The Heart of Innovation MGH PATIENT CARE SERVICES 2012 The Heart of Innovation ON THE COVER

Out…standing! When Eileen McGuirk was admitted to Mass General in 2012 for treatment of an advanced cancer, she was overwhelmed by a nonstop fl ow of well-wishers. While she appreciated their love and support, the steady stream of visitors was depleting the energy she needed to heal. Her husband had an idea. Doug recruited their daughter Erin to reach out to family and friends via social media. The next day at high noon, more than 200 well-wishers joined together for a fl ash mob-style rally on Ebersol Field—21 stories below Eileen’s hospital room. They held signs, synchronized a stadium-style wave that rivaled Fenway Park’s best, performed a loosely choreographed dance, and ultimately joined hands to form a giant heart. Throughout the performance, Eileen watched from her hospital window, surrounded by those dearest to her—her mother, father, brother and sister-in-law, husband, daughter, son and fi ancée (who had just announced their engagement!), and her oldest and dearest friends. Looking through binoculars and listening to the cheers and serenades by cell phone, she glanced one by one at each person on the fi eld, calling out names to the smaller group in her room. Then she connected briefl y with friend after friend below as they passed a cell phone through the crowd. “When we felt helpless,” said Eileen’s friend, Jennifer Mscisz, “this was a way for everyone to get together and kind of lift Eileen’s spirits, to let her know how much we loved her and cared for her.” Eileen got the message—loud and clear—and it was spectacular. Innovation at its best!

3 The Mass General Mission

Guided by the needs of our patients and their families, we aim to deliver the very best healthcare in a safe, compassionate environment; to advance that care through innovative research and education; and to improve the health and well-being of the diverse communities we serve. Dear Friends and Colleagues, Innovation comes in many shapes and sizes. It can be found in the simplest of thoughts and gestures and in the boldest and broadest of visions and ideas. We witness it in the heartfelt gathering of a fl ash mob on Ebersol Field. It’s seen in the multiple interdisciplinary care teams working toward a single patient’s most dearly held goal. And it’s part of the fabric of the one-on-one care provided throughout MGH every day. Whether sparked by one person’s idea or the collective actions of a like-minded and committed group, innovation—at its core—is about making things better. In healthcare, we face a myriad of escalating challenges in our quest to provide the best possible care to each and every patient and family we serve. With this in mind, in March 2012 MGH formally launched an unprecedented effort to establish a blueprint for the future of care delivery. We established 12 Innovation Units, designed to be safe testing grounds for new care delivery advances and ideas. Soon we began to see signs of a care delivery model that was more effi cient, effective and patient- and family-centered. And we were able to sustain our momentum. The next phase involves sharing lessons learned throughout MGH and beyond our walls. In the MGH tradition, throughout 2012, innovation outside these 12 units continued to thrive and took many forms. Staff rallied to help a medically challenged patient travel overseas with family. We established the Connell Ethics Fellowship and the Connell Nursing Research Scholars Program. We leveraged the Knight Simulation Program to expose Boston high school students to the realities of healthcare delivery. And we persevered to fulfi ll the dying wish of a homeless man. The stories are numerous. Innovation indeed comes in many shapes and sizes. I hope you will enjoy the snapshot of 2012 in MGH Patient Care Services that this report provides. Guided by the needs of the patients and families who entrust us with their care, we continue to strive for Excellence Every Day! Best,

Jeanette Ives Erickson, RN, DNP, FAAN Senior Vice President for Patient Care and Chief Nurse 5

The Heart of Innovation advancing interdisciplinary care delivery

In 2011—as the Affordable Care Act began to spark a healthcare revolution throughout the US—Mass General launched an unprecedented effort to design a blueprint for the future of care delivery. Although the path ahead was somewhat uncertain at the time, the PCS leadership team knew exactly where and how to start. We began with the patient and family and tapped into the wisdom and creativity of our staff. Following months of strategic planning and preparation, in March 2012, MGH offi cially launched 12 Innovation Units (see “A Legacy of Leadership and Innovation...Patient Care at 200,” 2011 PCS Annual Report). Guided by a newly developed “Patient Journey Framework,” these Innovation Units were designed to be safe testing grounds for new care delivery advances and ideas that would readily demonstrate which proposed changes worked and which did not.

7 Advancing interdisciplinary care delivery Among the early fi ndings, the 12 MGH Innovation readmissions, quality indicators, cost per case mix, Units realized patient satisfaction scores that increased and staff retention, as well as the results of patient at more than double the rate of other like units, a 5 and staff satisfaction surveys such as the Hospital percent decrease in lengths of stay, and a 3 percent Consumer Assessment of Healthcare Providers drop in readmission rates. and Systems (HCAHPS) tool and the Revised “To date, fi ndings have been quite positive,” says Staff Perceptions of the Professional Practice Jeanette Ives Environment scale. Erickson, RN, Qualitative metrics DNP, FAAN, Patient satisfaction scores on the include focus groups senior vice Innovation Units increased at more comprised of staff, president for patients and families, Patient Care and than double the rate of other like units. as well as observations chief nurse. “We and narrative reports. are encouraged Early data for what by the impact the Innovation Unit interventions may be two of the most signifi cant interventions— are having on interdisciplinary teamwork and the new role of attending nurse (ARN) and hard communication, the patient and family experience, wiring into practice the philosophy of relationship- and other key indicators.” based care, which emphasizes the connection Ongoing evaluation of the units is being conducted between patients and providers—point to success. by nurse scientists in The Center for Innovations in According to Jeff Adams, RN, PhD, director Care Delivery and The Yvonne L. Munn Center for of the Center for Innovations, the attending Nursing Research. Quantitative metrics being tracked nurse role was embraced by all role groups and include statistics about patient safety, length of stay, disciplines and was described by many as “a

8 signifi cant innovation.” The ARNs function as clinical leaders, working with staff nurses, interdisciplinary team members, patients and family members to manage the care of patients on a single unit from admission to discharge. The ARN is part navigator, advocate, educator and discharge nurse and gives patients, families and staff a consistent presence throughout the patient’s hospitalization and post- discharge period. An in-depth look at the ARN follows in “The Attending RN...introducing a new clinical role.” “Staff have consistently described the ‘importance of embracing the philosophy of relationship-based care to guide care delivery,’” says Dorothy A. Jones, EdD, RNC, FAAN, director of The Yvonne L. Munn Center for Nursing Research. Although more evaluation is needed, it is clear something positive is happening. The Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS) survey results through 2012 further support this claim. “We were pleased to see our patient satisfaction scores on the Innovation Units increase across the board,” says Rick Evans, director of MGH Service Improvement. “Measures improved at a rate that was greater than seen on other units for virtually every measure.” (right, “HCAHPS Results—2011 vs. 2012”)

The Innovation Unit approach The methodology of the Innovation Unit initiative involved reducing variation wherever possible, implementing evidence-based solutions, introducing and/or adapting technology to support practice, and fostering high-quality care by ensuring that all members of the team practiced to the full extent of their role. The interventions represented “top priority” actions that would lead to the highest levels of consistency, continuity and effi ciency. In addition to the new ARN role, other specifi c evidence-based interventions played a key role in advancing care delivery. HCAHPS Results—2011 vs. 2012

Change Innovation Change Survey Measure MGH 2012 (2011 - 2012) Units 2012 (2011 - 2012)

Nurse Communication Composite 81.0 +1.6 80.8 +4.5 Doctor Communication Composite 81.6 -0.3 82.0 +0.5 Room Clean 72.9 +3.1 70.6 +4.2 Quiet at Night 48.5 +3.3 49.8 +6.2 Cleanliness/Quiet Composite 60.7 +3.2 60.2 +5.2 Staff Responsiveness Composite 64.9 +1.3 64.0 +1.7 Pain Management Composite 71.9 +0.4 73.3 +3.7 Communication About Meds Composite 64.0 +1.3 65.7 +6.8 Discharge Information Composite 91.2 +1.4 92.3 +2.7 Overall Rating 80.1 +1.0 78.5 +2.4 Likelihood to Recommend 90.5 +1.1 90.3 +2.4

2012 Score exceeds that of entire hospital Rate of Improvement Exceeds that of the entire hospital 11 INTERVENTION SPOTLIGHT

Enhancing pre-admission data collection To ensure continuity and accurate information-gathering for all patient populations, an interdisciplinary Tiger Team created a new Admitting Face Sheet that includes anticipated discharge date and disposition to better inform the interdisciplinary care planning.

ARN business card At admission, the ARN gives the patient and family a business card that establishes an open line of communication, both during and after the patient’s hospitalization.

Welcome packets A new Welcome Packet provides patients and families with relevant information, invites feedback for improvement, and helps set expectations and prepare them for the hospitalization and discharge. A “Patient & Family Notebook” includes a Universal Patient Compact, care team overview, and space to note questions for caregivers. A “Discharge Envelope” features a checklist that 12 prompts discussion around key Interdisciplinary team rounds Spreading best practices transition topics, including home care, Interdisciplinary rounds bring all “By sharing best practices and nutrition and follow-up appointments, members of the team together on a standardizing whenever possible, and centrally stores important items daily basis to identify obstacles to we’re continuing to improve systems, such as prescriptions and educational the progression of care, create a more refi ne care delivery, and mine the materials. holistic approach to care delivery, creativity and innovative thinking and ensure that issues are shared and that has brought us so far,” says Ives Domains of practice addressed in a timely manner. Erickson. “Looking ahead, we plan With the implementation of to roll out to all inpatient units those interdisciplinary rounds, having a In-room whiteboards Innovation Unit interventions that are greater understanding of the domains Standardized in-room whiteboards proving successful and to continue of practice of colleagues in other display key pieces of information, to share our fi ndings nationally and disciplines becomes increasingly including the names of the patient’s internationally.” important. Each discipline within physician, nurse and other team The Innovation Unit work has begun Patient Care Services updated members; the “goal for the day”; to attract national interest and has descriptions of its domains of practice and space to note questions for the been featured in the documentary and shared these in various forums, care team. “NURSES: If Florence Could See including the Excellence Every Day Us Now,” recognized by the Robert web portal. Discharge planning and readiness Wood Johnson Foundation’s A new Discharge Checklist is being “Transitions to Better Care” video Supporting technology developed, and a Discharge Follow- contest. It has also been reported in Effi cient, well-coordinated care up Phone Call Program is being a variety of publications, including depends on staff’s ability to implemented. All patients are eligible “Nurse Leadership from Bedside to communicate effectively. Staff on to participate. In the initial stages of Boardroom,” Patient Safety & Quality Innovation Units are equipped with the Innovation Unit rollout, a standard Healthcare; “Attending Registered specially programmed cell phones questionnaire, guidelines, and training Nurse, an Innovative Role to Manage and portable, wireless laptops to curriculum were developed. Between the Spaces,” Nursing make access to and dissemination of Economics; “Nurses Leading Through information more effi cient. Electronic Other interventions are highlighted Innovation,” The American Nurse; and whiteboards at nurses’ stations throughout this report. “‘Innovation Advisers’ Chosen for enhance staff’s ability to know patients Ideas to Improve Health Care, Cut and coordinate care. Costs,” The Washington Post. 13

Each of the initial Phase 1 Innovation Units was asked to commit to the development of a new patient care delivery model that improved the patient’s journey. The Patient Journey Framework (opposite page) was designed to help guide this work. Engaging clinicians and patients in identifying ineffi ciencies in the delivery system quickly led to a greater understanding of the importance of relationships with patients, families, and within the care team.

Relationship-based care as suggested by Koloroutis and colleagues (2004) provided a new way to ask ourselves how we would redesign interdisciplinary care. Once we gained greater understanding of relationship-based care, we asked ourselves, “What would our care delivery model look like if ‘relationship- based care’ was embedded into the very fabric of the organization?” The second question was, “What would it take to change the very nature of how we worked together as a team and how we worked with patients and families?”

These questions led to the identifi cation of both a philosophical underpinning for the delivery model and the initial interventions for the Innovation Units.

(For more information, see “Attending Registered Nurse, An Innovative Role to Manage Between the Spaces,” Nursing Economics, 2012 Sept-Oct;30(5):282-287.)

15 The Attending RN ...introducing a new clinical role

Every patient hospitalized at MGH has a registered nurse quality of care delivery. The new ARN role has proven to responsible for their care. With the development of a new be one such signifi cant intervention. By design, ARNs are clinical nursing role, MGH Innovation Unit patients also given the responsibility to “manage between the spaces,” now have an Attending Registered Nurse (ARN) assigned to facilitating care with the entire healthcare team, ensuring their care throughout their hospital stay. the continuity of care, and providing patients and families a While staff nurses continue to be the backbone of the readily available and familiar “go to” person before, during care delivery system, the ARN is a clinical nurse who and after hospitalization. is specifi cally responsible for ensuring the continuity of The role requires a dynamic set of individual the patient’s overall care plan—from admission through competencies, knowledge, and an approach that is tailored discharge—functioning as the primary contact for the care to the particular needs of each patient care unit. Ideal ARN team as a whole and its individual members, as well as candidates are experienced, highly regarded, inquisitive patients and families. nurses who are committed to advancing change—no small “I describe the ARN as the ‘constant’ nurse,” says Jean task. They also commit to work schedules designed to Stewart, RN, attending nurse on the White 6 Orthopaedics promote continuity and relationship-based care for patients, Unit. “I’ll be there every day as the glue that keeps the families and care team members alike. patient’s hospital experience cohesive and moving forward, “Although the ARN role has successfully become part and later I’ll be calling them at home to be sure they’re of the care delivery framework,” says Karen Rosenblum, making a smooth and safe transition.” RN, attending nurse on the Blake 11 Psychiatry Unit, “there The launch of MGH‘s Innovation Units was based on is no ‘typical day’ for an attending nurse.” Every ARN studies that show there are points along the Patient Journey is assigned a specifi c number of patients. On some units, where specifi c interventions may enhance an already high two ARNs may cover 10 patients each; on others, only 17 high-risk patients may work with an ARN. For each patient ARNs are also involved in daily interdisciplinary rounds they are assigned, the ARNs are involved in developing and in coordinating details of their patients’ care plans a comprehensive patient-care assessment and plan with and anticipated discharge, for example, ensuring tests are the interdisciplinary care team, fostering collaboration, scheduled, prescriptions written, follow-up appointments coordinating meetings and team huddles to facilitate timely noted, any required home care set up—all tailored to the clinical decision making, developing and revising patient care needs of each individual patient. goals with the clinical team daily, identifying and resolving The ARN role combines the functions of navigator, barriers to optimum care, promoting seamless handovers, advocate, educator, and discharge nurse, and gives patients communicating with patients and families around the plan of and families a consistent presence and much-needed peace of care, answering questions, teaching and coaching—anything mind throughout their hospitalization. that contributes to making the patient’s journey a smooth one. “As an ARN, it’s incredibly gratifying to know I’m having “We introduce ourselves to each patient and family as they a direct impact on the hospital experience for patients and arrive on the unit and let them know about the Innovation families and also staff,” says Gina Chan, RN, attending nurse Unit concept and the ARN role,” says Sandy Masiello, RN, an on the Bigelow 14 Vascular Surgery Unit. “Being able to ARN on the Blake 13 Newborn Family Unit. “We review the follow patients daily and share information with the whole Patient and Family Notebook, encourage them to jot down any team has improved communication, improved care and most questions or concerns they want to discuss with the team, and important, improved patient outcomes.” we continue to reference the notebook throughout their stay.”

18

the heart of

INTERVENTION SPOTLIGHT Successful Joint Commission survey From July 23, 2012—just one week after U.S. News & World Report named MGH No. 1 on its Discharge phone calls “Best Hospitals Honor Roll”—The Joint Commission arrived at the doors of the hospital to Patients often leave the hospital with conduct its own week-long assessment. This came in the form of a triennial, unannounced what can seem a staggering amount of accreditation survey. For important information—how to care the subsequent five days, for a wound, a list of dos and don’ts to seven Joint Commission promote healing, home care schedules, surveyors performed a dates of follow-up appointments, and thorough examination of more. It can feel overwhelming. the environment, processes, operations, and practices throughout the main campus and at The MGH Innovation Units tested the several off-site locations, including our health centers and clinics. practice of having unit-based nurses In the words of John Belknap, director of Corporate Compliance, “It was a fantastic week.” call patients at home within 48 hours of For others within the MGH community, the weeklong visit reaffi rmed how special an being discharged as a way of supporting organization MGH truly is—a point the survey team made over and over. “It has been an patients during their transition. The calls absolute delight interacting with your staff,” said surveyor Kate Townsend, RN. “One nurse keep the line of communication open, told me everything about her patient without once looking at the patient’s record.” giving patients and family members an Surveyor Paul Ducharme, CHFM, shared that “Every hospital in every major city in the opportunity to ask questions or raise any country could learn and benefit from your Emergency Management system.” concerns. According to early feedback, the As with any outside assessment, the survey also provided an invaluable opportunity to calls give the patients and families extra learn. At its conclusion—and as is customary—The Joint Commission issued a report listing peace of mind when most needed. Requirements for Improvement, areas where an organization must respond with corrective In several cases, staff have been able action plans. MGH staff immediately responded to the fi ndings to further the hospital’s to intervene and assist patients who had commitment to provide the very best possible care for patients and families. In the spirit of new questions about their discharge transparency, a summary of the 2012 performance is available via the hospital’s web site. care plan, likely helping them avoid While there is no disputing the importance of a favorable Joint Commission survey, the extended health problems and additional best measure of success was found in the feedback from MGH patients and families. One hospitalizations. after the other, unit after unit, they stated they felt safe and cared for. f innovation

The power of the narrative therapy specialist and faculty member at the MGH Institute of Staff at MGH have long appreciated the benefi ts of a narrative Health Professions, and Karen Turner, OTR/L, occupational culture. Recently two disciplines discovered its potential for therapist, recognized that for the writer, a clinical narrative is a fostering interprofessional education. Physical and Occupational retrospective learning process that allows clinicians to refl ect on Therapy piloted a Narrative Rounds program in which staff their practice. With the added dimension of group discussion, the present narratives in learning becomes prospective small-group settings and as clinicians discuss how it then “unbundle” them can be applied to future care. with feedback from the The three had an group, providing greater opportunity to share their insight into clinical fi ndings at the national practice. Response from level, presenting at the both departments was annual American Physical overwhelmingly positive. Therapy Association (APTA) “Based on staff response Educational Leadership to the pilot, we knew this Conference, during which approach was getting at 10 participants volunteered something different,” said to be part of a “fi shbowl” Ann Jampel, PT, clinical education coordinator for Physical discussion about a narrative while the other attendees observed. and Occupational Therapy. “When surveyed, 92 percent of By the end, it was clear that the unbundling process had staff responding to questions about the pilot session agreed or allowed this group of physical therapy educators to experience strongly agreed that narrative rounds helped foster professional occupational therapy practice in an entirely different way. As development.” As one respondent said, “It was an opportunity one participant shared, “The concept of selecting the ‘just right’ for two areas of practice to come together and discuss common challenge for a patient now has a context and specifi city that brings patient challenges.” clarity to the OT role.” She was looking forward to sharing the Jampel and two of her colleagues, Mary Knab, PT, physical approach with her own colleagues.

