September2014
Care Connection
Our continuous journey to excellence
Advancing our Quality & Safety Plan Introducing the next phase of our continuous journey to excellence As Kristin Vondrak, DNP, ARNP, BC, NE, CPHQ, vice president, chief quality officer, is quick to point out: we’ve made tremendous improvements in quality outcomes in the five years since phase one of our Quality & Safety Plan was implemented.
journey takes a truly integrated effort between all the people who provide care – and our role is to support our physicians and staff by continuing to invest and provide the resources required to always ensure our care is consistently exceptional.”
With oversight from the Board Clinical Quality & Technology Committee, our physicians and team members have worked diligently to provide the very best care for patients and families, while achieving measurable improvements including: n 68 percent reduction in bloodstream infections n 63 percent reduction in hospital-acquired pressure ulcers n 24 percent reduction in overall patient falls n Heart attack readmission rates below the national rate
Jack Groover, MD, added his perspective as a Board member with a lifelong commitment to quality, leading to the formation of our Clinical Quality & Technology Committee, “I’ve never been more enthusiastic about what is occurring with this newest phase of our quality plan, including the level of additional human and financial resources we’re committing.”
Driving to top performance in Quality & Patient Safety Our goal is to provide extraordinary care and quality outcomes in an environment of safety, both inside and outside the walls of our hospitals. With this in mind, our Baptist Health Board and Hugh Greene, our CEO, challenged the leadership team to develop the next phase of our Quality & Safety Plan with the intent to impact outcomes over the next 12 to 18 months. As Baptist Health Board Chair, Robert Hill, stated, “The Board is passionate about this; we feel accountable to the community for our hospital safety and quality. We know that this
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Measuring our success While we expect sustained improvements in our publicly reported hospital quality and safety measures as a result of this plan, the true measure of our quality commitment is far-reaching, not only impacting our patients’ outcomes but also contributing to our culture of changing health care for good.
“We couldn’t be more energized and focused on maximizing this opportunity to raise the bar in quality and safety, and consistently excel at the great care we already provide.”
- A. Hugh Greene, CEO
Elements of the Quality Plan Phase two of the Quality & Safety Plan will focus on using enhanced processes and real-time data to make improvements in care.
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New Quality Team Members
Physician Engagement/Quality & Safety Champions
Clinical Quality Nurse Abstractors (investigators and interventionists) will use various tools to identify the high-risk patients who need some type of intervention and will actively contact physicians and nurses when a best practice is needed while the patient is still in our care.
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Clinical Information Technology & Data Analytics We will use enhanced technology to develop real-time automated reports that will be delivered to front-line team members to impact care at the bedside. For example, we know that urinary catheters and IV catheters can be a source of infection, so a reminder along with a daily report listing patients with these devices will be sent to infection control staff and practitioners, allowing them to proactively assess each patient for continued need for the device.
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Care Coordination/Case Management Newly established Care Coordinators in our emergency departments will: a) work with physicians to evaluate appropriateness for hospital admission; b) provide alternative treatment options for managing care in non-acute settings and c) help ensure follow-up with primary care (beginning at Baptist Jacksonville and Baptist South in 2015 and expanding in 2016). There will be a Care Coordination Steering Committee and Tammy Daniel, DNP, MHA, RN, NEA-BC, Vice President, Patient Care Services, South, will assume system-wide responsibility for coordinating inpatient care efforts.
Physicians are key partners in improving and sustaining quality, safety and performance, so we will be establishing formal roles for physician champions at the local facility level. The roles will include implementing evidence-based best practices and influencing practice patterns, while ensuring practice consistency, reducing variability, improving documentation and enhancing efficiency of care while driving quality and safety outcomes across each campus.
5 Culture of Safety/ Infection Reduction We will strengthen our culture of safety by adopting a more proactive approach to safety in which near misses/good catches are evaluated so that we may look for opportunities to improve our systems and processes. Infection reduction is linked to safety and has been a major emphasis in 2014 with the adoption of the Vestex速 staff uniforms and patient garments. To augment current infection reduction strategies, we will leverage UV technology to assist in cleaning and disinfecting rooms in high-risk areas, such as ICUs or ORs.
UV disinfection is one of the new tools which will be added. This technology is proven effective against C. diff, MRSA and more than 22 other pathogens.
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Our new patient apparel provides greater coverage, dignity and protection One of the most common indignities patients endure while in the hospital is the traditional gown made of flimsy material that leaves them feeling vulnerable and exposed at a time when are already feeling a loss of control. Soon, Baptist Health will begin rolling out our new patient garments that have been designed to restore that lost dignity by providing better coverage and comfort. The garments will also feature the same anti-microbial fabric as our Vestex uniforms.
Diane Raines, DNP, RN, NEA-BC, senior vice president and chief nursing officer, explains, “When we decided to adopt Vestex® technology for our inpatient apparel, we sought input from Baptist Health team members, as well as patients and families, to design a garment that would provide better coverage, comfort and dignity during their stay with us.” Where patients will wear them Patients in all pre- and post-operative areas will wear gowns only, while both the gown and the shirt-and-shorts combination will be available for patients in the cath labs, observation areas, procedural areas, day-stay units and inpatient units. The first phase includes adult patients only. Children’s garments will be adopted at a later date.
Where patients will not wear them Traditional gowns will continue to be used for patients in the Emergency Centers, outpatient and MRI areas, and for children who are under age 1.
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Garment features Rather than being open in the back, the new gowns feature full fabric panels that wrap for complete coverage, as well as snaps along the tops of both shoulders for quick and easy access. Each gown has a snap at the back of the neck; improved ties at the waist and two center pockets. They are also reversible for breastfeeding mothers.
