University of Utah Health Improving Wellness: 40 Champions, 20 Projects, 12 M...University of Utah
On December 14, 2017, the Wellness & Integrative Health’s Resiliency Center, Accelerate, and the Spencer S. Eccles Health Sciences Library will presented a Faculty Wellness Poster Session. Each department in the School of Medicine highlighted the past year’s Wellness Champion projects, which were focused on personal resilience, burden reduction, and team work. The poster session demonstrated the work completed so far as the Wellness Champion program is expanded to faculty and staff across U of U Health.
Enhancing & Improving Health Outcomes of Your Residents: A Collaborative Appr...BCCPA
This panel presentation will take a closer look at three key areas of seniors health in residential care (falls, pressure sores, and meaningful engagement in everyday activities) and how collaborating with occupational therapy can lead to reducing injury, hospitalization and associated costs in residential care. Presentation will share best practices for mobility assessment and prescription, pressure sore management and prevention. It will also share experience of a BC residential care providers and OT provider to highlight a successful collaboration in action to improve health & well-being of residents/staff.
Speakers:
- Michelle Whitehouse, Director of Care, Zion Park Manor
- Amit Kumar, Occupational Therapist and Director
- Giovanna Boniface, National Director of Professional Affairs, CAOT
Barriers to, and enablers of, adoption of technology enabled care servicesInnovation Agency
Professor Alison Marshall, Health Technology & Innovation, University of Cumbria discusses the processes behind adopting technology enabled care services.
University of Utah Health Improving Wellness: 40 Champions, 20 Projects, 12 M...University of Utah
On December 14, 2017, the Wellness & Integrative Health’s Resiliency Center, Accelerate, and the Spencer S. Eccles Health Sciences Library will presented a Faculty Wellness Poster Session. Each department in the School of Medicine highlighted the past year’s Wellness Champion projects, which were focused on personal resilience, burden reduction, and team work. The poster session demonstrated the work completed so far as the Wellness Champion program is expanded to faculty and staff across U of U Health.
Enhancing & Improving Health Outcomes of Your Residents: A Collaborative Appr...BCCPA
This panel presentation will take a closer look at three key areas of seniors health in residential care (falls, pressure sores, and meaningful engagement in everyday activities) and how collaborating with occupational therapy can lead to reducing injury, hospitalization and associated costs in residential care. Presentation will share best practices for mobility assessment and prescription, pressure sore management and prevention. It will also share experience of a BC residential care providers and OT provider to highlight a successful collaboration in action to improve health & well-being of residents/staff.
Speakers:
- Michelle Whitehouse, Director of Care, Zion Park Manor
- Amit Kumar, Occupational Therapist and Director
- Giovanna Boniface, National Director of Professional Affairs, CAOT
Barriers to, and enablers of, adoption of technology enabled care servicesInnovation Agency
Professor Alison Marshall, Health Technology & Innovation, University of Cumbria discusses the processes behind adopting technology enabled care services.
Patient leakage - What to know and how to avoid itChiron Health
Patient leakage to urgent care centers is a well known and costly issue for many practices. However, with the rise of telemedicine, there is a new aspect of patient leakage that practices need to be aware of: leakage to on-demand telemedicine companies.
iWantGreatCare's 7th National Symposium - Building fantastic staff morale, improving quality and reducing costs - took place on Tuesday 21st June at The King's Fund, London.
NHS leaders share their experiences of how they are building excellence in their Trust, reducing costs and growing staff morale by listening to the voice of the patient.
View the slides from these well-regarded delegates:
Alwen Williams, Chief Exective, Barts Health NHS Trust
David Behan, Chief Executive, Care Quality Commission
Dr Nadeem Moghal, Medical Director, Barking, Havering and Redbridge University Hospitals NHS Trust
Liz Mouland, Chief Nurse, First Community Health and Care
Jeremy Howick, clinical epidemiologist and philosopher
Children’s Health of Dallas Gets Pediatric Transplant Patients Back Home to H...Samsung Business USA
Children’s Health of Dallas treats kids and adolescents with some of the most complex medical needs in the state of Texas. To ensure patients get ongoing medical supervision and educational resources when they leave hospital, Children’s Health needed virtual health technology that would allow care providers to watch out for them while they heal at home. Read this case study to find out how Children’s Health has been piloting a remote patient monitoring solution utilizing Samsung Galaxy tablets, solutions and services from Vivify Health and Bluetooth-enabled biometric devices, such as weight scales and blood pressure cuffs.
As patients and families impacted by harm, we imagine progressive approaches in responding to patient safety incidents – focused on restoring health and repairing trust.
We can change how we respond to healthcare harm by shifting the focus away from what happened, towards who has been affected and in what way. This is your opportunity to hear about innovative approaches in Canada, New Zealand, and the United States that appreciate these human impacts.
This interactive webinar is hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the World Health Organization Patients for Patient Safety Global Network.
Project ADAM Tennessee’s mission is to serve children and adolescents through education and the deployment of life saving programs that help prevent sudden cardiac arrest and sudden cardiac death in schools. Adults at work or visiting in schools will also benefit from the program. Our goal is to engage the participation
of all schools in Tennessee. For more information on how your school can become Heart Safe, please visit: https://www.etch.com/about_us/community_outreach/project_adam.aspx
The slides cover the AHSN's response to the Covid-19 pandemic, and provides a review of 2019-20.
There are also case studies where AHSN staff returned to the frontline NHS, to support our colleagues with the response to Covid-19. All documents can be viewed or downloaded below.
Bill Gillespie, Chief Executive of Wessex AHSN, said: "Thanks to the trusted relationships we have built with regional and national partners over the past eight years, we have been in a strong position to provide a solid, adaptive response to the crisis.
"Along the way, we have discovered that staff at every level of our partner organisations have enormous depths of creativity and commitment; and that the public are more willing than we ever imagined to welcome technology and innovation into their care.
"Our own AHSN staff have also shown a huge willingness to take on new roles, to work almost entirely virtually; and, for some, to step back into frontline roles or play a part in key national Covid projects. We’d like to thank them for their amazing commitment over the past few months."
Changing practice through knowledge translation and implementation science.
Have you asked, told, taught and begged, but your hand hygiene results aren’t changing as quickly as you want? Changing practice is hard! Join CPSI on May 4th for an interactive webinar exploring the fundamentals of knowledge translation and the efforts of Public Health Ontario to change practice through this innovative science. We will also look at how you can impact patient and family hand hygiene efforts through the successful use of campaigns.
The slides cover the AHSN's response to the Covid-19 pandemic, and provides a review of 2019-20.
There are also case studies where AHSN staff returned to the frontline NHS, to support our colleagues with the response to Covid-19. All documents can be viewed or downloaded below.
Bill Gillespie, Chief Executive of Wessex AHSN, said: "Thanks to the trusted relationships we have built with regional and national partners over the past eight years, we have been in a strong position to provide a solid, adaptive response to the crisis.
"Along the way, we have discovered that staff at every level of our partner organisations have enormous depths of creativity and commitment; and that the public are more willing than we ever imagined to welcome technology and innovation into their care.
"Our own AHSN staff have also shown a huge willingness to take on new roles, to work almost entirely virtually; and, for some, to step back into frontline roles or play a part in key national Covid projects. We’d like to thank them for their amazing commitment over the past few months."
Meeting the challenge together... delivering care in the most appropriate set...NHS Improvement
Meeting the challenge together... delivering care in the most appropriate setting (October 2008). This document has been designed to support the pilot sites (now starting to test new ideas working with partners in primary care and social care) but will also be of interest to other organisations attempting to reform inpatient care (Published October 2008).
Presenting on an expert panel on the topic of "eHealth Technologies to leverage patient engagement and compliance" at Health Care Unbound conference, San Diego in July 2010.
10 years’ experience with, over 7 years performed at sales and management levels in Retail, Telecommunications, IT, Insurance and food & beverage industries. Currently working with Old Navy (Gap Inc.), as Sr. Business and Operations Manager. Having experience in Human Resources including Recruitment, screening, implementation of Training programs, coaching and motivation of staff. Shared responsibility for key HR functions, including: Employee Relations, Succession Planning and Background Investigations.
