Medical Staff News Newsletter for the Medical Staff of Bridgeport Hospital | March 2018 From the Medical Staff Office At the very beginning of the process we retrospectively reviewed two years of data and identified an SSE occurring Recently, I taught the introduction to the High Reliability in our hospital every 19 days. Last year, we have averaged an Organization (HRO) course for new employees. It reminded SSE every 90 days. me to bring it up in one of my essays. Moreover, we have not had a death resulting from an SSE We began the HRO journey tentatively in 2012 as we were in the past two years. The goal for SSEs remains zero. The preparing to start our Epic voyage. We started with a challenges we face in getting to zero and staying there are simple huddle every morning in the library at 8:15 to talk daunting, but it is reassuring to me that we are making real about any problems we were having across the hospital. progress and sustaining it despite the whirlwinds that are That simple step was remarkably effective at improving buffeting health care. communication and fixing problems early in the day whenever possible. Thank you for your active help as we travel on this path. We’re not done yet, but we have come quite a ways with your help. In 2013, we fully rolled out the HRO training to all medical staff and employees. We extended huddles to every unit Michael Ivy, MD, Chief Medical Officer across the hospital. We started practicing the CHAMP behaviors – being mindful of the errors we are all prone to making. Suddenly, phrases like, “Swiss Cheese,” “Serious U.S. News & World Report Safety Event (SSE),” “ARCC’ing it up,” and “I need clarity” voting underway started showing up in conversations. U.S. News & World Report, working with Doximity, opened One of the most important changes was a shift in mentality. voting for the news magazine’s annual “Best Hospitals” Instead of looking to blame someone for an adverse event, issue. All board-certified physicians within each of the we embraced the system design approach (every system is applicable specialties surveyed (i.e., Cancer, Cardiology/CT perfectly designed to get the results it gets) and altered our Surgery, Diabetes/Endocrinology, ENT, Gastroenterology/ system as needed to prevent or minimize the recurrence of GI Surgery, Geriatrics, Gynecology, Nephrology, adverse events. Neurology/Neurosurgery, Ophthalmology, Orthopedics, Another significant change was encouraging everyone to Psychiatry, Pulmonary, Rehabilitation, Rheumatology and speak up if they were concerned that something wasn’t Urology) should receive a request to vote in the U.S. News being done safely. This remains the cornerstone of our reputation ranking either via email or as a prompt when efforts to improve the care we provide. Across the country, logging in to Doximity. the majority of the time when a patient has a wrong side This is your opportunity to make your voice heard about surgery, someone in the operating room knows they are the exceptional care provided by you and your colleagues operating on the wrong side and is afraid to speak up. It across Yale New Haven Health. All System hospitals and is critical to have an environment that encourages staff to ambulatory practices are home to exceptional physicians voice their concerns in a respectful manner. who provide consistently safe, high-quality and patient- Since we began this journey, the change in our culture centered care. We believe that the reputation of the entire has led to a dramatic decrease in our serious safety events. Continued on next page 1 Continued from cover health system will be greatly enhanced if Yale New Haven Project Infor training to begin soon Hospital is voted into the Honor Roll. One barrier to this historically has been the reputational score, which is Training on Infor, Yale New Haven Health’s (YNHHS) new determined by your vote. We urge you to consider this as enterprise resource planning system, is scheduled to begin you cast your vote on Doximity during the voting period. mid-May. Thank you for your participation. Most Infor training will be provided electronically, on an Infor Learning Management System that will include e-learnings, training materials and additional training YNHHS staff lead diversity courses opportunities. All users will have access to the system and will be notified when and how to access training. Before the YNHHS staff and physicians lead day-long “Connecting with go-live, users will also be able to practice on the Learning Others” courses that focus on five skills to help participants Management System, which will walk them through connect with more people and improve employee and logging into and navigating Infor and executing daily tasks. customer satisfaction and overall performance. The courses are open to all employees. Visit Employee Self Service and Infor, scheduled to launch in July, will transform the health search for “Connecting with Others.” system’s business processes, by integrating core business and other non-clinical functions