Volume 14
Issue 4
March 2015
SYSTEMnews PAC:
It’s All About Patient Flow
`` John Gallagher and Michele Volpe “officially” open the Penn Medicine Trauma Center. `` Large numbers quickly identify patient rooms in the ED
Delivering Immediate Care When and Where It’s Needed
CEO’s corner Ralph W. Muller
CEO, University of Pennsylvania Health System
Penn Medicine is an agile institution, able to anticipate and plan for change. In keeping with this outlook, we have moved ahead with a strategy of expansion and addition throughout the organization. These measures will extend our capacity to deliver excellent patient care to more people, educate the nation’s finest young physicians, and conduct research that gives hope in the face of serious disease. The South Pavilion Extension of the Perelman Center for Advanced Medicine has become the new outpatient home for neurosciences (including neurosurgery, neurology and psychiatry), radiology, dermatology, and GI services, among others. With its opening, nearly all outpatient practices previously housed at HUP have been relocated or will soon relocate to Perelman. As a result, patients and families will enjoy superior and more convenient and reassuring experiences. I can think of no finer commemoration of the 250th anniversary of the nation’s oldest medical school than the opening earlier this year of the Henry A. Jordan M’62 Medical Education Center. This remarkable building is among the first in the nation to fully integrate education facilities with active clinical care and research lab space, placing students at the heart of biomedical learning. It will help ensure that Penn Medicine remains one of the world’s preeminent health care training grounds for generations to come.
(continued on page 4)
After three years of careful planning — with input from hundreds of people across multiple disciplines — the Pavilion for Advanced Care (PAC) officially opened its doors last month at Penn Presbyterian Medical Center. The new 178,000 square foot facility, which is the new home of Penn Medicine’s Level I Regional Resource Trauma Center, brings together critical care specialties, surgical services, trauma/emergency services and radiology in one centralized location, raising the quality of care of the critically ill and injured patients to a new level. Unlike many other hospitals, PAC is designed around the flow of these patients, said C. William Schwab, MD, of Trauma and Surgical Critical Care who created Penn’s Trauma Center in 1987 (see page 2). The ED occupies the ground floor in this six-story facility and directly above are the ORs, ICUs, and, atop the building, the helipad. “This is a state-of-the-art center the likes of which has never been seen,” Schwab said.
When Seconds Count No matter how patients arrive at Presbyterian’s newly renovated ED — via helicopter, vehicle or on foot — they are seconds away from emergency care and the “Corridor of Life” critical-care treatment areas. “We designed a system with things we wanted to change — and improve — from a patient care standpoint,” said John Gallagher, MSN, RN, Trauma Program manager. The John Paul Pryor, MD, FACS, Shock Trauma and Resuscitation (STAR) Unit is the largest known design dedicated to trauma resuscitation in the U.S. With 14 feet between each of its five bays — four more feet than at HUP — it provides additional space for the multiple members of the trauma team to work. In addition, the STAR unit is integrated with two other large emergency critical resuscitation rooms. As the trauma team works on the patient — calling out orders for meds, labs and other tests — a nurse on a documentation station boom records all resuscitation efforts and immediately sends each of the orders directly to pharmacy, lab, or radiology. Two X-ray cameras on ceiling tracks — the only design of its kind — provide easy access to each of the bays. “Nothing needs to be rolled in and disrupt the care team,” Gallagher said. Nor does the patient need to be moved off the stretcher. A digital plate slides into the stretcher beneath the patient and the image goes directly to the X-ray station in the ER. Finding a specific room in the ED is quick and easy: large, brightly colored numbers are on the floor outside of each of the 30 patient rooms. Natural light flows into the trauma bay, helping to create a brighter environment. The “fastest scanner on the East Coast” is one of the two CTs that can be quickly accessed directly from the trauma bay, said Carolyn Persinger, director of Radiology at PPMC. “It does a body scan in eight seconds versus the standard two to five minutes. We’re the first trauma center in the country to have one.”
A Focus on the Patient Experience
Inside Inside Rubenstein to Jordan Center: The New Step Down............................. Home for the Perelman 2 School of Medicine...................2 From Pastels to PDA’s........... Penn Medicine@Work..............3 2 Newsmakers..............................4 RoundtableFree Skin Recognizing Leadership & Cancer Screening.................. Innovation: 2014 Winners........5 3 Leadership Transitions ...........6 Shortakes............................... Removing Barriers to 4 Breast Cancer Care....................6
The PAC’s upper three floors — a direct elevator ride up from both the ED and OR — house the facility’s state-of-theart critical-care units. Currently, the heart and vascular ICU is on PAC 3 and the trauma, general surgical and neuro ICU is on PAC 4. PPMC’s first combined neurosurgical/neurocritical ICU will open on PAC 5 this summer. (continued on page 2)
This is a state-of-the-art-center the likes of which has never been seen. `` The John Paul Pryor, MD, FACS, Shock Trauma and Resuscitation Unit is the largest known design dedicated to trauma resuscitation.
