September 9, 2011
MEDICAL UNIVERSITY of SOUTH CAROLINA
Vol. 30, No. 4
InsIde EmErgEncy PrEParEdnEss
4
MUSC faculty, students and staff are reminded to have a plan in case of a disaster.
diabETEs
Tracking Global Trends A Chadean woman makes her way home as the sun sets over the Sahara Desert.
National Geographic Maps
This is a map of early human migration patterns, part of the Genographic Project aimed at tracing the migratory history of the human species.
Photo by David Evans
F
rom roving lions to armed rebel groups, explorer Spencer Wells, Ph.D., knows how to face danger. It’s part of his job as a population geneticist and director of the Genographic Project from National Geographic and IBM. The researcher travels the farthest reaches of the globe taking DNA samples from the people he encounters in order to unravel the secrets of the human story, tackling such issues as the origin of humans and how they spread across the globe. His travels will include a stop at MUSC at 4 p.m. Sept. 14 when he’ll present his talk on “Discover the Roots of the Human Family Tree” on the 8th floor of the Storm Eye Institute Auditorium. He is one in an impressive line-up of speakers Sept. 12 - 16 for the first Global Health See Global on page 6
cErTificaTiOn
10
MUSC received the Joint Commission Advanced Inpatient Diabetes Certification. 2 Applause 5
Meet Sylvia
11
Classifieds
T h E c aTa ly s T OnlinE http://www. musc.edu/ catalyst
2 The CaTalysT, September 9, 2011
ApplAuse progrAm The following employees received recognition through the Applause Program for going the extra mile: Medical Center
Barbara Spann, RT Transplant and Nephrology Clinic; Elizabeth Matthews, Main Anesthesia; Marc Lynes, Main Anesthesia; Alicia Brown, Utilization Management; Lisa Mitchum, ART OR; Leslie Delgado, Safety & Security; Yan Gros, Department of Family Medicine; Kortney Wright, RT Urology Clinic; James Thomas, Hospital Maintenance; Jennifer Wright, 7A; Wendy Gordon, Pediatrics Ambulatory Care; Jane Lunn, Hospital Communications Call Center; Sonja Muckenfuss, Children's Services Administration; Wendy Normandt, Information Services; Erin Charpia, Business Development & Marketing Services; Tiffany Brown, Safety & Security; Charles Pegram, Outreach & Client Services; Wilson Ham, ART OR; Mary Lane, Psychiatry; Susan Scherer, Psychiatry; Molly Gros, Labor & Delivery; Takenya Pinckney, Business Operations Administration; Pamela Kinloch, Institute of Psychiatry; Nancy Monogan, Radiology; Demetria Washington, Utilization Management; Kathryn Glenn, Residents Surgery; Muriel Grant, NSICU; Saundra Griffin, Central Supply; Bonnie Rab, Children's Specialty; Nicole Dean, 7B; Bernie Witherspoon, Central Supply; Marvin Anderson, Environmental Services; and Romaine Satterfield, Environmental Services.
Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425. 843-792-4107 Fax: 843-792-6723 Editor: Kim Draughn catalyst@musc.edu Catalyst staff: Cindy Abole, aboleca@musc.edu Dawn Brazell, brazell@musc.edu
University
Philip Blacklocke, Dental Faculty Practice; Donna Bradham, Orthopaedic Surgery; Sandra Carbone, Neurology; Percilla Coaxum, University Press; Rudy Chapman, Engineering & Facilities; Thomas Coyle, Public Safety; Peter Dodge*, Family Medicine; Monica Eberhardt, Pediatric Dentistry; Hope Friar, OCIO-Information Services; Frances Glanville, Medicine; Heidi Grund, Pulmonary & Critical Care; Ann Hawes, Cardiology; Norma Lynn Higgins, Infectious Disease Division; Renee Hollifield, Cardiology; Toni Jackson, Transportation Services; Mary Johnson, Pediatric Hematology/Oncology; Fred Jones*, Engineering & Facilities; Paul Jones, Public Safety; Joe Krayer, Dental Faculty Practice; Dedra Loury, Orthopaedic Surgery; Jennifer Marshall, Neurosurgery; Ashley Miller, Hematology/Oncology; Jared Mills, Radiology; Rebecca Morris, SCTR Institute; Vernessa Nelson, Research Support Center; Allison Nissen, OB-GYN; Yvonne O’Neal, Pediatric Pulmonary, Allergy & Immunology; Eileen, Palmer, Infectious Disease; Jan Pittman, SCTR Institute; Allison Reece, Parking Management; Timothy Roylance, Digital Imaging; Rene Seith, Dental Faculty Practice; Artice Smith, College of Medicine/ Dean’s Office; Lauren Stitely, College of Health Professions/Dean’s Office; Antonio White, Engineering & Facilities; Alvinia Wilson, Dental Faculty Practice; and Celeana Wood, Pediatric Dentistry. *Received more than one nomination
The Catalyst is published once a week. Paid adver tisements, which do not represent an endorsement by MUSC or the State of South Carolina, are handled by Island Publications Inc., Moultrie News, 134 Columbus St., Charleston, S.C., 843-849-1778 or 843-958-7490. E-mail: sales@moultrienews.com.
New patient permission form protects patients, families By CIndy aBole Public Relations MUSC patients and their families now have an easier way to access their medical record information belonging to their loved ones thanks to a proactive health information staff who recognized the need to simplify the process while protecting privacy rights. The new annual permission by Patient to Access Protected Health Information form (access form) is an abbreviated version of the full disclosure form (Authorization to Disclose Protected Health Information) that's used to release medical information authorized by the patient. The access form allows a patient or designee, spouse, family member, age 18 and older or significant other, to access medical information without creating a HIPAA privacy issue. The access form grants access to obtain medical record information via mail, fax, e-mail, and phone, in person or electronic view. This new form does not replace the existing authorization form. The effort was led by Elice McCulley Graham, Medical University Hospital Authority (MUHA) Release of Information (ROI) supervisor, who
manages the release of medical record information for the hospital and clinics. Graham collaborated with MUHA’s Education Rollout Committee to communicate the form's availability and appropriate use. “Our goal was to help patients and to roll out this new tool to staff as smoothly as possibly while staying compliant to the law,” she said. The access form is valid for one year from date of signature. Originals will be sent to the hospital's Health Information Services’ ROI office to be scanned into the appropriate electronic medical record systems. The access form will be accessible to staff in Horizon Patient Folder (McKesson), Practice Partner or by contacting the Health Information Services department. According to Graham, HIPAA privacy audits will be conducted continually by the medical center's Compliance Office. To access the online form visit https:// www.musc.edu/cce/ORDFRMS/ pdf/all_all_consent_authtorelease_ ptannualaccess.pdf or visit the HIS website, http://mcintranet.musc.edu/ his/index.htm. For information, call Graham at 792-3881.
Department of Medicine’s Employee of the Year Richard Ancrum, right, information technology consultant in the Department of Medicine (DOM) administration, receives a check as DOM 2011 Employee of the Year from Dr. Richard Silver, interim department chair. Ancrum was praised for his commitment to his customers and outside-the-box customer service.