A new shorts-and-shirt option In addition to the new gown, patients in many areas of the hospital will be able to wear a unique, new shirt-and-shorts set that offers the snap closures and full coverage design. The shorts-and-shirt set is expected to be a very popular option that many patients will choose.
Timeline In early October, Baptist Health and Vestagen will conduct day-long trunk shows at each campus to give team members the opportunity to preview the new patient apparel and become familiar with the styles and sizes. This will be followed by week-long roll-outs to each hospital beginning with Baptist Nassau. More information about the trunk shows and timeline for roll-out to each hospital will be coming your way soon.
Executive Vice President and Chief Operating Officer John Wilbanks says, “Providing our patients with these innovative garments that combine unparalleled protection with a greater sense of dignity is just one of many ways we are demonstrating our commitment to changing health care for good.� September2014 5
With and hearts, we are help those in need
in our to
Our 2014 United Way campaign is outta sight “Community advocacy is one of our core values and our team members support the United Way to an incredible extent. Last year, we raised $875,000 for United Way, which is more than any other health care system in Florida, and this year, we plan to blow away our fund-raising goal of $905,000,” said Jarret Dreicer, director of Operational Performance Improvement and chair of Baptist Health’s 2014 United Way Campaign.
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Nicole Thomas, vice president of operations and specialty services, serves as co-chair. She added, “The need in our community is great, so this year, we are asking current donors to increase their pledge by at least 5 percent; offering a $1 per-pay-period match to new donors who give $1 per pay period; and working to increase our number of leadership givers.”
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Everyone who contributes to the campaign will have their names added to a display at their facility. Team members who donate at least $6 per pay period will receive a hip pair of tie-dye-style sunglasses and a badge reel that sports a peace symbol. Team members who donate $10 per pay period will also receive a really cool tie-dye-style insulated tumbler with the “Peace. Love. United.” logo on it. Leadership givers, who pledge at least $27 per pay period, will receive the sunglasses, badge reel, and insulated tumbler, plus a mini-Volkswagon bus toy that features the “Peace. Love. United.” theme.
Far-out prizes When you make a pledge online, or turn in your pledge or prize entry form, your name is entered into weekly drawings for the rest of the campaign. The earlier you act, the more chances you have to win some far-out prizes, like primo seats at Jacksonville Jaguars games, iPads, printers and $100 gift certificates to places like Ruth’s Chris Steakhouse, Amazon and American Express.
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Payroll deduction – Sign up once and you won’t have to think about it again. Donate PTOs – See information below. One-time gifts via cash, check or money order.
To make your pledge Pledge online by using the eWay link on the intranet, or go directly to https://donor.united-e-way.org . Campaign Code: Baptist2014 Username: Employee identification number, located on your badge (e.g., 12345) Password: First two letters of last name (lowercase) + last four SSN (e.g., de0123) n Complete a pledge form and return it to the United Way Cabinet, HR Office, Baptist Jacksonville. You can find pledge forms on the intranet. n
PTO giving examples Give a few days to United Way to reach your desired giving level. To customize using your own salary or wages, visit the United Way section of the intranet and use the online PTO calculator. 1 PTO day = 8 hours Annual Salary
$6 per pay period ($156 a year)
$10 per pay period ($260 a year)
$27 per pay period ($700 a year)
$39 per pay period ($1,000 a year)
$20,000
2.0 days*
3.4 days*
9.1 days*
13 days*
$25,000 $50,000 $75,000
1.6 0.8 0.5
2.7 1.4 0.9
7.3 3.6 2.4
10.4 5.2 3.5
$100,000
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0.7
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*PTO hours will be deducted in March 2015. Taxes will be withheld. See team member pledge form for more information.
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United Way Days of Caring
Aetna building
Home Health Care
In August, 371 team members supported United Way by participating in Baptist Health’s “Day of Caring” events at nine different locations. These events gave team members the opportunity to stop by a location near their workplace and help with a United Way project for whatever amount of time they were able to give. Team members engaged in a wide variety of activities including: n Assembling mini-garden kits for children in the Reading Pals program n Creating winter scarves for the Clara White Mission n Stuffing bears and creating certificates for children in the Success by Six program n Making bookmark giveaways for the Full Service Schools program n Decorating laminated paper-bear awards for children who meet reading goals at Methodist Children’s Village n Writing letters of encouragement to at-risk youth in the Achievers for Life program “I am very honored to be a part of the Days of Caring events this year,” said Anixa Carmona, director of Behavioral Health and coordinator of the Baptist Health Days of Caring. “Our volunteers were so engaged and eager to participate that our United Way partners ran out of activities. More than 2,000 children and their families will be positively impacted, thanks to the efforts of our team members.” More Days of Caring events are being planned for several Baptist Primary Care and Behavioral Health outpatient offices.
Information Services
Baptist Beaches
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Baptist Jacksonville
COMING SOON!
Your annual opportunity to make your 2015 benefit elections Open Enrollment is Oct. 31 – Nov. 17
Here’s some important information to keep in mind during Open Enrollment: n
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Make sure to go online to make any new 2015 benefit elections or changes to your benefits. If you do not go online to make your 2015 elections, all benefits will roll over with the exception of Health Care and Daycare Flexible Spending Accounts. Make sure all dependent information is correct, including dates of birth and Social Security numbers. Social Security numbers are mandatory. Check the cost of each benefit so you know what will be deducted from your paycheck. Take this opportunity to change or add beneficiaries to your core life insurance and any additional life insurance you may enroll in. n Visit one of the Benefit Fairs to chat with vendors, ask questions and get enrollment assistance. n Look for information in the October edition of Care Connection regarding upcoming Benefit Challenges that will allow you the opportunity to win great prizes.
