Volume 24
Number 25
December 13, 2013
Hospital of the University of Pennsylvania
Rich
`` Victoria Rich (c.) with the staff of Rhoads 3,6,7 and Dulles 1 at one of the many "farewell" parties held for her.
She has helped move all of us to always ask, ‘What is the right thing to do for the patients and their families?' — Garry Scheib, HUP Executive Director
Inside New Helicopter Strengthens PennSTAR Abilities...................2 Antiques Show Benefits Resuscitation Medicine............3 Enhancing the Arrival Experience.....................3 Heartfelt Thanks........................3 Helping People All the Time.....3 ID Badge Center Expands Hours..........................4 HUP Receives Multiple Awards........................4
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With its two-time Magnet designation, the highest number of Beacon units in the country, and a very long waiting list of nurses wanting to work here (well over 400 at this point), HUP nursing is considered one of the best in the area. But this scenario is a far cry from what Victoria Rich, PhD, chief nurse executive, found when she came on board in 2002. The Health System was recovering from a near miss with bankrupcy. Significant staff cuts throughout had taken their toll. The hospital’s vacancy rate for nurses was 30 percent; the turnover rate was 25 percent.
“How do you raise morale in a nursing culture with a double digit vacancy rate and a high rate of contract nurses who were not invested in the organization?” asked PJ Brennan, MD, chief medical officer and senior VP for UPHS, at one of Rich’s many “farewell” parties. “You recruit a chief nurse with conviction, a passion for patient care, someone with a heart who cares about her people, and an uncanny operational knack.” Rich’s first act was to set up direct lines of communication between her and her nurses, asking IS to give each a UPHS email address. Then, she worked with HUP executive director Garry Scheib — and a generous donation from the Board of Women Visitors — to create the Nursing Network Center. “I was slowly setting up the infrastructure — building the frame for the house, so to speak— so we could continue to move forward.” (Continued on page 2)
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Rich (Continued from cover)
`` Chuck Aitken with Rich at the opening of the Nursing Renewal Center. Aiken was responsible for getting the fish tank moved from the ED to the Center.
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Over the next several years, HUP nursing evolved under Rich’s steady hand. She partnered with Brennan to create Penn Medicine’s Blueprint for Quality, our mandate to improve patient outcomes and safety. An important component was the Unit-Based Clinical Leadership team, which she considers one of her top three accomplishments at HUP. “Everyone has to believe he or she has something to contribute,” she said. “This is the way care should be given — in partnerships with doctors, nurses, pharmacists … the entire health-care team. It’s the future.” Many hospitals around the country have since established UBCLs but “we were one of the first, absolutely.” Another top accomplishment: HUP’s two consecutive Magnet accreditations which “embrace all the building we did and its sustainability.” Fewer than seven percent of all registered hospitals in the United States have achieved this recognition of nursing excellence. Last but not least: hiring only nurses with a bachelor of science in nursing (BSN) degree. Rich was again ahead of her time when she did this in 2006. Today, all hospitals in the Philadelphia area hire only BSNs; 92 percent of HUP’s nurses have at least a BSN. In 2010, the Institute of Medicine issued a report on the future of nursing and one of its recommendations was that by 2020, 80 percent of all nurses must have a BSN. Rich has been chosen as a state leader working towards this goal in Pennsylvania. Rich has always been a strong advocate for patients as well as nurses. Indeed, she led the way in creating the Patient and Family Advisory Council and also worked to develop HUP’s nursing cultural diversity committee. “She has helped move all of us to always ask, ‘What is the right thing to do for the patients and their families?’” Scheib said. Not surprisingly, Rich has received recognition from many national and international groups for her leadership in nursing. “Victoria is a visionary,” Scheib said of his colleague and friend. “Her legacy here will be the outstanding care our patients receive.” Rich may be leaving her position at HUP but she is far from retiring. She’ll continue teaching in Penn’s School of Nursing and will also serve as a consultant for the American Nurses Credentialing Center, helping health-care facilities obtain Magnet designation. Still, “I can’t imagine not being here. This is my family. I’ve never felt like this in any other place.”
BestMemories When Victoria Rich leaves her position as chief nurse exexcutive later this month, she’ll take with her some very special memories:
• PJ Brennan, MD, sending her flowers every year on Nurses Day.
• Rounding with Bernett Johnson, MD, (HUP’s former chief medical officer who died in 2009) and Al Black, chief operating officer at HUP. • Holding the pep rally for the first Magnet accreditation. “There was so much excitement in what we were doing.” • Chuck Aitken, assistant executive
hospital director, getting the huge fish tank from the ED waiting room for the Nursing Renewal Center. “It doesn’t get any better than someone doing that for you.”