The CaTalysT, September 9, 2011 3
Evacuation plans also should include family pets By CIndy aBole Public Relations
As people finalize their personal and family evacuation plans for hurricanes and severe weather, owners of pets are reminded to include them in their personal evacuation planning. Sue Pletcher, director of Health Information Services and Patient Placement, volunteers with other employees to operate the on-campus emergency pet care center. The program is open only as a final alternative to designated employees working during a hurricane or natural disaster (response team A). It is offered only on a first-come first-served basis and by reservation. There is a $10 fee per pet to enroll in the center, which accepts dogs and cats only. There is a three-pet limit per employee. “Pets can be as vulnerable as their owners when it comes to hurricanes, floods, fire and other disasters. The key is for owners to be prepared and plan ahead,” said Pletcher, herself a cat and dog owner. In previous years, the medical center provided an emergency pet care center for designated employees who were unable to make other arrangements. The pet care center will be in a designated area of the AshleyRutledge Patient/Visitor Parking Garage. Employees
Sue Pletcher, along with other employees, operates the emergency pet care center. will be able to drive up to the designated pet drop-off area. The North Charleston Coliseum serves as an SPCA-
sponsored emergency pet shelter. It, as well as several private boarding facilities and kennels, are available to support Tri-county area residents. Immunizations for dogs and cats should be current: dogs — rabies, DHLPP/C, and ITT (Bordetella), which must be given five days prior to boarding the animal for it to be effective; and cats — rabies, FVRCP and feline leukemia. Owners should be prepared to provide their pets’ immunization record; any pet medications (two-week supply); a labeled crate; ID tag and collar; bowls and a three-day supply of food and water; plus the employee's work documentation authorizing them to work during a weather emergency (response team A). Pletcher emphasized the important bond shared between pets and family. “Our pets are part of our families, so we need to plan for their well-being just as we do our twolegged children. Pre-planning is essential. All pet owners should make arrangements for their animals during a weather emergency and not expect others to accommodate last minute requests.” For information about local kennels and boarding facilities, refer to “boarding facilities for pets” in MUSC's Severe Weather Plan (Appendix E). To make reservations, email pletches@musc.edu.
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Faculty, students need to prepare for emergencies
By CIndy aBole
Know the difference
Public Relations
Charleston and Lowcountry South Carolina may have dodged another hurricane, but the near miss was a sober reminder to MUSC employees, students and residents to be prepared. As the threat of heavy rain, flooding and wind associated with Hurricane Irene loomed over coastal South Carolina, a team of MUSC employees stayed vigilant activating response plans and moving forward to prepare the campus for the impending threat of severe weather. During the week of Aug. 22, the campus' emergency operations staff met with university and hospital leaders to assess and communicate the possible threat of the hurricane to the institution, City of Charleston and South Carolina coast. Leadership turned to the institution's, departmental and research community's disaster preparedness and severe weather plans. As the storm approached later that week, University Risk Management activated MUSC's Red Button on the home page website and MUSC Alert System, a text, voice messaging, e-mail and desktop alert notification system established by the university as a real-time communications tool supporting campus-related emergencies. Al Nesmith, director of safety and security, Wayne Brannan, University Risk Management director, and Brian Fletcher, clinical services disaster preparedness coordinator, have been down this path before. They manage the institution's emergency operations response network by conferring and consulting continuously with senior leadership from the hospital, university and other skilled emergency response team members representing various campus departments. They collaborate with leadership to enforce plans, communicate information and make recommendations and decisions to support the safety and security of employees, faculty, students and property. Their recommendations underscore
Hurricane Watch — (sustained winds of 74 mph or higher) Hurricane conditions are a threat within 48 hours. Review your hurricane plans, keep informed and be ready to act. Hurricane Warning — (sustained winds of 74 mph or higher) Hurricane conditions are expected within 36 hours. Complete your storm preparations and leave the area if directed to do so by authorities.