Benefit Fairs (All fairs are from 8 am – 4 pm) Baptist South Monday, Nov. 3 Azalea, Begonia and Camelia Rooms Baptist Beaches Tuesday, Nov. 4 Conference Rooms A, B and C Metro Square Wednesday, Nov. 5 Building A, Conference Center Baptist Jacksonville Thursday, Nov. 6 Tower Cafeteria, North Side Baptist Nassau Friday, Nov. 7 Boardroom
What you need to know about flu shots this year Free flu shots are available to all team members and volunteers during the Healthy For Life insurance discount screenings and other designated times and locations across the system. Check the Employee Health intranet page or your Employee Health office for more information. n
ALL team members, volunteers, students and contractors are required to have a flu shot or a valid medical contraindication or religious exemption on file. Declining the flu shot for personal reasons is not acceptable this year.
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Those with an exemption on file are required to wear a mask while in patient care areas during the designated flu season.
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Flu shots and exemptions need to be completed by Nov. 30 or you will not be permitted to work. September2014 9
Healthy For Life Healthy For Life discount screenings are underway
First Coast Games
Take these steps to save $650 on your health insurance premium. This is a voluntary opportunity for benefits-eligible employees. 1. Complete the confidential online personal health survey. It can be found on the intranet and completed from your home or work computer. 2. Complete a biometric screening consisting of blood pressure, cholesterol, glucose and weight. Screenings continue until Oct. 18 and appointments are required. For the most accurate results, please fast for at least two hours before your screening and continue to take all prescribed medicines as scheduled. 3. Be a non-tobacco user or attempting to quit. During the personal health survey, you will complete an attestation portion to declare if you are a nonsmoker or attempting to quit smoking. If attempting to quit, you must complete a six-week tobacco cessation program by Dec. 12, 2014, to receive the discount. Free tobacco cessation programs are available.
Baptist Health won first runner-up in the banner ceremony and our bowling team placed fifth out of 37 teams.
This summer, 100 Baptist Health team members participated in the YMCA First Coast Games, competing against local corporations in basketball, flag football, kickball, softball, bowling and dodge ball. Each participant received a free twomonth membership at the YMCA, and nearly half competed in the Healthy Living Challenge, in which they worked on fitness goals to lower their weight, BMI and body fat percentages. We would like to congratulate team captains Jackie Penn, Tony Camarce, Mike Ibarra, Janeen Walker, Latrice Kempt, Annie Lovett, Waheed Baqai, Katie Walters and Pam Nicoli for their phenomenal leadership. To view photos, visit Healthy For Life on the intranet.
Congratulations Down to Size class! Congratulations to our Down to Size class for completing the second phase of the program and moving into the maintenance stage. Down to Size is a year-long diabetes prevention program designed to lower the risk of type 2 diabetes and teach participants how to lead a healthier lifestyle through weight management and physical activity. Special kudos to the following participants who met their 7 percent weight loss goal during phase 2: Top row: Tasha Hunt, Nora Williams and Valerie Sadler. Bottom row: Rachel Flores, John Wilcox and Natalie Clay.
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Coastal Community Health update As you are aware, Baptist Health has been working with Southeast Georgia Health System in Glynn and Camden counties and Flagler Hospital in St. Augustine to examine the possibility of creating a highly integrated affiliation to be known as Coastal Community Health. Since August, we have been in the “opportunity planning” phase of these discussions. Groups of subject matter experts from the three organizations have been meeting to analyze areas where we can do things more effectively as affiliates than as individual organizations. These groups are focused in several key areas we believe can provide the greatest benefit to the communities and patients we serve: n
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Sharing best practices in quality, clinical outcomes and patient safety Increasing access to the best pediatric care in the region Exploring possibilities for best use of telemedicine Enhancing our quality, care and efficiency through information technology Integrating selected physician services, such as education Developing a mutual aid agreement in case of natural disaster Improving our managed care contracts Reducing costs in purchasing and vendor contracts Finding ways to enhance team-member education and engagement
As a reminder, this is not a merger and nobody is buying anybody. We’re looking for the most significant things we can do together to achieve the highest quality of health care for the people of our communities, and we have a focus on what could be accomplished within 12 to 18 months after we affiliate. We’ll have more to report in October and November. Until then, thanks to all who are helping with this important work! September2014 11
Baptist Health and the Y introduce a new PATH to better health to area employers Baptist Health and the YMCA of Florida’s First Coast are partnering to bring a new employee health program called PATH to area businesses and organizations. PATH, Personalized Approach to Health, will provide area companies with services for their employees that encourage healthy living, with a focus on helping those who are at greatest risk for issues such as obesity, heart disease, cancer, diabetes and stress. PATH includes: n Health risk assessment and biometric screenings n Health coaching and care coordination n Evidence-based analytics n Targeted solutions delivered at the individual level
PATH can be customized to an employer’s goals and budget, allowing them to choose which components to include. Erin McLees, our new director of corporate health, is managing PATH for Baptist Health. McLees worked at Baptist Jacksonville as an exercise specialist from 1999 until 2010 before joining McKesson as a manager for product branding, marketing and sales. She has extensive experience in health care relationship management and segment marketing focused on Community Health Centers. In the coming weeks, McLees will be connecting with colleagues across the organization to identify key Baptist Health services to include in the PATH program. She can be reached at 202.5378 or erin.mclees@bmcjax.com .
Team members donate scrubs We appreciate our Baptist Health team members who recently donated approximately 800 pounds of gently used scrubs to Global Links, an international humanitarian-aid organization dedicated to improving health in resource-poor communities, primarily in Latin America and the Caribbean. The first shipment, shown here, amounted to two pallets. The donation drive began when team members received their new Vestex uniforms that repel fluids and minimize the risk of transmission of organisms. Special thanks go to our Caring Council for coordinating the donation drive.