Patient leakage - What to know and how to avoid itChiron Health
Patient leakage to urgent care centers is a well known and costly issue for many practices. However, with the rise of telemedicine, there is a new aspect of patient leakage that practices need to be aware of: leakage to on-demand telemedicine companies.
iWantGreatCare's 7th National Symposium - Building fantastic staff morale, improving quality and reducing costs - took place on Tuesday 21st June at The King's Fund, London.
NHS leaders share their experiences of how they are building excellence in their Trust, reducing costs and growing staff morale by listening to the voice of the patient.
View the slides from these well-regarded delegates:
Alwen Williams, Chief Exective, Barts Health NHS Trust
David Behan, Chief Executive, Care Quality Commission
Dr Nadeem Moghal, Medical Director, Barking, Havering and Redbridge University Hospitals NHS Trust
Liz Mouland, Chief Nurse, First Community Health and Care
Jeremy Howick, clinical epidemiologist and philosopher
Children’s Health of Dallas Gets Pediatric Transplant Patients Back Home to H...Samsung Business USA
Children’s Health of Dallas treats kids and adolescents with some of the most complex medical needs in the state of Texas. To ensure patients get ongoing medical supervision and educational resources when they leave hospital, Children’s Health needed virtual health technology that would allow care providers to watch out for them while they heal at home. Read this case study to find out how Children’s Health has been piloting a remote patient monitoring solution utilizing Samsung Galaxy tablets, solutions and services from Vivify Health and Bluetooth-enabled biometric devices, such as weight scales and blood pressure cuffs.
As patients and families impacted by harm, we imagine progressive approaches in responding to patient safety incidents – focused on restoring health and repairing trust.
We can change how we respond to healthcare harm by shifting the focus away from what happened, towards who has been affected and in what way. This is your opportunity to hear about innovative approaches in Canada, New Zealand, and the United States that appreciate these human impacts.
This interactive webinar is hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the World Health Organization Patients for Patient Safety Global Network.
Project ADAM Tennessee’s mission is to serve children and adolescents through education and the deployment of life saving programs that help prevent sudden cardiac arrest and sudden cardiac death in schools. Adults at work or visiting in schools will also benefit from the program. Our goal is to engage the participation
of all schools in Tennessee. For more information on how your school can become Heart Safe, please visit: https://www.etch.com/about_us/community_outreach/project_adam.aspx
The slides cover the AHSN's response to the Covid-19 pandemic, and provides a review of 2019-20.
There are also case studies where AHSN staff returned to the frontline NHS, to support our colleagues with the response to Covid-19. All documents can be viewed or downloaded below.
Bill Gillespie, Chief Executive of Wessex AHSN, said: "Thanks to the trusted relationships we have built with regional and national partners over the past eight years, we have been in a strong position to provide a solid, adaptive response to the crisis.
"Along the way, we have discovered that staff at every level of our partner organisations have enormous depths of creativity and commitment; and that the public are more willing than we ever imagined to welcome technology and innovation into their care.
"Our own AHSN staff have also shown a huge willingness to take on new roles, to work almost entirely virtually; and, for some, to step back into frontline roles or play a part in key national Covid projects. We’d like to thank them for their amazing commitment over the past few months."
Changing practice through knowledge translation and implementation science.
Have you asked, told, taught and begged, but your hand hygiene results aren’t changing as quickly as you want? Changing practice is hard! Join CPSI on May 4th for an interactive webinar exploring the fundamentals of knowledge translation and the efforts of Public Health Ontario to change practice through this innovative science. We will also look at how you can impact patient and family hand hygiene efforts through the successful use of campaigns.
The slides cover the AHSN's response to the Covid-19 pandemic, and provides a review of 2019-20.
There are also case studies where AHSN staff returned to the frontline NHS, to support our colleagues with the response to Covid-19. All documents can be viewed or downloaded below.
Bill Gillespie, Chief Executive of Wessex AHSN, said: "Thanks to the trusted relationships we have built with regional and national partners over the past eight years, we have been in a strong position to provide a solid, adaptive response to the crisis.
"Along the way, we have discovered that staff at every level of our partner organisations have enormous depths of creativity and commitment; and that the public are more willing than we ever imagined to welcome technology and innovation into their care.
"Our own AHSN staff have also shown a huge willingness to take on new roles, to work almost entirely virtually; and, for some, to step back into frontline roles or play a part in key national Covid projects. We’d like to thank them for their amazing commitment over the past few months."
Meeting the challenge together... delivering care in the most appropriate set...NHS Improvement
Meeting the challenge together... delivering care in the most appropriate setting (October 2008). This document has been designed to support the pilot sites (now starting to test new ideas working with partners in primary care and social care) but will also be of interest to other organisations attempting to reform inpatient care (Published October 2008).
Presenting on an expert panel on the topic of "eHealth Technologies to leverage patient engagement and compliance" at Health Care Unbound conference, San Diego in July 2010.
10 years’ experience with, over 7 years performed at sales and management levels in Retail, Telecommunications, IT, Insurance and food & beverage industries. Currently working with Old Navy (Gap Inc.), as Sr. Business and Operations Manager. Having experience in Human Resources including Recruitment, screening, implementation of Training programs, coaching and motivation of staff. Shared responsibility for key HR functions, including: Employee Relations, Succession Planning and Background Investigations.
Fun Learning at the Bell Museum’s “Saturday with a Scientist” Program Ronald Lipscomb
Ronald Lipscomb, currently the general manager of the Chesapeake Regional Center of the U.S. EB-5 Visa Program, has held a number of executive positions in the construction and real estate industries during the course of his career. Prior to embarking in business, Ronald Lipscomb studied civil engineering at the University of Minnesota.
Many datasets have been freely available, particularly derived data such as digital elevation models, contours, hydrography, land cover, names, and boundaries
More recently, data that were sold to the public are being made available for free download (topographic maps, some aerial photographs, and Landsat scenes)
Data Generation and Access
Marbella is designed for an unmatched way of life, within four walls and out in the open. A signature Spanish style and refreshing colour palette create lavish indoor spaces. Out of doors, planned walkways, scenic parks, leisure and recreational facilities complete the experience of villa life.The project offers well designed 4BHK and 5BHK apartments at very affordable prices. The project is well connected by various modes of transportation.
4 BHK - 2410 sq.ft - 1.87 Cr onward.
5 BHK - 3670 sq.ft - 2.86 Cr onward.
For more details about specifications, amenities, floorplans and more click here- http://bit.ly/EmaarMGFMarbella
CONTACT US:-
LANDLINE:- 0124-6452989
MOB:- +91 8860939664 / 9990891178
EMAIL ID- customercare@realatix.in
WEB:- www.realatixconsulting.com
Nestled in the heart of Gurgaon, the industrial and financial hub of North India, Godrej Frontier comprises lavish 3-bedroom and 4-bedroom homes. The expansive property also offers 19 exclusive, tastefully-appointed penthouses. Here, intelligent design fuses with breathtaking natural vistas to ensure ample cross ventilation, lots of natural light and impressive aesthetics.
CONTACT US:-
LANDLINE:- 0124-6452989
MOB:- +91 8860939664 / 9990891178
EMAIL ID- customercare@realatix.in
WEB:- www.realatixconsulting.com
This picture is taken at the Turku Building & Interior exhibition in 2015 by Turun Sanomat. Now we return to the same city and Stockmann neighbour, the HANSA square, one week prior to Black Friday 2016.
Design Thinking as innovation tool for Smart Nation: Cancer healthcareShah Widjaja
Presentation done as part of Singapore Design Week Festival 2017
Summary:
How does design thinking change mindsets and culture so that a nation like Singapore can continue to innovate and lead the transformation for a better future? Harnessing the power of design thinking to build a ‘Smart Nation’ for Singapore, this workshop aims to give audiences the opportunity to realize the potential this methodology has.
A user-centered way of solving problems, design thinking involves collaboration across user segments, through strategies like customer journey mapping, design research and rapid prototyping. While design is often used to describe an end-product, in reality if applied properly, can be used to address problems or issues across a variety of field including social issues.
