time was moved to 6 a.m. to accommodate patients’ personal schedules. Soon patients will be able to register To reduce readmissions and identify performance through MyHealth so that the phlebotomy lab is convenient improvement opportunities, the care management and accessible. The changes have increased the number of department is forming a physician-led multidisciplinary team patients and boosted results in patient experience surveys. that will meet frequently to review readmissions and develop patient-specific actions in real time. The goal is to identify and Spectrum Health Physical Medicine and Rehabilitation resolve social determinants presenting barriers to treatment is leveraging the expertise of its providers to optimize plans. care delivery across the continuum. Consultations with physiatrists, up 71 percent, are helping to facilitate Collaborating with post-acute providers is a strategic discharge planning through early referral and to coordinate priority driven by the impetus for more coordinated care, patient care. Research indicates that a formalized early the growth in post-acute costs and financial penalties for rehabilitation intervention program, with physiatrists as part readmission rates. Progress includes: of multidisciplinary team rounds, resulted in shorter lengths • Standardizing a process and timeline for transitions, of coma and rehabilitation stays, higher cognitive levels, and including complex patients, to high-quality facilities faster rate of discharge to the home. following a hospital stay • Creating uniform nurse-to-nurse reports between settings A group of high-performing post-acute care providers created a seamless, well-coordinated and consistent • Identifying MedNow areas of focus care experience for patients. Through performance data The process improvement team continues to develop and from Priority Health, the network demonstrated a lower spread best practices involving care model transformation, readmission rate than that of nonclinical network facilities such as one electronic health record and standardized patient (13 percent lower in the fourth quarter of fiscal year 2016). careflows. An Obeya gate chart will help track key initiatives, The endoscopy team at the Spectrum Health Endoscopy or Blue Chips, that align with system strategy. Coaching, Center – Lake Drive in Grand Rapids is developing strategies mentoring and implementing lean tools can increase value and focused on building a more comfortable and customer- satisfaction for customers and employees. The team also is friendly environment. Among changes implemented this year working on operational and revenue cycle readiness for Nexus. is a nurse who moves with the patient through the process to Several risk stratification tools were implemented at reduce the number of handoffs between caregivers. Butterworth and Blodgett hospitals to identify which patients need transitions of care planning (estimated at 75 percent). Warm handovers between the hospital care manager Evidence OO3-1, Spectrum Health Accomplishments FY 2017

23 SPECTRUM HEALTH ACCOMPLISHMENTS FY2017

and ambulatory care managers are aimed at reducing The consumer and market intelligence team completed readmissions and ensuring that high-risk patients have a a technical review and is working with analytics teams at smooth transition of care from hospital to primary care the delivery system and Priority Health on a six-month medical home. business pilot of a software tool called Alation. The program is designed to help users more easily find information Priority Health implemented an integrated system for from databases. It has the potential to be a key tool in data providers to submit authorization requests in real time via governance efforts, as well as increase the ability to quickly an online tool within the Priority Health provider portal. The onboard new data science and analytics professionals. change reduces response times to minutes, instead of days or weeks. Priority Health is one of a handful of payers nationwide offering a full end-to-end automated authorization process. Include physicians and other providers Improving technology in the design and implementation of Zeeland Community Hospital added neurotelemetry clinical integration and care coordination services that can help assess and detect seizurelike activity in real time. The tests are conducted by the hospital’s improvements respiratory department, with oversight from an epileptologist at Butterworth Hospital. Zeeland Community Hospital is Our physicians are working in tandem with other the first Spectrum Health regional facility to offer remote neurotelemetry. leaders, providers and employees across the organization to reshape our model of care. The API time and attendance system was updated, and a new automated approver process was implemented, to Spectrum Health Medical Group led the design phase of improve automation and accountability. This creates an the creation of a new physician compensation model. The improved enterprisewide standardization and reduces risk for physician-led effort included a physician champion; medical the organization. group executive leadership; an outside expert consultant on physician compensation; an advisory committee MyDesktop is being rolled out across the clinical areas. This made up of physicians and advanced practice providers; technology program provides a virtual desktop interface that department chiefs; and functional support including human uses name badge technology and allows users to move from resources, legal, operations and finance (see more about the workstation to workstation more efficiently. This workflow compensation model on page 14). improvement will further enable providers and employees to better focus their time on caring for patients. Spectrum Health is working with Answer Health to build a clinically integrated network within the Greater Grand Caboodle, the Epic data warehouse, went live for Rapids area in an effort to engage independent providers ambulatory data usage. The Caboodle module of Epic is a to work collaboratively on population health. Several adult cornerstone of our go-forward strategy for integrating data and pediatric clinical initiatives have been selected. CINs are and reporting at Spectrum Health. physician-led, focusing on clinical initiatives valuable to the The Spectrum Health facilities team completed a six- communities they serve. Answer Health has a network of month inpatient bed capacity study to address capacity 700 independent primary care and specialty physicians who constraints across the system. Quarterly updates will be share the same values around providing care that meets the conducted utilizing a dashboard tool to monitor trends and Triple Aim. Answer Health physicians select Spectrum Health measure progress against targeted capacity goals. for the majority of their patients’ hospital, outpatient and specialty care services. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

SPECTRUM HEALTH ACCOMPLISHMENTS FY2017 24

Transform the Care Model

Leverage innovation and digital technology As we build a digital experience to foster health solutions at Spectrum Health, we are being “more transparent with consumers, Spectrum Health is creating a dynamic digital allowing them even greater access experience with consumers to create loyal relationships to last a lifetime. to their information and ultimately

The new Spectrumhealth.org website relaunched in enabling them to navigate their October to provide a consumer-centric focus with enhanced health care in a manner that best transactional features, such as the ability to find a physician or a convenient location to receive care, research quality of suits their needs. care at Spectrum Health, pay a bill, or learn more about a specific condition. Mobile device growth was a key objective —Patrick J. O’Hare, senior vice president, facilities, and chief information officer, Spectrum Health of the new site. Since launch, share of mobile device use grew ” to 45 percent from 32 percent. The new site consolidates all Spectrum Health and Priority Health websites on a single Spectrum Health leveraged a new Find a Doctor tool content management platform. Among the features: in 2016 that enables consumers to view physicians who • A mobile-first approach that offers consumers access to the match their desired criteria. Features include enhanced content and information the way they want it, quickly and information about doctors, videos, star ratings and patient efficiently, regardless of the device they use comments. Allowing users to learn from each other by viewing experiences regarding specific providers can • The ability to obtain better analytics to increase our increase consumers’ comfort level with care choices. The understanding of the way site visitors engage with Spectrum increased transparency has yielded improvements in patients’ Health online “likelihood to recommend” and physician communications. • Interactive tiles for common consumer services, such as labs, radiology, interactive system maps and clear calls to action to engage with the system

The MyHealth consumer portal has nearly 500,000 user Implement a standard, evidence-based accounts and approximately 15,000 logins each weekday. approach for health, with special attention MyHealth continues to provide users with easy access to their patient and insurance information. Patients can now schedule to chronic disease their own appointments with their primary care provider using their MyHealth account, making it more convenient and Spectrum Health has launched a number of efficient for patients to access health services. Patients still may call to schedule appointments. initiatives to standardize care and help patients and members better manage chronic disease, Priority Health’s cost estimator is an innovative tool which accounts for the largest proportion of annual that engages members in their health and treatment by health care costs in the U.S. helping them calculate out-of-pocket costs for hundreds of procedures so they can make more informed choices. The system analytics team configured eight Epic chronic To increase transparency and consumer engagement, 80 disease and wellness registries in conjunction with the care new procedures and services were added, including allergy, management team. The registries will simplify and enhance behavioral health, chiropractic, office visits, physical therapy ambulatory gaps in care reporting and allow robust outreach and vision. and reporting through Epic. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Priority Health partnered with community organizations diagnostic services. The Irish Jig has grown to become one to provide awareness and access for members to attend of Michigan’s premier 5K races. a nationally recognized diabetes prevention program. The • For the sixth year, the Doctor Dialogue series offered free, program, recognized by the Centers for Disease Control and monthly interactive sessions for community members to Prevention for individuals diagnosed with prediabetes, has listen to Spectrum Health Medical Group’s expert physician been shown to prevent or delay the onset of Type 2 diabetes teams discuss and answer questions on a variety of health by nearly 60 percent. The yearlong program focuses on care topics, including caring for an aging parent; stroke increasing physical activity and weight loss. Priority Health and stroke prevention; joint replacement; prostate cancer; is the only health plan statewide to offer this program as a vascular health; and healthy aging for women. More than preventive benefit. 1,000 people attended the series in fiscal year 2017. New to the series this year was the option to attend via Facebook Gerber Memorial partnered with TrueNorth, a nonprofit Live on the Spectrum Health Facebook page; an additional social services agency, to create MI Way to Thrive. Gerber 12,000 individuals participated. community health workers visit individuals seeking social service assistance for a financial crisis to identify and • The Fifth Annual Jump Jam competition drew 115 Spectrum coordinate medical needs. The program is aimed at improving Health volunteers and 535 students from 30 Grand Rapids patient experience, increasing market share and improving area schools. The event is designed to create greater and care coordination for chronic conditions. more equitable opportunities for physical fitness and healthy lifestyle choices. • Spectrum Health Cancer Center supported 68 internal and Understand and proactively engage external events reaching nearly 25,000 patients, caregivers, consumers to manage their health staff and community members through sponsorships, partnerships and events. • Priority Health supports local organizations, charities and Spectrum Health is using new tools and education research by sponsoring a number of different community that will empower individuals in our communities events to promote health and wellness. These events to make informed decisions and better manage include the Detroit Free Press/Talmer Bank Marathon; Michigan State University Gran Fondo; Metro Health Grand their health. Rapids Marathon; Traverse City Cherry Festival; Arts, Beats & Eats; Maranda Park Parties; and Silver Explorers program A new mobile health program to help patients manage in the east and west. diabetes was piloted with 21 family medicine patients. Patients had access to the Glooko mobile app, a Fitbit, a • The Team Priority Health Champions program has grown wireless scale and a virtual care manager for four months. The to more than 700 champions statewide, doubling its program resulted in more touch points with the care team, membership from the previous year. Individuals focus reduced blood sugar levels, weight loss, increased physical on getting and staying healthy, while inspiring others to activity and real-time medication adjustments. A digital follow suit. These Priority Health brand ambassadors come smoking cessation program also was launched in 2016 and a together to compete in races and walks and share insights clinician-prescribed app platform will be launched in 2017. on how they’re living healthy lifestyles. • Spectrum Health Innovations provided a workshop for 36 Spectrum Health raised awareness of health issues high school students from the Grand Valley State University through a number of community outreach and education Teen Entrepreneurial Summer Academy. A panel of health events in the 2017 fiscal year. care professionals talked about the health issues people in • The 34th Annual Spectrum Health Irish Jig attracted about poverty face. The challenge for TESA 2016 applicants was 200 Spectrum Health volunteers and 3,583 runners, raising to develop a product or service concept that will take an funds for colorectal cancer screenings, prevention and inefficient system (poverty or health and wellness) and find a sustainable solution. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Transform the Care Model