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Baptist opens Healthy Living Center at the Ponte Vedra Y Julie Schafer, MPH, CPH, MCHES, has been promoted to manager of the Y Healthy Living Centers. Schafer also coordinated the opening of the Y Healthy Living Center in Mandarin in March and has successfully established well-received programs that are bringing important health care information, education and services into the community.
Baptist Health and the YMCA of Florida’s First Coast opened a second Y Healthy Living Center earlier this month at the Ponte Vedra YMCA, located 170 Landrum Lane in Ponte Vedra Beach. The Y Healthy Living Centers bring medically integrated programs from Baptist Health into the Y, making these programs more accessible to the community. Weekly offerings include health screenings, health risk assessments, Talk with a Doc opportunities, workshops and classes. Topics cover a wide range, including nutrition, healthy aging, heart health, coping with cancer, medication safety and navigating the complex realm of health care today. Many of these opportunities are free and you do not have to be a member of the Y to participate. The first Y Healthy Living Center opened in March at the Williams Family YMCA in Mandarin, and more Y Healthy Living Centers are planned, including the flagship Healthy Living Center, which will open in Riverside in 2015. For more information, visit baptistjax.com/ymca or call 202.6452.
Speaking of Women’s Health Nearly 900 people attended the Speaking of Women’s Health annual conference on Aug. 23 at the Hyatt Regency, Jacksonville Riverfront. Attendees learned from dynamic speakers, participated in free health screenings, enjoyed fellowship and a fabulous lunch, and were the first in the community to be introduced to Baptist Health’s new online community called Good for You. A big thank you goes to Cynthia Anderson, MD, who served as chair of this year’s event, as well as the following Baptist Health presenters: Ellen A. Williams, PhD; Eric Savageau, MD; Martin
Garcia, MD; Mona Shah, MD; Erin Doty, MD; Mary Ellen Wechter, MD, and Kym Dunton, RN. A special round of applause also goes to the 29 Baptist Health team members who served in clinical and nonclinical roles to help us complete 198 heart health screenings and 174 bone density scans.
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Baptist Jacksonville is Florida’s first to implant world’s smallest, wireless pacemaker
David Bussey, the first Baptist Health patient to receive the new pacemaker, with cardiac electrophysiologist Venkata Sagi, MD
Scott Lee, MD, cardiac electrophysiologist with Baptist Heart Specialists and director of Electrophysiology, shows the new pacemaker on the left and the traditional pacemaker on the right.
Baptist Heart Specialists were featured nationally in health care and news publications, as well as local newspaper and television, for being the first in Florida to place the world’s smallest, wireless pacemaker in a patient.
One-tenth the size of a conventional pacemaker and comparable in size to a large vitamin, the Micra™ Transcatheter Pacing System, by Medtronic, is placed directly into the right ventricle of the heart through a catheter inserted in the femoral vein. Baptist Jacksonville is one of 35 hospitals in the U.S. using the new leadless pacemaker as part of a clinical trial, which is still enrolling patients during the next six months. The other site in Florida is in Miami. The cardiac electrophysiologists at Baptist Heart Specialists involved in the trial are Scott Lee, MD, director of electrophysiology, Venkata Sagi, MD, and Chris Ruisi, MD.
Baptist Health Calendar Friday, Oct. 24
Friday, Nov. 7
SATURDAY, NOV. 22
10th Annual Artscapade 7 pm, The Museum, 4160 Boulevard Center Drive An evening of art, music, fun and love for children, benefitting Patrons of the Hearts. For more information, visit www.patronsofthehearts.com
Pediatric Bioethics Conference Jacksonville Marriott 4670 Salisbury Road Free for Baptist Health team members (Use promotion code of: EMPLOYEE) For more information, visit 2014pedsbioethics.eventbrite.com
22nd Annual Step Out: Walk to Stop Diabetes Fidelity National Financial Campus 601 Riverside Avenue, Jacksonville Benefits the American Diabetes Association. For more information, visit Healthy for Life on the intranet .
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Meet this month’s
Star:
Dina Cuppett-Ross, MSN, RN, PCCN, CCRN, Baptist Nassau Resuming a nursing career that began in 1977, Cuppett-Ross started working in the ICU at Baptist Nassau in 2004. She has seized many opportunities for professional development. She has served as chair of the Shared Governance Committee, Clinical Performance
and Practice Committee, Education and Research Committee, Unit Council chair, PEER Review Committee and has cross-trained as assistant director of Nursing. Cuppett-Ross is the new nurse navigator for the Surgical Unit and ICU at Baptist Nassau.
What is the reason you initially became involved in ExCEL? My initial reason for involvement with ExCEL was to enhance my professional practice. Also, the program gave both recognition and incentives for professional nurses on the clinical unit.
How have you benefitted from the ExCEL program? I have benefitted from the recognition of my peers, encouragement of administration and personal satisfaction of career enhancement and professional development. The recognition from peers and management has afforded me opportunities that may not have been available without my participation in ExCEL.
What advice would you give nurses that are interested in joining ExCEL? The ExCEL program at Baptist Health celebrates and elevates the practice of nursing science. Also, the program is a benefit extended to all professional nurses by our leadership, and every nurse should capitalize on the professional opportunities for participation and advancement.
ExCEL for nurses ExCEL (Excellence in Clinical Education and Leadership) is a selfmanaged, professional development program for qualified registered nurses. It enables nurses to select and pursue opportunities that enhance their professional development and help meet their educational and professional aspirations. Learn more about ExCEL on the intranet. Select the Education Station tab at the top and the ExCEL topic listed under Professional Development Initiatives.