Another Title.......................... From Humble Beginnings........6
1
PAC:
It’s All About Patient Flow
Each of the 40 inpatient ICU rooms feature patient-care equipment on booms for easy access and maneuvering, as well as ceiling lifts for patient and staff safety. An in-room computer allows point-of-care documentation but there’s also a workstation outside of every two rooms. “This allows nurses to stay near — and closely monitor — their patients, without disturbing them,” said Lauren Fagan, nurse manager of the HVICU. All ICU rooms contain a family area as well, with either a fold-out couch or chair that turns into a bed. “It helps families feel welcome and part of the patient’s care plan,” Fagan said. Each of the ICUs is “linked” to its general care unit in the CUPP building via a bridge, providing an easy transition for families whose loved ones have moved out of the ICU to a general care unit. “Families don’t need to take an elevator to another floor to find the unit. They just walk across the bridge,” Fagan said, adding that it also improves the unit’s patient flow. The HVICU combines medical and surgical cardiology patients from PPMC’s former cardiac care unit and part of its SICU. The new arrangement improves the patient and family experience, Fagan said. For example, a heart attack patient in the CCU needing surgery will now likely come back to the same room and same nurse. Previously, he would have gone to the SICU — a completely different unit — to recover. In addition, “the marriage of these two service lines grants us amazing opportunities to educate and manage expectations — both pre- and post-operatively — for both patients and families.” The PAC uses “pops of color” to not only help lower anxiety but also as a means of wayfinding. Each of the ICUs has its own accent color in areas throughout the floor, which helps identify it for families. For example, a huge floor-toceiling black and white photo of a produce stand in the Italian market greets people as they step out of the visitor elevator on the heart and vascular ICU. The eye is immediately drawn to the “neon” green beans, the unit’s accent color (see photo above). “People may not remember the ICU is on the third floor but they’ll remember that image.”
High Tech and Heavy Capacity Helipad A large, state-of-the-art helipad on PAC’s roof provides direct elevator access to the trauma and resuscitation bays. It is self-cleaning, with heating coils beneath that can melt snow at a rate of two inches per hour. The helipad also has a fire suppression system that can be remotely activated by a helicopter crew or from inside PAC 6. Additionally, pilots can remotely activate the helipad lights several miles out prior to landing. The helipad is also heavy capacity; it can handle the take-off and landing of up to 22,000 pounds — the equivalent of a Blackhawk or Seahawk helicopter. “The day we opened a NJ State police helicopter landed here with a patient. Ours is one of the only helipads in the region big enough to accommodate this helicopter’s weight,” Gallagher said. Although advanced trauma care has been added to the services of the PPMC emergency department, HUP will continue to be a full-service Emergency Department, expecting approximately 60,000 visits this year. “Emergency departments are the public health safety net in this country,” said Jill Baren, MD, chair of Emergency Medicine. “Emergency medicine physicians are an integral part of the multidisciplinary trauma team and will continue to be so at the new Level 1 Center. More seriously injured patients will now be transported to PAC but our ED team can handle whatever comes in the door.” HUP’s former trauma bays are being reconfigured into critical care beds, with a focus on “state-of-the-art care for our sickest patients,” including the use of advanced cardiac resuscitation techniques. At the opening ceremony for the Pavilion for Advanced Care, CEO Ralph Muller noted that PAC is one of many investments Penn Medicine has made over the last decade in people, facilities and patient care. “These have strengthened our commitment to our patients, staff and our multiple missions of clinical care, research and teaching,” he said. “This has been a momentous year for Penn Presbyterian,” said Michele Volpe, executive director of PPMC, noting that, with the opening of Penn Medicine University City — which houses many of PPMC’s ambulatory services — and the transition of services to PAC, “Presbyterian is now poised to deliver the most advanced medical care to some of our most vulnerable and critically ill patients.”
Jordan Center
New Home for Perelman School of Medicine While the Perelman School of Medicine — the nation’s oldest medical school — celebrates its 250th birthday this year, it most certainly continues to look forward as well. With the recent opening of the Henry A. Jordan M’62 Medical Education Center, the PSOM is among the first in the nation to fully integrate education facilities with active clinical care and research lab space. Located just steps away from the Smilow Center for Translational Research and the Perelman Center for Advanced Medicine, the Center will “continue Penn’s tradition of close collaboration between faculty and students,” said J. Larry Jameson, MD, PhD, dean of the Perelman School of Medicine and executive vice president of the University of Pennsylvania for the Health System. The three-story, 55,000-square-foot Jordan Center will offer state-of-the-art technology, including high-tech recording and simulcast capabilities to support global conferences, telemedicine, and creation of online courses and lectures available to millions across the globe. The building is being named both in recognition of the legacy of the late Henry A. Jordan, who was a Penn School of Medicine faculty member and alumnus, and in honor of the Jordan family’s whole-hearted support of the center. “Henry was passionate in his advocacy on behalf of Penn Medicine,” said Gail Morrison, MD, senior vice dean for Education, professor of Medicine, and director of Academic Programs for the Perelman School of Medicine. “He saw in our faculty and students a very bright future for medicine.”
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`` C. William Schwab, MD (front and center) with Trauma’s faculty and fellows in 1995, including then-fellow Patrick Reilly, MD (second from right), now chief of Traumatology, Surgical Critical Care and Emergency Surgery.
