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SEPTEMBER 2011

EpicCare implementation in full swing

Since the decision to move to EpicCare Ambulatory in early 2011, a plethora of activity has followed. Creating an implementation plan and timeline for launch, holding back-to-back kickoff events in Iowa and Wisconsin, and determining training needs and communication strategies are significant accomplishments to date. There's no time to spare because the timeline is aggressive. For physicians and other clinicians who will be using EpicCare Ambulatory, the work of implementing this product will pay off in important ways. "The functionality that we will gain with Epic will absolutely lead to improved patient care and patient satisfaction," stated Dr. Jennifer Brittig, Wheaton Franciscan Medical Group ­ All Saints and one of the physician champions for the EpicCare implementation. "Between the best practice advisories and the ability to track patients' conditions and set up reminders, there is amazing potential."

Offering a patient portal through MyChart

One of the most exciting aspects of the Epic product for some physicians is the MyChart patient portal application. In addition to allowing patients to access some of their own health information online, it facilitates secure communication between patients and providers. "It builds better rapport with our patients. They'll be able to go to a website and see some results, reports, and their immunization history as well as have a way to communicate with us." Dr. David Visokey commented. Dr. Visokey is a Covenant Clinic physician and another of the physician champions for the EpicCare implementation.

Projected "Big Bang go-live" timeline:

March/April 2012: Iowa June 2012: SE WI Central Market and WFMG ­ All Saints August 2012: SE WI North Market and Metro Physicians All clinics/practices in their respective market will begin using Epic as their new Electronic Health Record on the same day.

Ongoing communication

· EpicCare page on TauNet and Iowa intranet · Monthly e-newsletter: EpicCare Connection · Ask Epic: online button where questions can be submitted to promote a two-way dialogue

Full physician engagement

Physician engagement in the design and development of the Epic integration is a critical component of a successful launch. A Clinical Advisory Team (CAT) was created to engage physicians and clinical leaders in decision-making including representatives from both Iowa and SE Wisconsin. (continued on page 2)

System Highlights

The power of words and presence. Learn more on page 7. Southeast Wisconsin new brand campaign. Details on page 10. Leaders challenged to be active listeners. See page 11.

SEPTEMBER 2011

SponsoredSeptember 2011Franciscan Sisters by the Wheaton · (inner)Views

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EpicCare implementation in full swing (continued from page 1)

This team is evaluating Epic's system and comparing it to current practice. Members are determining whether the presented workflows will work for Wheaton or will require reengineering. See a full list of the Clinical Advisory Team and clinical leaders on the Epic page on TauNet found under Departments.

2011 Sister Rose Mary Pint Scholarship Winners

The Wheaton Franciscan system has selected five students as winners of the Sister Rose Mary Pint Scholarship. The $3,000 awards are given to children of associates to help underwrite the costs of full-time undergraduate study. The recipients are selected on the basis of financial need, academic achievement, work experience, and leadership and participation in school and community activities. The scholarship program honors Sister Rose Mary Pint, a Wheaton Franciscan Sister, whose leadership and guidance for more than two decades helped to shape and create Wheaton Franciscan Services, Inc. Sister Rose Mary Pint served as the organization's first chief executive officer from 1983 to 1986, and as chairperson of the board of directors from 1983 to 1997.

Training for users

Research demonstrates that providing ample training opportunities is at the core of a successful Electronic Health Record implementation. "It's important that physicians are comfortable with EpicCare and are efficient in using it when the product launches," said Dr. Visokey. Dr. Brittig agreed, "If we are going to use the tool to its full potential with all the advantages for patients, we need to thoroughly understand the application and be able to maneuver through it easily." Wheaton will provide training for 175 users who have requested basic computer training and others who want to improve their typing skills. In addition, classroom training six weeks prior to the "go live" dates will take place in each market/region including: · 8 hours for physicians, Nurse Practitioners, and Physician Assistants · 6 to 7 hours for RNs, LPNs, and Medical Assistants · 1 hour for CSAs or PSRs For Dr. Rita Hanson, Chief Medical Information Officer, this move is an important one for Wheaton. "Aligning with Epic allows us to leverage the leading electronic medical record and get a well-developed product. EpicCare has been continuously improved based on feedback from those who've actually used it," Dr. Hanson said.

Congratulations to the following students:

Kaitlin M. Berns, daughter of Mary Beth Berns (WFH ­ St. Francis), is pursuing a degree in pharmacy/ toxicology at the University of Wisconsin ­ Madison. Nicholas H. Gilbert, son of Joy L. Gilbert (WFH ­ Iowa), is pursuing a degree in mechanical engineering at Iowa State University. Natalie A. Imperl, daughter of Julie A. Imperl (Wheaton Franciscan Medical Group), is pursuing a degree in biomedical sciences at Marquette University in Milwaukee. Zihan (Jenny) Liu, daughter of Qingmin Liu (WFH ­ Corporate Services), is pursuing a degree in medicine at Boston University. Marcie J. Waters, daughter of Debra L. Waters (Affinity Health System), is pursuing a degree in Spanish at the University of Wisconsin ­ Madison.

Fun fact

Prior to training, the Epic rollout brings a tremendous amount of work behind the scenes ­ some of it quite detailed. For example, every printer and user workstation needs to be mapped into the Epic system. Information Services and Clinical Informatics staff are visiting all locations to gather this vital information.

