What's New by Penn Medicine

Volume 1

WHAT’Snew

Number 18

December 14, 2012

Pennsylvania Hospital

2012

UPHS Quality & Patient Safety Awards Winners

Happy Holidays! `` PAH Holiday Tree from Light Up a Life 2012, a Celebration of Light and Life for Penn Wissahickon Hospice.

Best wishes for a healthy & safe holiday season from What’snew. Penn Medicine hosted its annual Light Up a Life ceremony at PAH on December 4, to honor and remember family, friends and loved ones who have passed. Penn Wissahickon Hospice, a division of Penn Home Care & Hospice Services, hosted the celebration and individual holiday lights are dedicated to honor lost patients and loved ones. Donations to Light Up a Life benefit the Penn Wissahickon Hospice Needy Patient Fund, which provides care, comfort and hospice support for the uninsured and underinsured.

INSIDE Hurricane Sandy.............................. 2 Employee & Staff Announcements...........................3-4 Penn Medicine Tops in Patient Safety............................... 4 Showing Those in Need Someone Cares............................... 5 Combat to Care................................ 5

C O N G R AT U L AT I O N S to the winning PAH entries of the 2012 UPHS Quality and Patient Safety awards! Quality & Patient Safety Award

Medication Reconciliation — Discharge Time Out DEPARTMENT: Medicine, 6 Cathcart PROJECT TEAM MEMBERS: JoAnne Ruggiero, MSN, RN Patricia Flack, RN Valerie Masci, RN Marian Lord Gartner, MSN, RN, CPHA Shawn Miles, MD Franks Sites, MHA, RN 6 Cathcart Nursing Staff

Operational Award

Implementation of Environmental Services Room Monitoring Program DEPARTMENT: Infection Prevention

Code Cart Standardization and Management

PROJECT TEAM MEMBERS: Debra Runyan, S, MT(ASCP), CIC Carolyn Tobin, BS, BA Derrick Hutton, BS Simone Edwards Ida Macri, BSN, RN, CIC IP Claire Stango, RN, CIC IP Maria Vacca, BSN, RN, CIC, PCCN John Stern, MD Sherelyn Riddick

DEPARTMENTS: Pharmacy, Nursing, Materials Management, Quality & Safety

Honorable Mention

Operational Award

PROJECT TEAM MEMBERS: Dennis K. Constan, PharmD, BCPS Suzanne Brown, MS, RPh Patrick Donnelly, RN, MS, CCRN Dennis Gibson Margaret Markunas, MBA, CNMT Amy McGovern, RN, CCRN Dominic Mignone, CPhT Kevin Pinder

Initiation of an Anticoagulation Management Program (AMP) at Pennsylvania Hospital DEPARTMENT: Pharmacy PROJECT TEAM MEMBERS: Jacqueline von Vital, PharmD Suzanne Brown, MS, RPh Mina Ricciardelli, PharmD Dennis K. Constan, PharmD, BCPS VISIT http://uphsxnet.uphs.upenn.edu/ceqi/safety/ awards/quality/2012/indexwinners2012_12.html to view all the winning UPHS entries.

What’s Happening............................6 Give the Gift of Hope........................6 Penn’s Way Campaign.....................6

HURRICANE SANDY HIT, PAH ROCKED IT Halloween certainly rolled in with a scare this year when Hurricane Sandy, a devastating storm, came blasting up the East coast. Sandy left over 100 people dead and tens of thousands homeless. Whole communities in coastal New Jersey and New York were demolished. Mass transit was crippled (who can yet comprehend that every line of the NY subway system was flooded?) and gas shortages paralyzed transportation further. Over eight millions homes were without power — some of which for weeks.

Command Center and efforts between PAH, the Health System, city, state and national emergency management agencies. Additionally, here are just a few examples of stellar commitment and resolve demonstrated by our staff and employees: Robert (Bob) Jones, CPhT, a certified Pharmacy technician, was so concerned about not letting his team down that he walked for four hours through hurricane winds from his home in Germantown to make it in for his shift.