21 the heart of innovation

Club STAR Amid the many challenges children face growing up today, the loss of a brother or sister or a parent can be devastating. Club STAR (Sharing Together and Remembering) is a monthly bereavement group for children 5-18 years old who have experienced the loss of a sibling. This past year the program expanded to include children and teens who are grieving the loss of a parent. Club STAR was started in 2010 as a collaboration between child life specialists and social workers with support from the Ladies Visiting Committee. The program provides a healing space for parents, children and caregivers to come together with other families coping with similar losses and to connect and learn from one another. As one teen member of the group best summarized the program’s impact, “I felt better just walking into the group the fi rst night because I realized I wasn’t alone.” At the beginning of each group session, children and family members place a smooth stone into a glass bowl and share a special memory of their loved one. Child life specialists then lead the children in creative projects and memory-making activities to facilitate the sharing of feelings and personal stories. Child life specialists are healthcare professionals specifi cally trained to help children and families overcome challenging life events through play, preparation, education, and self-expression. They collaborate with nurses, social workers, physicians, and therapists to facilitate a positive hospital experience, and they work with inter- disciplinary teams to create programs for the entire family both during hospitalization and after discharge. Since its inception Club STAR has supported 23 families, and today referrals come from throughout the city of Boston.

22 INTERVENTION SPOTLIGHT

Handheld communication devices Reverend John Polk, DMin, BCC, A new handheld communication system was named director of Chaplaincy in utilizes repurposed iPhones and an July 2012. He most recently served as application that allows for voice calling and interim director of the Spiritual Wellness text messaging between nurses and staff Department, St. Luke’s Hospital in Kansas throughout the hospital. The system enhances City, Missouri. With more than 15 years’ communication for nurses by enabling instant experience in healthcare chaplaincy and and convenient sharing of information. Group years of dedicated service as a pastor to text messaging and customizable template different congregations, Polk is excited to step into this new leadership messages also increase the effi ciency and role of advancing spiritual care for patients and families. ease of using these devices. The introduction Chaplains assess and respond to the spiritual needs and concerns of this technology has helped reduce and, of patients and family members of diverse cultures, traditions and in some cases,,pg eliminate overhead pagingg beliefs. Upon arriving at MGH, Polk embarked on a listening and on units, contributingcontributing to a quieter care learning tour to quickly acquaint himself with the hospital and to environment.environment. identify the needs of both the MGH community and his department. Following his tour, he developed a 12-month strategic plan that now guides the focus and direction of the Chaplaincy Department. He is likewise beginning to standardize a handful of the department’s best practices and incorporate these into the interventions in the newly established Innovation Units, for example, interdisciplinary rounding. the heart of innovation

Donation supports two new programs Healthcare today moves at a fast pace, often with competing demands. It can be challenging to carve out time to advance the study or research of a particular area of interest, as well as carve out refl ective time to observe and consider the ethical impact of the fast pace of healthcare, which is replete with issues such as advances in medical technology and the impending changes of healthcare reform. Through the generosity of the Connell family, local entrepreneurs and philanthropists, PCS has launched two important new programs that will afford clinicians something invaluable: dedicated time to help advance practice through focused research and education.

The Connell Ethics Fellowship will allow two experienced health professionals from Patient Care Services—one nurse and one allied health professional—to develop and refi ne their clinical ethics expertise. Upon completion of the program, the Connell fellows will serve the MGH community as ethics resources and play a part in addressing ethical issues through clinical ethics consultations, unit- based interventions, and ethics committee participation. The intensive, one-year training program, under the supervision of a clinical nurse ethicist with ethics faculty, will provide opportunities for fellows to acquire historical, philosophical and empirical knowledge and to receive mentoring in ethical problem-solving, consultation and facilitation.

The Connell Nursing Research Scholars Program The Connell Nursing Research Scholars Program is designed to promote interdisciplinary patient- and family-centered care through nursing research. Four Connell nursing research scholars—novice and mid- career—will have dedicated time and resources each week to advance their particular research agendas. The initial proposals will focus on the high-priority areas of: • Care of the elderly patient and family experiences and end-of-life care • Workforce evaluation • Interventions to decrease risk and improve management of hospital infections, pressure ulcers and falls, and enhance effective pain management • Research methodologies to effectively measure the impact of nurse-driven interventions on patient care outcomes • Evaluation of educational programs for staff and patients • Efforts to promote the evaluation of the professional practice environment (internationally) • Development of theoretical models to guide practice, advance nursing science and integrate and infl uence other ideas consistent with the goals of Patient Care Services

24 “I need to fi nd my family.” These were the fi rst words clinical social worker Samantha Tarcov-Block heard as she walked into her new patient’s room. “Mr. M” was a middle-aged man with little- known medical history who had been diagnosed with widespread metastatic disease and changes in his mental status. Not only did the team want to honor their patient’s last wish, but they hoped to fi nd a family member who could participate in Mr. M’s medical decision making as he grew less and less able to do so himself. A member of the interdisciplinary care team had searched with no success, and it became clear they needed the help of Social Service. Social workers are a vital part of the care team, helping patients and families deal with challenging issues, improve relationships, solve problems, and get through diffi cult times. They are uniquely prepared to help patients cope with the specifi c circumstances surrounding their illness and hospitalization. Life can take unexpected turns at any moment. In the case of Mr. M, he had been homeless for several years, eventually losing complete touch with his family. Tarcov-Block began an intensive search for relatives that included calling virtually every local homeless shelter in hopes of fi nding any kind of clue. She pursued a few leads, all of which turned up empty. Those who did know Mr. M thought his family members were already deceased. Tarcov-Block pressed on with no luck. She remembers very clearly the morning she received the page from the team that Mr. M’s condition had dramatically deteriorated; he might not survive the day. Although it seemed futile, she continued the search, once again launching an Internet search. Time passed, and countless mouse-clicks later, there it was: a vague reference to what could be a relative. Eureka!—Tarcov-Block discovered several family members of Mr. M who were living in eastern Massachusetts. Despite the gravity of his condition, Mr. M’s relatives were relieved to learn he had been found and was in good hands. They rushed to the hospital, where they arrived not so much hopeful as grateful to have an opportunity to give Mr. M the most precious gift imaginable: He was able to spend the fi nal moments of his life surrounded by those he most loved.

25 A true spokesperson MGH clinicians frequently go the extra mile for their patients and families. But going an extra 180 miles—that’s something else again. In June 2012, MGH nurse Wayne Newell Kristin Beauparlant, RN, did assumed directorship just that, cycling from the White of Volunteer Mountains of New Hampshire to and Information the Atlantic coastline. It was all Ambassador Services about honoring the dying wish of in March 2012. He a former patient. served as program Her inspiration, Elizabeth “Beth” manager for Volunteer Bennett Rice, was a vibrant woman diagnosed with a rare and aggressive Services for the prior cancer in 2005. Even before being diagnosed, Bennett Rice had been a long- four years, increasing the total volunteer hours to standing participant in the 190-mile Pan Mass Challenge, the country’s more than 106,000 annually and developing a front- largest sports-related cancer fund-raiser. She knew the cure would one day end Emergency Department (ED) guide volunteer role be found through research and education. to assist patients and families in the hospital’s newly As Bennett Rice’s disease progressed, she spent many hours in her expanded ED. Newell’s career spans 36 years at Mass hospital bed at work on her laptop computer. She was laying the General; he previously served in several supervisory groundwork for an organization that would benefi t research and education and managerial positions in Clinical Administration, at MGH—she envisioned the “Madam Ovary Foundation.” Now three as director of Materials Management, and as the years after her death, her vision had become reality. In a fi tting inaugural evening administrative supervisor in the ED. In his event, Beauparlant accompanied Bennett Rice’s husband and several new role he will oversee more than 1,500 volunteers, family friends as they made the 180-mile ride through the Granite State to as well as the Volunteer and Information Associates raise money that would help fund research in ovarian cancer at MGH. programs, continuing to match volunteer resources As an added tribute, Beauparlant made the journey riding Bennett Rice’s and develop volunteer programs in support of the bicycle. Bennett Rice’s husband, Peter, carried his wife’s signature pearl hospital mission. necklace, the one she wore on so many other charity rides throughout the years. the 26 A different approach Every clinical team is stronger because of the diversity of expertise brought by itss various members. In the case of “Mary,” it was speech-language pathologist Dannynny Nunn, SLP, who began to crack the mystery behind one patient’s decline. Mary was a 90-year-old woman with a history of advanced dementia, admittedd to MGH with pneumonia. Throughout her fi rst week at the hospital, Mary’s mental status continued to worsen. She was very fi dgety and constantly picking at her IV, which she had managed to remove three times. Although she had initiallyy been able to walk, she had not gotten out of bed while in the hospital. She was now onn IV fl uids and antibiotics and a diet of pureed foods and honey-thick liquids. However, Maryary was most often too sleepy to be fed or just refused to eat altogether. The team had tried to place a feeding tube through her nose, but Mary became too agitated during the attempt. There was a lingering concern by the team that Mary’s pneumonia stemmed from an aspiration or breathing in food or fl uid. Her two devoted daughters were extremely concerned that maybe they had done something wrong when feeding her, and they were anxious for ideas about what they could do to help their failing mother. Her care team contacted the Speech-Language Department for an evaluation. Mary was quite lethargic when she was initially examined by Nunn. When Nunn returned later in the day, Mary was more awake but still refusing to eat or drink anything. No amount of coaxing or cajoling helped. Her daughters were increasingly concerned and hoping to avoid the prospect of a feeding tube. The next day, Nunn came prepared to try a different approach, armed with tea and cookies. She set a small table at Mary’s bedside, setting up chairs for herself and Mary’s two daughters, and positioning Mary to eliminate any risk of aspiration. Nunn encouraged the daughters to start eating with her to make a more natural environment. As one of her daughters reached for a cookie, Mary reached for one of her own. And then another. The tea party began, and with it Mary’s recovery. heart of innovation 27 INTERVENTION SPOTLIGHT Focus areas for Process Improvement With an eye toward providing safe and high-quality care, the hospital community rallied around four primary process improvement initiatives:

Medication reconciliation—Medication reconciliation, both for patients admitted to the hospital and those coming to the hospital for ambulatory care, means collecting and documenting a complete list of medications being taken by each patient. For ambulatory patients, the medication list is updated during each visit and reconciled to refl ect any changes. Patients are given copies of their reconciled medication lists for their own records.

Universal protocol —Universal protocol must be conducted before all surgical and other invasive procedures that expose patients to more than minimal risk. Universal protocol ensures that the right patient receives the right procedure at the right site.

Interdisciplinary rounding Reducing hospital-acquired infections—MGH has focused a Interdisciplinary rounding consists of regularly scheduled huddles great deal on decreasing healthcare-associated infections through with all members of the care team, representing many disciplines diligent hand-hygiene practices before and after patient contact and involved in care delivery. Clinicians participate in conversations through the appropriate use of protective gloves, garments, and involving patient updates and progress in order to help create the equipment. best and most complete plan of care. Staff have commented that Effi ciency and effectiveness—A wide range of care redesign interdisciplinary rounding helps streamline communications between initiatives, including the implementation of Innovation Units, is different departments and provides an opportunity for staff to better helping us achieve greater effi ciency and effectiveness in care delivery. advocate for their patients. Likewise, the rounds have enhanced Innovation Units are designated inpatient units being used continuity of care and improved the staff’s ability to identify and as testing grounds for change, allowing us to address the comprehensive needs of patients. quickly determine whether new ideas should be adopted, adapted or abandoned. the Breathing a bit easier Last year Mark Rosen made an overseas pilgrimage he once thought impossible. He wanted to visit Israel with his children to help connect them to their heritage. A 62-year-old patient with amyotrophic lateral sclerosis (ALS), Rosen knew he faced multiple challenges: He relied on a motorized wheelchair, an electronic communication device, and a portable ventilator at night. Help came from an interdisciplinary care team, with vital input from Respiratory Care services. At MGH, Respiratory Care employs more than 85 registered therapists who are frequently consulted by nurses and physicians to help assess and treat patients in respiratory distress or failure. To specifi cally address Rosen’s breathing needs, the respiratory care team, pulmonary function laboratory, and his pulmonologist worked together to perform a variety of critical tests, including high-altitude simulation testing to determine the minimum concentration of oxygen their patient would require during a transatlantic fl ight. Their care plan also had to include addressing airline specifi cations for acceptable equipment, coordinating with medical equipment providers, and performing battery-life tests. “The most important thing we learned,” says Nancy Davis, RRT, AE-C, chronic care coordinator and respiratory therapist, “is that when everyone works toward a common goal, there’s a good chance you’ll not only achieve that goal, but you may exceed everyone’s expectations in the process.” Despite the complexity of the situation, Rosen’s trip was a complete success, providing unbounded inspiration for the days to come. “The trip strengthened my resolve to keep fi ghting ALS with all my might,” says Rosen. A man of his word, he is already planning future travels. e heart of innovation 29 Hands-on learning In the spring of 2012, the INTERVENTION SPOTLIGHT Knight Simulation Program took job shadowing to a Quiet hours whole new level. Sixteen Resting is a simple but high school juniors had an crucial part of the healing opportunity to see fi rsthand process. Ironically, it’s the how the human respiratory very equipment and activities system functions thanks involved in quality care Quiet Time to a number of scenarios delivery—the technology, IV played out on clinical pumps, monitors, frequent simulators. rounding, medication The students were delivery—that can make a enrolled in the MGH Youth Scholars Program, a four-year program patient’s room feel less than for Boston high school students interested in Science, Technology, restful. In an effort to promote Resting is Healing Engineering, and Math (STEM) with a focus on healthcare and college a better healing environment, We offer Quiet Time every day readiness. 3:30 – 5:30 pm the MGH Innovation Units 10:00 pm – 6:00 am “Staff from the Knight Simulation Program met with biology, tested “quiet hours” during Please be respectful of our healing patients chemistry, and anatomy teachers to develop a classroom model for this designated periods. The goal innovative new program that had a curriculum aligned with a healthcare is to create blocks of time for perspective,” says Brian French, RN, director of The Knight Simulation patients to get some much- Program. “And at MGH, we chose to develop simulation scenarios that needed rest. focused on problems in the community.” Quiet time involves simple changes—dimming lights in Nurse educators in the Knight Simulation Program prepared a four- the hallway, talking with “library voices,” closing patient week curriculum that allowed students to apply their science knowledge doors when possible, and clustering routine care before or to real-life clinical situations such as asthma, alcohol intoxication, and the after quiet hours. effects of inhalants. They also learned about various clinical role groups The introduction of quiet hours has produced and some of the tools used in emergent clinical situations. remarkable results, allowing patients to get the rest they need. In the early testing, patients surveyed reported a 6.6 percent improvement in noise levels on their unit. the heart Interdisciplinary collaboration Nine different clinical disciplines comprise Patient Care Services. Leveraging the diversity of expertise, experience and perspective of each is a critical element in providing high-quality care, particularly during times of great change. This year’s launch of a PCS Interdisciplinary Staff Advisory Committee was designed to provide a forum for communication among PCS leadership and clinicians and enhance interdisciplinary collaboration and discussions. In an effort to inform and be informed by staff, the work of the committee is guided by several key principles: A cut above • to provide a routine and ongoing forum for PCS staff to identify As chaplain for the MGH Cancer Center, Katrina Scott, MDiv, issues important to their practice BCC, is well versed in supporting the spiritual needs of patients • to provide a forum for communication about organizational throughout their cancer experience. changes affecting PCS staff and patient care “I’ve come to appreciate the special circumstances of living • to promote and invigorate interdisciplinary collaboration with the limitations of illness while trying to keep a sense of self,” and effectiveness in patient care, education, research, and she says. “For a patient undergoing chemotherapy, losing their community outreach, and hair—particularly for a woman—can be a trying experience.” • to further engage staff in initiatives that promote and sustain As a personal tribute to her patients, Scott grows and donates a regulatory readiness, also referred to as Excellence Every Day. ponytail that will be made into a wig for a cancer patient. Above, To further complement this work, where they did not previously at right, she prepares for a new ”do,” courtesy of Erin Evers, a exist, several departments have formed their own discipline-specifi c stylist in the Cancer Center’s Images Boutique. advisory committees. It’s her third time making the pilgrimage. Scott says, “It’s a gift to myself really, just knowing that a patient who otherwise might not be able to afford a wig will have one, along with the restored sense of dignity and self that comes with that.” of innovation 31 the heart

Rebuilding On October 7, 2012, MGH performed its fi rst hand transplantation. The patient, Joseph Kinan, was a burn survivor of the tragic Rhode Island Station Nightclub fi re. Joe sustained burns over more than 40 percent of his body, including losing the fi ngers on his dominant left hand, and his right hand was so severely damaged, he was left with only a shortened thumb. Joe had to rely on others to help him with daily activities. Occupational therapy (OT) would play a critical role in Joe’s postop success, and preparations began many months in advance of his surgery. The outpatient OT staff conducted extensive literature reviews, researched and contacted other facilities in the country that had worked with hand transplant patients, and developed task force teams. These teams focused on the specifi c areas of care Joe, and others to follow, would require: protective motion, splints to both protect repaired structures and aid in functional motion. They also focused on possible use of various modalities, sensory re-education and functional retraining. Based on their fi ndings and their collective experience working with replanted digits and limbs, the OT teams developed protocols to address all aspects of care, beginning the day after the transplant to present day and based on healing stages of bone, tendon, nerves, and blood vessels. One of the keys was constant, essential collaboration between the medical team, OTs, other care providers, Joe, and his fi ancé, Carrie, to ensure a successful rehabilitation. This meant engaging Joe in his daily therapy and having him immediately begin to use his transplanted left hand as his own. By performing basic, repetitive movements, slowly and methodically—through cortical retraining—Joe began to regain his motor skills. Joe’s procedure and rehabilitation were about improving his quality of life. If you see Joe and Carrie walking hand in hand down a hallway at MGH—something they weren’t able to do before—you know he’s on the right path.