• The Helen DeVos Children’s Hospital Injury Prevention –– Sponsored and staffed the Capture the Flag event with Program offered more than 90 community car seat check Spectrum Health information security team mentors events in Kent County. Nearly 2,500 car seats were checked and college and high school teams, including Davenport and almost 1,100 car seats and booster seats were replaced. University, Ferris State University, Grand Rapids In Ottawa County, the program held 16 community car seat Community College and Kent Career Technical Center check events, one car seat check event for migrant families –– Hosted a talk and tour event for Kent Intermediate School and more than 60 individual car seat checks at Zeeland District students and parents Community Hospital. From those events, more than 500 car –– Participated in the Women in Technology panel to seats were checked and 270 car seats and booster seats were introduce young female high school students to careers replaced. New in fiscal year 2017, injury prevention efforts in information technology at the Kent Career Technical expanded car seat checks in the Grand Haven and Allendale Center areas. The injury prevention program’s car seat safety –– Hosted student tours and presentations for Ottawa Area initiatives are supported by Meijer Inc. Intermediate School District students • The Helen DeVos Children’s Hospital Injury Prevention –– Keynoted and staffed the Junior Achievement Dream Program began presenting the Think First curriculum on Fair for female seventh- and eighth-graders from Ottawa brain and spinal cord injury prevention to schools in Kent County County. The program, supported by the Spectrum Health Foundation, began in October 2016 and has already reached –– Hosted Grand Rapids Give Camp for the design and more than 550 students with messages about brain and coding program to benefit 15 nonprofits through the spinal cord anatomy, the importance of helmet use, and donation of 2,400 developer hours and $180,000 in issues of distractions as both pedestrian and passenger. labor, and the participation of 143 volunteers The program concludes with past Helen DeVos Children’s –– Hosted several Bit Camps in Grand Rapids and Ludington Hospital trauma patients sharing their personal stories. for middle school girls • Helen DeVos Children’s Hospital partnered with the Grand –– Staffed and sponsored Career Quest – IT sector for 9,000 Rapids Griffins to distribute more than 400 bike helmets to high school students across the region children in Kent County. Another 250 helmets were sold or • Pennock hosted the Hastings High School ninth-grade distributed through various community events in Ottawa “Career Expo” at Pennock. More than 200 ninth-graders County. rotated through sessions about health care careers. • Spectrum Health sponsored an interactive exhibit at the MedNow demonstrations were held, as well. Grand Rapids Children’s Museum that opened in April 2017. • “Helping the Whole You” is a community health series of The exhibit, “Diagnosis: Fun!,” has an authentic specialty monthly sessions taught by local medical and business medicine setup and will allow kids to role-play in an professionals. The series is offered in both Big Rapids and environment that mimics Helen DeVos Children’s Hospital. Reed City. Topics include mental health, financial and • The Spectrum Health information services team physical health, substance abuse, dieting and weight loss, participated in a number of community outreach events in and gardening. fiscal year 2017: • Fit Club served 3,655 elementary students with health –– Provided evaluators for Kent Career Technical Center education and encouraged 1,654 kids to join a 100-mile student mock interviews and for student project challenge. As part of the challenge, the kids collectively presentations walked 107,000 miles during the school year. Fit Club serves –– Held a Spectrum Health speaker panel to discuss multiple schools in Mason, Oceana and Lake counties. information security careers at Davenport University • In March 2016, Spectrum Health Big Rapids and Reed City –– Hosted a cybersecurity awareness event for Kent Career hospitals began partnering with Ten16 Recovery Network Technical Center to provide residents of Mecosta and Osceola counties the opportunity to safely dispose of unwanted medications Evidence OO3-1, Spectrum Health Accomplishments FY 2017

27 SPECTRUM HEALTH ACCOMPLISHMENTS FY2017

and needles. This included over-the-counter medications, • Pennock sponsored the first aid tent for the annual Barry prescriptions, liquids, inhalers, ointments, pet medications Roubaix Gravel Bike Race in Barry County (with more than and needles. 3,000 riders) and the West Michigan Mountain Biking • In collaboration with Ferris State University, Big Rapids Alliance’s Yankee Springs Race (with more than 700 riders). Family Medicine offered free dental hygiene checks for diabetic patients in the family medicine office in the fall of 2016. Dental hygiene students performed the assessments free of charge, and offered referrals and resources to assist Grow and build new models around the patient in receiving further dental care. primary health services • As part of a grant-based pilot program, a pharmacist is now available to see patients three days a week in the Big Rapids Family Medicine office. The successful pilot program Spectrum Health is focused on growing primary has transitioned to a permanent program within Big Rapids health to reach new consumers and enhance care. Family Medicine. • United and Kelsey hospitals’ surgical services teams The medical group’s ambulatory pharmacy team, assisted students with “surgeries” as part of its Mini consisting of clinical pharmacists and pharmacy technicians, Medical School for fifth-graders at Walnut Elementary and supports primary care advanced medical home offices to Baldwin Heights Elementary in Greenville. The students help patients reach treatment goals, stay healthy, and avoid donned scrubs and all the essentials to work on their hospital and emergency department visits. During the “patients” for procedures such as appendectomies, placing calendar year 2016, the clinical pharmacists met with more a pacemaker and stitches. than 4,000 patients and made almost 4,200 adjustments or interventions to patient medications. A total of 80 percent of • The cardiovascular health team sponsored the 2016 Sudden patients with diabetes who met with a pharmacist reached Cardiac Arrest Symposium to bring awareness to local their A1C goal (a measure of blood sugars over time), and 94 communities regarding sudden cardiac arrest. The event percent of patients with high blood pressure who met with a included a panel of electrophysiologists, sports medicine pharmacist received a medication change or follow-up visit. doctors, the Wes Leonard Heart team and a sudden cardiac arrest survivor. It provided hands-only CPR instruction, Spectrum Health Home-Based Primary Care implemented automated external defibrillator demonstrations and MedNow, increasing consumer access to physician services a live drill. The team also gifted an automated external by eliminating drive time between established patient defibrillator to four local businesses and provided training appointments. The interdisciplinary team also expanded, on its use in the event of an emergency. which has afforded growth in service coverage. The northern • Gerber Memorial’s community health educators co-led interdisciplinary team based in Newaygo County is now a program to prevent childhood obesity with Newaygo able to serve chronically ill and medically frail patients County Public Schools. The Coordinated Approach to Child from Ludington to Reed City and Big Rapids, and south to Health program has been shown to be one of the most Muskegon County. cost-effective means of preventing childhood obesity in a fun and sustainable environment. CATCH enables children to identify healthy foods and learn how to increase their physical activity each day. • The Pennock Colleague Giving Tree Program assisted the families of the Commission on Aging Kinship program during the holiday season, with colleagues purchasing gifts for 85 children. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

SPECTRUMSPECTRUM HEALTH HEALTH ACCOMPLISHMENTSACCOMPLISHMENTS FY2017 28 Evidence OO3-1, Spectrum Health Accomplishments FY 2017

29 SPECTRUM HEALTH ACCOMPLISHMENTS FY2017

Grow With Purpose

We measure value through Our care model engages outcomes, including quality, Transform consumers in their health. safety, evidence-based Drive We offer leading health medicine, access, excellent Exceptional the Care solutions and an integrated service and price. Value Model experience.

We develop and deploy We grow to improve the new solutions that engage Lead New health of our communities consumers in their health Health Grow With and contribute to the future and make health services Solutions Purpose of medicine and science. convenient and accessible.

The health industry and consumers’ health needs Driving purposeful, strategic growth involves these continue to evolve. Meeting these demands basic tenets: requires ongoing strategic growth to serve our • Drive targeted actions to support and grow the communities and help shape the future of medicine care model. and science. • Pursue market opportunities to achieve sufficient During the past year, Spectrum Health formed size and scale in accordance with our mission. new partnerships, created new products, and • Foster traditional and nontraditional partnerships expanded facilities and programs to grow with to advance growth. purpose. Strategies included introducing a venture • Pursue alternative revenue and growth investment fund and a new health membership opportunities that optimize health. concept, both aimed at optimizing health and • Grow philanthropy. wellness; expanding integrated care campuses in • Invest in research and academics with discipline. new markets; sponsoring fellowships; and growing philanthropy. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Grow With Purpose

videos tell remarkable and inspiring stories about Spectrum Drive targeted actions to support and grow Health’s providers and patients. Spectrumhealthbeat.org the care model draws a monthly average of 50,000 unique visitors who generate an average of 300,000 page views. Health Beat’s Facebook page, with its more than 33,000 fans, reaches an Spectrum Health launched a number of initiatives average of 1.2 million people each month with its content. this year to establish a strong foundation for • Spectrum Health’s social media channels boosted consumer strategic growth. engagement and awareness of Spectrum Health, with more than 27,000 mentions in social media and 460 new Strategy teams are working with partners across the videos posted to the Spectrum Health TV and Helen DeVos system to gain insight and develop plans that will lay a Children’s Hospital YouTube channels, generating nearly foundation for growth, including service lines and regional 400,000 views and more than 600,000 minutes of view markets, for the future. time. In addition, 34 Facebook Live broadcasts included • Business development and the strategic planning and special visits to Helen DeVos Children’s Hospital, Doctor market intelligence teams worked with the primary health Dialogues, Vein Center and Veterans Day, generating more and orthopedic service lines on a vision for growth that than 236,000 views. is supported by financial analysis. At the same time, the • Digital advertising continues to generate awareness of delivery system leadership is developing priorities for the MedNow and to help sustain month-over-month business next decade with an outside consultant. The goal is to align growth goals. Social media advertising produced more service line recommendations with the delivery system than 4,200 calls to schedule appointments, and email strategy beginning in fiscal year 2018. marketing exceeds the industry standard, with an average • The consumer and market intelligence team engaged open rate of more than 30 percent. Google AdWords paid Epsilon, a global leader in creating connections between search generated more than 300 calls to schedule MedNow people and brands, in a yearlong consumer segmentation appointments. The MedNow page on Spectrumhealth.org study to better understand our customers and provide received 7,800 views in one month alone as a result of an actionable insights for Spectrum Health. The information email campaign, Facebook ads and paid search. will help categorize customers to help determine strategy, new products and marketing messages.