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September is National Women in Medicine Month Executive Committee
Pamela Rama, MD Chair
Laura Grippa, MD Vice Chair
Baptist Health’s Women in Medicine program works to increase the ranks of female physicians in leadership Female physicians represent 28 percent of the medical staff at Baptist Health, yet the percentage of women in leadership positions lags behind. To address this disparity, Baptist Health established the Women in Medicine program in 2012 to provide leadership development, mentoring and education opportunities for our female physicians. The group hosts about three events each year, designed to engage female physicians and increase their representation on committees and in medical staff governance.
Manisha Bansal, MD
Graciela Diez-Hoeck, MD
Linda Di Teodoro, MD
Kerry Maher, MD
The Women in Medicine group is steered by an executive committee of six physicians, chaired by Dr. Rama, and managed by Danielle Palmer Stein, director of Women’s Health.
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They are having success. A few examples of female physicians assuming new leadership positions in 2014 are: n Jennifer Fulton, MD, is vice chair of the board of managers for Baptist Physician Partners, and was elected secretary of the medical staff of Baptist Jacksonville. n Bettina Kohaut, MD, was elected chair of the Department of Obstetrics and Gynecology by the medical staff at Baptist Jacksonville. n Pamela Rama, MD, is medical director for cardio-pulmonary rehabilitation at Baptist Beaches, president of the board of directors for the First Coast chapter of the American Heart Association and a member of the Baptist Health Foundation Board. Audrey Moran, senior vice president, social responsibility and community advocacy, said, “Baptist Health is now a stronger organization with a diverse leadership team. We want and need our female physicians at the table when we are making decisions about the future.” And that is a great example of changing health care for good.
Coordinating care with follow-up physicians
New Transition of Care document now being used at all Baptist hospitals To enhance care coordination with the physicians who follow up with our patients after a hospital stay, changes have been made during the last two months to the information that is given to all inpatients when they are discharged from the hospital. The new Transition of Care (TOC) summary has replaced the Clinical Summary document that we previously provided to patients. It includes some new elements required by the Centers of Medicare & Medicaid Services and is intended for physicians both inside and outside of the Baptist Health system.
What does this change mean? Although the TOC document has replaced one of the two copies of the discharge instructions, the overall process has not changed. When nurses provide discharge instructions to patients, they now provide the TOC in a labeled envelope at the same time. Nurses emphasize to the patient the importance of giving the TOC to their physician at their first follow-up appointment. As always, it is important to reinforce the security of this personal health information being given to the patient.
Patient Portal Patients can also view the information on these printed documents and much more on our secure patient portal. Baptist Health is working toward being able to share the TOC document electronically with physicians both inside and outside of the Baptist Health system.
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Information Services
Citrix 6.5 upgrade coming soon Baptist Health’s Citrix 4.5 system, which provides you with many software products on your PC, is ready for an upgrade to version 6.5. The new version will support newer and faster PCs with newer versions of Windows. Citrix allows your PC to be leaner and more responsive while much of the heavy work is done by powerful Citrix servers.
With Citrix, software upgrades and maintenance are done on a few centralized servers instead of on hundreds of individual PCs. This practice offers greater security, more stability and major cost savings.
Information Services (IS) anticipates that upgrades will be handled in phases over the next three months. The schedule of applications and upgrade dates is being finalized for release soon and will be posted on the IS department’s intranet page under Support Departments.
Will I notice any changes? The application software you use each day will not change, but you can expect to see slightly different color schemes and slightly modified icons. More news is coming in the next few weeks. Please contact the Service Desk with any questions at 202.7565 or send an email to servicedesk@bmcjax.com .
Does this image look familiar to you? If you use internal Remote Desktop Web Connection (BHTSWEB), please call the Service Desk at 202.7565 to receive the upgrade. The upgrade is more secure and has enhanced features.
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Information Services
Bar Code Medication Administration: Strive for 95 One of the ways Baptist Health is making significant improvements in patient safety is by reaching a 90 percent user rate for Bar Code Medication Administration (BCMA), which is above the industry standard.
Pharmacy team used their unique combination of medication and information technology expertise to design a clinical workflow with the least disruption and maximum impact for patient safety.
Our goal as an organization is to “Strive for 95” percent by scanning all medications during point of care, and to utilize BCMA to prevent medication errors during medication administration. BCMA creates an alert to the clinician when incorrect medications are scanned that could result in potential errors in administering medications.
He said, “The IS Pharmacy team reviewed more than 4,000 medications in the EMR, stacked barcodes for more than 12,000 line items, and scanned the entire pharmacy inventory twice at each campus to prepare for the launch. The build took more than a year to develop and many months for dedicated Clinical Information Services and Clinical Informatics personnel to optimize pharmacy, nursing and medication processes.”
