Mission Hospital has been serving the greater needs of the south Orange County community for nearly 40 years, improving the quality of life in the communities it serves. Mission Hospital provides access to advanced care and advanced caring through two convenient locations, Mission Viejo and Laguna Beach. Mission Hospital in Mission Viejo is an acute care, full-service facility providing the most advanced healthcare services and diagnostic care to south Orange County. One of only three designated trauma centers in the county, the 552-bed hospital offers 24-hour emergency care and specialized services through its Mission Imaging Center, Mission Heart Center, Mission Stroke Center, Mission Maternity Center and Mission Women's Wellness Center. The hospital also offers the highest level of care in orthopedics, rehabilitation, cancer, spine and vascular services. Mission Hospital Laguna Beach's healthcare services include 24-hour emergency, intensive and medical-surgical care as well as behavioral health including psychiatric services and chemical and pain medication dependency treatment. CHOC Children's at Mission Hospital, a separately licensed pediatric hospital on the Mission Viejo campus, serves as the only dedicated pediatric hospital in south Orange County.

A member of the St. Joseph Health System, Mission Hospital is one of 14 not-for-profit hospitals sponsored by the St. Joseph Health Ministry.

At Mission Hospital, we aspire to many things. Resting on our laurels isn't one of them.

That being said, a number of landmark achievements over the past year deserve special mention, such as acquiring a second campus, Mission Hospital Laguna Beach, and opening a new 94,000-square-foot patient care tower. It has indeed been an extraordinary year of remarkable care. While there is much to accomplish in the year ahead, there is also much to celebrate as we look back.

• Mission Hospital Laguna Beach (formerly South Coast Medical Center) was acquired in July 2009 and recently celebrated its one-year anniversary as part of Mission Hospital
  • The facility offers 24/7 emergency, intensive and medical-surgical care, along with supporting ancillary services
  • Mission Hospital Laguna Beach expanded our service offerings to include behavioral health, with psychiatric and chemical dependency treatment programs
  • With the acquisition, Mission Hospital now boasts:
    • 796 affiliated physicians
    • 2,743 employees
    • 592 volunteers
    • 552 licensed beds
• On November 15, 2009, Mission Hospital opened Tower 2 - a four story patient care tower that features a patient-centered design along with next-generation advancements in healthcare technology. This makes Mission Hospital among the most technologically advanced hospital in the country.
  • Tower 2 was featured on WorldArchitectureNews.com highlighting the tower's patient-centered design, superior seismic performance and 45-seat chapel and healing garden. It received many awards, including:
    • 2010 American Institute of Architects (AIA) Design Award for design excellence
    • Associated General Contractors of America (AGC) Marvin M. Black Excellence in Partnering Award for contracting management and collaboration
    • Constructech Magazine's Gold Award for use of three-dimensional Building Information Modeling (BIM) to increase design and construction productivity
• Extraordinarily successful fundraising efforts led to a total of $8.3M raised for Fiscal Year 2010.
• Additional awards include:
  • U.S. Department of Health & Human Services Medal of Honor for excellence for organ donation for the fourth time (December 2009).
  • HealthGrades: Specialty Excellence – Stroke Care (2010).
  • Certificate of Excellence for CHART Performance: (September 2009, January 2010)
• We are also proud to highlight:
  • Access OC and Mission Hospital provided free surgeries for uninsured patients on September 26, 2009. This outpatient service allowed recipients to get back to their lives and remain productive members of our community.
  • Mission Viejo Emergency Department has continued its environmental efforts by eliminating paper charting (95% paperless. 100% computerized).
  • FY10 noteworthy statistics include:
    • Emergency Room Visits (Mission Viejo and Laguna Beach campuses) - 71,420
    • Trauma Patients – 931
    • Births – 3,182

Through Mission Integration, we incorporate the mission and values of the Sisters of St. Joseph of Orange into our day-to-day operations. Affiliated physicians, nurses and staff provide care based upon and integrated with the St. Joseph Health System's core values of Dignity, Service, Excellence and Justice. As such, caring for our patients goes beyond treating physical needs; emotional and spiritual needs are of equal importance in the healing process. We believe care should be as individualized as the patients themselves. And on a larger scale, caring goes beyond the hospital walls and into the community, where we seek to extend our healing ministry to the poor and vulnerable.

