Volume 24
Number 4
February 22, 2013
Hospital of the University of Pennsylvania
TAKE CONTROL OF YOUR HEART HEALTH STOP HEART DISEASE BEFORE IT STARTS The mortality rate from both heart disease and stroke have decreased significantly in the past decade, but they remain the #1 and #4 causes of death in this country, respectively. Still, there’s plenty of good news. With some simple changes in your lifestyle, you can significantly reduce your risks. “Even modest improvements can make a big difference,” said Mariell Jessup, MD, of Cardiovascular Medicine.
1 Quit Smoking! Smokers are 2-4 times more likely to develop heart disease. Smoking is not good for you, period. It harms nearly every organ in the body but is especially damaging to the circulatory system. “Smoking substantially raises the risk for coronary heart disease, hardened arteries, aneurysm and blood clots,” Jessup said. “These, in turn, increase your risks for heart attack, stroke and peripheral artery disease, not to mention the risk of cancer.” The benefits of not smoking begin almost immediately. Within 20 minutes of smoking your last cigarette, your blood pressure goes down. And, within only one day, your risk of having a heart attack starts to decrease. “Stop smoking for 10 years and it’s as if you never smoked at all, with respect to your risk of developing heart disease.”
INSIDE Caring for Body and Mind........2 HUP Receives Gold Quality Achievement Award.................3 2012 Quality and Safety Award Winners..........................3
2 Manage Your Blood Pressure 1 in 3 adults have high blood pressure without even knowing it. Hypertension — or high blood pressure — ranks as a significant risk for developing heart disease. This is often called the ‘silent killer’ because it has no symptoms. An estimated one in three adults has high blood pressure but doesn’t know it. A ‘normal’ blood pressure is anything lower than 120/80 and the risk of cardiovascular disease increases progressively above that value. “Small decreases in high blood pressure can translate into a huge reduction in the risk of stroke,” she said. Staying at a healthy weight can help control blood pressure but keep an eye on your waistline as well. Too much weight around your waist increases blood pressure. In general, men with a waist measurement greater than 40 inches and women with a waist greater than 35 inches are at higher risk.
3 Eat a Healthier Diet Diets high in saturated fats are linked to heart disease. Eating a healthy diet is another way to keep your blood pressure low … and help your heart. Think of it this way: Would you put crude oil in your gas tank? Feeding your body with a diet limited to fried foods, red meat, and junk food is just as bad. A healthy diet contains whole grain fiber, lean protein (ie, poultry and fish), and plenty of fresh fruits and vegetables. In addition to controlling blood pressure, a healthier diet will also help you lower cholesterol and blood sugar, two other risk factors for heart disease. “It’s one of the best weapons for fighting cardiovascular disease,” Jessup said. (Continued on page 4)
Jamming to Raise Funds..........4
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CARING FOR
BODY AND MIND
The American Psychological Association estimates that 9 to 16 percent of postpartum women experience depression. Without proper care, this mental health issue can cause many problems for both the mother and her entire family.
“…by offering co-located mental health services, we’re hoping to reach more women
Although this condition — and other mental health and mood disorders — are common, stigma and other factors stop many of these mothers from receiving the help they need. The Penn Center for Women’s Behavioral Wellness (PCWBW) in Psychiatry is working to change that, with help from a Penn Medicine CAREs grant.
who could benefit.”
“We see women across the reproductive life cycle with behavioral health problems, including depression, anxiety, mood disorders such as post-partum depression, mood changes during
menopause, and more,” said Penn psychiatrist Delane Casiano, MD, director of the Maternal Wellness Initiative (MWI), a division of PCWBW that offers integrated behavioral health and Ob/Gyn services at HUP’s Helen O. Dickens Center. Casiano works with Liisa Hantsoo, PhD, postdoctoral fellow. “Many women see their Ob/Gyn providers routinely, and by offering co-located mental health services, we’re hoping to reach more women who could benefit,” said Hantsoo, who provides cognitive behavioral therapy treatments for depression, relaxation techniques, mindfulness meditation, supportive psychotherapy, and other services. For example, if a pregnant woman comes in, is seen by a nurse practitioner or obstetrician, and becomes tearful during a visit, saying she has a lot of stress, the patient will be referred to the social worker. The social worker completes a behavioral health screen, then sends the patient to the MWI. Significant collaboration at all stages helps ensure comprehensive care for all patients. The CAREs grant will help promote those services and help more women through the MWI patient education division. Casiano and Hantsoo also anticipate hosting a series of classes as well, such as a support group for fathers, depression, stress during pregnancy, etc. On-site services began July 2012. “We’re thriving, and we’re growing,” said Casiano.