32 of innovation INTERVENTION SPOTLIGHT Patient & Family Notebook The caregiving process at MGH revolves around the patient and his or her family. Engaging patients and families more directly in their care can ensure they are receiving the best Anabela Nunes, MBA, was appointed treatment and attention director of Medical Interpreter Services possible. in March 2012. Since joining the MGH The Patient & Family community in 2000, she has been an Notebook was designed active fi gure in various leadership to encourage patients roles in Interpreter Services, serving and families to actively as the manager since 2007. Anabela participate in the care has been an innovator in the fi eld of they are receiving. medical interpreting at MGH through Given to the patient her participation in the creation of a real-time, web-based and family at admission, the notebook introduces scheduling system for the department, and by helping to them to the Innovation Unit they are staying on, create I-POPs (Interpreter Phone on a Pole), and V-POPs shares a Universal Patient Compact, provides an (Video Phone on a Pole) to facilitate the hospitalwide use overview of the patient’s care team, and offers of professional medical interpreters. She is dedicated to space for key information and questions to be ensuring that Limited English Profi cient and Deaf and Hard noted and reviewed. of Hearing patients receive equitable, quality and safe care, “The notebook helps orient patients and positioning MGH as a national leader. Anabela has likewise families to both the unit and the care team,” been a driving force in promoting the national certifi cation says Jean Stewart, RN, MSN BC, attending of medical interpreters, with an unparalleled 78 percent of nurse on the White 6 Orthopaedic Unit, “and it MGH staff interpreters earning this distinction. gives them a great place to take notes and write down questions they might have for the team.” Some patients have used the notebook at home to document their progress, providing important clinical information when they return for follow-up appointments. 33 Disciplines Nursing | Chaplaincy | Child Life | Medical Interpretation | Occupational Therapy Physical Therapy | Respiratory Care | Social Work | Speech-Language Pathology

Patient Care Services Programs

Cancer Resource Room Retail Shops The Institute for Patient Care Caring Headlines MGH Quit Smoking Service • Center for Innovations in Center for Global Health Patient Advocacy Care Delivery Child Protection Orthotics and Prosthetics • Maxwell & Eleanor Blum Patient and Family Clinical Support Services Patient and Family Lodging Learning Center HAVEN Program PCS Diversity Program • Norman Knight Nursing (Helping Abuse and PCS Management Systems and Center for Clinical & Violence End Now) Financial Performance Professional Development Information Ambassadors PCS Clinical Informatics • Yvonne L. Munn Center for International Patient Center PCS Offi ce of Quality & Safety Nursing Research Ladies Visiting Committ ee Volunteer Services P ROFESSIONAL A CHIEVEMENTS PROFESSIONAL ACHIEVEMENTS • awards

PATIENT CARE SERVICES Karin Rallo, RN STATE AND REGIONAL Janet Madden, RN, MS, CCNS Emergency Services Neonatal ICU Mary Jane Costa, RN, PhD Norman Knight Preceptor of Distinction Nursing Excellence Award from Nursing Patricia Anne Chastain, PT, DPT Nursing Administration and Support Award Spectrum, for Education and Mentoring for the Physical Therapy Services Stephanie M. Macaluso, RN, Excellence in New England Region Liana Teixeira Sandy Craig Leadership Award, Nantucket Clinical Practice Award Cott age Hospital Central Resource for Lunder Lucy Milton, RN, MSN Robert Dorman, PT, DPT Anthony Kirvilaitis Jr. Partnership in Post Anesthesia Care Unit Robert Dorman, PT, DPT, GCS Physical Therapy Caring Award Make a Diff erence Award, Northern Essex Stephanie M. Macaluso, RN, Excellence in Physical and Occupational Therapy Karen Ward, RN Community College Clinical Practice Award Services Oncology APTA of Massachusett s Excellence in NATIONAL Margaret Garvey, RN Marie C. Petrilli Oncology Nursing Award Clinical Practice Award, American Physical Oncology Therapy Association of Massachusett s Gaurdia Banister, RN, PhD Marie C. Petrilli Oncology Nursing Award MGH The Institute for Patient Care Richard Ahern, RN, DNP Tricia Gordon, RN, BSN Mary Eliza Mahoney Award for Advancing Susan Gordon, RN Infectious Diseases Orthopaedics Diversity, The American Nurses Association Cardiac Intensive Care Judith A. Fong Nursing Faculty Prize, 32nd Excellence in Nursing Award, New England Stephanie M. Macaluso, RN, Excellence in Dean Hess, PhD, RRT, FAARC, FCCP, Commencement Ceremony, MGH Institute Regional Black Nurses Association Clinical Practice Award FCCM of Health Professions Respiratory Care Benjamin Lanckton, BCC Jeanett e Ives Erickson, RN, DNP, FAAN Presidential Citation, Society of Critical Care Marian Jeff ries, RN Chaplaincy Patient Care Services Medicine Thoracic Unit Stephanie M. Macaluso, RN, Excellence in Mary Ann Garrigan Award for Outstanding Excellence in Action Award Clinical Practice Award Professional Achievement and Leadership in INTERNATIONAL Roseanne Karp, RN the Nursing Profession, Boston University Damien Leane Amanda Bulett e Coakley, RN, PhD Case Management Unit Service Associate, Vascular Surgery Nursing Administration & Support Services the one hundred, Cancer Center, Lamplighter Award for MGH Nursing at Anthony Kirvilaitis Jr. Partnership in Caring 2012 Unique Contribution Award, NANDA Massachusett s General Hospital Two Hundred, New England Society for Award Healthcare Communication International Julie Maclean, OTR/L Jesse MacKinnon, RN Jeff rey Adams, RN, PhD Physical and Occupational Therapy Karon Konner, MSW, LICSW Oncology The Center for Innovations in Care Delivery Services Social Services Brian M. McEachern Extraordinary Care Best Paper Award, North American Nursing Mary Forshay Scholarship Award, Emerging Leader Award, Massachusett s Award Diagnosis Association-International Massachusett s General Hospital Chapter, National Association of Social Stefanie Michael, RN Workers Dana Sullivan, RN General Medicine, Bigelow 11 Emergency Department Jean M. Nardini, RN, Nurse of Distinction Cynthia LaSala, RN, MS MGHfC Nurse of the Year Award, Award General Medicine Massachusett s General Hospital Loyal Service Award, Massachusett s Aomar Nait-Talb Association of Registered Nurses Patient Care Associate, Pediatrics Norman Knight Clinical Support Excellence Award

36 Patient Care Services staff listed in bold. PROFESSIONAL ACHIEVEMENTS • presentations

STATE AND REGIONAL Gae Burchill, MHA, OTR/L, CHT Ellen Cobau, RN Diane Doyle, MS, APRN BC, AOCN, NP Suzanne Curley, MS, OTR/L, CHT Nurse Facilitated Telemonitoring: Impact Elene Viscosi, NP Mary Amatangelo, MS, ACNP-BC, Flexor and Extensor Tendons: Anatomy on Heart Failure Care Outcomes Lorraine Drapek, RN, FNP-BC, NP CCRN and Physiology 4th Annual Christine Cameron Symposium Management of the Patient Undergoing Acute Nursing Management of Stroke, Tuft s University, Medford, MA on Evidence-Based Practice and Quality Radiation: An Advance Practice Approach TIA and Hemorrhage Care, “From the Bedside to Virtual Nursing: Hot Topics in Oncology Care Meeting, Boston Edward Burns, MA, RRT 7th Annual Summit, North East Patient Care Keeps Passion Strong,” Oncology Nursing Society, Boston, MA Cerebrovascular Consortium, Boston, MA Daniel Chipman, BS, RRT Unexpected Mechanical Ventilator Shut- Boston, MA Lorraine Drapek, RN, FNP-BC, NP Paul Arnstein, RN, PhD, FAAN Downs Aurelie Cormier, RN, MS, ANP, BC Management of Radiation Side Eff ects Managing Pain With and Without East Coast Regional Meeting, FDA/MedSun, Mindful Conception and Parenting: Radiation Oncology Meeting, Boston Oncology Opioids Boston, MA Creating a Legacy for Our Children Nursing Society, Boston, MA 32nd Annual Conference, National Workers’ Janet Callahan, PT, MS, NCS Massachusett s Department of Public Health, Jean Fahey, RN, MSN, ACNS-BC, CWS, Compensation and Occupational Medicine, Physical Therapy Management of with Silent Spring, Newton, MA, and CCRN, CNRN Hyannis, MA Concussion Partners in Perinatal Health Conference, The Neurological Examination & Related Norwood, MA Gaurdia Banister, RN, PhD Special Interest Group Introductory Meeting, Anatomy & Physiology for the Bedside American Physical Therapy Association of Practitioner Nursing Leading and Transforming Care Meaghan Costello, PT, DPT, NCS Massachusett s, Boston, MA Simmons College, Boston, MA Nurse Recognition Week Visiting Scholar Disorders of Consciousness: Evaluations; Presentation, Women and Infants Hospital in Virginia Capasso, PhD, ANP-BC, CWS, Interventions; Outcomes Traumatic Brain Injury: Stroke and Seizures Rhode Island, Providence, RI CNS Fall Conference, American Physical Therapy in Critical Care Pressure Ulcers and Wound Care Association, Wellesley, MA Martin Boehm, PT, DPT, OCS, MTC, Hallmark Health Services, Medford, MA CSCS School of Osteopathic Medicine, University of New England, Biddeford, Maine Constance Dahlin, ANP-BC, ACHPN, Conservative Management of the FPCN, FAAN Transition of New Graduates into Professional Practice: What a Nursing Irreparable Rotator Cuff Tear Diane Carroll, RN, PhD, FAAN Advanced Practice Palliative Nursing Boston Shoulder Institute, Brigham and Patricia Dykes, DNSc Practical Aspects of Palliative Care, Harvard Leader Looks for in the New Graduate Women’s Hospital, Boston, MA Kumiko Ohashi, RN, PhD Center for Palliative Care, Boston, MA Massachusett s College of Pharmacy, Symposium on the Development and Boston, MA Carol Brown, RN, MN, ANP Implementation of Bedside Information Request for Hastened Death 12 Lead ECG Interpretation Toolkits to Support Safe Patient- Massachusett s Pain Initiative, Peri operative Issues with Neurovascular Northeast Regional Nurse Practitioner Centered Care Marlborough, MA Surgery and Long-Term Support Conference, Manchester, NH 24th Annual Scientifi c Sessions, From Cell Aneurysm Support Group, Boston, MA to Society: The Intersection of Nursing Robert Dorman, PT, DPT, GCS David Browning, MSW, LICSW Functional Outcomes of Joint Robert Ferdinand, RN, BSN, CRNI Jeff Cooper, MD Research, Practice and Policy, Eastern Arthoplasty: Can We Improve Them? Using CQI Tools and an Electronic Database Roxanne Gardner, MD Nursing Research Society, New Haven, CT to Improve Patient Outcomes Jo Shapiro, MD Geriatric Special Interest Group Meeting, Elaine Meyer, PhD Elizabeth Cole, PT, WCS, CLT-LANA American Physical Therapy Association of Annual Seminar, New England Chapter, Pam Varrin, PhD Lymphedema and Swelling – How to Massachusett s, Waltham, MA Infusion Nurses Society, Waltham, MA Robert Truog, MD Recognize and Treat Daniel Fisher, MS, RRT Disclosure & Apology: Leveraging Rhode Island Chapter, American Physical Diane Doyle, MS, APRN BC, AOCN, NP Managing the Patient with Inhalation Simulation for Skill-building & Therapy Association, Pawtucket, RI Organizational Change Lung Cancer 2012: Overview & Injury: Fact & Fiction Center for Medical Simulation, Boston Emerging Treatment 35th Annual Meeting, Massachusett s Society Children’s Hospital, Cambridge, MA 29th Annual Cancer Symposium, for Respiratory Care, Sturbridge, MA MetroWest Medical Center, Natick, MA 37 PROFESSIONAL ACHIEVEMENTS • presentations

Mechanical Ventilation During Lauren Healey, PT, DPT, CCS Reshaping the Future of Nursing: Janet King, RN, BSN, CGRN Hyperbaric Therapy: Pressure Inside Get Moving! Tips for Adopting and Application of the Adams Infl uence Model David Scholl, RN and Outside the Chamber Maintaining an Exercise Routine Annual Meeting, American Organization of Ellen Fern, RN Lucia Barnes, RN Northeast Chapter Annual Meeting, 2nd Annual Patient Seminar, North Nurse Executives, Boston, MA Michelle McGaffi gan, RN Undersea Hyperbaric and Medical Society. American Thrombosis Forum, Foxboro, MA Orientation Model for Surgical Strategies to Create and Evaluate a Springfi eld, MA Technologists in GI Endoscopy Dean Hess, PhD, RRT, FAARC, FCCP, Professional Practice Environment Annual Course Meeting, Society of Abby Folger, PT, DPT, CCS FCCM Harvard School of Public Health/China Gastroenterology Nurses and Associates, A Model in Interprofessional Clinical Conventional Ventilation for the Patient Initiative, Boston, MA Education to Develop Skills in with ARDS Phoenix, AZ Early Mobility – Role of the Respiratory Robert Kacmarek, PhD, RRT, FAARC, Providing Team-Based, Patient- Mary Knab, PT, DPT, PhD Therapist FCCP, FCCM Centered Care and Professional PhD – Refl ection 1 Physical Therapy Ventilator Liberation – Role of Protocols Respiratory Care 2015 and Beyond Competencies Practice: A Phenomenological Inquiry into Pro-con: Should Rescue Therapies be Patient-Ventilator Synchrony Educational Leadership Conference, Writt en and Oral Narratives used for Severe ARDS? Delaware Society for Respiratory Care Annual American Physical Therapy Association, School of Education, Lesley University, Society for Critical Care Medicine, Meeting, Newark, DE Greenwich, CT Cambridge, MA Respiratory Sepsis, Boston, MA Core Principles of Ventilatory Support Physical Therapy Management of the Karon Konner, LICSW Patient with a Ventricular Assist Device Evaluation of Respiratory Mechanics Proportional Assist Ventilation, Natascha Gundersen, LICSW Northeastern University, Boston, MA During Mechanical Ventilation Non-Invasive Ventilation Disaster Mental Health: Mental Health New England Sinai Hospital, Open Lung Strategies Consideration for Survivors and First Paula Gauthier, MSW, LICSW Stoughton, MA Patient-Ventilator Synchrony Responders Using Your Voice—Patients and Monitoring VILI Risk at the Bedside Psychological Dimensions of Health Class, Families as Advisors and Advocates Liberation from Mechanical Ventilation Optimizing Mechanical Ventilation 2012, Boston College School of Social Work, The Art of Living: Life Beyond Cancer Massachusett s Society for Respiratory Care, St. Paul, MN Chestnut Hill, MA Conference, Friends of Mel Foundation, Sturbridge, MA Quincy, MA Are New Ventilation Modes Lung Protective Linda Lacke, MPH Invasive and Noninvasive Ventilation for What’s New With Heliox? Injury Prevention: The First Step in Tessa Goldsmith, MA, CCC-SLP the Patient with Neuromuscular Disease Inhaled Pulmonary Vasodilators: Trauma Resuscitation Rehabilitation of the Chemoradiation Spaulding Hospital, Cambridge, MA Adult Applications HMS/MGH Trauma & Critical Care Patient: Update in Head and AARC Annual Convention, New Orleans, LA Symposium, Boston, MA Neck Cancer Jeanett e Ives Erickson, RN, DNP, FAAN Continuing Medical Education, Harvard Health Care: Past, Present and Future Adele Keeley, RN, BSN, MA Cynthia LaSala, RN, MS Medical School, Boston, MA Challenges Kevin Whitney, RN, MA, NEA-BC Nurse . . . Help Me Die: How Would Daniel O’Connell, PhD Harold Alfond Center for Cancer Care, You Respond? Marion Growney, MSN, ACNP Carlos Fernandez-del Castillo, MD Augusta, ME Carey York-Best, MD Fall 2012 Conference, Massachusett s Ordering and Interpreting Radiology Panel Discussion Association of Registered Nurses, in Primary Care The Evolution and Revolution in Second Annual Fall Service Excellence Program, Framingham, MA National Primary Care Conference: Patient Care MGH/MGPO Service Excellence Practice Addressing the Challenges of Providing Annual Meeting, Nursing Archives Improvement Division, Boston, MA Care Across the Lifespan and the Women’s Association, Boston, MA Health Conference, Brewster, MA