Sacred Spaces

• A 45-seat chapel and Schumacher Healing Garden – both designed with the family and patient in mind – provide a peaceful setting to relax. These are open to all individuals seeking comfort or reflection.

SpiritualCare

Mission Hospital ministers to the needs of the whole person through chaplains and volunteers who are trained to provide holistic spiritual care to persons of all religious faiths, and those without any religious affiliation.

• Available for pastoral counseling, crisis intervention, prayer, and bereavement counseling.
• Mission Hospital's NODA ("No One Dies Alone") outreach program assures that no patient will die without the comfort of a compassionate presence when a loved one cannot be present. Over the past three years, 215 volunteers have spent 607 hours at the bedside of 33 patients.
• Mission Hospital supports each patient in deciding the care they wish to receive, especially when they cannot voice it themselves. Advanced Directives include protocols that give seriously ill patients greater dignity than ever before. Through a program known as Five Wishes, patients can decide:
  • Who makes care decisions for them when they can't
  • The kind of medical treatment they wish to receive
  • How comfortable they want to be
  • How they want people to treat them
  • What they want their loved ones to know.
  • An estimated 5,000 copies of Five Wishes were distributed to patients in FY10

Personnel Programs

• Values in Action Awards
  Each year, our Values in Action program allows staff, physicians and volunteers to recognize coworkers for their efforts in incorporating our core values of Excellence, Justice, Dignity and Service into their daily routine. This year, we received over 1,300 nominations for 774 employees. A panel of judges selected four individuals that best exemplified these values.
  • Excellence—Cherie Fox, RN, BSN, CCRN—Cherie managed the Cardiac Intensive Care Unit (CICU) in an interim capacity for eight months. She took advantage of every training opportunity and learned new managerial skills that contributed to her success in meeting and exceeding the needs of her patients, fellow nurses and coworkers.
  • Justice—George B. Avila, MURP, Manager Healthy Communities, Mission Integration—George is an advocate for two Mission Hospital initiatives—the CHEC Family Resource Center and affordable housing. He tirelessly goes out into the community to identify the needs of the most vulnerable to help them have a voice and receive the justice they deserve.
  • Dignity—Lars Galuppo, Director, Mission Construction—Lars oversaw construction of the four-story, 122-bed patient care tower, interacting with thousands of stakeholders and approaching every situation with sensitivity to others.
  • Service—Long Pham, Senior Business Analyst, Information Technology Services—Long is admired for his out of the box IT solutions to improve patient care and safety. His positive attitude and commitment to service allows everyone to do their job more efficiently. Long also won the St. Joseph Health System award for Service.
• NODS is a service standard for each staff member to give their Name, Occupation and Duty with a Smile when they enter a patient's room so they know who they are and what they are there for. This program eases the strain of a hospital stay and creates a more positive patient experience.
• Personnel Orientation
  • In FY10, 344 employees and 137 contract individuals went through Welcome Orientation Week (WOW) to learn about the history, heritage, job-related policies and functions, and other hospital-related initiatives to ensure ongoing quality of care. This important program ensures each new member of the Mission Family has the tools they need to deliver on our mission in their daily work

Patient/Family Advisory Councils

• Bring together patients, their families and Mission Hospital administrators, physicians and staff to develop new services and programs that improve the hospital experience
• Draws on the valuable knowledge and experience of its members to help guide Mission's Patient and Family Centered Care focus
• Two Councils (Critical Care and Maternity) served the Mission Viejo campus in FY10
  • Critical Care Council highlights include:
    • Collaborated with staff to develop documents for Traumatic Brain Injury sitter qualifications, transitioning patients more effectively between Surgical Intensive Care Unit, Progressive Care and Stroke Unit and Adult Rehabilitation Unit
    • Developed a list of former patients willing to help new families with their illnesses/crisis
    • Helped offer suggestions on new Mission Hospital Web site
    • Participated in Rapid Improvement events to improve hospital processes
  • Maternity Council highlights include:
    • Instituted a perinatal comfort care committee for families anticipating infant loss
    • Thoroughly revised infant loss bereavement materials
    • Revised and updated maternity brochure
    • Provided guidance for online maternity education development
    • Facilitated change in materials provided to new mother
    • Provided input on several hospital marketing campaigns

• In the categories of Loyalty and Endorsement, Mission Hospital received its highest scores to date of 93.45. This was well above the targeted goal of 92.21.

