NEWS FOR EMPLOYEES AND FRIENDS OF WAKEMED OCTOBER/NOVEMBER 2017 www.wakemed.org

WakeMed Receives American College New LEAPFROG Scores Announced of Surgeons Level I Trauma Center Verification Cary Hospital Receives A; Raleigh Campus Receives B WakeMed has achieved verification as a Level I Cary Hospital again received a Hospital Safety Score of ‘A’ and Raleigh Campus a ‘B’ from The Trauma Center from the American College of Leapfrog Group – mirroring the scores we received in April. The Leapfrog Group is a national Surgeons (ACS), the highest national trauma center nonprofit organization that works to initiate improvements in the safety, quality and recognition. The new ACS verification is in addition to affordability of health care for all citizens by promoting transparency and value-based hospital WakeMed’s designation as a Level I Trauma Center by incentives. the North Carolina Office of Emergency Medical Services. While our letter grades stayed the same, the overall score for Raleigh Campus improved, thanks in part to enhancements in physician communications, which was an area of opportunity in the spring. Cary Hospital did well on measures related ACS is a scientific and educational association of to CLABSI, MRSA and overall safety. Both hospitals continued to excel in ICU physician staffing and CPOE medication surgeons that works to improve the quality of care for systems. As in past years, the area of greatest opportunity for both hospitals remains catheter associated urinary tract surgical patients. There are currently 400 ACS- infection (CAUTI) rates and, for Raleigh Campus, safety problems. While the benchmarks change each time scores are verified trauma programs in the United States. “Our released, current data suggests that if we want to improve our scores, we will need to work particularly hard on reducing trauma program functions at a very high level, and we infection rates. decided to pursue verification for several reasons, including the ability to benchmark our patient care “While these scores take a lot of data into account, it’s important to remember that individuals can really make a and processes against other quality programs in the difference and bring our scores up – or down. Every interaction with every patient has the potential to increase or United States,” said Elaine Rohlik, PhD, executive decrease our Leapfrog scores. It takes all of us working together to ensure we follow evidence-based processes at all times director, WakeMed Trauma and Rehabilitation and ensure our patients receive the highest quality of care,” commented West Paul, MD, PhD, senior vice president, chief Services. quality & medical staff officer. WakeMed uses The Leapfrog Group’s Hospital Safety Score as one of the metrics for our aspirational goal related to Quality. We have also incorporated the scores into our WakeShare formula, which states that 50 percent of our Potential WakeShare Payout Pool will be funded only if both Raleigh Campus and Cary Hospital earn an ‘A’ Hospital Safety Score. Since we did not earn two A’s, we will not qualify for a Payout related to Quality – though the Board could approve a Payout related to Financial Health if that goal is met.

WakeMed Tops List of Best Hospitals For Nurses Raleigh Campus was ranked the #1 N.C. hospital for nurses and Cary Hospital was ranked #8 in a recent report by the professional nursing website Nurse.org. The Raleigh Campus website analyzed nearly 1,600 surveys of nurses from 109 hospitals across the state Ranked #1 and and ranked them based on the average rating and the percent of nurses who would Cary Hospital Ranked #8 recommend the hospital. Raleigh Campus had a star rating of 4.4 (out of 5) and 98 in N.C. for Nurses percent of respondents would recommend the hospital. Cary Hospital had a star rating by nurse.org of 4.1 and 100 percent recommendation rate. North Hospital has no ratings on the site and therefore was not included in the survey.

WakeMed Recognized as Healthy Employer WakeMed has once again been recognized as part of the Triangle Business Journal’s annual Healthiest During their on-site visit earlier this year, surveyors Employers of the Triangle awards, which recognizes from the American College of Surgeons’ Committee companies that commit to making wellness a on Trauma (ACS-COT) noted WakeMed’s strengths as priority while working to proactively improve the trauma care leader and the continuum of care health of their employees. This year, WakeMed WakeMed provides to trauma patients – from pre- ranked fifth of the 23 businesses were chosen – and hospital care all the way through discharge from was the only health system in the group. WakeMed’s Rehabilitation Hospital. “We take great pride in the care that we deliver here at WakeMed. We Some of the benefits available to WakeMed are patient-centric and community-focused, and we employees include WakeWell rewards, our annual employee wellness incentive program, and numerous wellness are continually working to improve our programs, features within our benefits plan including 3D mammogram coverage, no co-pay for dietitian counseling and step processes, procedures and care for the benefit of the therapy tobacco cessation medications. Employees can also enjoy walking routes at all three hospitals, reduced patients we serve,” added Osi Udekwu, MD, membership fees at Healthworks, WakeWell meals in the cafeterias and healthy options in vending machines. Have executive medical director, WakeMed Trauma ideas about how we can improve our wellness offerings? Send them to [email protected]. Services. Right: Staff from Corporate & Community Health and Human Resources accepted the award on behalf of WakeMed.