38 Patient Care Services staff listed in bold. Barbara Levin, RN, CMSRN Jane Murray, MBA John Polk, DMin, BCC Ellen Robinson, RN, PhD Untangling Charlott e’s Web Jessica Smith, RN, MS I Held His Heart in My Hands! Wendy McHugh, RN, MS Clinical and Legal Issues for Nurses Laura Carr, PharmD Feast of Saint Luke Day – the Saint of Judith Friedson, RN, MS Massachusett s Nurses Association, Interventions to Improve the Physicians and Healing Arts, The Church of Strategies for Addressing Nurses’ Lenox, MA Coordination of Care and Reduce the Advent, Boston, MA Ethical Concerns Readmissions: Discharge Nurse Role Division of Medical Ethics Bioethics Course, Broken Bones and Pharmacist Involvement on a Todd Rinehart, LICSW Harvard Medical School, Boston, MA Orthopaedic Nursing Program, Regis College, Medicine Pilot Unit Erica Wilson, MD UHC Annual Conference, Institute for End of Life Conversations with the Ellen Robinson, RN, PhD Weston, MA Eric Krakauer, MD, PhD Healthcare Improvement, Orlando, FL Homeless Dying to Die: A Presentation Colleen Lowe, OTR/L, MPH, CHT UHC Pharmacy Council Meeting, Barbara McInnis House, Boston Healthcare Ethical Considerations in Intractable Pain Sensation and Sensibility, Upper Las Vegas, NV for the Homeless, Boston, MA Extremity Course and Suff ering at End of Life Musculoskeletal Work Related Upper David Nolan, PT, DPT, MS, OCS, Ellen Robinson, RN, PhD Harvard Ethics Consortium, Division of Medial Extremity Disorders/Repetitive CSCS Essential Knowledge for Ethics Ethics, Harvard Medical School, Boston, MA Stress Injuries Management of Lower Extremity Consultants: Gett ing to Goals of Care Tendinopothy Ethics Committ ee, Melrose Wakefi eld Ellen Robinson, RN, PhD School of Occupational Therapy, Tuft s Angelika Zollfrank, MDiv, BCC Annual Conference, American Physical Hospital, Melrose, MA University, Medford, MA, Knowledge and Skills for Ethics Therapy Association, Babson Park, MA Committ ee Members. Mary McKenna Guanci, RN, MSN, Ethical Challenges: Living with CNRN Mary Orencole, MS, ANP-BC Advanced Disease Children’s Hospital of St. Louis, St. Louis, MO CRT and HF: Playing Nice in the Developing a Neuroscience Critical DNP Program, Simmons College, Joanne Rowley, RN, MS, CS, HNB-BC Sandbox. The Best of Both Worlds: Case Practice Committ ee Boston, MA Mindfulness-Based Resources in a MGH Studies in Collaboration Continuing Neuroscience Critical Care Primary Care-Based Wellness Center Heart Rhythm Society 2012 33rd Annual Applying an Ethical Framework Education Course, Harvard Medical School, Second Annual New England Holistic Scientifi c Sessions, Boston, MA in Decision Making in Case of Boston, MA Nursing Conference, St. Anselm College and Undocumented Immigrant the American Holistic Nurses Association, Kathleen Miller, RN, PhD, AHN-BC Novel Approach to CRT Response: Schwartz Rounds, Newton-Wellesley Kennebunkport, ME Providing Culturally-Competent Applying What We Now Know Hospital, Newton, MA Complementary Therapies in a 12th Essentials of CRM Therapy and Katherine Russo, OTR/L, CHT Community Sett ing Patient Management: Meeting the Nursing Ethics: More Than Combined Injuries/Trauma of the 4th Annual Spirituality & Nursing Challenges of 2012 Conference, Principles—A Framework for Case Upper Extremity Conference, Boston, MA Boston, MA Analysis Occupational and Physical Therapy, Tuft s School of Nursing, Emmanuel College, University, Medford, MA Jennifer Morin, PT, MS, OCS, ATC Amy Orroth, OTR/L, CHT Boston, MA Urinary Incontinence: There is Help Peripheral Nerve Injuries Rosalie Tyrrell, RN, MS Foxborough Council on Aging, Fellowship Program, Tuft s University, Clinical Ethics Case Analysis: A Understanding and Leading a Foxborough, MA Medford, MA Presentation for Ethics Committ ee Multigenerational Workforce Members Jennifer Podesky, PT, DPT, NCS Annual Meeting, Boston Oncology Nursing Greater Lowell Visiting Nurse Association, Disorders of Consciousness: Society, Boston, MA Lowell, MA Evaluations; Interventions; Outcomes Organization of Nurse Leaders, Waltham, MA Fall Conference, American Physical Therapy Winchester Hospital, Winchester, MA Association, Wellesley, MA Franciscan Children’s Hospital, Brighton, MA

39 PROFESSIONAL ACHIEVEMENTS • presentations

Carmen Vega-Barachowitz, MS, NATIONAL Margaret Baim, MS, ANP-BC Julie Berrett -Abebe, MSW, LICSW CCC-SLP Janice Goodman, PhD, PMHCNS-BC Michele Gabree, MS Shift Happens: Strategies for Jeff rey Adams, RN, PhD Susan Jussaume, MSN, APRN, FNP-BC, Meredith Seidel, MS Approaching the Changing Face of Gail Alexander, RN, MSN AHN-BC Kristen Shannon, MS R. Gino Chisari, RN, DNP Leslee Kagan, MS, FNP-BC Healthcare, Acute Care Sett ing Collaboration Between Oncology Social Organizational Considerations in the Kathleen Miller, PhD, RN, AHN-BC Workers and Genetic Counselors in Care Short Course Divison 15, American Speech- Mertie Pott er, DNP, PMHNP-BC Implementation of an Innovative New Management of Cancer Predisposition Language Association, Atlanta, GA Development and Implementation of a New Graduate RN Residency Mutation Carriers Mind Body Spirit Nursing Academic Kevin Whitney, RN, MA, NEA-BC Council for Advancement of Nursing Science, 2012 National Conference, Association of Certifi cate Program Update on the IOM Future of Nursing, Washington, DC Oncology Social Work, Boston, MA 32nd Annual Conference, Holistic Nurses: Massachusett s Action Coalition Jeff rey Adams, RN, PhD Catalysts for Change, Snowbird, UT Robert Wood Johnson Site Visit, Childrens David Browning, MSW, LICSW Jeanett e Ives Erickson, RN, DNP, FAAN Susan Gerbino, PhD, LCSW Hospital, Massachusett s General Hospital, Infl uencing the Professional Practice Gaurdia Banister, RN, PhD Navigating in Swampy Lowlands: and the Massachusett s State House, Enviroment: Application of the Adams Marion Winfrey, RN, MS, EdD Relational Learning for Oncology and Kathleen Kafel, RN, MS Boston, MA Infl uence Model in Leadership Practice Palliative Care Social Workers Leveraging Service/Academic Partnerships to Nursing Leadership Conference, North Shore National Conference, Association of Oncology Keynote Address Advance Healthcare Education LIJ Health System, New York NY Social Work, Boston, MA Creating a Professional Practice Model, Revolutionizing Healthcare Education National The Pathway to Clinical Excellence Reshaping the Future of Nursing: Meeting, National Nursing Staff Development David Browning, MSW, LICSW Vermont Organization of Nurse Leaders, Application of the Adams Infl uence Model Organization, Boston, MA Stephen Brown, MD Linda Zaccagnini, MSN, NP Burlington, VT and Model of the Interrelationship of Gaurdia Banister, RN, PhD Ethics and Communication in Leadership Environments and Outcomes Massachusett s Action Coalition Update Caring for the Self: Keys to Leadership Success Prenatal Counseling (MILE ONE) in Leadership Practice Robert Wood Johnson Foundation, 2012 Executive Development Series, The American National Conference: 2012 Harvard Clinical Annual Conference, American Organization of Boston, MA Association of Colleges of Nursing, Bioethics Course, Boston, MA Nurse Executives, Boston, MA San Antonio, TX Keynote Address David Browning, MSW, LICSW Mary Amatangelo, RN, MS, ACNP-BC, Julie Berrett -Abebe, LICSW, MA Robert Truog, MD 40th Anniversary Celebration, UMASS CCRN Mary Susan Convery, MSW, LICSW Professional Education to Enhance Lowell Department of Nursing, Lowell, MA Stroke in Women: The Curse of the Jocelyn Walls, MSW, LICSW Relational and Communication Skills Double X Living with Uncertainty, Maintaining Hope: Maria Winne, RN, MS, NE-BC National Conference, 2012 Harvard Clinical National Primary Care Conference, Women’s Barbara Cashavelly, RN, MSN, AOCN Strategies for the Oncology Patient and Clinicia Bioethics Course, Boston, MA The Role of the Acute Care Nurse Health Conference, Brewster, MA Restoring Hope: The Power of Social Work National David Browning, MSW, LICSW Practitioner: New Models for Acute Paul Arnstein, RN, PhD, FAAN Conference, National Association of Social Workers, Joan Berzoff , PhD, LICSW Care Delivery in an Academic ASPMN Geriatric Pain Washington, DC Susan Gerbino, PhD, LCSW Medical Center Management Course Navigating in Swampy Lowlands: 45th Annual Meeting and Exhibition, Chicago Metropolitan Area Meeting, American Social Workers as Psychosocial “First Relational Learning for Palliative and American Organization of Nurse Society for Pain Management Nursing and the Responders”: Addressing Secondary Traumatic End-of-Life Care Executives, Boston, MA Hospice and Palliative Care Nursing Chapters, Stress in the Oncology Sett ing” Annual Conference, Council on Social Work Lisle, IL 2012 National Conference, Association of Oncology Education, Washington, DC Social Work, Boston, MA Balancing Concerns for the Control of Both Pain and Drugs Annual Long Island Chapter Conference, American Society for Pain Management Nursing, Greenvale, NY 40 Patient Care Services staff listed in bold. David Browning, MSW, LICSW An End-of-Life Journey: Request for Tessa Goldsmith, MA, CCC-SLP Inhaled Gases and Aerosols Stephen Brown, MD Hastened Death, Imminent Death, and Allison Holman, MS, CCC-SLP Liberation from Mechanical Ventilation Constance Lehman, MD, PhD Palliative Sedation Ron Parambi, MD Robert Packer Hospital, Sayre, PA Thomas Gallagher, MD Elene Viscosi, MSN, APRN, BC Joseph Tashjian, MD Oncology Nursing Society, New Orleans, LA Elizabeth Weyman, MS Mechanical Ventilation – First Vignett e-Based Disclosure of Medical Paul Busse, MD, PhD Putt ing the Pieces Together Do No Harm Error in Radiology Lori Wirth, MD Clinical Practice Forum, Hospice and John Clark, MD 39th Annual Pacifi c Northwest Regional Annual Conference, Radiological Society of Palliative Nurses Association, Pitt sburgh, PA Stephen Rothenberg, MD Respiratory Care Conference and Scientifi c North America, Chicago, IL Annie Chan, MD Assembly, Spokane, WA Swallowing Function Aft er Proton Beam David Browning, MSW, LICSW Rounding with the Stars Stephen Brown, MD Time Out: The Chaos from Confl ict Therapy for Nasopharyngeal Cancer: A Mechanical Ventilation of the Patient with Pam Varrin, PhD Between Patients, Families and Prospective Study Obstructive Lung Disease Robert Lebowitz, MD Healthcare Providers Annual Meeting, American Society for The Ventilator Liberation Process Program to Enhance Relational and Annual Assembly, American Academy of Radiation Oncology, Boston, MA The 5 Best Case Reports Published in Communication Skills Hospice and Palliative Medicine, Hospice and Respiratory Care in 2012 Annual Conference, Radiological Society of Dean Hess, PhD, RRT, FAARC, FCCP, Palliatve Nurses Association, Denver. CO FCCM Science and Evidence: Separating Fact North America, Chicago, IL Bedside Evaluation of Respiratory from Fiction Diane Doyle, MS, APRN, BC, AOCN Year in Review: Noninvasive Ventilation Constance Dahlin, ANP-BC, ACHPN, Elene Viscosi, MSN, APRN, BC Mechanics Pro-con: Is a Full-featured Ventilator FPCN, FAAN Role of the Advanced Practice Nurse Noninvasive Ventilation Michael Rabow, MD Necessary? (APN) in a Radiation Oncology Sett ing Neurally Adjusted Ventilatory Assist Outpatient Palliative Care Update on the Journal of Respiratory Care 54th Annual Meeting, American Society of Preventing Complications Center to Advance Palliative Care Approaches to PEEP Selection in Patients Radiation Oncology, Boston, MA HealthPartners Institute for Medical Conference, Orlando, FL Education, Optimizing Mechanical with ARDS Lorraine Drapek, FNP-BC Ventilation, St. Paul, MN From VAP to VAE: Implications for the Constance Dahlin, ANP-BC, ACHPN, Role of the Nurse Practitioner in Respiratory Therapist FPCN, FAAN Radiation Oncology Stacy Remke, MSW, LICW, ACHP-SW Conventional Ventilation of the Patient 58th International Respiratory Congress, GI Cancer Update Strategies for Long-Term Survival in with Acute Respiratory Distress New Orleans, LA Radiation eConference, Oncology Palliative Care Syndrome Nursing Society Jeanett e Ives Erickson, RN, DNP, FAAN School of Social Work, University of Cleveland Clinic Lung Summit: Controversies in Pulmonary Medicine, From the Board Room to the Bedside: Minnesota Marion Freehan, RN, MPA/HA, CNOR Infl uencing the Professional Practice Marjorie Voltero, RN, BSN, CGRN Critical Care Medicine, and Mechanical Environment Constance Dahlin, ANP-BC, ACHPN, Implementing an Integrated Endoscopy Ventilation, Cleveland, OH FPCN, FAAN Institute for Nursing Leadership/North Shore Nurse Documentation and Patient Challenges for Nurses in Eff ective Long Island Jewish Health System, Scheduling/Tracking Program Inhaled Gases and Aerosols Communication Hyde Park, NY Annual Course Meeting, Society of The Ventilator Discontinuation Process Interdisciplinary Palliative Care: Advances in Critical Care Treatments, MD Gastroenterology Nurses and Associates, Robert Kacmarek, PhD, RRT, FAARC, Conundrums in the 21st Century Conference, Phoenix, AZ Anderson Cancer Center, Houston, TX FCCP, FCCM Memorial Sloan Kett ering Cancer Center, The Mechanical Ventilator: Past, Present, Advances in Mechanical Ventilation: New York City, NY Gail Gall, APRN, BC, PhD and Future David Greenblatt , MS, FNP, BC First Do No Harm Patient Ventilatory Synchrony Outpatient Palliative Care Improving Healthcare Services to High Risk MD/DC Society for Respiratory Care, Kansas-Missouri Socities for Respiratory Care From Burnout and Back: Strategies for Latino Youth in a Community Sett ing Ocean City, MD Meetings, Kansas City, MO Long-Term Survival in Palliative Care 37th Annual Conference, American Assembly Center to Advance Palliative Care, for Men in Nursing, San Francisco, CA Orlando, FL 41 PROFESSIONAL ACHIEVEMENTS • presentations

