NEWS FOR EMPLOYEES AND FRIENDS OF WAKEMED JUNE/JULY 2013 www.wakemed.org Bringing the Care Team Closer Assigning Hospitalists to One Unit Encourages Collaboration On a typical day, WakeMed Raleigh Campus hospitalists often find themselves crisscrossing the campus to visit their patients. But a new initiative called Geographic Care Team hopes to change that. WakeMed and Key The program, currently being piloted at the Raleigh Campus on 5A and 5C, assigns hospitalists to a particular unit, rather than to Physicians to Form multiple units. Medicare ACO The program aims to improve patient satisfaction and outcomes, streamline hospitalist workflow, and foster care team Celebrating 10 Years of WakeMed and Key Physicians, an communication. “Bringing the whole care team closer together Dr. Atkinson’s Leadership organization of more than 220 physically increases collaboration and improves care See inside for a profile of independent physicians located in Wake, coordination,” said Amit Purohit, MD, (WakeMed Faculty WakeMed’s president & CEO. Durham, Orange and Johnston Counties, Physicians – Hospitalists) who helped implement the program. have signed a letter of intent to form “Being assigned to one unit means you can devote more time to WakeMed Key Community Care, a being at your patients’ bedsides when they need you the most.” Medicare Shared Savings Accountable Care Organization (ACO). ACOs are an The success of the program hinges on a technique called Structured organized approach to manage a defined Interdisciplinary Bedside Rounds (SIBR). The rounds take place at population’s health by focusing on the same time every day and involve the complete care team: reducing healthcare costs and improving physician, nurse, pharmacist, case manager and nurse manager or quality in both the traditional Medicare charge nurse. SIBRs last less than five minutes for each patient but program and in private insurance provide a unique opportunity for improved communication. “This programs. is an excellent way to expand our focus on Patient- & Family- Centered Care because patients are face-to-face with the entire care WakeMed Key Community Care will team every single day,” Dr. Purohit explained. “With SIBRs, leverage Key Physicians’ primary care patients and their families know when rounds will take place and if network and WakeMed’s inpatient and they have questions, they can consult the entire care team.” outpatient services, clinical resources and physician practices to facilitate patient SIBRs start with an overview of each patient’s condition followed access to a coordinated healthcare team. by clinical and discharge updates, and discussion of the care plan “This ACO is important to our efforts to moving forward. Physician orders are entered before the team improve access, reduce costs and improve leaves the room so there’s no delay in processing orders. The quality in our area and across the state,” structured format means the same routine is followed every day, no CONSTRUCTION UPDATE: said Dr. Bill Atkinson, WakeMed president matter who is assigned to the unit. WakeMed North Hospital & CEO. “This collaboration will benefit The program also has the potential to improve communication patients by bringing together the valuable Work to convert the North Healthplex into a 61-bed among doctors, nurses and other care team members. With one health resources of the community in a hospitalist assigned to the unit, nurses automatically know who to women’s hospital has made excellent progress more coordinated way to provide the right since it began earlier this year. Construction of the call if a patient is in distress, and hospitalists can respond more care, at the right time, in the right setting, quickly because they aren’t seeing patients in other units. Once the patient tower is scheduled to begin this fall with and at the right price.” overall completion on track for the hospital to open program is established in 5A and 5C, the Geographic Care Team is in May 2015. ACOs shift the reimbursement of care from scheduled to expand to all medical teaching teams at WakeMed. a fee-for-service model to a value-based Modifications to the road and parking lot began in approach where providers work together mid-May. These changes required the emergency and are held accountable for the cost and New Officers, New Member for department (ED) lobby to move temporarily to the quality of care delivered. ACOs are unique main lobby of the building. While it is closed, the because they give doctors and hospitals a WakeMed Board of Directors ED lobby will undergo renovations. On the back financial incentive for reducing costs, side of the property, central energy plant improving quality, and ensuring care is The WakeMed Board of Directors recently elected new officers and construction is well underway and should be coordinated. added one new member. The 14-member Board includes volunteers completed