System Communications & Marketing began work in fiscal year 2017 to carefully craft and fine-tune the Spectrum Health Pursue market opportunities to achieve brand position. The charge was to tell Spectrum Health’s story sufficient size and scale in accordance with in a new way through an integrated brand experience strategy our mission that elevates the organization’s reputation, enhances trust in the system and builds pride among employees, as well as the community at large. Spectrum Health is looking at new opportunities to Spectrum Health’s digital content is driving mindshare and expand services and increase access to physicians market share for Spectrum Health, creating recognition for and providers to improve the health of our Spectrum Health as a leader in health care. communities. • Spectrum Health’s news service, Health Beat, drew more Spectrum Health Cancer Center continues to attract than 1 million unique visitors across the globe who logged new patients. more than 5 million page views since its January 2015 • Call volume to 1.855.SHCANCER grew 30 percent to 2,264 launch. Health Beat’s articles, photos, infographics and in fiscal year 2017, providing quick and easy access for cancer patients through a centralized phone number. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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We want to be at the forefront of innovation and technology in the health care space, and that means you can’t build “everything. You need to partner and invest in those spaces. —Roger E. Jansen, PhD, senior vice president and chief strategy officer, Spectrum Health ”

• The Blood and Marrow Transplant Program experienced strong and a new outpatient entrance. Other new facilities at growth in both its clinical and research components in fiscal Blodgett Hospital: year 2017. The high-volume transplant center reached a • The Cardiac Monitoring Center opened at Blodgett Hospital milestone of 300 transplants since the program began in 2013. in November. The unit monitors cardiac telemetry patients • High Risk Breast Cancer Center encounters increased 15 for Butterworth and Blodgett hospitals, with long-term plans percent, with 1,119 encounters in fiscal year 2017. to grow the number of cardiac telemetry patients for the The new Spectrum Health Inpatient Rehab and Nursing system. Center on Kalamazoo Avenue in Grand Rapids opened • A new Pre-Operative Clinic opened in December at Blodgett in August 2016, with short-term inpatient rehabilitation Hospital near the outpatient surgery area. services and long-term care. State-of-the-art design features include private rooms, healing and therapy gardens Physician and advanced practice provider growth (provided by philanthropy), an Activities of Daily Living apartment, rehabilitation gyms, and a suite dedicated to neuro Physician and advanced practice provider recruitment rehabilitation. The long-term care skilled nursing unit provides anticipates 300 provider (physician and APP) new hires and common areas for family gatherings, dining areas, a bistro and internal transfers in fiscal year 2017, placing a continued spiritual space. emphasis on primary care, while still focusing on specialty recruitment. The team participated in 25 recruitment Spectrum Health opened an oncology rehabilitation unit conferences and events across the country; worked with located on the Fuller Campus for cancer patients who are Grand Rapids Medical Education Partners; and utilized unable to return home safely after hospitalization, cannot sourcing tools, advertising and referral programs. tolerate three hours of therapy per day or require minimal oversight by a physician. The cancer rehabilitation program To support recruitment, reward and recognition, while is led by a multispecialty team of rehabilitation professionals driving retention and sustainability of our providers, the trained in oncology. physician and APP recruitment team participated in system Spectrum Health Outpatient Rehabilitation opened a initiatives to further establish an APP workgroup and assist in new office in August for outpatient rehabilitation inside redesigning the graduate medical education website. Vista Springs Riverside Gardens, an assisted living facility Spectrum Health Medical Group continued to grow located on the northeast side of Grand Rapids. This office in fiscal year 2017, including the addition of an OB-GYN services residents of Vista Springs as well as all neighboring physician in Greenville; an OB-GYN physician in Big Rapids; communities. an internal medicine practice in Ludington; three physicians in Blodgett Hospital celebrated 100 years of the main 1916 Muskegon; and a physician in Middleville. hospital building with an open house and tours of hospital facilities, including the new multimillion-dollar endoscopy Helen DeVos Children’s Hospital welcomed 29 new suite and renovated radiology and lab services, the new pediatric providers in fiscal year 2017 from various specialties, outpatient laboratory that has been expanded and relocated, including allergy and immunology, behavioral health, child protection, congenital heart, dermatology, emergency Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Grow With Purpose

Physician and advanced practice provider growth, continued medicine, endocrinology, intensive care, neurosciences, When people have health pulmonology, rheumatology, and general pediatrics. The children’s hospital has more than 300 pediatric providers insurance, they get care that is representing more than 50 programs and specialties. “not only focused on prevention, With the addition of three neuro-intensivists in the past six months, Spectrum Health has the largest neurocritical care but better coordinated and higher unit and capabilities in the state. The team has five fellowship- quality. Our job is to ensure our trained neuro-intensivists, and seven advanced practice providers with neurocritical care experience. Spectrum Health is members get the coverage they discussing expansion plans for a neurocritical care unit. We also anticipate receiving Joint Commission Comprehensive Stroke need to get healthy, be healthy Certification, establishing the first and only comprehensive and stay healthy. stroke center in Grand Rapids. —Joan Budden, president and CEO, Priority Health Justin Singer, MD, and Paul Mazaris, MD, both trained ” in neuroendovascular work, joined the neurosurgery team. Unmatched by any institution in Michigan, the stroke program offers first- and second-call coverage by fellowship-trained Priority Health is building new customers neuroendovascular staff. Spectrum Health has the 14th highest and experiences to improve health stroke entry rate in the nation and expects a significant increase due to collaborations in Traverse City and Holland. Membership across Michigan climbed to 795,000 members as of April 2017. Priority Health is the second- largest health insurer in the state and the fastest growing. Individual members grew to 118,000; Medicare members Foster traditional and nontraditional increased to 140,000; Medicaid members reached partnerships to advance growth 124,000; and commercial groups increased to 413,000. Priority Health continues to be the leader in the state Progress continued this year to expand health care for individual Medicare Advantage plans at 31.4 percent services in northwestern Ottawa County in 2018. Established of the market share, and we outperformed all our through a working collaboration between Holland Hospital competitors combined for 2016 enrollments. and Spectrum Health, Health Pointe will provide primary and specialty care, urgent care, radiology, and lab services. Current Priority Health and McLaren Health Care partnered to Spectrum Health Medical Group primary care practices expand access to care in Lansing, Bay City, Lapeer and located in Grand Haven will be transitioning to Health Pointe. Flint, adding nearly 1,000 physicians to the Priority Health network. Spectrum Health and Munson Healthcare formed a joint venture between their two air ambulance divisions, Aero Med Priority Health unveiled a new narrow network health and North Flight EMS Air Division, to serve communities of insurance option for Southwest Michigan. The new plan Northern Michigan. North Flight Aero Med operates from offers consumers access to high-quality care at a cost a base located in Traverse City with two aircraft, a King Air 20 percent lower than the Michigan average. It also offers B200 airplane and a Sikorsky S-76 helicopter. full access to the Bronson Healthcare system of hospitals and physicians. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Neurology and neurosurgery are collaborating with innovative health care solutions and create alternative revenue Munson Medical Center on stroke care and the ability to streams. The fund will partner with other health systems partner on patient referrals. Increasing community education and companies to make investments in the following target and awareness about the neurology and neurosurgery segments: access solutions; population and health analytics; services at Spectrum Health will give patients more access to genomics and personalized medicine; artificial intelligence our physicians. and cognitive computing; consumer wellness and behavioral health; and health-related products and services. Partners in Children’s Health allows the medical team and employees at Helen DeVos Children’s Hospital to collaborate STR!VE is a unique health membership concept launching with more than 30 hospitals in Michigan. In fiscal year 2017, this year to help local employers and residents optimize health McLaren Greater Lansing became our newest partner. and wellness. Members can develop individualized plans that focus on personal health and lifestyle goals, such as exercise Helen DeVos Children’s Hospital and Munson Healthcare and nutrition. Individuals also can stop in for the latest celebrated the 10-year anniversary of a partnership that health and wellness information. While STR!VE’s focus is on provides specialized pediatric cancer care to children in the wellness, providers deliver the full range of primary health Northern Michigan region. Helen DeVos Children’s Hospital services. The first STR!VE location opens in July in Grand specialists use the infusion clinic at Munson to provide care Rapids at the Waters Center on Ottawa Avenue. close to home.

Helen DeVos Children’s Hospital continued to expand children’s care in Lansing in fiscal year 2017 in partnership with Michigan State University. Children’s hospital specialists Grow philanthropy in orthopedics and dermatology, as well as an MSU specialist in infectious diseases, joined children’s hospital specialists in cardiology, electrophysiology, gastroenterology, Philanthropy provides a lifeline for new Spectrum nephrology, pulmonology, sleep medicine, plastic surgery and Health programs, research and innovation. neurosurgery at the Lansing clinic. The Spectrum Health Foundation provided a total of $19 million from 22,000 gifts in fiscal year 2017, including these significant initiatives: Pursue alternative revenue and growth • Donations established a $1.2 million endowment for the Edward and June Prein Family Endowed Pediatric Music opportunities that optimize health Therapist at Helen DeVos Children’s Hospital. The therapy program uses music to help pediatric patients with anxiety and stress reduction, non-pharmacological management of The health and wellness industry is projected to pain, developmental stimulation, and self-expression. grow significantly over the next several years. • A gift from the iUnderstand organization creates a new Spectrum Health wants to leverage innovative position of clinical nurse specialist in pediatric behavioral products, services and partnerships focused on health. This generous donation will help provide resources keeping people healthy, while continuing to provide at Helen DeVos Children’s Hospital for families who have world-class care. experienced suicide or an attempted suicide. • A $100,000 gift established the Robert (Bob) C. Misius Spectrum Health created a multimillion-dollar investment Endowment for hospice. fund called Spectrum Health Ventures to make strategic investments into projects or companies that will drive Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Grow With Purpose

• During the past two decades, Wilbur (Bill) and Sharon • On December 15, 2016, the Renucci Hospitality House was Lettinga and their extraordinary philanthropy have joined rededicated after receiving a total cosmetic renovation, fully with the Spectrum Health Foundation family of donors to supported by philanthropy. give new hope and advanced treatment to patients and • With a $100,000 grant award from The Hearst their families battling cancer. On June 28, 2016, the Lettinga Foundations, the simulation department at Spectrum Inpatient Cancer Center was rededicated after a renovation Health is establishing an Obstetrical-Perinatal Simulation and an additional wing were added for our blood and Safety Program at Butterworth Hospital. The grant supports marrow transplant patients. the acquisition of a high-fidelity mannequin capable of representing our complex cases in realistic scenarios.