NIV: The Litt le Things Make the Mary Larkin, RN, MS, CDE Jackie Mulgrew, PT, CCS Ellen Robinson, RN, PhD Diff erence Transitioning from Oral Agents to Management of the Acute Care Cardiac Patient Pamela Grace, PhD, MSN The ARDSnet and Lung Protective Insulin Therapy Providence Saint Joseph Medical Center, Martha Jurchak, RN, CS, PhD Angelika Zollfrank, MDiv Ventilation 72nd Scientifi c Sessions, American Diabetes Burbank, CA Clinical Ethics Residency for Nurses: An 39th Annual Pacifi c Northwest Regional Association, Philadelphia, PA Innovative Approach to Teaching Respiratory Care Conference and Scientifi c Kathleen Myers, RN, MSN, CNE, ONC Jill Taylor Pedro, RN, MSN, ACNS-BC, ONC and Mentoring Assembly, Spokane, WA Mary Larkin, RN, MS, CDE Lauren Donahue, RN, BSN IHI STAAR Collaborative, Overview of the Annual Conference, International Association of Catherine Griffi th, ACNP-BC, PhD Respiratory Care 2015 and Beyond Institute for Healthcare Improvement: Reduce Ethics Education, Pitt sburgh, PA Kerry Milaszewski, RN, BSN, CDE Avoidable Hospital Readmissions Patient-Ventilator Synchrony Linda Pitler, RN, MS CCRC Krista Rubin, RN, MS, FNP Delaware Society for Respiratory Care Amy Sbrolla, RN, BSN, ACRN Annual Congress, National Association of Orthopaedic Nurses, New Orleans, LA How To’s of a Skin Cancer Examination Annual Meeting, Newark, DE Advancing Role Recognition via Annual Convention, Dermatology Nurses’ Professional Networking Mary Orencole, RN, BSN, MS, ANP-BC Association, Denver, CO Core Principles of Ventilatory Support & Collaboration Rate Versus Rhythm Control in Atrial Proportional Assist Ventilation,” “Non- 4th Annual Meeting, International Fibrillation: Which is Bett er? Advances in Melanoma Treatment; Answers Invasive Ventilation Association of Clinical Research Nurses, 8th Annual Conference, American Association of to Oncology Nurses’ Most Frequently Asked Open Lung Strategies Houston, TX Heart Failure Nurses, Chicago, IL Questions Regarding Novel Agents Patient-Ventilator Synchrony Sylvester Comprehensive Cancer Center, Susan Lee, RN, PhD, NP-C Monitoring VILI Risk at the Bedside Christopher Robbins, RN, BSN, CGRN University of Miami, Miami, FL Optimizing Mechanical Ventilation 2012, MGH National AgeWISE Pilot Enteroscopy: Past, Present and Future St. Paul, MN Magnet Conference, American Nurses Annual Course Meeting, Society of Atypical Nevi Credentialing Center, Los Angeles, CA Gastroenterology Nurses and Associates, Annual Convention, Advanced Practice Are New Ventilation Modes Lung Phoenix, AZ Symposium, American Academy of Protective MGH AgeWISE: Geropalliative Care Dermatology, San Diego, CA What’s New With Heliox? Nurse Residency Christopher Robbins, RN, BSN, CGRN Inhaled Pulmonary Vasodilators: Adult National Gerontological Nursing Anthony Scheim, RN Krista Rubin, RN, MS, FNP Michael Wong, MD Applications Association Conference, Baltimore, MD ERCP Boot Camp for the GI Team Defying the Destiny of Oncogenes: B-Raf AARC Annual Convention, ASGE Institute for Training and Technology, Quantum Leap to Becoming AgeWISE: Inhibition is a Game Changer in Melanoma New Orleans, LA Chicago, IL Wave or Particle and How This Applies to Other Cancers Janet King, RN, BSN, CGRN York Palliative Care Conference, York, PA Ellen Robinson, RN, PhD Bench to Bedside Lecture, Annual Congress, Katherine Brown-Saltzman, RN, MS Understanding the Diagnostic Options Oncology Nursing Society, New Orleans, LA Becoming AgeWISE: The Need for a James Hynds, JD, LLM, PhD for Gastro-Esophageal Refl ux Disease Kevin Dirksen, MA Bett er Way Sandra Silvestri, RN, MS, CNOR (GERD) Based on Current Best Practice Great Expectations – Representing Ethics at The Language of Caring: A Soft Jill Taylor Pedro, RN, MSN, ACNS-BC, Annual Course Meeting, Society of the Bedside: A Critical Exploration of Client ONC Approach to Tough Conversations Gastroenterology Nurses and Associates, Expectations of Ethics Consultation: Their Kathleen Myers, RN, MSN, CNE, ONC AgeWISE Nurses: Innovations in Caring Phoenix, AZ Nature, Cause, Legitimacy and Practical Multidisciplinary Approach to the NICHE—AgeWISE Collaborative Focus Reasonableness Prevention of OR Positioning Injuries in the Michael Kirk, PhD on Transitions Annual Conference, American Society of Bioethics Orthopaedic Patient Catherine Mannix, RN, MSN, OCN, NICHE/AgeWISE Conference, Omaha, NE NE-BC and Humanities, Washington, DC Annual Congress, National Association of Jeanne Sixta, RN, BSN, OCN Mary McKenna Guanci, RN, MSN, Orthopaedic Nurses, New Orleans, LA Protons, Neutrons, and Advanced CNRN Treatment Technologies Educational Needs of the Families with 54th Annual Meeting, American Society of Traumatic Brain Injury Radiation Oncology, Boston, MA 44th Annual Meeting, American Association of Neuroscience Nursing, Seatt le, WA 42 Patient Care Services staff listed in bold. Elizabeth Speakman, LICSW Susan Briggs, MD, MPH, FACS Denise Dreher, RN Anatomy of the Ventilator I Didn’t Fight for my Life to be Treated Lin-Ti Chang, MSN, RN-BC, ANP-BC, Kristen Bodnaruk, RN Respiratory Mechanics During Like This!” Impacts of Cancer on Abusive CCRN Marcy McCornick-Gendzel, CRNI Mechanical Ventilation Carole Lyons, RN Relationships Teleconference: Vesicant Infusions Lung-protective Ventilation The 4th Annual Advanced Disaster Medical Futures Without Violence National King Edward VII Hospital, Bermuda Mechanical Ventilation of the Patient Response Course Conference on Health and Domestic Violence, with Obstructive Lung Disease Alice Ho Miu Ling Nethersole Hospital, San Francisco, CA Kathryn Hall, MS, ANP-BC Noninvasive ventilation Hong Kong Sheila Driscoll, RN, MSN Liberation from Mechanical Ventilation Sino-Luso International Medical Linda Godfrey-Bailey, RN, BC, MSN Kathleen Stakes, RN, MSN, CPON Hospital De Especialidades Eugenio Espejo, Forum, Macau Cindy Williams, MS, PNP Neuroblastoma Presentation Quito, Ecuador Annual Meeting, Association of Pediatric Working Collaboratively: When Five Sites Hematology Oncology Nurses, Lin-Ti Chang, MSN, RN-BC, ANP-BC, Come Together CCRN Mechanical Ventilation – First Pitt sburgh, PA Annual Meeting, Inernational Association of Detecting and Managing Intra-abdominal Clinical Research Nurses, Houston, TX Do No Harm Deborah Washington, RN, PhD Hypertension: A Lethal Complication of Noninvasive Ventilation Expanding the Patient Safety Paradigm: Critical Illness Dean Hess, PhD, RRT, FAARC, FCCP, Patient-ventilator Synchrony Engaging Minority Communities in Safer Zhejang & Jiangsu Emergency Medicine FCCM Liberation from Mechanical Ventilation Healthcare Congress, West Lake International Forum COPD Assessment VII International Course in Critical Care, Annual Conference, Agency for Healthcare on Disaster Medical Response and Trauma, Long Term Oxygen Therapy Quito, Ecuador Research and Quality, Bethesda, MD Hangzhou, China Mechanical Ventilation of the Patient with Obstructive Lung Disease COPD Assessment Barbara Chase, MSN, ANP-BC, CDE Noninvasive Ventilation Mechanical Ventilation for the Patient INTERNATIONAL Facilitating Behavior Change in Chronic Asthma/COPD Educator Course & Aerosol with Obstructive Lung Disease Disease Management Delivery Workshop in Collaboration with Noninvasive Ventilation Jeff rey Adams, RN, PhD MGH Global Primary Care Scholars Gulf Thoracic Society and Saudi Thoracic Oxygen Therapy for the Patient Kelly Grady, RN, PhD Program, Mbarara University of Science and Society, Riyadh, Saudi Arabia with COPD Defi ning a Nursing Research Agenda in a Technology, Mbarara, Uganda Aerosol Delivery Devices Community Hospital Waveforms and Respiratory Mechanics Mechanical Ventilation – First Video-conference, Hamilton, Bermuda Constance Dahlin, ANP-BC, ACHPN, During Mechanical Ventilation Do No Harm FPCN, FAAN Patient-ventilator Synchrony Gulf Thoracic Society, Dubai, UAE Jeff rey Adams, RN, PhD Final Hours Use of Spontaneous Breathing Trials Understanding Infl uence in Nursing – Faculty International End of Life Nursing Patient-ventilator Interaction Facilitating Speech in the Patient with a The Adams Infl uence Model (AIM) Education Consortium, (ELNEC), XVI International Conference of Respiratory Tracheostomy Video-conference, Hamilton, Bermuda Salzburg, Austria Physiotherapy in the ICU, 13th International Conference on Home Rio de Janeiro, Brazil Mechanical Ventilation, Barcelona, Spain Application of the Adams Infl uence Resiliency and Sustainability Model (AIM) and the Model of the School of Nursing, University of Lausanne, Mechanical Ventilation – First Jeanett e Ives Erickson, RN, DNP, FAAN Interrelationship of Leadership Lausanne, Switzerland Do No Harm The Quality of Healthcare: A Nursing Environments and Outcomes for Nurse Canadian Society of Respiratory Therapists, Perspective Executives (MILE ONE) in NNN Early Interventional Palliative Care Vancouver, CA The Nurses’ Role in Making Care More Adoption Palliative Care Service Aff ordable Biennial Conference, North American Nurses Centre Hospitalier Universitaire Vaudois Innovations in Care Delivery Diagnosis Association-International University Hospital, Lausanne Switzerlane Huashan-MGH Summit Forum, Shanghai, China

43 PROFESSIONAL ACHIEVEMENTS • presentations

Robert Kacmarek, PhD, RRT, FAARC, The Mechanical Ventilator: Past, FCCP, FCCM Present, and Future Weaning from Mechanical Ventilation Clinical and Technical Application of Transporting the Ventilated Patient: NIV: The Litt le Things Make What Do We Need? the Diff erence The Ventilator of the Future, Patient-Ventilator Interactions PAV Non-Invasive Ventilation: A to Z and NAVA Management of Severe Hypoxemia and ARDS: Maxmum Recruitment vs. Let Monitoring Respiratory Mechanics in the Lung Rest Assisted Ventilation Monitoring Respiratory Mechanics.” 32nd International Symposium on Chilean Society of Critical Care Medicine Intensive Care and Symposium on Meeting, Santiago, Chile Intensive Care and Emergency Medicine, Brussels, Belgium The Mechanical Ventilator: Past, Present, and Future Robert Kacmarek, PhD, RRT, FAARC, Patient Ventilator Interaction: PAV FCCP, FCCM and NAVA Mechanical Ventilation – Basic International Symposium on Mechanical Information for all Patients Ventilation, Sao Paulo, Brazil Proportional Assist Ventilation Open Lung vs. Hyperdistension in Mary Larkin, RN, MS, CDE ARDS Voices Echoing Forward: The MGH Ventilation with PAV and NAVA Oral History Project 16th International Symposium on International Nursing Conference, Respiratory Physiotherapy and Respiratory International Association for the History of Critical Care, Rio de Janeiro, Brazil Nursing, Koldingfj ord, Denmark

Understanding How a Ventilator Functions The Concept of Proportional Assist Ventilation in Children How to Evaluate a New Ventilator New Options on New Ventilators: Gadgets on Useful Tools Extended Monitoring on the Ventilator Screen: Toys or Real Tools New Trigger Concepts and Systems 11th European Conference on Pediatric and Neonatal Ventilation, Montreux, Switzerland

44 Patient Care Services staff listed in bold. PROFESSIONAL ACHIEVEMENTS • poster presentations

STATE AND REGIONAL Gaurdia Banister, RN, PhD Cathy Culhane-Hermann, RN, BSN Jeanett e Ives Erickson, RN, DNP, FAAN Sharon Badgett -Lichten, LICSW Community-Based, Primary Prevention Promoting a Culture of Professional Jeff rey Adams, RN, PhD Edward Coakley, RN, MSN Programs Improve Psychological and Practice Through a Twinning Relationship Ronald Doncaster, MS Jeanett e Ives Erickson, RN, DNP, Cardiovascular Health Annual Meeting, American Organization of FAAN Richard Evans, MA Nikolay Nikolaev, PhD Brian French, RN, PhD(c) Coaching in Leadership and Healthcare, Nurse Executives, Boston, MA Theresa Gallivan, RN, MS Colleen Gonzalez, RN, MS Theory, Practice and Results Marianne Ditomassi, RN, DNP, MBA Cynthia LaSala, RN, MS 2012 Conference Rosalie Tyrrell, RN, MS Liza Nyeko, MS Dorothy Jones, RNC, EdD, FAAN Institute of Coaching, McLean Hospital, Understanding and Leading a Development and Psychometric Kate Roche, RN, MS Multigenerational Workforce Jennifer Sargent, RN, MSN Boston, MA Evaluation of the Leadership Infl uence Meridale Vaught Baggett , MD Leadership Development Program, Winchester over Professional Practice The “Always Responsive” Quality Daniel Friedman, MD Hospital, Winchester, MA Gauray Upadhyay, MD Environment Scale Demonstration Project Leadership Group Meeting, at Franciscan Robert Altman, MD Hospital for Children, Brighton, MA Quarterly Educational Conference, Quarterly Educational Conference, Mary Orencole, RN, MS, ANP-BC Organization of Nurse Leaders, Organization of Nurse Leaders, Newton, MA Conor Barrett , MD Newton, MA Theofanie Mela, MD Academy Health, Orlando, FL Raheem Rae Baraka, ACE-CPT, CFM E. Kevin Heist, MD NATIONAL Debbie Jacobson, Med Jagmeet Singh, MD Jeff rey Adams, RN, PhD Bernice Macintyre, CHE Left Ventricular Lead Electrical Delay and Mary Amatangelo, MS, ACNP-BC, CCRN R. Gino Chisari, RN, DNP Kathleen Miller, RN, PhD, AHN-BC Anatomic Reposition Predict Ventricular Clinical Issues Post Stroke: An Evolving Talia L’Europa, RN, MSN Mimi Nelson-Oliver, LICSW Arrhythmia in Cardiac Step Along the Continuum Organizational Considerations in the Kerri Pagliuca, RN, BSN Roger Pasinski, MD Resynchronization Therapy Why You Do the Things You Do Related to Implementation of a New Graduate ICU Joanne Rowley, MS, RNCS, HNB-BC 2012 Scientifi c Session, Heart Rhythm Society, Care of the Stroke Patient RN Residency Senior Wellness Program at MGH-Revere Boston, MA 44th Annual Educational Meeting, American New England Conference, American Health Center Association of Neuroscience Nurses, Association of Critical-Care Nurses, Mary Hudson, RN, MS Healthy Aging Symposium, Tuft s Health Seatt le, WA Boston, MA Jennifer Gray, RN, MSN Plan Foundation, Newton, MA Shelly Stuler, RN, MSN Stephanie Ball, RN, CCRN, CCNS, DNS Paul Arnstein, RN, PhD, FAAN Wading Through the Complexity: Current Neal Chatt erjee, MD Health Literacy in the Army Reserve A Boston Collaborative: Center of State Datafl ow Analysis of Maternal and Gauray Upadhyay, MD 2012 National State of the Science Congress on Excellence in Pain Education Robert Altman, MD Newborn Documentation Requirements Nursing Research: Counsel of Advance Nursing Research Poster Presentation Session, Mary Orencole, RN, MS, ANP-BC Annual Symposium, New England Nursing Science Organization, Washington, DC Harvard University, Boston, MA Theofanie Mela, MD Informatics Consortium, Waltham, MA Jagmeet Singh, MD Echocardiographic and Clinical Gaurdia Banister, RN, PhD Gaurdia Banister, RN, PhD Todd Hultman, RN Sharon Badgett -Lichten, LICSW Laura Mylott , RN Outcomes in Patients Undergoing Amanda Bulett e Coakley, RN, PhD Edward Coakley, RN, MSN JoAnn Mulready Schick, RN Cardiac Resynchronization Therapy: Christine Donahue Annese, RN Ronald Doncaster, MS Evaluating Dedicated Education Units Diff erential Implications of Chronic Sharon Bouvier, RN, MS Richard Evans, MA for Educational Quality: An Academic Versus Paroxysmal Atrial Fibrillation Factors Contributing to Sleep Disturbances Brian French, RN, PhD(c) Debra Frost, RN, MS Service Innovation & Partnership 2012 Scientifi c Sessions, Heart Rhythm with Patients in an Acute Hospital Sett ing Eastern Nursing Research Society, Cynthia LaSala, RN, MS Quarterly Educational Conference, Society, Boston, MA Liza Nyeko, MS Organization of Nurse Leaders, New Haven, CT Kate Roche, RN, MS Newton, MA Jennifer Sargent, RN, MSN Karen Pischke, RN, BSN Meridale Vaught Baggett , MD The Emerging Role of Reiki Therapy in the The “Always Responsive” Quality Acute Care Sett ing: Bringing Holism to the Demonstration Project Bedside 24th Annual National Forum on 4th Annual Spirituality and Nursing Quality Improvement in Health Care, Conference, Boston, MA Orlando, FL 45 PROFESSIONAL ACHIEVEMENTS • poster presentations

