Volume 13
Issue 4
March 2014
SYSTEMnews `` Meghan Coleman’s visit to check on patient Michael Prewitt includes a laugh as well as more serious discussions.
Home care nurses allow these patients dignity and a voice in their care in an environment that is less stressful.
CEO’s corner RALPH W. MULLER
CEO, University of Pennsylvania Health System
As a staff member, you see Penn Medicine’s quality, dedication, and compassion on a daily basis. Now, a new program makes it easier for you and your family to gain quick, convenient access to the same outstanding care as well. The Penn Primary Care Connection offers Penn Medicine employees and their families a direct line for scheduling new appointments with a primary care provider from our CCA and CPUP practices. Penn primary care physicians and health care providers such as nurse practitioners offer outstanding, personalized care for patients of all ages. Our primary care practices include family medicine, internal medicine, adolescent medicine, and PennCare for Kids. A regular relationship with a member of the Penn primary care team can help prevent health problems and introduce you and your family to healthy habits. There are other benefits as well. By using the Penn Primary Care network, you’ll have significantly lower co-pay costs than with other in-network providers. Penn primary care providers are available at more than 30 locations throughout the region, so you can conveniently schedule your appointment near work or home. And if you do need a
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INSIDE An Exhibit to Warm the Rubenstein to Spirit and Soothe the Soul.......2 Step Down.................................2 PAH Opens City’s First AllFrom Pastels to PDA’s...............2 Private Maternity Suite Unit.....2 Penn Medicine@Work..............3 RoundtableFree Skin Cancer Screening......................3 Newsmakers..............................4 Recognizing Leadership Shortakes...................................4 and Innovation..........................5 Another Title..............................5 Awards and Accolades.............6
CLAIM
Helps Cancer Patients Avoid Unnecessary Trips to the Hospital Weakened from radiation treatment for her brain tumor, Shellyn Burgess fell down the stairs, backwards, in the home of her aunt, Mary Davis, where she’s currently living. Davis was frightened but rather than rush Burgess to the ER, she called Tasha McCaskill-Long, MSN, Shellyn’s case manager in Penn’s CLAIM (Comprehensive Longitudinal Advanced Illness Management) program. Because it happened on a weekend, Long arranged for the program’s triage nurse to go to the house and examine Burgess, who, luckily, had suffered no injuries. The triage nurse reported back to the CLAIM team, explaining what had happened and what steps she had taken. Burgess never had to leave her home. Had this incident happened before CLAIM started, “we would have waited three to four hours in the ER when she wasn’t feeling well, just to be told ‘Everything is fine. Go home,’ ” said Davis. Using home-care services to improve the quality of care while avoiding unnecessary – and frequently undesired — visits to the ER is one of CLAIM’s goal. Patients such as Burgess, who have advanced cancer but are still undergoing treatment, are not yet eligible for hospice, explained David Casarett, MD, director of Penn Hospice and Palliative Care, who created the CLAIM program. “Some don’t want to forgo treatment or the doctor can’t give them a prognosis, two criteria for hospice care. But they still need the symptom management that hospice offers.”
A Focus on Symptom Management During weekly — or sometimes more frequent — home visits, Long assesses Burgess’s condition and acts as a liaison between her and her oncologist, communicating all information. Much of the at-home care focuses on managing nausea, fatigue and pain, all common symptoms for cancer patients, especially when they’re receiving treatment. “You ask her something and she’ll find out exactly what’s going on,” Davis said, noting that “Shellyn is on so many medications and I don’t always understand what does what. Tasha explains everything.” Long is also accessible to Burgess and her other CLAIM patients in-between visits, for questions or concerns. CLAIM’s main number – which is answered 24/7 — occupies a prominent place on Davis’s refrigerator. Each case manager — all of whom are nurses — reviews cases weekly with Meghan Coleman, DNP, AOCNP, the adult oncology nurse practitioner who oversees all CLAIM patients. But Coleman is available at any time if a situation arises that the case manager can’t handle on her own. “Let’s say a patient needs stronger pain medication but I can’t get the oncologist to respond right away,” Long said. “I’ll consult with Meghan and she’ll make recommendations.” As an NP, Coleman can write prescriptions for short-term narcotics to get the patient through a pain crisis and then confer with the oncologist about the plan of care. The in-home care ranges from routine tasks (like checking vital signs) to more complex needs, such as wound care, blood work or draining fluid from a patient’s lungs or abdomen, services that might require a trip to the doctor or hospital. For example, a bed sore that Michael Prewitt (another of Long’s patients) developed might have landed him back in the hospital but she was able to heal it at home. “Tasha’s care is so precise. She knows what to ask and what to examine,” Prewitt said. “She’s been a tremendous help.” “Home care nurses allow these patients dignity and a voice in their care in an environment that is less stressful,” Coleman said. The case manager can also connect patients with other at-home services, such as physical therapy. (continued on page 3)
Making AEDs #2. Accessible, SOM Ranked ........................6 Approachable, and Easy to Spot....................................... 6
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`` A Best in Show acrylic painting by Harihar Patel of HUP Path & Lab Medicine.
