Indiana Nursing Quarterly Aug. 2012

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CNOs, the backbone of the nursing field CAREERS & TRAINING:

Indiana’s Midwives certification

YOUR WORLD:

Harpist helps in healing

LEADING FROM THE FRONT. w w w . A m e r i c a n S r C o m m u n i t i e s . c o m

OPPORTUNITIES EXIST THROUGHOUT INDIANA.

American Senior Communities, the largest senior healthcare and housing provider in Indiana, has built a solid reputation of staying at the forefront of their industry. ASC’s leadership has long been aware of the simple fact that to provide the best care, you need the best caregivers.

We’re growing. With locations across the state and more coming, we’re looking for frontrunners with the decision-making, focus, and drive to join our team of talented and skilled professionals. If you’re looking to lead the way in senior care, it’s all happening right here.

Nurses - All Shifts Nurse Managers We offer competitive compensation and affordable benefits, including: • Health, Dental, Vision, and Life Insurance • Employee Assistance Program • 401(k)

• Tuition Assistance • Paid Time Off • Six Paid Holidays • Short-term Disability

For more information regarding our current opportunities, please visit our website at: www.AmericanSrCommunities.com Or send your resume to: American Senior Communities, 6900 South Gray Rd., Indianapolis, IN 46237; Call: 317.787.6454 x313; Email: hrjobs@americansrcommunities.com EOE

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Cover:

Lee Ann Blue, CNO, executive vice president Patient Care Services Wishard Health Services

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Inside 4-8 On the Pulse

9 Clips & Tips CNO excited by merger

Cover Story

10-17 Who are CNOs?

Careers & Training

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REGISTERED NURSE OPPORTUNITIES Come talk with us about a specialty certification as CCRN. We offer competitive wages and excellent benefits.

Please visit our website at www.rhin.com to see our current job listing and complete an online application.

REHABILITATION HOSPITAL OF INDIANA 4141 Shore Drive | Indianapolis, IN 46254

Indiana Nursing Quarterly is a product of Star Media, 307 N. Pennsylvania St., Indianapolis, Ind. It’s distributed electronically to nurses throughout central Indiana.

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Your World 21 Harpist helps heal with music 22 Q&A with Karen Bowers

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Content

RHI provides personalized, compassionate care that enables individuals to regain hope and independence after lifechanging injury or illness Rehabilitation Hospital of Indiana opened in 1992 and we are proud of our many years of outstanding service. RHI is one of the largest freestanding inpatient physical rehabilitation hospitals in the Midwest. We offer comprehensive inpatient and outpatient care to those with spinal cord injuries, brain injuries, orthopedic intervention and strokes.

With our program model, we focus on our centers of excellence and can offer you opportunities to work with other clinical experts and newly emerging information, technology and treatments.

We invite you to join our team of healthcare professionals as we assist our patients in achieving their highest potential.

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On the Pulse

NURSING DEGREES THAT

MAKE A STATEMENT

â– Noteworthy Indy hospitals to participate in AACN nurse leadership program

The American Association of CriticalCare Nurses has selected six area hospitals as inaugural participants in its hospital-based nurse leadership and innovation training program.

The hospitals are the first in the national rollout of AACN’s Clinical Scene Investigator Academy. The program is designed to empower bedside nurses as clinician leaders and change agents whose initiatives measurably improve patient outcomes with bottom-line impact to the hospitals.

Participating Indianapolis hospitals are: Franciscan St. Francis Health; Indiana University Health Methodist Hospital; Indiana University Health University Hospital; Riley Hospital for Children at Indiana University Health; St. Vincent Hospital; and Wishard Health Service.

IWU Online • Post-licensure (RNBSN) • MSN in Administration and Education • Certificate in Parish Nursing

Education Centers in Indiana, Kentucky, and Ohio* • Post-licensure (RNBSN) • MSN in Primary Care Nursing (Family Nurse Practitioner)

IWU campus in Marion, Indiana • BSN Degree – traditional 4-year program • BSN Degree – Transition to Nursing * Not all programs available at all locations

A degree from Indiana Wesleyan University makes a statement.

Online/Indiana/Kentucky/Ohio

INDWES.EDU 866-498-4968

Tharp named president and CEO of Community Hospital Anderson

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Promotions, workshops, awards

After a nationwide search, Beth Tharp, RN, BSN, MBA, has been named the new president and CEO of Community Hospital Anderson. She currently serves as the hospitalâ&#x20AC;&#x2122;s vice president of patient care services and chief nursing officer. Tharp assumes her new role later this year.

Tharp The hospitalâ&#x20AC;&#x2122;s current CEO, Dr. Bill VanNess, announced his impending retirement last October. He was named CEO of the hospital in 1997.

Tharp has overseen the development of a number of patient-focused clinical programs that have drawn national attention. In 2009, she received Communityâ&#x20AC;&#x2122;s Leadership in Excellence Award.