Madeleine Bohlen Diane Connor, RN, MS, CDE Marion Freehan, RN, MPA/HA, CNOR Tara Jennings, MSN, ANP-BC Hannah Lyons, RN, MSN, AOCN Linda Connor Lacke, MPH Tiff any Torres, ST, GIT Jean Fahey, MSN, RN, ACNS-BC, CWS, Barbara Cashavelly, RN Deborah D’Avolio, PhD, ACNP Stephanie Morgado, ST, GIT CNRN, CCRN Inga Lennes, MD Implementation of Falls Prevention in Jason Klemm, ST, GIT Assessment of Seizure Identifi cation by Implementing Double-Checks for Senior Housing to Increase Participation in Mary Redford, CST Registered Nurses Across Neuroscience Patient-Controlled Analgesia (PCS) Alice Sicky, ST Fall Prevention Programs Jacqueline Decembre, ST Units in 3 Large, University-Affi liated Pump Programming Annual Meeting, American Society of Aging, Orientation Model for Surgical Medical Centers Quality Care Symposium, American Society Washington, DC Technologists in GI Endoscopy 65th Annual Meeting, American Epilepsy of Clinical Oncology, San Diego, CA Society, Baltimore, MD Leanne Espindle, RN, MSN Annual Course Meeting, Society of Virginia Capasso, ANP-BC, PhD, CWS Claire O’Brien, RN, MBA, CNOR, NE-BC Gastroenterology Nurses and Associates, Adele Keeley, RN, BSN, MA Amanda Bulett e Coakley, RN, PhD Robin Gallant, RN Phoenix, AZ Julie Cronin, RN, MSN, OCN Susan Gavaghan, RN, ACNS-BC, CWS The Role of the RN in Peripheral Nerve Michelle Connolly, RN, BSN, OCN Jacqueline Collins, RN, ACNS-BC, Block: Developing a Standard Practice Susan Gage, RN Beth Morrissey, RN, BSN CWS Across Three Academic Ambulatory Secrecy and Shame: Substance Abuse in Kristen Nichols, RN, BSN Jill Pedro, RN, ACNS-BC, ONC Katie Fauvel, RN, BSN Surgery Centers Older Adults Debra Frost, RN, MS, CRRN SharePoint: A Unit-Based Initiative to Nancy McCarthy, RN, MSN OR Manager Conference, Las Vegas, NV Annual Conference, National Gerontological Claire Seguin, RN, BSN, MSN(c), CHC Nurses Association, Baltimore, MD Increase Knowledge and Communication Sandra Silvestri, RN, MS, CNOR Daniel Fisher, MS, RRT Among Nursing Staff Theresa Gallivan, RN, MS Christopher Chenelle, BA Esther Israel, MD Care, Innovation and Transformation Gaurdia Banister, RN, PhD Andrew Marchese, MS Kristen Solemina, MPH Conference Charlene O’Connor, RN, MS, CNOR Joseph Kratohvil, LPN, RRT Denise Lozowski, RN, MSN American Organization of Nurse Pressure Ulcer Prevention Program Robert Kacmarek, PhD, RRT, FCCM, Safety Reports—A Vehicle for Change and Executives, Phoenix, AZ Symposium on Advanced Wound FCCP, FAARC Improvement at MGHfC Care – Fall Evaluation of the Various Tube Securing National Congress, National Patient Safety Mary Larkin, RN, MS, CDE North American Center for Continuing Methods to Stabilize an Oral Endotracheal Foundation, Washington, DC Cheiroarthropathy in the Medical Education, Baltimore, MD Speed of Moving Oral Endotracheal Tubes DCCT/EDIC Cohort Joanne Jang, MD, PhD Clinical Symposium on Advanced Wound Using Various Securing Devices 72nd Scientifi c Sessions, American Diabetes 58th International Respiratory Congress, New Ron Parambi, MBBS, MPH Association, Philadelphia, PA & Skin Care, Las Vegas, NV Tessa Goldsmith, MA, CCC-SLP Orleans, LA Allison Holman, MS, CCC-SLP Elyse Levin-Russman, MSW, LICSW Jocelyn Carter, MD Lori Worth, MD Jane Murray, MBA Daniel Fisher, MS, RRT Heather Peach, MS, CCLS John Clark, MD Lorris Kubricek, MT-BC Laura Carr, PharmD Edward Bitt ner, MD, PhD Paul Busse, MD, PhD Jessica Smith, RN, MS Dean Hess, PhD, RRT Annie Chan, MD Fall for the Arts: Community Building Faraz Alam, MD Gwen Crevensten, MD Factors Associated with Limited Through the Healing Arts STAAR: Improving the Reliability Dhimiter Kondili, BA National Conference, Association of Pediatric Ulrich Schmidt, MD, PhD Gastrostomy Tube Usage in Patients with of Care Coordination and Reducing Oncology Social Workers, Portland, Oregon Early Tracheostomy Change is Associated Oropharyngeal Cancer Treated with Hospital Readmissions in an Academic with Earlier Use of Speaking Valve and Chemoradiation Medical Center Denise Lozowski, RN, MSN Earlier Oral Intake National Congress, National Patient Safety Esther Israel, MD UHC Annual Conference, Institute for 41st Critical Care Congress, Society of Critical Foundation, in Washington, DC Tanya John, RPh Healthcare Improvement, Orlando, FL Care Medicine. Houston, TX Can Low Volume High Risk Pediatric Medication Safety be Resolved Within a Large Academic Medical Center? National Congress, National Patient Safety Foundation, Washington, DC

46 Patient Care Services staff listed in bold. Lynn Oertel, MS, ANP, CACP Jennifer Searl, MLS Susan Wood, RN, MSN, ANP-BC, WCC Tessa Goldsmith, MA, CCC-SLP Clemens Hong, MD/MPH Katherine Fillo, RN-BC, MPH Susan Morash, RN, BSN, MA Allison Holman, MS, CCC-SLP Fatima Rodriguez, MD Brian French, RN-BC, PhDc Ellen Robinson, RN, PhD Ron Parambi, MBBS, MPH Yuchiao Change, PhD A Systemic Multi-Faceted Approach to Priscilla McCormack, RN, MSN Elizabeth Weyman, BA Daniel Singer, MD Staff Knowledge of Health Literacy Jill O’Brien, RN, MSN Paul Busse, MD, PhD Lenny Lopez, MD/MPH Kitman Tsang, RN, MSN Elene Viscosi, MSN, APRN, BC 11th Annual Health Literacy Conference, Limited English Profi cient Patients and Enhancing the Nurse’s Role in Code Status John Clark, MD Institute for Healthcare Advancement, Time Spent in Therapeutic Range in an Discussions: An Educational Practice Lori Wirth, MD Irvine, CA Stephen Rothenberg, MD, PhD Anticoagulational Clinic Intervention to Improve the Quality of Care Daniel Deschler, MD Thrombosis and Hemostasis Summit of Gaurav Singal, MD and Decrease Moral Distress James Rocco, MD North America, Chicago, IL Gaurav Upadhyay, MD Natiional Nursing Ethics Conference, Ethics of Derrick Lin, MD Daniel Friedman, MD Caring, Los Angeles, CA Kevin Emerick, MD Jun Oto, PhD, MD Neal Chatt erjee, MD Annie Chan, MD Andrew Marchese, MS Jagdesh Kandela, MD Mi Young Park, MD Swallowing Function Aft er Proton Beam Robert Kacmarek, PhD, RRT, FCCM, Mary Orencole, RN, BSN, MS, Gaurav Upadhyay, MD Therapy for Nasopharyngeal Cancer: A FCCP, FAARC ANP-BC Jagdesh Kandala, MD Prospective Longitudinal Study A Comparison of Leak Compensation in Conor Barrett , MD Daniel Friedman, MD 8th International Conference on Head and Neck Acute Care Ventilators During Non- G. William Dec, MD Neal Chatt erjee, MD Michael Picard, MD Cancer, American Head and Neck Society, invasive Ventilation; a Lung Mary Orencole, RN, BSN, MS, ANP-BC Jagmeet P. Singh, MD Jagmeet Singh, MD Toronto, Canada Model Study Renal Response in Patients with Chronic Michael Picard, MD 58th International Respiratory Congress, Kidney Disease (CKD) Predicts Outcome Characteristics of Patients with Long Jing-Jing Wang, MPH New Orleans, LA Following Cardiac Resynchronization Atrio-Ventricular Delay aft er Cardiac Ron Parambi, MD Tessa Goldsmith, MA, CCC-SLP Deborah Palmer, RN, MSN, CGRN Therapy (CRT) Resynchronization Therapy Allison Holman, MS, CCC-SLP Stephanie Morgado, ST, GIT 2012 Scientifi c Session, American Heart 2012 Scientifi c Sessions, American Heart Lori Wirth, MD Leading the Way in Diagnosis and Association, Los Angeles, CA Association, Los Angeles, CA John Clark, MD Paul Busse, MD, PhD Treatment of Barrett ’s Esophagus Elizabeth Speakman, LICSW Annie Chan, MD Annual Course Meeting, Society of Engaging Physicians in Domestic INTERNATIONAL Factors Associated with Limited Gastroenterology Nurses and Associates, Violence Advocacy Gastrostomy Tube Usage in Patients with Phoenix, AZ Futures Without Violence National Diane Carroll, RN, PhD, FAAN Oropharyngeal Cancer Treated with Conference on Health and Domestic Violence, Erica Edwards, RN Chemoradiation Constance Roche, RN, MSN, ANP-BC, Lisa Davies Despotopulos, RN APNG, ONC San Francisco, CA 8th International Conference on Head and Neck Nurses’ Perceptions of Family Presence A Program to Increase Use of Cancer, American Head and Neck Society, in the Intensive Care Unit During Chemoprevention for Women with Lara Traeger, PhD Toronto, Canada Justin Eusebio, MA Resuscitation and Invasive Procedures High Risk Breast Lesions Elyse Park, PhD, MPH 12th Annual Spring Meeting, Council of Annual Interdisciplinary Breast Center Jennifer Repper-DeLisi, RN, MSN Cardiovascular Nurses and Allied Professionals, Conference, Las Vegas, NV Michelle Jacobo, PhD European Society of Cardiology 2012 Breast Cancer Symposium, Mary Susan Convery, MSW, LICSW William Pirl, MD, MPH Copenhagen, Denmark San Francisco, CA Psychological Skills Training for Managing Diffi cult Patient Encounters: Results of a Pilot Randomized Controlled Trial for Oncology Nurses, (Best Overall Poster Award) American Psychological Oncology Society, San Diego, CA 47 PROFESSIONAL ACHIEVEMENTS • appointments

STATE AND REGIONAL Member, Eastern New England Member, Harvard Humanitarian Initiative Member, Clinical Practice Guideline Jeff rey Adams, RN, PhD Research Nurses Executive Committ ee, Harvard University Committ ee, American Pain Society Faculty Member, Mongan Institute for Health Policy Jeanett e Ives Erickson, RN, DNP, FAAN Member, Greater Boston Aligning Forces Barbara Blakeney, RN, MS, FNAP Board Chair, Lunder-Dineen Health for Quality Initiative Planning Grant Secretary, Board of Directors, Health Care Barbara Blakeney, RN, MS, FNAP Education Alliance of Maine Community Council Without Harm Vice-Chair, Board of Directors, Boston Health Care for the Homeless Program Instructor, Obstetrics, Gynecology and Member, Greater Boston Aligning Forces for Howard Blanchard, RN, MEd, MS, Member, Advisory Board, University of ACNS-BC, CEN Reproductive Biology, Harvard Quality Initiative Planning Grant Massachusett s at Amherst College of Nursing Co-Chair, Boston Cardiovascular Nursing Medical School Planning Group Member, Advisory Board, University of Committ ee, American Heart Association Massachusett s at Boston, College of Nursing Clinical Assistant Professor, Adjunct Faculty, Co-Chair, Host Committ ee, Celebration of MGH Institute for Health Professions Gerald Browne, RN, BSN Virginia Capasso, ANP-BC, PhD, CWS Women in Healthcare, Kenneth B. President, New England Chapter, American Schwartz Center Instructor in Surgery, Harvard Clinical Professor of Nursing, Massachusett s Assembly for Men in Nursing Medical School College of Pharmacy and Health Sciences Member, Harvard Humanitarian Initiative Virginia Capasso, ANP-BC, PhD, CWS Assistant Professor, MGH Institute of School of Nursing Health Professions Executive Committ ee, Harvard University Reviewer, Clinical Nurse Specialist Journal Visiting Scholar, William F. Connell School Visiting Scholar, William F. Connell School of of Nursing, Boston College Member, Board of Directors, The Institute Anne Cassels-Turner, RN, MS Nursing, Boston College for Nursing Healthcare Leadership Member, National Emergency Nurses Gino Chisari, RN, DNP Association, ED Informatics Committ ee Co-Chair, Nurse of the Future Committ ee, Chairperson, MGH Center for Global Health Member, Board of Directors, The Benson- Organization of Nurse Leaders of Advisory Committ ee, Massachusett s Henry Institute for Mind Body Medicine Constance Dahlin, ANP-BC, ACHPN, Massachusett s and Rhode Island, and the General Hospital FPCN, FAAN Committ ee Member, American Massachusett s Department of Chairperson, Chief Nurse Council, Partners Hospital Association Higher Education Member, Board of Trustees, MGH Institute of Healthcare System Health Professions Suzanne Danforth, MS-CCC, SLP NATIONAL Member, Task Force, The National Consensus Fellow, 2012-2013, Biomedical Ethics, Member, Nursing Archives Associates, Project for Quality Palliative Care Jeff rey Adams, RN, PhD Division of Medical Ethics, Harvard Boston University Medical School Ad hoc Editorial Manuscript Reviewer, Rabbi Ben Lanckton, BCC Military Medicine Member, National Consensus Project on Chairperson, Committ ee on Continuing Daniel Fisher, MS, RRT Compassionate Care Steering Committ ee, Education, National Association of Jewish Past President, Massachusett s Society for Member, Editorial Board of Advisors, Massachusett s General Hospital Chaplains Respiratory Care Journal of Nursing Administration Schwartz Center Sara Dolan Looby, ANP-BC, PhD, FAAN Martha Garlick, PT, DPT, MS, CCS Member, Expert Advisory Committ ee, Fellow, American Academy of Nursing Co-Chairperson, Host Committ ee, Celebration Federal Aff airs Liaison, American Physical Aetna Foundation Therapy Association of Massachusett s of Women in Health Care, Kenneth B. Kathryn Hall, MS, ANP-BC Schwartz Center Paul Arnstein, RN, PhD, ACNS-BC, Member, American Organization of Kathryn Hall, MS, ANP-BC FNP-C, FAAN Nurse Executives Clinical Instructor, Boston College School Member, Massachusett s Association of Co-Chair, Master Faculty Committ ee, of Nursing Registered Nurses, American American Society for Pain Member, American Academy of Nurse Nurses Association Practitioners Clinical Instructor, MGH Institute for Management Nursing Health Professions 48 Catherine Harris, RN, MSN, CEN, Barbara Levin, RN, CMSRN Gail Pisarcik Lenehan, RN, MSN, EdD, Barbara Blakeney, RN, MS, FNAP CPEN, CNE National Director, Orthopaedic Nursing, FAEN, FAAN Committ ee Member, Nominating Committ ee, Member, National Emergency Nurses National Association of Orthopaedic Nurses President, National Emergency International Council of Nurses Association, ED Practice Committ ee Nurses Association Jennifer McAtee, MS, OTR/L Ellen Brown, RN, MS Dean Hess, PhD, RRT, FAARC, FCCP, Committ ee Member, National Board for Mary Pomerleau, DNP, RNC-OB Faculty Member, Travel Medicine, Royal FCCM Certifi cation in Occupational Therapy President-Elect, Association of Women’s College of Physicians and Surgeons Editor in Chief, Respiratory Care Health, Obstetrics and Neonatal Nurses Virginia Capasso, ANP-BC, PhD, CWS Member, Item Reclassifi cation Committ ee, Sally Hooper, MSW, LICSW Member, Small Work Groups, Risk National Board for Certifi cation of Krista Rubin, RN, MS, FNP Member, Board of Directors, Cancer Patient Assessment, Biofi lms/Infection, 2014 Orthopaedic Technologists Chair, Skin Cancer Committ ee, Dermatology Education Network Nurses Association Pressure Ulcer Guideline Development Kathleen Miller, RN, PhD, AHN-BC Group, National Pressure Ulcer Advisory Maryfran Hughes, RN, MSN Member, Education Approver Committ ee, Carmen Vega-Barachowitz, MS, Panel, and European Ulcer Advisory Panel Member, National Emergency Nurses CCC-SLP American Holistic Nurses Association Assoication, ED Informatics Committ ee Member, Health Care Economics Committ ee, Kathryn Hall, MS, ANP-BC Member, Alpha Chi Chapter, Sigma Lynn Oertel, RN, ANP American Speech Hearing Jeanett e Ives Erickson, RN, DNP, FAAN Theta Tau Member, Anticoagulation Forum Board Language Association Member, Operational Review Team, National of Directors Institutes of Health Deborah Washington, RN, PhD Member, International Association of Chair, National Certifi cation Board for Chair, National Black Nurses Association Clinical Research Nurses Anticoagulation Providers Member, National Advisory Council on Diversity Committ ee Member, Medical Advisory Scientifi c Advisory Jeanett e Ives Erickson, RN, DNP, FAAN Nurse Education and Practice, Health and Board for the National Blood Clot Alliance Visiting Professor, Huashan Hospital/Fudan Human Services Administration Board Member, American Organization of University Alexandra Penzias, RN, MEd, MSN, CEN Nurse Executives Foundation Member, Editorial Advisory Board, Nursing Member, Editorial Board, Journal of Member, Kappa Zeta-at-Large Chapter, 2005 – 2012, Lippincott , Williams & Wilkins Dawn Williamson, RN, MSN, Radiology Nursing PMHCNS-BC, APRN Sigma Theta Tau International Member, Nurse Leadership Association, Member, Psychiatric Care Committ ee, Gayle Peterson, RN Board Member, Durant Fellowship for Robert Wood Johnson Executive Nurse Member, ED Behavioral Health Committ ee, Member, Board of Directors, American Refugee Medicine, Massachusett s Fellows Program National Emergency Nurses Association Nurses Association General Hospital Member, Editorial Review Board, Online Member, Code of Ethics Task Force, American Member, Editorial Review Board, Journal of Issues in Nursing INTERNATIONAL Nurses Association Worldviews on Evidence-Based Nursing Jeff rey Adams, RN, PhD Cynthia LaSala, RN, MS Member, Board of Trustees, Political Action Mary Larkin, RN, MS Member, Code of Ethics Task Force, Executive Board Member, North American Committ ee, American Nurses Association Nursing Diagnosis Association-International At Large Member, Board of Directors, American Nurses Association International Association of Clinical Member, Honorary Award Committ ee, Associate Editor, International Journal of Research Nurses Member, Center for Ethics and Human American Nurses Association Nursing Knowledge Rights, Ethics Advisory Board, American Nurses Association

49 2012 ADVANCEMENTS

Advanced Clinician Clinical Scholar CLINICAL RECOGNITION PROGRAM Laura Bonnet, RN Nancy Aguilar, RN Jennifer Casella, RN Heidi Nichols-Baldacci, RN The Mass General Clinical Recognition Program Erin Daly, SLP Gertrude Colburn, RN serves as a formal way to recognize excellence Melissa Donovan, RN Mary Susan Convery, LICSW Megan Hughes, RN Katherine Fillo, RN in practice, encourage professional development, Rachael Hyler, RN June Guarente, RN and build a diverse community of refl ective Christina Jewell, RN Tara Hutchings, RN Suy-Sinh Law, PT Hilary Levinson, RN practitioners within Patient Care Services. Amy Lizotte, RN Barb Luby, LICSW Applicants work with their directors and clinical Meghan Lortie, RN Sandra Masiello, RN specialists to analyze their practice relative to Nicole Moran, RN Michelle Pollard, SLP Melissa Mullen, RN clinician-patient relationship, clinical knowledge Amy Murphy, RN and decision-making, teamwork and collaboration Karen Rosenblum, RN Rebecca Santos, SLP and movement (for Occupational Therapy Sharon Serinsky, OTR/L and Physical Therapy professionals). Criteria Richard Soria, RN Erica Vaughn, RN within these themes defi ne four levels of clinical practice: Entry, Clinician, Advanced Clinician and Clinical Scholar.