AN EXHIBIT TO WARM THE SPIRIT AND SOOTHE THE SOUL For the last four years, the “Celebration of Art and Life” — an exhibition dedicated to the memory of Bernett L. Johnson, Jr., MD, HUP’s former chief medical officer — has created a colorful but calming influence on patients, families and staff, contributing to the environment of healing. The 2014 exhibition is the largest yet, with 115 pieces of art lining the walls of the Penn Tower bridge and continuing into the upper level atrium of the Perelman Center for Advanced Medicine. Each year the exhibition has grown in popularity. According to Rosemarie Cray, HR project manager, the first year they received 85 submissions. This year, 125 people sent in over 400 submissions! “We try to use at least one entry from everyone who submits work. We look for pieces that are peaceful, something patients would like to see,” she said, adding that “the artists themselves raise the standards every year.” Although each year’s exhibition seems to flow effortlessly into the next, it takes months of preparation to bring it to fruition. Cray takes the lead every year, working with staff from other departments as well as the Center for Emerging and Visual Artists (CFEVA). Between September and December, artists submit their work electronically (until two years ago it was a manual process). Then, members of CFEVA and the review committee spend an entire day reviewing each submission blindly (the artists’ names are removed) and choosing which will go in the exhibition.
`` David Lentz, a clinical nurse at PAH, with his two paintings chosen for the exhibit, one of which won Best in Show.
Artists are asked to drop off new art work or pick up pieces from last year’s exhibition during a three-day window, but that doesn’t always fit everyone’s schedule. Indeed, for about a month, Cray can be seen shuttling art work to and from the storage area in Penn Tower to wherever she’s meeting the artist! Once the exhibition pieces are chosen comes the hard part — choosing the Best in Show. Three people were involved in this year’s judging: Marsha Moss, a public arts curator who advised and guided the integration of arts into both the Perelman Center and the Smilow Research Center; Bob Siefert, the artist who painted the portrait of Bernett Johnson that is displayed in the Ravdin Mezzanine and was his long-time friend; and Mary Martha Johnson, who shares works from her husband’s collection each year as part of the exhibit. “The panel of jurors who select ‘best in show’ have a deep rooted presence in the public arts and with the family of Dr. Bernett Johnson,” said Judy Schueler, former VP Organizational Development, who was the driving force behind the Celebration of Art and Life exhibit. Although professional installers remove the old exhibit (and carefully wrap the pieces) and put up the new, members of HUP’s Physical Plant are very much involved. As soon as the old exhibit is down, they quickly patch holes and paint the Penn Tower Bridge walls and prepare the walls in the Perelman Center for the new exhibit. “The last four years have enriched and enhanced the lives of those who pass through,” Moss said at the exhibit’s official opening. “I have no doubt that art inspires hope, and that images reflecting life’s joyful experiences in either representational or abstract forms, warm the spirit and soothe the soul.”
A NEW STRATEGIC ALLIANCE The Health System has formed a strategic alliance with Lancaster General Health (LG Health) to jointly develop innovative programs and initiatives to benefit both organizations across our respective mission areas, especially in the delivery of high quality and cost effective patient care services. Both organizations will continue to function independently but with stronger emphasis for expanded partnerships on certain initiatives, and particularly in coordinated patient care experience between our health systems. A three-hospital health system located in South Central Pennsylvania, LG Health has been recognized regionally and nationally for its cost effective patient care services, clinical excellence, and patient safety, and was thrice designated a Magnet hospital for nursing excellence.