Penn Trauma: A History of Advancing Knowledge, Training Leaders and Saving Lives. Penn Medicine’s Level 1 Trauma Program – now located in the Pavilion for Advanced Care at PPMC – is among the best in the nation. But when C. William Schwab, MD, came to HUP in 1987, what everyone takes for granted today didn’t exist. In fact, at the time, HUP was the only academic medical center in Philadelphia without an accredited trauma service. Schwab was charged with multiple tasks: start a trauma program, get a flight program organized, build a heliport, and train a crew. For most it would be a daunting challenge, but not for Schwab. He had done it twice before. Plus, he had received his training from those who served in medical units during Vietnam war. “Theirs was the first modern comprehensive trauma system in the world. It became the backbone of today’s trauma system.” By the following year, the PennSTAR Flight Program for critical care and trauma referrals was established. It quickly became an expansive regional helicopter program where Penn was receiving most of its critical care and trauma referrals: Chester, Berks, Lehigh and Northampton Counties. Over the last 15 years, more than 42,000 patients have been transported to HUP, with a perfect safety record. In 1989, HUP’s Trauma Center was up and running. Over the years, the flow of critically ill and injured patients exploded. “We went from none to 1,500 in just a couple years,” Schwab said. A major contributor to this surge were the helicopters and the mid-90s epidemic of firearm violence in Philadelphia, one of the worst in the nation; it peaked at 500 gun injuries in just one year. That same year, a trauma fellowship was established. By 2012, the two-year program had grown to five fellows a year, with 11 fellows from Surgery and Emergency Medicine in total. Out of the 100+ fellows trained at HUP, about 50 percent are chiefs, chairs, and program directors in trauma programs throughout the country and internationally. Over the next several years, Schwab and members of the multidisciplinary trauma team went on to create additional programs and fellowships to help save more lives, throughout the country and internationally. Read the full story – and see additional photos – at http://news. pennmedicine.org/inside/system-news/.
penn medicine
work
UPHS Annual Benefits Open Enrollment April 20-May 3 Mark your calendars — this year’s UPHS Benefits Open Enrollment period runs from April 20 through May 3. In previous benefit years, participants were defaulted to the higher tobacco-user rate. This year, your current elections will automatically rollover to next year if you do not make any changes. The only exception to this is the Flexible Spending Account — employees must actively enroll/re-enroll in the FSA for FY16. **
What about that Tobacco User rate? Employees who are enrolled in medical benefits and are paying the higher tobacco user rate because they or a covered dependent are a tobacco user can become eligible to pay the lower non-tobacco user rates. The covered tobacco user(s) can do so by enrolling in the UPHS Tobacco Cessation program by June 30. For more information visit the Wellfocused section of www.uphshrandyou.com and click on “Quit Smoking.” To enroll in benefits or confirm your benefit elections, visit www.uphshrandyou.com and click on “Enroll One.”
Staying Wellfocused One of the many benefits employees enjoy is the Healthy Rewards program, which encourages and rewards employees for making healthy choices that benefit their physical, mental and emotional well-being. This year, employees enrolled in the Healthy Rewards program can earn a total of $200 for having completing a well-being assessment, having healthy numbers, and participating in health activities and challenges. The platform is easy to use and mobile friendly, so you can easily access it to claim your points on the go. Ahead of Open Enrollment, the UPHS Benefits team will host health fairs at seven locations throughout the organization (see right). There will be raffles for $100 massage/spa gift cards and fitbit activity trackers, giveaways, chair massage, and the opportunity to schedule an on-site biometric screening. To learn more about the Healthy Rewards program, visit www.uphshrandyou.com and click on “Wellfocused.” A newsletter will be mailed home to all UPHS employees in early April that will outline the benefit plan and instructions on how to complete enrollment. It will also 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 by calling 215.615.2675, option #4, or email BenefitsQuestions@uphs.upenn.edu. Look for more information on the HR & You website in April (www.uphshrandyou.com). The new benefit plan year will take effect on July 1, 2015.
**Note for Chester County Hospital employees: As this is the first year enrolling through our electronic system, we strongly encourage you to log on and
confirm that the elections you have been defaulted into are the ones you want, or make the necessary changes to ensure your coverage for July 1, 2015 through June 30, 2016 fits your needs.
Schedule HUP, Ravdin Mezzanine March 31, 10 am to 2 pm PPMC, Café April 1, 10 am to 2 pm PAH, Cafe April 2, 10 am to 2 pm HCHS, Conference Rooms A & B April 3, 8-11 am 3001 Market Street, Suite 310, Training Rooms April 7, 10 am to 1 pm 1500 Market Street, CIL (9th Floor) April 8, 10 am to 2 pm Radnor, Conference Room 203 April 10, 10 am to 2 pm
this project realized that the length of stay for patients undergoing bypass surgery was increasing. To combat this, the team formulated changes in process and standardized protocol to decrease length of stay. “There was no standardized care for patients undergoing bypass surgery…we realized the things we weren’t doing,” said Jennifer Braun, RN, BSN, Manager of Quality & Performance Improvement of PPMC Cardiovascular Services. “We put together a pathway with a goal of discharging patients on post-op day five and that is the metric we’ve been trying to reach.”
`` PJ Brennan, MD speaks about the Blueprint for Quality at a recent Penn Alumni Physician Leadership Academy session on Value. You can view the presentation and the see panel discussion at http://uphsxnet.uphs.upenn.edu/UPHSQualityPtSafety/ PLA/index.html.