Development and ImplementationThe development process begins wit.docxlynettearnold46882
Development and Implementation
The development process begins with finding and sending trained professionals into the long-term care facilities that have a knowledge of the safety of older adults and the employees. Next, the professionals will educate the employees of the facilities on proper safety measures to use to protect themselves and their patients. After the employees, have completed the education course they will receive a certification and allowed to continue back to work. The safety professionals will go through each patient record and determine their specific needs and course of safety that should be used to prevent further falls and injuries. They will then inform the patients or their power of attorney’s over the new safety precautions that will be put into place. The new equipment that is required will be assessed and an order will be placed, such as new gait belts, lifts, rails, and walkers. After the equipment is ordered new safety tips and posters will be placed throughout the facility to allow patients and their families to read and become informed on the new ideas that are being formed in their loved one’s facilities.
The safety professionals will examine the statistics of an increase or decrease in falls after six months of the program development. They will then begin to survey patients, employees, and family members on the effectiveness of the program and if they would like to see it continue and improve in their facilities. This will determine if they enjoy the new ways that their caretakers are looking after their safety and if they feel more secure in their “homes.” All of the surveys will go the nursing home administrators to determine where to proceed next.
During the implementation process our safety program will use the PRECEDE/PROCEED method. The precede method will help to continue and maintain the measurable objectives for all of the safety projects that begin on the facility. The proceed method will monitor the quality of the program and if the program should continue. During the implementation process it is important that the administrator and program developers look at the program cost and amount and ensure that it is a wise decision to continue or even begin the program in their facilities. The hope of our program is that the employees will continue with the safety program after the safety professionals leave and will try to grow and expand their program and continue to make it their own.
REFERENCE
McKenzie, J., Pinger, R. (2015). An Introduction to Community & Public Health (8th Ed.) Jones and Bartlett Learning, LLC
Goals and Objectives:
Nursing home injuries can be prevented in the facility staff stays vigilant and consistently works to improve the safety of each individual as well as the safety of the physical environment. The CDC suggests that nursing homes adopt a multipronged approach to reduce the number of accidents. This involves:
· Individual assessment of each patient including their li.
The Good Apples Group EHRS ProjectSummaryYou are an employee.docxoreo10
The Good Apples Group EHRS Project
Summary
You are an employee of the Good Apples Group, a healthcare organization which runs MacIntosh Manor Hospital. The CEO of the hospital has made a priority for the hospital to enter the 21st century by converting its operations to an Electronic Health Records System. You have been assigned the role of project manager for this effort, and are therefore responsibility for ensuring that the needs of the hospital have been carefully assessed and that the planning process for bringing an EHRS online is effective.
The Organization
At first glance, MacIntosh Manor Hospital looks like any small town hospital, where the quality of care is certainly modern but the staff and patients still come to know each other and expect a down-to-earth pace. The Good Apples Group, a parent corporation maintaining several local clinics in addition to MacIntosh Manor, has worked hard over the years to maintain that balance of customer service and cutting edge patient care.
MacIntosh Manor Hospital is a 500-bed, critical access hospital in Shiminy, Pennsylvania. It is the largest hospital within 100 miles, and schedules between 22,000 to 26,000 visits a year. MMH provides surgical, medical and acute care, 24-hour emergency room services, outpatient services, health education, behavioral services, and home and hospice care to a primarily suburban region of about 124,000 residents. It employs 2200 people, including 275 physicians, and as a hospital is managed by its own CEO.
MMH’s mission is to provide for the residents of Shiminy high quality services that enhance the quality of life and promote healthy lifestyles for patients, clients, employees, organization and communities. In its community MMH seeks to lead by example through compassionate, caring and comprehensive health care services.
The direction of MacIntosh Manor’s strategic vision change greatly in 2010 when Dr. Phillip Kapp was named CEO of the Good Apples Group and made it clear that his own successes with implementing EHRS and related technologies in healthcare facilities in the Philadelphia area would be the kind of challenge he wished to take on again with MacIntosh Manor Hospital. Kapp formed a strategic planning committee to assess the use of technology and what MMH should implement, and to determine and monitor a migration path.
Around the same time that Dr. Kapp took charge of the Good Apples Group, a federal mandate was issued that hospitals nationwide need to be using electronic medical records by 2015, giving Kapp and the strategic planning committee even more incentive to act quickly. The committee recommended beginning the transition to EHRS immediately and implementing both financial and clinical solutions.
“Creating a ubiquitous and common platform for timely access to clinical information is crucial for patient care and patient safety. By giving physicians and nursing staff access to the information they need at the point ...
News from the Coal Face: There’s light at the end of the tunnel. Presented by Dr Andrew Miller, General Practitioner, at HINZ 2014, 11 November 2014, 4.30pm, Marlborough Room
· What is the NDNQIThe National Database of Nursing Quality Ind.docxodiliagilby
· What is the NDNQI?
The National Database of Nursing Quality Indicators (NDNQI®) is the only national nursing database that provides quarterly and annual reporting of structure, process, and outcome indicators to evaluate nursing care at the unit level. Linkages between nurse staffing levels and patient outcomes have already been demonstrated through the use of this database. Currently over 1100 facilities in the United States contribute to this growing database which can now be used to show the economic implications of various levels of nurse staffing.
NDNQI data allows staff nurses and nursing leadership to review and evaluate nursing performance in relation to patient outcomes. Hospitals can use the information to establish organizational goals for improvement at the unit level, and mark progress in improving patient care and the work environment. It can also help your facility avoid costly complications.
· What are nursing-sensitive quality indicators?
Nursing-sensitive indicators identify structures of care and care processes, both of which in turn influence care outcomes. Nursing-sensitive indicators are distinct and specific to nursing, and differ from medical indicators of care quality. For example, one structural nursing indicator is nursing care hours provided per patient day. Nursing outcome indicators are those outcomes most influenced by nursing care.
· Which particular quality indicator did you select to address in your tutorial?
Medication error
· Why is this quality indicator important to monitor?
· Be sure to address the impact of this indicator on quality of care and patient safety.
Medication safety is an important topic because medication errors (MEs) are a common, serious and expensive type of medical error
may cause or lead to inappropriate medication use or patient harm
· Why do new nurses need to be familiar with this particular quality indicator when providing patient care?
The nurse’s role in and ability to change patient safety and quality improvement within health care has implications for both safety and quality processes and nursing, patient, and organizational outcomes. The relationships between organizational systems factors, clinical processes, and patient safety and quality outcomes. It is important to focus on improving and widening the assessment of the impact of patient safety and quality improvements on the incidence of the broad array of errors that can and do occur in nurses’ work environments. For example, leaders and clinicians need to understand the association between an organization’s culture of safety and patient outcomes as well as how nurses can influence executives to lead working environment improvements.
Hello and welcome to the University Hospital Health Care System. My name is Diane Tate. We are so excited to have you on our nursing team. I am here today to help you better understand how our healthcare system uses Nursing Sensitive Quality Indicators – also known as the NDNQI - to en ...
· What is the NDNQIThe National Database of Nursing Quality Ind.docxalinainglis
· What is the NDNQI?
The National Database of Nursing Quality Indicators (NDNQI®) is the only national nursing database that provides quarterly and annual reporting of structure, process, and outcome indicators to evaluate nursing care at the unit level. Linkages between nurse staffing levels and patient outcomes have already been demonstrated through the use of this database. Currently over 1100 facilities in the United States contribute to this growing database which can now be used to show the economic implications of various levels of nurse staffing.
NDNQI data allows staff nurses and nursing leadership to review and evaluate nursing performance in relation to patient outcomes. Hospitals can use the information to establish organizational goals for improvement at the unit level, and mark progress in improving patient care and the work environment. It can also help your facility avoid costly complications.
· What are nursing-sensitive quality indicators?
Nursing-sensitive indicators identify structures of care and care processes, both of which in turn influence care outcomes. Nursing-sensitive indicators are distinct and specific to nursing, and differ from medical indicators of care quality. For example, one structural nursing indicator is nursing care hours provided per patient day. Nursing outcome indicators are those outcomes most influenced by nursing care.
· Which particular quality indicator did you select to address in your tutorial?
