TrinityTALK Tribune April 2014

Trinity Mother Frances Employee Newsletter

April 2014

Also In This Issue LiveWELL Human Resources News System News Foundation News and more

The Road To ICd-10 The Benefits How ICD-10-CM wIll posItIvely affeCt HealtHCare:

ICD-10-CM and ICD-10-pCs present

• There will be an improved measurement of quality, safety, and efficacy of healthcare • ICD-10-CM codes are complete. Each code will allow the full diagnostic description of the disease process to be reported for severity of illness and proper reimbursement • There will be an enhanced payment system design

a number of benefits in building an electronic medical record. these new classifications are better suited for use electronically because they permit a more

• There will be more detailed research data for clinical trials and epidemiological studies • There will be streamlined and less cumbersome healthcare delivery procedures • It will help prevent fraud and abuse • It will improve the tracking of public health and risk

robust mapping as a result of the sNoMeD-Ct terms, (which are the foundation of the systems). Both systems are more amenable to computer-assisted

coding.

This ICD-10 Tip is brought to you by Precyse University. For more information, go to:

www.precyseuniversity.com 1 TrinityTALK tribune APRIL 2014

© Copyright 2012 Precyse Solutions, LLC. All rights reserved.

Celebration of Easter Triduum in the Catholic Church and at Mother Frances

In This Issue:

By: Fr. Luke Kalarickal, Priest Chaplain

Winnsboro News.............................. 3

E

National Nurses Week....................... 4 LiveWELL........................................ 5

Celebration of Easter......................2-3

aster (Paschal) Triduum refers to the celebration of the three days of the Paschal Mystery of Christ, starting with the evening Mass of the Lord’s Supper on Holy Thursday, and continues until the start of the Easter Vigil on the evening of Holy Saturday in the Catholic Church. On Holy Thursday during the Holy Eucharist, the celebrant (Bishop/Priest) washes the feet of 12 men in commemoration of the great gesture of self-emptying and self-giving Jesus showed at the Last Supper. The Eucharistic celebration follows adoration until midnight, Fr. Luke Kalarickal Priest Chaplain an act of keeping vigil with the Lord in his agony in the garden of Gethsemane. On Good Friday, the Church commemorates the Passion of Christ in the afternoon, usually starting with the Stations of the Cross, followed by Passion Service which consists of Liturgy of the Word, Veneration of the holy cross and Communion Service. It is observed as a day of prayer, reflection and fasting.

On Holy Saturday, the Easter Vigil begins with the service of fire outside the church at sunset.

The darkness outside symbolizes the darkness of sin and death – a darkness that we, as humans, have no power to conquer. From the new fire, the Paschal Candle is lit. The Paschal Candle symbolizes Jesus the true Light that has conquered darkness and death. We then follow the burning Paschal Candle into the church, symbolizing our way of following Jesus into our communal home, where we daily celebrate his saving love. During the procession, the faithful light their candles from the Paschal Candle. We identify ourselves as being illuminated by the light of Christ emanating from the Paschal Candle. It is the light of Christ that burns within each believer who witnesses to faith in the Risen Lord. The procession ends with Easter Proclamation (Exsultet) in the church, a chanting of the salvation history. The second important part of the vigil service is the Liturgy of the Word, followed by the baptism of candidates who have been preparing themselves during the past two years. The whole celebration culminates with the Liturgy of the Eucharist. On Easter Sunday, Mass is celebrated at different times according to the pastoral need. continued on page 3

Human Resources News.................... 6 Upcoming Events.............................. 7 System News................................8-10 Foundation News............................ 11 TrinityTalktribune Trinity Mother Frances Marketing 500 S. Beckham Ave. Tyler, TX 75701 Email: tribune@tmfhc.org Managing Editor Will Knous Editorial Board Jerry Ashworth Dorinda Bentley Cassandra Cooper Patricia Cline Natalie Duncan Laura Lockhart Annette Rios Robin Rowan Brandy Royal Deborah Taylor Randy Thomas Danielle Townsend Graphic Design Holly Izard

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continued from page 2

Greek Low-Fat Buttermilk Ranch Dressing Makes about 1 1/2 cups.