Finding Value in What We Do In 2006, Penn Medicine’s Chief Medical Officers and Chief Nursing Officers developed and launched the first Blueprint for Quality and Patient Safety, creating a shared language for patient safety and quality and elevating priorities for system-wide improvements for improving the care we provide. The Blueprint is a strategy that faculty and staff in all roles across the Health System can apply to the work they are doing to support patient care. The most recent version, launched last fall, introduced three imperatives: Engagement, Continuity and Value. Over the next few months we will be discussing each of the imperatives and providing examples of how they are being implemented. Value is an important Blueprint imperative. “The centerpiece for the work we do is value,” says PJ Brennan, MD, UPHS Chief Medical Officer. “Value to me is the intersection of cost and quality. You can improve value by improving quality or reducing cost and maintaining quality, but the sweet spot we’re looking for is to do both. Raise quality while lowering cost.” Throughout the Health System, units and teams are working together to follow the guidelines and imperatives that the Blueprint has laid out. A great example of the Value imperative in action is the team approach being taken by the frontline staff on CUPP 3-East at PPMC. After significant data collection and analysis, the team members of
Before using the CABG (Coronary Artery Bypass Graft) pathway as the standard for minimizing length of stay, discharging patients by post-operation day five was at 11%. Since the implementation of this pathway, discharging patients by post-op day five has increased to the current 22 percent. In addition to changes in specific protocol around medication and limiting fluids, a large component of the success of the pathway is related to teamwork, education, and communication. “We’ve made this pathway a focus on the unit. Our unit has created several mini initiatives to help ensure and promote that these patients are discharged by post-op day five,” says Jennifer Nelson, Nurse Manager, CUPP 3-East, adding that the nurse manager, nurse practitioners, and physicians work closely on the initiative. “I’m really proud of the nurses — to see them become stronger advocates for the patients — has been really wonderful,” says Paula Gabriel, Clinical Educator, CUPP 3-East. “There was a big gap in communication between physicians and nurses, working in different clouds, and now everyone works together. You can have all these pathways but what it comes down to are the energetic nurses and communication,” says William Untereker, MD, Clinical Cardiologist, PPMC. This pathway’s team members also include: Melinda Schuster, Nurse Practitioner; Tammy Hoven, Social Worker; Stella Papa, Clinical Pharmacist; Debra Patella, Interim Nurse Manager; and Laura Solano, Interim Nurse Educator. Thanks to the hard work of teams like this one, quality and patient safety outcomes have been improving throughout the Health System. For more information about the Blueprint and how it’s being used by faculty and staff across Penn Medicine, go to http://uphsxnet.uphs.upenn.edu/uphsqualityptsafety/ and click on “My Blueprint.” For more information about the Blueprint for Quality and Patient Safety, email Monica Heuer at monica.heuer@uphs.upenn.edu.
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Penn Medicine
NEWS makers / / / Many in U.S. Live Too Far from Advanced Stroke Care Many Americans would not have quick access to the best care during a stroke, even under the most ideal circumstances, according to a new computer model. The model, analyzed by Michael Mullen, MD, assistant professor of Neurology, showed that if each state had up to 20 hospitals providing the best care for stroke patients, more than a third of Americans would still be more than 60-minutes from one of those medical centers. This research was also covered by Reuters, HealthDay News, MedPage Today and Tech Times.
/ / / Killing Cancer A VICE special report on efforts to treat cancer using the power of viruses and other immunotheraperutic approaches profiled Carl June, MD, a professor of Pathology and Laboratory Medicine and director of Translational Research in the Abramson Cancer Center, and Stephan Grupp, MD, PhD, a professor of Pediatrics and director of Translational Research in the Center for Childhood Cancer Research at The Children’s Hospital of Philadelphia. Two pediatric patients who participated in clinical trials of the Penn-developed cellular therapy known as CTL019 were also featured in the show.
/ / / Study Finds Gorilla Origins in Half of Human AIDS Virus Lineages A study showing that two of the four known groups of human AIDS viruses (HIV-1 groups O and P) originated in western lowland gorillas appeared in several outlets. The international research team conducted a comprehensive survey of simian immunodeficiency viral infection in African gorillas. Coauthor Beatrice Hahn, MD, a professor of Medicine and Microbiology, was quoted. The New York Times, Fox News, Healio, Australian Broadcast Company, Zee News in India, Melborne’s Herald Sun, and Newser all covered the research.
/ / / Study Questions Close Monitoring of Thyroid Growths Harmless growths in the thyroid gland are common, and a new JAMA study suggests they don’t need to be monitored as closely as current guidelines recommend, according to HealthDay. Anne Cappola, MD, ScM, associate professor in Endocrinology, Diabetes and Metabolism, who along with Susan J. Mandel, MD, MPH, professor in Endocrinology, Diabetes and Metabolism, co-wrote an editorial published with the study, called the findings good news and said that doctors have probably been too aggressive with followup for patients with benign thyroid nodules. Medscape, Endocrine Today, Medical Xpress and dailyRX also covered the editorial.
/ / / Need to Get Moving? Smartphones and Fitness Bands are Good at Tracking Steps According to Reuters Health, a Penn study found that smartphone apps are just as accurate at tracking step counts as fitness bands. Mitesh Patel, MD, MBA, MS, assistant professor of Medicine and senior study author, said the findings suggest that smartphone apps could prove to be a more widely accessible and affordable way of tracking health behaviors. The New York Times’ ‘Well’ blog, The Los Angeles Times, TIME, Self.com, UPI, Mother Jones and Medical Daily also covered the study.
