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Wholehearted HEALTH CARE Chest Pain Center and Cardiovascular Intensive Care Unit: The future of cardiac care at Bon Secours St. Francis Health System 1

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Quality Meets Compassion The Bon Secours St. Francis Health System is ranked among the 100 best hospitals in America. That s quite an achievement. It s particularly remarkable for a nonprofit whose mission includes a unique mix of healthcare and community services for people in need. Our health system was founded in 1932 by the Franciscan Sisters of the Poor, who passed the torch in 2000 to the Sisters of Bon Secours. Bon Secours means good help combining the highest quality of medical services with the highest standard for compassion. Currently we provide $66 million in free care each year. Community Support Bon Secours St. Francis plays this unique role through the generous contributions we receive every year from the communities we serve. Examples include recent capital projects focused on cancer, breast health, and neonatal care. There s one obvious gap, though, in our effort to serve the most urgent healthcare needs of this region. Our heart health facilities need an upgrade. The Heart Challenge Cardiovascular disease is the leading cause of death in the US today. One in three deaths more than 800,000 per year are heart related. There are 74 million people in the US with high blood pressure, 5.7 million with congestive heart failure, and 6.5 million people who suffer strokes each year. In the upstate, health statistics parallel these national trends. Fortunately, Bon Secours St. Francis already has an outstanding heart program. We re ranked among the nation s 100 best hospitals in cardiac care; we treat heart attacks three times faster than the national average; and our cath-lab was the first in the country to be accredited for cardiovascular excellence. And yet, Bon Secours St. Francis aging cardiac facilities are beginning to lag behind the national standard of care. That s why we re now seeking $3.7 million to upgrade the following services: A new Chest Pain Center will provide immediate care in emergencies, potentially saving the lives of heart patients by detouring them around the Emergency Department. A new Cardiovascular Intensive Care Unit will offer patients easy access to new technology and a healing atmosphere that promotes better outcomes. Wholehearted Care Bon Secours St. Francis mission is to bring compassion to healthcare, especially for people with the most urgent needs. Grounded in the healing ministry of Jesus Christ and the Catholic Church, we mend both body and spirit for patients of every faith and none. Serving 180,000 upstate residents each year, Bon Secours St. Francis consistently wins the nation s top awards for quality care: We re among the nation s top 100 hospitals in nine different categories, including cardiac care, pulmonary care, stroke care, critical care, vascular surgery, and orthopedic surgery. In 2012, we were named one of the ten safest hospitals in America. We ve also received multiple awards for patient satisfaction, as well as employee satisfaction, charitable service and environmental leadership. 3

Chest Pain Center $1.2 million If you ve ever rushed a loved one to the hospital, you know the breathless feeling that every second counts. When you re having a heart attack, the longer you remain untreated, the greater the risk of permanent damage. That s why Chest Pain Centers are quickly becoming the national standard for cardiac emergencies. People with heart symptoms bypass the Emergency Department, heading straight for a facility where specialists respond to their needs immediately and effectively. This new design will have a beneficial impact on all heart patients: Heart Attack: We already treat heart attacks three times faster than the national average. Yet even in a cardiac crisis, many people hesitate to visit an Emergency Department. They wait for symptoms to abate, or even wait to see their own doctor. These same people, though, will visit a Chest Pain Center substantially reducing their risk of death or heart damage. Other Heart Patients: For patients with other issues, including irregular heartbeat and congestive heart failure, efficiencies inherent in the design of a Chest Pain Center will significantly speed treatment. Time is muscle the longer the episode, the more damage to the heart. Dr. Christopher Smith, Upstate Cardiology All Heart Patients: Finally, the new Chest Pain Center will shield all heart patients from a potentially stressful experience in the Emergency Department. This provides more compassionate care which research links to quicker recovery and better outcomes. In sum, a new Chest Pain Center will mean fewer heart-related deaths; less damage to the heart in many cases; improved patient experience; and lower costs due to increased efficiency. Plus, when 5,000 heart patients per year detour our Emergency Department, every other emergency patient will receive expedited care. Studies show that Chest Pain Centers provide the very best emergency cardiac care. It s time for Bon Secours St. Francis to become part of this lifesaving national trend. 4