Despite all this, PAH — as it is with all hospitals — had to continue operating and providing a safe environment for patients and employees, even when SEPTA discontinued services and roads closed. Once again, PAH employees and staff rose to the occasion, came together and worked diligently to put the safety and welfare of our patients first to literally “weather the storm” that was Hurricane Sandy. Many employees went above and beyond the call of duty, despite their own personal challenges at home, to get in to the Hospital and stay if needed, ensuring the best possible care for our patients and employees. Right at the center of it all was John Wierzbowski, MSc, MPH, Safety/Emergency Preparedness manager, leading the way, coordinating the

Operating room nurse Dawn Brown from Delaware had her own particular transportation obstacles to overcome. A state of emergency was called the earliest in DE and no cars were permitted to drive on the road on its highways. Dawn, who also happens to be a former police officer, was determined to make it in and drove during the “vehicle on road” ban. Dawn was pulled over no less than four times to be questioned by the police while driving in. Temporarily thwarted but not deterred, she could have gone home at any time, but wouldn’t give up. Neurosurgeon Gordon Baltuch, MD, PhD, called Sean Rowland, CRNA, MA, vice president of Peri-Operative services to let him know he lived close to the hospital and was available to help during Sandy. “It wasn’t his surgical day, so I thanked him and ended the call,” said Rowland. “A few hours later I saw him in the hall with his coat. He had obviously just walked in from home. Again, Dr. Baltuch asked how he could be of help…He said he would do anything we needed, circulate as a nurse, be a scrub tech for another surgeon and even move patients.”

He said he would do anything we needed, circulate as a nurse, be a scrub tech for another surgeon and even move patients. `` John Wierzbowski, MSc, MPH, Safety/Emergency Preparedness manager, outside the PAH Command Center during Hurricane Sandy.

E M P L OY E E & S TA F F A N N O U N C E M E N T S

Judy Colla Receives CLINICAL STAR AWARD PAH Certified Nurse Midwife, Judy Colla, CNM, MPH, has been named a Clinical Star Award (CSA) recipient by the American College of Nurse Midwives Foundation. The CSA recognizes midwives with exceptional longevity and excellence in clinical practice and the mentoring of younger Certified Nurse Midwives (CNMs) or Certified Midwives (CMs). This clinical excellence award is given to recognize and honor the midwife with a minimum of 25 years of clinical practice who has committed her career to the dayto-day care of women and the development of new midwives. Judy has been in clinical practice continuously since 1975, having spent her entire career at PAH. As the elder stateswoman of Penn OBGYN and Midwifery Care, Judy’s clinical expertise and experience are widely respected by the nurses, attending physicians, residents and midwife colleagues with whom she works. She was one of the first midwives to practice at the hospital and has truly been a trailblazer in our region in women’s health and CNM/MD collaboration. In 1977, Judy and a physician colleague established The Midwife and The Doctor, creating a model of CNM/MD collaboration that had not previously existed. The practice was committed to a feminist model of care, seeking to empower women through their experiences during pregnancy and childbirth and

creating a network of support and camaraderie among a devoted clientele that was extraordinary. In private practice first, Judy has worked as a full-scope midwife with the long-standing PAH midwifery practice since 1995. She continues to develop her clinical practice, staying current with research and practice updates, and is deeply involved with quality assurance initiatives and is a member of the hospital’s obstetric quality assurance committee. Throughout her career, Judy has been committed to teaching and mentoring midwifery students and new midwives. She has precepted countless midwifery students from her early days of her private practice, through to the present. She has also been a teacher and mentor for dozens of OB-GYN residents at PAH, introducing them to the miracle of normal labor and childbirth. “Judy is an outstanding example of midwifery excellence and longevity, having practiced continuously for 37 years,” said colleague Pamela Kane, CNM, MSN, from Penn OB/GYN & Midwifery Care. She continues to challenge herself and grow in her practice, and to demonstrate a strong commitment to providing a high level of quality care to her patients. She is extremely deserving of the Clinical Star Award.”