Ingredients 1 cup low-fat Greek yogurt 1/2 cup low-fat buttermilk 1 teaspoon lemon juice 1/8 teaspoon paprika 1/4 teaspoon mustard powder 1/2 teaspoon salt 1/8 teaspoon black pepper 1 tablespoon chopped fresh parsley 1 teaspoon chopped fresh chives 1/4 teaspoon of dry dill (or a teaspoon chopped fresh) Preparation In a medium bowl, stir together the buttermilk and mayonnaise until fully mixed. Add in the other ingredients, adjusting for taste.

Keeps for a week, covered in the fridge.

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In the Eastern Catholic Church (in India), it is celebrated similarly but with a little addition.

On Holy Thursday, the Mass of the Lord’s Supper begins in the morning, followed by whole day adoration. At every home special unleavened bread and drink (prepared with coconut milk and brown sugar, boiled well and blessed with the palm leaf received on Palm Sunday) will be distributed by the head of the family to all the family members in the evening, after special prayers in commemoration of the Last Supper. Then the whole family spends the night praying and singing Biblical chants concerning the salvation event. The Passion Service on Good Friday begins in the morning. Bitter herb is given to all the faithful in commemoration of the bitter drink offered to Jesus on the cross. Stations of the Cross take place in the afternoon, journeying for about 1-2 miles, covering all the 14 Stations. Easter Services begin at 3 a.m. on Sunday.

Mother Frances hosts a simple celebration of Easter Triduum in the main chapel. On Holy Thursday, Mass of the Lord’s Supper will be celebrated at 5 p.m., with no washing of feet. On Good Friday, a special Service will be conducted at noon. Our hospital choir will grace the Service with its beautiful harmony. Easter Mass will be at 8 a.m. on Sunday. Every Wednesday of Lent there is Stations of the Cross at noon. Everyone is cordially invited to all these holy events.

Winnsboro News Trinity Mother Frances Winnsboro RN Named to RAC for Trauma Service Jennifer Cohen, RN at Trinity Mother Frances Hospital Winnsboro, was recently elected as the chairperson of the hospital committee for the Regional Advisory Council for Trauma Service – G (RAC).

Jennifer attends the regional RAC meetings and then brings back the information to our local hospital committee. The hospital committee reviews and makes necessary changes to the trauma plan and bylaws for the RAC. Jennifer has been working for Trinity Mother Frances Winnsboro for 12 years, as an Emergency room nurse, and she has been the Trauma Coordinator since 2009.

Mother Frances Hospital Winnsboro is a part of the Piney Woods Regional Advisory Council, Trauma Service Area G. The RAC-G is an organization of local citizens and healthcare entities within a specified Trauma Service Area. The health care service area includes hospitals, physicians, nurses, EMS providers and other individuals interested in trauma care, acute and critical care, disaster preparedness and injury prevention. The RAC educates communities on trauma and injury prevention, offers an outstanding Regional Trauma Plan to ensure that all injured citizens have excellent emergency care and develops systems to make communities safer through Disaster Preparedness programs. You can obtain more information by visiting www.rac-g.org.

National Nurses Week National Nurses Week will once again be observed May 6 through May 12. The week-long celebrations will honor those men and women who serve our Hospital and Clinics as our Nursing Staff. Activities will include a Scrub Sale sponsored by CR Scrubs, RN/MD Luncheon sponsored by our Medical Staff, Blessing of the Hands, Daisy Tea, Masquerade “BLING” jewelry sale, Chair Massages, Sundaes on Monday and many more events scheduled throughout the week.

TMFHC is proud of their dedicated Nursing Staff and looks forward to celebrating 2014 Nurses Week with our entire Staff.

For questions or more information regarding Nurses Week activities, please contact Shirlene Solomon (903) 531-5893 or Patricia ‘Tish’ Cline at (903) 531-5865.