Integrated Care Campuses: Care Close to Home

Integrated care campuses make it simple for patients to 426 Michigan Street see their physicians, both primary care and specialists, as The 35,000-square-foot facility opens in June 2017 at well as obtain services like lab, imaging, behavioral health, 426 Michigan Street, near the Medical Center. The facility nutrition and community education classes. The facilities offers primary care services, lab, radiology, rehabilitation are designed as a resource for health and wellness, working and occupational health, which are relocating from other with local providers and Spectrum Health community locations. hospitals. Rockford New ICCs joining our existing East Beltline, Holland and The 30,000-square-foot, two-story facility at 8501 Ionia sites in fiscal year 2017: Meadow Creek Drive will offer internal medicine and pediatrics care, family medicine, urgent care, and lab and North Muskegon X-ray services. It is scheduled to open in August 2017. The 30,000-square-foot, single-story facility opened in December 2016 north of Muskegon at 2009 Holton Ada Road. Services include: family medicine, internal medicine, The 24,400-square-foot facility within the new Ada bariatrics, colorectal, endoscopy, gastroenterology, Village at 7128 Fulton Street East in Ada is expected to lab, outpatient rehabilitation, pediatric endocrinology, open in winter 2018. The Ada ICC will provide patients radiology, vascular and vein. with primary care, women’s health services, radiology, lab, Our Muskegon presence continues to grow with the outpatient rehabilitation and occupational health services, expansion of the Norton Shores facility in February. which are relocating from another location. Spectrum Health Medical Group has grown to 15 primary care providers in this area in the past 18 months. Priority Health membership in Muskegon County also increased from 34,301 members in 2015 to 38,948 members in 2016. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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• More than $1 million was raised in continued support of the Donors chose to support the Signatures Program at Helen DeVos Children’s Hospital. This program is helping physicians understand each child’s lifesaving work happening every day tumor so that they can determine the most accurate and “at Spectrum Health because they least toxic treatment to battle the cancer. • Gala 2017 broke more records this year as it netted know it truly matters to the patients $1 million and hosted more than 1,800 attendees to benefit moms and babies served by the new CenteringPregnancy® we serve, the clinical trials we conduct program within Spectrum Health’s Women and Infant and the families we comfort. Services Department. • For the fifth year in a row, more than $4 million was raised —Vicki Weaver, president, Spectrum Health Foundation through the Helen DeVos Children’s Hospital Foundation ” annual campaign. Funds raised support 20 different programs and services at the children’s hospital that would not be possible without philanthropy. Invest in research and academics with • Our affiliation with Children’s Miracle Network Hospitals discipline generates more than $1.5 million each year to the Helen DeVos Children’s Hospital Foundation annual campaign through events and collaboration with nearly 50 businesses Strategic growth requires a commitment to new and other partners in West Michigan. research and medical education. • Donations of more than $200,000 will expand autism services and provide additional staffing. Currently, the Research Autism Center has a six-month waiting list and is open two In 2016, Spectrum Health was awarded and managed days each week. more than 330 federal, state, and other sponsored programs • Philanthropic support generated more than $54,000 to and philanthropic awards totaling more than $30 million. This create comforting outdoor spaces for patients at Spectrum is an increase of greater than $5 million over fiscal year 2015. Health Rehab and Nursing Center on Kalamazoo Avenue in Grand Rapids for short-term rehabilitation and for long-term In total, Spectrum Health is involved in nearly 700 clinical care residents. trials, enrolling 2,000 patients each year. Among the research • An estate gift of $1.75 million was given to Spectrum Health highlights for fiscal year 2017: Foundation United and Kelsey Hospitals for future projects. • Christopher Chambers, MD, PhD, accepted the role of vice • Spectrum Health Pennock implemented a new infant president of research. Dr. Chambers is a vascular surgeon security system this fiscal year with $75,000 raised by with a strong background in research and a clear vision Spectrum Health Pennock Foundation. to make Spectrum Health a national leader in medical research. • The systemwide annual “I give” employee campaign raised more than $575,000 across all of Spectrum Health in 2017. • $500,000 was allocated to establish a peer-reviewed, More than 120 programs and services benefit from the competitive Spectrum Health Offices of Research generous donations of employees, who also donate paid Administration Investigator-Initiated Research Award time off that is converted to funds for the Close Enough to that funds innovative translational research. Inaugural Care program. awardees included Matthew Steensma, MD, Ahmad Samer Al-Homsi, MD, Surender Rajasekaran, MD, and Tomasz Timek, MD, PhD. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Grow With Purpose

Research, continued

• Spectrum Health was one of five providers selected to The Haworth Family Pediatric Oncology Innovative participate in a groundbreaking precision medicine initiative Therapeutics Clinic continues to lead in options for funded by the National Institutes of Health (see more neuroblastoma patients. Giselle Sholler, MD, the clinic’s details on page 40). endowed chair, published a study in the professional journal • The Spectrum Health Orthopedic Oncology Program Cancer Medicine from our pediatric oncology research continues to transform the model of care for the treatment laboratory on use of Tolcapone to inhibit tumor growth in of musculoskeletal cancer. Collective research continues neuroblastoma. She also published with Deanna Mitchell, to drive national recognition. The program published MD, and others in the journal Pediatric Blood Cancer on phase seven peer-reviewed articles related to clinical practice 1 trial of TPI 287 for patients with recurrent neuroblastoma or and novel scientific hypotheses this year. The team medulloblastoma. Clinic team members also had 12 abstracts recently demonstrated efficacy of two Novartis drugs presented at national meetings in the past year. in treating sarcomas in animal models. Currently, the Spectrum Health has more than 200 clinical trials open team is conducting two prospective surgical trials to to enrollment for cancer patients. A total of 39 percent of our study pathologic fracture treatment and skin tumors in cancer patients are actively enrolled. neurofibromatosis. • Patrick Grohar, MD, a physician scientist working at the Helen DeVos Children’s Hospital is a leading national Van Andel Institute and collaborating with Helen DeVos contributor to the clinical trials of the Children’s Oncology Children’s Hospital, published studies showing analogues of Group. As of April 2017, 60 patients were enrolled in national the anti-cancer drug mithramycin potently suppressing the collaborative research trials. Participation in clinical trials activity of a fusion protein that causes Ewing’s sarcoma, a means our patients gain access to the most promising type of childhood cancer. The results, published in Clinical treatment and supportive care approaches in order to Cancer Research, provide a strong basis for continued maximize their chance of cure and overall health. development of these drugs for eventual use in the clinic. Spectrum Health is working with the Kirk Gibson • In a collaboration with University of California researchers Foundation to improve community awareness of Parkinson’s in San Francisco and Berkeley, Aditi Bagchi, MD, and disease and the impact of future research, with an event held David Dickens, MD, identified new mutations in the K-Ras in May 2017. Detroit legend Kirk Gibson, a two-time All- gene that can cause juvenile myelomonocytic leukemia American with the Michigan State University Spartans, was in children. Their discovery, published in the international diagnosed with Parkinson’s in 2015. journal Nature Communications, has diagnostic and therapeutic implications for this disease. • Working with an international team of researchers, Michele Residency programs, fellowship programs and academics Van Soelen, PNT-PC, and David Vanhoff, supervisor, Spectrum Health continued preparations to transfer research operations, Cancer Research Consortium, the Accreditation Council Graduate Medical Education published a study showing that sodium thiosulfate could institutional sponsorship of residency and fellowship protect against hearing loss in children and adolescents programs in July 2017 from Grand Rapids Medical Education being treated with the anti-cancer drug cisplatin. Their Partners to Spectrum Health/Michigan State University. findings were published in the journal The Lancet Oncology. GRMEP will continue to provide administrative support. Spectrum Health-sponsored residencies will: Spectrum Health physician researchers authored more than 150 clinical and academic research papers in well- • Provide increased engagement of, and connectivity with, respected professional publications during fiscal year 2017. residents and fellows in areas of quality, safety performance improvement and hospital operations Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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• Promote greater engagement and retention of physicians in A grant from the Big Rapids and Reed City hospitals’ our community President’s Scholar Program helped launch a seven-part • Continue to allow Spectrum Health to pursue specialty speaker series on human trafficking. Physicians, advanced fellowships to enhance our nationally recognized health care practice providers and nurses are able to receive continuing system in tertiary and quaternary care medical education credits for attending. The series will continue through February 2018. Hospital-sponsored residencies will be offered in the following areas:

Cardiovascular Disease Pediatrics Colon and Rectal Surgery Plastic Surgery Emergency Medicine Radiology Internal Medicine Surgery Internal Medicine/Pediatrics Surgical Critical Care Obstetrics and Gynecology Thoracic Surgery Orthopedic Surgery Transitional Year Pediatric Critical Care Medicine Vascular Surgery Pediatric Hematology/Oncology

Spectrum Health is in the process of planning the integration of 292 physician residents and fellows into Spectrum Health as of January 2018. In addition, a new Spectrum Health/MSU Neurology residency will begin training four residents per year.

The cardiovascular team welcomes its first cohorts of fellows in both the Richard McNamara Cardiovascular Fellowship Program (three fellows) and the thoracic program (two fellows) in July 2017. The cardiology and thoracic fellowships join the existing integrated vascular residency program to continue its tradition of clinical excellence by training its future physicians in cardiovascular medicine.

Spectrum Health partnered with Grand Valley State University to develop an innovative fellowship program for pediatric nurse practitioners who train specifically for emergent and high-risk deliveries, neonatal emergencies, and well-baby rounding. Selected PNPs train at Helen DeVos Children’s Hospital, where they gain exposure to complex cases and standardized care paths that address them. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

SPECTRUM HEALTH ACCOMPLISHMENTS FY2017 38 Evidence OO3-1, Spectrum Health Accomplishments FY 2017

39 SPECTRUM HEALTH ACCOMPLISHMENTS FY2017

Lead New Health Solutions

We measure value through Our care model engages outcomes, including quality, Transform consumers in their health. safety, evidence-based Drive We offer leading health medicine, access, excellent Exceptional the Care solutions and an integrated service and price. Value Model experience.

We develop and deploy Lead New We grow to improve the new solutions that engage health of our communities consumers in their health Health Grow With and contribute to the future and make health services Solutions Purpose of medicine and science. convenient and accessible.