PAH OPENS CITY’S FIRST ALL-PRIVATE MATERNITY SUITE UNIT Nearly 5,000 babies are delivered each year at Pennsylvania Hospital, the most in the city. Now, the hospital’s new Well Mother & Baby Unit offers three full floors of all private rooms dedicated solely to new mothers and their newborns. PAH is the first hospital in the City of Philadelphia to offer all private maternity suites. Each new suite offers contemporary and comfortable furniture, soft colors, subdued lighting, a flat screen television, and a spacious restroom layout with an open shower stall. New suites also include a full-sized convertible sofa sleeper to provide overnight accommodations for a family member or friend, combination safes to secure personal belongings, and charging stations for mobile devices. The new postpartum units complement PAH’s Labor & Delivery unit, which also offers private rooms, including birthing suites for women seeking natural and low-intervention childbirth experiences. In planning for the new private rooms, hospital administrators sought feedback from hospital staff, physicians, and patients through design sessions, mockup room tours, and surveys. “Through this vital feedback, we were able to create a patient room that provides the best experience for patients, staff, and visitors alike from a safety, ergonomic, and aesthetic perspective,” PAH executive director Michael Buckley said. The new private maternity rooms also help support Penn Medicine’s commitment to the Baby-Friendly Hospital Initiative (BFHI). The BFHI is a global effort to improve the care of pregnant women, mothers, and infants by ensuring all mothers have the information they need to make the best infant feeding decisions and by providing the help they need to meet their feeding goals. “A private room environment will enhance the ‘rooming in’ experience and facilitate moms and babies staying together. While we will always have an in-unit nursery to provide additional support to new mothers who need it, we fully encourage ‘rooming in,’ ” said Jack Ludmir, MD, chair of Obstetrics and Gynecology at PAH. “The new rooms will support patients’ wishes for privacy and help us to provide the best total obstetric experience from delivery to discharge.”
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ANNUAL BENEFITS OPEN ENROLLMENT
APRIL 14 – APRIL 27 Annual Benefits Open Enrollment begins April 14 and lasts until April 27. This year’s enrollment is again an active enrollment. That means all employees must make an active election during the enrollment period to receive the earned premium discount on medical contributions for non-tobacco users, or for those enrolled in a tobacco cessation program. Employees should take note, in order to earn the premium discount, you and any covered dependent must be tobacco free or enrolled in a tobacco cessation program by June 30, 2014. You must make an active election for both yourself and any covered dependents. Earned premium discounts will not be applied to employees who do not make an active election. Employees who don’t make an active election will default to the tobacco user status and pay the higher medical contribution rate.
YOU COULD WIN FREE HEALTHCARE FOR A YEAR! If you participate in the Healthy Rewards program and complete the 2 required sections — The Well-being assessment and the Know Your numbers challenge — between Monday, April 14 and Sunday April 20, you will be entered into the early bird raffle. Ten lucky winners will receive FREE medical coverage for the 2014-2015 fiscal year! This means you will not have to pay the bi-weekly payroll contributions. Act Fast!
To kick off Open Enrollment, the UPHS Corporate Benefits team will host health fairs throughout the Health System. Employees can receive a blood pressure and/or BMI screening, win raffle prizes, and meet with members of the benefits team to learn more about annual benefits options and the Healthy Rewards program. Join them at one of the dates and times listed below.
Employees enrolled in a UPHS benefit plan are also able to earn a Healthy Reward Credit ($150/year in a lump sum payment) for completing a Well-Being Assessment, taking the Know Your Numbers challenge, and participating in Healthy Behaviors through the Healthy Rewards program. You can earn the $150 credit anytime throughout the year!
»» Tuesday, 4/1: Pennsylvania Hospital Cafeteria, 10am–2pm.
For the Know Your Numbers challenge you will need to know and input all of the following numbers: Blood Pressure, BMI, Glucose, Total Cholesterol, HDL, and LDL. You can use last year’s numbers or use screening data that was done within the last three years. Once you complete the Well-Being Assessment, Know Your Numbers, and earn a total 1,500 Healthy Rewards points, you will receive your $150. Anyone who does not have a UPHS medical plan can still participate in the Healthy Rewards site, earn points, and be entered into raffle to win.
»» Wednesday, 4/9: Penn Medicine Radnor, in conference room 203, 10am–2pm.
This initiative, along with others throughout the year, reflects the commitment that UPHS has to creating a culture of health and being one of the healthiest employers in the Philadelphia area.
CLAIM
»» Wednesday, 4/2: Hospital of the University of Pennsylvania, Mezzanine, 10am–2pm. »» Thursday, 4/3: Penn Presbyterian Medical Center Cafeteria, 10am–2pm. »» Tuesday, 4/8: 1500 Market in the Kahunatorium, 10am–2pm.
»» Thursday, 4/10: 3001 Market, Suite 310, 11am–2pm. »» Friday, 4/11: Home Care and Hospice in Conference Rooms A & B, 9am–1pm.
Look for the newsletter that will be mailed home to all UPHS employees at the end of March that will outline benefit plan changes and provide an overview of the Healthy Rewards program. All employees are encouraged to read through the newsletter thoroughly and contact the Benefits team with any questions 215.615.2675, prompt #4. Look for more health promotion activities on the HR & You website. The new benefit plan year will take effect on July 1, 2014.
