SYSTEMNEWS APRIL 2017
CEO’s CORNER RALPH W. MULLER
CEO, University of Pennsylvania Health System
With a new administration in Washington come calls for change and reform in many domains of the federal government, as recent efforts to repeal and replace the Affordable Care Act — the comprehensive health reform law enacted by President Obama — demonstrate. Though the effort has not moved forward in Congress, it’s more important now than ever to reaffirm our values and commitment to the patients and families we serve. No matter what happens in Washington, we are committed to providing the best care possible to our patients.
Pennsylvania Hospital:
A Remarkable Legacy
Co-founders Benjamin Franklin and Thomas Bond believed that all of Philadelphia’s citizens deserved a chance to be healthy, regardless of their station in life. They were inspired to build Pennsylvania Hospital — the nation’s first — to care for all those in need. It was a radical concept at that time and one that would pave the way to PAH’s position at the forefront of providing quality health care to our community ever since. PAH, which celebrates its birthday next month, has seen many breakthroughs and advancements in its 266 years. Its legacy as a leader in innovative health care today coincides with the milestones that mark its past. From having the first surgical amphitheater to performing the region’s first in-vitro fertilization, PAH, located at 8th and Spruce Streets in Philadelphia, is always ranked among the best both in Philadelphia and in the United States.
Strong Impact in Mental Health Services
It is an honor to work in the same place where psychiatry was born and to walk the same halls as Benjamin Franklin, Thomas Bond, and psychiatry’s most prominent forefather, Benjamin Rush. —Jody J. Foster, MD
in this issue Mingle to Assume Chief HR Officer Role for UPHS...............2 OncoLife: 10 Years of Helping Cancer Survivors........2 PPMC’s 16th Annual Gala.........2 Penn Medicine@Work..............3 3D Printing at Penn Biomedical Library....................3 Match Day 2017.........................3 Awards and Accolades.............4 New CAREs Grant Recipients....4 “Topping Out” at LGH..............4 Two Rank in Truven’s Top 100....4
One achievement that stands out is Pennsylvania Hospital’s unprecedented influence on the field of psychiatry and mental health care. Franklin and Bond recognized the urgent need for the mentally ill in Philadelphia to receive treatment when they first opened PAH in 1751. Once Benjamin Rush, known as the father of American psychiatry, joined the medical staff in 1783, he revolutionized mental health care. Believing that mental illness was a disease of the mind and therefore should be treated in the same manner as any other physical illness, Rush added humanity and compassion to psychiatric care and his influence can be seen today in the care PAH provides through Hall-Mercer Community Behavioral Health Center. Hall-Mercer is dedicated to enriching the lives of people affected by mental illness or developmental disabilities. Opened in 1965 as Pennsylvania’s first outpatient mental health facility, Hall-Mercer has played a significant role in broadening the acceptance and advancing the care of people with psychiatric disorders and other mental illnesses. “It is an honor to work in the same place where psychiatry was born and to walk the same halls as Franklin, Bond, and psychiatry’s most prominent forefather, Benjamin Rush,” said Jody J. Foster, MD, chair of Psychiatry at PAH. “Our behavioral health services continue to thrive and provide excellent care to every patient who comes through our doors.”
Leading the Way in Women’s Health Pennsylvania Hospital was also one of the first hospitals to offer specialized obstetric and gynecological care. Today its department of Obstetrics and Gynecology carries on that legacy through its mission to enhance the health and (continued on page 2)
As a safety-net health system, we care for our communities’ most vulnerable populations. The ACA established access to health care coverage for more than 47 million under- or uninsured individuals across our country, including an expanded eligibility for Medicaid. This access to care proved to be especially important for those living in underserved communities who suffer from chronic conditions, such as diabetes and heart failure. Patients who can’t get regular health care for these illnesses often rely on trips to the emergency room when complications flare up — which can lead to unnecessary hospital admissions and make it difficult for patients to regain control of their diseases. This is the most expensive way to provide health care. At Penn Medicine, we have a long tradition serving vulnerable patients — both within the walls of our outpatient clinics and hospitals, but also through volunteer efforts like free clinics and health promotion events in neighborhoods throughout the region we serve. These efforts are most effective in concert with the insurance provisions and consumer protections of the Affordable Care Act, which enable patients to access care and health education close to home. Coverage for preventive care, for example, enables our patients to get services from vaccinations to lifesaving cancer screenings, develop relationships with primary care physicians, and learn about early-warning signals of dangerous conditions to proactively manage their health — and when necessary, receive more advanced care. We know that the best way to improve health care is through collaboration among everyone involved — this is as true for care teams focused on individual patients as it is for policy makers charting the course of health care delivery for a nation. We continue our advocacy in Washington, D.C. with government officials to maintain comprehensive coverage for all patients and are actively working with other national groups who share our views. As always, leading in health care delivery and policy that puts patients first is our guiding mission and chief responsibility.