Our Advocacy initiatives ensure the most vulnerable and disadvantaged have access to health and quality-of-life issues including food, shelter and adequate healthcare. Mission Hospital sponsors Camino Health Center which has cared for nearly one million men, women and children over the past 28 years.

• Women's, Infants and Children (WIC) program
• Pediatric Dental Clinic
• Diabetes Mobile Clinic

• medical visits: 22,241
• dental visits: 3,005
• mobile unit visits: 1,432
• Women, Infants and Children: 82,162

• Health insurance and education
• Education assistance
• Women's support groups
• Parenting classes
• Guidance and mental health support
• Senior services
• Youth leadership programs
• Financial assistance for basic needs

We actively identify quality of health needs in underserved communities to ensure the most vulnerable and disadvantaged have access to basic health and quality-of-life needs, including food, shelter and adequate healthcare. Current economic conditions have increased the need for community-based programs. Our Community Benefit commitment totaled $32.7 million in FY10.

• Supported mothers and their children with nutritional substance through the WIC program
• Camino Health Center had over 108,000 visits and served 3,557 unduplicated residents from San Juan Capistrano, San Clemente and Dana Point (and increase of 8% over FY09)
• Provided needed primary medical and dental care through the clinic and mobile units

• The South Orange County Family Resource Center saw an increase in mental health clients of 23% in FY10
• The collaborative efforts of the South Orange County Depression Coalition resulted in a 36% increase in recruitment of mental health providers willing to provide sliding scale services for local residents

• In FY10, our child obesity initiative provided over 22,000 encounters for residents of south Orange County
• Play More. Eat Better. block parties held in the communities of San Juan Capistrano and San Clemente focused on providing education on incremental changes families can make to stay healthy and active
• Of the children who were overweight and obese, we measured 6% decrease in body mass index

• Free on-site total cholesterol and glucose screenings and education
• Health risk assessments
• Flu vaccine clinics
• Mammogram lunch program included 56 participants

We aspire to provide caring service with advanced technology that treats the whole person-mind, body and spirit. In fact, the opening of Tower 2 this year makes Mission Hospital among the most technologically advanced hospitals in the country, with internationally recognized, award-winning design and nationally-recognized expertise in a wide range of specialties.

• Convenient access to technologies such as PET/CT, a dual-source CT scanner, bi-plane angiography, a state-of-the-art 3-Tesla Verio MRI and the software that connects them all, means faster, more accurate, integrated diagnosis and timely treatment

• Helps destroy cancer cells more effectively while preserving surrounding healthy tissue

• Our team of nurses and specialists is internationally recognized for developing and implementing lifesaving treatment protocols
• Rooms contain moveable power columns that extend from the ceiling and carry all diagnostic equipment needed to care for the patient

• Ensures patients and families are involved in the treatment process from start to finish
• Designated Stroke-Neurology Receiving Center

Mission Hospital Regional Trauma Center celebrated its 30th Anniversary in FY10.
The trauma care program, a Center of Excellence, was originally championed by Dr. Tom Shaver in 1980. Five hospitals were initially designated as "official trauma centers" – Mission Hospital is one of three that remain. At the forefront, through state-of-the-art protocols and the most advanced diagnostic technologies available, today the trauma care program is as strong as ever.

• Six surgeons and a group of highly specialized nurses form the core of the Trauma Team
• Mission Hospital Trauma Services received the 2010 Spirit of Volunteerism Award from OneOC for their accomplishment with Youthful Drug and Alcohol Deterrent Program, Safe Rides and ongoing prevention efforts.
• The legacy of care continues with Dr. Tom Shaver’s son, Dr. John Shaver who is now the Trauma Medical Director.
• In FY10, 931 Trauma Patients were provided care.