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Helps Cancer Patients Avoid Unnecessary Trips to the Hospital More Than Physical Needs The case managers form strong relationships with their patients, which often leads to discussions about their care. “Patients sometimes tell the nurse about symptoms that the oncologist may not be aware of. They worry that if they complain of feeling tired or fatigued, the doctor won’t recommend another round of chemotherapy,” Casarett said. “Or they might confide that they don’t want another round of treatment but are reluctant to talk with their oncologist or their family. The nurse will then initiate the discussion. “A substantial minority of patients has reservations about their aggressive treatment plan. One of our previous studies [funded by the NIH] showed that one in 10 patients with advanced cancer who are getting chemo didn’t want it,” he continued. “By encouraging conversation, the case worker can help physicians and patients come together.” The CLAIM team also includes a social worker and chaplain.
Since starting, CLAIM has cared for over 700 patients. While not eliminating all trips to the ER, the program has, so far, cut hospitalizations by 40 percent. `` David Casarett, MD, created the CLAIM program.
While providing medical care is the focus, CLAIM staff also try to improve a patient’s emotional state. Prewitt, who is a pastor, is suffering physical symptoms from his brain tumor that has left him weak on his right side and unable to write. “We’re looking into Dragon software so he can dictate his sermons and deliver them to his congregation,” Coleman said. Since starting in November 2012, CLAIM has cared for over 700 patients. The CLAIM staff now provides daily care for about 120 patients. While not eliminating all trips to the ER, the program has, so far, cut hospitalizations by 40 percent, Casarett said. CLAIM is currently funded by a $4.3 million, three-year grant from the Centers for Medicare and Medicaid Services. “We’re hoping that the CMS and other payers see the value of this model and continue to support it, at Penn and elsewhere,” he said.
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NEWSmakers / / / Smoking Can Speed Menopause for Some Women NBCNews.com reported on new research that shows heavy smoking white women with a certain genetic mutation entered menopause nearly nine years early. That particular mutation occurred in about seven percent of the white women in the study. The study, from researchers at Penn, was designed to look at the effects of specific genes that interact with substances in tobacco smoke, said Samantha Butts, MD, MSCE, the study’s lead author and an assistant professor of Obstetrics and Gynecology. “A lot of toxins are inactive when entering the body,” she explained. “Some of these genes are ones that make inert toxins more toxic.” The ongoing study followed 410 women aged 35 to 47 for 14 years. Overall, current smokers in the study entered menopause a year younger than their non-smoking counterparts.
/ / / Nonprofit Clinic Offers ‘Bridges of Health’ to Philadelphia’s Illegal Immigrants A New York Times article featured the work of Penn Medicine’s Puentes de Salud, a nonprofit group of doctors, nurses and medical students that provides low-cost, high-quality health care and social services to South Philadelphia’s growing Latino population. A co-founder, Steve Larson, MD, associate professor of Emergency Medicine, said the organization distinguished itself from other community-health groups by addressing the underlying causes of illness, like poor nutrition, illiteracy or urban violence. Daphne Owen, a third-year medical student at the Perelman School of Medicine and a clinic volunteer, sees the low-cost, holistic approach practiced by Puentes as a model, not just for underserved community medicine but for the country’s health system over all.
/ / / A Cure for Hospital Design Kevin B. Mahoney, chief administrative officer for UPHS, was quoted in a Wall Street Journal article about a process design experts call “wayfinding”— which is strategies to help patients and their visitors navigate more easily in a hospital. “Wayfinding is a challenge we have not yet 100% solved and we continue to work on it,” said Mahoney. He said the Perelman Center for Advanced Medicine building has had two patientinformation desks and digital kiosks since it opened, and has added three full-time greeters on each level of the parking garage.
/ / / Are Recommendations from Remote Dermatologists Reliable? Offsite doctors may be able to reliably evaluate hospitalized patients with possible skin conditions based on photographs and general health information, said a new study. “Across the country and the world there are places that have limited or no dermatology support,” Misha Rosenbach, MD, assistant professor of Dermatology, told Reuters Health. “There are a lot of issues with having the right doctors in the right place to care for patients.” He and his colleagues write in JAMA Dermatology that many hospitals don’t have dermatologists available for patient consultations. By using teledermatology, doctors at other hospitals or in private practice can look at pictures and make recommendations. Overall, they found that if the inperson doctor suggested the patient have a consultation that same day, the offsite doctors agreed 90 percent of the time. When doctors did disagree, it was usually over how to manage the condition while still agreeing with each other on the diagnosis. Additional coverage appeared in Time.com, New York Daily News, ABC News Radio, ABC.com, Yahoo!, MedPage Today and other outlets around the country.