“Two things will improve BCMA. First, continue reporting medications that are not scanning properly to the Pharmacy department so they can be fixed. Second, continue to use BCMA to improve patient safety and to reduce opportunities for medication variances.” - Kelly Biastre, PharmD Senior consultant for medication safety
A round of applause goes to our Pharmacy departments that implemented numerous process changes to ensure that medications were ready for scanning. The Pharmacy team created a complete inventory and overhaul of the system and the IS Pharmacy team made sure that all medications were scanned. Sean Park, PharmD, IS pharmacist, and the IS
In addition, Baptist Health purchased a highspeed packager to repackage medications with bar codes. Daily pharmacy deliveries arrive at each campus via courier. The cost savings has been worth the expense and the effort as each location can now purchase based on Just In Time production strategy, which greatly reduces the costs of inventory and unused medications. Nicole Blackwelder, director of Pharmacy at Baptist Jacksonville, explains how maintaining BCMA is a daily process for each pharmacy: “All medication products are scanned upon receipt from manufacturers to ensure that the bar code is readable in both Cerner and our AcuDose system. Manufacturers will often change codes and these must be updated in both systems. All of this happens in the background daily to make the process as seamless as possible for our nurses and patients.“
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Integration
PhysicianIntegration Welcome new physicians Anneline Kingsley, MD Baptist Behavioral Health, Beaches Dr. Kingsley earned her medical degree from Pontificia Universidad Catolica Madre y Maestra, Dominican Republic. She completed a residency in general psychiatry at New York Medical College in Valhalla, and a fellowship in general psychiatry at Albert Einstein College of Medicine in Bronx, New York. Dr. Kingsley is fluent in Spanish. For an appointment with Dr. Kingsley, call 376.3800. Mona Iuliana Chiribau, MD Hospitalist Team, Baptist Jacksonville Dr. Chiribau earned her medical degree from Grigore T. Popa University of Medicine and Pharmacy in Lasi, Romania. She completed her residency in internal medicine at MetroHealth Medical Center in Cleveland, Ohio. Courtney Fahnhorst, MD Baptist Primary Care, Reedy Branch Dr. Fahnhorst earned her medical degree from St. Louis University School of Medicine in Missouri. She recently completed her family medicine residency at St. Vincent’s Medical Center. For an appointment with Dr. Fahnhorst, call 363.2733. Vera Abaaba, MD Hospitalist Team, Baptist Jacksonville Dr. Abaaba earned her medical degree from University of Yaounde in Cameroon. She completed her internal medicine residency at Morehouse School of Medicine in Atlanta.
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Brett Frykberg, MD Jacksonville Orthopaedic Institute, San Marco Dr. Frykberg earned his medical degree from Virginia Commonwealth University in Richmond. He completed an orthopedic surgery residency at the University of Florida College of Medicine in Jacksonville and recently completed a fellowship in adult reconstruction and joint replacement at the Hospital for Special Surgery in New York City. For an appointment with Dr. Frykberg, call 858.6400. Colin Lacroix, MD Baptist Primary Care, Baymeadows Dr. Lacroix earned his medical degree from Sackler School of Medicine in New York City. He completed his residency in family medicine from Ellis Medicine in Schenectady, New York. For an appointment with Dr. Lacroix, call 519.5338. David Powell, MD Baptist Primary Care, Kingsland Dr. Powell earned his medical degree from Howard University in Washington, DC. He completed his residency in family medicine at Southwest Georgia Family Medicine Residency in Albany. For an appointment with Dr. Powell, call 912.882.3737.
Kudos to these physicians
School Supply Contest
Kevin White, MD Baptist Primary Care Yulee Dr. White was voted the “Best of the Best” for Nassau County doctors by readers of the Fernandina Beach News Leader. For an appointment with Dr. White, call 225.2311. Samuel J. Fern, DO, Baptist Primary Care Beaches Dr. Fern was voted “The Beaches Favorite Doctor” by readers of the Beaches Leader. For an appointment with Dr. Fern, call 249.0335.
The doctors and staff at Baptist Primary Care Regency participated in a school supply contest to help supply the teachers and students at Seacoast Christian Academy, which is located next door to the office. The office was divided into three teams who collected almost 800 items.
Walk with a Doc Approximately 35 people joined Sofija Rak, MD, on Aug. 23 for Walk with a Doc at Baptist Primary Care Mandarin South, including the office’s newest physician, Tolulope Adeyemo, MD. After the walk, some of the team members took the ALS Awareness Ice Bucket Challenge. Dr. Adeyemo will lead the next Walk with a Doc for the Mandarin South office on Sept. 27. Register at baptisthealth.eventbrite.com .
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Kudos to Tom Burnakis, PharmD, who was recognized by the House of Delegates of the 2014 Florida Society of Health-System Pharmacists with the 2014 Distinguished Service to the Society award. He is a past president of the society and currently serves on their Foundation Board and Past President’s Council.
New procedure for aneurysms A group of physicians from throughout the U.S. attended a two-day training session on a new procedure for small and mediumsized aneurysms at Baptist Jacksonville with neurovascular surgeons Ricardo Hanel, MD, PhD, and Eric Sauvageau, MD, directors of the Stroke & Cerebrovascular Center. Dr. Hanel enrolled the first patient in the international Pipeline™ Embolization Device study in July.
Infection control certification Congratulations to Robyn Kay, MPH, clinical epidemiologist at Baptist Jacksonville, who has earned the Certified in Infection Control (CIC) credential from the Certification Board of Infection Control and Epidemiology, Inc. She joins approximately 5,000 practitioners worldwide who have passed a comprehensive exam that demonstrates mastery of infection prevention and control knowledge. Robyn graduated from Emory University in Atlanta with a Master of Public Health in epidemiology and has worked for Baptist Health since July 2012.
Subway now open in Reid Medical Building New Subway restaurant is open from 7 am – 5 pm, Monday – Friday Call-ahead ordering is available at 479.9980 and online ordering will be offered soon. Payroll deduction is not available.
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Visiting physicians discuss new aneurysm procedure.
Visiting physicians also watched live cases and got hands-on experience on a simulator during the visit. Baptist Jacksonville is one of 20 sites globally studying a device designed for large and medium-sized aneurysms in the brain and the first hospital in the world to enroll a patient in the international study. They hope to enroll 20 – 25 people during the next six months, ages 22 to 80, and will continue to enroll patients for two years. Baptist Health is also part of another international trial that is evaluating a new treatment for both ruptured and unruptured brain aneurysms.
Beaches
BaptistBeaches Deck the Chairs
Mariebel Santos Assistant Nurse Manager, Medical Surgical Unit Santos is always there to lend a helping hand. Patients have shared how she listens to their concerns and goes above and beyond to make sure they are responded to quickly. Marcia Bush, manager of the Medical Surgical and Surgical Telemetry units, shared, “Mariebel is a hard worker. She comes in and handles whatever comes throughout the shift with a smile on her face. She always treats patients and her staff with respect and compassion, and she is never too busy to lend a hand to help patients or staff with any task.”