University maintenance staff's Efren Almonte checks the fuel level of one of several in-ground generator tanks that support the Basic Science Building and surrounding areas. Engineering & Facilities employees were busy with advanced preparations connected with Hurricane Irene. the American Red Cross message for evacuation pre-planning as in the case of hurricanes. According to Nesmith, employees should stay informed to the latest weather information and review their work area's emergency response plan. They also should establish their own personal emergency response plan, including an emergency supply kit, communications plan, evacuation routes and other checklists to ensure the security and safety of family and property. “Every storm presents its own challenges and issues which makes it difficult for planners like us to completely prepare for it. In the early stages of a threat, we'll activate MUSC's weather plan, but won't outline details until 48 to 72 hours prior to a storm's impact,” said Nesmith, commenting on the unpredictable nature of hurricanes. On Aug. 23, the National Hurricane Center targeted Charleston in the storm's predicted track. Meanwhile on campus, some pre-hurricane preparations were under way, such as filling sandbags, picking up debris and topping off generator fuel tanks. The following day, Hurricane Irene's slight shift to the east
Make an evacuation plan Identify ahead of time where you could go if you are told to evacuate. Choose several places—a friend's home in another town, a motel or a shelter. Keep handy the telephone numbers of these places as well as a road map of your locality. You may need to take alternative or unfamiliar routes if major roads are closed or clogged. reconfigured tracking models to show the storm's new landfall to be at North Carolina's Outer Banks and vicinity. For the Tri-county, authorities forecasted high winds, high surf and sporadic heavy rain. For 2011, the National Oceanic and Atmospheric Administration (NOAA) and National Hurricane Center predicted an active Atlantic hurricane season with 16 tropical storms, nine hurricanes, with five reaching major hurricane status (Category 3 or higher), between June 1 to Nov. 31. To prepare for storms like Hurricane Irene and other natural disasters, Nesmith reminds employees and
students to stay informed using the MUSC Red Button, which is activated during an emergency on the MUSC. edu homepage, the MUSC Alert system and other department and student communications. He also advised employees to review MUSC's Severe Weather Plan, MUHA's Weather Plan and their own department's emergency operations/business continuity plans for any updates or policy changes. For hospital employees, Nesmith's office distributes the medical center's emergency information green cards, which provides updated emergency phone numbers, a checklist of what to bring if working during a hurricane and instructions on how to access a recordable mailbox system that relays weather updates and other information. Designated university department personnel or medical center employees involved in direct patient care may be required to stay on campus and work during a weather emergency. Employees are divided into two work teams, response teams A and B, who each must be prepared and equipped to stay for the duration of up to three days or more or provide relief support. Other employees and students (undergraduate, graduate and post doctorate students, excluding residents) are considered non-designated personnel and should make preparations to evacuate at the university's announcement of canceled classes or rotations (via the Office of the Provost). Students who need help and are unable to evacuate on their own to a safe See Prepare on page 9
The CaTalysT, September 9, 2011 5
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6 The CaTalysT, September 9, 2011
GloBal
Continued from Page One
Seminar Series, Why Global Health Matters, according to Lisa Saladin, Ph.D., interim dean of the College of Health Professions. The series includes local faculty involved in global work and national experts, such as Michael H. Merson, M.D., director of Duke Global Health Institute, and Kevin O’Reilly, Ph.D., a scientist with the World Health Organization. Saladin said the series will provide students and faculty an opportunity to learn about the importance of research and collaboration in global health from some of the leading experts in the field. “Each of our speakers brings an essential perspective and a unique approach to globalization, offering insight on three very different but related themes: Where did we come from and how did we populate the globe? Why does global health matter to the U.S.? How do we address the challenges that confront over 30 percent of the world’s population living in extreme poverty which prevents them from accessing basic resources?” Saladin said Wells is a dynamic speaker, accomplished genetics researcher and filmmaker who has traced humans’ origins and migratory paths across the globe through his work with National Geographic. Merson will bring his wealth of knowledge, having founded the global health institute at both Yale and Duke universities. “We are often asked why we, as Americans and South Carolinians, should care about the health of people
Dr. Michael Sweat getting water in an African village where he’s done research.