in Finance, Supply Chain The health system’s first certified diversity and inclusion Management and Human Resources at all YNHHS delivery trainers include Maria Alicea, diversity and inclusion networks into one platform. Enterprise resource planning consultant, YNHHS Office of Diversity and Inclusion; systems provide visibility, analytics and efficiency across Dorie Gemmell, data coordinator, Patient Experience, every aspect of a business. Using the latest technologies, NEMG; Peter Marshall, MD, MPH, medical director, these systems facilitate the flow of real-time information Respiratory Care, YNHH and York Street Campus Medical across departments, so businesses can make live data- Step-down Unit, and co-medical director, InSight Tele- driven decisions and manage performance in the moment. ICU, YNHHS; and Rhonda Way, program manager, Patient Experience, NEMG. At YNHHS, Infor will replace the Lawson system currently used for functions such as non-patient billing, purchase orders, employee benefits administration, general finance and many others. Employees will use Infor to access Medical Staff Executive Committee information and functions currently found in Manager Self Feb. 5, 2018 Service and Employee Self Service, such as pay and benefits William Jennings, president and CEO: December 2017 financials information and performance reviews. slightly below plan but ahead of 2016. Inpatient discharges on target. Length of stay below budget – important since census is high. ED visits steady. OB deliveries up. Volume down in REACH, Medease and clinics. Outpatient radiology volume strong. Bill Jennings monthly breakfast forum Michael Ivy, MD, CMO: The Physician Wellness Committee update coming soon. 15-20 patients with flu in house each day. Some have been critically ill. Participate on the Clinical Governance Committee Medical Staff members are invited to join President and which gives Bridgeport Hospital a voice in system decision-making. CEO Bill Jennings and a guest from YNHHS leadership Trauma Center needs to be recertified every three years. The MSEC strongly supports BH’s continued status as a Level II trauma center. monthly on Mondays, 7 - 9 am, in the Medical Staff Lounge for breakfast and discussion. Ryan O’Connell, MD, vice president, Performance and Risk Management: Monthly scoreboard opportunities exist in AMI – March 12 – Prathibha Varkey, MD, president and CEO, readmissions and infection rates. Throughput measures tough for January, due to flu. 20 med-surg beds added, 230 total filled. NEMG and senior vice president, YNHHS, with Peter Patient census at all-time high. A swing space opened to help with Logue, vice president of Operations, NEMG increase. ED has never been this busy. Flu visits up. Everyone stepping up to help with increased volume. – April 9 – Marna Borgstrom, CEO, Yale New Haven Health and Yale New Haven Hospital 2 Women’s Physician Day celebration Newsmakers Craig Thorne, MD, MPH, has been named chief medical director of Occupational Health, Yale New Haven Health. He was previously vice president and medical director for Employee Health and Well-Being at Erickson Living in Baltimore, where he oversaw occupational health and wellness clinics serving more than 14,000 employees throughout the U.S. Dr. Thorne earned his MD from Memorial University of Newfoundland, Canada; completed a residency and chief residency in internal medicine at the Washington Hospital Center, Washington, DC, and a residency and chief residency in occupational and environmental medicine at the Johns Hopkins University School of Medicine. Dr. Thorne earned his MPH from the Johns Hopkins Bloomberg School of Public Health and an MBA in medical services management from the Johns Hopkins Carey Business School. Anthony Arslan, MD, associate program director, Geriatrics Fellowship, received a graduate medical education Quality Women’s Physician Day was celebrated on Monday, Feb. 5 Award in February for his questioning attitude and attention with a luncheon in the Medical Staff Lounge. (L-R) Claribel to patient and family wishes. In addition, Scott Bastian, MD, PGY1 Podiatry, earned a Quality Award in February for showing Agosto, PA-C; Manisha Gupta, MD; Lakshmi Polisetty, MD; commitment and follow-through beyond patient expectation. Adiba Geeti, MD; Monique Misra, MD. Retreat speakers: Move forward together Caregivers honored by patients Leaders of Yale New Haven Health and Yale School of The Bridgeport Hospital Foundation announced the Medicine joined 70 Bridgeport Hospital physicians and following clinical staff members were recognized by administrators at the annual Bridgeport Hospital patients in January with a gift to the Honor Your Physician Leadership Retreat Feb. 8 at Tashua Knolls Caregiver program: Michele Attard, licensed massage Country Club in Trumbull. therapist; Edward Pinto, MD (two gifts in his honor); Mary Pronovost, MD; J. Scott Savage, MD. Save the Date – The 4th Annual Wound Science Symposium will be held on March 16 from 7:30 am - 4 pm in Hollander Auditorium.