`` Delane Casiano, MD.
A R E YOU INVOLVED IN A C OMMUN ITY O U T R E A C H A C T I V I T Y ? If so, it may be eligible to receive a Penn Medicine CAREs grant. Applications for the next round of grants will be accepted until Friday, March 1. For more information or to apply, please go to http://uphsxnet.uphs.upenn.edu/community/ and click on ‘Foundation Grant.’
Volume 11
Issue 5
June 2012
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The Univer and Accolad Awards .....6 Wednesday,sity’s Office of Admis .............. Times Two sions will Magnet their senior June 27. These hold the sessions are designe third annual The semina year of high school College d Search Street. To r will be held from with the college to help staff and faculty with Seminar on admissions register, go to www.a 4:30 to 6:30 pm advising children process, in Room sessions no matter entering are availab dmissions.up F85 Admissions, where they enn.edu/semi in Huntsman le by appoin at patrb@ apply. Hall on nars. If you admissions.up tment. E-mail 3730 Walnut can’t attend, Patrick Bredeh enn.edu. oft, regiona admissions l directo r of On Saturd ay, June Adventure 23, for a reduce employees can enjoy Hurricane food, fun, Harbor as d price! Tickets editor Tickets are include admiss and all three well as an iAl theme parks all-you Sally Sapega StAFF ion small promosold online. Go at Great editor and to www.s -can-eat BBQ-style to the theme park, box in the photogra cafeteria pher right corner. ixflags.com/greatad lunch. The cost wild safari, and on trissy harding is A Great or 732.76 Friday, June 15, designer Adventure venture and enter $41.34 per person to answer 6.0632. . penn2012 representative questions. in the Or contac will be outside t Casey Smith Admin iStrAt ion at kasmit of the Susan e. Phillips h@sftp.com senior Vice president The third , public affairs annual P.M.@P Showcasing ContACt enn Museu huPdAte m Summe 3535 Market At: lively Creole international music street, Mezzanin r Nights philadelp hia, pa 19104 in the Penn zydeco, the concer ranging from Middle concert series e begins ts Museu will be held Eastern phone: 215.662.44 Wednesday, m’s Stoner 2012: Lords every Wedne folk/rock to fax: 215.349.83 88 Courtyard. June 20. of Time, Brazilia sday, from 12 are open Museum email: sally.sape until 8 pm. 5 to 8 pm, n bossa nova and galleries, ga@uphs.upe includi through For more nn.edu hupdate August information, ng the special is employee published biweekly call the Museu exhibition Maya29 s. http://new access hupdate for hup m at 215.89 s.pennme online at dicine.or 8.4000. g/inside/h
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In Tanzan ia, only 10 Institute percent (ORCI) — the sole of patients who in the last cancer center have cancer stages make had no formal of the disease . What has serving the country it to the Ocean training Road made these program ’s 38 “Most of for oncolo circumstancesmillion people. Cancer the gy nurses. And most RN, BSN, nurses come from worse was are OCN, managi that the community Metz, MD, country of Radiati ng editor of OncoL health and AIDS had no knowle on Oncolo clinics,” said ink, who gy and dge of how traveled Maggie Hamps to treat side Oncolink’s editor-i to Tanzania But, starting in 2010 with hire, effects of n-chief in Februar cancer treatme , to observe HUP’s Nursing James y 2011, nt and sympto the situation. Development that all change — includin “They d. Thanks m manage and to a collabo CDs, along g videotaped lectures Education, the ment.” ration oncolog with and between three comput slide present y nursing on treatme review course OncoLink and ers. The program ations — nt care. Quizze modalities, pain offered at , tailored was made availabl manage s taken after HUP each of the ment, oncologic to meet their needs, e to ORCI nurses Nearly two emergencies, 20 module on included s were sent presentations supportive roll-out, years after their first visit the back to Penn care, to Tanzan certificate OncoLink team for analysis and end-of-life ia, returned of comple . to formall and more than a tion. year y present “In less than each of the after the program a year, ORCI nursing 20 OCRI had care nurses with treatment standards, installe completed constru a guidelines,” ction on d a chemot care a top a priority in said Hampshire. herapy prep hood,new building, implem “The entire the last year, and ented new “The doctors and we couldn’ team at ORCI began the establis and nurses hment clearly received t be more who through impressed. made improving of the program greeted us at ORCI ORCI, and ” patient ,” Metz were expanding the program said. “We look incredibly gratefu forward so it will to continu l for the training be broadly they ing our helpful to other African relationship with institutions.”