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AWARDS AND ACCOLADES New CAREs Grant Recipients
Anna Doubeni, MD, of Family Medicine and Community Health, was named Family Physician of the Year by the Pennsylvania Academy of Family Physicians, for her commitment to high quality patients care and community engagement, her services as a role model, and her devotion to making the world a better place.
Congratulations to the latest recipients of Penn Medicine CAREs grants.
Linton Whitaker, MD
Carl June, MD, director of the Center for Cellular Immunotherapy in the Abramson Cancer Center, has been named a fellow of the American Association for Cancer Research Academy for his work in designing chimeric antigen receptor T cell immunotherapy for the treatment of certain types of leukemia.
Frederick Kaplan, MD, chief of Molecular Orthopaedic Medicine, received the 2017 Rare Impact Award from the National Organization for Rare Disorders for his decades-long work in fibrodysplasia ossificans progressiva (FOP), an extremely rare disorder in which the body’s skeletal muscles turn into bone, forming an internal “second skeleton.”
JoAnne Phillips, DNP, RN, manager of Quality and Patient Safety at Penn Home Care and Hospice Services, received the Sue B. Davidson Service Award from the National Association of Clinical Nurse Specialists for her work with the organization to help make positive changes that result in better health outcomes for patients.
Two Penn Medicine Hospitals Rank in Truven’s Top 100 Both Chester County Hospital and Lancaster General Hospital have both been named to the Truven Health 100 Top Hospitals list for 2017. This recognition highlights the work each hospital’s employees and staff have achieved to reach national benchmarks for patient care, operational efficiency and financial stability. The 100 Top Hospitals study divides the nation’s hospitals into five categories to help ensure the benchmarks are comparable and action-driving across each organizational type. CCH won in the category of large community hospital while LGH ranked among teaching hospitals. This is the 11th year LGH has been recognized.
Joseph Serletti, MD
Whitaker and Serletti Receive AAPS Awards Linton Whitaker, MD, chief emeritus of Plastic Surgery, and Joseph Serletti, MD, chief of Plastic Surgery, received prestigious recognition by the American Association of Plastic Surgeons. Whitaker received the Clinician of the Year award, one of the most esteemed awards in the field, and Serletti received the Robert Goldwyn American Council of Academic Plastic Surgeons Mentor of the Year award.
Penney Rothmaller – PPMC Project Helps Colleen Erb – CPUP Amyloidosis Support and Education Christina Marcaccio – PSOM Agnew Surgical Clinic Damon Harrison – PPMC Hairtastic Hien Thach – PAH Cambodian Association of Greater Philadelphia Engaged Elders Program Andrea Nicholson – PAH Penn Medicine Breast Health Initiative – Asian Community Collaboration Jennifer Amajirionwu – HUP More Than Food Community Resource Project Marion Leary – PSOM Start Talking Science Elaine Tran – PSOM Walk with a Future Doc Rafeeq Rainey – HUP Food Bank at Baker Playground
Scott Halpern, MD, PhD
Peter Snyder, MD
Two Receive Awards for Career Achievements
Leslie Trammell – HUP Grace Dance Theater Community Outreach Sharon Lockett – CPUP HELP Academy
Scott Halpern, MD, PhD, director of the Palliative and Advanced Illness Research Center, and Peter Snyder, MD, of Endocrinology, Diabetes, and Metabolism, will both receive the Distinguished Investigator Award for Career Achievement and Contribution to Clinical and Translational Science from the Association for Clinical and Translational Science. The award recognizes senior investigators whose innovative research or education leadership has impacted clinical and translational science.
James Riley – PSOM Palmyra High STEM
Halpern will also receive the Outstanding Investigator Award from the American Federation for Medical Research.