May 6

May 7

May 8

May 9

May 12

Haddad Hall 0700-1900

Haddad Hall 0700-1700

Haddad Hall 0700-1800 Bangles, bling and everything in between

Nursing Units All day

Nursing Units All shifts

Scrub Sale

Scrub Sale

By CR Scrubs Payroll deduction available

By CR Scrubs Payroll deduction available

1200-1230

1200-1230

By CR Scrubs

By CR Scrubs

Nursing Units Fresh Popped Popcorn

Hospital Chapel During the Noon Worship Service

Fashion Show

Provided by United Heritage Credit Union Delivered to your nursing unit by the Nursing Practice Council

Fashion Show

Blessing of the Hands

Chaplains are available the entire week to bless hands.

Call (903) 531-4567

Wisenbaker Conference Center 1200-1300

RN / MD Luncheon By invitation only Provided by Medical Staff Cafeteria 1100-1400

Nurses Thank You Thank you cards distributed

Individual Nursing Unit Celebrations Haddad Hall 0700-1800 Bangles, bling and everything in between Wisenbaker Conference Center 1400-1530

DAISY Tea

SUNDAES on Monday Provided by Medical Staff Ice cream served by Chief Nursing Officer and Nursing Leaders Haddad Hall 0600-2300

Chair Massages Nurses only

Honor our DAISY winners and nominees

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Keeping Your Cool During Stress Awareness Month By: Leaha Large, MS, Employee Health Coach

April is Stress Awareness Month! In honor of this, and to promote a different way of thinking about stress, let us consider some intrinsic factors. This list was taken from Spark People’s website and talks about 10 High Stress Personality Characteristics. How many of these qualities do you exhibit?

1. Over-planning each day. Do you feel the need to stick to a strict schedule? Do you live in fear of falling behind or overlooking a task?

2. Doing several things at once. With too much to do and not enough time, it is easy to think that “efficient” means doing everything at once. He who chases two rabbits catches neither.

3. Extreme need to win. Do you feel like a failure if you do not come out on top – even when the only competition is your own expectations?

4. Excessive desire for advancement. Highly stressed people need confirmation from outside sources that they are doing okay and performing well.

5. Inability to relax without feeling guilty. Do your weekends become opportunities for “accomplishment” and “getting something done?”

6. Impatience with delays. When you are under pressure, everything in life takes on urgency and the additional burdens to get everything done as quickly as possible.

7. Over-commitment. Are you chronically late or forgetful of commitments? Does your schedule cause problems in personal or professional relationships?

8. Chronic urgency. See #6. Now! 9. Highly competitive drive. Have you forgotten what it is like to have fun for fun’s sake? Have you “grown up” so much that playtime actually causes you anxiety?

10. Compulsion to overwork. Is your office more familiar to you than your backyard? Do you find yourself missing out on what you might otherwise deem “meaningful”?

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As a new mom, I can definitely relate to a few of these. Numbers 5, 2 and 1 seem the most applicable. Who has time to relax when there are bottles and dishes to wash? My spouse, on the other hand, is a number 3. From working out to driving in traffic, he is a number 3 through-and-through. I am sure we all have been blessed with at least one of these characteristics to keep us from becoming lifeless slugs, but the key is not to let them run our lives or ruin our health!

Dr. Thomas Cooper, D.D.S, and Richard Clayton, Ph.D., promote the LARK method to stress management in their smoking cessation program. L is for LOOK: observe the situation before you do anything else. A is for ACCESS: access the stressor, and decide on the level of response. Is this really a “code red” situation? R is for REACT/ACT: react/act on the situation only after you have looked and accessed. K is for KNOWING: “this means knowing the difference between things that are worth the stress and those that are not, and also knowing how to gain perspective.”

In closing, I leave you with a passage from the Richard Carlson’s “Don’t Sweat The Small Stuff... And It’s All Small Stuff:” Something wonderful begins to happen with the simple realization that life, like an automobile, is driven from the inside out, not the other way around. As you focus more on becoming more peaceful with where you are, rather than focusing on where you would rather be, you begin to find peace right now, in the present. Then, as you move around, try new things and meet new people, you carry that sense of inner peace with you. It’s absolutely true that, “wherever you go, there you are.”