Spectrum Health must continue to innovate, create The milestones in this section are organized around new products, and develop its workforce and talent these elements: for the future. That’s because delivering unique, • Develop new products, clinical programs, exceptional experiences for consumers over a markets and tailored solutions. lifetime requires continuous improvement and • Develop people to design the future and embrace creativity. innovation. We are developing innovative, leading-edge • Develop and execute consistent, coordinated, solutions for health care and continuing to build convenient point of access. an organization that works at its best. Initiatives • Foster an inclusive and diverse culture. include Spectrum Health-branded over-the-counter products, participation in groundbreaking national research, a new Priority Health program focused on diabetes prevention and management, and many employee engagement and development programs. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

SPECTRUM HEALTH ACCOMPLISHMENTS FY2017 40

Spectrum Health has great employees. They are healers who look every day for ways to improve the care provided to the people Spectrum “Health serves. Walk the halls of our hospitals, care sites and health plan; tap into the minds of our physicians, nurses and therapists; talk to our leadership and those within our business offices. There you will find great ideas and innovative insights that lead to excellent health care. —Steve R. Heacock, senior vice president, public affairs and research, Spectrum Health/president, Spectrum Health Innovations, LLC” developing designs for a new female urinary device aimed at Develop new products, clinical programs, reducing infection rates and increasing comfort. The potential markets and tailored solutions market for a better female urinary device could reach 5 million patients in any given year.

Spectrum Health introduced a number of new The Dynamic Shoulder Brace was invented by James Lebolt, DO, in conjunction with Eric VanMiddendorp, products and clinical care innovations this year. an engineer with Spectrum Health Innovations. It was conceptualized to fill a niche in a $60 billion durable medical New products equipment industry that is missing an evolution in brace Meijer Inc. is launching Spectrum Health-branded over- design. the-counter products starting in summer 2017. Initially, 23 products will be available in Meijer stores across West Spectrum Health Innovations is connecting innovators Michigan. The two organizations believe this is the first with entrepreneurs and industry partners to develop new time a national leader in health and national retailer have health care solutions, including the Ultrasound Probe Holder partnered to make this important health care decision easier to prevent sonographer injuries. Spectrum Health Innovations for consumers. A portion of the proceeds will benefit Helen worked with many sonographers and Paige Rowland, regional DeVos Children’s Hospital. supervisor, echo/vascular diagnostic testing, on a new design that is currently in use in several areas throughout the system. Priority Health is working with local employers to assist in managing the health of their workforce, while controlling health care costs. PriorityCares is a new diabetes prevention Innovative clinical care and management product aimed to help employers improve Spectrum Health was selected to participate in a the health of employees diagnosed with prediabetes or groundbreaking precision medicine initiative. The All of Us diabetes. The program provides incentives, personalized nurse research project is funded by a federal grant from the National support and technology to help employers improve the health Institutes of Health with the ambitious goal of engaging of their workforce and tackle health care costs impacting their 1 million or more Americans to voluntarily contribute their bottom line. health data and biospecimens to improve health outcomes, fuel the development of new treatments and develop new Spectrum Health Innovations and Mary Tibbe, BSN, data-based medical care. RN, CCRN, cardiothoracic nurse practice associate, at the Spectrum Health Fred and Lena Meijer Heart Center, are Evidence OO3-1, Spectrum Health Accomplishments FY 2017

41 SPECTRUM HEALTH ACCOMPLISHMENTS FY2017

Spectrum Health Advanced Technology laboratories About 50 women completed the CenteringPregnancy® implemented these leading-edge procedures to improve program with a 96 percent full-term birthrate, as of January clinical care: 2017. Spectrum Health has offered CenteringPregnancy led • Epi proColon, a new FDA-approved blood test for colon by a physician and midwife since December 2015 through the cancer screening aimed at helping consumers 50 years residency clinic. In CenteringPregnancy, pregnant women with or older (about one-third) who will not or cannot get a similar due dates join together in a group with their health colonoscopy. The new technology detects a specific type care provider. They receive all the components of prenatal of altered DNA in the blood that is associated with colon care, including health assessment, education and support. cancer. We are the first hospital-based lab in Michigan to Spectrum Health was the fifth hospital in the country in introduce this blood test. February to introduce the Multitom Rax, an open design X-ray • A new Lung Cancer Mutation Analysis panel that follows system designed to move around the patient. The technology the current National Comprehensive Cancer Network reduces the need to reposition patients for imaging and is guidelines for non-small-cell lung cancer by evaluating particularly useful for multiple trauma patients, as well as genetic alterations by looking at multiple areas of multiple pediatric, geriatric and wheelchair-bound patients. genes at the same time instead of looking at one gene at a time (called multiplex testing). Radiology implemented new technology known as RAPID, • A hematology panel by next-generation sequencing. The a new diagnostic tool that uses computed tomography and targeted panel helps to detect gene mutations and stratify magnetic resonance imaging to create blood flow maps. patients for diagnosis and treatment. The technology allows stroke specialists to make treatment decisions based on how much brain tissue is salvageable in The Congenital Heart Center expanded state-of-the-art minutes, rather than up to an hour or longer with traditional facilities for pediatric and adult congenital heart patients, manual analysis. including a partnership with maternal fetal medicine. Gregory Lam, MD, and Gustavo Cumbo Nacheli, MD, Helen DeVos Children’s Hospital pediatric the only board-certified interventional pulmonologist in gastroenterology is part of ImproveCareNow, which actively West Michigan, developed an interventional bronchoscopy works toward better care and better patient outcomes for program at Spectrum Health. Their collaborative efforts, children and youth with Crohn’s disease and ulcerative colitis along with additional support from Spectrum Health (see more in the awards section on page 49). Foundation, have helped pave the way for state-of-the-art procedures close to home. Spectrum Health cardiovascular services and Spectrum Health Foundation established the Jacob and Lois Mol Cardiovascular Simulation Center to offer innovative clinical Develop people to design the future and training for medical residents. The $3.1 million center, which embrace innovation simulates complex procedures including an operating room environment, provides medical education in a supportive, controlled environment and allows clinicians to master key Our future depends on cultivating our workforce. competencies and skills with zero risk to patients.

Radiology launched the Venous Access Program for Employee engagement registered nurses and interventional radiology physicians to System leadership conferences inspired employees across perform peripherally inserted catheter lines at the patient’s the organization to help lead change within their teams. bedside. This new procedure eliminates unnecessary transfers • The Fall 2016 System Leadership Conference, which focused to an IR suite, minimizes failed and multiple attempts, and on inspiring and motivating leaders to embrace change, drew improves patient safety and experience. more than 1,000 leaders. The keynote speaker was Mark Sanborn, best-selling author. In addition, senior leaders from throughout the system spoke about leading change. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Lead New Health Solutions

Employee engagement, continued

• The Spring 2017 System Leadership Conference featured New training and informational videos were created for President & CEO Richard C. Breon, who delivered the several human resources applications and processes, enabling State of the System address. Senior leaders also discussed employees and leaders to better navigate core HR systems leading through times of uncertainty. The keynote was Ken (such as API, Lawson, etc.). This library continues to be Gronbach, an internationally respected demographer, who expanded and updated to meet the needs of all employees. spoke on changing demographics. More than 1,200 leaders A nurse satisfaction survey was administered in March attended. to almost 3,400 Grand Rapids area nurses to meet the Spectrum Health rolled out At Our Best workshops requirements for Magnet® re-designation. Measuring across the organization. In fiscal year 2017, 98 percent of employee engagement allows us to understand our leaders attended workshops. Additionally, staff impacted employees’ experience and any issues impacting motivation. by key initiatives also attended workshops. This represents The Compassionate Paid Time Off program is an employee a significant investment in our people as we work to firmly PTO donation program designed to help meet employees’ ground our employees in who we are by demonstrating emergency need for PTO when they or a family member common values, building a strong foundation, and behaving experience an extreme, unforeseen medical hardship. In fiscal at our best for patients, families, members, communities and year 2017, there were more than 100 recipients. colleagues. A strong foundation in our values is increasingly important as we experience the many changes necessary to The integrations team engaged with others across the impact our key strategies. Studies show effective leadership organization to create processes around joint ventures. Laying drives employee engagement and exceptional value. this foundation will be instrumental in creating excellent employee experiences. The cross-functional HR integration HR benefits launched a collaborative effort focused on team was also involved in transitioning more than 150 strengthening employee engagement in the wellness program employees into and across the organization. and medical plan, encouraging participation during the entire program year. Since the launch of this effort: Employee appreciation is critical to driving exceptional • 4 percent of participants decreased their risk for pre- value. We do so through a number of programs, including hypertension or hypertension. holiday cards and Achieving Continuous Excellence Awards. • 7 percent of participants decreased their risk for total cholesterol. Training and development • 6 percent of participants decreased their risk for glucose. Leadership and innovation are key to transforming the • 81 percent of all medical plan members participated in care model. By 2018, 66 Spectrum Health leaders will have annual preventive health opportunities. graduated from the GVSU Executive Master of Business • Spectrum Health achieved lower prevalence and lower per- Administration program. This purposeful talent investment member per-month costs for orthopedics and diabetes care program supports our changing business. than the rest of the industry. The number of employees who fully completed their Talent Spectrum Health raised almost $710,000 for the annual Profile, which is part internal resume and part development United Way campaign exclusively through employee plan, has doubled since the tool launched in 2015. The participation. Dollars raised by employees are invested locally Talent Profile helps leaders match growth and development throughout our 13-county region. Additionally, more than aspirations of employees to career development opportunities 250 employees volunteered their time during our annual across the system. United Way Day of Caring. These employees took part in 50 volunteer opportunities during the six-week campaign. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Succession plans have been completed for 53 percent of As our system grows, so do our talent needs. In fiscal our senior roles. Half of these positions will have successors year 2017, more than 3,000 employees were welcomed to ready within a projected two-year time frame. More than Spectrum Health through system orientation. Additionally, 86 percent of management positions have been filled with we standardized orientation for the regional hospitals while internal candidates, exceeding projected goals. incorporating the unique attributes of each site.

Spectrum Health University introduced a physician-centered Human resources launched a new external careers site to training focused on performance mentoring. The coaching and help in Spectrum Health’s goal of recruiting and retaining the mentoring elements of this training successfully supported best people. The more dynamic, user-friendly site is aimed at the compensation change for both women’s health and primary communicating the system’s value and brand, enhancing the care and will continue to be offered to other areas, as well. recruitment of top talent and improving engagement.