The Indianapolis Starâ&#x20AC;&#x2122;s Salute to Nurses named Tharp the 2012 Nurse of the Year and Advancement in Nursing winner. Salute to Nurses honors those who consider nursing their calling as well as their profession.

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â&#x20AC;˘ Summer 2012

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Name change

Effective Jan. 1, 2013, St. Johnâ&#x20AC;&#x2122;s Health System will become St. Vincent Anderson Regional Hospital. The change reflects the hospitalâ&#x20AC;&#x2122;s expanded regional role within St. Vincent Health.

Patients far beyond Madison County come to St. Johnâ&#x20AC;&#x2122;s for cancer treatment, mental health care, the Center for Midlife Women, and rehabilitation services â&#x20AC;&#x201D; specifically the regional balance center and acute inpatient rehabilitation services.

Saint Johnâ&#x20AC;&#x2122;s will celebrate its 10th anniversary as a ministry of St. Vincent Health on Jan. 13, 2013. St. It is the second largest ministry in the St. Vincent Health system.

â&#x2013; Recognition Extraordinary Healer Award for Oncology Nursing Sheila Dropcho, RN, BSN, a renal

research nurse coordinator at the Indiana University Melvin and Bren Simon Cancer Center, received the 2012 Extraordinary Healer Award for Oncology Nursing.

Dropcho was selected Dropcho from three finalists for the national award, which was presented at the Oncology Nursing Societyâ&#x20AC;&#x2122;s 37th Annual Congress in New Orleans May 3.

Fellow in American Academy of Nursing Marilyn Cox, MSN, RN, NEA-BC, Riley

Hospital for Children at Indiana University Health, was selected as a fellow in the American Academy of Nursing. Cox is one of 175 nursing leaders from across the country who Cox will be inducted in the class of 2012 at the academyâ&#x20AC;&#x2122;s annual meeting in Washington, DC, in October.

Cox has been Rileyâ&#x20AC;&#x2122;s senior vice president and chief nursing officer since 1990. Academy selection is one of nursingâ&#x20AC;&#x2122;s most prestigious honors.

On the Pulse

Promotions, workshops, awards

of nursing in the College of Nursing and Health Professions at the University of Southern Indiana, is the 2012 recipient of the Ildaura Murillo-Rohde Award for Education Excellence, presented by the National Shirey Association of Hispanic Nurses (NAHN). The award honors NAHN members who have distinguished themselves in any scholarship area and/ or nursing education. Qualifications for the award include outstanding contributions in nursing education, research, and practice, recognized commitment to excellence in nursing, or distinguished clinical expertise.

Shirey received the award at a reception and gala on Friday, July 20, 2012, during the NAHN Annual Conference in San Juan, Puerto Rico.

Shirey, a nurse executive with more than 30 years of experience in the health care field, teaches in the graduate program focusing on leadership and management in both the Master of Science (MSN) and Doctor of Nursing Practice (DNP) programs. Her research focuses on nurse manager work complexity to provide a better understanding of the nurse manager role and its unique contributions to health care systems. Her work on the relationship between leadership and the practice environment of nurses is considered a seminal contribution to the nursing literature.

Her experience includes roles as staff nurse, clinical nurse specialist, academic faculty, nurse manager, nursing director, hospital vice-president, and entrepreneur.

She is active in multiple professional organizations such as the American Organization of Nurse Executives, Indiana Organization of Nurse Executives, Sigma Theta Tau International, the American Association of Critical-Care Nurses (AACN), the American College of Healthcare Executives, and The Midwest Nursing Research Society (MNRS).

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USI professor earns prestigious Hispanic award in nursing Dr. Maria Shirey, associate professor

St. Vincent Health’s 2012 Professional Nurse Recognition Award recipients are (left to right): Chris Donaghey, Kathleen Hubner; Susan Storey, Jennifer Spivey and Susan Clark.

St. Vincent Health nurses honored

Five St. Vincent Health nurses were honored at the 20th annual Celebration of Nursing Banquet. The Professional Nurse Recognition Award acknowledges nurses who continually work toward a higher standard of practice. Recipients must demonstrate accomplishment and commitment in their work and outside of work by contributing time and energy to community, health, education and volunteer initiatives. The recipients are:

Kathleen Hubner, CNS; MSN, RN, ACNS-BC, CNRN Susan Storey, CNS; MSN, RN, AOCNS St. Vincent Indianapolis Hospital Chris Donaghey, BSN, RN, SPN, HN-BC Peyton Manning Children’s Hospital at St. Vincent Jennifer Spivey, MSN, RN, CNOR, CIC St. Vincent Heart Center of Indiana Susan Clark, BSN, RN, RNC St. Vincent Women’s Hospital

University of Saint Francis Crown Point Educates with Future of Nursing On June 12, the University of Saint Francis Crown Point offered the educational lecture, The Future of Nursing.