Medication error
· Why is this quality indicator important to monitor?
· Be sure to address the impact of this indicator on quality of care and patient safety.
Medication safety is an important topic because medication errors (MEs) are a common, serious and expensive type of medical error
may cause or lead to inappropriate medication use or patient harm
· Why do new nurses need to be familiar with this particular quality indicator when providing patient care?
The nurse’s role in and ability to change patient safety and quality improvement within health care has implications for both safety and quality processes and nursing, patient, and organizational outcomes. The relationships between organizational systems factors, clinical processes, and patient safety and quality outcomes. It is important to focus on improving and widening the assessment of the impact of patient safety and quality improvements on the incidence of the broad array of errors that can and do occur in nurses’ work environments. For example, leaders and clinicians need to understand the association between an organization’s culture of safety and patient outcomes as well as how nurses can influence executives to lead working environment improvements.
Hello and welcome to the University Hospital Health Care System. My name is Diane Tate. We are so excited to have you on our nursing team. I am here today to help you better understand how our healthcare system uses Nursing Sensitive Quality Indicators – also known as the NDNQI - to en.
RUNNING HEAD: Progress Report1
Senior Project Progress Report
Melonie Lindsey
HCA 459
Vicki Sowle
June 2, 2014
Topic:
The topic that I selected for my senior project was “challenges of employee recruitment and retention of health care professionals”. I chose this topic because it is a growing problem among the healthcare institutions. The professionals who are capable of delivering best efforts in health care institutions are less in number and the opportunities that they have in this modern world are a lot. The human resources department of health care institutions adapt many modern ways to overcome these challenges. It is very interesting to understand such modern methods of human resources department for employee retention. At the same time, it’s interesting to visualize how the employees react to the actions performed by the human resources department of such healthcare institutions. In case the human resources department is unable to retain their employees irrespective of the hard measures taken by them, the backup plans executed by them in such cases are also worth studying.
Organization Specific Rationale:
New York Presbyterian is the health care organisation that I have selected for my senior project. This health care organisation is one of the top medical service providers in US. They have won several awards for maintaining good quality in delivering the health care services. The latest award that they have won is the “Energy Star Award” from EPA. This health care organisation offers a wide variety of medical services for their patients. The staff of this organisation is highly capable of delivering the best results. (http://nyp.org/, n.d.)
There are several challenges and opportunities that impact the balance between the health care costs for this organisation. Although NYP (New York Presbyterian) is a known name in medical field, it has to enforce several strict measures to control the cost and maintain steady income. The services offered by NYP are high class services so it’s not necessary that all the insurance plans cover it. Therefore only a specific category of patients can afford to have a treatment from this hospital. The running cost of the medical equipment installed in this hospital is also very high therefore the government aides are often necessary for this hospital. The salaries of the staff (including doctors) is also a major expense for the organisation.
NYP does not compromise with the quality of the health care services. Although the cost is directly proportional to the quality, the organisation manages its cost in such a way that the reputation of the hospital is never at stake. The multiple awards that are received by NYP is a result of the consistent reputation of the hospital is never at stake. The multiple awards that are received by NYP is a result of the consistent quality delivery. (http://nyp.org/services/index.html, n.d.)
Training:
The intended audience for this training can include t.
Dr. Edward Wagner, Director (Emeritus) MacColl Center, Senior Investigator, Group Health Research Institute addresses the 2014 Weitzman Symposium on The Future of Primary Care
Geraldine Strathdee and Jen Hyatt: Technology innovation for supporting patie...Nuffield Trust
Geraldine Strathdee, Oxleas NHS Foundation Trust,and Jen Hyatt, Big White Wall, present in a breakout session on using technology to support people with mental health issues at home.
Similar to All About Engagement June 2015 final.pdf..Monitor week June 1-5 (20)
Geraldine Strathdee and Jen Hyatt: Technology innovation for supporting patie...
All About Engagement June 2015 final.pdf..Monitor week June 1-5
1. PAGE - 1
IT’S ALL ABOUT
ENGAGEMENT!
JUNE 2015
ADENA’S SCOPES PARTNERSHIP
CELEBRATES 1STYEAR SUCCESS
One year ago, no one knew what SCOPES was
or what it could be. But today, the partnership
between Adena Health System and Unioto
Elementary to create a student-centered
hands-on science and technology program
has become well known in the community,
and is quickly gaining statewide attention.
Adena provided assistance to get the program
off the ground, as a way to develop the young
minds of future caregivers who have an
interest in the sciences. Often Adena
caregivers, including physicians, nurses and
other technical staff visit the SCOPES classes to
talk about their jobs as doctors, surgeons,
nurses or technicians, doing demonstrations
and answering questions the kids may have.
With Adena’s support, the program has been
able to purchase several pieces of equipment
like a 3-D printer, robotics and other
technology. The program is giving students
hands-on training and helping them to
develop their skills in science and math, and
encourages learning opportunities they
wouldn’t normally get in their regular
classroom.
“If you say SCOPES, people around town know
what you are talking about, and they know
about SCOPES kids. That’s something we’ve
been able to do in just nine months,”said
Unioto PreK-2 Principal Dana Letts.“It’s
transformed our school, it really has.”
Unioto was looking for a way to help students
who perform well in Science and Math (STEM)
classes, and to give them more opportunities
to succeed.“It has given them a chance to go
over and above, and given them a chance to
experience things that sometimes with all the
other state requirements they wouldn’t get a
chance to,”added Dana.“Unioto wanted to be
proactive in giving our students these
experiences.”
SCOPES teacher Jenni Domo says she is not
surprised by how quickly the class has become
such a hit.“I would expect nothing less,”she
said.“Honestly, I just knew this would be a
success. It’s been a vision of mine for a long
time to have an all hands-on, all STEM,
student-centered classroom.”
More than 100 students in first through fifth
grade attend a SCOPES class during the week.
Each week, brings a new idea about which to
learn, a theory to test, or a problem to solve.
“One of my students always says,‘This isn’t your
grandmother’s science class,’”joked Jenni.
MOVE MORE
MOTIVATION!
We are entering our fifth week of
the Move More Challenge, what
are you doing to get motivated
and stay motivated?
Many caregivers are finding ways
to get moving by walking in
groups on breaks, or working out
together. Exercising in groups is a
great way to hold each other
accountable to our goals.
Cindy Freeman of Unit 2A has
made exercise and getting fit a
big priority in her life. She is now
motivating other caregivers to
join her in that quest to live a
healthier lifestyle. Cindy says,“I
think the Move More Challenge is
awesome!”
Her enthusiasm is rubbing off on
others around her. Recently,
Cindy recruited some of her
fellow caregivers to try a new
workout class at theYMCA with
her.
Keep up the great work!
We want to know what you and
your teams are doing to motivate
each other during the 12-week
challenge. Is there a new exercise
class in town you think others
might enjoy? Do you schedule
time to meet with others and
walk? Tell us your stories at
monitor@adena.org
Photo below: Danielle, Cindy,
Josette, Kelley, and Chelsea take a
break after a recent Tabata class at
the YMCA.
Continued page 4
Health System
DR. JAMES MANAZER SHARES HIS EXPERIENCES AS A SURGEON WITH STUDENTS
IN THE ADENA UNIOTO SCOPES PROGRAM.
2. PAGE - 2
ADENA PIKE NUTRITION TEAM GETS CREATIVE
DURING RENOVATION
ADENA SET TO PICK UP 2ND CONSECUTIVE
GALLUP AWARD
This week, a team of Adena caregivers will
travel to Gallup’s headquarters in Omaha,
Nebraska to pick up our organization’s second
consecutive Gallup Great Workplace Award.
Adena Health System participated in an
extensive application process that required
engagement results to be correlated to
business outcomes. In addition to the Gallup
Great Workplace Award, Adena is also in the
running for two more awards: Essence of
Engagement and Customer Champion. We
will find out at Tuesday night’s dinner and
awards ceremony if we will be awarded either
of these extra honors.
In addition, Karen Jenkins, Director of
Radiology and Rehabilitation Services, is
among the top 10 national nominees for
Gallup’s Manager of theYear Award. She will
also find out Tuesday if she is selected as the
nation’s top manager!