50 PROFESSIONAL ACHIEVEMENTS • publications

BOOKS AND CHAPTERS IN BOOKS Rachel Bolton, RN, CPON Constance Dahlin, ANP-BC, ACHPN, Jean Fahey, RN, MSN, ACNS-BC, CWS, Chapter: Special Populations FAAN CCRN, CNRN Adebayo Esan, MD Manual for Radiation Oncology Nursing Chapter: Providing Quality Care Chapter: Normal Pressure Hydrocephalus Dean Hess, PhD, RRT, FAARC, FCCP, Practice and Education Chapter: Reimbursement and Billing and Dizziness FCCM 4th Edition Core Curriculum for the Advanced Practice Nursing Care of the Hospitalized Curtis Sessler, MD Oncology Nursing Society Registered Nurse Older Patient Liziamma George, MD 2nd Edition Wiley-Blackwell Charles Oribabor, MD Virginia Capasso, PhD, ANP-BC, CWS Hospice and Palliative Nurses Felix Khusid, RRT, FAARC Erin Cox, RN, MS, ACNP-BC Association Daniel Fisher, MS, RRT Suhail Raoof, MD Sharon Bouvier, RN, MS Chapter: Physical Principles of Chapter: Ventilator Strategies in Severe Carotid Stenosis in Primary Care: A Constance Dahlin, ANP-BC, Respiratory Care Hypoxemic Respiratory Failure Collaborative Practice ACHPN, FAAN Chapter: Solutions, Body Fluids, New Developments in Mechanical Ventilation 4th Edition Maureen Lynch, MS, ANP-BC, ACHPN, and Electrolytes Number 55 Mosby Elsevier AOCN, FPCN Chapter: Lung Expansion Therapy European Respiratory Monograph Co-Editors: Core Curriculum for the Eagan’s Fundamentals of Respiratory Care Barbara Chase, MSN, ANP-C, CDE Advanced Practice Registered Nurse 10th Edition Neila Altobelli, BA, RRT Chapter: Population Management in 2nd Edition Mosby Elsevier Chapter: Airway Management Primary Care Hospice and Palliative Nurses Eagan’s Fundamentals of Respiratory Care Primary Care: A Collaborative Practice Association Catherine Harris, RN, MSN, CEN, 10th Edition 4th Edition CPEN, CNE Mosby Elsevier Mosby Elsevier Constance Dahlin, ANP-BC, Chapter: Abdominal Trauma ACHPN, FAAN Sheehy’s Manual of Emergency Care Paul Arnstein, RN, PhD, ACNS-BC, Daniel Chipman, BS, RRT Maureen Lynch, MS, ANP-BC, ACHPN, 7th Edition FNP-C, FAAN Patricia English, MS, RRT AOCN, FPCN Mosby Elsevier Barbara St. Marie, PhDc, ANP, GNP, CS Chapter: Neonatal and Pediatric Chapter: Evolution of the Advanced Dory Green, MA Respiratory Care Practice Nurse in Palliative Care Pamela Grace, RN, PhD, FAAN Patient Education Booklet: A Patient Eagan’s Fundamentals of Respiratory Care Core Curriculum for the Advanced Practice Ellen Robinson, RN, PhD Resource Guide: Reducing Your Pain 10th Edition Registered Nurse Chapter: Nursing’s Moral Imperative Krames StayWell Mosby Elsevier 2nd Edition Fostering Nurse-Led Care: Professional Hospice and Palliative Nurses Practice for the Bedside Leader from Constance Cruze, RN, MSN, Paul Arnstein, RN, PhD, FAAN Association Massachusett s General Hospital Hannah Lyons, RN, MSN, AOCN PMHCNS-BC Sara Fisher, RN, MSN, PMHCNS-BC Sigma Theta Tau International Yasmin Khalili, RN Mary Lussier-Cushing, MS, RN/PC, Sheila Davis, DNP, ANP-BC Chapter: Pain PMHCNS-BC Pamela Binnie, MS, ANP Dean Hess, PhD, RRT, FAARC, Advanced Practice Nursing of Adults in Jennifer Repper-Delisi, RN, MSN, Chapter: HIV/AIDS FCCP, FCCM Robert Kacmarek, PhD, RRT, FCCM, Acute Care PMHCNS-BC Core Curriculum for the Advanced Practice FCCP, FAARC F. A. Davis Company Chapter: Dementia Registered Nurse Chapter: Monitoring Respiratory Function Chapter: Anxiety Disorders 2nd Edition Anesthesiology Kate Barba, RN, MS, GNP-BC Nursing Care of the Hospitalized Older Hospice and Palliative Nurses 2nd Edition Terry Mahan Butt aro, PhD, ANP-BC, Patient Association GNP-BC, FAANP Wiley-Blackwell McGraw Hill Nursing Care of the Hospitalized Older Patient Wiley-Blackwell

Patient Care Services staff listed in bold. 51 PROFESSIONAL ACHIEVEMENTS • publications

Jeanett e Ives Erickson, RN, DNP, FAAN Robert Kacmarek, PhD, RRT, FCCM, Jennifer Repper-Delisi, RN, MSN, ARTICLES Dorothy Jones, EdD, RNC, FAAN FCCP, FAARC PMHCNS-BC Marianne Ditomassi, RN, DNP, MBA Dean Hess, PhD, RRT, FAARC, FCCP, Constance Cruz, RN, MSN, PMHCNS-BC Jeff rey Adams, RN, PhD Fostering Nurse-Led Care: Professional FCCM Sara Fisher, RN, MSN, PMHCNS-BC Infl uencing the Language of Care: An Mary Lussier-Cushing, MS, RN/PC, Practice for the Bedside Leader from Chapter: Mechanical Ventilation for the Interview with T. Heather Herdman and PMHCNS-BC Massachusett s General Hospital Surgical Patient. Susan Moorhead Chapter: Depression Sigma Theta Tau International Anesthesiology Infl uencing Nursing Education, Policy, Nursing Care of the Hospitalized Older Patient 2nd Edition Practice, and Research: An Interview with Wiley-Blackwell Jeanett e Ives Erickson, RN, DNP, FAAN McGraw Hill Kathleen Potempa Marianne Ditomassi, RN, DNP, MBA Laura Rossi, RN Infl uential Nurse Executive Leadership: Jeff rey Adams, RN, PhD Mary Lussier-Cushing, MS, RN/PC, An Interview with Maria Weston PMHCNS-BC Millie Leblanc, RN Chapter: Developing the Leadership Skill Karen Miguel, RN, MM-H Journal of Nursing Administration Set for the Executive Nurse Leader Jennifer Repper-Delisi, RN, MSN, PMHCNS-BC Kathy Tobin, RN The DNP – Redesigning Advance Practice Sara Fisher, RN, MSN, PMHCNS-BC Chapter: The Joint Commission, National Jeff rey Adams, RN, PhD roles for the 21st Century: Education, Constance Cruz, RN, MSN, Patient Safety Goals, and Radiology: Tanya Osborne McKenzie, RN, MSN Practice and Policy PMHCNS-BC Making the Grade Advancing the Evidence-Base for a Springer Publishing Company Chapter: Delirium Quality and Safety in Radiology Standardized Provider Handover Structure: Nursing Care of the Hospitalized Oxford University Press Staff Nurse Descriptions of Information Lorraine Jacobsohn, RN, MSN, Older Patient They Need to Deliver Competent Care PMHCNS-BC Wiley-Blackwell Purris Williams, BS, RRT Journal of Continuing Education in Nursing Margaret Stockley Chapter: Noninvasive Ventilation ebook: Path to Inner Knowledge: Sensing Catherine Mannix, RN, MSN, OCN Eagan’s Fundamentals of Respiratory Care Jeff rey Adams, RN, PhD Your Way to Peace, Balance and Health Chapter: Modality-Specifi c 10th Edition Jeanett e Ives Erickson, RN, DNP, FAAN Bookbaby Marianne Ditomassi, RN, DNP, MBA Management: Proton Beam Radiation Mosby Elsevier Therapy Joyce Cliff ord, RN, PhD, FAAN Marian Jeff ries, MSN, ACNS BC, Manual for Radiation Oncology Nursing Dawn Williamson, RN, MSN, PMHCNS-BC Understanding the Nurse Executive FNP, CWS and Executive Administrative Assistant Chapter: Asthma, COPD, Pneumonia Practice and Education Chapter: Alcohol Abuse 4th Edition Sheehy’s Manual of Emergency Care Relationship and Infl uenza AONE Nurse Leader Nursing Care of the Hospitalized Oncology Nursing Society 7th Edition Older Patient, Mosby Elseview Patricia Mian, RN, MS, PMHCNS-BC Sanjiv Agarwala, MD Wiley-Blackwell Chapter: Restraints Susan Wood, RN, MSN, ANP-BC, WCC Steven O’Day, MD Antoni Ribas, MD Robert Kacmarek, PhD, RRT, FCCM, ENA: Handling Psychiatric Emergencies Chapter: Endocrine Disorders FCCP, FAARC Elsevier Online Nursing Care of the Hospitalized Older Patient Krista Rubin, RN, MS, FNP-BC James Stoller, MD, MBA, FCCP Wiley-Blackwell Practical Approaches to Metastatic Albert Heuer, PhD, MBA, RRT, RPFT Karen Miguel, RN, MM-H Melanoma in the Molecular Era Eagan’s Fundamentals of Respiratory Care Chapter: Teamwork and HemOnc Today 10th Edition Communication in Radiology Mosby-Elsevier Quality and Safety in Radiology Oxford University Press

52 Patient Care Services staff listed in bold. Robert Altman, MD Gaurdia Banister, RN, PhD Amanda Bulett e Coakley, RN, PhD Encarna Chacon, RN Kimberly Parks, MD Marion Winfrey, RN, EdD Anne-Marie Barron, RN Anna Estruga ,RN Christopher Schlett Enhancing Diversity in Nursing: Energy Therapies in Oncology Nursing Gaston Murias, MD, PhD Mary Orencole, RN, MS, ANP-BC A Partnership Approach Seminars in Oncology Nursing Bernet Sales, PhD Mi Young Park, MD Journal of Nursing Administration Jaume Montanya, MS Quynh Truong, MD Christie Caligtan, RN Umberto Lucanglo, MD Peerawut Deeprasertkul, MD Catherine Beauharnais, BS Diane Carroll, RN, PhD, FAAN, FAHA Oscar Garcia-Esquirlo, PhD Stephanie Moore, MD Mary Larkin, RN, MS Ann Hurley, RN Ana Villagra, MD, PhD Conor Barrett , MD Adrian Zai, MD, PhD, MPH Rona Gersh-Zaremski, RN Jesus Villar, MD, PhD Gregory Lewis, MD Emily Boykin, MSN, FNP, BC Patricia Dykes, RN Robert Kacmarek, PhD, RRT, FCCM, Saumya Das, MD Jennifer Lutt rell, MBS Bedside Information Technology to FCCP, FAARC Gauray Upadhyay, MD Deborah Wexler, MD, MSc Support Patient-Centered Care Maria Burgueno, RN E. Kevin Heist, MD Effi cacy and Cost-Eff ectiveness of an International Journal of Medical Information Lluis Blanch, MD, PhD Michael Picard, MD Automated Screening Algorithm in an Rosa Jam, RN Jagmeet Singh, MD Inpatient Clinical Trial Diane Carroll, RN, PhD, FAAN Nurses’ Detection of Ineff ective Multidisciplinary Care of Patients Clinical Trials Patricia Dykes, RN, DNSc Inspiratory Eff orts During Mechanical Receiving Cardiac Resynchronization Ann Hurley, RN, DNSc Ventilation Therapy is Associated with Improved Marianne Beninato, PT, DPT, PhD Impact of an Electronic Fall Prevention American Journal of Critical Care Clinical Outcomes Vyoma Parikh Toolkit on Documentation Quality of European Heart Journal Laura Plummer, PT, DPT, MS, NCS Fall Prevention in Hospitals Pedro de la Oliva, MD, PhD Analysis of Individual SIS-16 Items Nursing Research Cristina Schuff elmann, MD, PhD Paul Arnstein, RN, PhD, FAAN relative to Fall History in People Ana Gomez-Zamora, MD, PhD Evolution of Topical NSAIDs in the with Stroke John Carroll, PhD Jesus Villar, MD, PhD Guidelines for Treatment of Osteoarthritis Physiotherapy Practice & Research Michele Williams, PhD Robert Kacmarek, PhD, RRT, FCCM, in Elderly Patients Theresa Gallivan, RN FCCP, FAARC Drugs & Aging Lluis Blanch, MD, PhD The Ins and Outs of Change of Shift Asynchrony, Neural Drive, Bernat Sales, PhD Handoff s Between Nurses: Ventilatory Variability and Michael Balboni, MDiv, Thd, PhD Jaume Montanya, MS A Communication Challenge COMFORT: NAVA Versus Pressure Adam Sullivan, MS Umberto Lucangelo, MD, PhD BMJ Quality & Safety Support in Pediatric Patients: A Non- Adaugo Amobi Garcia-Esquirol, PhD randomized Cross-over Trial Andrea Phelps, MD Ana Villagra, MD, PhD Intensive Care Medicine Daniel Gorman, NP Encarna Chacon, RN Angelika Zollfrank, MDiv, BCC Ana Estruga, RN Kristina Dunlea, PT, DPT John Peteet, MD Massimo Borelli, MD How Does the Balance System Work? Holly Prigerson, PhD Ma Jose Burgueno, RN Sensory Systems Tyler VanderWeele, PhD Joan C Oliva,RN HESSCO Elder Services Annual Tracy Balboni, MD, MPH Rafael Fernandez, MD, PhD Newslett er Why is Spiritual Care Infrequent at the Jesus Villar, MD, PhD End of Life? Spiritual Care Perceptions Robert Kacmarek, PhD, RRT, FCCM, Among Patients, Nurses, and Physicians FCCP, FAARC and the Role of Training Guiston Murias, MD, PhD Journal of Clinical Oncology Validation of the Bett er Care System to Detect Ineff ective Eff orts During Expiration in Mechanically Ventilated Patients: a Pilot Study Intensive Care Medicine 53 PROFESSIONAL ACHIEVEMENTS • publications

Patrick Dunne, MEd, RRT, FAARC Lauren Healey, PT, MSPT Jeanett e Ives Erickson, RN, DNP, FAAN Nancy Kelly, DNP, GNP, BC Neil Macintyre, MD, FAARC Profi led: Section Member Profi le Marianne Ditomassi, RN, DNP, MBA Diane Mahoney, PhD, APRN, BC, FAAN Ulrich Schmidt, MD Cardiovascular and Pulmonary Section Jeff rey Adams, RN, PhD Alice Bonner, PhD, GNP, BC Carl Haas, MLS, RRT, FAARC Electronic Newslett er, American Physical Att ending Registered Nurse: An Innovative Role Terrence O’Malley, MD Kathy Jones-Boggs Rye, EdD, Therapy Association to Manage Between Use of a Transitional Minimum Data RRT, FAARC the Spaces Set (TMDS) to Improve Communication Garry Kauff man, MPA, RRT, FAARC Dean Hess, PhD, RRT, FAARC, Nursing Economic$ Between Nursing Home and Emergency Dean Hess, PhD, RRT, FAARC, FCCP, FCCP, FCCM Department Providers FCCM The Growing Role of Noninvasive Hong Jiang, RN, MSN Journal of the American Medical Directors Respiratory Care Year in Review 2011: Ventilation in Patients Requiring Jeanett e Ives Erickson, RN, DNP, FAAN Association (JAMDA) Long-term Oxygen Therapy, Pulmonary Prolonged Mechanical Ventilation Marianne Ditomassi, RN, DNP, MBA Rehabilitation, Airway Management, The Role of Noninvasive Ventilation in Jeff rey Adams, RN, PhD Promoting a Culture of Professional Practice Lori Laff el, MD, MPH Acute Lung Injury, Education, and the Ventilator Discontinuation Process Nancy Chang, RN Management Respiratory Care Through a Twinning Relationship Journal of Nursing Administration Margaret Grey, DrPH Respiratory Care Dan Hale, MD Dean Hess, PhD, RRT, FAARC, FCCP, FCCM Robert Kacmarek, PhD, RRT, FCCM, FCCP, Laurie Higgins, RD Daniel Friedman, MD FAARC Kathryn Hirst, PhD Gauray Upadhyay, MD Richard Branson, MSc, RRT Know Your Ventilator to Beat the Leak Thomas Barnes, EdD, RRT, FAARC Roberto Izquierdo, MD Robert Altman, MD Charles Durban, MD Mary Larkin, RN, MS Mary Orencole, RN, MS, ANP-BC Chest Survey of Directors of Respiratory Therapy Christina Macha, RD, LD Conor Barrett , MD Departments Regarding the Future Education Trang Pham, MS, MPH; Theofanie Mela, MD Todd Hultman, RN, PhD Amanda Bulett e Coakley, RN, PhD and Credentialing of Respiratory Care Students Aimee Wauters, MS, RD, LD E. Kevin Heist, MD Christine Donahue Annese, RN, MSN and Staff Ruth Weinstock, MD, PhD Jagmeet Singh, MD Sharon Bouvier, RN, MSN Respiratory Care Metformin Monotherapy in Youth with The Anatomic and Electrical Location Exploring the Sleep Experience of Recent Onset Type 2 Diabetes: Experience of the Left Ventricular Lead Predicts Hospitalized Patients Robert Kacmarek, PhD, RRT, FCCM, from the Prerandomization Run-In Phase Ventricular Arrhythmia in Cardiac Creative Nursing FCCP, FAARC of the TODAY Study Resynchronization Therapy Jesus Villar, MD, PhD Pediatric Diabetes HeartRhythm Jeanett e Ives Erickson, RN, DNP, FAAN The Chest Wall: the All Too Commonly Refl ections on Leadership Talent: A Void Forgott en Cause of Pulmonary Dysfunction Mary Larkin, RN, MS, CDE Daniel Friedman, MD or an Opportunity? Critical Care Medicine Gayle Lorenzi, RN, CDE Robert Altman, MD Nursing Administration Quarterly Meg Bayless, RN, BSN Mary Orencole, RN, MS, ANP-BC Robert Kacmarek, PhD, RRT, FCCM, Patricia Cleary, MS FCCP, FAARC Michael Picard, MD Leading a Highly Visible Hospital Annett e Barnie, RN, CDE Jesus Villar, MD, PhD Jeremy Ruskin, MD Through a Serious Reportable Event Ellen Golden, RN, CDE Acute Application of Noninvasive Ventilation Jagmeet Singh, MD Journal of Nursing Administration – Susan Hitt , BA, RN Outside the ICU: When is it Safe? E. Kevin Heist, MD Spotlight on Leadership Saul Genuth, MD Respiratory Care Predictors of Sustained Ventricular The DCCT/EDIC Research Group Arrhythmias in Cardiac 200 Years of Nursing – A Chief Nurse’s Evolution of the Study Coordinator Role: Resynchronization Therapy Refl ections on Practice, Theory, Policy, the 28-Year Experience in DCCT/EDIC Circulation: Arrhythmia and Education, and Research Online: Clinical Trials Electrophysiology Journal of Nursing Administration