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(inner)Views · September 2011

Dear Friends,

As ministry leaders of Wheaton Franciscan Healthcare, we are called to embrace our heritage and to use it as the foundation for building healing relationships. Over the next several months, all leaders will be asked to participate in a Ministry Leadership Retreat, "The Power of our Words and Presence." I am confident that this day-long retreat, with full participation by every leader, will enhance your self-awareness of the power of words and attentive listening. It has the potential to have a tremendous impact on all aspects of your service to others. I encourage you to attend the retreats with an open mind and to be truly present as Tom Thibodeau, Director of Servant Leadership at Viterbo University in La Crosse, WI, leads you through the day. As we continually work to improve our patient and family experience, my hope is that you walk away from this experience fully understanding that in little ways, every day, it makes a difference how we are The feedback we receive through this process is critical to building those powerful partnerships, which translate into superior patient care. John D. Oliverio President and Chief Executive Officer As we continue to strive to be the health care employer of choice, we are committed to creating strong partnerships with our greatest resource ­ our associates. We can only do that through listening attentively to what they tell us and then responding with thoughtful, executable action plans. Sincerely, It is in this same spirit of being present to others that I also ask you to set an example for associates in your department by taking the upcoming Associate Partnership Survey yourself and actively encouraging others to participate. It's vital to talk directly with your associates ­ face to face ­ about the importance of their input. (See more on page 11 about this year's survey, which runs October 14 ­ 31.) present to other people. The concept applies to our patients and their families, our co-workers, and even our own families. (More details about the retreats can be found on page 7 of this edition of innerViews.) As we head into the second quarter of the fiscal year, there is positive momentum throughout the System. We're gearing up for our switch to EpicCare Ambulatory, which, with its improved functionality will lead to improved patient care and patient satisfaction (see story on page 1). Our Green Teams are gaining momentum. More than 3,000 associates have taken the Green Pledge vowing to do what they can to implement more green practices in their everyday lives (story on page 8). And we will soon launch a new brand campaign in Southeast Wisconsin that will showcase all the wonderful ways our associates, leaders, and physicians live our Mission and work to make our communities healthier, stronger, and better. (See story page 10). As always, I thank you for your dedication to moving our Mission forward.

September 2011 · (inner)Views

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A Word

From Our Sponsors

Our Franciscan heritage calls us to care for all God's creation and pay attention to practices that promote environmental sustainability. St. Francis was deeply committed to the well-being of the environment and of all of creation. St. Francis praised the Creator for all the blessings of nature and understood the responsibility to care for it. He urged everyone to show respect, humility and love toward their surroundings and saw a direct connection between caring for the environment and caring for people. If people took joy in their surroundings they would be more apt to treat people with love and respect rather than anger and hatred, he reasoned. Many parallels can be drawn between Francis' efforts and those that we make every day. His were small, grass-roots types of efforts. Like Francis, associates across the System have embraced many small, grassroots efforts that when combined can have a big impact on the environment. The work of the GrassRoots Environmental Awareness Team (GREATeam) has been tremendous! I am very pleased to see the overwhelming response from associates taking the recent Green Pledge, vowing to be more conscious Sister Mary Beth Glueckstein, OSF Chair, Sponsor Member Board Sincerely, of things we do every day ­ things like turning off lights, recycling a soda can, unplugging a cell phone charger or making sure the tires on our vehicles are properly inflated. These efforts may seem small, but when hundreds ­ or thousands ­ all vow to make these small efforts every day, the effort then becomes rather large. Even more important is that large groups of people take the same steps together so that we can make a significant impact in preserving the earth's resources. As much as it is important for each of us to take actions that preserve our environment, it takes the collective efforts of every associate to really make a difference. If we all do our part, even in the smallest way, together we can make changes that will not only benefit the communities and world we live in but we also impact the sustainability of our health care and shelter ministries into the future.

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(inner)Views · September 2011

Measures of Our Mission

Wheaton Franciscan Healthcare's Mission is to live out the healing ministry of Jesus by providing exceptional and compassionate health care service that promotes the dignity and wellbeing of the people we serve. Beyond providing excellent care and service, our Mission calls us to address the needs of our communities, especially those of the poor. Here are some examples of associates living out our Mission in the communities we serve. Southeast Wisconsin bicycle drive collects 256 bikes for Milwaukee community

Through a partnership with United HealthCare, Wheaton Franciscan Healthcare responded to a call for bicycles for low-income families in Milwaukee. On Saturday, June 4, Wheaton held a bicycle drive at the St. Francis Medical Arts Pavilion, Wheaton Franciscan Healthcare - Wauwatosa and the Corporate Services Office in Glendale. Wheaton associates staffed the three locations from 9 am to 3 pm, and collected 256 bicycles to benefit DreamBikes, a Milwaukee nonprofit organization that makes bikes accessible to kids and adults in the community. The 256 bikes were the most a DreamBikes bicycle drive has ever collected between its Milwaukee and Madison locations.

CNAs Provide a Life-saving Lesson in Love and Friendship

Growing up together, Shaunte Pringle and Lakeshia Frazier shared the dream of working together in health care. Now, the Rush Oak park Hospital CNAs share much more: Last December Pringle donated a kidney to Frazier, who was diagnosed with lupus in 2004. The two were recently featured in a local news article: http:/ /www.oakpark.com/News/Articles/ 07-05-2011/Oak_Park_resident_donates_kidney_to_ best_friend

Program turns waterskiing into therapy

Waterskiing is no longer just for sport or entertainment. Thanks to a unique partnership between the Waterhawks Ski Team and Covenant Medical Center in Waterloo, it's therapy. For nearly 20 years the Covenant Medical Center Rehabilitation Department has partnered with the Waterhawks Ski Team to offer an adaptive waterski clinic that serves as both therapy and recreation to patients with disabilities. Participants use a specially designed ski that allows them to sit, rather than stand "The water ski clinic is beneficial because it gives people with spinal cord injuries and people with lower extremity injuries the opportunity to do something that they may have previously enjoyed, but just in a different way," said Beth Burnett , Lead Recreational Therapist. "It is also an activity that gets people's adrenaline pumping. The smiles and the confidence it gives people is amazing."