in December 2013. who represent the communities that WakeMed serves. Wally McBride, a longtime member of the WakeMed Board, was elected as chair. McBride SAVE THE DATE! served as vice chair from 2011 to 2013 and will WakeMed Garner Healthplex Open House serve a two-year term as chair. Additionally, Brenda Gibson was elected vice chair and Jerry An employee open house will be held at the new WakeMed Bernstein, MD, was elected for a second time as Garner Healthplex on Friday, August 16, from 8:30 am to noon. secretary. Both Gibson and Dr. Bernstein will serve one-year terms. The facility will open to the public on Monday, August 19. “The Board of Directors plays a key role in WakeMed’s success and I am grateful for their continued support. I know the newly elected officers will provide excellent leadership as we work together to meet the healthcare needs of our community,” said Dr. Bill Atkinson, WakeMed president & CEO. Don Munford, a partner at Smith Anderson, a Raleigh-based law firm, was appointed by Wake County in January to replace Lloyd Yates. He will Breastfeeding-Friendly Review Committee serve a two-year term as board member. A former member of the N.C. House of Representatives, Gives WakeMed Two Stars Munford has more than 30 years of experience working with public charities, corporations and WakeMed’s Raleigh Campus received two stars from the North individuals on business-related legal matters. Carolina Maternity Center Breastfeeding-Friendly Designation Munford has a long history of involvement in corporate boards, Review Committee, which recognizes maternity centers that including the board of the State Capital Foundation, Inc., and past demonstrate a commitment to promoting, protecting and supporting membership on the Peace College Board of Trustees. breastfeeding within their organization. Raleigh Campus was awarded five of the Ten Steps of Successful Breastfeeding, as defined “Don Munford’s expertise in business law and nonprofit organizations by the World Health Organization and Baby-Friendly USA. makes him a natural fit for our Board of Directors,” Dr. Atkinson said. “We look forward to working with him as we collectively move Research shows that babies who receive only breast milk for the first forward to accomplish WakeMed’s long-term goals.” six months of life are less likely to develop ear infections, diarrhea, respiratory illnesses and, possibly, childhood obesity. So far in 2013, WakeMed’s overall breastfeeding rate is 82 percent and exclusive breastfeeding rate is 53 percent. This is an improvement over 2012, when those rates were 81 percent and 48 percent, respectively. WAKEMED CELEBRATES EMPLOYEES! SEE INSIDE BACK COVER WakeMed Hops for Healthy Babies during care beyond measure hen Leila Baldwin checked out of WakeMed with her new baby in tow, it felt like leaving more than a hospital – it felt like leaving part of her family. During her pregnancy, Baldwin experienced a condition that caused her to faint when she stood or sat up. As a result, she spent three months of her pregnancy in the Women’s Pavilion & Birthplace - Raleigh. W“We will never be able to express in words how truly amazing the staff at WakeMed was during our 11-week stay,” Baldwin said. “Specifically, the staff of 4C became more like family and friends than typical caregivers.” On May 31, the NICU hosted a Kangaroo-A-Thon Even though doing everyday things was difficult for Baldwin, the staff on 4C tried to make reception to spread the word about Kangaroo her feel at ease. Whether it was eating lunch with Baldwin, finding creative ways to wash Care, which encourages as much skin-to-skin her hair, or dropping by to chat, the unit’s nurses and nurse technicians tried to become a holding time as possible between parents circle of friends, not just caregivers. “Being in the hospital for three months is less than and their babies, especially babies who ideal, but the staff really went the extra mile to make her more comfortable,” said Kelly were born prematurely. The reception Smith, BSN, MHA, nurse included a ‘chair fair’ where parents and manager on 4C. family members rated several chairs designed to When Baldwin mentioned to facilitate Kangaroo Care. The winning chairs will Linda Powell , NT, and Kelly be considered for use in the single family NICU Guzouskis, NT, that she wished rooms currently under construction. she could have had maternity Above: NICU employees (left to right) Mary pictures taken, they made it Parker, MSN, RN; Maria Friday, MSN, RN; Jodi happen. The night before DeJoseph, BSN, RN, RNC-NIC; Emily Neill, RN, Baldwin’s scheduled caesarean (holding her NICU-graduate twins); Ann Gooch, section, several nurse techs set up RN; Linda Crowder, RN; Cheryl Lynn, RN; and a photo session for Baldwin and Donna Newbern, RN, gathered with some NICU her husband. The staff fixed parents. Baldwin’s hair and makeup and created a makeshift photo studio.