The free program, held at Crown Point High School, focused on the challenges nurses will face in coming decades and was attended by a crowd of nurses, nursing students, medical administrators, USF alumni and the public.

The lecture included a

presentation by USF BSN/ Graduate Nursing Program Director Mindy Yoder, DNP, FNP-BC, RN, who offered highlights from reports by the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation.

Yoder also moderated a panel discussion in which chief nursing officers and other healthcare professionals from Indiana, discussed the IOM study’s finding and the impact on local and

statewide healthcare.

In addition to Yoder’s presentation and the panel discussion; a demonstration of METIman’s functions was provided. METIman is a patient simulator that mimics human physical responses and is used in medical training.

The event was sponsored by the University of Saint Francis Crown Point, Community Hospital, Franciscan Alliance and Methodist Hospital.

— Submitted University of Saint Francis

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Difference Makers Taking care of people and making a difference. These are our daily goals at CarDon & Associates, where we believe in the dignity and potential of every resident. Join us today and begin a career in which you can achieve personal success and make an important contribution to the care and well-being of our residents.

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On the Pulse

By Shauna Nosler

SUBMITTED PHOTO

Investing in the nursing work force

Recent O2NE Indianapolis-area are: (front, left to right) Crystal Barnes, Brownsburg Meadows, and Tabitha Zieleniuk, Rosegate. Second row (left to right): Latarsha Bullock, American Village; Ashley Binion, Zionsville Meadows; Melinda Negley, Washington Healthcare Center; and Jena Hall, Beech Grove Meadows.

■ According to the Trust for America’s Health, Indiana is facing a shortage of nurses — 37 percent will retire by 2015 and 59 percent by 2020.

Aware of this impending deficit, American Senior Communities (ASC) created the Opportunity to Nursing Excellence program in 1998.

The program — O2NE — helps employees return to school to earn an LPN degree. Participants are allowed to decrease their work load to 30 hours yet retain their full-time salary.

“They even help with childcare and transportation costs,” said Crystal Barnes, a recent grad who works at Brownsburg Meadows. “Plus, you get a great coach that helps you stay right on track.”

In addition, the program does not require graduates to continue their employment with ASC after graduation.

They are free to use their degree with any employer they wish.

“The core idea behind the O2NE program is to continually breathe new life into the health care industry and to benefit all Hoosiers, not just those in our care,” said Dan Benson, ASC’s chief operating officer. “We hope to be sending more graduates into the field — and our state — for many years to come.”

O2NE participants are nominated for the program by their supervisors, then must pass an assessment test before being accepted. Barnes said only candidates who are identified as having a high likelihood of success are chosen. “[The program] gives employees who might not have had the opportunity to go back to school the ability to do so,” Barnes said. “It produces dedicated and caring nurses which, in turn, improves the residents’ quality of life.” ●

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On the Pulse

Guest columnist Deborah Lake, RN, RAC-CT Supervising Consultant, BKD

Focus on re-hospitalizations in nursing facilities offers new challenges ■ Nursing facilities care for many individuals who are frail and suffer from chronic illnesses and cognitive and functional impairment.

Two-thirds of these residents are enrolled in Medicaid and most are dually enrolled in both Medicaid and Medicare.

Due to their vulnerability and complex health needs, these residents are often subject to avoidable or unplanned hospitalizations that are the result of multiple system failures. These hospitalizations are not only costly but also disruptive and place residents at risk for complications such as polypharmacy, falls, pressure ulcers, incontinence, catheter use, weight loss, hospital-acquired infections, physical restraints and increased morbidity and mortality.

Studies show that 45 percent of hospital admissions among Medicare skilled nursing facilities or Medicaid nursing facilities could have been avoided. In 2005 alone, that would have been approximately 314,000 potentially avoidable hospitalizations at a cost of $2.6 billion in Medicare expenditures. Studies also show that 30 to 67 percent of hospitalizations among nursing facility

residents could be prevented with the use of well-targeted interventions.

Broad interest in improving these statistics is present. Several “Care Models” have already been shown to decrease hospitalizations and health care costs by providing nursing staffs with effective interventions and tools to improve health outcomes and provide residents with a better care experience. Some of these include but have not been limited to:

■ Use of nurse practitioners to provide a greater and more immediate response to resident health needs ■ Increased staffing for RN positions ■ Development of clinical protocols to improve communication with physicians ■ Use of clinical pathway tools to assist in identifying changes in residents’ conditions and decision making in physician notifications

■ Improve health outcome of residents

■ Implementation of quality improvement processes to evaluate effectiveness of implemented approaches

■ Improve the transition process between nursing facilities and hospitals

Future possible incentives to reduce hospitalizations in nursing facilities include the establishment of a quality indicator that would appear on the Nursing Home Compare website for public viewing. It would be included in both the nursing home fivestar rating

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■ Reduce the frequency of avoidable hospital stays

■ Increased utilization of hospice care and end-of-life planning

SHUTT

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system and pay-for-performance measures, and even refinement of the reimbursement systems in both hospital and nursing facility settings.