September 2011 · (inner)Views

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Advocacy Overview

On August 2, 2011, President Obama signed legislation to raise the debt ceiling by $900 billion and reduce the deficit by an equal amount. Of the $900 billion in cuts, $400 billion take effect immediately. The remaining $500 billion in cuts will take effect later this year. Health care programs by and large will be unaffected by this first round of cuts. Included in the law signed by the President, there is a requirement that Congress act to reduce spending by an additional $1.2-$1.5 trillion over 10 years. In order to accomplish those cuts, Congressional leaders recently appointed a special committee to make recommendations for action. The Joint Select Committee on Deficit Reduction, known as the "Super Committee", is a 12-member bipartisan group that will advance recommendations of cuts prior to November 23, 2011. Among the cuts, Medicaid, Medicare, Social Security, and spending authorized by the Affordable Care Act are all programs that may be affected. Congress must vote on the panel's recommendations by December 23, 2011. At that time, the President could request an additional increase in the debt ceiling by an equal amount. Some of the proposals that are anticipated include turning Medicaid into a block grant program run by states; creating Medicare vouchers for seniors to purchase their own private coverage rather than the states paying for the insurance plans, or requiring higher income Medicare patients to pay more for their coverage than other Medicare patients with a lower income. Some of the proposals that could impact spending authorized by the Affordable Care Act may include removing or decreasing funding for subsidies for low-income families to off-set the cost of health insurance in 2014. Funding provided to States ­ including Illinois, Iowa and Wisconsin ­ to assist in the establishment of a statewide health insurance exchange could also be decreased. New programs could be repealed such as the CLASS Act, a voluntary long-term care insurance program. If Congress fails to act on a proposal by the end of the year, an automatic trigger of across-the-board cuts totaling $1.2 trillion will begin in 2013. These automatic cuts will not affect Medicaid, but may result in a 2% across the board cut to Medicare funding for hospitals and providers. Cuts to Medicare reimbursement for hospitals, physicians, nursing homes and hospices would begin in 2013 and continue for nine years until 2021. The annual impact for Wisconsin could be $100 million for inpatient and outpatient services. The decreases in Medicare reimbursement would be in addition to cuts enacted as part of the Affordable Care Act. Other discretionary funding authorized through the Affordable Care Act would also be subject to the reductions, including some subsidies to help low-income families afford health insurance. Needless to say, this is a critical time for all hospitals and health care providers. Solutions advanced to improve the overall health of our economy will undoubtedly have an impact on government reimbursement of health programs. As the various proposals continue to evolve, we will keep a watchful eye on Washington and communicate our priorities to our legislators. There are a number of advocacy tools, resources, and programs available to help get associates across the System directly involved in advocacy efforts. For more information, please contact Julie Swiderski, Vice President ­ Strategic Planning and Government Relations, at 414-465-3611 or [email protected] If you have any questions about health care reform, or if you would like additional information, please contact Elizabeth Cliffe Kucharski at [email protected] or call 414-465-3583.

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(inner)Views · September 2011

Leadership retreats to focus on

The Power of our Words and Presence is the theme of this year's Ministry Leadership Retreats, which will be taking place across the System this fall. The daylong retreat will focus on how our words shape the patient and family experience. "Presence is about bringing our best self to every interaction we have, whether it is a co-worker, a patient, a resident or a family member," said Terri Rocole, Senior Vice President, Mission Services. "It is through our presence that we have the opportunity, every day, to make a difference in the life of another person." The retreats are designed to ensure that leaders are always working to nurture and further their ministry leadership competencies, provide leaders with an opportunity to step back, reflect on their leadership and to come back refreshed with a better understanding of our personal purpose, according to Erica Weber, Manager of Mission Services, who is organizing the retreats. "The retreats will help us as leaders recognize our own personal purpose within the Mission of Wheaton Franciscan Healthcare," Weber said. Tom Thibodeau, Director of Servant Leadership at Viterbo University in La Crosse, WI will lead the retreats. Leaders will reflect on the things that happen every day that make the Franciscan Vision come alive. Another highlight of the retreat, Weber said, is Thibodeau's exploration of the "Myth of Time Management." Leaders will learn that it's really about managing your energy, and not really about managing your time, she said. After hearing Thibodeau's message, every leader will be asked to develop a personal

the power of words and presence

This was one of the most motivating and content rich retreat days I have experienced. ... It was a rewarding day and an awe-inspiring experience. ..."

SUE DILLBERG, PRESIDENT & CEO OF FRANCISCAN MINISTRIES, INC.

purpose statement. Thibodeau will lead an exercise that helps each leader get to that purpose statement. "That was really powerful for leaders in FMI who went through the process," Weber said. "This was one of the most motivating and content rich retreat days I have experienced," said Sue Dillberg, President & CEO of Franciscan Ministries, Inc. "The information was awesome, yet practical. The timing was great and Tom delivered this well positioned message relating to our ministry leadership competencies with wisdom and humor. He is a very genuine speaker and everyone in attendance was truly engaged. It was a rewarding day and an awe-inspiring experience to engage with FMI associates as we revealed personal mission statements." After experiencing "The Power of our Words and Presence" Wheaton Franciscan Healthcare leaders will: · Value and utilize the power of their presence to shape the patient, resident and family experience, the culture of Wheaton Franciscan Healthcare, and all their relationships · Enhance self-awareness of the power of words and attentive listening to impact each relationship and all aspects of service to others · Identify how their personal purpose statement informs their work and ministry on a daily basis and contributes to the overall Mission of Wheaton Franciscan Healthcare. This is a required event for all leaders. Leaders are asked to register on the Learning Link for the retreat.

Tom Thibodeau is a member of the Viterbo University faculty in the Religious Studies and Philosophy department and serves as director of the university's Master of Arts in Servant Leadership program. He was recently named Distinguished Professor of Servant Leadership. A popular teacher and presenter, Tom is the recipient of Viterbo's Teacher of the Year award. Tom received a Bachelor of Arts in Education degree from St. John's University in Collegeville, Minn., and a Master of Arts in Education degree from St. Mary's University in Winona, Minn. He has served as the director of Youth Ministry at Mary, Mother of the Church Parish in La Crosse, Wis., for more than 20 years and is currently codirector of the Diocesan Pastoral Education Program.

September 2011 · (inner)Views

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Green Teams taking root across the System

Across the System a renewed commitment to going green has sprouted.