54 Patient Care Services staff listed in bold. Mary Larkin, RN, MS, CDE Susan Lee, RN PhD, NP-C Lea Ann Matura, RN Krista Rubin, RN, MS, FNP-BC Catherine Beauharnais, BS Edward Coakley, RN, MS, MEd, MA Annett e McDonough, RN Managing Immune-Related Adverse Kendra Magyar, MSN, CPNP, CDE Barbara Blakeney, RN, MS, FNAP Diane Carroll, RN, PhD, FAAN, FAHA Events with ipilimumab: A Nurses’ Guide Linda Brandt, RN, MS Laurel Macey, AB Predictors of Health-Related Quality of Life in Clinical Journal of Oncology Nursing Kerry Grennan, MSN, APRN, CDE Marion Rideout, RN, MS Constance Dahlin, ANP-BC, Patients with Idiopathic Pulmonary Arterial Emily Boykin, NP ACHPN, FAAN Hypertension Krista Rubin, RN, MS, FNP-BC Steven Russell, MD, PhD The National AgeWISE Pilot Journal of Hospice and Palliative Nursing Karen Vona, NP Obtaining Surrogate Consent for a Journal of Nursing Administration Kathleen Madden, NP Minimal-Risk Study in the Intensive Cluster Analysis of Symptoms in Pulmonary Suzanne McGett igan, NP Care Unit Sett ing Yolanda Lopez-Fernandez, MD Arterial Hypertension: A Pilot Study Ilana Braun, MD Journal of the Society of Clinical Trials Amelia Martinez-de Azagra, MD European Journal of Cardiovascular Nursing Side Eff ects in Melanoma Patients Oedro de la Oliva, MD, PhD Receiving Adjuvant Interferon Alpha-2b Mary Larkin, RN, MS Mary McKenna Guanci, MSN, RN, CNRN Vicent Modesto, MD, PhD Therapy: A Nurses’ Perspective Catherine Griffi th, RN, MSN, SCNP- Contributing Author: Clinical Q & A: BC Juan Sanchez, MD, PhD Supportive Care in Cancer Translating Therpeutic Temperature Linda Pitler, RN, MS, CCRC Julio Parrilla, MD Management from Theory to Practice Katherine Russo, OTR/L, CHT Lauren Donahue, RN, BSN Ma Josa Arroyo, MD Therapeutic Hypothermia and Dynamic Splinting With Early Motion Amy Sbrolla, RN, BSN, ACRN Susana Beatriz-Reyes, MD, PhD Temperature Management Following Zone IV/V and T1 to T111 Building Communities of Practice: The Marti Pons-Odena, MD, PhD Research Nurse Round Table Extensor Tendon Repairs Jesus Lopez-Herce, MD, PhD Lynn Oertel, MS, ANP, CACP Clinical and Translational Science Journal of Hand Surgery Rosa Linda Fernandez, MBA Prevention of Hospital-Acquired Venous Robert Kacmarek, PhD, RRT, FCCM, Thromboembolism (HAV-VTE) Jeanett e Lee, MD FCCP, FAARC Ulrich Schmidt, MD Centers for Disease Control and Prevention Karen Waak, PT, DPT, CCS Jesus Villar, MD, PhD Andrea Coppadoro, MD Pediatric Acute Lung Injury expert panel meeting Dean Hess, PhD, RRT, FAARC, Martina Grosse-Sundrup, MD FCCP, FCCM Epidemiology and Natural History CDC online Feifei Xue, MD To Breathe or Not to Breathe? (PED-ALIEN) Network. Pediatric Acute Jarone Lee, MD Mary Orencole, RN, BSN, MS, ANP-BC Critical Care Medicine Daniel Chipman, BS, RRT Lung Injury Epidemiology and Natural Robert Altman, MD Cheryl Ryan, RN, MSN History Study: Incidence and Outcome Stephanie Moore, MD Ravi Shah, MD Edward Bitt ner, MD, PhD of the Acute Respiratory Distress Integrated Care Strategies on the Clinical Robert Altman, MD Ulrich Schmidt, MD Syndrome in Children Outcome in CRT Patients Mi Young Park, MD Matt hias Eikermann, MD Critical Care Medicine EP Lab Digest Jodi Zilinski, MD Global Muscle Strength But Not Grip Catherine Marie Mannix, RN, MSN, Jordan Leyton-Mange Strength Predicts Mortality and Length Poonam Pardasaney, PT, DPT, MS Mary Orencole, RN, BSN, MS, ANP-BC of Stay in a General Population in a OCN® Mimi Bartholomay, RN, MSN, AOCN® Sensitivity to Change and Responsiveness Michael Picard, MD Surgical Intensive Care Unit Carol Doherty, RN, BSN, OCN® of Four Balance Measures for Community- Conor Barrett , MD Physical Therapy Maryellen Lewis, RN, BSN, OCN® Dwelling Older Adults E. Kevin Heist, MD Mary-Liz Connors Bilodeau, RN, MS, Physical Therapy Gauray Upadhyay, MD CCRN, ACNP-BC Jagmeet Singh, MD A Feasibility Study of Low-Cost, Self- Karen Pischke, RN, BSN Saumya Das, MD Administered Skin Care Interventions An Integrative Model for Orthopaedic Nursing Usefulness of Hemoglobin A (1c) in Patients With Head and Neck Cancer Incorporating Reiki Therapy to Predict Outcome Aft er Cardiac Receiving Chemoradiation National Association of Orthopaedic Nurses Resynchronization Therapy in patients Clinical Journal of Oncology Nursing (NAON) Newslett er With Diabetes Mellitus and Heart Failure American Journal of Cardiology 55 PROFESSIONAL ACHIEVEMENTS • publications

Jennifer Spina, RN, MSN, NCSN Teresa Vanderboom, NP Deborah Wexler, MD; M.Sc C. Lynne McIntyre, RN, PhD Patricia Arcari, RN, PhD Catherine Beauharnais, BS Joyce Pulcini, PhD, PNP-BC, Mary E. Duff y, RN, PhD, FAAN Susan Regan, PhD FAAN, FAANP Bhanusupriya Somarouthu David Nathan, MD An Intervention to Increase High James Rabinov, MD Enrico Cagliero, MD School Students’ Compliance with Albert Yoo, MD Mary Larkin, RN, MS Carrying Auto-Injectable Epinephrine: Joshua Hirsch, MD Impact of Inpatient Diabetes Management, A MASNRN Study Eff ects of a Music Intervention Education, and Improved Discharge Transition The Journal of School Nursing on Patients Undergoing Cerebral on Glycemic Control 12 Months Aft er Discharge Angiography: A Pilot Study Diabetes Research and Clinical Practice Laura Sumner, RN, MSN, MEd, MBA, Journal of Neurointerventional Surgery ANP-BC, ONC Maria Winne, RN, MS, NE-BC Sheila Burke, RN, MSN, CCRN Jesus Villar, MD, PhD Barbara Cashavelly, RN, MSN, AOCN Lin-Ti Chang, MSN, RN-BC, Robert Kacmarek, PhD, RRT, FCCM, Christine Annese, RN, MSN ANP-BC, CCRN FCCP, FAARC Beth Nagle, RN, MSN Mary McAdams, RN-BC, MEd The American-European Consensus Tak Shiga, MD Dorothy Jones, EdD, RNC, FAAN Conference Defi nition of the Acute Gino Chisari, RN, DNP Evaluation of Basic Arrhythmia Respiratory Distress Syndrome is Dead, Susan Lee, RN, PhD, NP-C Knowledge Retention and Clinical Long Live Positive Implementation of 2 Nurse Practitioner Application by Registered Nurses End-expiratory Pressure! Inpatient Models Journal of Nurses in Staff Development Medicina Intensiva Journal of Nursing Administration Janice Tully, RN Kathleen Walsh, RN, PhD Mi Young Park, MD Colleen Diamont, RN Barbara Blakeney, RN, MS, FNAP Robert Altman, MD Laurene Dynan, RN Mary Orencole, RN, BSN, MS, ANP-BC Janice Filteau, RN Nurse Presence Enhanced Arme Gallanaro, RN Through Equus Prabhat Kumar, MD Diane Carroll, RN, PhD., FAAN, FAHA The Journal of Holistic Nursing Kimberly Parks, DO Elise Gett ings, RN Jagmeet Singh, MD Acute Hospital to Skilled Home Care: Jing-Jing Wang, MPH Michael Picard, MD Identify the Gaps in Communication for Ron Parambi, MD Characteristics of Responders to Cardiac the Heart Failure Patients Tessa Goldsmith, MS, CCC-SLP Resynchronization Therapy: The Impact of Collaborative Case Management Allison Holman, MS, CCC-SLP Echocardiographic Left Ventricular Volume Marco Cianchett i, MD Clinical Cardiology Annie Chan, MD Pharyngoesophageal Stricture Aft er Treament for Head and Neck Cancer Head & Neck

56 Patient Care Services staff listed in bold. Chris Nabhan 500 + 2,000 + Christina Palmieri Robin Bard Hal Berman Esther Pascal Mass General is fortunate to have more than 1,500 volunteers Tracy Baukus John Morrow Samuel Paskin-Flerlage Jenny Beekley Betsy Ryder each year who provide countless and valuable services Amanda Pawlak Billie Berents Josephine to patients and staff throughout the hospital. They can be Kathie Pazola Martha Boss Scoppett uolo Stacy Phillip Jim Burke Eileen Sullivan found in a variety of settings, from greeting patients when Michelle Pisa Susan Doran they fi rst arrive to escorting them to transportation after Katie Potenzone Mary Fitzgerald 3,000 + Volney Previlon Carmen Garcia Margo Quinlan discharge. Although the volunteers come from all age groups, Julie Quinlivan Gayle Gordon Haydee Vasquez backgrounds and experiences, they share a commitment Ben Rankin Karen Grethen Lillian Reuman Hinda Haims 4,000 + to making a difference at Mass General. In 2012, many Guillermo E Reyes Penelope Jeff ers Kevin Currie volunteers reached signifi cant milestones for the total number Stephanie Robbins Kyoko Kato Elaine Kwiecien Kara Ruggiero of hours they have served the hospital community. Wendy Kistler Joan Litchfi eld Jacky Sainval Kris Kitamura Ann McNamara Chaitanya Sambangi Elizabeth Kross John Scanaliato Timothy Kyi 5,000 + Ben Schrank Paul Lacerda Kay Bander Yevgeniya Sergeyenko Matt Dudek Yestle Kim Joel Lesser Peggy Scott 100 + Sarine Shahmirian Analisa Echeverria Marinela Kirilova Tanya Mahoney Nouran Abdelfatt ah Kelly Shea Kathryn Edmunds Julia Koretski Paul McConnell 6,000 + Rody Alexis Shikeba Shirzay Todd Estabrook Fariha (Faren) Laheeb Erin McLaughlin Bill Lauch Martha G. Andersen Nicole Souza Colleen Evans Jamie Lam Janet Moriarty Kathy Rehm Alyssa Avis Fabio Taboada Iglesias Oscar Fajardo Megan Lampron Bianca Ornaf Segun Babaniyi Nurlan Temirbulatov Judy Feingold Brandon Law Marjorie Prew 7,000 + Rachel Balaban-Garber Louise Thomas Coleen Fitzgibbon Joy Lee Jack Schnelle Karen MacDuffi e Mireille Boutin Rich Thomas Rebbeca Folsom-Wertz Lina Li Debra Sugarman Sarah Brigandi John Thompson 8,000 + Monika Frerk Diana Lim Erik Sylven Shannon Brown Emmanuel Udensi Patt y Austen Ashley Fuller Lauren Lombardi Marion Tina Mishel Caisapanta Adrien Urbani Martha Gallego Gordon Lu Phyllis Tuohy Hilda Carneiro Rachel Vaivoda Christiane Garcia Lee LuAnn Luongo Greg Walsh Kayla Caruso Matt Varrin Jonathan Greenberg Fran Maclennan Amelia Zeoli Megan Caughey Kerwin Vega Matt hew Griffi n Javier Madrigal Sam (Ha) Cho Samantha Viola 1,000 + Jodie Grossman Corinne Manning Evan Clark Lorraine Vitagliano Susan Blankenship Sam Heilbroner Corinna Mansbridge Gigi Cochrane Joyce Wang Kay Buck Josh Howe Jennifer Martino Patt y Collins Matt hew White Stephen Currier Jelena Ivanis Elena Mascarenhas Arthur Comegno James Wilcox Chris Kelly Justin Jacques Colin Matt hias Dana Conroy Dorothy Willey Derek London Jennifer Jordan Rani Matuk Chiara Corey Eric Wilsterman John McCarthy Frank Joyner Judie McInerney Aaron Cusato Zhamilya Yerimbetova Julie McLaughlin Lorett a Joyner Ryan McKillip Susan Darrell Tekle Yesho Lou Mitchell Mary Kane Tina Meade Jean Yves Desert Jenny Young Sheila Njau Daniel Karel Thiagu Meyyappan Kayla Desmond Taylor Young Payal Patel Jayme Kelly Carolyn Migala George Dietz Jielin Yu Kenneth Portnoy Susan Keshian Charles Millstein Leilani Dieu Richard Zhang Janet Urdang Jane Dolan Sami Khan Kelly Mitchell Jon Kim 57 “Guided by the needs of our patients and their families, we aim to deliver the very best healthcare in a safe, compassionate environment; to advance that care through innovative research and education; and to improve the health and well- being of the diverse communities we serve.”

—The MGH Mission

58 Executive Team

Jeanett e Ives Erickson, RN, DNP, FAAN Antigione Grasso, MBA Susan Sabia Senior Vice President for Patient Care Director, PCS Management Systems and Executive Editor, Caring Headlines and Chief Nurse Financial Performance Colleen Snydeman, RN, MSN, PhD(c) Gaurdia Banister, RN, PhD Robert Kacmarek, RRT, PhD, Director, PCS Offi ce of Quality & Safety Executive Director, The Institute for Patient Care FCCM, FCCP, FAARC Director, Respiratory Care Services Michael Sullivan, PT, DPT, MBA Debra Burke, RN, MSN, MBA Director, Physical Therapy and Associate Chief Nurse Robin Lipkis-Orlando, RN, MS, PMHCNS-BC Occupational Therapy Director, Offi ce of Patient Advocacy Leila Carbunari, RN, MEd Dawn Tenney, RN, MSN Director, International Patient Program Sally Millar, RN, MBA Associate Chief Nurse Outgoing Director, PCS Informatics; Deborah Colton Outgoing Interim Director, PCS Financial Carmen Vega-Barachowitz, MS, CCC-SLP Senior Vice President for Strategic Management Systems Director, Speech, Language & Communication, MGPO/PCS Swallowing Disorders Wayne Newell Marianne Ditomassi, RN, DNP, MBA Director, Volunteer and Information Deborah Washington, RN, PhD Executive Director, PCS Operations and Associate Services Director, PCS Diversity Program Magnet Recognition Anabela Nunes, MBA Kevin Whitney, RN, MA, NEA-BC Theresa Gallivan, RN, MS Director, Medical Interpreter Services Associate Chief Nurse Associate Chief Nurse Rev. John Polk, DMin, BCC Annabaker Garber, RN, PhD Director, Chaplaincy Director, Clinical Informatics George Reardon, MBA Marie Elena Gioiella, MA, MSW, LICSW Director, Clinical Support Services Director, Social Service 2012 Patient Care Services Annual Report