In response, the Centers for Medicare and Medicaid Services earlier this year announced an initiative to reduce avoidable hospitalizations among nursing facility residents.

This initiative was created by the Affordable Care Act and will be run collaboratively by the CMS MedicareMedicaid Coordination Office and the Center for Medicare and Medicaid Innovation Center. They will partner with independent, non-nursing organizations (referred to as enhanced care and coordination providers) to reduce avoidable hospitalizations through demonstration and implementation of evidence-based interventions. The primary objectives of this initiative will be to:

• Summer 2012

■ Reduce health care spending without restricting care or provider choice These providers will partner with nursing facilities and states to test proposed interventions and improvement strategies to meet these objectives. Applications for this venture were accepted through June 14, 2012 and partnerships will be awarded by Aug. 24, 2012.

Performance of initiatives will continue through August 2016. ●

Clips & Tips

By Julie Young

CNO is excited by network merger ■ You’d expect a merger to present plenty of challenges but, as far as the nursing community is concerned, the recent pairing of Community Health Network and Kokomo’s Howard Regional Health System was a smooth transition.

“We’re excited at the opportunity to learn from each other and work together in a meaningful way,” said Cindy Adams PhD, ANP-BC, RN, chief nursing officer for Community Health Network.

Navigating a changing field | The Kokomo facility’s board voted in

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January to join with Indianapolisbased Community Health Network.

Now known as Community Howard Regional Health System, it retains a local board but benefits from growth and network support of its clinical services, enhanced access to primary and specialty care, and pipelines for physician and employee recruitment.

The affiliation is similar to partnerships CHN developed with Community Hospital of Anderson and Westview Hospital of Indianapolis.

“Our health care organizations have a shared vision of putting patients first and a deep commitment to the communities we serve,” said Brian Mills, president

and CEO of Community Health Network.

Whether it’s the 2010 federal health care reform law, facilitating more positive outcomes for less money, predictions that half the current nursing work force will retire by 2020, or prospective nursing candidates being turned away, having more minds to address the issues will be just one benefit of the merger.

“There are all of these external forces coming to challenge the way we’ve done things,” she said. “It’s wonderful to have more people coming to the table with a variety of experiences and perspectives to define that new model of nursing care in the future.” ●

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Cover Story

By Shauna Nosler

nyone who’s ever been under the care of a good nurse — or fo A matter, a bad one — likely would agree that the attention of a g nurse is as important as the diagnosis of a good doctor.

Fortunately, in central Indiana, proper patient care is a top priority for hospitals’ nursing officers. In this article, five local CNOs give their input on today’s nursing While some of their thoughts vary, you can rest assured that with more than 150 experience between them, should you face hospitalization under their watch, you in good hands.

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MA

Cover Story

Q&A with five local chief nursing officers

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ARC LEBRYK CUSTOM PUBLICATIONS

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Darcy Burthay CNO/COO St. Vincent Indianapolis Hospital

CNO and senior vice president Riley Hospital for Children at IU Health North Hospital

Education: BSN, MSN Ball State University Years in nursing: 28

How did your family influence your decision to become a nurse?

Years in nursing: 37

What makes a great nurse?

“Being a great nurse is two-fold. You must have not only great clinical skills, but also great interpersonal skills.”

What changes have you seen over the years?

“I’m concerned about the lack of interest in being a nurse leader. While it is tough, it is an amazing opportunity to create good change and make a difference for the people you serve. I want someone to want my job — I hope we’re preparing our nurses to lead other nurses with passion and enthusiasm.” indystar.com/nursing

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What was the first thing you did as a nurse?

“I started my nursing career in Oklahoma City at the Children’s Hospital of Oklahoma. Eventually, I decided to leave in pursuit of a nursing administration position at a not-for-profit hospital, which is more consistent with my values.”

“I started in the pediatric intensive care unit as a new nurse, so I’m certain my first things were giving meds and taking vital signs. However, the most important thing to me was connecting with the children, and I loved working with the families.”

A CNO holds a vital position in a hospital’s day-to-day operations as well as helping to facilitate its long-term success. Often overseeing a staff of hundreds, and the well being of thousands of patients throughout the year, potential CNO candidates must have the following prerequisites:

What’s your biggest concern for nurses today?

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How did you come into the position you’re in now?

Could you be a future CNO?

“Technology has changed over the years, but patients and their families still want the same things: Listen to me, keep me safe, communicate with me and help me feel better when I leave than I did when I came in.”

Indiana Nursing Quarterly

“The biggest changes have been in the skill sets that an effective nursing executive has to possess. To stay abreast of the health care system’s complexities, nursing executives have been required to develop excellent skills in finance, business development and organizational dynamics, change management and information technology.”