More than 3,000 associates across the System have pledged to make "going green" part of their everyday routine. The pledge ­ available on TauNet ­ was introduced in June as a way to "get the ball rolling," said Erica Weber, Manager of Mission Services, who is heading the recently established GrassRoots Environmental Awareness Team (GREATeam), which includes associates from across Wheaton. The Green Pledge is part of The GREATeam's efforts to build support for and increase participation in the System's efforts to be good stewards of our environment. "We know that this is just the tip of the iceberg ­ a small representation of the many associates who are committed to environmental sustainability and our Value of Stewardship," Weber said. By taking the Green Pledge, associates simply commit to changing a few habits that can have a dramatic impact on the environment ­ things like unplugging a cell phone charger from the wall when it's not being used, or using a plastic cup or ceramic mug for beverages while at work. "The buy-in at the associate level is really important," Weber said. "Going green isn't tough. Everyone ­ at every level ­ can do it." The goal of the Grass Roots Environmental Awareness Team (GREATeam) is to reduce system energy use by 5% and increase recyclable waste. They're counting on the regional and site Green Teams to help. In addition to the pledge, the team has developed a "Green Tip of the Week" feature that is being posted on all intranets and an Environmental Sustainability Resource Page for the intranet that has helped support the longstanding Green Teams with new ideas. While green teams have been in place across the System for some time, the goal is to get more associates involved. So far, some 400 associates have expressed interest in learning more about their Green Team, Weber said. "It has helped give new Green Teams some momentum in their start-up. " And judging by the efforts taking place across the System, momentum is indeed building. In Iowa the Green Team recently completed a community wide collection of small handheld electronics ­ items like cell phones, GPS devices, and iPads ­ during which 210 items were collected for recycling. The collection was advertised on the local TV news, newspapers, electronic billboards and Facebook, said Randy Vorland, Director, Environmental Services in Iowa. The effort even grabbed the attention of local media. The recent pleas to associates to sign the pledge, he said, have renewed interest in the Green Team, which meets every two weeks. "It's great to see and hear that the vast majority of the associates are ready and willing to help the System go green. Many associates are environmentally friendly at their homes and want to be at work as well," Vorland said. Franciscan Ministries created the Leading Environmental Awareness for FMI (LEAF Committee) in early 2006, with the hope that educating both associates and residents would reduce the carbon footprint carried by our properties. The LEAF Committee has four focus areas a year, which include the outdoor environment, recycling (continued on page 9)

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Green Teams...

programs, hazardous household waste, and conservation efforts. "We know that through education the ways of the world can be changed a little bit at a time," said Lani Aragon, who leads the effort for FMI. About 21 associates are actively involved in the Green Team efforts at Wheaton Franciscan Healthcare ­ All Saints, in Racine, WI. The group started in September 2010 and have been working to raise awareness among associates. The group recently hosted an Earth Day Fair which focused on internal "green" efforts being made at All Saints. This fall the team will host another fair focused on the community and what people can do outside the organization to help the environment which will provide information on compact fluorescent

(continued from page 8) light bulbs, rain barrel use, community gardens, recycling home electronics and more. The team also provides monthly articles for the internal newsletter about green topics such as the pharmaceutical waste program, Styrofoam reduction, and how to host paperless meetings. "It is a joy to work with the members of the Green Team because they are present at this meeting because they want to be there, they want to do what is best for the environment at work and at home in their community," said Marianne Koch, Director, Hospitality Services at All Saints. Several efforts are underway in the Supply Chain to eliminate waste and recycle more ­ everything from red bag waste to the single sort recycling program recently introduced in Southeast Wisconsin and Iowa, according to Terri Kendrick, Director of Purchasing. Soon to be introduced is an initiative to eliminate the extra layer of packaging for IV bags. By eliminating the double plastic wrapping that normally covers the bags, 513,000 pieces of plastic can be removed from the waste stream annually. In addition, the IV bags themselves are being made of a new material that can now be recycled. Those two changes, Kendrick said, result in 16,000 pounds of overwrap and 17,000 pounds in IV bags being eliminated from the waste stream. The department is also working with a company that re-sterilizes items such as blades, trocars, and compression sleeves, which previously were considered single-use items. These items can now be sent out and reprocessed under a federal approval process, Kendrick said. Compression sleeves, for example, that once had to be disposed of after one use, can now be reused up to five times. The cost of reprocessing these items, Kendrick said, is far less than the cost of purchasing new items. "We've always been very cognizant of our Value of Stewardship and have worked throughout the years to find new ways to be even better stewards of all of our resources," Kendrick said. "These efforts allow us to be both good stewards of the environment and fiscally responsible."

The WFH ­ All Saints Green Team recently hosted the Earth Day Fair which focused on internal green efforts.

September 2011 · (inner)Views

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Making Our Community Stronger, Healthier, Better

Southeast Wisconsin brand campaign focuses on Mission, Vision, Values

What sets Wheaton Franciscan Healthcare apart from other health care providers is who we are at our core ­ our Mission, Vision, and Values ­ and how they form the basis for the way we deliver compassionate care to our patients. It's also how we take that dedication beyond the walls of our hospitals, outpatient centers, and clinics to the communities we serve. That's the premise for a new brand campaign that will roll out in late October in Southeast Wisconsin. "As we worked to identify our brand strategy for Southeast Wisconsin, we found it when we stopped looking at the competition and started looking at who we already are. We offer great, technologically advanced health care anchored by hospitals throughout communities in Southeast Wisconsin. We know our neighbors and provide virtually all of the health care they and their families will ever need ­ right in their own communities," said Ann Saqr, Vice President of Marketing in Southeast Wisconsin. Through another project, we also learned that our associates and physicians were engaged in a significant amount of volunteer work in the community. Everything from helping out at local homeless shelters and food pantries to collecting school supplies for needy children to sponsoring bike safety clinics. It became clear that this focus on community is our strength and that's how we came up with our new brand campaign: Making our communities stronger, healthier, better. "The differentiator has always been there. It's the emphasis we place on living our Mission, Vision, and Values in the way we provide care in our facilities and the way we care for our communities that really separates us from our competition," Saqr explained. There has been a lot of national and local research done about what people want in their health care, Saqr says. "Everyone assumes that health care providers offer sound medical care. But what is often missing is what people really want ­ kind, compassionate health care; health care providers who listen to them and communicate clearly; who know them and care about them. Their perception of the quality of their care has little to do with the latest technology and medical advances. It has everything to do with the way that care is delivered. I believe that by being actively engaged in the communities we serve, we will be better caregivers in both the art and science of medicine." The campaign that will roll out this fall will include television, radio, print, outdoor and a new website. Associates throughout the region will be featured on the website and in internal communications telling their story about ways they live our Mission, Vision, and Values in our hospitals and communities.