Spectrum Health University introduced the completely Through a strategic partnership with Ferris State redesigned Futures program. This competitive program is University, Spectrum Health employees are now able to get designed to help high-potential individuals determine if a Master of Business Administration degree with their peers. leadership is a career path they will choose to pursue. The first cohort of the program was launched in the fall of 2016 with 11 Spectrum Health employees. The group will The new provider onboarding process was redesigned receive their MBAs in 2019. to improve retention rates, early engagement, time to productivity, provider satisfaction and communication. This Spectrum Health employees can take part in a lean redesign included standard processes and tools, an improved certificate program through a partnership with Ferris State InSite page featuring easy access to necessary information University. The certificate program teaches the philosophy and resources, enhanced presentations for manager meetings, of continuous quality improvement, basic tools for process and a focus group formed to identify, troubleshoot and solve improvement and more, with the goal of improving patient care. ongoing opportunities. The pastoral care and bereavement team has developed The system analytics team initiated a quarterly course a Center for Pastoral Education program. This program for Grand Rapids and regional department staff on common supports individuals being trained in chaplaincy. It is part of statistical methods and techniques used in reports and the Accreditation for Clinical Pastoral Education, a national dashboards. organization that certifies chaplains and their training. The department has supported the training of 10 students who serve as additional chaplains throughout the organization, including Recruitment Zeeland Community and Gerber Memorial hospitals and the The talent acquisition team is on track to fill more than Spectrum Health Rehab and Nursing Center on Fuller Avenue. 5,800 positions in fiscal year 2017. About 146,500 internal and external applications were submitted for Spectrum Health Developing talent for the future positions during the fiscal year. Approximately 35 percent of Spectrum Health and Grand Rapids Community College the open positions will be filled internally, helping to highlight established the GRCC Health Care Professionals Education the system’s commitment to employee development. Scholarship Fund to encourage and assist students interested Executive recruitment partnered with hiring leaders for the in health sciences or health care careers. The fund was made sourcing, vetting and selection of director, vice president and possible through a mutually beneficial arrangement, which executive talent. Of these placements, about 60 percent will includes the purchase by Spectrum Health of GRCC land on be filled with internal candidates, supporting the development, Barclay Avenue and the establishment of a long-term fund growth and mobility of our internal talent. that Spectrum Health will create in its foundation. The GRCC Foundation will begin making scholarship awards, based on financial need, in the 2017-2018 academic year. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Lead New Health Solutions

Developing talent for the future, continued Project SEARCH is an international program that provides The best teams are diverse and young adults (ages 18 to 26) with disabilities a yearlong school-to-work internship, with the goal of placing interns culturally intelligent. While we are in competitive employment. This program is a partnership “ among Spectrum Health, Hope Network, Michigan all different, we are better together. Rehabilitation Services, and local school districts in Kent, Montcalm and Ottawa counties. By embracing and respecting

Spectrum Health Innovations continues research our differences and living out our collaborations and partnerships with six universities and values, we can tackle challenges in colleges, including Grand Valley State University, Hope College, Kendall College of Art and Design of Ferris State innovative ways. University, Central Michigan University, Michigan State —Pamela Ries, senior vice president and chief human resources officer, University, and Michigan Technological University. Several Spectrum Health ” projects received recognition this year in various business plan competitions.

Foster an inclusive and diverse culture Develop and execute consistent, coordinated, convenient point of access The strength of our workforce comes from its diversity and the potential to share different perspectives. Spectrum Health continues to Spectrum Health launched Spectrum Health At Home, emphasize an inclusive and diverse culture. bringing together the system’s home and community services. A toll-free number, 844.702.HOME (4663), provides a single People point of access so that callers can consult with experts to connect to programs and resources. In this effort, five system The first-ever Spectrum Health Inclusion and Diversity home health operations integrated as Spectrum Health report was developed to share both internally and externally. Visiting Nurse Association, now operating in two locations The report detailed the systemwide commitment to being to serve the Spectrum Health system, creating common more inclusive and diverse. It aims to create awareness of access in a standardized clinical model. With consolidated the many initiatives and people involved across the system functions for home health, hospice, palliative care and private- committed to this shared goal, and to showcase our journey duty referrals, the results can yield greater efficiency, better and where we are going. coordination and increased opportunities to serve patients and families in the home environment. Inclusion Resource Groups play a vital role in helping Spectrum Health’s inclusion and diversity efforts gain momentum. IRGs continue to increase employee engagement, while supporting and contributing to business strategies. IRGs include Spectrum Health Young Professionals, Fusion (Hispanic professionals), Healthy Pride (LGBTQI+) and V.E.T.S. (veterans). In 2016, a new IRG, Spectrum Health Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Innovation and leadership in building healthier communities

Spectrum Health was honored this year with one of health the total cost of the program to the school by greater care’s most respected community service awards, the than 50 percent. Students benefit from this program 2016 Foster G. McGaw Prize for Excellence in Community through enhanced educational outcomes. Service. • Healthier Communities is committed to providing wellness programs aimed at preventing chronic disease The award recognizes our success in improving the health among vulnerable populations. A new Fit for Life Program and well-being of the underserved residents of West will expand wellness programs to African-American, Michigan and in inspiring strong partnerships. Spectrum Native American and Asian American communities. Health is the first organization in West Michigan to receive the award in Foster McGaw’s 30-year history. • Healthier Communities collaborates with a number of community organizations engaged in improving the Since 1997, Spectrum Health Healthier Communities has health of the community’s most vulnerable populations. been building the infrastructure, resources, community- –– More than 1,000 households received access to based programs and relationships to help the underserved nutritious food options through the Community Food in our communities. Club. It provides a systematic response to hunger for low-income families by promoting food security, In fiscal year 2016, Healthier Communities connected consumer choice and dignity in a grocery store with members of the greater Grand Rapids community environment. more than 622,000 times through our programs, services, community health education classes, professional –– More than 326 men, women and children participated development and training. Among these initiatives: in a health literacy program through the Grand Rapids African-American Institute. • The Maternal Infant Health Program and Strong Beginnings helped reduce infant mortality and health –– More than 3,000 individuals were served through disparities in poor birth outcomes. home-based management, community outreach and education through the Asthma Network of West –– 746 women and infants received case management, Michigan. depression and domestic violence screening, education, counseling, breastfeeding support, and smoking • Programa Puente, a free health-screening program for cessation programs through the Spectrum Health the growing Latino population in Kent County, moved Maternal Infant Health Program. to a new permanent home in Grand Rapids’ Roosevelt Park neighborhood. It also added an English-speaking –– Strong Beginnings, which seeks to reduce infant curriculum. The program provided more than 1,000 mortality rates and decrease low birthweight rates screenings and more than 3,000 encounters for nutrition among African-American and Latino populations in and physical activity classes, registered nurse case Grand Rapids, enrolled 852 families and succeeded management, and rescreening. in reducing the low birthweight rate among program participants by 6.9 percent—nearly half the overall rate • The Core Health Program has expanded to involve more in Kent County in 2014 for African-Americans. medically complex patients and those with behavioral/ mental health conditions. Nearly 330 individuals in Kent • The School Health Program is utilizing MedNow and Montcalm counties received 2,834 chronic disease technology to serve more students in less population- home visitation services from registered nurses and dense districts across a greater geography and to reduce certified community health workers. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Lead New Health Solutions

People, continued

African Americans for Resources and Engagement (SHAARE), Policies was successfully launched. Milestones for the system’s five The supplier diversity committee continued to elevate and IRGs in fiscal year 2017: build connections within the organization. The emphasis is on • Increased employee engagement by 54 percent all areas of supplier diversity: minority-, women-, veteran- • Totaled almost 2,400 IRG members and allies and disabled-owned businesses. A new supplier registration • Deepened internal relationships across business sectors website is available to make it easier for diverse suppliers to • Helped Spectrum Health become a bronze-level veteran- connect with Spectrum Health. friendly employer Spectrum Health spent more than $39 million with • Garnered external media coverage through Healthy Pride’s diverse suppliers in 2017 in an effort to help local and diverse partnership with critical care divisions to help change businesses grow. We are members of the Michigan Minority perspectives on how to treat transgender patients Supplier Development Council and co-host the local Project • Increased service and volunteer opportunities that positively ONE module with Grand Valley State University, which impact the community connects local diverse businesses to corporate partners. • Provided professional development and growth opportunities for employees to learn more about the Tools business through a series of senior leadership collaborations New diversity and inclusion tools and resources were developed to help employees work and relate more effectively Spectrum Health became the first certified veteran- with co-workers, volunteers, providers, patients and members, friendly health care system in the state of Michigan in 2016. including: The Veteran Explorers program is a vital part of our work to be a veteran-friendly employer. This program helps veterans • Designation of inclusion and diversity as a core competency bridge the employment gap between military services and the for all Spectrum Health employees. corporate or private sector. It is a demonstrable commitment • Introduction of a Cultural Intelligence (CQ) Facilitators to the veterans of our communities as we build our workforce Network, which provides scalable solutions throughout the and retain talent in West Michigan. A total of 53 veterans entire system. Thus far, 13 facilitators are trained in CQ. have gone through the program since it was launched in 2013. • Creation of two workshops: Managing the Unconscious Bias to Improve Performance, which had more than The inclusion and diversity team provides employees with 150 attendees, and Developing CQ, which had more community service and volunteer opportunities, and supports than 130 attendees. These workshops were designed to our communities through a number of programs, including: help employees gain knowledge of how biases impact • Martin Luther King Jr. Day of Service, which gave employees perceptions and decision-making. a chance to connect with team members, while recognizing • Development of the inclusion and diversity InSite toolkit, and supporting Martin Luther King Jr.’s commitment to which helps leaders and employees work and relate more building strong communities. These volunteer opportunities effectively with people from different cultural backgrounds. drew 372 volunteers at 56 projects in 25 locations across 10 • Systemwide implementation of CultureVision, an online tool cities. This marked a 25 percent increase over the number of that helps build cultural knowledge by providing information 2016 volunteers. on 70 different groups including ethnic, national, religious • Veterans Day ceremonies drew employees throughout the and other underrepresented populations. The tool was used system to attend and honor veterans. The events were held more than 6,000 times in 2016. at 11 locations throughout Spectrum Health. • Partnership with Spectrum Health University to embed • Spectrum Health sponsored the first West Michigan Latino inclusion and diversity into leadership development Career Fair. Additionally, the Fusion IRG and talent acquisition programs such as Prepare and Executive MBA. team helped make this event successful by attending and providing insight into working at Spectrum Health. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Awards and Recognition

Spectrum Health consistently earns national recognition for health safety, quality and consumer experience. The following awards demonstrate the hard work of employees and teams across the system and the outstanding service they provide to our communities.