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/ / / Local Researchers Step Closer to Baldness Cure Penn scientists say they are a step closer to finding a cure for one of the most common cosmetic plights — baldness. The team has successfully converted adult cells into stem cells that regrew human skin cells, hair follicles and a hair shaft. That’s a first, according to the researchers. As part of the process, the team, led by George Xu, MD, PhD, professor of Pathology and Laboratory Medicine and Dermatology, implanted the converted stem cells, called epithelial stem cells, onto mice. Those cells, when grafted onto the mice, grew the human skin and the hair follicles, which researchers say were “structurally similar to human hair.” The study was covered in CBS News.com, NBC10.com, WebMD (via HealthDay News), and The Times (London).
/ / / Overdiagnosis and Misfear are Not Saving Lives What’s the No. 1 killer of women? It’s a question that practitioners asked every new patient at a clinic where physician Lisa Rosenbaum, MD, a cardiologist and Robert Wood Johnson Foundation Clinical Scholar at Penn, once worked, and she hasn’t forgotten the answer given to her by one middle-aged woman with high blood pressure and elevated blood lipids. “I know the right answer is heart disease,” the patient told Rosenbaum, “But I’m still going to say ‘breast cancer.’ ” Rosenbaum recounted this experience in a perspective published in The New England Journal of Medicine, an article on Slatemagazine.com reported. Rosenbaum’s commentary explores a phenomenon dubbed “misfearing”— our human nature to fear instinctively, rather than factually. Rosenbaum’s patient’s first answer is correct — heart disease kills more women than all cancers combined, yet breast cancer seems to invoke far more fear among most women.
/ / / There’s Cold Comfort for Philadelphia on Bedbugs A front page story in The Philadelphia Inquirer reported on a new Penn Medicine study that found bed bug infestations have been increasing over the last four years in Philadelphia and were at their highest in August and lowest in February. “So the question is, when do we want to treat them, when they’re all over place or when they’re at lower populations?” lead author Michael Z. Levy, PhD, assistant professor in the Center for Clinical Epidemiology and Biostatistics, told WHYY radio. Reports came from all across the city, though South Philadelphia was the most affected. The study is part of a larger, ongoing pilot study to come up with safer, cheaper and more effective ways to control bed bugs in an urban setting. Levy worries that they could become more dangerous as they spread. “I think we have to be very concerned and vigilant about bedbugs as potential vectors of disease,” he told the Inquirer. The article, which was published in the Journal of Medical Entomology, was also covered by CBS 3, CW Philly, Newsworks.org, Philadelphia Magazine, and The Atlantic Cities.
/ / / Sweet Taste Receptors in Nose Tell Immune System When to Kick In, Penn Team Finds If you think the only job of your taste receptors is to keep you coming back to the candy dish, think again, WHYY radio reported. Researchers at Penn Medicine have found that taste receptors in the nose are handy bacterial detectors, and one of the body’s more ingenious ways of fending off infection. Published in the Journal of Clinical Investigation, head and neck surgeon Noam Cohen, MD, director, Rhinology Research, studied cultures taken from his patients with sinusitis, and found that a specialized cell type in the nose has both sweet and bitter taste receptors acting together to keep tabs on the number of bacteria in the nose. Known as solitary chemosensory cells, Cohen said, they have only recently been discovered in humans, although they were known to exist for years in fish and rodents. “We believe they are peppered throughout the upper airway and probably even the lower airway, into the lungs,” said Cohen.
To reach the Penn Medicine news website, go to www.PennMedicine.org/news
RECOGNIZING LEADERSHIP & INNOVATION Congratulations to the 2013 winners of CEQI’s Quality and Safety Awards. This recognition acknowledges departments throughout the Health System that have exhibited leadership and innovation to ensure high quality clinical outcomes, patient satisfaction, patient safety and cost efficiency. To see all of this year’s submissions, go to http://uphsxnet.uphs. upenn.edu/ceqi/ and click on “2013 Quality and Patient Safety Award Winners.”