Frances Jensen, MD, chair of Neurology, authored an op-ed in The Philadelphia Inquirer highlighting the biological underpinnings of the teenage behavior that may seem, to parents and other adults, so erratic. “I believe that teaching teenagers about their own developmental brain state should be mandatory in high school,” she wrote. “There is much to be gained from them realizing the ‘carpe diem’ approach to getting the most out of these very precious years of accelerated learning. However, there are many cautionary lessons to be learned about enhanced vulnerability and the undisputable biology behind their proclivity to risk-taking behavior.”
/ / / Most Women Should Expect Seven Years of Hot Flashes, Longer for AfricanAmericans A study in JAMA Internal Medicine reported that hot flashes - once thought to only afflict up to 80 percent of middle-aged women for only a few years - can continue for as long as 14 years. The earlier they begin, the longer a woman is likely to suffer, and African-Americans will be affected the most. Ellen W. Freeman, PhD, research professor of Obstetrics and Gynecology, who has found similar results in smaller-scale studies commented on WHYY’s “Newsworks.”
/ / / How to Develop New Antibiotics In a New York Times op-ed, Ezekiel Emanuel, MD, PhD, chair of Medical Ethics and Health Policy, said the nation needs a completely new approach to the development of antibiotics. He suggested that the U.S. government could offer a $2 billion prize to the first five companies or academic centers that develop and get regulatory approval for a new class of antibiotics, which would be a reasonable investment for a problem that costs the health care system $20 billion per year.
CEO’s corner (continued from cover)
In January, the Pavilion for Advanced Care (PAC) at Penn Presbyterian Medical Center welcomed its first patients. The facility features ultramodern heart and vascular, and neurosurgical, critical care inpatient units. Penn Medicine’s Level I Regional Resource Trauma Center relocated from HUP to the Pavilion, a process that also expanded Presby’s emergency department. This past summer saw the doors open to Penn Medicine University City, our newest outpatient complex. Complementing the Perelman Center for Advanced Medicine and Penn Medicine Washington Square, the new structure modernizes and enlarges the outpatient services formerly housed within Penn Presbyterian. It includes state-of-the-science operating rooms and the Penn Musculoskeletal Center, which offers an integrated approach to treating orthopaedic disorders, injuries, and other conditions of the joints, bones, and muscles. Innovative hubs cluster patients with similar conditions such as knee injuries. The Center for Advanced Cellular Therapeutics, a 30,000-square-foot research facility housed above the Jordan Medical Education Center and South Pavilion Extension, is a unique facility where scientists from both Penn and Novartis will work side by side to further research in personalized cellular therapies for cancer. Opening next year, it will serve as the berth for Penn-based research using chimeric antigen receptor technology, a promising new therapy which has galvanized cancer researchers, caregivers, patients, and families worldwide. This technique enables cancer patients’ own T cells to be reprogrammed outside the body, then re-infused to hunt and kill cancer cells. Clinical trials using this approach continue to make global headlines. Floors in this same new space will also support other aspects of our clinical and research enterprise. Collectively, these facilities focus on a patient-centered approach to care. They express our determination to confront cancer, heart and neurological disease, and other serious conditions head-on. Moreover, the mixings and crossings between departments will provide integrated healing, teaching, and learning possibilities. In all cases, they confirm our commitment to support our physicians and staff in applying their exceptional skills. Last, but certainly not least, we have signed a non-binding Letter of Intent for Lancaster General Health to join the University of Pennsylvania Health System and due diligence for this process is nearing completion. When a definitive, binding agreement is completed, it will be submitted to the state for review, and we are hopeful of formalizing this arrangement this summer. LGH is an outstanding institution, and we look forward to continuing to expand our relationship with them in order to benefit both health systems and the communities and patients we each serve. By strengthening our campus area facilities and expanding our reach outside of Philadelphia, we will be well positioned for a bright future.
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/ / / Teens Need to Understand How Their Brains Work
/ / / Sen. Bob Casey Talks Importance of Vaccinations Patrick J. Brennan, MD, chief medical officer, and Paul Offit, MD, professor of Medicine and chief of Infectious Diseases at the Children’s Hospital of Philadelphia, joined U.S. Senator Bob Casey at the Henry A. Jordan Medical Education Center to express concerns about the low rate of vaccinations in Pennsylvania, reported The Philadelphia Inquirer and 6ABC, among other outlets. The press conference was held in light of recent measles outbreaks. Casey, Brennan, and Offit used the time to encourage families to vaccinate their children. NBC10, CBS3, and FOX29 also covered the conference.
To reach the Penn Medicine news website, go to www.PennMedicine.org/news
Recognizing Leadership & Innovation The 2014 Quality and Safety Awards presentation was held in late January, “the awards season,” said PJ Brennan, MD, the Health System’s chief medical officer. The All-Star Games were just being played, the Golden Globes had recently been awarded, and the Oscar nominees were announced. “This is our red carpet event. It showcases the best of what Penn Medicine does.” Brennan noted that some of the projects have grown from Penn Medicine’s Performance Improvement in Action program, in which employees look at ways to improve what they do every day to support the Blueprint for Quality. “And I love the multidisciplinary nature of all the projects,” he said. Submissions for these awards have grown significantly over the years. Now they receive more than 100 each year. This year’s included several submissions from Chester County Hospital. “It was great to bring them in.”