The Gallup Great Workplace Award is a
tremendous achievement for any organization.
Just 40 companies in the world were given the
honor this year! This is proof that engagement
is the cornerstone of our culture at Adena
Health System, and something of which we
each should be very proud.
Congratulations to all of our caregivers for your
commitment to engagement, and to our
patients!
TESTING MARKS THE FINAL COUNTDOWN TO ADENA ONE
Today marks exactly two months to the
Adena One go-live for our acute care
sites. On Aug. 1, 2015 at 12:01 a.m., all
Adena hospitals and urgent cares will
begin to use Meditech 6.15 for patient
encounters, taking us into a new era of
technology that is long overdue. Last
week, teams of caregivers filling the
Meditech Training Rooms, went
through the second and final round of
parallel testing to make sure the new IT
system is in sync with our current work
processes.
“We take charts of patients with current
diagnoses whom we’ve had in the
system before, and we look to mimic
those into the electronic system to
make sure everything translates,”said
Jackie Rebman, RN, an Adena One team
lead.
“Parallel testing is important to recreate
that chart identically,”added Linn
Weimer, Chief Information Strategy
Officer and Adena One Lead.“When we
look at that whole medical record in the
new system, we want to be able to say
we got the identical results.”
When teams did the first round of
parallel testing two weeks ago, they did
identify some gaps in the flow of
information, and some bugs needed to
be worked out. But Linn and Jackie
agree, the testing was a success
because the second round of parallel
testing has been far less stressful.
“We still had some decisions we needed
to make,”said
Linn.“But the
nice thing
about this
round is, it has
been pretty
quiet. It’s a
huge
difference than
two weeks ago.
From my
standpoint, it’s
wonderful. Just
walking through the
room, I’m feeling ok.
We’re getting there
and we’re where we
need to be.”
What’s next?
– Testing and adjustments will
continue
– Physicians will participate in
Webinservice training on using the
electronic medical record
– Training for end users
– Migration of the test
system in some areas
prior to go-live.
Targeted for June 15
– Check and adjust
will be ongoing.
3. PAGE - 3
ADENA PIKE NUTRITION TEAM GETS CREATIVE
DURING RENOVATIONNEW CMO STRUCTURE ANNOUNCED
Beginning today, there is a change in
the organizational structure of Adena’s
physician leadership, as well as few
adjustments to the operational
structure. Late last week, it was
announced that a new model was
being implemented.
In the memo, from Chief Operating
Officer Eric Cecava, Chief Medical
Officer Dr. John Fortney, and Chief
Human Resources Officer Eric Perdue,
details include the appointment of
three Chief Medical Officers, with each
having oversight of specific areas of
the organization, including: Surgical
Specialties; Medical Specialties; and
Primary Care.
Dr. H. Takaji Kittaka, Jr.
has accepted the role of
Chief Medical Officer for
Primary Care. He has
most recently served as
Adena’s Chief
Transformational Officer,
and will continue with
those duties. Dr. Kittaka
also serves as the Medical Director
for AdenaCare and for the
Accountable Care Organization.
Dr. Anthony Freeman
has accepted the
position of Chief Medical
Officer for Surgical
Specialties. He is
currently Adena’s Chief
of Staff and the Chair of
Anesthesiology. Dr.
Freeman recently completed a
Master’s degree in Health Care
Administration through Ohio
University.
Both individuals bring a wealth of
experiences to their new roles that
will positively serve Adena.
The third position of Chief Medical
Officer for Medical Specialties is
currently open, and the team is
working to fill that role internally.
The goals of the new model are:
simplification that will lead to an
improved flow of communication and
decisions; efficient use of resources;
governance through committees; and
creating opportunity for those
interested in leadership.
Dr. John Fortney will
transition to the role of
Senior System Medical
Advisor. In this role, he
will partner with our CEO
Mark Shuter to focus on
Adena’s overall health-
related vision and the
molding of our
strategies. Dr. Fortney will also serve as
a physician representative to our
various communities, work closely with
the Adena Health Foundation and
other philanthropic opportunities, and
mentor present and future physician
leaders. He will continue to have
responsibilities for Graduate Medical
Education, the Quality program and
provider Information Technology.
In addition, with the former
appointment of a Chief Operating
Officer, the following reporting
structure changes will also take effect.
The Chief Nursing Officer (CNO) will
transition and report directly to the
COO. Emergency Services as well as
Oncology will transition and report
directly to the Chief Nursing Officer.
Finally, Olivia Vance has accepted the
role of Director, Care Management. In
her new role Olivia will continue to
work with the Hospitalist Program as
our liaison. She will also have
responsibilities for Clinical
Documentation Integrity, Case
Management, Social Services, Clinical
Denials and Utilization Management.
Olivia will report to Judy Henson, CNO.
INFO AVAILABLE ABOUT NEW DEGREE PROGRAM
If you didn’t have the opportunity to meet with advisors last week regarding the new degree program, created from the
partnership between Adena and Ohio University Chillicothe (OU-C), you can still receive information. Just reach out to Katie
Oberley at koberley@adena.org and she can get you the information you need.
The new curriculum and creation of a Bachelor’s of Science degree in Technical and Applied Studies has an emphasis in
Health Care Administration and Applied Management. To qualify, a caregiver must have 60 hours of college credit or
possess an Associate’s degree. You will then take an additional 60 hours of classwork (at a minimum) put together by Adena
and OU. Specific courses have been selected to address current gaps we have at Adena.
4. PAGE - 4
ADENA’S SCOPES PARTNERSHIP CELEBRATES
1ST YEAR SUCCESS CONTINUED...
The benefit of the SCOPES class is not just for the students. Jenni goes into other classes in the school to share science lessons and
experiments. If other students are interested in a particular SCOPES lesson they may also sit in the class that day.
News of the excitement in the SCOPES classroom has other teachers in the area interested in how they can use the SCOPES model
for their own students.
“There is not one school in Ross County that hasn’t had a teacher contact me asking how they can emulate our methods,”said Jenni.
This summer, she will conduct a workshop open to area teachers on how they can use the SCOPES style of teaching in their own
classrooms.
Word of the program’s success and Adena’s partnership has also made its way to the state level. Representatives
from SCOPES and Adena have been asked to speak to the Ohio State Board of Education to demonstrate
SCOPES as a model for other schools in Ohio, and how they too may form successful partnerships with
businesses and organizations in their communities.
“If there could be more partnerships between schools and businesses around the state, like the one
we have with Adena, it would be transformational for math and science learning,”said Dana.
Both SCOPES teacher Jenni Domo and Principal Dana Letts are quick to point out that none of the
program’s success would have been possible without Adena believing in their vision and
continued support.
“This has just been a great program for us, and we could not have done it without Adena.”says
Jenni.
Several Adena caregivers have also taken the time
to speak to the SCOPES students throughout the
year. The doctors and nurses always bring visual
aids and projects to help explain the lesson with a
hands-on learning.
5. PAGE - 5
SCOPES LESSONS BRING EXCITEMENT
The students participating in Unioto
Elementary’s Adena SCOPES program
all say they look forward to“SCOPES
day.”The day of the week when they
attend Jenni Domo’s SCOPES class.
“After my first day of SCOPES, I went
home and told my Mom you don’t
have to worry about me not wanting
to wake up for school on Wednesdays
because I’ll be excited that it’s SCOPES
day,”said Charlie, a third grader. “Most
days I’m like‘Five more minutes!’
when she tries to wake me up. But on
Wednesdays, I get right up because I
can’t wait for SCOPES.”
“I really like the new technology, and
getting to work with it and learn
about it and what it can be used for,”
added third-grader Isaac.
“We’re always doing things, like
science experiments, and we’re not
just sitting the whole time doing
work,”said fellow third-grader Keegan.
And, they are learning about things
they didn’t even know they would
like. “We learned some Algebra,”
Keegan added.“And before, I had no
clue how to do that.” When asked if
he was now an Algebra whiz Keegan
replied shyly,“Yeah, pretty much.”
The students also had the
opportunity to go on several field
trips throughout the year. One of
their favorite trips was to The Ohio
State University where they met with
Engineering students.