Quality & Patient Safety Award Operational Award UPHS The Impact of an Automated
Early Warning System for Sepsis in the Inpatient Setting of UPHS
• Christine Vanzandbergen,
PA-C, MPH • Joel Betesh, MD, FACP • Craig A. Umscheid, MD, MSCE, FACP • Barry D. Fuchs, MD, MS, FCCP, FACP • Gordon Tait, BS • Asaf Hanish, MPH • Mika Epps, RN, MSN
PAH Getting to the Heart of the Matter: Re-Engineering Cardiac Cath Lab Patient Flow to Enhance Transitions in Care
UPHS Improving Inpatient
PAH Meeting the Measure: Implementing Changes to Meet the Venous Thromboembolism Core Measures
• Tonya Johnson, MSN, RN, • Angel McCullough, MSN,
• Mika Epps, MSN, RN • Terese Kornet, MSN, RN • Christine Vanzandbergen,
• Jessica Stevens, BSN, RNC • Meg Dougherty, BSN, MBA, RN • Jacqueline von Vital, PharmD, BCPS • Jennifer Yocum, MSN, RNC, CPPS • Mina Ricciardelli, PharmD • John Regan, MSN, BSN, RN • Kim Liberatore, MSN, RN, CPHQ • Dorothy Counts, MA, RN, • Danielle Reynolds, MSN, CPHQ
• Patrick J. Donnelly, RN,
MS, CCRN
• Jean Romano, RN, MSN,
NE-BC • Stacie Neefe, RN • Nina Renzi, RN • Neil Fishman, MD • Benjamin French, PhD • Jim Hollingsworth, RN
HUP Nurse-Driven Post-Discharge Phone Call Program
CCRN • Danielle Heffner, MHA, BBA • Danielle Reynolds, MSN, RN, CPHQ, CPPS, CNOR • JoAnne Ruggiero, MSN, RN • Joan Smith, RN, MEd, MHA • Kristine Renshaw, BSN, RN • Marianne Ferreira, RN • Matthew Martin, RT • Annaliza Santos, RN • Latasha Evans, RN • Veronica Pizzuto-DeLuca, BSN, RN • Margo Olivieri, MSN, RN, CCRN
MBA, NE-BC • Howard Haber, MD, FACC, FSCAI • Eron Sturm, MD, FACC • Kevin Steinberg, MD • Sheldon Goldberg, MD, FACC, FSCAI • Daniel McCormick, DO, FACC, FSCAI • Scott Midwall, MD • Mary Del Guidice, MSN, BS, RN, CENP • Sean Rowland, CRNA, MS
FAAN • Paul Harrington, MSN, RN, MBA • Leah Moran, MSN, RN • Linda Hoke, PhD, RN, CCNS, ACNS-BC, CCRN • Lisa Oldak, BSN, RN, PCCN • Daniel Kolansky, MD • Joyce Wald, DO, FACC • Joanne Fante-Gallagher, BSN, RN, MHA, CPHQ • Renee Carruth, BSN, RN • Dana Guarracino, BSN, RN
FACEP • Richard Maniglia, MD • Christian Boedec, MS, MBA
BSN, RN • Synally Myers, BSN, RN • Elizabeth Conley, BS, RN • John Truitt, BSN, RN • William Baratta, PharmD • Simon Akerman, PharmD • Maureen Julien, MSN, CRNP • Ylenia Quiaoit, MSN, CRNP • Joan LaJoie, MSN, CRNP • Sarah Fontana, MSN, RN • Amy Marzolf, MSN, CRNP
Centered Care: Engaging Patients in Interdisciplinary Rounds
• Mary Rogers, MSN, RN, • Carmela Vittorio, MD • Misha Rosenbach, MD • Robert Micheletti, MD • Veronica Richardson, CRNP
• John Flamma, MD • Judith A. O’Donnell, MD • Tanya Dougherty, PharmD,
BCPS • Nishaminy Kasbekar, BS, PharmD, FASHP
• Michelle Sparrow, MBA, RN • Jake Moore, MBA • Kate Gray, BSN, RN • Ashley Donlon, BS
CCA Penn Medicine at Gibbsboro— Use of a Patient Registry to Improve Diabetes Care Metrics
• Penney Rothmaller • Jeffrey Tokazewski, MD • Rosemarie Villamayor, MD
Homecare Penn Care at Home: Increasing Patients Confidence in Taking Medications by Improving the Medication Reconciliation Process in the Home
GSPP Fiberoptic Endoscopic Evaluation of Swallow Function (FEES) in LTACH/Acute Rehab Setting
• Randy Dubin, MA, CCC-SLP • Michael A. Grippi, MD
BCPS
• Paris Foerst, BA, RN-BC
RN, CPHQ, CNOR
• Marian Lord-Gartner,
MSN, RN, CPHQ
• David O’Brien, RN, MSN • Jim Hollingsworth, MSN, RN • Joan Smith, RN, MEd, MHA
CPUP Managed Care Referral
Process
RN
• Beverly Alexander • Renee Biggs • Shawn Brown • Kim Casarotto
AAHIVP
• Michael Braffman, MD • Shawn Miles, MD • Suzanne Brown, MS, RPh • Dennis Constan, PharmD,
• Melissa Mikolajczyk,
of Decision Support Tools in the Emergency Department on Antimicrobial Prescribing Patterns for the Treatment of Pneumonia
• Christopher Edwards, MD,
MSN, RN • Cynthia Richardson, MSN, RN
