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I am delighted to share Sentara Enterprises’ (SE) first Annual Nursing Report. Sentara

Enterprises is comprised of five (5) business lines: Home Health, Hospice, Home

Infusion, Specialty Pharmacy and Medical Transport. Throughout all of these

business lines, nursing provides tremendous care to our Sentara patients.

As of this writing, SE employs 369 nurses. They predominantly work in Home

Health, Hospice, and Home Infusion. With roots from the 1880’s, the type of

care provided to patients in home settings requires creativity, skill, and

immense critical thinking. Nurses are faced with complex patient needs,

challenging family dynamics, and an ever changing regulatory

environment – these are not easy jobs! Weather, traffic patterns, and

patient choice play into each and every day’s scheduling of patient

appointments.

Nurses assist in medical transports of critical patients on intra-aortic

balloon pumps from one hospital to another. Nurses are patient advocates

at Proprium, our specialty pharmacy, assisting patients with obtaining

affordable medications that are life saving for significant chronic diseases.

They provide education regarding the importance of medication adherence

and symptom management.

This past year, SE nurses have assisted hospitals in reducing hospital readmissions through

the use of best practice protocols for medication management, CLABSI prevention, wound

management, and foley care aimed at CAUTI prevention.

SE is comprised of 50% BSN nurses and we continue the journey to achieving 80% BSN RN’s

by 2020. Our LPNs assist in the provision of care to our patients under the direction of our RNs

and are crucial to our teams!

Thank you for your passion of nursing! Thank you for your hard work and ensuring that the

patient’s in your communities receive the compassionate and professional care that supports

Sentara’s mission of Improving Health Everyday!

The Passion of Nursing

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14,657

Sentara Healthcare Sentara Nursing

We improve health every day. We improve health every day through nursing excellence.

To be the healthcare choice of To create an environment of the communities we serve. health and healing.

People, Quality, Patient Safety, Service & Integrity

Sentara Healthcare's Philosophy of Nursing outlines the beliefs that help to support the overall mission and vision.

We believe:

• The foundation for our work is a culture of safety and accountability;

Our nursing practice foundations differ between facilities as we respect the culture, history, anddiversity of patient populations;

Our responsibility is to create a caring and compassionate relationship with patient/client/family;

As nurses, we collaborate with the healthcare team to use evidence-based practice in providing care;

Nurses assess, manage, coordinate and evaluate the care and education of the patient/family alongthe continuum of care.

Our vision is to create an environment of health and healing.

Key Stats IV

1187

Hospice

2,090

Transport 35 Intra-Aortic

Balloon Pump RN

transports

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Enterprises E terprises rN Educa ion 6-Vea Trend

Total# of Professional RN Staff: 248

2018 28.1% 50.0%

Total# of employees who do not have 9

a Highest Level of Education listed:

RN Education 2017 27.8% 44.0%

YE 2013 2014 2015 2016 2017

Highest Level of Education YE YE YE YE YE 2018

2016 29.1" 27.5% 43.3%

YE I Non-BSN Degree

Non-BSN Degree 189 144 97 72 68 53 Non-BSN w/Contract

Non-BSN w/Contract (Note:Number of Employees who have

n/a 20 47 68 67 68 signed a BSN contract who do not have a

2015 18.1% 44.4% BSN or Higher Degree

YE

BSN degree) 2014 .5°o 38.1%

BSN or Higher Degree 110 101 115 107 106 121 YE

Total 299 265 259 247 241 242 2013 36.8%

YE

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Professional Certifications 11 8 8 9 11 18

Professional Certifications % 3.2% 2.7% 3.0% 3.6% 4.5% 7.3% 0% 20% 40% 60% 80% 100%

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SHC Divisional RN Overall

Turnover

-

.

2017 vs 2018

Enterprises

December 2017 Overall Terminations

Active Terminati Vol Overall

Average ons Terminations TO%

164 43 34 26.2%

December 2017 Overall Terminations

Average Terminat Vol Overall

Active

Average

158

4th Quarter 2018 Overall Turnover

Termination Vol Overall

s Terminations TO%

27 22 17.1%

4th Quarter 2018 Overall Turnover

Average Terminati Vol Overall

End

Overall

17.1%

End

Active ions Terminations TO% Active ons Terminations TO% Overall

50 19 14 38.0% 49 14 12 28.4% 28.4%

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Always Committed to Excellence

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