If you volunteer your time for community service, learn more about applying for a CAREs grant at http://uphsxnet.uphs.
Shanaye Jeffers – PSOM The Helen O. Dickens Daughters of Diaspora Summit Noheli Taveras – PPMC PPMC Emergency Department Cares Fund Sharon Civa – CORP Community Bundle Event for Hearts United Against Cancer
upenn.edu/community/CARE/grant.html.
“Topping Out” at Lancaster General Hospital In 2015, Lancaster General Hospital broke ground on a six-story expansion of the hospital — the Frederick Building. The expansion will enable the hospital to enhance the patient experience, improve quality outcomes, and achieve private inpatient rooms. This month, hospital leaders gathered to celebrate the placement of the final steel beam with a topping-out ceremony. Leading up to the topping-out ceremony, employees and community members were invited to make their mark on LG Health’s history by signing the beam before it was hoisted into place. More than 1,500 signatures and inspirational notes were written on the beam. “We take great pride in our ability to continually invest in our people, services and facilities to meet our community’s growing health care needs,” said Jan Bergen, president and CEO of LG Health during the topping-out ceremony. The Frederick Building will feature 80 beds in four units and will include technology to further enhance the patient experience. It is slated to open in late-spring 2018. (From left) Jan Bergen, Carolyn Scanlan, Board of Trustee member, and Michelle Schori, executive director of Women & Babies Hospital.
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SYSTEMNEWS EDITORIAL STAFF: Sally Sapega, M.A. Editor Abby Ernst Graphic Designer
ADMINISTRATION: Susan E. Phillips Senior Vice President, Public Affairs Holly Auer Corporate Director of Communications
LET US HEAR FROM YOU: 3535 Market Street, Mezzanine Philadelphia, PA 19104 phone: 215.662.4488 fax: 215.349.8312 Please feel free to share your thoughts and ideas for improving System News! E-mail the editor at sally.sapega@uphs.upenn.edu.
Mingle Named New UPHS Chief HR Officer Regina Mingle will become the Health System’s chief HR officer and senior VP, effective May 1. She will replace Pat Wren, who will retire at the end of the month following more than 18 years of service at Penn. Mingle’s career extends over 40 years, including both direct patient care experience as a registered dietitian and oversight of Human Resource functions at the corporate office of a large health-care system. She is currently SVP and chief leadership officer at Lancaster General Health. In this role, she has responsibility for the development and implementation of Lancaster General’s strategic and operational workforce plans and leadership development, including talent management and organizational development. Mingle also provides strategic direction on all areas of HR operations including its technology, employee benefits, compensation, and talent acquisition for the health system.
OncoLife: 10 Years of Helping Cancer Survivors While more and more people are surviving cancer — nearly 20 million in the next five years! — treatment can sometimes lead to serious medical consequences, for example, a greater risk of heart disease or cognitive impairment. Because these side effects can occur long after treatment ends, they’re not always traced back to chemotherapy, radiation or other cancer treatment therapies. To help cancer survivors get the information they need, the staff of OncoLink — Penn Medicine’s cancer website that was launched in 1994 — created OncoLife, a simple program that creates customized cancer survivorship care plans. (To learn more about how OncoLife got its start, go to http://bit.ly/2ongkfb.) Now celebrating the program’s 10th anniversary, OncoLife’s creators have a lot to be proud of. Since going live, more than 63,000 plans have been created worldwide. Each plan provides the physical side effects of treatments as well as healthy living information, screening for other cancers, smoking cessation, genetics and psychosocial concerns. Also, the plan’s questionnaire — which takes less than five minutes to complete — is based on specific cancers, for example, breast cancer. “The questionnaire
tailors the questions to only include treatments for that type of cancer as opposed to the patient having to weed through all the possible treatments for cancer,” said Carolyn Vachani, MSN, RN, OncoLink’s managing editor. All information in the plan is up to date and evidence-based. There are two versions of each survivorship plan. Patients receive the full survival plan and their primary care physician receives a more clinical, two-page version to keep with the patients’ medical records. The patients also receives an individualized treatment summary with specific dates for surgery, dates chemo started and ended, and type of chemo. “This is information not found on discharge papers or anywhere else,” said Elizabeth Prechtel-Dunphy, DNP, CRNP, a nurse practitioner in Hematology-Oncology at Penn Presbyterian. A Spanish version of OncoLife is available as well, which has proven to be a tremendous benefit for patients in the Latino community that Chester County Hospital cares for. Carolanne Gelder, RN, MSN, a clinical nurse specialist in oncology at CCH, finds that reviewing the plan face to face with her patients “makes it easier for them
10 to start conversations. And it reinforces that what they’re experiencing is normal.” The plan also serves as a source of support for patients who may be scared to leave the “safety net” of treatment, said Sandy Camarota, CRNP, of CCH. Anonymous data taken from user questionnaires support ongoing research on side effects and how people use the information, for example, making an appointment with their doctor or behavioral changes. What do they hope to accomplish in the next 10 years? Vachani said they’re partnering with EMR vendors to have the survivorship plan integrated with electronic medical records and are also thinking about piloting a version of OncoLife for survivors of pediatric cancers “We want this plan to reach as many people as possible. Even if you can’t come to Penn, Penn can come to you.” To learn more about the OncoLife survivorship care plans, go to https://www.oncolink.org/oncolife/.