“I learned what engineers do,”said
Charlie. “It was cool seeing the
college kids using the same stuff we
do (variations of their 3D printer and
robotics).”
When asked if there was anything he
learned this year that made him think,
“Wow that’s interesting,”Charlie
replied with a grin.“Let’s just say a lot
of stuff.”
The class has also been instrumental
in helping students build their
confidence and grow their potential
in Math and Science.“It’s helped me a
lot with Math,”said Allison, a third
grader.“I used to not like Math
because I didn’t think I was very good
at it, and I was a little nervous about
joining SCOPES. But once I started
SCOPES, I figured out I actually do like
Math and I am good at it!”
Unioto Elementary is looking forward
to building on the success of its
SCOPES program’s first year. They
have several grant proposals out for
various educational programs
totaling $65,000.
One of the grants will help build a
greenhouse on campus where the
students will grow fruits and
vegetables. The food grown will be
donated to the Sherman Food
Program, which is a program that
provides food for low income
students to take home.
The school also hopes to expand the
courtyard by adding a new water
structure and companion plantings
for all students to enjoy and learn
from, as well adding a sensory garden
for students with special needs.
The class is also looking forward to
working more with electronics, and
hopes to receive a grant that will help
them build more snap circuit boards
and create their own snap circuits.
With students on summer break,
many are surely looking at things
differently after a year of intense
hands-on learning and discovering
thanks to Adena and the SCOPES
program.
Third grade
SCOPES
students
pose with
teacher
Jenni Domo
next to the
classroom’s
3D printer.
SCOPES third
graders
demonstrate
the OSMO
technology
which
improves their
abstract and
quick thinking
skills.
One of the
favorite
pastimes in
class is
robot
basketball.
Bottom photo:
SCOPES students
talk with OSU
engineering
students during
their field trip to
learn about how
they use
equipment similar
to what they have
in their classroom
at Unioto.
6. PAGE - 6
ADENA PIKE NUTRITION TEAM GETS
CREATIVE DURING RENOVATIONCOMMUNITY-FOCUSED FOR 120 YEARS
June 27 will mark the 120th anniversary of
Adena’s founding. What began as a need
in the community back in 1895, continues
in how we view our role in the
communities we serve today.
Adena was founded because there was a
need in the community for quality health
care. After several failed attempts - first
the Cholera House, then the Pest House -
it took a coordinated effort by a group of
community-minded citizens to come up
with the idea to begin a true hospital.
Within 15 years, community need
outgrew that first hospital that was
created in a house on Bridge Street. The
hospital at Chestnut and Cherry Streets
was built, doubling the size of the staff
and expanding every few years. In just
over 60 years, the need to expand to our
current location came and we haven’t
stopped working to meet the needs of
our patients, here in Chillicothe and now
throughout the region.
Growth based on need continues today.
As our service area and the expectations
of our patients have grown, Adena has
worked to meet the needs of our
communities. In the past 10 years, we
have added services like Dermatology,
Heart Surgery, Robotics, expanded
Orthopedics and Oncology and so much
more. We did this because it was the right
thing to do for our patients. There was a
need for these services in our region, and
our patients deserved to have access to
these services close to home.
Just as our founders did 120 years ago,
the health of those in the communities
we serve is imperative to our success as a
healthcare provider, and to each of us as
members of the communities in which
we live. Health includes making sure we
provide our family, friends and neighbors
with the healthcare services they need,
when they need it; as well as working
with businesses and our community
leaders to enhance those things that help
improve the health and quality of life for
the people who live here.
As we have for 120 years, Adena remains
committed to our region and to those we
serve.
Sincerely,
Mark Shuter, President and CEO,
Adena Health System
AN INTERVIEW WITH MARK SHUTER: 10 YEARS OF ADENA LEADERSHIP
Adena President and CEO Mark Shuter
marked his 10-year anniversary with the
Health System on May 23. We sat down with
him to chat about the past decade and how
Adena, and the healthcare industry have
changed, as well as what we need to do to
keep Adena progressing for the next 10-20
years.
Q: So does it feel like you’ve been here for
10 years?
Shuter: It doesn’t really feel like it’s been 10
years. It’s gone by fast.
Q: What are the most significant changes
you’ve seen over the past 10 years?
Shuter: Some things have changed a lot, and
some haven’t change that much. The
physical changes on the Chillicothe campus
are evident with the addition of the
Northeast expansion, the Cancer Center and
PACCAR, and we’ve expanded our footprint
with the addition of Adena Greenfield and
Adena Pike Medical Centers.
But I’d say one of the most significant
changes would be something you don’t
necessarily see, but it’s made a difference in
how we provide care for our community. The
breadth of our services is a lot larger today.
For example, someone who comes in with a
heart attack can be treated right here. We can
do an angioplasty or even open heart
surgery in Chillicothe. This is something we
used to have to send north. It would be
interesting to know how many lives have
been saved.
This goes for many other areas too. Look at
Oncology, patients used to have to drive to
Columbus for a lot of the same treatments
they can get here today. Robotic surgery is
also available here now, and our Orthopedic
specialty is growing and respected in the
industry and by our patients. The list goes on
and on.
Q: How does Adena’s growth over the
past 10 years translate to the
communities we serve?
Shuter: We see hundreds of thousands of
visits a year in our facilities all over the region.
And every place we have a clinic or offer a
service we are not only meeting the needs of
our patients, but we are creating jobs in
those communities. We are also bringing in
top quality providers and nurses. Today, 40
percent of our nurses have a bachelor’s
degree. That’s twice as many as just 10 years
ago. That should tell our patients they will get
skilled, high quality care at Adena. That is
exciting.
Q: Where do you see Adena headed in
the next 10 years?
Shuter: There’s still a lot of work to be done
to build the depth of Adena. Primary care is
an area where we will need to focus.
Connecting patients with a PCP and
managing chronic disease, and other
ailments a lot of baby boomers face, will
drive the need to create even more depth in
our subspecialties to serve our population. If
you don’t have that depth, when you lose
one practitioner it can cause a lot of stress on
the entire system. For Adena the next 10
years are going to be more exciting than the
last 10.
Q: What is the one thing you are most
proud of?
Shuter: We’ve accomplished a lot in a
relatively short time, when the industry hasn’t
been so kind to us. I think the creation of our
7. PAGE - 7
An Interview
with Mark
Shuter: 10
Years of Adena
Leadership
continued...
education mission and the building of
PACCAR and our Graduate Medical
Education program has been really
important for Adena and for our region. It’s
given us the opportunity to partner with
higher education in the area to deliver
courses to educate current and prospective
caregivers. It has also given us the chance to
bring in new talent and build a pool of new
physicians who we hope will stick around
and become engaged in Adena’s culture
and lifelong members of the community.
We’re also entering a very interesting area in
terms of population health. We know that
diabetes is a real problem for our patients in
terms of their overall health, and we also
know that it has a $150 million impact on
the organization. Once we get every part of
the care continuum – the endocrinologist,
the PCP, the ICU doctors – all on the same
page, we are going to make a difference for
our patients and for Adena.
Adena’s four key strategies, Adena
Operating System, Adena Medical Group,
Clinical Integration and IT and just coming
together and will become a fly wheel. Once
that fly wheel starts, you won’t be able to
keep up with them. We can almost take our
last 10 years – where we couldn’t keep up
with our problems – and going forward we
may have a hard time keeping up with the
opportunities. We’re creating opportunity
and it’s exciting.
Q: How have the industry changes over
the past five years impacted the patient?
Is health reform a good thing?
Shuter: The level of complexity is just mind
numbing, on top of a system that was
already incredibly complex. One of the most
important parts is what’s happening with
information technology. It won’t be long
and you will be able to influence a
healthcare system with a Smartphone. The
most important thing to happen from the
federal standpoint are the incentives they
placed around IT (meaningful use,
mandating electronic medical records). We
were going down that path anyway, but
this put a structure around it. And once you
have portability… Guess what – look at
your mobile device, we will be able to visit
the doctor on our phone or tablet for
routine visits. When you look at the level of
saturation and understanding with our IT
install Meditech 6.15 on the inpatient, going
to the EMR, and thinking where the worlds
going to be that you’ve got to have data at
your fingertips.Your customers want to
influence the system from a mobile device,
and we’ve already seen that patients will
switch to a provider if they can get fingertip
access. I think we’re
going to be
really well
positioned.