"We're not shying away from our spiritual foundation. We're going to celebrate it."

ANN SAQR, VICE PRESIDENT OF MARKETING, SE WI

What the new campaign will show, Saqr said, is how we respect the patients we serve in each of our communities and that we understand their unique needs. "We are committed to the neighborhoods we're in and to having our hospitals be an integral part of these communities. And that's the story we want to tell in this campaign." The spiritual side of who we are will be more evident in the campaign, especially online where we have the ability to go into greater detail, Saqr said. "We're not shying away from our spiritual foundation. We're going to celebrate it." "As part of Wheaton Franciscan Healthcare, we are all called to bring our Mission and Values to life," said Terri Rocole, MBA, M. Ed. Ministry, Senior Vice President, Mission Services. "No matter who we are; no matter what we do; whether we provide direct care to patients, or provide valuable support to those direct caregivers; we all contribute in very special and important ways to the healing ministry of Wheaton Franciscan Healthcare. It is this commitment to our Mission that not only makes a difference, but it makes us different. It sets us apart and guides us as we strive to make the communities we serve stronger, healthier and better ­ body, mind and spirit."

Our Brand Strategy Statement

Wheaton Franciscan Healthcare is a system of hospitals, outpatient centers, physician practices and specialty services that are organized around, and devoted to, the communities in which we reside providing a continuum of exceptional health care, demonstrating social integrity (defined as how we treat our patients, associates, community and environment) and living out their spiritual (Franciscan) heritage. It is through our commitment to the communities in Southeast Wisconsin that we earn our patients' trust.

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Leaders challenged to be active listeners as Associate Partnership Survey approaches

The upcoming Associate Partnership Survey provides a wonderful opportunity for leaders to "put themselves out there" as active listeners and demonstrate that they are truly present with their associates. "We have to understand the associate voice," said Brenda Bowers, Vice Brenda Bowers President of Organizational Change and Leadership Development. "Without the voice of the associate, we are really not able to deliver on our core ministry competencies." Bowers said now is a perfect time for leaders to take out last year's survey and ask themselves, "What have I done about this? What have I done to address some of the things that my associates told me?" "Then go out and ask your associates," Bowers advised. "Ask them, `How do you think we've done?' It's probably one of the highest levels of engagement leaders can make. I believe in my heart associates will appreciate being asked." The key, Bowers said, is to make it an ongoing conversation, not one that just occurs right before a survey. "It's important to make this part of our culture. It has to be hard-wired into our leadership performance commitment so we're constantly driving positive cultural change in our organization ­ because that spills over into our patient and family satisfaction." Associates will be asked to take the Associate Partnership Survey online between October 14 and 31. Like last year's survey, the 2011 Associate Partnership survey will be administered by Press Ganey and will measure both the level of satisfaction of associates and the level of their engagement with the organization. Associates will be asked to respond to the same survey questions as last year which will allow for comparison. "We've spent a lot of time putting a process into place that gives associates a level of comfort that their voice is being heard. As leaders we should not be afraid of the Associate Partnership Survey and what it tells us," Bowers said.

About the survey

The week of October 10, associates will receive a letter from Press Ganey at home in an envelope clearly marked "Associate Partnership Survey." The letter will contain a unique PIN number to access the survey from the Press Ganey website. Submitted surveys will go directly to Press Ganey. No one at Wheaton Franciscan Healthcare will be involved in administering the survey. and follow-up reminder e-mails from Press Ganey reminding them to take the survey. Their PIN numbers and a direct link to the survey will be included in the e-mails. · Interpreters are available for associates with limited English proficiency. The survey is also translated in Spanish for reference as associates take the survey online. Leaders should contact their HR representative for the best way to accommodate special associate needs. · If there are special departmental needs concerning Internet access, please consult your Human Resources leader. · Results from the survey will be shared with associates in early 2012.

Things to keep in mind:

· Associates may take the survey from their work computer as long as it is completed at a time when it does not interfere with their work. The survey may also be taken from any computer that has Internet access. · Associates who have not yet completed the survey and who have a work e-mail account will receive an e-mail

September 2011 · (inner)Views

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Around the System

Illinois

Marianjoy awards $50,000 in scholarships

This year, $50,000 in scholarships for post-high school education was awarded to 22 students from the greater Chicagoland area by the Marianjoy Scholarship Program, now in its seventeenth year. The students, some of which are former Marianjoy patients, are attending colleges and universities all across the country. For nearly 40 years, Marianjoy has remained an advocate for individuals living with a disability. Though pursuing a college degree is not easy for anyone, doing so while living with a physical disability requires an even greater degree of determination, stamina and focus, which is why the Marianjoy Scholarship Fund was established. This year's recipients include young men and women studying dentistry, information systems, architecture, medicine, broadcasting, and teaching.

Rush Oak Park earns recertification for diabetes care

Rush Oak Park Hospital has been recertified by the Joint Commission for advanced inpatient diabetes care. It remains one of only two hospitals in Illinois with this advanced certification and is a leader among the 35 hospitals who've nationally joined this rank. In 2007, Rush Oak Park Hospital became the first hospital in Illinois and the second in the country to receive the Joint Commission's Gold Seal of ApprovalTM for health care quality for advanced inpatient diabetes care.

Iowa

Close to Home. Close to Hope.

A new ad campaign will launch early September to promote Covenant Cancer Treatment Center. This campaign features four patients who chose our treatment center over others for several reasons: · Technology equal to other institutions is right here at home · You can receive high-quality cancer care close to home · The care teams are compassionate and caring · It's a place where you can find hope You'll see this new ad campaign through traditional forms of advertising - in newspaper, billboard, television and radio, as well as online, through social media sites, etc. Patients will have the option to submit their story of hope to share with others who are seeking inspiration as they prepare for treatment.