Quality & Patient Safety Award Operational Award UPHS Connexus: Mobile EMR Data Review Tool
• Subha L. Airan-Javia, MD • William Hanson III, MD • Glenn Fala • Rich Urbani • Stephen Kratowicz • Rob Hossain • Christopher Bellis
• David Do, MD • Eugene Gitelman, MD • Christine Limonte, MS4 • Denise Vaughn • Kinnari Patel • Colleen P. Mallozzi, BSN,
RN, BSIS
HUP Multi-Facet Approach in Centralizing Falls Prevention
PAH The Development of a Patient Care
Technician Focused Certified Falls Prevention Advocate Program to Reduce Falls with Injury on a Medical Surgical Unit
CMSRN
• Thomasine Gorry, MD, MGA • Karen Revere, MD • Susan Chodoff • Catherine Solares • Nabta Idreis • Cindy Diogo • Myra Cain-Houston, MSN,
• Jane Karch, RN • Christian Alexander, M.D. • Members of Ophthalmology • Short Procedure Unit • Department of Anesthesia • Scheie Operating Room
PAH Improving Notification and Documentation of Patient Deaths
• Joseph Milano, MBA, PA • Kathryn Farrell, MSN, RN • Jessie Reich, MSN, RN,
• Tonya Johnson, DNP, RN,
CCRN, NEA-BC • Deborah Drayton, MSN, ANP-BC, ONC, CMSRN RN, CMSRN • Courtney Cassidy, MSN, RN • Patricia McGuire, BSN, RN, • Jermica Taylor, PCT • Mary Del Guidice, MSN, CMSRN BS, RN, CENP
MSN, CRNP
• Jacob Gutsche, MD • Maureen Burke-Julien,
MSN, CRNP • Howard C. Herrmann, MD, FACC • Wilson Szeto, MD • Saif Anwaruddin,MD, FACC • John G. Augoustides, MD • Joseph E.Bavaria, MD • Christina Cantwell, MSN, CRNP • Nimesh D. Desai, MD • Lauren DiBiase MPH • Jay Giri, MD, FACC • Stephanie Houseman, RN
• David Jones, MSN, CRNP • Nicole Hoke, RN MSN • Lisa Mangino-Blanchard
MSN, CRNP
• Julia McGrath • Joseph Moffa, RN BS, BSN • Prakash Patel, MD • Robert Stetson, MBA • Prasanth Vallybohousyla, MD • Elizabeth Walsh, RN • Stuart Weiss, MD • Kimberly Ellison, MSN,
(ASCP), HTL • Patrick Donnelly, MS, RN • Meg Dougherty, BSN, MBA, RN • Maria Joyce, BSN, RN • Erin Gange, BSN, RN, CCRN • Amanda Brock, BSN, RN, OCN, CMSRN
• Andria Mayberry • Rhoda Sulzbach, MSN,
CRNP, ANP-BC, FNP-BC
• Linda Sinisi, BS • Kathy Nasci, MD • Shelli Thomas, MS, BS • Mary Ann Timmons • Soumya Bollampally, DO
CCH Decreasing Diaper Dermatitis in Narcotic Abstinence Syndrome (NAS) Babies
CRNP
• Rebecca Stamm RN, MSN • Leah Moran, RN, MSN • Linda Hoke RN, PHD
HUP Ultraviolet Light Room Disinfection to Reduce Clostridium difficile Infections, Rhoads HematologyOncology Units
• Ravdin 9’s RN and CNA staff • Ryan Fuller, PharmD • Ella Ryan-Meloni, MSN, RN
PPMC Reducing the Risk of Wrong Site Surgery: Application of the Joint Commission Targeted Solutions Tool Scheie Operating Rooms
Initial Results of a Fast Track Protocol for Transfemoral Transcatheter Aortic Valve Replacement (TAVR)
• Rebecca Marcantuono,
CCH An Emergency Department Redesign and Patient Care Delivery System
• Sitha Dy, MSN, RN, CCNS • Janelle Harris, BSN, RN,
UPHS Rationale, Development, Implementation, and
• Betty Brennan, EdD, MSN, • Sandy Panfile, RN CEN, CNML • James Gadebusch, RN • Diana Kane, MD • Jackie Wright, BS, RN, CEN • Christopher Ware, MD • Jen Vuich, RN, CCRN, CEN, • Franklin Kelton, MD CPEN • Chad Jeffrey, MS, PA-C • Lauren L. Edgar • Maureen Kennedy, BSN, • Joan Malloy CEN • Colleen Scelsa, RTR • Amy Sue Graham, RN, CEN • Ruby George, RTR • Sarah Niemiec, MSN, CEN • Kathleen Allen, MT (ASCP) • Terri Bugniazet, BSN, CEN, SBB CPEN, PHRN • Kathy Zopf-Herling, MSN, • Sonya Hash, MSN, RN, CEN RN-BC • Terri Moore, MSN, SANE • Mary Louise DeMarco, MSN, RN-BC • Laurie Schiltz, BSN, CEN, • Marie Kania, RN-BC CPEN • Carol A. McClinton, RN, • Anne Satterthwaite
MSN, CEN
CPUP Improving Warfarin Monitoring in Primary Care
Staff
• Jennifer Cohen, MD • Kristi Boettcher, MS, RN • Shannon Hittle, RNC
• Steven Gaynes • Eric Creaney • Michael Heckman • Andrew Williamson • Linda Conner • Mary Denno, MSN, RN • Albert Black, MBA • Amy Moore, MSN, RN, OCN • Paula Pearson, MSN, RN • Therese Rutyna, RN • Kathleen Wiley, MSN, RN • Kristen Wisniewski, MSN, RN
• Tracey Evans, MD • Cheryl Gilmar, MS,
MT(ASCP), CIC
• Collette Howerton • Ella Ryan-Meloni, MSN, RN • Matthew McKenzie, MBA • Richard White • Brooke McDonnell, MBA,