Education: BSN, MSN, University of Oklahoma

“As my family’s middle child I was always a caregiver — nursing was my calling. My mother lost her battle with ovarian cancer at 45 and my father had serious cancer surgery 13 years ago. My experiences have helped shape my desire to provide the best care for patients and their family.”

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How has nursing changed since you first entered the profession?

Marilyn Cox

Summer 2012

■ Be a licensed registered nurse ■ Have earned at least a BSN, although most hospitals require a master’s degree in one of the following (or similar): ■ Nursing ■ Public health ■ Business administration ■ Health administration ■ Five to 10 years of practical work experience in a leadership role in a hospital setting. The more diverse the better — ER, ICU and surgical are considered a plus.

MARC LEBRYK CUSTOM PUBLICATIONS

Susan McRoberts

CNO, vice president Franciscan St. Francis Health Education: BSN, Indiana University; MSN, Indiana University Years in nursing: 30

Have you always wanted to be a nurse?

What are your top concerns for nurses today?

“Yes, my mother was a nurse.”

“Having enough qualified faculty members to teach the nursing students. Another is the ongoing shortage of experienced nurses to work in health systems. And being able to create sustainable health care models that focus on prevention and management of a patient across a continuum of care.”

How has the field of nursing changed since then?

“There is so much more technology, including the electronic medical records, that we have to learn.”

■ An understanding of The Joint Commission as well as state and federal regulations.

One woman’s journey to becoming a chief nursing officer

Cindy Adams, CNO of Community Health Network for the past year and a half, didn’t always desire a position in senior management — she spent the first 10 years of her career in critical care. Eventually, she took a position coordinating cardiovascular research and

went back to school to become a nurse practitioner.

“I spent the next 15 years in chronic disease management, designing and implementing multi-disciplinary programs for heart-failure management while practicing as a nurse practitioner, and pursuing my PhD,” Adams said. “My intent was to continue this work, build a small program of research, and publish my findings on the innovative models for chronic care.”

After earning her PhD in 2007,

Community Health Network leaders approached her about considering a seniorlevel leadership position. She accepted an interim position at The Indiana Heart Hospital as chief nurse executive, then was offered the CNO position when then-CNO Jan Bingle retired.

“Jan has been a wonderful mentor to me,” Adams said. “She led me to consider new and challenging things that I likely wouldn’t have entertained otherwise.”

Adams hopes she can do the same for other nurses in the future. ●

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Cindy Adams

Network CNO Community Health Network Education: BSN, Ball State University; MSN, Indiana University; PhD, Indiana University

MARC LEBRYK CUSTOM PUBLICATIONS

Community Health Network CNO Cindy Adams talks with staff nurses.

Years in nursing: 29

Have you always wanted to be a nurse?

“No, I didn’t think I’d have the stomach for it. My mother was a nurse and I always marveled at how strong she is and how she could do things I thought I could never do.

I really do believe it was a calling because I can’t explain why I ended up in nursing school. Nursing has provided the perfect path for me.

Surely there couldn’t be a more exciting time to be a nurse.”

What was the first thing you did as a nurse?

Follow Indiana Nursing Quarterly on Twitter @IndianaNursing 16

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“One of my earliest memories is the first injection I gave —

• Summer 2012

standing there for what seemed to be 10 minutes with the syringe positioned, just trying to muster the courage to get on with it.

Finally I did and there were no casualties.”

Have you ever been to a hospital in a foreign country?

“I went on a medical mission to Jamaica. We traveled from town to town setting up clinics for the day to provide health care to the people who have no other access.

This was a life-altering experience.

I saw the end stages of conditions that would never reach the end stage in the U.S.”

Lee Ann Blue

CNO, executive vice president Patient Care Services Wishard Health Services

MARC LEBRYK CUSTOM PUBLICATIONS

Education: BSN, McKendree College; MSN, Southern Illinois University Years in nursing: 30

How has the field of nursing changed since you first entered the profession?

Have you ever been to a hospital in a foreign country?

“We have a lot more to document, and nursing is much more specialized than it used to be. And, we used to wear all white; now wear scrubs.”

“I have been on several medical mission trips to India. The nurses over there are extremely knowledgeable. They understand nursing but have limited resources. As a patient, you must pay as you go. Nurses are responsible not only for the care, but also explaining the cost. The nurses then work with the patient on what they can afford.”●

Why did you choose to continue your career at Wishard?

“The caring and devotion of the staff like CEO Dr. Lisa Harris and Dr. Gregory Gramelspacher. And the wonderful burn unit and the Wishard Palliative Care Program.”