Orci clearl y ving patien t care a top priority in the last year, and we couldn’t be more impressed.
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We’ll be conducting a HUPdate readership survey, starting Friday, March 8. Please take a few minutes to complete. The results will help us better meet the needs of our readers.
SURVEY SAYS… Security
Follow these steps to keep patients and staff protected: Secure sharps, syringes and medications. Secure patient information. Ensure that locked spaces remain locked. Secure access codes and keep from sight. ecure personal belongings only in provided locked spaces S (lockers/closets). To learn more, go to http://uphsxnet.uphs.upenn.edu/ceqi/tjc/ huddle/ and click on ‘Security’ under 2013 Archives.
HUP RECEIVES
Gold Quality ACHIEVEMENT AWARD
HUP has received the Get With The Guidelines — Heart Failure Gold Quality Achievement Award from the American Heart Association. The award recognizes HUP’s commitment and success in implementing excellent care for heart failure patients, according to evidencebased guidelines. To receive the award, HUP treated heart failure patients with 85 percent compliance for at least 24 months to core standard levels of care as outlined by the American Heart Association/American College of Cardiology secondary prevention guidelines for heart failure patients.
2012
`` (L to r): Tom Ballingall; Evelyn Desmond; Lynn Washington; Michelle Walsh; Leah Moran; Mariell Jessup, MD; and Ylenia Quaoit receive the Gold Get with the Guidelines Award from AHA’s Tawny Jackson (third from right).
Get With The Guidelines is a quality improvement initiative that provides hospital staff with tools that follow proven evidence-based guidelines and procedures in caring for heart failure patients to prevent future hospitalizations and decrease mortality. Under Get With The Guidelines — Heart Failure, heart failure patients are started on
aggressive risk reduction therapies such as cholesterol-lowering drugs, beta-blockers, ACE inhibitors, aspirin, diuretics and anticoagulants while in the hospital. They are also educated about their disease and nutritional counseling as well as referrals for cardiac rehabilitation before being discharged.
QUALITY AND SAFETY AWARD WINNERS
Congratulations to our 2012 Quality and Safety Award winners, who have exhibited leadership and innovation in activities that ensure high-quality clinical outcomes, patient satisfaction, patient safety and cost efficiency. Below are this year’s Quality & Patient Safety Award recipients from HUP and CPUP. Check out the next HUPdate to see our Operational Award winners. To read more about the winning entries, go to http://uphsxnet.uphs.upenn. edu/ceqi/ and click on ‘2012 Winners and Submissions Quality and Patient Safety Awards.’
HUP: Meeting the Measure: The Perioperative Beta-Blocker Surgical Care Improvement Project
CPUP: MacGregor Infectious Diseases Clinic: The Infectious Diseases Transitions Service
Colleen Mattioni, RN Ann Marie Morris, RN Nancy Celmins, RN Scott Falk, MD Nicole Hoke, CCNS Jaime Gray, PharmD
Sara Keller, MD, MPH Danielle Ciuffetelli, PharmD Anne Norris, MD Janet Hines, MD Jennifer Myers, MD Bernadette Allison, RN
Todd Miano, PharmD Staci Oppleman, MSW John Salmon, CPHIMS Rebecca Stamm, CCNS Bea Travisano, RN Julie Carl, CRNP
Marie Fisher, CNS Meera Gupta, MD Laura Haynes, PharmD Andrew Silverman, RN Kirsten Smith, ACNS Latesha Colbert, CRNP
Eileen Hollen, NP Susan Hansen-Flaschen, NP Danielle Grant Alex Rosen, AB Rebecca Schwartz, BS Rose DiMarco, BS
Dan Timko, PharmD Amy Graziani, PharmD Jennifer Lukaszewicz, PharmD Kristen Zeitler, PharmD
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TAKE CONTROL OF YOUR HEART HEALTH
4 Get – and Stay – Active
“Many studies have shown the strong link between a heart healthy diet and a life free of cardiovascular disease.” Low sodium intake is also part of a healthy diet. The American Heart Association recommends limiting salt to no more than 1,500 mg a day for all Americans. This is why eating fresh foods is so important: just one serving of a canned chicken noodle soup may contain over 1,000 mg of sodium! But not all brands of the same food are created equal. Sodium levels for chicken noodle soup can start under 200 mg. Become an informed consumer. Always check labels of different brands before you choose.