• “Seeing the smiles on everyone’s faces” at HUP’s six Magnet Galas, which have contributed approximately $250,000 to outreach efforts. “They were all such wonderful celebrations.”
New Helicopter Strengthens PennSTAR Abilities A new PennSTAR helicopter joined the powerful fleet which has transported more than 37,000 patients since the flight program’s creation in 1988. In this calendar year alone, the five helicopters and one ground Specialty Care Transport ambulance have carried more than 3,000 patients to life-saving care. According to flight nurse Tom Levins, CCRN, CFRN, the newest helicopter (an EC145) is the largest of the fleet which “greatly enhances our ability to transport sicker patients.” The larger platform allows the flight crew better patient access and the ability to provide more advanced life-saving therapies, such as ECMO (extracorporeal membrane oxygenation). In addition, the aircraft is equipped with state-of-the-art aviation technology. “This is a powerful, well-equipped helicopter,” said PennSTAR 1 lead pilot Terry Hawes. “We’re grateful to the hospital for purchasing it.” `` Flight paramedic Adam Masiuk, (l.) and Tom Levins in the new PennSTAR helicopter, which will greatly enhance their ability to transport patients.
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PennSTAR’s fleet of helicopters is based throughout the Delaware Valley, Lehigh Valley and South Jersey region.
Antiques Show Benefits Resuscitation Medicine
`` (L. to r.) David F. Gaieski, MD, director, Quality Management Program; Katharine Eyre, chair of the 2013 Antiques Show; Jill Baren, MD; and Ralph Muller.
Nationally, fewer than 10 precent of cardiac arrest victims survive. But thanks to Penn’s cutting-edge bench-to-bedside research and therapies, local survival rates for these patients have increased to 45 percent. Now, $577,000 in proceeds from the 2013 Philadelphia Antiques Show will help bring cardiac-arrest and postresuscitation care at Penn to the next level, saving even more lives.
The money will help create new emergency resuscitation bays devoted solely to advanced cardiac resuscitation and postcardiac care. “Your support provides a greater chance of survival for cardiac arrest pateints,” said Jill Baren, MD, chair of Emergency Medicine, at the check presentation. “Resuscitation medicine is a young specialty but it’s on the leading edge of emergency medicine therapies.” “This show celebrates the advances at Penn Medicine,” said CEO Ralph Muller. “Knowing we’re making a difference in the lives of our patients.”
Enhancing the Arrival Experience The ED waiting room is undergoing a face lift which will not only update the area but lead to improved patient care. When completed, the renovation, which started in September, will result in four triage rooms (as opposed to the current two) and three stretcher bays, up from just one. The waiting room will have additional seating and be divided into two sections: one with a TV and one with a quiet area. The restrooms will also be refreshed, said Phillip Gaspari, operations manager of Emergency Medicine. Starting around the week of Christmas or a little earlier, part of the Ravdin lobby will serve as a temporary waiting room for the ED, allowing construction on the waiting room itself. The area between the escalator and the windows will be walled off; only those coming through the main ED entrance (and the security checkpoint) will have access to this area. “During construction when we have the temporary waiting area, hospital staff will not be able to regularly enter or exit the hospital through the ED entrance.” The temporary enclosed space in the Ravdin lobby will have both a nurse and security guard 24/7. A support associate will be there 12 hours a day, he said. The project’s anticipated completion is in February.
Heartfelt Thanks e purpose of my note is to express Th the incredible professionalism, clinical competency, and compassion of all the staff [on Rhoads 3], particularly the nursing staff. I have worked in health care for 30 years and all the members of the team are exceptional people/providers. The unit secretaries, environmental services, nursing assistants to the skilled nursing staff and physicians are to be acknowleged…. The nursing staff and their care could serve as a scientific paradigm for the standard of care all providers should strive to demonstrate.