Human Resources News New Benefit Apps Available for You Express Scripts Mobile App

The Express Scripts Mobile App is now available! Employees can now view orders, check drug interactions, or even find the closest retail pharmacy in seconds. Get the app now from your mobile device or search for “Express Scripts� in your app store, and download it for free today!

Fidelity NetBenefits for iPad

The NetBenefits App from Fidelity is now available for the iPad. This new, highly visual app provides portfolio information plus peer comparisons as well as multimedia educational resources to help shape better decisions. The NetBenefits App is now available for download in the app store.

Citrus Marinade for Salmon Ingredients 1/2 cup orange juice 1 tablespoon lemon juice 1 tablespoon lime juice 2 teaspoon salt free seasoning 1 tablespoon canola oil 1 teaspoon fresh minced garlic Preparation Blend all ingredients together with a whisk. Place salmon fillets in a resealable plastic bag with marinade. Turn to coat, and let sit for 2 to 4 hours before cooking.

New Fidelity NetBenefits Site Our NetBenefits site through Fidelity has a new web address, and we wanted to let you know!

The new website is www.netbenefits.com/trinity. You will notice the website has a brand new look, but all the same great services provided by Fidelity Investments are still available! If you have any questions about accessing the website or enrolling in the retirement savings plans please contact Human Resources at (903) 531-4472.

Exciting Discounts Available on Employee Self Service With summer coming up we wanted to remind employees of all the exciting discounts available on employee self service! Under the total rewards section of employee self service you will find many great deals for attractions that would be ideal for a summer getaway.

Some of these discounts include tickets to Texas Rangers games, SeaWorld Parks and Entertainment, Schlitterbahn and the Dallas Zoo! tmfhc.org 6

Upcoming Events May 1

Colorspot Plant Sale A variety of beautiful plants will be available. Sponsored by the TMF Foundation

9 am until gone TMF Foundation

May 10

Komen Race for the Cure

Bergfeld Park

May 15-16

Gold’N Visions Jewelry Sale

7 am – 4 pm Haddad Hall

May 16

Miracle Mall ~ Payday Funday!

9 am – 2 pm or sold out Foyer of Wisenbaker Conference Center

May 20

Delicious Homemade Ice Cream (Yes, it is Turner’s!)

Sponsored by the Emergency Care Center

11 am - 2 pm near the ER drive

Integrated Service Cook-Out Yummy turkey legs, sausage on a stick and homemade lemonade

11 am - 2 pm in front of Mother Frances Hospital Tyler

May 30

Jean Day, $5 to wear your best jeans to work! Let’s be casual for kids! Sponsored by the TMF Foundation. More information to follow.

Komen-Tyler’s 16th Race for the Cure Registration is open - Anyone can register for Our Team.

Go to http://komentyler.org and search for our team, or copy and paste this link into your web browser http://tyler.info-komen.org/site/TR/ RacefortheCure/TYR_TylerAffiliate/1306148418?pg=team&fr_id=3326&team_id=252744, it will take you directly to Our Team’s webpage.

Team Name: Trinity Mother Frances/Ross Breast Center Login - if you have previously registered, or if you provided us with an email address, we registered you with your email address, so you may already have a login(email) and password, just follow the steps for “forgot username/password” to retrieve it.

Ross Breast Center at NorthPark 6th floor #650 will accept paper registrations.

Bring check or cash only, and credit cards are accepted online. Team T-shirts hand out date to be determined.

If you have questions, please call (903) 531-5369 or 5434.

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System News Service Excellence Award Winners and Nominees Service Excellence is part of the foundation of the Trinity Mother Frances culture. The Service Excellence Award recognizes exceptional performance or behavior that meets or exceeds the expectations of our established Service Standards. Congratulations to the employees who were selected as winners and those that were nominated during the first quarter of 2014 listed below. Nominations may be submitted by co-workers, managers, patients or their families, vendors/contractors, or physicians. There is no limit to the number of times an individual can be nominated, as long as each nomination is for a different effort each time.