Then
there’s
the
issue
of
quality. All of a sudden quality is going to
pay. To me that is very exciting. We’ll do
fine with that. We’ve lagged a bit
because our information
technology has been behind
everyone else. IT installed in
the 1990s is just not geared
for where we’re at today. So,
once we have the tools to
deal with this, we’ll
outperform everyone.
Most of the directional
change in healthcare is
something I’ve wanted
my whole career. Do I
wish it was on a one-page
document that was easy
to understand, yeah. But
it’s the right thing.
Q: What can we as
caregivers do to make
Adena even better?
Shuter: Most people love what they do, but
they get frustrated with some people and
they ask me what I’m going to do about it.
It’s really what are WE going to do about
getting everybody aligned with the same
vision. It’s getting to that WE thing. Look at
our engagement scores – there’s still not
100 percent of us on board. And until 100
percent of us are on board, this won’t be
able to completely benefit our customers,
our direction or our communities. If we’ve
grown 1,000 jobs in the past 10 years, what
could we have grown if every caregiver was
completely engaged? How many families
are we creating possibilities for because we
are employing 1,000 people more than we
were 10 years ago, and those 1,000
caregivers are spending money in town,
which has helped create 3,000 jobs for
people who can go home at night feeling
good that they were productive and able to
feed their families? If we are all 100 percent
engaged, how many more jobs can we help
to create in the future?
Q: What’s your most memorable
moment from the past 10 years?
Shuter: I can’t pick just one. But I always like
the people stories. Any story where
someone’s done something that’s
practically impossible. Look at Linn Weimer
with the IT install, and there are 2,800 of us
singing exactly out of the same hymnal. I
love leadership. I love people doing great
things for people.
The great part of my job is there’s not a
week that goes by when I don’t get to go
out and recognize someone. If you look at
my calendar, we’re constantly going around
talking to people who have done
something great. And the stories are so
different. From Emily who was a PCA here,
who went to Wright State, who did an
internship...You know you’ve got those
stories of people doing great things. It’s
always service above self. A lot of courage,
that’s the fun part of the job. The best part
of my job is that I get to see all of them.
8. PAGE - 8
ARMC’S READMISSION RATES LOWER
When a patient is readmitted to the
hospital shortly after being released, there
is reason for everyone involved in that
patient’s care to be concerned. Part of the
Affordable Care Act of 2010 addresses
hospital readmissions, and penalizes
hospitals financially when patients return
within a certain amount of time.
Recognizing the importance of educating
our patients about their illness and care
after they leave the hospital has been a
key initiative for Adena for the past few
years; not only to help reduce the number
of readmissions, but because it’s the right
thing for our patients. The education
being provided by physicians, nurses,
nurse navigators, diabetes educators and
many more caregivers is paying off.
Last week, the Center’s for Medicare and
Medicaid Services (CMS) has released its
hospital 30-day all-cause readmission data
for 3rd quarter 2014. The information
showed that Adena Regional Medical
Center’s readmission rate has significantly
improved to 16 percent from our 2nd
quarter 2014 rate of 19.6 percent.
Comparative data shows Ohio’s overall
30-day all cause readmission rate to be
18.5 percent, with the national rate at 18
percent.
And while Adena remains focused on the
overall (all-cause) readmission rate, we are
also targeting readmission rates specific to
Chronic Heart Failure (CHF), Acute
Myocardial Infarction (AMI), Pneumonia
(PN), Chronic Obstructive Pulmonary
Disease (COPD), and Total Joint
Replacements for hips and knees (TKR &
THR). These readmission rates are being
monitored by CMS pursuant to the Patient
Protection and Affordable Care Act of
2010, for which we are subject to penalties
if readmission rates exceed national
benchmarks.
To help reduce our readmission rates,
Adena has a multi-disciplinary team in
place that works to investigate every
readmission. They search for root causes
and develop plans of correction and
improvement at every opportunity. The
members of this dedicated team are to be
congratulated for their progress.
The team includes:
Administrative Sponsor: Eric Cecava, COO
Physician Sponsor: John Fortney, MD, CMO
Physician Champions: Kirk Tucker, MD,
CQO; Karen Evans, MD; Alix Tercius, MD;
Jack Baker, MD; and Shane Matheny, MD.
Administrative/Clinical Champions: Elaine
Storrs, Josh McCoy, Cindy Harmeyer,
Michael Diener, Michael Dennis, Sharie
Betts-McNeely, Sandy Zickafoose, Bryan
Piccirillo, FredYingling, Bambi Huffman,
Krystle Guarnieri, Jason Monroe, Kristen
Lambert, Amanda Salyers.
EDUCATION HAS PATIENT SINGING A NEW SONG
Adena is working hard to help patients
understand their chronic diseases,
especially diabetes. We have a team of
diabetes educators who are now
available to work with our providers in
helping patients manage their
treatment for the best results.
As many caregivers know, patients can
become confused or non-compliant
when it comes to self-care, especially
when it involves administering
medication using injectables. But often
a refresher or a new way to educate is
just what it takes to get the patient
back on track. Recently, Diabetes
Educator Molly McLeland, RN shared
the story of one patient who benefited
from her help.
“I recently saw a patient for a follow up
visit at Dr. Seidensticker’s office. He is an
older gentleman who cares for his
disabled wife and was sent to me
because Dr. Seidensticker was
concerned the patient was experiencing
low blood glucose. The patient was not
taking insulin correctly and had been
trying to keep his blood glucose low, but
had hypoglycemia unawareness (he
did not feel lows and would just pass
out when his blood glucose got below
50’s). I told him that having good blood
glucose is important but it was not safe
to have blood glucose that is too low,
especially when driving and being a
care giver for another person. I worked
with Dr. Seidensticker to lower the
amount of insulin ordered and
educated the patient about how to take
it safely. The patient came back later
and was no longer having low blood
glucose issues. He told me he had ‘a
song in his heart again,’ and he had not
felt like singing for a long time - and
now felt like singing again. I thanked
him for helping to remind me of the
reason I do my job and it made me
want to work harder to help others.”
For more information about the
services of our Diabetes Educators,
contact Molly at mmcleland@adena.
org.
9. PAGE - 9
CAREGIVING BEYOND MEDICINE
Patient care at Adena means much
more to our caregivers than just
providing healthcare services.
Recently, the caregivers on the ARMC
Palliative Care Unit and Chaplain Paul
Ray demonstrated how we can make a
difference in the
lives of our
patients
beyond their
medical
treatment and care.
On May 15 the unit learned in its
morning huddle that a patient they
had cared for in the past was
returning to Adena, the same day her
daughter was set to graduate from
Greenfield McClain High School.
“When we learned she was on her way
we immediately started talking about
if there was anything we could do to
enable the patient to be a part of her
daughter’s graduation,”said Chaplain
Ray. “At that point we didn’t know her
condition, or if it would be possible for
her to go to graduation so we decided
to wait until she arrived.”
While they were waiting Chaplain
Ray called McClain H.S.
Principal Jason Potts to
find a solution so this
mother would not miss
her daughter’s
graduation.
That’s when he learned the
ceremony was going to be
streamed live online. As the day
went on it became clear the patient
was not going to be able to leave the
hospital. The staff worked with her
family to make sure she had a
computer, and there was a good
connection to the live stream so she
was able to see it clearly without
interruption.
Also during that conversation,
Chaplain Ray learned the patient
wasn’t the only one with a child
graduating that evening. The principal
told him of another student whose
father was in Adena.
The Chaplain says he was surprised he
did not know this because he had
spent a lot of time talking with this
patient, who had never mentioned it.
“I went up to his room and asked him
if he had a daughter graduating from
McClain, and when he said ‘yes’I told
him you don’t have to miss it. We’ve
found a way for you to watch it.”