in other countries, especially given the current economic challenges, rising health care costs and growing national deficit. Dr. Merson’s talk will shed some light on the issue by sharing how global health is indeed, our health, and how the problems abroad are looking more and more like the problems we face at home.” O’Reilly’s talk will be drawing from his long history at the Centers of Disease Control and Prevention and the World Health Organization. “He will address an issue that faculty and health care professionals at MUSC are all too familiar with: how do we address the needs of neglected populations on the global stage and what are the most pressing needs, challenges and opportunities in global health,” she said. The seminar is just one way MUSC is pushing ahead with its global initiatives set out in its strategic plan. Other new global developments are: q An exciting start to the year for globalization efforts, starting with Dr. William Plater from Indiana UniversityPurdue University who served as the keynote speaker at the recent Faculty Convocation addressing “Global health and its importance to MUSC.” q This September, MUSC launched a global health certificate program which is open to our students and faculty and will provide an understanding of critical health issues worldwide and ways to address or solve them. q A global health website, http:// www.musc.edu/globalhealth, will be expanded this fall, and will be a resource tool to connect faculty, staff and students
Photo by David Evans
Dr. Spencer Wells, director of the Genographic Project, finds signs of an old encampment in the Sahara Desert. and provide a platform to spark future international collaborations in all three areas of MUSC mission. q The current work with consultants to develop a business plan for a proposed
Center for Global Health. The series also will include an international food festival Sept. 15. Speakers in the series will be videotaped for those who cannot attend.
Inaugural Global Health Speaker Series: Why Global Health Matters Wednesday, Sept. 14 Spencer Wells, Ph.D.: National Geographic Explorer-in-Residence, director of Geongraphic Project “Discover the Roots of the Human Family Tree” Storm Eye Institute Auditorium, 4 p.m., Reception to follow Thursday, Sept. 15 International food festival Horseshoe, 11 a.m. - 1:30 p.m.
Lunchtime Speaker Series Noon - 1 p.m., Colbert Education Center & Library (CECL) Michael Sweat, Ph.D.: professor, Psychiatry & Behavioral Sciences, Institute of Psychiatry. Room 109, CECL “HIV Prevention and Care in LessDeveloped Countries” Shane Woolf, M.D.: assistant professor, Orthopaedic Surgery. Room 115, CECL “MUSC Response to Haiti’s Disaster: Lessons Learned”
Friday, Sept. 16 Storm Eye Institute Auditorium, HA809, Noon to 1 p.m. Michael H. Merson, M.D.: director, Duke Global Health Institute “Why Global Health Matters to the U.S.” 1 to 2 p.m. Kevin O’Reilly, Ph.D.: scientist, World Health Organization, “Needs, Opportunities and Challenges in Global Health”
The Catalyst, September 9, 2011 7
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Currents sept. 6 People – Fostering employee pride and loyalty
HR update Helena Bastian, MUHA HR director, presented the following topics: q Performance evaluations: Overall participation reported 94 percent employee compliance; 2012 planning forms should be signed by employees by Sept. 30. q HR Policy updates: HR Policy #13 — Hazardous Weather and Emergencies (updated with new telephone numbers and terminology changes); HR Policy #14 — Emergency Disaster Staffing of Volunteer Practitioners (updated terminology); HR Policy #15 — Compensation: Holiday Shift Differential Clarification — Non-exempt employees in regular day positions (Monday-Friday) will not automatically be eligible for holiday shift differential; Eligible employees would be those who are required to work on the actual holiday; Time keepers will have to enter into Kronos; HR Policy #4 — Employment Procedure (minor changes): Policy section: Section A: Added "genetic information" (to comply with federal law); Procedure Section: Section A.4 and A.5: deleted "working; Section E: added “internal equity;” Section F: deleted “website;” PTO Policy #18 — Section F.2: Remove option for employees to request leave without pay for scheduled absences when accrued PTO hours are available; Exceptions: low census and military leave. q Employment reminders: Applications are to be signed for new hires as well as transfers; “Phone interview” on the signature line is not acceptable; during interview process, direct applicants to update applications when necessary. I.e. PCT who is now an R.N., but not reflected on application. q 2011 Annual Service Awards Ceremony: The ceremony will take place at 2:30 p.m., Sept. 19 in the Basic Science Auditorium (Room 100);
Employees who have completed 10, 20 and 30 years of service by June 30 will be honored. Benefit for the Month — September MUSC's MoneyPlu$ program is MUHA's medical flexible spending account and health savings account. It allows eligible employees to pay for some of their or dependent's care's costs with pre-tax dollars (federal, state and FICA). Employees decide how much to deduct from their paycheck. New employees may enroll in MoneyPlu$ and renewals may be conducted online. For information, visit the listing under other employee benefits in the MUHA HR web page. Pharmacy patient safety, clinical awards Heather Kokko, PharmD, director of Pharmacy Services, assisted Danielle Scheurer, M.D., medical director for quality & safety, Division of General and Internal Medicine, in thanking the MUSC Pharmacy staff for excellence in service to MUSC patients with the heparin monitoring program at both the university hospital pharmacy and ART pharmacy. Pharmacy staff participated with the hospital's anticoagulant subcommittee and other improvement initiatives. Kokko presented the MUSC's Patient Safety and Clinical Initiatives awards to clinical pharmacists Brad Easterly and Meredith Oliver, of both ART and the university hospital's inpatient pharmacies.