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Careers & Training

Shari Held

SUBMITTED PHOTO

Barb Winningham (left), DNP, CNM, WHNP, Coordinator, Nurse-Midwifery Track and Women’s Health Nurse Practitioner Track Assistant Professor, School of Nursing-Graduate Program, University of Indianapolis and University of Indianapolis School of Nursing Dean Anne Thomas

State’s only certified nursemidwifery program fills a need ■ Barbara Winningham, DNP, CNM, WHNP, an adjunct professor in the University of Indianapolis’ Family Nurse Practitioner program, saw a need for a certified nursemidwifery program and decided to do something about it.

Supported by the School of Nursing, she put together a proposal to fund a nurse midwifery program. The request

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• Summer 2012

netted the school a $297,000 Health Resources and Services Administration grant — the biggest in its history.

Winningham, who serves as coordinator for the school’s NurseMidwifery and Women’s Health Nurse Practitioner tracks, worked on curriculum development and pre-accreditation from the American College of NurseMidwives. In 2003, the program opened its doors.

During the 55-credit master’s

Careers & Training

degree program, students put in more than 1,035 clinical hours and participates in approximately 40 births.

“If someone is considering an advanced practice, midwifery is a wonderful career to go into,” Winningham said. “Midwives are essentially women’s health practitioners with the added features of labor and birth and caring for newborns for the first month of their lives.”

Before coming to the University of Indianapolis, Winningham was a service director for HealthNet, a nonprofit organization that provides health care services to underserved populations. While there, she saw firsthand the need for midwifery services, especially in Indiana’s southern rural areas.

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Accreditation | The first class graduated in 2006, and the program gained its accreditation, making it the only midwifery program in Indiana accredited by the ACNM. This year, the program was reaccredited for 10 more years, the longest accreditation period awarded by the ACNM. Another feather in the program’s cap is that ACNM didn’t recommend suggested improvements.

“We were very excited about that,” Winningham said.

So far, 15 students have earned their degrees, and all have passed their national certification exams. Three more students are slated to graduate in December.

Some have been able to undertake the program thanks to the Miriam Willey Midwifery Scholarship. Miriam Willey is a nurse who started a free

clinic in her hometown of Shelbyville.

She has a particular passion for maternal/child health. When she learned that UIndy was starting a nurse-midwifery program, she wanted to assist students financially. More than half the program’s graduates have benefited from The Miriam Willey Midwifery Scholarship fund.

“This program will improve access to care for those in need — underserved mothers, babies, families and communities — while allowing these certified nurse-midwives to practice at the fullest extent of their educational preparation,” said ISNA President Jennifer Embree, DNP, RN, NE-BC, CCNS. “These individuals will also influence health policies to assure excellent quality, yet cost-effective care for families and communities they serve.” ●

pubs@indystar.com.

Community Health Network is Central Indiana’s trusted leader, providing convenient access to exceptional healthcare services. Our network is complex, with 200+ sites of care and affiliates; but our approach is simple. We deliver excellence, while putting those we serve – our patients and employees – first.

Due to our continued growth, Community Health Network has immediate opportunities available for experienced Registered Nurses. Full-time, part-time, weekend option and PRN positions are available. Below are just a few of the opportunities: Emergency Department Patient Care Coordinator - Community East Home Care - all areas ICU - Community North and South Medsurg - Community North NICU - Community North Operating Rooms Nursing - all locations Outpatient Oncology - Community East, North, and South PCU - The Indiana Heart Hospital Psychiatric Nursing - Community North Rehab Patient Care Coordinator - Community East Resource Team - all locations Our competitive benefits package includes wellness benefits, fitness centers, local merchant discounts, and a matching 401K. To view all of our opportunities for experienced RNs and to apply online, visit our website at employment.eCommunity.com. EOE.

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Your World

By Matt Keating, Custom Publications

Riley Hospital Autism program to provide helpful hand ■ An outreach program at the Riley Hospital for Children Christian Sarkine Autism Treatment Center has been designated as one of six resource centers of the Indiana Resource Network established by the Indiana Department of Education (IDOE).

quality of special education services.

IRN centers will also provide more universal assistance in many forms, including professional development, capacity building and policy examination.

“There are more nurses and medical professionals getting involved which is great,” Swiezy said.

Dr. Naomi Swiezy, Ph.D., the clinical director of the Christian Sarkine Autism Treatment Center and program director of HANDS in Autism, said HANDS in Autism is the only program focusing on autism named to the Indiana Resource Network (IRN).

An acronym for Helping Answer Needs by Developing Specialists in Autism, HANDS in Autism was created in 2005 Swiezy to develop statewide partnerships to expand outreach, education and training to entire communities with a particular focus on shared information and collaboration between school personnel, medical professionals (including nurses), families and other caregivers.

“HANDS in Autism’s ultimate goal is to improve the bridging and coordination of systems in providing education and services available to individuals with autism and their families,” Swiezy said.

Swiezy, who also is an Alan H. Cohen Family Scholar of Psychiatry and an associate professor of clinical psychology in clinical psychiatry at the Indiana University School of Medicine, said, “With the Indiana Resource Network approach, students, families and schools will receive more consistent and coordinated information and training opportunities and have access to university specialists with the latest resources available.”