Baptist Beaches is excited to participate in this year’s Deck the Chairs, a Beaches winter light festival in downtown Jacksonville Beach. This year’s exhibit will feature 40 decorated lifeguard chairs on display between Latham Plaza and the Sea Walk Pavilion. The Baptist Beaches display will be featured in the Seaville Lights section and is currently being designed. We are looking for volunteers to help decorate the display on Friday, Nov. 28, and Saturday, Nov. 29. To get involved, call Jill Lortz at 627.1960.
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MetroCenter Metro In remembrance of Monique Duncan Patient Access Services (PAS) mourns the loss of Gustarva Monique Duncan of the Scheduling Team, who passed away Aug. 10. Duncan, who was a resident of Fernandina Beach, joined Baptist Health in May 2013 and worked on the Mammography Scheduling team at the Metro Center. At the time of her death, she was near completion of her bachelor’s degree in Healthcare Information from Florida Career College.
“Monique was a hard-working team member, with a friendly, humorous and unique personality,” said Patient Access Representative Antionette Taylor. “She pitched in to help wherever she was needed. She presented a go-getter attitude and smile that spread across the Scheduling Team. She is missed.”
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BaptistSouth South World Breastfeeding Week
Amber Crossley, RN Medical Surgical Unit The daughter of a former patient wrote to express her gratitude for the care Crossley provided her father on his final day. The daughter wrote that she was not able to be by his side during this time and that Amber, with kindness and comfort, was able to keep her updated by phone on her father’s condition, expressing to him her love and praying with her upon his passing.
In honor of World Breastfeeding Week, lactation consultants with Baptist Health were busy at work attending events and raising awareness throughout the hospital. On Aug. 5 they participated in the “Ask the Lactation Consultant” event at the Williams Family YMCA in Mandarin.
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Blood Drive Mark your calendar and plan to give the gift of life at our next blood drive on Tuesday, Oct. 21, from noon to 2:30 pm. The bloodmobile will be parked outside the main hospital entrance. Advance registration is recommended, but not required. Contact Kristin Collins at 271.6081 or email kristin.collins@bmcjax.com .
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At Baptist South, education was provided to nurses by the Lactation Team with a tasty treat – Skinny Cow ice cream. Patients also got to be part of the fun by receiving a bag of goodies including a cookie recipe, bra pads, chocolate kisses, mints and Milky Ways bars. Goodies were also placed in the pump rooms for our team members. Pictured are: Lisa Hays, RN, IBCLC, and Kay O’Brien, RNC, IBCLC, MSN.
BaptistNassau Nassau Baptist Nassau recognized for quality and patient safety Congratulations to Baptist Nassau, one of three hospitals in the state to be recognized by the Florida Hospital Association (FHA) for meeting their improvement goals in all 10 of the Partnership for Patients (PfP) initiatives. The PfP goals, established by the Centers for Medicare and Medicaid Services in 2012, are aimed at reducing patient harm by 40 percent and readmissions by 20 percent over three years. The 10 key focus areas of PfP goals include: n Adverse drug events n Central line-associated bloodstream infection n Catheter-associated urinary tract infection n Injury from falls and immobility n Pressure ulcers n Obstetrical adverse events n Surgical site infection n Venous thromboembolism n Ventilator-associated pneumonia n Readmissions Baptist Nassau is one of 76 hospitals from across the state participating in the FHA PfP Hospital Engagement Network Collaborative that was formed in partnership with the American Hospital Association and the Healthcare Research Educational Trust. All Baptist Health facilities are participating in this collaborative.
In remembrance of Janice Pauley Baptist Nassau mourns the loss of Janice Pauley, director of Surgical Services, who passed away Aug. 13. Pauley joined Baptist Nassau in 2007. “Her leadership and management saved hundreds if not thousands of lives and brought health and happiness to an equal number of patients,” said James Tippins, senior chaplain. “She coordinated the team of professionals who, along with surgeons and other doctors, performed delicate and dynamic surgeries. And she did this with compassion.” Teresa Cruz, community relations coordinator and administrative assistant, Nursing Administration, said, “Janice was always very upbeat and had a great personality. She called me every day to ask how my day was going.” Ginger Andrews, nurse manager, shared “Janice was a quiet but effective leader who often did special things for staff. For example, she crocheted a beautiful baby layette for one of her team members, and according to Janice, it was the first time she had made something that intricate. It was beautiful! Janice and her unassuming presence will be missed not just by her staff but by all who had the pleasure to know her.” A memorial service remembering Pauley was held at Baptist Nassau on Aug. 19.
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BaptistClay Clay Wolfson Warriors award Kudos to the Wolfson Children’s Emergency Center team at Baptist Clay, named Wolfson Warriors of the Month for September by the Hospital Employee Advisory Team (HEAT) of Wolfson Children’s Hospital. They received this honor because their Press Ganey patient satisfaction scores ranked in the 99th percentile. They were presented with a trophy and a Wolfson Warriors banner by Veronica Scott-Fulton, DNP, vice president of Operations and Patient Care Services, and Jerry Bridgham, MD, chief medical officer of Wolfson Children’s Hospital. “The Clay Emergency Department team is very focused on delivering on the promise of superior service to the residents of Clay County,” said Darin Roark, administrator of Emergency Services and Baptist Clay. “Our recent survey results demonstrate this commitment. The recognition from the Wolfson Children’s HEAT team members is very much appreciated, and we are thrilled to be recognized by our fellow teammates.”