Service — Serving the public with compassion, respect and excellence
Dan Furlong, OCIO, reviewed details with the new clinical project request submission process for projects requiring OCIO resources. This process is necessary for any project requiring two or more hours of work utilizing OCIO resources. To submit an OCIO request form or add a project request, visit the forms toolbox found in the MUHA intranet. Furlong urged applicants to provide as much details in the submission including project description, See Currents on page 10
To Medical Center Employees Last year we implemented the Influenza Vaccination policy (see https://www.musc.edu/medcenter/policy/Med/C166.pdf on the medical center intranet), which involves free compulsory influenza vaccination. We consider the influenza vaccination essential for fitness for duty and necessary to fulfill public trust in MUSC as a health care provider. The vaccination program was highly successful last year with a vaccination rate of 97 percent for hospital staff (MUHA) and 99 percent for medical staff. Other local hospitals have adopted similar policies. Vaccination policies of this nature are Smith recommended by the Joint Commission, Centers for Disease Control and Prevention, South Carolina Hospital Association and other organizations. Under our policy, personnel (as defined by the policy) are required to receive the influenza vaccine before reporting to active duty or during a designated time frame annually. Individuals who do not receive the vaccinations due to medical contraindication, religious or personal reasons will be required to wear a mask while on duty. Individuals will be required to have the vaccine or sign a declination by Dec. 15. The flu season is expected to be from Jan. 1 through March 31, 2012, but is subject to change. Plans are now being made to kick off the vaccination program this year. Influenza vaccination “tent dates” have been scheduled for Sept. 27 and Sept. 28 for university hospital from 7 a.m. until 4 p.m.; and Sept. 27 from 7 a.m. until 4 p.m. for Ashley River Tower. Additional clinic locations and details will be issued soon. Should anyone receive the vaccine elsewhere, then documentation needs to be given to Employee Health Services. Everyone’s support and cooperation will be greatly appreciated. On another matter, Wayne Brannan, director, University Risk Management, announced at the Sept. 6 communication meeting that for the 12th consecutive year the MUSC medical center (Hospital Authority) received the South Carolina Chamber of Commerce safety program award. Brannan explained the medical center’s approximately 6,300 employees worked for more than 10 million hours and had a total of 17 lost time cases. Thanks to everyone for your efforts toward making the medical center a safe place to work. The Heart Walk Hustle will be held in the Horseshoe on Wednesday, Sept. 14 from 11 a.m. to 2 p.m. The Heart Walk will take place Saturday, Sept. 17 at Liberty Square, next to the South Carolina Aquarium. For more information, visit the Heart Walk website at http://tinyurl.com/3ffndt9. Everyone is encouraged to join a team and take part. For details, contact Lauren Allen, administrative resident, at 792-1073 or allel@musc.edu. Finally, medical center town hall meetings have been scheduled to take place from Sept. 21 - 30 at the times and locations listed below. Some large departments will also be scheduling department-based town hall meetings not indicated on the schedule below. The agenda will include a summary of our fiscal year (FY) 2011 goal accomplishments, an update on our FY 2012 goals, review of our employee partnership and culture of safety action plans and other topics. W. Stuart Smith Vice President for Clinical Operations and Executive Director, MUSC Medical Center
Town hall MeeTInG sChedule