A Season of Community Outreach

This fall, WakeMed has been out and about in the community – making an impact on the health and well-being of hundreds of community members! In September, we hosted Ladies Day at North Hospital and Men’s Health Night at Cary Hospital. These annual events provided an opportunity for the community to hear from our medical experts, participate in health screenings and browse health education tables. In October, WakeMed continued our presence at the annual SAS Championship golf tournament by providing First Aid support and providing blood pressure checks, flu shots and games and activities in the Health Zone. Thanks to all of our staff volunteers who made these outreach efforts so successful! LEADERSHIP UPDATES WakeMed + Duke Ted Lotchin Joins WakeMed as Vice President & Chief where are we now? Compliance and Privacy Officer Earlier this year, WakeMed and Duke Health signed We are pleased to welcome Ted Lotchin, JD, MPH, who is now agreements to establish clinical collaborations in the areas responsible for all privacy (HIPAA), compliance, internal audit of cardiology and oncology. Since these innovative and information system security. He brings more than 10 years of collaborations were announced, leadership teams with experience and holds a master’s of public health degree from representatives from both organizations have worked hard Boston University and a law degree from the College of William to establish priorities and initiatives that will help improve access and quality of care for Wake and Mary in Williamsburg, Va. County patients. Stephanie Sessoms Promoted to Vice President, Finance “While you can’t see it, some of the most important work with any collaborative happens in the early stages by building relationships, setting priorities, understanding one another’s In this new role, Stephanie Sessoms is now responsible for operations, challenges and opportunities,” explains Georgia Harrington, vice president, financial and business planning as well as financial data integrity. Strategic Ventures. “Every discussion – whether clinical or operational – is patient-focused. Sessoms joined WakeMed in 2007 as a manager of accounting, a Hearing IT and financial professionals asking ‘What can be done to ensure our patients have role she held until 2010 when she was promoted to controller. the best possible experience and outcomes?’ is incredibly inspiring and has helped us set a She is a certified public accountant with a bachelor’s degree in strategy we look forward to executing together.” business administration, accounting and marketing from the University of Virginia as well as a master’s in health administration from Pfeiffer University in Charlotte, N.C. The initial areas of focus for Heart Care Plus+ include heart failure, cardiac dysrhythmia and Dr. Tariq Named Director, Cary Hospitalists advanced electrophysiology, structural heart and heart surgery. Building on WakeMed’s 50 year strength in cardiovascular services, we Muhammad Fawad Tariq, MD, is now director of the hospitalist recently welcomed Duke Health cardiologists to program at Cary Hospital where he oversees all administrative our medical staffs. Included in those joining us and leadership duties and serves as the communication link are Stuart Russell, MD, nationally known in the between the WakeMed administration and the Cary Hospital field of advanced heart failure and the former Medical Staff. Dr. Tariq comes to WakeMed from Apogee chief of Heart Failure and Transplantation at Physicians Group North Carolina at the Cape Fear Valley Medical Johns Hopkins Hospital, and Priyesh Patel, MD, Center in Fayetteville. who recently completed a fellowship in Advanced Heart Failure and Transplant Dr. Julie Czech Named Director, North Hospitalists Cardiology at Duke. Dr. Russell and Dr. Patel will practice in WakeMed Heart & Vascular Julie Czech, MD, is the new director of the hospitalist program at Physicians’ new Advanced Heart Failure office – North Hospital. In this role, she oversees all administrative and see below for more details. leadership duties and will serve as the communication link NOW OPEN! between the WakeMed North administration and the hospital’s Further building on the collaborative goal of Advanced Heart Failure Services Medical Staff members. Dr. Czech comes to WakeMed from expanding access, WakeMed was selected as a UNC/Rex Healthcare where she has worked as a hospitalist since member of The Cardiothoracic Surgical Trials Located in the WakeMed Heart Center, 