Through regular exercise the heart is able to pump more blood with less effort. Getting at least 30 minutes of moderate physical activity each day, five times per week, will lower your risks for heart disease, stroke and diabetes. Walking is one of the best ways to get started. It requires no special equipment, aside from a pair of good, supportive shoes. To make it count, walk fast enough to keep your heart rate up but not so fast that you can’t speak. “There are many inexpensive pedometers on the market now as well as fitness apps for your smart phone to keep you motivated.”
“Even a small reduction in the sodium intake can reduce blood pressure,” Jessup said.
A LL EMPLOYEE MEETINGS
Jamming to Raise Funds
The Clyde F. Barker Penn Transplant House has provided a hospitable, warm and comforting space for hundreds of transplant patients and their families. To help keep costs low, several of its patient families have created foundations to raise money for the House. One is the Jam for Life Foundation, which is sponsoring a musical extravaganza at the World Café Live on Sunday, March 3, from noon to 6 pm. The World Café is located at 3025 Walnut Street. For more information about the show — which features local singer/songwriters — and to buy tickets, go to http://philly.worldcafelive.com
Learn more about HUP and the Health System at an All Employee Meeting, where members of senior leadership are available to answer your questions. The next three will be held on: WEDNESDAY, MARCH 20 5:00 to 6:00 pm WEDNESDAY, APRIL 10 8:30 to 9:30 am WEDNESDAY, MAY 8 Noon to 1:00 pm All meetings are held in Medical Alumni Hall, on 1 Maloney.
Spend a fun afternoon with family and friends while supporting the Penn Transplant House!
Helping People WINNERS
Congratulations to the August winners of the Helping People All the Time raffle. Pamela Bivins . . . . . . . . Admissions Stuart Brooks. . . . . . . . Silverstein 9 Jaclyn Cardell . . . . . . . . Founders 9 Briana Cardillo. . . . . . . Silverstein 9 Heather Chilton . . . . . . . . Radiology Fabien Cruz. . . . . . . . . Silverstein 10 Angelo Defeo. . . . . . . . . . . . Dulles 6 Mark Durand. . . . . . . . . . . . Ravdin 9 Alexis Gelo. . . . . . . . . . . Founders 9 Kimberly Howard. . . . . . . Radiology Trac’helle Lewis . . . . Admissions Natalie Long. . . . . . . . . . . Radiology Lilian Medina. . . . . . . . Founders 11
Leslie Mishoe. . . . . . . . Silverstein 9 Maria Morales. . . . . . . . Admissions Chan Nguyen . . . . . . . . Founders 11 Heather Nilan. . . . . . . . . . Radiology Nicole Petsis . . . . . . . . . . Radiology Sheela Puri. . . . . . . . . . . . Pharmacy Elizabeth Shields. . . . . . . Radiology Megan Stanton. . . . . . . . Radiology Lizzy Thomas. . . . . . . . .Silverstein 7 Leatreace White . . . . . . Admissions Renee Williams. . . . . Silverstein 9 Brooke Williams. . . . . . . Radiology
You can now submit recognition forms online at http://uphsxnet.uphs.upenn.edu/hupse/* in addition to submitting paper forms at various locations throughout the hospital. * To reach the submission page from the Intranet home page, click on “Entity Specific Information” at the left and, then, under “Hospital of the University of Pennsylvania,” click on “HUP Service Excellence.”
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HUPdate EDITORIAL STAFF Sally Sapega Editor and Photographer Lisa Paxson Tara Skoglund Designer
ADMINISTRATION
Susan E. Phillips Senior Vice President, Public Affairs CONTACT HUPDATE AT: 3535 Market Street, Mezzanine Philadelphia, PA 19104 phone: 215.662.4488 fax: 215.349.8312 email: sally.sapega@uphs.upenn.edu HUPdate is published biweekly for HUP employees. Access HUPdate online at http://news.pennmedicine.org/inside/hupdate.