WELCOME TO PAH… Bryan Anthony has been appointed the new Director of Security Services at PAH. Bryan comes to PAH with over 20 years of law enforcement and management expertise. Rising through the ranks of the Philadelphia Police Department to lieutenant, he served as an investigator, detective and instructor, gaining valuable experience in operations administration, business, fiscal and personnel management, investigative techniques, community policing, planning and strategizing, dignitary protection, personnel training, hostage negotiations and crisis management. Bryan most recently comes to PAH from the Police Athletic League of Philadelphia where he served as Executive Director and Commanding Officer for the past three years. In addition to graduating from the Philadelphia Police Academy and earning an Associate’s degree in Business Administration, Bryan holds a Master’s of Human Services from Lincoln University. Bryan’s office is located within the Security Department in the Preston Basement where he can be reached at 215.829.6918 or Bryan.Anthony@uphs.upenn.edu. Amy Brazina MBA, BS, has been named Manager of the Center for Bloodless Medicine and Surgery and Business Manager for Allied Health and Ambulatory Services at PAH. Amy, who comes to PAH from the Penn Medicine Marketing Department where she has worked for the past two years, holds a Master’s Degree in Business Administration from the LaSalle University School of Business, as well as a Bachelor of Science degree from the Pennsylvania State University College of Health and Human Development. Her responsibilities will include but are not be limited to: Allied Health and Ambulatory Services business planning, special projects, business analysis, variance reporting, revenue testing, capital purchasing, quality reporting, and contract management. She will also oversee daily operations of Center for Bloodless Medicine and Surgery. Amy can be reached at 215.829.6518 or amy.brazina@uphs.upenn.edu. / / / Continued on page 4

ANNOUNCEMENTS / / / Continued from page 3 New Moves… Margie Pearce, RN, PhD-C, FNP-BC, has been appointed Director of Magnet Programs and Patient Outcomes in the Department of Nursing. “Margie has demonstrated the versatility, knowledge and skills necessary for someone in this pivotal role,” said Bruce Boxer, PhD, MBA, MSN, RN, CPHQ. “Her work as a certified nurse practitioner and her work on the Professional Development Council demonstrate her commitment to education, evidence-based practice and research. I know Margie will

accelerate our journey and develop the programs necessary to move us closer to the Magnet designation.” Patty Inacker, LCSW, MBA, has been promoted to Director of Operations for Hall Mercer Community Mental Health Center. Since 2005, Patty has been responsible for the clinical operations of Hall Mercer overseeing a variety of countyfunded programs that provide comprehensive outpatient services to local residents, including child, adult and family therapeutic services, outreach assistance, and prevention and recovery efforts,

FA R EW E L L to

as well as a variety of communitybased initiatives. Patty, a dedicated and visible staff member of Hall Mercer since 1991, is a Licensed Social Worker and received her MBA from Arcadia University. Steve Niederriter, MBA, has been promoted to Assistant Director of Operations for Hall Mercer. Steve came to Hall Mercer in 1987, from The Institute of Pennsylvania Hospital. Steve has been the Program Manager for the Adult Outpatient Services while assisting with the operations of a variety of other programs during his tenure at PAH. More recently, Steve

was instrumental in supporting IT Services as related to daily clinical operations and will continue to be responsible for those duties in addition to Medical Records and Performance Improvement and Patient Safety, in his new role. Steve received his MBA from Arcadia University. “We are grateful for both Patty and Steve’s dedication to Hall Mercer and Pennsylvania Hospital over the years and are proud to have them leading operations at Hall Mercer,” said Dan Wilson, MBA, BSN, RN, FABC, vice president, Allied Health and Ambulatory Services.

a B eloved PA H Me mbe r

After 28 years of dedicated service, Jim Kelley has retired as Director of Engineering Services. Jim first came to Pennsylvania Hospital in November 1, 1984, as the Assistant Director of Engineering. After about a year he transferred to the now-closed Institute of Pennsylvania Hospital to serve as Director of Engineering. Jim was back at PAH as Associate Director of Engineering when the Institute closed in 1995, and was promoted to Director in July of 2006. Over the years Jim has been instrumental in overseeing numerous renovation and construction projects throughout the Hospital and its surrounding campus. He’s had an integral role in both helping to implement the Private Room Initiative and construction of our new outpatient facility, Penn Medicine Washington Square. “For almost three decades Jim was a steady and stalwart presence through each “emergency” PAH has endured. He will be missed by all,” said Karla McCaney, vice president, Facilities Management.