The IDOE will refer schools to one or more of the IRN centers to improve the

What is Autism? | The staff of Hands in Autism also recently announced the completion of the film, What is Autism? The 23-minute video features stories of several individuals that reflect successes due to the support of their families and providers using evidence-based strategies.

“We hope people find the video positive and inspiring,” Swiezy said. “We hope it is something you will want to share with your family, friends or colleagues. We hope to distribute the film as an educational piece to assist families, school personnel medical providers and other community members to have a greater understanding of autism special disorder.”

Swiezy added that she hopes it will also help parents concentrate on their child’s strengths and what can be achieved.

Sarah Shaffstall, MPH, program research specialist, Hands in Autism Program, said the program’s Local Community Cadres have also had a multi-tiered impact.

Local Community Cadres Global (LCCS) are a community network of families and professionals invested in serving individuals affected by autism spectrum disorders. LCC members share a common mission to facilitate, bridge, and collaborate across systems to enable greater community systems of support as well as increased capacity to support success in the home, school, and community settings.

“We look at what the needs of a community are,” Shaffstall said.

“The training differs per community depending on what they need.

We have received a lot of positive

feedback. Nurses and a lot of different organizations refer parents to Hands on Autism.org.”

Currently, six cadre chapters are operating throughout Indiana and have begun the process of addressing their various cadre community needs and building the foundation for future activities and growth.

Cadre needs vary based on each individual community and are identified by community cadre members. However, core elements central to all cadres are:

■ Collaboration and Networking The overarching element and product necessary for all cadres.

This involves the facilitation, bridging and collaboration across medical, school and family/community systems to enable sharing of consistent and comprehensible information and resources across diverse systems.

■ Information sharing The reciprocal dialog between cadres, HANDS and communities. This piece facilitates shared knowledge and responsibility in an effort to address the needs of individuals and families.

■ Dissemination Written products and developed tools ensures the cadre community is aware of available trainings and resources that can be utilized to enhance their understanding and work with individuals with autism spectrum disorders.

■ T raining Provided to local stakeholders within the community to advance the local and statewide capacity to sustain and provide consistency in knowledge and implementation of scientifically based methods with individuals and families affected by autism spectrum disorders.

For more information, see www.handsinautism.org

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By Julie Young

Your World

Good vibrations ■ Music soothes the savage beast — and the human soul.

For more than 13 years, Tami Briggs has used her harp to bring peace and healing to patients’ bedsides.

“When you allow the vibrations of the strings to connect with your core, you can change your environment of pain and suffering and embrace the healing process,” she said. “I have seen some miraculous results.”

Based in Minnesota, Briggs is a nationally sought-after health educator, speaker and consultant, and founder of Musical Reflections. For three days in June, she demonstrated her art to patients and clinical staff at Franciscan St. Francis Health.

She shared personal experiences of how harp music creates a calming environment, gives patients and their families something other than suffering to focus on, and provides positive sensory stimulation.

“The harp really has a heavenly quality to it,” Briggs said. “It’s ancient, it’s biblical and it is beautiful. It may not be the be-all and end-all of medical practices, but it’s a nonpharmaceutical approach. It doesn’t hurt and it just might help.”

Encore | Nurses received education credits for attending the seminar, and several got to see Briggs in action as she toured units and played for patients.

Kim Bell, BSN, RN-BC, CHTP, clinical manager of the outpatient pain management center, said participants were open to the concept of harp therapy, and are eager to integrate it into their practices.

Several patients reported that their pain was alleviated while Briggs played. While Bell doesn’t think the music cured anyone, she does feel it enabled patients to shift focus and allow their bodies to relax.

“It was awesome to see how people responded,” Bell said. “There was an obvious difference in a patients’ state of mind after she played. The pulse slows and there is an increase in blood flow and oxygen production.

When they are in that Tami Briggs of Minnesota, uses her harp to play to patients in an natural relaxation state, effort to aid in the healing process. She has performed at Franciscan the body can do the work St. Francis Health. it was meant to do.”

Seminar participants were so impressed by Briggs’ work that they’re looking for a local musician to do the same thing. They also are exploring ways to integrate harp therapy into their facilities and on the units to benefit patients, caregivers and even hospital staff.

“I’m a holistic nurse, so I think it’s important that we take the time to treat the whole patient,” Bell said. “I think we have to offer them something for their body, mind and spirit while they’re here.” ●

SUBMITTED PHOTO

Harp music used to assist in the healing process

Several patients reported that their pain was alleviated while Briggs played.

While Bell doesn’t think the music cured anyone, she does feel it enabled patients to shift focus and allow their bodies to relax.