Helping People All the Time Congratulations to July’s winners of the Helping People All the Time raffle. Natalie Warner . . . . . . . . . . . . . . . . . . . Rhoads 1 India Kearney. . . . . . . . . . . . . . . Guest Relations Chris Ojeda. . . . . . . . . . . . . . . . . . . . . . . . . . . CCU Desonia Mapp. . . . . . . . . . . . . . . . . . . . . . . CCU Annie Chapman. . . . . . . . . . . . . . . . . . . Ravdin 9 Jamie Hawkey. . . . . . . . . . . . . . . . Silverstein 12 Jodi Sandos . . . . . . . . . . . . . Radiation Oncology Ayana Smith. . . . . . . . . . . . . . . . . . . . . Radiology Kryshe Butler. . . . . . . . . . . . . . . . . . . . Radiology Sahar Hyseni . . . . . . . . . . . . . . . . . . . . Radiology Dannette Lewis . . . . . . . . . . . . . . . . . . Radiology Karen Alvarez . . . . . . . . . . . . . . . . . . . . Rhoads 2 Theresa Fletcher. . . . . . . . . . . . . . . . . . Rhoads 3 Carrie Marvill. . . . . . . . . . . . . . . . . . . . . Rhoads 7 Tara Owens. . . . . . . . . . . . . . . . . . . . . . . Rhoads 7 Nicole Miller . . . . . . . . . . . . . . . . . . Founders 12 Cindy Tobolski. . . . . . . . . . . . . . . . . . . . . . MICU Claudia Obanor . . . . . . . . . . . . . . . Silverstein 11 Ronald Emerson. . . . . . . . . . . . . . . . . . . Security Charles Washington. . . . . . . . . . . . . . . Security Isaac McNeill. . . . . . . . . . . . . . . . . . . . Transport Woodie Bowie . . . . . . . . . . . . . . . . . . Transport
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ID Badge Center Expands Hours Everyone who works at HUP — eg, employees, students or contractors — needs an ID badge. This requirement helps provide a safe environment but has also significantly increased the demand for badges. Indeed, more than 14,000 people came to the ID Badge Center last year alone. To help make access to the Center more convenient for all shifts, Security has expanded its hours of operation. The Center is now open 7 am to 7 pm, Monday through Friday (closed daily between 3 and 4 pm). Two Security staff members will now process ID requests: David Arcidiacono, Badge Center coordinator, and Deneica Liverpool, Badge Center technician. Important: Everyone needs to have the following information to get an ID card:
• A completed and authorized Photo ID form with your full legal name. Forms are available from department business administrators.
• Current valid state/government picture ID, such as a driver’s license or passport. `` Deneica Liverpool and David Arcidiacono will be able to process ID badge requests more efficiently and with shorter waiting times thanks to extended hours.
If you have any questions, please contact the ID Badge Center at 215.349.5593.
HUP Receives Multiple Awards
Learn More About HUP
HUP received the Mission: Lifeline Bronze Quality Achievement Award from the American Heart Association. The award recognizes the hospital’s commitment and success in implementing a high standard of care, which improves survival and outcomes for patients suffering the most severe form of heart attack called STEMI (ST Elevation Myocardial Infarction).
All Employee Meetings provide a great opportunity to talk with HUP’s leaders and ask questions. The next one will be held:
The Joint Commission, in conjunction with the AHA, has awarded HUP the Advanced Certification in Heart Failure. Achievement of this certification demonstrates longterm success in improving outcomes for patients diagnosed with heart failure. HUP is Philadelphia’s first hospital to be so recognized.
Time: 8:30 to 9:30 am
The AHA and American Stroke Association awarded HUP the Get with The Guidelines® Stroke Gold Plus Quality Achievement Award. The award recognizes HUP’s commitment and success in implementing excellent care for stroke patients, according to evidencebased guidelines.
Date: Tuesday, January 7 Location: Medical Alumni Hall
HUPdate Editorial Staff Sally Sapega Editor and Photographer
Volume 24
Number 15
Trissy Harding Designer
July 12, 2013
Volume 24 Volum
Hospital of the University of Pennsylvania
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` The staff of Dulles 6 received this year’s Victoria Rich Satisfaction Award for implementing changes to improve patient-centered care on their unit.
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HUPdate Wins Pepperpot Award
` Congratulating Len Schultz (c.) on receiving the 2013 Volunteer Outstanding Achievement Award for his work in the ER are (l. to r.) Heather Matthew, Phil Gaspari, Jennifer Barger, Donna Griffith, Jimmy Pisaturo, and Thea Burke.