Marianjoy supports US troops

For the fourth consecutive year, Marianjoy Rehabilitation Hospital proudly sponsored Operation Support Our Troops ­ Illinois "Rockin' for the Troops" Event on Saturday, July 16 at Cantigny Park in Wheaton, Illinois. More than 10,000 enthusiastic supporters attended the event, which raises funds to ship care packages to soldiers in Afghanistan and Iraq. Proceeds are also used to fund the USO and other nonprofit organizations. The night culminated with a performance by Gary Sinise (CSI: NY) and his Lieutenant Dan Band. Sinise has been performing for US troops since 2004.

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(inner)Views · September 2011

Around the System

Southeast Wisconsin

WFMG physicians connect with patients through blog

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Milwaukee Healthcare Partnership receives national recognition for local collaboration

The Milwaukee Health Care Partnership has received this year's American Hospital Association's NOVA Award for its hospital-led efforts to improve community health. One of only five health care collaboratives honored for making a difference in the lives of the most vulnerable in their communities, the partnership was recognized at the AHA's Leadership Summit on July 19. Since 2007, the Milwaukee Health Care Partnership has brought together health care providers, government agencies and community organizations to increase access to quality health care, improve health outcomes and reduce disparities in Milwaukee's low-income and uninsured populations.

A group of Wheaton Franciscan Medical Group physicians are now officially part of the fast-growing blogosphere with the launch of a new blog at http://blog.mywfmg.org. The goal of the medical group's blog pilot is to provide helpful, trustworthy health information and create dialogue with patients and consumers around healthy living. "This is a great way to connect with patients ­ and potential patients ­ even when they're not sick or need immediate care," says Patricia Golden, DO, family practitioner at WFMG Rawson Avenue. "It really helps foster a sense of community and strengthens the physician-patient relationship." Primary care physicians practicing at the Rawson Avenue Medical Center in Franklin are the first to collectively blog in this pilot phase.

Wisconsin

Affinity integrative medicine program receives grant

Mercy Health Foundation was recently presented with a $40,000 grant to continue support for Affinity Health System's integrative medicine program located in the Mary Kimball Anhaltzer Center for Integrative Medicine at the AMG Koeller Street Clinic, Oshkosh. The program blends non-traditional healing methods with traditional health care. The grant will be used to educate providers about the benefits of integrative medicine in addition to expanding integrative medicine services throughout the Affinity system, including the Mercy Medical Center cancer and spine centers. Affinity will also pilot integrative medicine in Affinity Medical Group (AMG) Medical Homes, offering patients a more holistic treatment plan.

Elmbrook Memorial joins consolidation

Wheaton Franciscan Healthcare recently approved the consolidation of Elmbrook Memorial and Wheaton Franciscan ­ St. Joseph and The Wisconsin Heart Hospital Campuses under one hospital with a common medical staff and bylaws. St. Joseph and The Wisconsin Heart Hospital consolidated in July 2009 to form Wheaton Franciscan under a single provider number. Elmbrook Memorial has is now been added to that consolidation. The three hospital campuses will operate as Wheaton Franciscan under a single Medicare provider number. Not only are there advantages to this change from a reimbursement perspective, but the new structure also allows for increased efficiencies, ease in implementation of cross-site quality initiatives, and opportunities for improvements in patient care.

United cancer center granted approval from Commission on Cancer

United Hospital System's State Senator Joseph F. Andrea Regional Cancer Center has been granted approval by the Commission on Cancer of the American College of Surgeons. The Approvals Program sets standards for cancer programs and reviews the programs to make sure they conform to those standards. Approval by the Commission on Cancer is given only to those facilities that have voluntarily committed to provide the best in diagnosis and treatment of cancer and to undergo a rigorous evaluation process and a review of its performance.

All Saints lactation program recognized

Wheaton Franciscan Healthcare ­ All Saints received the International Board Certified Lactation Consultants (IBCLC) Care Award for its accomplishments as a facility that hires International Board Certified Lactation Consultants and has a dedicated lactation program, an initiative that protects, promotes and supports breastfeeding and provides breastfeeding training to All Saints staff.

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Our People

Iowa

Kelly Richards named new Director of Medical/Surgical Services

Kelly Richards has been named Director of Medical/Surgical Services for Wheaton Franciscan Healthcare ­ Iowa. In her role as Director, Kelly will have leadership responsibility for 2 General, 3 General, 4 General, 5 General, and Medical/Surgical at Sartori Memorial Hospital, and Medical/Surgical and Long Term Care at Mercy Hospital.

Abby Navti Abongwa named to Rosalie Manor board

Abby Navti Abongwa, Vice President, North Market Community Relations, was recently elected to Rosalie Manor Community & Family Services' Board of Directors. Rosalie Manor has a long history of strengthening atrisk families Abby Navti Abongwa in Milwaukee. What began as a residence for single pregnant women in 1908 has evolved into a comprehensive communitybased social service agency serving mothers, fathers and youth. "We are pleased to continue our longstanding relationship with Wheaton Franciscan St. Joseph, and are excited about the potential both organizations have to serve our commu nity with a greater capacity," said Don Shane, Executive Director of Rosalie Manor Community & Family Services.

Kelly Richards

Southeast Wisconsin

New Medical Director for Cardiac Electrophysiology named

Charles Lanzarotti, MD, FACC, FACP has been named Medical Director for Cardiac Electrophysiology for Wheaton Franciscan Healthcare ­ Southeast Wisconsin. He is an accomplished physician focused on growth strategies and enhancing the distributive model of cardiac care for our patients. A dedicated leader, Dr. Lanzarotti will Dr. Charles Lanzarotti create cutting edge programs to help Wheaton Franciscan Healthcare meet its strategic goals. As Director of the Cardiac Electrophysiology Lab at Wheaton Franciscan Healthcare ­ St. Francis Dr. Lanzarotti was integral in the acquisition of the new Arctic Front Cryoablation system for Atrial Fibrillation at St. Francis, and earlier this year performed the first cryoablation for atrial fibrillation in the state. In addition, he is the founder and Director of Wheaton's Center for Syncope and Autonomic Disorders. He has been a clinical investigator in more than 100 research studies using the latest technologies, devices and/or pharmacologic therapies and has been a principal investi gator in several international trials of investigational ablation therapy.