ASQ, CSSBB
• Mia Gonzales, MBA, MS
PT, FACHE
• David Pegues, MD
PPMC Evaluating the Impact of a Pharmacist
GSPP Implementation of Infection Control
Integrated on the Geriatrics Team on the Acute Care of the Elderly (ACE) Unit
Measures, Including Use of Hydrogen Peroxide Vapor, to Limit Transmission of Carbapenem-Resistant Enterobacteriaceae (CRE) at Good Shepherd Penn Partners Long-Term Acute Care Hospital
CWOCN
CCA PennCare at Rittenhouse: Pink Ticket and My Penn Medicine Raffle
• Mychele King • Amrita Kochhar, MD • Elizaveta Tikhonova, MD • Eliot Wallack, MD • Christina Cantwell, MSN,
CRNP
RN, CAPA
• Terri Smith, RN • Shelly Haas, BSN, RN,
• Heather McClay • Tykira Haines
• Keyla Morales –Santiago • Denise Wallace • Donesha Wilford • Deb Artwell • Janell Byrd • Rachel Berger • Jillian Pearlman • Sean Bradley
CPUP Penn Center for Primary Care Convenience Hours
• Giang Nguyen, MD, MPH,
• Brady Beecham, MD, MPH MSCE • Rory Whitehead Symons, MD • Richard Neill, MD • Steve Honeywell Jr. • Mario DeMarco, MD, MPH • Sam Martin • Heather Klusaritz, PhD, MSW
Homecare Penn Care at Home Reducing 30-Day • Naasha Talati, MD • Lakiesha Bennett RN • Laura Murphy, RN • Michael Grippi, MD, CMO
• Lawanda Goehring, CRNP,
All Cause Readmissions Using Telehealth Monitoring for Patients with a Diagnosis of Heart Failure
CNO
• Lisa Marsilio, MBA, CEO
• Tanya Dougherty, PharmD,
BCPS • Nicholas Hurrey, PharmD • John Bruza, MD • Jennifer Marquet, RN, BSN, CCM
• Justin Kuratnick, PharmD • Randy Lynch, PharmD • Nishaminy Kasbekar,
PharmD, FASHP • Robert Russell, MS
GSPP Reduction of CLABSI Rate by 50% at end of FY14
CCA Penn Family Medicine Kennett: Weight
• Robert Cato, MD • Kathleen Lisko • Danielle Capella
• Nikesha Brown • Katherine Viola, BSN, RN
Homecare Penn Home Infusion Therapy Reducing Central Line-Associated Bloodstream Infections in the Home Infusion Population
Management Program
• Cheryl A. Hlavac, M.D. • Deb Wikstrom
• Kaitlin Beach • Crystal Baker
• Anne Norris, MD • Sarah Tokarczyk, PT, DPT • Sandra Jost, MSN, RN • M ary Louise Dempsey, • Scott Rushanan, MS, OTR/L, BSN, RN • John Taylor, RN MBA • Danielle Flynn, MSN, RN • Ann Huffenberger, DBA, RN, NEA-BC • Kris Zborowski, PharmD • Ebony Jackson, RN • Sandy Rose, BSN, RN • Virginia Wilkinson, MSN, RN • Gail Denber, PT, DPT • Cassandra Eustache, BSN, RN • Kristen Geiger, RN • Rosemary Cahill, RN • Mary Beebe, BSN, RN
• Jisuk Park, BSN, RN • Linda Stevenson, MSN, • Nina Renzi, BSN, RN, CCRN RN-BC • Michael Grippi, MD, CMO • Naasha Talati, MD • Lakiesha Bennett, BSN, RN • Lisa Marsilio, MBA, CEO
• Anne Norris, MD • Mary Beth Ruckelshaus,
• Darci Khemraj, MSN, RN, CRNI • Crystal Comstock, BSN, RN PharmD • Steve Sandhaus, RPh • Rebecca McCarron, MSN, RN • Kris Zborowski, PharmD
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LEADERSHIP TRANSITIONS Epstein Named Chief Scientific Officer Jonathan Epstein, MD, chair of the Department of Cell and Developmental Biology, scientific director of the Penn Cardiovascular Institute, and the William Wikoff Smith Professor of Cardiovascular Research, has been chosen to become the next executive vice dean and chief scientific officer at the Perelman School of Medicine, effective July 1, 2015. Glen Gaulton, PhD, who currently holds this role, will assume new responsibilities at Penn involving the important domains of global health and our broader global engagement strategy. Epstein is an elected member of the American Academy of Arts and Sciences as well as the Institute of Medicine and the founding co-director of the Institute for Regenerative Medicine. He has received numerous awards for his research, which focuses on the molecular mechanisms of cardiovascular development and implications for understanding and treating human disease, including the Outstanding Investigator Award from the American Federation for Medical Research. He is also an Established Investigator of the American Heart Association, and has served as president of the American Society for Clinical Investigation.