Cardiovascular ICU $2.5 million Bon Secours St. Francis has an outstanding cardiovascular program. However, our cardiovascular intensive care unit (CV-ICU) is outdated and doesn t provide an optimal healing environment. CV-ICU patients come directly from the operating room and require close observation because they re mechanically ventilated and need intravenous medications. Unfortunately, though, our current CV-ICU doesn t accommodate the needs of either patients or their loved ones. CV-ICU rooms are separated only by curtains. The front of these rooms is usually open, facing the nurse s station. There is little sense of privacy for patients and families. Also, cardiac equipment gets larger and more complex each year. New procedures require more room for medical personnel, resulting in little space for family in the patient s room. As anyone who s ever spent time in a hospital knows, patient experience matters. In fact, research links greater privacy, reduced noise, natural lighting, and family support to quicker recovery and better outcomes. Accordingly, state regulations for new ICU construction mandate many of these improvements. Compassionate care is increasingly synonymous with quality care. It s time to match the extraordinary quality of our cardiovascular team with an equally high-quality CV-ICU. OUR CARDIAC TEAM The quality of Bon Secours St. Francis cardiovascular team is second to none in South Carolina. It includes: Cardiologists, who use non-invasive methods including stress testing, echocardiograms, and EKG s to treat patients Interventional Cardiologists, who treat cardiovascular disease as well as congenital and structural heart conditions through catheter-based procedures such as angioplasty and stenting Electrophysiologists, who focus on the heart s timing, or electrical system, diagnose and treat irregular heartbeats or arrhythmias, and place ICD s to prevent sudden cardiac death Cardiovascular Surgeons, who repair damage caused by disease and disorders, including coronary artery bypass grafting and heart valve repair A Women s Heart Specialist, who addresses aspects of heart health unique to women A new Hybrid Operating Room (2016), where Emergency Physicians, Interventional Cardiologists, and Cardiac Electrophysiologists can work together, pooling their skills to maximize successful outcomes. 5

Every year, tens of thousands of people turn to Bon Secours St. Francis when they face a serious health challenge because they know we will provide the all-important expert, faithbased care they need. By creating a state-ofthe-art Chest Pain Center and CVICU we will strengthen, for all we serve, an already award winning cardio vascular program.. When we plan major new construction projects to meet the Upstate s evolving needs, we carefully determine how much we can contribute to the project while ensuring that we compromise neither our quality of care nor our financial stability. Philanthropy and partnership with the community are the critical components in our forward progress. As the chart below illustrates, we must provide hundreds of millions of dollars in services to accumulate the $3.7 million in philanthropic support we are seeking for the Chest Pain Center. Philanthropy makes it possible for us to continue enhancing our facilities and services without compromise and at the standard of excellence that is synonymous with Bon Secours St. Francis. However, we will need your help to do it. Together, we will dramatically improve the cardiac care available to people of our area. TO $10M=5% NET OPERATING MARGIN +200M IN SERVICES TO $10M=3% OPERATING +333M IN NET MARGIN SERVICES TO $10M=1% NET OPERATING MARGIN +1B IN SERVICES 6

Wholehearted Community People in the upstate talk about the St. Francis touch. It started with the tender care patients and their families received from the Franciscan Sisters, and it continues with the care provided today by our highly-qualified staff. But our staff can t do it alone. Integral to the process of healing the sick are the donations we receive from caring community members. Bon Secours St. Francis is not just a wholehearted health system; it s a wholehearted community. A community where those who are strong and well and prosperous gladly help shelter and heal those who are not. Today, one-third of Americans die of heart disease. Medical science can address this issue. But we need your help to create the facilities and programs that will save the lives of your family, friends, and neighbors. St. Francis famous prayer, now recited by people of every faith, contains these words: it is in giving that we receive. That s literally true. The new Chest Pain Center could save your life, or the new CV-ICU could make a big difference for someone you love. But it s also true in a subtler sense. Blessings freely bestowed always bless the giver not someday maybe, but right here and now. O Divine Master, grant that I may not so much seek to be consoled, as to console; to be understood, as to understand; to be loved, as to love. For it is in giving that we receive. From St. Francis Prayer So please consider the manifold blessings of joining a wholehearted, community-wide effort to treat heart disease in the upstate. With your help, Bon Secours St. Francis can apply its unique touch to the most urgent healthcare issue of our time. For more information on how you can invest in Wholehearted healthcare and Bon Secours St. Francis please contact the St. Francis Foundation at 864-255-1040 or email debra_richardson@bshsi.org

For more information please contact us at the St. Francis Foundation: 864-255-1040 8