Sept. 21, 2 p.m., 2 West Amphitheater; Sept. 22, 7 a.m., Storm Eye Auditorium, and 12 p.m., Institute of Psychiatry Auditorium; Sept. 23, 11 a.m., Ashley River Tower Auditorium; Sept. 26, 10 a.m. and 2 p.m. Storm Eye Auditorium; Sept. 27, 7 a.m., Ashley River Tower Auditorium, and 3 p.m., 2 West Amphitheater; Sept. 28, 7 a.m., 2 West Amphitheater, and 12 p.m. Ashley River Tower Auditorium; Sept. 29, 10 a.m., 2 West Amphitheater, and 2 p.m. Storm Eye Auditorium; Sept. 30, 10 a.m., 2 West Amphitheater
The CaTalysT, September 9, 2011 9
Charleston RiverDogs makes donation to Storm Eye Institute
Storm Eye Institute research faculty and staff join Dave Echols, general manager of the Charleston RiverDogs, and “Charlie” RiverDog on the field to receive a check for $25,000 which will support research to look for treatments and cures for blinding eye diseases such as retinitis pigmentosa. This gift represents the proceeds from the 12th Annual Charleston RiverDogs' Kindness Beats Blindness event.
PrePare
Continued from Page Four
location should notify their individual colleges and be prepared to report to Room 100, Basic Science Building, at a designated time for evacuation to the nearest shelter. Once state and local authorities have determined that it is safe to return, the students will be transported back to campus. Employees should dial 792-MUSC (6872) for any updated information, class cancellations and return to work status. Medical center employees can call 8055010, enter 801 to hear an emergency weather update. Local television and radio stations will provide the latest emergency information. Students, faculty and staff can be prepared by assembling a hurricane kit. It should include clothes, hygiene supplies, towels, water, food, medications, sleeping materials, flashlight with batteries, their MUSC ID badge, emergency worker car placard and cash. To register for the MUSC Alert System, visit http://tinyurl. com/3kyblh2.
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10 The CaTalysT, September 9, 2011
MUSC awarded JC advanced diabetes certification By KaThIe herMayer, M.d. Diabetes Management Services
MUSC received the Joint Commission Advanced Inpatient Diabetes Certification for the university hospital, Ashley River Tower, Institute of Psychiatry and Children's Hospital. There is one other large academic institution that has this distinction, the University of Minnesota. Some university affiliate hospitals and one veterans administration hospital in Cleveland, Ohio, have achieved this award. MUSC is approximately the 38th hospital in the nation to gain this distinction. The Joint Commission Inpatient Diabetes Certification Program is founded on the American Diabetes Association's Clinical Practice Recommendations and is linked to the Joint Commission Certification Standards. Diabetes currently affects 25.8 million people in the nation and another 79 million Americans are estimated to have pre-diabetes. At MUSC in fiscal year 2010, there were 34,442 hospital discharges and in 2011 (up to April), there were 28,044 hospital discharges. On a daily basis at MUSC medical center, there are 130 to 150 patients with a diagnosis of diabetes. The program encompasses all service lines at MUSC. Some important features
CurrenTs
of the program include: a program champion or champion team, written blood glucose monitoring protocols, staff education in diabetes management, the medical record identifies diabetes, a plan coordinating insulin and meal delivery, plans for treatment of hypoglycemia and hyperglycemia, data collection for incidence of hypoglycemia and patient education on self-management of diabetes. Achievement of certification regarding inpatient diabetes care means that MUSC has the critical elements to attain success in the care of patients with diabetes. It may be used as a designation for the community that MUSC delivers quality care to patients. Ultimately, maintaining compliance with these national standards and performance measurement tools may assist with acquiring contracts from employers and purchasers associated with controlling costs and enhancing productivity. This is a distinction that will continue to inspire MUSC to excel in offering safe and effective patient care of the highest quality and value.