BSN, RN • Mary McCann, MSLIS, MBA, RN • Gene Gibson, PharmD • Jodi Silow, RN • Kinnari Patel • Victoria Rautman • Gordon Tait • Neil Fishman, MD • Craig A. Umscheid, MD, MSCE, FACP
• Lyudmyla Michniak, BSN,
PPMC Evaluation of the Impact
• Danielle Evans, PharmD • Amanda Binkley, PharmD,
MPH, PA-C
• David Stabile, MSN, RN • Ray Sutter • Asaf Hanish, MPH • Deborah Christopher,
• Denise Gilanelli, MS,
HUP Patient and Family
CPUP “Consult to Dermatology” Access Order
• Victoria L. Rich, PhD, RN,
Pneumococcal and Influenza Vaccination through an Electronic Nurse Driven Protocol
• Trauma Team Nurse ONC Practitioners • Kirsten Smith, MSN, ACNP- • Physical and Occupational BC, ACNS-BC, ATCN Therapy • Dulles 6 Unit Council • Orthopaedic Team Nurse Members Practitioners and Residents • Dulles 6 CRC/SW Staff • Dulles 6 Pharmacist • Dulles 6 Nursing Staff
PPMC First Start Delays Performance
• Lauren McLaughlin, RN • Mark Raymond, PT • Pat Geraghty, BSN, RN • Paula Young-Foster, RN • Jill Motley, BSN, RN • Alanna Dancis, BSN, RN • Chris Bossone, MSN, RN,
HHCNS-BC
• Kelley Scott • Brandi Eldridge • Karen Rivera • Kathleen Lisko • LaGracia Givings
CCA Penn Internal Medicine East Marshall Street — My Penn Medicine Challenge
Improvement Project
• Myra Cain-Houston, MSN, • Lori Fowler-Gagliardi,
RN, CAPA
• Rebecca Barnett, MD • Charmin Clavon- Surma,
MBA, RN, CNOR
• Julie Thomas, MSN, RN,
CPAN RN, BSN, CNOR • Stacie Watkins • Kathy Dougherty, RN, BSN • Lauren Knasiak, CPA, MBA
GSPP GSPP-PAH & GSPP-HUP “Send-Out-Track” Process • Tonita Chapman • William Kupchunas, MSN, MBA, RN • Kelly Cooke, MSN, RN • Julie Galen, MBA, BSN, RN • Veronica Martin, DNP, RN, CRRN, NE-BC • Sylvain Guet, PhD, MHSA, • Charles Pollack, MA, MD MSPT • Lisa Verseput, MSN, RN, • Rob Fritch, DPT • Jack Hering, BA, RT (N) • John Kirby, OTR, MBA
• Anne Norris, MD • Danielle Flynn, MSN, RN • Marsha Grantham, BSN, RN • Mary Beebe, BSN, RN • James Wandling, BSN, RN • Carol Licaretz, MSN, RN • Audrey Norman, RN • Tammy Tiscavitch, BSN, RN • Kathy Trinkle, RN, OCN
• Patrick Healy • Beth Hoffman • Bruce Coletta • Janecy Daly • Nadiyah Hamilton
• Theone Andreadis, RN • Holly Barimani • Tina Burnett • Billie Courtney • Linda Dowell, RN • Dolores Hanser • Phyllis Hennessy, RN • Therese Humphreys • Ruth Kelly, MA
• Suan Kirk • Danielle Maloskey • Glenda Merced, MA • Krissy Perpetua • Crystal Peters, MA • Nancy Pistiner • Michele Refford • Charlette Siebold, MA • Jessica Strzodka
Homecare Penn Wissahickon Hospice: Delivering Hospital at Home Services Safely and Inexpensively through Community Partnerships
CEN
• Dan Wilson, MBA, RN,
FABC
• Bruce Kinosian, MD • David Casarett, MD • Susan Foster, BSN, RN, CHPN • Noreen Mackay, RN, CHPN • Mary Ann Haggerty, CRNP • Jennifer Savon, RN, MS,
CHPN
• Rebecca McCarron, RN,
MSN
• Chrystal Comstock, RN,
BSN
• Ariel Feinberg, MSW • Rachael K Miler, MD • Patty Gibbons
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AWARDS AND ACCOLADES CORRIGAN APPOINTED VP, NETWORK DEVELOPMENT AND SYSTEM INTEGRATION Diane P. Corrigan has been appointed VP, Network Development and System Integration, effective the end of March. As VP, Corrigan will provide leadership on network affiliate strategy and executive oversight of the Transfer Center for facilitated patient access, and ensure integration in transactions between network affiliates, entity operations, clinical service lines and CPUP departments. Corrigan has held progressively expanded leadership roles at Penn Medicine over the past 29 years. As HUP’s chief financial officer, she has led many projects, including the installation of EPIC APM and billing applications and putting the budgetary and operational systems in place to manage and sustain HUP at levels of strong financial operating margins in the past several years.