System was recognized as high-performing in six medical specialties: • Spectrum Health was named one of the nation’s 15 Top Health gastroenterology and gastrointestinal surgery; geriatrics; Systems—and in the top five among the largest health systems—in nephrology; neurology and neurosurgery; orthopedics; and urology. 2017 by Truven Health Analytics®, part of IBM Watson Health™. • A total of 56 out of 57 Spectrum Health primary care practices This is the sixth time the organization has received this recognition. received Patient-Centered Medical Home designations from Blue • Spectrum Health received one of health care’s most respected Cross Blue Shield of Michigan for the 2016-2017 program. (The community service awards, the 2016 Foster G. McGaw Prize for designation is from July to June.) Excellence in Community Service. The award is presented in recognition • In 2017, Blue Cross Blue Shield of Michigan recognized 64 of Spectrum Health’s efforts to improve the health of the underserved Spectrum Health Medical Group specialty physician practices (536 residents of West Michigan while reducing health care costs. physicians) for exemplary performance on cost and quality through • Spectrum Health received the 2016 Hospital Charitable Services the Patient-Centered Medical Home – Neighbor program. Award Program of Excellence for Healthier Communities’ Strong Beginnings program. Priority Health • The adult and pediatric blood and marrow transplant programs • Priority Health is the only health plan in Michigan to receive received the Innovators in Medicine Award from the Children’s Wellness and Health Promotion Accreditation from the National Leukemia Foundation of Michigan. Committee for Quality Assurance for its wellness programs. • The Healthier Communities’ Strong Beginnings program was • The National Committee for Quality Assurance rated Priority selected in 2016 as one of five recipients of the prestigious Health’s Commercial HMO/POS, Medicare and Medicaid products American Hospital Association NOVA Award for its work to as commendable; Priority Health was awarded a 4 out of 5 national improve maternal and infant health among African Americans and rating when compared with all national health plans. Latinos in Kent County. • Priority Health received two Pinnacle Awards through the Michigan • Healthier Communities’ Win With Wellness Fit Club program Association of Health Plans: one for its partnership with MedNow conducted by Spectrum Health Ludington Hospital was selected to serve Priority Health’s Medicaid population and another for a to receive the 2017 Ludwig Community Benefit Award from the program for medically complex children. Michigan Health & Hospital Association. • For the second time, the state of Michigan named Priority Health’s • Tina Freese Decker, executive vice president and chief operating HMO the benchmark plan for all individual and group HMO plans to officer, Spectrum Health; and Joan Budden, president and chief model; it is the only health plan in Michigan to earn this recognition. executive officer, Priority Health, were named among Crain’s • Priority Health was the only Medicaid plan in Michigan to receive Detroit Business’ 100 Most Influential Women (2016). the highest ranking in all five categories in the 2016 Medicaid • Judy L. Smith, MD, chief, Spectrum Health Cancer Center, received Health Plan Consumers Guide by the Michigan Department of the first-ever Woman of the Year Brilliance Award sponsored by Health and Human Services. West Michigan Woman magazine. • Priority Health earned several PRoof Awards from the West • Marti Lolli, senior vice president, commercial markets, Priority Michigan Chapter of the Public Relations Society of America. The Health, was chosen by Managed Healthcare Executive as one of WMPRSA awards recognize PR and communications teams that Ten Emerging Industry Leaders. successfully use skill, creativity and resourcefulness to address a • Joe Brennan, senior director, MedNow, was named Crain’s Detroit communication challenge at their organization or agency. Awards Business’ Health Care Hero in the category of advancements in were won in the following categories on behalf of Spectrum Health: health care (2016). –– Gold PRoof Awards: • Newsletter: Member Health Journal; EmployeeInsider Delivery System • Marketing Consumer Products and Services: Diabetes • Spectrum Health ranked among the nation’s best by U.S. News Awareness Month campaign & World Report in its 2016-2017 Best Hospitals rankings. It also • Media Relations: Diabetes Awareness Month campaign Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Awards and Recognition

Butterworth and Blodgett hospitals –– Five-Star Recipient from Healthgrades® for Coronary • Butterworth and Blodgett hospitals received the Healthgrades® Interventional Procedures in 2017 2017 America’s 50 Best Hospitals Award™. –– Five-Star Recipient from Healthgrades® for Treatment of Heart • Butterworth and Blodgett hospitals received the Healthgrades® Attack in 2017 2017 Distinguished Hospital Award for Clinical Excellence™. –– Healthgrades® Joint Replacement Excellence Award™ in 2017 • Butterworth and Blodgett hospitals received the Healthgrades® –– Named by Healthgrades® Among the Top 5% in the Nation for 2017 America’s 100 Best Hospitals Award™. Joint Replacement in 2017 • Blodgett Hospital was named one of the 50 Greenest Hospitals by –– Named by Healthgrades® Among the Top 10% in the Nation for 2016 Becker’s Hospital Review. Joint Replacement in 2017 • Butterworth and Blodgett hospitals received the Healthgrades® –– Five-Star Recipient from Healthgrades® for Total Knee 2017 Outstanding Patient Experience Award™. Replacement in 2017 • Butterworth and Blodgett hospitals earned an “A” Hospital Safety –– Five-Star Recipient from Healthgrades® for Total Hip Score from The Leapfrog Group. Replacement in 2017 • Butterworth and Blodgett hospitals earned these additional –– Five-Star Recipient from Healthgrades® for Hip Fracture Healthgrades® awards: Treatment in 2017 –– Healthgrades® America’s 100 Best Hospitals for Cardiac Care™ –– Healthgrades® Stroke Care Excellence Award™ in 2017 in 2017 –– Named by Healthgrades® Among the Top 10% in the Nation for –– Healthgrades® America’s 100 Best Hospitals for Cardiac Treatment of Stroke in 2017 Surgery™ in 2017 –– Five-Star Recipient from Healthgrades® for Treatment of Stroke –– Healthgrades® America’s 100 Best Hospitals for Coronary in 2017 Intervention™ in 2017 –– Healthgrades® Pulmonary Care Excellence Award™ in 2017 –– Healthgrades® America’s 100 Best Hospitals for Pulmonary –– Named by Healthgrades® Among the Top 5% in the Nation for Care™ in 2017 Overall Pulmonary Services in 2017 –– Healthgrades® America’s 50 Best Hospitals for Vascular –– Five-Star Recipient from Healthgrades® for Treatment of Surgery™ in 2017 Pneumonia in 2017 –– Healthgrades® America’s 100 Best Hospitals for –– Healthgrades® 2017 Vascular Surgery Excellence Award™ in Gastrointestinal Care™ in 2017 2017 –– Healthgrades® America’s 100 Best Hospitals for General –– Named by Healthgrades® Among the Top 10% in the Nation for Surgery™ in 2017 Vascular Surgery in 2017 –– Healthgrades® America’s 100 Best Hospitals for Critical Care™ –– Five-Star Recipient from Healthgrades® for Carotid Surgery in in 2017 2017 –– Healthgrades® Cardiac Care Excellence Award™ in 2017 –– Healthgrades® Gastrointestinal Care Excellence Award™ in –– Healthgrades® Cardiac Surgery Excellence Award™ in 2017 2017 –– Healthgrades® Coronary Intervention Excellence Award™ in –– Healthgrades® General Surgery Excellence Award™ in 2017 2017 –– Named by Healthgrades® Among the Top 5% in the Nation for –– Named by Healthgrades® Among the Top 5% in the Nation for Overall GI Services in 2017 Overall Cardiac Services in 2017 –– Named by Healthgrades® Among the Top 5% in the Nation for –– Named by Healthgrades® Among the Top 5% in the Nation for General Surgery in 2017 Cardiac Surgery in 2017 –– Named by Healthgrades® Among the Top 5% in the Nation for –– Named by Healthgrades® Among the Top 5% in the Nation for GI Medical Treatment in 2017 Cardiology Services in 2017 –– Five-Star Recipient from Healthgrades® for Esophageal/ –– Named by Healthgrades® Among the Top 5% in the Nation for Stomach Surgeries in 2017 Coronary Interventional Procedures in 2017 –– Five-Star Recipient from Healthgrades® for Small Intestine –– Five-Star Recipient from Healthgrades® for Coronary Bypass Surgeries in 2017 Surgery in 2017 –– Five-Star Recipient from Healthgrades® for Colorectal Surgeries in 2017 Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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–– Five-Star Recipient from Healthgrades® for Treatment of GI • The pediatric blood and bone marrow transplant program received Bleed in 2017 the Innovators in Medicine Award from the Children’s Leukemia –– Five-Star Recipient from Healthgrades® for Treatment of Bowel Foundation of Michigan. Obstruction in 2017 • Helen DeVos Children’s Hospital was the Cherry Health Foundation –– Healthgrades® Critical Care Excellence Award™ in 2017 2016 Cherry Health Celebration Community Partner Honoree. –– Named by Healthgrades® Among the Top 5% in the Nation for • The children’s hospital also was recognized as the Grand Rapids Critical Care in 2017 Children’s Museum 2017 Gala Honoree. –– Five-Star Recipient from Healthgrades® for Treatment of Sepsis in 2017 Big Rapids Hospital –– Five-Star Recipient from Healthgrades® for Treatment of • Big Rapids Hospital earned an “A” Hospital Safety Score from The Respiratory Failure in 2017 Leapfrog Group. –– Five-Star Recipient from Healthgrades® for Treatment of • The hospital was named a Five-Star Recipient from Healthgrades® Diabetic Emergencies in 2017 for Treatment of Sepsis in 2017. –– Named by Healthgrades® Among the Top 15% in the Nation for Outstanding Patient Experience in 2017 Gerber Memorial • Gerber Memorial received the Top Rural Hospital 2016 award from Helen DeVos Children’s Hospital The Leapfrog Group. This is a national ranking focusing on safety and quality outcomes. Gerber Memorial also received this award • Helen DeVos Children’s Hospital was named one of U.S. News & in 2015. World Report’s 2017-18 Best Children’s Hospitals in six pediatric specialties: cancer, cardiology and heart surgery, nephrology, • Gerber Memorial also received these additional Healthgrades® orthopedics, pulmonology, and urology. This was the sixth awards: consecutive year Helen DeVos Children’s Hospital was recognized. –– Five-Star Recipient from Healthgrades® for Total Knee • ImproveCareNow, of which Helen DeVos Children’s Hospital is Replacement a member, received the 2016 Drucker Prize, which is awarded –– Five-Star Recipient from Healthgrades® for Treatment of Bowel annually to one nonprofit organization for innovation, or “change Obstruction that creates a new dimension of performance.” ImproveCareNow –– Five-Star Recipient from Healthgrades® for Treatment of Sepsis was selected from among 495 applicants. in 2017 • The Gerber Foundation Neonatal Center was designated as a Center of Excellence in Education and Training for Substance- Kelsey Hospital Exposed Infants by Vermont Oxford Network. This designation • Kelsey Hospital received the 2017 MPRO Governor’s Award of represents an exceptional commitment to interdisciplinary Excellence, specifically for Outstanding Achievement in Effective education and service for an important, vulnerable population. Reporting and Measurement: Ambulatory Surgery Centers, Critical • The Helen DeVos Children’s Hospital pulmonology program Care Access Hospitals and Inpatient Psychiatric Facilities. received the award for Outstanding Partnership with our local • Kelsey Hospital was ranked among the Top Nursing Homes in chapter of the Cystic Fibrosis Foundation at the 2016 North Michigan—a five-star quality rating from the Centers for Medicare American Cystic Fibrosis Conference. & Medicaid Services. • The Academic General Pediatrics Clinic received a Pinnacle Award from the Michigan Health Plan Association in the Chronic Disease Ludington Hospital Management Medicaid category for its Medically Complex • Ludington Hospital received the Michigan Health & Hospital Children program in collaboration with Priority Health. Association’s 2017 Ludwig Community Benefit Award for its • The American Academy of Sleep Medicine accredited the Helen Win With Wellness Fit Club program. DeVos Children’s Hospital Pediatric Sleep Disorders Center. • Ludington Hospital earned an “A” Hospital Safety Score from The • The Foundation for the Accreditation of Cellular Therapy awarded Leapfrog Group. accreditation to the Blood and Marrow Transplant Program for both • The hospital was a Five-Star Recipient from Healthgrades® for autologous and allogeneic blood and bone marrow transplant programs. Treatment of Stroke in 2017 • Ludington Hospital received the Healthgrades® 2017 Outstanding Patient Experience Award™. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Awards and Recognition