Penn Medicine Tops in Patient Safety All three of Penn Medicine’s hospitals have received an “A” rating from the The LeapFrog Group, a national non-for-profit organization focused on measuring and publicly reporting on hospital performance with the goal of improving the safety and quality of the US health care system. The Hospital of the University of Pennsylvania, Pennsylvania Hospital and Penn Presbyterian were the only hospitals in the city of Philadelphia to receive an “A” rating. The goal of the LeapFrog Patient Safety score is to produce a single score representing a hospital’s overall performance in keeping patients safe from preventable harm and medical errors. The

score is divided equally between process/structural measures and outcomes measures. Penn Medicine’s high performance is due in no small part to the collective efforts of our staff to ensure our patients receive the highest quality care and have the best possible clinical outcomes. Having all three Penn Medicine hospitals receive the top rating shows our dedication and commitment to outstanding patient care across our entire organization. Complete rankings as well as their methodology can be found at http://www.hospitalsafetyscore.org/.

SHOWING THOSE IN NEED

SOMEONE CARES While many of us struggle to accomplish all the holiday preparation goals we set for ourselves, PAH Skilled Care Center (SCC) Administrator Kathy Magnes, BSN, RN, NHA, goes way above and beyond the official call of personal and professional duty when it comes to giving for the holidays. This year, like every holiday season for almost a decade, Magnes collected items donated from generous PAH employees for the homeless. Donations, which include much-needed toiletries, non-perishable snack foods and clothing — were divided to be distributed via festive gift bags. Come early Christmas morning, Magnes, with family in tow, delivers the bags to the homeless throughout the PAH neighborhood. “In the past few years, donations have grown tremendously,” said Magnes. “They are not just from Pennsylvania Hospital staff members, but even from strangers I’ve never met at HUP who heard about the project. There’s one Pennsylvania Hospital Employee who retired last year that I have never actually met. She called me last week to say she donates supplies to the project every year, and would make a special trip to the Skilled Care Center just to drop this year’s supplies off. I also have several dedicated donors who purchase things year-round, and deliver them to me in December.”

“I also have several dedicated donors who purchase things year-round, and deliver them to me in December.” Inspired by Magnes’ level of commitment, SCC staff members decided they wanted to chip in and take over part of the project. Instead of Magnes having to take the supplies home to create the bags, everything is now stored on the SCC and staff members have a blast getting together a few days before Christmas and putting the bags together. Then, Magnes, her husband, their children — and sometimes even a few of their children’s friends — come to the Hospital at 4 am on Christmas morning to pick up the bags and drive around Center City delivering them to the homeless. The first year, Magnes delivered ten — as she describes it, “somewhat skimpy bags.” Last year, the SCC team created 45 decidedly un-skimpy bags that the Magnes family was able to deliver. The bags offered much-appreciated Christmas cheer via a full range of gifts, from warm blankets and coats, to personal toiletries and gift cards for Wawa. “I’ve been very lucky,” said Magnus, “because the donors have been so generous, allowing me to better serve the homeless around Pennsylvania Hospital.

`` From L to R are Jim Kelley, former Marine and director of Engineering Services; Dr. Jack Ludmir, chair of Obstetrics & Gynecology, and Dan Wilson, vice president of Allied Health & Ambulatory Services attending the Combat to Care campaign kick-off.