Amazing Grace Crop Maze hosts Wolfson Weekends The Amazing Grace Crop Maze in Green Cove Springs opens Oct. 3 and runs every weekend through Nov. 8. Wolfson Weekends are Oct. 17-18 and Oct. 24-25, with a portion of the proceeds benefiting the Wolfson Children’s Emergency Center at Baptist Clay. Also, Baptist Health team members will get $1 off the $11 admission price during Wolfson Weekends by showing their employee ID badge at the entrance. If you volunteer during the Crop Maze at the Baptist Clay First Aid Tent, you’ll get free admission for you and up to three family members to the Crop Maze on another date. Not only will this year’s event feature a special, surprise design, but there will be more familyfriendly events than ever. They include a petting zoo, hay ride, pumpkin patch, cow train, duck races and more. To find out more, visit agcropmaze.com . To volunteer for the first aid tent, email darin.roark@bmcjax.com . You do not need to be a clinician to volunteer.
Kylie was a patient of the Wolfson Children’s Emergency Center at Baptist Clay after a bad fall. In this photo, a Baptist Clay CT tech explains what will happen during Kylie’s scan. Fortunately, she didn’t sustain a skull fracture or brain bleed and went home with her family the same day.
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Wo l f s o n C h i l d re n’s Training at Southeast Georgia Health System
Nurses with the Wolfson Children’s Emergency Center in Jacksonville and the Kids Kare Mobile ICU Transport Team traveled to Brunswick on Aug. 27 to provide an all-day training session in pediatric critical care to Emergency Department nurses with Southeast Georgia Health System. Topics included, “Vitals in All Ages,” “Respiratory Distress,” “Seizure Disorders,” and more. The training is part of an affiliation agreement established between Southeast Georgia Health System and Wolfson Children’s in October 2012.
Fun bath time for pediatric patient
This baby doesn’t get to play in water or sit and take a true bath, due to a central line he has in place for dialysis, so nurses from the Pediatric Day Hospital made possible a fun bath time for him, even giving him a chance to have a water gun “syringe” fight.
Robert Sefcik named FHSAA committee chair Robert Sefcik, ATC, LAT, executive director of the Jacksonville Sports Medicine Program (JSMP), and a Baptist Health team member, has been selected as the Chairman of the Sports Medicine Advisory Committee of the Florida High School Athletic Association. The JSMP is a local non-for-profit advocacy program dedicated to youth sports injury prevention. It is supported by Wolfson Children’s Hospital, Nemours Children’s Clinic, Brooks Rehabilitation, Mayo Clinic, the Duval County Public Schools and the Duval County Medical Society.
Community, team members join Marrow Registry to save lives Nearly two years ago, patient Tyler (pictured) received a live-saving bone marrow transplant because someone joined the Be the Match Registry and was his 10-outof-10 match. Tyler and his family were at the United In Hope Marrow Registry Drives hosted by Wolfson Children’s, Nemours Children’s Clinic, Jacksonville, and Mayo Clinic Sept. 10-13. More than 189 new individuals joined the Be the Match Marrow Registry at our drives, potentially saving the lives of children and adults who need a match to have a bone marrow transplant.
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Buy, sell or swap your Vestex® uniforms via the Classified ads Beginning in the next issue of Care Connection, the Classified ads will include a section for team members who would like to buy, sell or swap uniforms. To submit your ad, use the online form, which can be found under the Life at Baptist tab on the intranet. Be sure to include the following information in the text of your ad: n
Size, style and color of uniforms you would like to sell or swap
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A personal phone number or email address (Work phone numbers and emails cannot be used in Classified ads.)
Classifieds AUTOMOTIVE
Motor scooters. Brand new motor scooter, 2011 Subbeam motor scooter. 150 st. Only needs engine and battery. Excellent condition. Asking $500/$450. shezadashraff@yahoo.com
FOR RENT
Arlington/Sea Brook Manor. 4 BR, 1-1/2 BA. Lg fenced yd, den, shed and 1 car garage , $900/mo. 904.509.6491
FURNITURE
3 black leather theater chairs for $900. Pictures available via email. Contact Pat or JJ, hammond-j@bellsouth.net or 904.635.7723 Baby grand piano. Made in Paris, 5’4”. Pictures on request. Asking $4,800. Call Diane 904.445.1110 Pecan DR set. Italian Provencial table with 3 leaves, table pads, 2 captain and 6 side chairs, china cabnet. $800 neg. Call Diana or Randy at 379.8900
MISCELLAEOUS
Brand new Dansko prof. nursing clogs. Size 40. Geometric Prism design. Worn 3 times, but too small. Pd. $135. Sell FOR $110. dolphinnurse@comcast.net 2010 club car. Garage kept, very clean, runs great, barely used. Asking $2,650. Call Eddie at 904.707.3289
WANTED
Boy size 9-12 mo. clothing needed, willing to pay. Also needing a round gate and high chair. Text Alisha at 904.874.0659 Size 12-14 mo. boy clothing needed. Willing to pay. Text Alisha 904.874.0659 Co-ed softball. Looking for females who are interested in playing Sundays for the fall season. Contact Brandon at 904.321.1275 or Tim 904.482.8324
Submit a Classified Ad Next Deadline: Sept. 29, 2014 On the intranet, go to Life at Baptist and select Submit Classifieds online. Please do not include your work phone number or email in the text of your ad.
Digital Care Connection Care Connection is available online. Issues can be found on the intranet by clicking on Life at Baptist.
Used jogging stroller wanted. Text Vicki at 904.422.4475 Women’s scrubs size XS or S wanted. Text/call Anne at 727.808.7765
Goods advertised are sold by individual team members. Baptist Health claims no knowledge of goods advertised, offering no warranties or guarantees.
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