If you have questions, please contact Marsha Ballard, Service Excellence Committee Chairman, (903) 531-4475 or ballarm@tmfhc.org First Name Tonya Deloris Jessica Kim Jessica Annetta Pamela Jacqueline Lance Stanecia Gail Denise Ken Astric Amanda Brooke Alice Joi Dawn Danny Margaretha Melody Georg'n Roseangela Barbara Brent David Michelle David Chris Lee Dave Sharifa Thomas Sandra Sarah Carmen Channell

Last Name Johnson Richard Medina Bounds Hudson Lucio Navarro Parker Atkinson Dearman Oliver O'Kelly Lawrence Rogers Shepherd Bentley Horne Hart Bernick Stover Medford Dubose Granberry Kaul Alford Turner Merryman Hicks Newkirk Loyd Hinrichsen Nelson Pruitt Heffron Bloch Booher Beene Arnold

Position Team Leader-Sterile Processing Hostess OA II OA II Coder III OA II OAII UT Logistics Mgr Reg Respiratory Tech MRI Tech MRI Tech HVAC Tech Unit Tech Application Coord-Access Unit Technician Housekeeping OA II OA II Plumber Unit Technician OA Lead Director Pain Mgmt Unit Technician Unit Technician Unit Technician Shuttler Driver Clinic Mgr III Press Operator I Print Services Manager Physical Therapist LPTA Unit Technician Respiratory Therapist Tech OA II Admissions Rep Nuclear Med Tech Cook

Thank you for representing what iCARE. stands for. i = it starts with me CARE = the personal emotional connection I make with everyone (.) = it ends with me

Location TMF Main TMF Main TC Douglas TC Douglas TC Douglas TC Douglas TC Douglas 4 LPOHH Telemetry Int Services TMF Main TMF Main TMF Main TC Clinic Lake Palestine 6 Ornelas TMF Main 5 Ornelas TMF Main TC/S Tyler Commons TC/Douglas TMF Main OCC Retail Eye Centers Pain Center 6 Ornelas 6 Ornelas NRC Security TC Douglas Print Shop Print Shop HPP P.T. HPP P.T. NP Pain Center Pulmonary Services TC / Manhatton TC /Douglas TMF Main TMF Main

MARCH WINNER! Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee FEBRUARY WINNER! Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee JANUARY WINNER! Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee Nominee tmfhc.org 8

System News

National Healthcare Week Our Annual National Healthcare Week Celebration is coming up on May 14! Mark your calendars and come enjoy a delicious meal of beef brisket with all of the trimmings. We will also be offering a salad bar this year, for those of you who prefer to just go for the veggies. Whatever you choose, it will be a day of celebration and fun, so do not miss out.

Jacksonville, Winnsboro, the ASB and the outlying clinics will be hosting the Employee Healthcare Week Celebration at their own locations. Watch for more information in Stand-Up Announcements as we get closer to the event date.

National Volunteer Week National Volunteer Week is April 6-12, 2014. Please take time to thank a volunteer during this week. Volunteers are considered non-paid staff for our organization and give over 103,000 hours per year to our health system. Our volunteer staff consists of retired professionals and homemakers, working individuals that just want to give back, and high school and college students. Volunteers assist visitors and staff in many of our departments and clinics including our Gift Shops, waiting rooms, Transportation, NICU, Information Desks and business offices. For more information about Volunteer Services contact Annette Rios at (903) 531-4435 or riosa@tmfhc.org.

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Patient Confidentiality and HIPAA Reminders As a Trinity Mother Frances Hospitals and Clinics team member, what should you know about privacy? Trinity Mother Frances recognizes that patient privacy is critical to building and maintaining our patients’ trust. We utilize a privacy monitoring solution called FairWarning to help us ensure compliance with healthcare regulations and internal policies.