THINKSTOCK

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By Shari Held

with Karen

Bowers

Eskenazi Health — the new Wishard — is slated to open in 2014, but the facility’s technological innovations are already being tested and refined. Karen Bowers, MSN, director, clinical informatics at Wishard Health Services, explained how the process works and how nurses are helping.

What credentials do you feel qualified you for a leadership role in this project?

What is nursing’s role in the IT innovation?

“During the course of my instruction, I was aware that informatics and technology were becoming an important component in the future of nursing.

Therefore, whenever possible, I selected classes that emphasized nursing informatics.

“Five years ago, I was serving as the administrative director of Medical/Surgical Services at Wishard Hospital and was Bowers asked by our CNO, Lee Ann Blue, if I would ‘pioneer’ the development of a clinical informatics department, which I did. The transition to this responsibility included planning, designing, testing, training staff and implementing the nursing and clinical disciplines’ software documentation application, while finding and hiring the right people at the right time.”

An expanded version of this Q&A is online at indystar.com/INQ.

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“Recently, two of the nursing units piloted individual digital phones that allow them to contact or be contacted directly by physicians, laboratory, pharmacy, radiology and others, without moving to a central location. The digital phone system is currently being utilized in both our telemetry units with much success.

“As we move into the new facility, the plan is to also ‘connect’ that communication ability through the phones to include nurse call, nurse/ patient assignment and [much more].

“Nurses have had a great deal of input, based on their experience, in determining exactly what other functions and alarms the phones will provide for caregivers. Phones are just one of many technical devices clinical informatics and bedside nurses will be involved in piloting as we prepare for the new facility.”

What are the challenges involved in introducing new technology?

“Whenever change is in the mix

• Summer 2012

About me

Position:

irector, Clinical D Informatics, Wishard Health

Education: M SN in Nursing Administration, Indiana University Experience: 1 1 years as a surgical technologist; 18 years as an RN there are challenges all around, as our nature is to remain ‘safe’ in what we know and what keeps us in our comfort zone. All these innovations provide efficiencies we as caregivers have not had in the past.

“To ensure the outcome is what we intend, a workflow gap analysis of how the work is currently done is compared to how the work will be done utilizing the new technology. The gaps or problems are identified and mediated in the context of the plan.

The pilot work should give us ‘real’ data so we can solve any unforeseen issues.”

How will the new technology change the way nurses do their jobs?

“From our personal, daily experiences, we know that advances in technology actually mold and shape our lives. For nursing and other clinical disciplines, this type of technology has changed how we plan, implement and document the care we provide at the patient’s bedside and throughout the hospital.” ●

Marc Lebryk Custom Publications

Your World

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Requires Associate’s Degree; RN license; one year experience; familiarity with managed care, Medicare, and Medicaid guidelines, along with precertification, concurrent and retrospective review. One year in Case Review in a hospital acute care setting; clinical pathway experience; case manager certification; experience with HFAP accreditation; and NCQA certification preferred. Full and part-time positions available. Hours vary depending position.

Located just minutes south of Indianapolis, in Franklin, IN Johnson Memorial Hospital offers a competitive compensation and benefits package.

We invite you to go to our website for more information and to see our current employment opportunities: www.johnsonmemorial.org or call our toll-free Jobline at: 877-695-4561. EOE

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A hospital you can believe in.

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23

Join our mission.

Work alongside the greatest healer of all time

At St. Francis Health, we believe delivering healthcare is more than a job.

It’s a calling.

The people, the faith-based ministry, professionalism and compassionate care are what make St. Francis Health a great place to have a rewarding career in health care.

We are currently seeking candidates for the following positions:

Unit Manager – ICU

The qualified candidate must possess a BSN from an accredited school of nursing and valid IN licensure. Five years of previous critical care, leadership and management experience required. Master’s degree preferred.

Unit Manager – Pediatrics A qualified candidate must possess a BSN from an accredited school of nursing and valid IN licensure. Previous management experience required with minimum 5 years pediatrics clinical experience.

Unit Manager – Ortho/Neuro

If you have an angel’s touch and a servant’s heart, we invite you to join our mission.

The qualified candidate must possess a BSN from an accredited school of nursing and valid IN licensure. A minimum of 3-5 years management experience required; Master’s degree preferred. Previous experience project management, budgets and productivity are ideal. This is a salaried position with 24/7 responsibility and accountability. Prior experience with Orthopedic and Neurology patients strongly desired.

Due to our Spring move from Beech Grove to Indianapolis, we have experienced growth in many of our departments and are seeking Staff RNs for the following areas:

Adult Inpatient Rehab Unit Ambulatory Surgery Department Geriatrics Intensive Care Unit Medical Unit Operating Room Resource Center We also have opportunities available for Clinical Nurse Specialists and Nurse Practitioners.

Please visit our website at

www.stfrancishospitals.org/careers

for a list of additional opportunities and to apply.

St. Francis Health is part of Franciscan Alliance.

Equal Opportunity Employer