Pennock • The hospital also earned these additional Healthgrades® awards: • Pennock received the Healthgrades® 2017 Outstanding Patient –– Five-Star Recipient from Healthgrades® for Treatment of Experience Award™. Pneumonia in 2017 • Pennock received the 2017 MPRO Governor’s Award of Excellence, –– Five-Star Recipient from Healthgrades® for Treatment of Sepsis specifically for Outstanding Achievement in Lowering the Risk of in 2017 Infection: Hospitals; and Outstanding Achievement in Effective –– Five-Star Recipient from Healthgrades® for Treatment of Reporting and Measurement: Outpatient Quality Reporting Acute Respiratory Failure in 2017 Care Hospitals. • The hospital’s obstetrics unit earned a Spectrum Health Synergy • The B.Healthy Coalition, which Pennock helps coordinate, received Award for embracing the process improvement culture. the Beacon of Light Award from The Food Bank Council of Michigan. The B.Healthy Coalition was recognized for its continued Zeeland Community Hospital work to foster an active, healthy community by creating policy and • Zeeland Community Hospital earned an “A” Hospital Safety Score environmental changes that help improve nutrition education and from The Leapfrog Group. outreach through food banks for all Barry County residents. The coalition was formed by Pennock as a result of the Community • The hospital was named among the nation’s 100 Top Hospitals® by Health Needs Assessment. Truven Health Analytics™ in 2017. • Zeeland Community Hospital received the Healthgrades® 2017 Reed City Hospital Outstanding Patient Experience Award™. • Reed City Hospital Rehab and Nursing Center achieved a five-star • The hospital also earned these additional Healthgrades® awards: rating for the fourth year in a row from the Centers for Medicare –– Named by Healthgrades® Among the Top 5% in the Nation for & Medicaid Services. CMS rates facilities for ensuring all patients Outstanding Patient Experience in 2017 receive certain vaccinations and adequate help from nurses –– Five-Star Recipient from Healthgrades® for Treatment of Heart and certified nursing assistants. The rating is based on health Failure in 2017 inspections, staffing and quality measures, and it incorporates data –– Five-Star Recipient from Healthgrades® for Total Knee reported through March 31, 2016. Replacement in 2017 • Reed City Hospital was named a Top Rural Hospital by The –– Five-Star Recipient from Healthgrades® for Treatment of Leapfrog Group for the second year in a row. The selection is based Pneumonia in 2017 on the results of the 2016 Leapfrog Hospital Survey. Top Rural Hospitals have better systems in place to prevent medical errors –– Five-Star Recipient from Healthgrades® for Treatment of Sepsis and lower readmission rates. Reed City Hospital was one of 21 Top in 2017 Rural Hospitals recognized across the country. Other System Awards United Hospital • For the fourth year in a row, Spectrum Health recruitment teams • United Hospital earned an “A” Hospital Safety Score from The received the Candidate Experience Award, which recognizes Leapfrog Group. organizations that provide applicants and candidates with positive and exceptional experiences, and that understand the importance • The hospital was ranked among the nation’s 100 Top Hospitals® by of continuous improvement of their processes and practices. Truven Health Analytics™ in 2017. The CandE and its sponsors are dedicated to recognizing the • United Hospital received the 2017 MPRO Governor’s Award of candidate experience offered by companies throughout the entire Excellence, specifically for Outstanding Achievement in Effective recruitment cycle and to changing how job candidates are treated. Reporting and Measurement: Outpatient Quality Reporting Applicants go through a rigorous process that includes a survey Acute Care Hospitals; and Outstanding Achievement in Effective with feedback from candidates hired and not hired. Reporting and Measurement: Hospital Value-based Purchasing • Spectrum Health was recognized by the Michigan Veterans Affairs Acute Care Hospitals. Agency in 2016 as a bronze-certified veteran-friendly employer, • United Hospital was named Among the Top Nursing Homes in making Spectrum Health the first certified veteran-friendly health Michigan—five-star quality rating from the Centers for Medicare & care system in Michigan. Medicaid Services. • Spectrum Health Foundation was nationally recognized by the • United Hospital received the Healthgrades® 2017 Outstanding Association for Healthcare Philanthropy as a 2016 High Performer. Patient Experience Award™. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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• Healthier Communities received the 2016 Alliance for Immunization • David Dickens, MD, was invited to serve as a member of a national in Michigan coalition for Outstanding Achievement Award. steering committee tasked to address existing barriers to cancer • Healthier Communities earned the 2016 LINC Up Community care in America and create studies and models aimed at improving Spirit Awards—Health and Wellness Award. cancer care delivery. • Healthier Communities received the 2016 LINC Up Community • Spectrum Health Hospice was one of only 140 hospices in the Spirit Awards—Visionary Award—Jeremy Moore. country selected for the Medicare Care Choices Model. The Medicare Care Choices Model empowers beneficiaries who • System Communications & Marketing earned 17 PRoof Awards are struggling with a life-limiting illness to receive the kind of from the West Michigan Chapter of the Public Relations Society of supportive-care services typically provided by hospice. The America. The WMPRSA awards recognize PR and communications program offers in-home services, such as nursing, social work, teams that successfully use skill, creativity and resourcefulness spiritual care and bereavement, while the patient continues to address a communication challenge at their organization or “curative” treatments, such as chemotherapy, radiation, physical agency. Awards were won in the following categories on behalf of therapy and other medications. Spectrum Health: • The Spectrum Health Advance Care Planning team received –– Gold PRoof Awards: national recognition in September 2016 as recipient of the • Feature Story (for Health Beat): “We Are Not Walking Out of Excellence in Leadership award by Respecting Choices® at its Here Without Her”; “Peter Lombardo’s Miracle”; “Mighty Boy national conference. This award recognized the Spectrum Health Defies the Odds”; “Life for Lily”; “I Didn’t Fight Alone”; “An team for its leadership in moving ACP program implementation Awesome Life”; “A Dying Child’s Spirit Shines”; “A Blessing I efforts forward and demonstrating sustainability and spread across Didn’t Expect” the organization. The Spectrum Health Advance Care Planning • Special Purpose Publication: Spectrum Health InFocus team has implemented all three stages of planning and created a • Media Relations: Spectrum Health Vein Center strong path to sustainability. The Spectrum Health team has also • Social Media: Health Beat Social Media been integral to the development of the new Respecting Choices Shared Decision Making in Serious Illness provider curriculum, –– Silver PRoof Awards: which is now being offered nationally. • Media Relations: Helen DeVos Children’s Hospital Music • The Spectrum Health diabetes care pathway was selected Therapy Program; Helen DeVos Children’s Hospital Toxic by Massachusetts Institute of Technology researchers as the Shock Syndrome Awareness foundation for their Artificial Intelligence deep learning program. • Internal Communications: InSite Intranet Diabetes pathway work was led by Carole Montgomery, MD, • Blog: Health Beat Blog vice president, clinical integrated pathways, health management • External Video: “Pill-Sized Pacemaker”; “Titanium Jaw Implant services. for Jonathan Koster” • The Spectrum Health Medical Group’s orthopedic hand section • Health Beat received eight Hermes Creative Awards—six platinum gained national recognition for office-based hand surgery and its for Health Beat Magazine Summer 2016 Edition, Publication, Brand role in value-based care. Peter Jebson, MD, was invited to speak at Journalism, Publication Overall, Nonprofit and Blog Writing; and international and national meetings to discuss Spectrum Health’s two gold for Health Beat Magazine Winter 2017 Edition and Blog leading-edge advancements in office-based hand surgery. He Overall. also will help make recommendations to the American Medical • Health Beat earned two Aster Awards—a gold for Health Care Association on validated measures to assess quality following care System Blog and a silver for Health Care System Photo/Illustration for hand disorders. Series for “An Awesome Life.” • Spectrum Health Government Relations successfully concluded a multiyear effort to pass a bill increasing the scope of advanced Thought Leadership practice registered nurses in Michigan, a top priority for Spectrum • Helen DeVos Children’s Hospital safety and quality teams shared Health Medical Group. The bill was signed into law by Governor successes at multiple national and regional speaking engagements, Snyder in December. including those sponsored by the SPS Midwest, Children’s Hospital • Legislation defining telehealth in Michigan was signed into law by Association, Healthcare Business Insights and National Patient Governor Snyder after advocacy by Spectrum Health. MedNow Safety Foundation. Helen DeVos Children’s Hospital has shared Senior Director Joe Brennan testified in favor to the Michigan quality improvement successes with nearly 50 children’s hospitals, Senate and Michigan House health policy committees, helping the nationally and internationally. bill move through the process. Evidence OO3-1, Spectrum Health Accomplishments FY 2017

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Spectrum Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. [81 FR 31465, May 16, 2016; 81 FR 46613, July 18, 2016] ATENCIÓN: Si usted habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1.844.359.1607 (TTY: 711). إذا كنت تتحدث اللغة العربية، فبإمكانك الحصول على المساعدة اللغوية المتاحة ًمجانا. اتصل على الرقم TTY: 771) 1.844.359.1607).

251241 FY17.7.93 © Spectrum Health 07.06.2017