Pennsylvania Hospital:
A Remarkable Legacy
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well-being of women, infants and their families in our region. In fact, the first child born in a hospital in Philadelphia was born at PAH in 1765, initiating more than 200 years of care for women and children. “Today, Pennsylvania Hospital has the busiest obstetrical service in Philadelphia,” said Deborah Driscoll, MD, chair of Obstetrics and Gynecology. “Penn Medicine was recently ranked number three in women’s health by U.S. News and World Report and our national reputation as one of the best is due in large part to the excellent care provided at PAH. Its obstetricians, midwives, and nurses and their extraordinary dedication, expertise, and compassion make me proud every single day.” Since its first delivery, PAH has been at the forefront of ob-gyn breakthroughs. For example, it spearheaded the model for modern maternity facilities with the 1929 opening of its new maternity building, which included two operating rooms, labor and delivery rooms, and outpatient clinics. PAH was the delivery site for the nation’s first set of quadruplets via Caesarean section as well as the first successful in-vitro fertilization in Philadelphia, in 1983. PAH has also been a leader in fertility care for women, opening the region’s first Antenatal Testing Unit in 1978
Pennsylvania Hospital History Highlights Since the charter for Pennsylvania Hospital charter was issued on May 11, 1875 — making it the first hospital in the 13 colonies — the hospital has realized many other notable achievements:
and achieving the first Gamete IntraFallopian Transfer (GIFT) pregnancy in Philadelphia just one year later.
1803 Opens lying-in (maternity) ward 1804 Opens first surgical amphitheater in the country
“At PAH, we are proud of our past and continue to focus on the future of ob-gyn care,” Driscoll said.
1847 PAH medical library recognized by the American Medical Association as first, largest and most important one in the nation
Learn more or schedule a tour of Pennsylvania Hospital by contacting Stacey Peeples, lead historian and curator, at Stacey.Peeples@uphs.upenn.edu.
1875
1967 Designated as a National Historic Landmark 1987 Opens the state’s first “birthing suite” in a tertiary-care hospital and creates the first gestational carrier and egg donor programs
Happy 266th birthday Pennsylvania Hospital — here’s to many more birthdays to come!
1995 Becomes region’s first to achieve 1,000 live births from in-vitro fertilization, GIFT, and other assisted reproductive technologies
» T o see more photos from Pennsylvania Hospital's archives, go to PennMedicine.org/news/ internal-newsletters/system-news.
2015 – Receives “Baby Friendly” designation and present recognized as a Magnet hospital
Penn Presbyterian Medical Center’s 16th Annual Gala was held
PASSPORT TO LONDON
a life in motion
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Establishes hospital’s first training program for nurses
in March. Proceeds from the London-themed event will contribute to the future work of Penn Orthopaedics at PPMC and the creation of the Penn Orthoplastic Limb Salvage Center, dedicated to saving threatened limbs and enhancing the quality of life of patients. For more information and photos from the 2017 Gala, please visit the Presby Bulletin online at PennMedicine.org/news/internal-newsletters/presby-bulletin.
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pennmedicine
WORK
Staying On Task With Project Management We all know that project management (PM) is an essential skill for many of our roles at Penn Medicine. Proficiency is critical, especially with accelerated growth of the Health System. That’s why Penn Medicine Academy has been partnering with the Corning Center for Learning™ since 2014 to offer the Essentials of Project Management course.