Perfect Care is a long-term strategic initiative designed to improve the quality and safety of patient care through innovation and improved processes.

Mission Hospital has partnered with technology partners to leverage electronic medical records (EMR) technology that provide easier, more efficient access to medical information.

• A system that engages employees and clinicians in redesigning processes to improve workflow and reduce redundancy/waste, adding value to their work environment and improving patient experience
  • Number of Rapid Improvement Events (RIE) & Values Stream Analysis' (VSA): 24
  • New Certified Green Belts: 15*
  • Return on Mission (ROM):
    • 183 employees participated, 20 in more than one RIE
    • Soft Savings; $694,832
    • Return on Investment (ROI) hard savings: $937,668

*Mission Hospital's Improving Performance program, is based on Lean Methodology, follows the martial arts format of having colored belts (Green and Black) based on your level of expertise. Green is the first level of excellence and indicates a mastery of Lean basics. Black indicates a complete mastery of process improvement and the ability to coach individuals or an organization through improving performance activities.

Quality and Regulatory Activities include:

• Completion in July of a successful recertification of the Joint Commission inpatient primary stroke program with praise and no recommendations for improvement
• Mission Hospital Laguna Beach was successfully surveyed by the Joint Commission, and is now a part of the Mission Hospital Joint Commission Accreditation
• No wrong site surgeries for more than 5 years in a row
• Pacific Ambulance is Mission Hospital's new ambulance service provider

Mission Hospital leads the way in providing the most advanced diagnostic care in the world with advanced caring to treat the whole person - body, mind and spirit. Some of the technologies and protocols that best exemplify this level of advanced care and advanced caring include:

• Traumatic Brain Injury - The Licox® Brain Tissue Monitoring System is a state-of-the-art system that ensures a trauma victim's brain continues to receive the oxygen needed to remain healthy
• Aortic Dissection - Access to options and expertise like the Aortic Arch Replacement – a delicate procedure that repairs the largest vessel from the heart, the aorta. It's performed by the only surgeon in Orange County who's made it his life's work
• Trauma – The Arctic Sun - Hypothermia Protocol allows a team of doctors to cool a trauma patient's core body temperature. It virtually freezes the body in time in order to preserve brain function for a full recovery
• Rapid Response Team - Any unusual symptom will result in a Rapid Response Nurse at your bedside with additional expertise in a matter of seconds
• daVinci S. Surgical Robotic System - Allows highly skilled surgeons to operate through tiny incisions with pinpoint accuracy, resulting in less pain, less scarring, and a shorter hospital stay

Maintaining the highest standards of integrity is integral to our goal of providing the best care for our patients and the community at large. As we continue to gain momentum in providing advanced care with advanced caring, we also aspire to be a leader in financial stewardship, transparency and accountability. By continually striving to better our operations we can deliver on our mission to care for the underserved and meet our goals as a ministry. We are grateful for the hard work and sacrifice from so many that makes our work possible. And in this difficult economy, we are more thankful than ever for the many contributions we have received over the past year.

• Consolidated Net Income of $57.6M or 12.3% Profit Margin – a 122.5% improvement over budget
• Salaries and benefits for employees who provide our services - $201M
• Cost of services provided for patients who couldn't afford to pay for the care they received (Charity Care): $26M
• Other patient service charges for which we did not receive payment (Bad Debt): $29M
• Capital invested to build/improve facilities and to enhance patient care: $89M
• $18M "turn-around" of our July 1, 2009, Laguna Beach Hospital Acquisition (Formerly known as South Coast Medical Center) which historically has been losing over $1M per month, achieving an Overall Profit Margin of 7.6%
• Provided over $4.3M in support of "Community Health & Healthy Communities" Programs and Services

• Camino Health Center Auxiliary Fashion Show raised $370,000
• Golf benefit raises $360,000 for Mission Hospital
• Mission Hospital's 'Employee Giving' campaign raised $112,000
• Annual Holiday Gala raised $900,000
• Valiant Women Luncheon raised $125,000 for Mission Hospital women's services