New Director of Digital Marketing named

Jaimie Somlai has been named Director of Digital Marketing for Wheaton Franciscan Healthcare in Southeast Wisconsin. In her role, Jaimie will provide leadership, strategic direction, and management of Wheaton's Internet Jaimie Somlai Marketing initiatives, including consumer websites, social media, email marketing, mobile marketing, online advertising, search engine optimization and associated analytics.

New Director of Patient Access named

Kathy Berger has joined Wheaton in the position of Director of Patient Access. Kathy will be responsible for directing all activities related to patient scheduling, authorization and registration for all SE Wisconsin Kathy Berger Wheaton hospitals. Kathy comes to Wheaton with a broad background in managing revenue cycle activities at several Southeast Wisconsin health care systems. Her background will be valuable in working to continually improve patient access functions in our hospitals. (continued on page 15)

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Our People

(continued from page 14)

Mark Alberg named Supervisor of Athletic Training

Mark Alberg, LAT, as the new Supervisor of Athletic Training for the Athletic Training Program in Milwaukee. Mark will manage daily operations, participate in marketing and pogram development, and provide supervisory responsibilities for the Athletic Training department. Mark Mark Alberg brings considerable experience to this position. He has 18 years of experience as an Athletic Trainer in high school, collegiate, professional, and community settings. Mark joined Wheaton Franciscan Healthcare in 2003 and provided full-time athletic training coverage at Brookfield Central High School for five years. Most recently, Mark has served as a Lead Athletic Trainer, which involved extensive program development, contracting, and staffing management.

Sheila Gansemer named VP of Patient Care Services at WFH - Franklin, MOSH

Sheila Gansemer, Administrative Director at Wheaton Franciscan Healthcare ­ Franklin and the Midwest Orthopedic Specialty Hospital (MOSH), has been promoted to Vice President ­ Patient Care Services for both hospitals. She will oversee all aspects of nursing care and operations.

Sheila Gansemer

Sheila came to Franklin and MOSH in 2009. She had previously served as Director of Ambulatory Care at St. Francis since 2000. Sheila has been instrumental in the design of the patient experience at MOSH and in managing the growth in volumes at both Franklin and MOSH. Throughout this time, patient satisfaction scores have remained in the top 5% in the country.

Physical Therapist named Black Achiever for Wheaton

Santana Deacon, a Physical Therapist at the Wheaton Franciscan Healthcare ­ Franklin Performance Center, was recently selected to represent Wheaton in the YMCA Black Achievers Program for 2011-2012. Wheaton Franciscan Healthcare sponsors the YMCA Black Santana Deacon Achievers Program in support of our commitment to diversity and pre-college student development. As a Black Achiever, Santana will volunteer a minimum of 80 hours serving as a role model to inspire Teen Achievers in Milwaukee. Santana was nominated by his supervisor, Scott Krueger, based on his leadership skills and dedication to service excellence at Franklin. He has also volunteered extensively at the Boys and Girls Club of Milwaukee.

Marilyn Spenner named VP of Patient Care Services for WFH- St. Francis

Marilyn Spenner Marilyn Spenner, Administrative Director of Medical Center Services at Wheaton Franciscan Healthcare ­ All Saints, has been promoted to Vice President ­ Patient Care Services for Wheaton Franciscan Healthcare ­ St. Francis. She will oversee all aspects of nursing care and operations for the hospital.

Marilyn Spenner

Marilyn started at All Saints in 2002 and has held a series of progressively responsible positions, including Director of Operations Support and Director of Acute Care Services. She has also held teaching positions at Alverno College, UW-Milwaukee and Carroll College.

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Community Benefit Reporting

As a not-for-profit health care system guided by our Mission, providing community benefit activities has always been a part of our daily activities. In the past few years, however, the value of community benefit activities has been under an increasing amount of scrutiny from local, state and federal governments and regulatory agencies. The importance of accurately reporting these efforts was underscored again when new requirements for community benefit activities were included in the Affordable Care Act. In addition, Wheaton hospitals must complete a health needs assessment and related implementation plan prior to June 30, 2013. Plans are in place to ensure that we meet all requirements. In Southeast Wisconsin, we are currently working with the Milwaukee Health Care Partnership to begin assessments in the fall. This work will be coordinated by Natassia Garcia, Manager ­ Strategic Planning and Community Benefit.

New Section 501(r)

The new requirements are included in the new Section 501(r) of the Internal Revenue Code and apply specifically to tax-exempt hospitals. Key requirements include: · Hospital facilities must complete a community health needs assessment at least once every three years and make the assessment widely available to the public. · Hospital facilities must complete an implementation plan to address the identified needs and must discuss which needs it will address (i.e., a need may not be addressed because the hospital does not have specific expertise necessary to impact the identified need). · Failure to comply with the provisions of 501(r) will result in a $50,000 per year penalty. · The implementation plan and total community benefit provided will be reported as part of the annual tax filing for each hospital. · The Internal Revenue Service is required to review the community benefit data of each hospital at least once every three years.

What can you do?

Once the community needs assessments are completed, many associates will have a role in helping to ensure that each hospital is meeting the needs identified and participating in the implementation plan to roll out any new programs. If you are aware of a program or service that your department supports that may count as community benefit, please contact your Director of Finance for a Community Benefit Form or check TauNet under Resources. If you have any questions regarding community benefits or what counts, feel free to contact Natassia Garcia at 414-465-3579.

What is Wheaton Franciscan Healthcare doing?

Following similar processes to prior years, Wheaton Franciscan Healthcare is in the process of calculating the annual community benefit total for FY11. Wheaton continues to follow the Catholic Health Association's standards for defining community benefit activities. Community benefit information will again be reported publicly in our Annual Report, on our websites, and in the mandatory reporting on the tax filings.