Penn Medicine Launches

Combat to Care

to Help Our Nation’s Veterans

In recognition of our nation’s veterans, Penn Medicine proudly sponsors Joining Forces — a national initiative to heighten awareness about the health needs of our nation’s veterans, service members and families, and elevate the role that medical schools, nursing schools and teaching hospitals play in serving their community. Last month, Penn Medicine hosted a reception to launch the initiative and honor our own faculty and staff as well as family members who have served in the military. Joining Forces was established by First Lady Michelle Obama and Dr. Jill Biden to bring Americans together to recognize, honor and take action to support veterans and military families during their service to our country and throughout their lives. Combat to Care, an extension of the national Joining Forces effort, is Penn Medicine’s campaign to: celebrate the service of our veteran faculty and staff; train our clinicians in the unique clinical challenges of caring for military service members, veterans, and their families; and recruit veterans who have demonstrated inspiring dedication, loyalty, and strength in the service of our nation to join Penn Medicine. Combat to Care acknowledges Penn Medicine’s commitment to both hiring and retaining veterans, as well as recognizing the over 160 Health System and Perelman School of Medicine employees who have served, or are currently serving, in the Armed Forces in an active duty or reserve capacity. After this initial launch the University of Pennsylvania and Penn Medicine will continue to host activities, including career fairs and unique educational programs, throughout the year.

WHAT’S H a p p ening

YOUR RESOURCE FOR EVENTS AND HAPPENINGS T H R O U G H O U T PA H A N D P E N N M E D I C I N E

For complete events listing, please visit What’s New on the Inside Penn Medicine web site at: http://news.pennmedicine.org/inside

JANUARY

January 11

PAH Blood Drive

Winter 2013

Penn Program for Mindfulness Course Offerings

View the schedule online at: http://www.pennmedicine.org/stress/ offerings/all-stress-management-program-events.html

Give the Gift of T H E RE IS STILL TIME TO S H A RE YOUR LOVE AND H O L I DAY SPIRIT! The Joan Karnell Cancer Center’s Supportive Care Team is extending its annual Gift of Hope Program. All are welcome to contribute to this worthy cause by donating gifts cards which will help cancer patients overcome a multitude of challenges this holiday season and

beyond. Suggested gift cards include: Acme, Pathmark, Shop Rite, Kmart, Kohl’s, Target, Walmart and VISA. Those facing a cancer diagnosis also face an increased financial burden — from additional travel expenses and lost wages, to uncovered medical costs and child care payments. Patients and families struggle to meet even their basic living needs during treatment, and often have to make tough choices about how to spend their

P E N N ’ S WAY C A M PA I G N

A SUCCESS! PAH exceeded its goal for the 2013 Penn’s Way campaign with over 90 percent participation and by raising, $115,892 — $7,892 more than our goal! Economically, times are tough — especially during the holiday season. Yet our selflessness staff showed immense generosity through their charitable donations. Special thanks to all who contributed to making a positive impact upon the lives of others and to the campaign coordinators — Susan Horne, Mary Pat Lynch, Matthew O’Malley, and Amy van de Rijn — and campaign captains.

Congratulations to the winners of the Captain’s Raffle: •C hris Constans, Cardiology/EP Lab (First Grand Prize) – Phillies Prize Pack, including two tickets! •P hil Landis, Nursing Education (Second Grand Prize) – DiBruno Brothers Gift Basket • Leslie Turner, Critical Care (Third Grand Prize) – Williams-Sonoma BBQ Gift Set •B arbara DeFlavis, Patient and Guest Relations – $75 Gift Certificate to Ristorante La Buca •S tacy Giles, Nursing – Four (4) Guest Passes to the Philadelphia Museum of Art

Again, thanks to all who helped make the 2013 Penn’s Way campaign a record-breaking success.

money. Because these special patient needs don’t end once the holiday season passes, the Gift of Life Program will now also continue throughout the entire year. Please deliver donated gift cards to the JKCC, on the first floor of the Farm Journal Building. For more information, contact Marylou Osterman at ostermam@pahosp.com, or 215.829.6466.

WHAT’Snew EDITORIAL STAFF

Sally Sapega Director of Internal Communications Olivia Fermano Editor and Photographer Pamela Furches Design Graphic Design Barry Ogburn Photography

ADMINISTRATION

Susan E. Phillips Senior Vice President, Public Affairs CONTACT WHAT’Snew at: Department of Communications Pennsylvania Hospital Philadelphia, PA 19106 phone: 215.829.6799 email: olivia.fermano@uphs.upenn.edu WHAT’Snew is published biweekly for PAH employees. Access WHAT’Snew online at http://news.pennmedicine.org/inside/whats-new/.