Jonathan Epstein, MD
Glen Gaulton, PhD
Gaulton’s contributions to Penn Medicine research and research training are wide-ranging. Sponsored National Institutes of Health program research during his tenure as vice dean and chief scientific research officer grew 128 percent. He was an early and forceful champion of translational research. The Cardiovascular Institute, the Institute for Diabetes, Obesity and Metabolism, the Institute for Translational Medicine and Therapeutics, and the Center for Orphan Disease Research and Therapy were all conceived and initiated under Gaulton’s sponsorship, as was the University-wide Center for Public Health Initiatives. He expanded the Medical Scientist Training Program and also planned and implemented the BPP biomedical post-doctoral training program as well as several university-wide graduate programs. In addition, he co-led development of global health education and research initiatives on campus and in China and Africa.
Jackson New COO at HUP Carolyn Jackson has been named HUP’s new chief operating officer, replacing Al Black, who is retiring in early April. Prior to coming to HUP, Jackson was CEO of St. Christopher’s Hospital for Children in Philadelphia, a part of Tenet Healthcare System. Jackson has an outstanding record of accomplishment and broad leadership and operations experience in a large, complex health-care setting. Since 2010, St. Christopher’s has thrived under her leadership; the hospital has historically been a top performer for patient satisfaction and achieved designation as a Leapfrog Group Top Children’s Hospital in 2014. Jackson earned an MBA from the Harvard Business School and a bachelor’s degree in Chemical Engineering from the University of Delaware. She is a four-time recipient of Tenet’s prestigious “Circle of Excellence” award for excellent hospital performance and a two-time recipient of Tenet’s ‘Grassroots Champion’ award, for leadership and commitment to Tenet’s government relations grassroots advocacy program. Jackson also received the Dallas Business Journal ‘40 Under Forty’ award; the Philadelphia Business Journal ‘Women of Distinction’ award; the Philadelphia Business Journal Healthcare Innovation Awards winner in ‘Emerging Executive of the Year’ category and the Modern Healthcare “Up & Comers” award.
Neill Becomes New Family Medicine Chief Richard Neill, MD, has been appointed the inaugural chief of the Division of Family Medicine in the Department of Family Medicine and Community Health. In his new role, Neill will oversee the clinical operations of the department, which includes the consolidation of our two clinical practices into a new space at Penn Medicine University City. He will also help to oversee the residency program and strengthen our relationships with our clinical and strategic partners at Penn and nationally, and help deepen the Department’s clinical research partnerships. He was one of the founding members of the Department of Family Medicine and Community Health. Neill has served as president of the Pennsylvania Academy of Family Physicians, Chair of the Non-Prescription Drugs Advisory Committee to the Food and Drug Administration, and as a member of the ACGME’s Residency Review Committee for Family Medicine, in addition to numerous other regional and national committees.
Removing Barriers to Breast Cancer Care Financial cost remains a barrier to cancer screenings — let alone cancer treatment — among lower income women. While multiple factors contribute to racial and socioeconomic disparities in breast cancer death rates, a lower utilization of mammograms is consistently one of them. Compounding the problem is the continuing debate over what age and how often women should get mammograms. While the debate continues on, one thing remains constant. Mammograms remain the best, “first-line-of-defense” screening test available for the early detection of breast cancer. In an effort to help women in need and also ultimately save lives, Ari D. Brooks, MD, director of the Integrated Breast Center and Endocrine and Oncologic Surgery at Pennsylvania Hospital, and Carmen Guerra, MD, MSCE, associate chief of staff of the Abramson Cancer Center, teamed up to create the Penn Medicine Breast Health Initiative. Brooks and Guerra partnered with 14 community organizations to help reach and refer women in need for care. To date, over 100 women have been enrolled through the Initiative and already, one woman was diagnosed and started treatment for cancer last fall. To learn more about this initiative, go to http://news.pennmedicine. org/inside/system-news/.
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From Humble Beginnings… In the fall of 1765, two forward-looking physicians, John Morgan and William Shippen, Jr., began lecturing at the first medical school in North America — part of the College of Philadelphia and forerunner of the University of Pennsylvania. Before then, American physicians received their medical education as apprentices to practicing physicians and from scarce textbooks published in Europe. Those with means, including Morgan and Shippen, may have studied abroad. The University of Pennsylvania changed those paradigms and transformed medical education in this part of the world. To Spread the Light of Knowledge chronicles the fascinating history of the Perelman School of Medicine, from its beginning as a few lectures given in borrowed space to the extensive curriculum, research, and multidisciplinary clinical practice within the Health System today. To learn more about the nearly 200-page, full-color, limited-edition book commissioned to celebrate the institution’s 250th birthday, go to http://bit.ly/PSOM250. The book will be published in May.
Systemnews Editorial Staff: Sally Sapega, M.A. Editor Trissy Laurito Graphic Design
Administration:
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