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They proelin n he follow es show s co g em ments of many , try are ‘se activ gs of de or ot in th ing see ely Each year,dVolunteer Services recognizes one person who has gone above and beyond the to ret cond vic In 3 Daisy Awardionall it as g an un at healt prov y?team work initiequals ain a pePatient-Centered ide antic h-ca adCare equa ng Excellence the tims’ of normal responsibilities of a volunteer. At this year’s annual volunteer celebration, the 2013 expe ative. A rsona ipated re pr med expe cyto a unit that providesimworld-class a Volunteer Outstanding Achievement Award went to Len Schultz. ov l The Victoria Rich Patient Satisfaction Award is presented iate HUP and CPUP. cted tra gic co riencin recen failure, bad ou iders ‘em stoic oft ” empla research, g pe t suconsistently patient care, nt translates measures outcomes to evaluate patient satisfaction otion facad came to HUP in 2009 but knew he wanted to volunteer here five years earlier, when rso rvey said Jil tcome en ha ted teamwork, ceived special ve or e. initiaves,“Itdemonstrates teams to address patient- al’ first Schultz Hu interdisciplinary ’s a leavin nal prandofpartners HU l with sti oblem P em zinec medica strong he was still working fulltime as an engineer. Accompanying his wife to HUP on her “medical aid for initiatives. and beyond in satisfaction captured the award this year. Nurse manager Mary Rogers to fee the gma inDulles g6 th l , plo eir s sojourns” over the years, he had noticed “an amazing combination of science and humanity. emotthe ne yees RPh, mistak lings h-patient care. profe after the xt paaward-winning Ca described strategy: ionunit’s m ssion an ev mirr directo e. “Th of guilt edici re She was treated like a queen when she was here. Now I know that everyone is.” ally? tient edica W or . Bu as a ent. Ev or thes r of Pa ey fee l ne ” .... 2 l res inadeq le m health-care “Infor ourhicurrent environment, nursing units are continually searching for innovative result t ho professi tient en m e res w ca os satio His initial volunteer post was as a greeter/transporter at the Perelman Center for Advanced on; thimprove ore 6ult Safet apo nsibl uacy s. ways to communication with our implemented changeose t sta n a patients. the Dulles yo In Mayof2012, adve ff are prov u do even concer Nearly y, wh e and e! ....n Medicine but he wanted to be more a part of the clinical side. His move to the Emergency Huzin report n’tthe res of-shift between and offgoing nurses patient o’s in lea m rsely incoming ning the on id t. includes .... 3 er he at get bedside that ec sa en : 30 e-t em affec iligains hird ding ay Room in 2010 turned out to be a perfect fit for both him and the staff. “When Len first came to up lp so — theplo discussion. all areas of HCAHPS including communication with se id Noting large perce me ted t anin the volunteer in the ER, I thought he’d last two days,” said Jim Pisaturo of Emergency Medicine, rep meo t ,” sh all sh yee wh the ne .... 3 by it.”d will and nurses, communication with physicians, — we partnered with ournt serio orted e sa ne els recovmedication teaching their ifts. An o migh w prog id. “Y kiddingly. “Now we think, ‘Thank God he joined our team!’” ............2 usly e wh daily er aft and PT/OT to providers, begin interdisciplinary rampharmacist, SW/CRC, emot dunit-based ou jus it wi t beclinical en er Changing Times in Nursing ....2 — Ca emotat the he or ion of care a trabegan in November. The coordination t ... 4 ....2 bedside. This initiative Time al di ll be rounds Schultz’s responsibilities have grown beyond those of a typical ER volunteer, such as taking um she go on to k ..........2 stress availab ionally re for atic CAREs Grant emploprogra is su Newest the care ev m tra patients for tests and bringing blood samples to the lab. He simplified and then rewrote the le rel ffe en ye wiseen CaHCAHPS om 24/7 inum “We have all of our scores for.....................................2 the 4 atedincreases ring t, “thfiscal year, and patients es wh Winners ll als significant re Pr (Co ............3 orientation for ER volunteers and was soon handling the orientation himself. “Len’s training of to more. connected “N atized their ............3 is pr o ha o feeling ntinu have verbalized meet ider We continue to by ovcare. ograas needed to ve be suppor much an even o one to ed on ER volunteers is the best I have,” said Donna Griffith, director of Volunteer Services. Changing World — wi to allthe shou an ev t th the rounds t th makepa adjustments asatmeaningful asenpossible ” m is en to ............3 os ll be involved. attmake at a Time .................3 essen ge 4) happ ld have t:One acke e wh all Word av ............3 tial He also joined HUP’s Patient and Family Advisory Council, working on many of its initiatives. d by o ha ened to wa discipl ailab Being patie ve ex ines leOutstanding on Sa Aitken (Continued on page 3) it til Receives to an One was a task force examining the problem of lost patient belongings. He worked with the pe , all ........................3 nts ............4 tu Engineer Award y rday l Mon or famrienced ER staff to determine how patient possessions were handled and then made a flow chart of the day departm ni vio ily gh to .......................3 osis .....4 t.” mem lenHeartfelt talk ents, Thanks ............4 process (“which is what engineers do!”) to determine what needed to be changed. “So far in abou bers. ce in th t Cancer “Th e Survivor, wo 1 FY14, we’ve had only one report of lost items in the ER,” he said, stressing that “hard work by ey’re rkpla Transplant many people solved the problem.” Recipient, Ironman! .................4 ce, all vic su (Continued on page 2) tim ch as s.” Dependent Eligibility Audit .....4
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For the second consecutive year, HUPdate won a Pepperpot Award from the Public Relations Society of America, in the “Newsletters” category. Congratulations to the Department of Communications and the Creative Services Division of Marketing on this accomplishment!
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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.