However, we still need your help. Please report any actions or processes you observe that could compromise patient privacy to the Privacy Office. There are two primary ways to communicate your concerns, one is an online submission located at https://tmfhs. privacyprosolutions.com/report. The other is to call the Privacy Office at (903) 606-5137.

Your communication with the Privacy Office is strictly confidential.

Remember these key components to ensuring confidentiality for all patients at Trinity Mother Frances Hospitals and Clinics.

Faxing and Printing

Please be sure you are faxing or printing patient information ONLY from within designated ConnectCARE/Epic workflows. This provides important patient confidentiality protection.

Patient Confidentiality Flags

The following patient confidentiality flags help protect our patients’ privacy. Please familiarize yourself with these designations.

• Private Encounter marks the patient’s encounter as private and keeps the patient’s name from appearing in places like the ED Track board or House Census while in house. This is often combined with a Break-the-Glass flag to protect the encounter’s documentation from unauthorized users. Example: crime victims.

• Break-the-Glass is a function of the auditing process. For example, a Break-the-Glass warning occurs when an individual not on the patient’s care team attempts to access the record. Users can still access the encounter, but they are prompted to enter their password and reason for accessing the record as an extra level of security. Every time a user accesses a Break-the-Glass encounter, it is recorded and a message is sent for monitoring. Example: Cosmetic Surgery.

• Release Restriction triggers the mother and baby to be billed separately and alerts HIM users to the release restriction on the patient. Example: Adoptions.

• Confidentiality Patient is a patient level flag added in Registration that functions like Break-The-Glass for all encounters associated with the patient. Example: Celebrities or public figures.

Finally, what should we tell our patients about security? Tell them we value their privacy and are taking active measures to protect their confidentiality. Our Privacy Office receives alerts if suspicious activity is detected and acts quickly to address potential violations. If they have questions or concerns about the privacy of their information, they may contact our Privacy Office at (903) 606-5137.

Couscous Tabbouleh Ingredients 1 cup low sodium vegetable broth 1 cup water 1/2 cup fresh lemon juice 1/8 cup plus 2 tablespoons olive oil 1 1/2 cups couscous 1 seedless cucumber, cut into 1/4-inch pieces, plus cucumber slices for garnish 8 plum tomatoes, seeded and cut into 1/4-inch dice, plus tomato slices for garnish 3/4 cup finely chopped scallion 2 cups loosely packed fresh parsley leaves, minced 1/2 cup loosely packed fresh mint or basil leaves, minced, plus sprigs for garnish Preparation In a saucepan combine the broth, the water, 1/4 cup of the lemon juice and 2 tablespoons of the oil. Bring the mixture to a boil, and stir in the couscous. Cover the pan, remove it from the heat and let the couscous stand for 5 minutes. Fluff the couscous with a fork and let it cool in the pan. In a very large bowl, stir together the cucumber pieces, the tomato dice, the scallion, the remaining 1/8 cup oil, the remaining 1/4 cup lemon juice and salt to taste. Let the mixture stand for 15 minutes. Add the couscous, the parsley and the mint or basil leaves, stir the salad well, and chill it, covered, for 1 hour. The salad may be made 2 days in advance and kept covered and chilled. Serve the salad garnished with the sprigs and the cucumber and tomato slices. tmfhc.org 10

Trinity Mother Frances Hospitals and Clinics 800 E. Dawson Tyler, Texas 75701

Sheila Adams, RN

Jacinda Anderson, RN Max Covert, RN, BSN

Kevin Hanley, RN, BSN, CCRN

In Honor of You

National Nurses Week May 5 - 11, 2014

Maria Ibarra, RN, BSN

Jamie Moore, RN

Lisa January, RN

Anna Pickle, RN, BSN

Laura Lemke, RN, BSN

Jessica Rogers, RN

Soanny Martin, RN

Dana Sudduth, RN, BSN

Thank you to our respected nurses, who are faithful in delivering care with exceptional skill and kindness to East Texans.

We welcome others to find Trinity Mother Frances on Facebook to share your appreciation of these compassionate caregivers and thank them for their commitment to a calling to create healthy lives for people and communities.

tmfhc.org

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