NEW LEADERS AT HUP Denise Mariotti has been appointed HUP’s new chief HR officer, effective March 17. Joining the Health System in 1999, Mariotti was CHRO for Home Care & Hospice Services, where she worked with UPHS leaders to design the initial framework for Penn’s Transitions in Care project. In her current role as CHRO at Pennsylvania Hospital, she provided HR leadership in the Penn Medicine Washington Square project, the onboarding and integration of physician practices, and a restructuring of the hospital’s HR department. Joseph Huber, CPA, has been named HUP’s interim chief financial officer, replacing Diane Corrigan who becomes VP, Network Development & System Integration later this month. Huber has provided consulting and managerial services to numerous health-care providers and academic medical centers. He also served as senior VP and CFO for the Graduate Health System and has experience in financial audit and reimbursement.
Making AEDs Accessible, Approachable, and Easy to Spot
The new initiative builds on the success of the 2012 MyHeartMap Challenge, which utilized crowdsourcing tactics to help locate over 1,500 AEDs across the city of Philadelphia. Now, Penn’s Social Media and Health Innovation Lab , led by Merchant, is continuing to
Patricia Wren has been promoted to VP, Human Resources for the Health System. With this promotion, Wren assumes the HR responsibilities of Judy Schueler, who is now senior advisor to the CEO, overseeing important initiatives currently underway. In her new position, Wren will continue her work in staff engagement strategies, organizational change, and implementation of HR programs to support our operational objectives.
CEO’s corner (continued from cover) specialist, you’ll be directed to the most advanced treatment options and experts in a wide range of fields — all dedicated to keeping you healthy. When you make the Penn Primary Care Connection, you’ll have access to myPennMedicine, the region’s only patient-accessible, online health record system. It provides immediate easy and secure digital access to the personal health information you need most: lab results, referrals, refills, and appointments. Additionally, you can link directly into our health information library. Simply clicking on a diagnosis or medication leads to authoritative information on that topic. Password-protected, myPennMedicine is secure, confidential, and available around the clock — you just need an Internet connection.
If someone collapsed and stopped breathing in a public place, you might know to start CPR but would you know where to find an automated external defibrillator (AED)? Thanks to a nationwide contest launched by Penn researchers and designers, the answer to this may soon be “yes.” The Penn Defibrillator Design Challenge aims to draw attention to AEDs and educate the public about their use through engaging artwork in the space immediately surrounding the devices. “Most emergencies happen when patients are at home or out in public, and we all must depend on lay bystanders to help,” said Raina Merchant, MD, MSHP, of Emergency Medicine and director of the Challenge. “We believe that by incorporating artwork into important public health messages, we will make an indelible impression on the viewer so that they will be able to identify AEDs in all public locations and feel empowered to use them in an emergency.”
WREN NAMED VP, HUMAN RESOURCES
You can request a first-time appointment with a Penn Medicine primary care provider or find one by calling 267.414.2208 or visiting PennMedicine.org/PrimaryCare. We’re committed to doing all we can to improving your health and well-being — after all, you’re a valued member of the Penn Medicine family.
`` Helping to kick off the opening of the Penn Defibrillator Design Challenge were (l. to r.) Mariell Jessup, MD, of Cardiovascular Medicine; Ben Abella, MD, of Emergency Medicine; Raina Merchant; and Orkan Telhan.
promote the public’s awareness and knowledge about lifesaving AEDs in public locations. The nationwide contest, which was launched with an inaugural design at 30th Street Station, allows the public to create, submit, and vote on virtual designs for AED artwork. The design at the station was created by a team led by Orkan Telhan, PhD of the Department of Fine Arts. To learn more about the online contest, go to www. defibdesignchallenge.com. Entries will be accepted through April.
SYSTEMnews EDITORIAL STAFF: Sally Sapega, M.A. Editor Trissy Harding Graphic Design
ADMINISTRATION:
Susan E. Phillips Senior Vice President, Public Affairs Holly Auer Director of Communications
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»» The first transfusion of human blood was performed at Penn in 1795. »» The first public broadcast of a human surgery was performed at Penn in 1952.
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