Key IndIvIduals, areas Involved The Joint Commission Certification for Inpatient Diabetes Care was accomplished by a multidisciplinary approach involving many areas.
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requestor, specific requirements, etc. Projects are evaluated and ranked by priority through a committee composed of leaders representing various medical center areas. He reminded users of a frequently asked questions page, which explains the project ranking system. For information, contact furlongd@musc.edu
Quality — Providing quality patient care in a safe environment
Wayne Brannan, University Risk Management director, shared news of a statewide award recognizing employee safety across the medical center. The South Carolina Chamber of Commerce recently presented MUHA with a Commendation Excellence Award as part of the 2010 Safety Recognition Program. It recognizes employee safety, including hours and days worked. University employees also received the same Chamber safety award.
Key individuals involved in the process from the Center for Clinical Effectiveness and Patient Safety are: Patrick Cawley, M.D., hospital executive medical director, Mary-Eliese Merrill, R.N., director of clinical effectiveness, Christopher Rees, director of quality and patient safety, Pam Arnold, CDE (certified diabetes educator), program manager for the Diabetes Management Service and vice chair of the Hospital Diabetes Task Force, Angela Strickland, R.N., CDE, and Amy Hutto, R.N., CDE. Other important areas of input included nursing services, pharmacy, dietary services, laboratory medicine, information technology, anesthesia, and representatives from MUSC university hospital, Ashley River Tower, Children's Hospital, and Institute of Psychiatry. Heather Kokko, PharmD, director of Pharmacy Services; Brian McKinzie, PharmD; Yusheng Zhu, Ph.D.; James Madory, DO; and Nina Epps, Pathology and Lab Services; and registered dietitians Mary Basel and Ashleigh Ricevuto from Dietetic Services, all provided valuable input in this process. Special thanks to Louis Luttrell, M.D., Ph.D., division director of endocrinology, and members of the Diabetes Management Service: Drs. Soonho Kwon, Jyotika Fernandes and Beatrice Hull, Nicoleta Sora, Hussein
Rajab, Dorothy Kodzwa, Linda Meyers, Carnina Charles, Kristine Parker, and the DMS mid-level providers: Sarah Kimble, P.A., Kelly Taylor, P.A., and Meredith Wince, N.P. Also thanks to Drs. Bill Moran, Rogers Kyle, Danielle Scheurer, the MUSC Internal Medicine Program and the MUSC Hospitalist Program. Collaborative efforts occurred with Drs. David Cole, Chairman of the Department of Surgery, Deborah Bowlby, director of Pediatric Endocrinology, Stephen McLeod-Bryant, service line director for psychiatry, Institute of Psychiatry, and Jill Mauldin, service line director for Women's Services. Additionally, of importance are members of the Hospital Diabetes Task Force who have given their input and guidance on diabetes issues on a monthly basis since 2003. Jack Feussner, M.D., was a source of inspiration for his visionary goals and foresight regarding the care of patients with diabetes. Thanks to MUSC’s Joint Commission team: Lois Kerr, Kathy Wade, and Terri Ellis, who always brought relevance to goals for improving diabetes care. Overall, there was one recommendation for improvement which involved hypoglycemia recheck in 30 minutes from initial blood glucose (BG), BG less than 70 mg/dL.
Dental scholarship winner Fourth-year dental student Anthony Paul Blackman, center, accepts a scholarship check from College of Dental Medicine Dean Dr. Jack Sanders and Implant and Prosthodontics director Dr. Monica Cayouette as the 20112012 Pierre Fauchard Academy’s Dental Student Scholarship Award winner. Blackman was praised for his contributions to the dental school and meeting the scholarship’s qualities of integrity, imagination, initiative and excellent communication skills.
The CaTalysT, September 9, 2011 11
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