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Supreme Court Finds Wheaton's Outpatient Facility Exempt From Taxes

The recent Wisconsin Supreme Court decision upholding the tax exempt status of Wheaton Franciscan Healthcare ­ Wauwatosa and all free standing outpatient hospital facilities is positive news for Wheaton and all the other Wisconsin hospitals and health systems with offsite outpatient facilities. It provides clarity and guidance to hospitals and municipal assessors as to what types of facilities qualify for property tax exemption. Most importantly, the Court's decision recognizes and encourages the modern trend to bringing quality hospital care and technology outside the walls of the traditional hospital and to outpatient facilities within the communities. The Court concluded that approximately two-thirds of Wheaton Franciscan Healthcare ­ Wauwatosa was exempt from property tax. The Court reasoned that the facility was exempt because it was used for the primary purpose of a hospital, it did not constitute a doctor's office, it was not property used for commercial purposes, and no private member benefited financially from it. As a result, the City of Wauwatosa must refund approximately $8,400,000 of real property taxes paid on the facility going back to 2003. This decision also clarifies the extent to which Wisconsin law provides for property tax exemptions for outpatient hospital departments. The City of Wauwatosa took the position that the entire facility was a doctor's office and must pay property taxes. Wheaton challenged this assessment as it applied to the three floors that operate as a hospital-based department and not as office space for medical providers. A Milwaukee Circuit Court Judge, after a nine-day trial, ruled in favor of Wheaton but the Court of Appeals reversed, holding that the entire facility was a doctor's office and therefore was taxable.

Supreme Court Decision

The Wisconsin Supreme Court ruled 6-1 that the outpatient facility was used for the primary purposes of a hospital and therefore qualified as tax-exempt property under Wisconsin law. The Court said that while modern technology allowed complex procedures to be performed in an outpatient setting, that fact did not automatically convert the entire outpatient facility into a doctor's office. The Court noted that the facility fulfills the primary purpose of the St. Joseph campus in a number of ways even though it offers no inpatient beds and is located more than five miles away. The Court of Appeals had considered the outpatient clinic the equivalent of a doctor's office in part because patients were seen there mostly by appointment during scheduled business hours. But the Supreme Court found that this was also true of outpatient care provided at the main hospital complex, and that both parties agreed such care did not impact the tax-exempt status of the main hospital. The Court also rejected the argument that the outpatient facility was used for "commercial purposes." The Court defined "commercial purposes" as "having profit as the primary aim," and identified multiple other goals of the outpatient facility, such as promoting a greater faith-based health care presence, offering charity care, and serving Medicare and Medicaid patients. The Court also observed that no private physicians or individual shareholders would receive any excess revenue that the outpatient facility generated. A copy of the decision is available at: http:/ /wicourts.gov/sc/ opinion/DisplayDocument.pdf?content=pdf&seqNo=68175

Background

Wisconsin Statutes exclude from taxation property used exclusively for the purposes of any nonprofit hospital. The law provides a number of restrictions on this exemption and does not extend to property that is used for commercial purposes or as a doctor's office. The Wheaton outpatient facility is a five-story building located approximately five miles from the St. Joseph campus in Milwaukee. Two of the floors are leased to medical providers as office space and exemption was not sought for those offices. The remaining three floors are used to provide outpatient services such as outpatient surgery, physical therapy, radiology, and women's health services. All hospital and outpatient records can be accessed at both the hospital and the off-campus outpatient clinic. Also, the facilities shared registration and billing systems, and operate under the same hospital license.

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Wheaton partners with Goodwill Industries on Project PRISM

Wheaton Franciscan Healthcare in Southeast Wisconsin has joined forces with Goodwill Industries to create a special partnership that provides extensive paid training to individuals with a positive service attitude interested in becoming strong patient advocates. The goal of the partnership is to enhance Wheaton Franciscan Healthcare patient advocacy by developing a world-class customer service experience that upholds the mission and values of both Wheaton Franciscan Healthcare and Goodwill Industries. Project PRISM stands for Prepared, Ready, Inspired, Service Oriented, Mindful of Mission. The program recruits, trains, and hires self-starting individuals who have a positive service attitude and demeanor and are willing to learn the technical skills necessary for success in the health care industry along with career ladder opportunities. Known for specializing in workforce development, Goodwill Industries will expand its mission through Project PRISM by providing training and work opportunities for individuals with disabilities or disadvantages. With Goodwill's help, Wheaton Franciscan Healthcare is able to expand our workforce diversity, which includes people with disabilities or facing disadvantages. The training program lasts approximately six months. It begins with an initial eight days of orientation conducted by Goodwill Industries followed by two weeks of Wheaton Franciscan Healthcare on-boarding, nine weeks of work and job coaching and another 13 weeks of work and industry-based training. The 2011 pilot program included 95 trainees, including 50 new recruits and 45 current Wheaton Franciscan Healthcare associates, working in the areas of registration, scheduling, and pre-certification. Participants came from eight Southeast Wisconsin locations including Wheaton Franciscan Healthcare ­ Brown Deer, Franklin, St. Francis, and Wauwatosa, and Wheaton Franciscan ­ Elmbrook Memorial, St. Joseph, and The Wisconsin Heart Hospital Campuses. In 2012, the program will be expanded to include Wheaton Franciscan Healthcare ­ All Saints in Racine and to other customer services roles, including billing and collections.

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Vice President ­ Communication and Public Relations: Anne Ballentine Editor: Lori Holly, Director ­ Communication and Public Relations Published by the Communication and Public Relations Department of Wheaton Franciscan Healthcare for staff and friends of Wheaton Franciscan Healthcare. Please direct all inquiries by phone to (414) 465-3174 or by e-mail to [email protected]

© 2011 Wheaton Franciscan Healthcare

Mission

Wheaton Franciscan Healthcare is committed to living out the healing ministry of Jesus by providing exceptional and compassionate health care service that promotes the dignity and well being of the people we serve.

Sponsored by the Wheaton Franciscan Sisters

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