The patient was touched and
extremely grateful by the staff’s effort
to make sure he had a computer in his
room so he could be a part of his
daughter’s special day. Before he
found out about the live stream, the
man said he’d been upset that he
wouldn’t be there. “I thought well,
they’ll take pictures and show me.
Then I got crying about how I was
going to miss it,”he said.
The patient said, “I got to watch it like I
was right there, and it meant so much,
because I was afraid I was going to
miss it. It was great, it really was. I’m so
thankful for the pastor letting me
know about it. It really means a lot.”
Chaplain Ray said after graduation the
first patient’s daughter came to visit
her mother in her cap and gown. The
family was so appreciative for the staff
helping make that special moment
happen. Two days later the girl’s
mother passed away. The staff was
honored to have been able to give the
patient and family a special memory.
As for the other patient, he is still
recovering from his condition, when
we spoke to him a couple days after
graduation, a picture of his daughter
in her cap and gown, with flowers was
proudly displayed in his room.
Chaplain Ray says he continues to
share his appreciation for making it
possible to see his daughter graduate.
“Every day I’ve seen him since
graduation he expresses how grateful
he is for the opportunity to be a part
of his daughter’s graduation.”
For the Palliative Care team and
Chaplain Paul Ray it was never about if
they could make sure their patients
were a part of their daughters’special
day, it was always about how they
were going to ensure they didn’t miss
it. It is that kind of dedication and
compassion that our patients and
their families will always cherish.
10. PAGE - 10
ADENA PIKE NUTRITION TEAM GETS CREATIVE
DURING RENOVATION
HEALTH AND WELLNESS STORE OPEN FOR
BUSINESS
Are you saving up for something big?
Or are you ready to cash in some of
those wellness points that you have
already earned in the Move More
Challenge?
Either way, you will want to check out
the new Online Health and Wellness
Store. There is a wide variety of great
prizes you can earn, simply by getting
90 minutes of additional activity into
your week and collecting the points
you earn as you meet that weekly
goal.
Keep in mind, the system needs time
to input and update everyone’s data,
so there is some“lag time”between
the time you earn your points until
they show up in your account. So be
aware that your actual total points
earned may not be added the
moment you log your weekly
minutes.
Here’s how the points work. You
received 10 points just for signing up.
Then for each week you meet the
minimum 90 minutes of activity, you
will earn two more points per week. So after entering your Week 4 total, if you completed your 90 minutes each of the
previous weeks, you should have 18 points accumulated (remember, they all may not show up until next week because of the
“lag time”).
You can find the store and check your point total at https://adena.storebloxcs.com/account/login.jsf . To log in, enter your
Adena email address. Your password is your Employee ID number.
GET IT BACK!
The Move More Challenge is inspiring many people to step out of their comfort zone to try something new to add more activity into
their daily lives.
Did you know you can earn money through Adena’s Get It Back program for qualifying exercise and nutrition classes?
Adena will reimburse you up to $100 a year for fitness classes, personal trainer costs, and Weight Watchers.
To qualify you must verify you participated in 80% or more of the program with a letter from your gym or instructor and
also provide a receipt.You can pick up an application form in human resources.
In addition, Adena will reimburse you for one 5K entry per year.You must provide a receipt and the number
from the event.
The Get it Back program is a great way to get started on a new path towards a healthier
lifestyle.
For more information on the Get It Back program call extension 28757.
11. PAGE - 11
JUNE 2015
ADENA
MONITOR BRIEF
DESIGN | JENNIFER CAPLINGER, COMMUNICATION AND MARKETING SPECIALIST
Monday
7 Bean Medley – Vegan
Hot Ham & Cheese Panini
Southwest Chicken Salad
Tuesday
Chicken Tortilla
Turkey Cuban Panini
Mandarin Spinach Salad
Wednesday
Minestrone
Reuben Panini
Grilled Chicken & Pasta Salad
Thursday
Potato Chophouse
Chicken Pesto Panini
Classic Chef Salad
Friday
Baja Chicken Enchilada
Grilled Turkey & Cheese
Panini
Chicken Caesar Salad
FRIENDLY REMINDERS CAFETERIAMENU
JUNE1-JUNE7
THEME:MEXICANBAR
Monday
Stuffed
Portabella
Ranch Chicken
Broccoli
Cauliflower
Macaroni &
Cheese
Green Peas
Oven Roasted
Potatoes
Tuesday
Lemon Herb
Tilapia
Ham Loaf
Green Beans
Fresh Green
Beans
Au Gratin
Potatoes
Baked Sweet
Potato
Wednesday
Smkd Pulled
Chicken
Smoked
Sausage/
Fresh Kraut
Broccoli
Rsted Brussels
Sprouts
Lima Beans
Mashed
Potatoes/
Gravy
Thursday
Turkey Burger
Footlong w
Coney Sauce
Green Beans
Sugar Snap
Peas
Macaroni &
Cheese
Cauliflower
Friday
Chicken n Veg
Stir Fry
Beer Battered
Fish
Egg Roll
Rice
Mixed
Vegetable
Broccoli
Cauliflower
Saturday
Spaghetti and
Meatballs
Garlic Toast
Chicken Strips
Au Gratin
Potatoes
Corn
Sunday
Turkey Pot
Roast
Chicken n
Noodles
Italian Blend
Join in on the fun on the Adena’s
Move More Challenge Facebook
page. Share you weekly successes,
tips for finding time for activity, and
share pictures of you r team!
LIKE US ON FACEBOOK!
Fair Volunteers Needed
Adena is looking for volunteers for the
Pickaway County Fair June 22-27.
Shifts available are:
– 10 a.m. – 2 p.m.
– 2 – 6 p.m.
– 6 – 10 p.m.
If you are interested in volunteering please
email Ruth Bache a rbache@adena.org. Please
include your availability and t-shirt size.
Register Now for the 2015 Scioto Valley
Golf Classic
The Adena Health Foundation is hosting the
2015 Scioto Valley Golf Classic at the Valley
Vista Golf Course on Friday, June 26.
Registration and the free driving range open
at 8:30 a.m. with a shot gun start at 10.
This year’s entry fee is $100 a person ($50 is a
donation). For more information contact Ralph
Metzger at (740) 779-8755 or go to 2015SVGC.
EVENTBRITE.COM
MENU (SOUP AND SANDWICH) FOR CARING HANDS CAFÉ
AND ADENA DAILY GRIND
13. PAGE - 13
JUNE 2015
ADENA
MONITOR BRIEF
Emergency Medicine Resident Didactics
June 2, 2015
PACCAR
8:00 a.m. to 9:00 a.m.
THIS EVENT ALSO AVAILABLE VIA LIVE BROADCAST!
Anatomy of a Medical Malpractice Claim and Potential Liability
Presented by: Brant Poling, Attorney
Andrew S. Good, Attorney
Objectives:
Describe the required elements of a malpractice claim;
Define the Affidavit of Merit and how it applies to the law in Ohio;
Describe the types of breaches of Standard of Care.
Cost to Attend: $20 External/Virtual Participants
$20 AMG physicians & Allied Health (invoiced to AMG CME funds)
Fee waived Adena/VA Healthcare professionals and Students/Residents
***REGISTER AT http://www.adena.org/meded BY SELECTING CALENDAR EVENT DATE TO
ACCESS ELECTRONIC REGISTRATION PORTAL***
***REGISTERED VIRTUAL ATTENDEE: LIVE BROADCAST ACCESS AT:
http://connect.adena.org/CME enter as GUEST with full name.***
There is no conflict of interest to disclose by speakers, planners, or CME Committee members in
regards to this event.
Adena Health System is accredited by the Ohio State Medical Association to provide continuing
medical education for physicians. Adena Health System designates this live activity for up to a
maximum of 1 AMA PRA Category 1 CreditTM
.
Adena Health System has requested that the AOA council on Continuing Medical Education approve
this program for 1 credits of AOA Category 2-A CME credits.
The Ohio State Board of Nursing accepts AMA PRA Category 1 Credit(s)TM
for the purpose of re-
licensure.
Series Objectives:
- Critically evaluate the evidence supporting standard emergency treatment protocols.
- Implement resuscitation protocols which have been identified to improve patient
outcomes.
- Support practice patterns with current evidence based literature.