Why Project Management?
More than just an organizational buzz word, teaching proper project management: »» Creates a shared language, framework,
methodology and tools for reducing risk, cutting costs and improving outcomes. »» Instills a “business as usual” project
management culture. »» Expands workforce capabilities and talent
pipeline. Penn Medicine Academy is offering two courses: the Essentials of Project Management and Advanced Project Management. In Essentials, you’ll learn how to be a successful project manager by applying basic tools for your project. You’ll build skills that deliver products and services on time and within budget, understand key
roles associated with managing projects and establish standards and procedures for managing projects and minimizing risks. In the Advanced class, you’ll build on the foundational knowledge gained through the Essentials class. Please note: You should attend the Essentials program prior to an advanced offering, unless you previously attended a formal project management session elsewhere. Manager approval is required before enrollment for both course. Participants include full-time employees who are project managers, project stakeholders, or working on project teams. All participants should bring real projects for which they are responsible to work through during the class. To register for one of these offerings, search “Essentials of Project Management” in Knowledge Link for the foundations course and “Advanced Project Management” for any of the booster courses. Availability is on a first come, first serve basis... reserve your spot today! For more information, contact Kerry Standeven at 267.414.2838 or kerry.standeven@uphs. upenn.edu.
UPCOMING CLASSES: Essentials of Project Management will be held on:
Advanced Project Management will be held on:
»» May 16-17 »» July 18-19 »» September 19-20 »» November 30 and December 1
»» May 18: Leading a Project Team »» July 20: Influence Without Authority »» September 18: Managing Multiple Projects
All classes will be held at 1500 Market Street in Center Square, West Tower on the 9th floor.
IT’S A SUCCESS! Course participants were surveyed twice: before the course and 45 days after the course to determine their project management proficiency.* »» 100 percent saw improvements in Project Initiation »» 100 percent saw improvements in Project Planning »» 100 percent saw improvements in Project Execution/Control »» 90 percent saw improvements in Project Closeout *percent calculated on average of cohorts.
3D Printing Opens New Possibilities at Penn Biomedical Library The idea came to Barbara Kountouzi, head of Digital Media & Virtual Services at the Penn Biomedical Library, in 2014, but she thought it was a long shot at the time. After all, as she points out, she’s a librarian. What does she know about the latest in 3D printing? “The program began almost as a joke. The biomedical library director, Barbara Cavanaugh, and I were reading about 3D printers being used in medicine and we both thought offering a 3D printing service would be right in line with the library’s mission to foster innovation and creativity,” Kountouzi said. “I had to educate myself about 3D printing from square one because I had no scientific or technical background whatsoever.”
Match Day 2017 Last month, at Penn’s annual Match Day, 169 students at the Perelman School of Medicine waited anxiously to learn where they’d be heading for their residency. During the ceremony, students are called up one by one to receive a letter telling them where they have matched. Above, Jean Alponte Padilla and his family celebrate the news that he’ll train in internal medicine at HUP after graduation.
Sure enough, the library had its first 3D printer up and running at the start of January 2015 and the program — sustainable due to income from the library’s scientific poster printing services – quickly gained a following. To keep up with demand, the library sought a passionate intern with 3D printing expertise who could also help the program grow. They found just that in Dan Sipzner, a student in Penn’s School of Engineering who has a background in computer-aided design. With Sipzner on board, the library has since added a couple more printers to the collection, printers of different sizes, materials and capabilities. “I’ve always liked the idea of seeing something in the computer and then being able to hold it in your hands,” Sipzner said. “It’s easy to create something in the computer, but it’s still mind boggling to see the final printed product.”
Heart model for students to practice inserting stents
Protein representation
He said 3D printers have come a long way in recent years and can now quickly produce very strong, usable parts. One can even add materials into the printing media to test different properties. One of the library’s latest experiments is to use bone material to print sample bones from CT scans. In theory, people will be 3D printing bones for use in humans some day and this work will help to know the best way to do it, according to Sipzner. Since the program’s inception, the library has printed over 1,300 parts. Because the devices aren’t FDA approved, their use in the clinical setting is still limited, but there’s huge potential for research or educational opportunities. “The potential for 3D printing is still unrealized,” Sipzner said. “The tech is getting better exponentially and I’m sure we’ll be seeing a lot more of it in medicine.”
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