2007. Network, which will bring the latest advances in this new specialty practice brings cardiovascular surgery to our patients. advanced care and capabilities in the WakeMed’s team of investigators – led by Judson treatment of congestive heart failure to WOW, WHAT AN EMPLOYEE! Williams, MD – will work closely with Duke to Wake County patients. As part of the provide access to research trials not previously Heart Care Plus+ collaboration, we Sue Hollowell, RN, (Mobile Critical Care) was recently cited as a contributor in the available in Wake County. were able to recruit Stuart Russell, new edition of the Critical Care Transport Certification Examination Review MD, to the Triangle and he joins Manual. She also has been selected as a member of the education committee for the Priyesh Patel, MD, who will work Air, Surface Transport Nursing Association. closely with all of our cardiologists and While still in its early stages, the Cancer Care the WakeMed Heart Failure Program Shannon Holt, PharmD, Mollie Grant, PharmD, (both of Pharmacy) and Kelly Plus+ team is laying the groundwork for an team to offer same-day access for those Thompson-Brazill, NP, (Heart & Vascular Physicians) published an article titled extended network of comprehensive, high- patients needing immediate follow-up “Reducing Carbapenem Exposure: Extended-Spectrum Beta-Lactamase Catheter- quality, well-coordinated, value-based cancer care after a hospital stay. Associated Urinary Tract Infection Management” in Critical Care Nurse. care that is easily accessed throughout Wake “This collaborative is such a Rob Altenbaugh, BSN, RN, and Danica Stancil, RN, (both of Revenue Integrity) County. The collaborative offers an exciting tremendous opportunity for both presented at the North Carolina Health Information Management Association opportunity for us to meet the growing demand WakeMed and Duke Health to do great (NCHIMA) Mid-Year Workshop. for oncology services – and deliver them to our things together for heart patients,” said Frances Wood, MD, (WakeMed Heart & Vascular Physicians) is a presenter at the patients here in our own community. Priyesh Patel, MD. “Our greater national Transcatheter Cardiovascular Therapeutics (TCT) conference. Experts from both organizations have formed community should have access to the best cardiovascular care. Both of our Paula Carter-Scott, RN, (Staffing Resources) earned a master’s degree in nursing workgroups focused on surgery, radiation organizations offer exciting resources (MSN) from the University of North Carolina at Chapel Hill (UNC). oncology, patient navigation, quality metrics, IT infrastructure and service access. The Board of and knowledge that can be shared Diana Rhyne (Clinical Research Institute) earned her master’s in business Managers is establishing quality metrics to help together as we build on our strengths of administration (MBA) from the UNC Kenan-Flagler Business School. us measure performance and finalizing the providing the best heart care for Rebecca Schober, RN, (Emergency Department – Raleigh Campus) and Ulanda collaborative plan so that operational work and patients.” Stallworth, RN, (Staffing Resources) both earned bachelor’s degrees in nursing recruitment for exceptional providers can begin. (BSN). Chris Barnes, RN, (Emergency Department – Raleigh Campus) earned a master’s WakeMed & SouthLight Announce degree in religion. Shan Henry, RN, and Jenifer Sawyer, RN, (Surgical Services – Cary Hospital) Community Collaboration successfully completed the 2017 Periop 101 Internship Program. We are pleased to announce a collaboration with SouthLight Healthcare, a premier Bridgit Caulder, RN, (Patient Case Management – Raleigh Campus) became a provider of substance use treatment and mental health services for the Triangle, to certified case manager. better serve individuals with behavioral health and substance use disorders. The collaboration aims to expedite and streamline a care process to help patients access Jessica Shore, BSN, RN, (Mother/Baby – Raleigh Campus) passed the maternal the appropriate services to stay well after leaving newborn nursing certification exam. a WakeMed hospital. 1D Clinical Evaluation Area congratulates Stephanie O’Neal, RN, on earning HACP “Our emergency departments are often the first place certification. people who are experiencing a behavioral health Amina Bousaidan, RN, (2 West ICU/MSIC) became a certified med/surg nurse or substance use crisis go for help,” explains (CMSRN) Rick Shrum, vice president & chief strategy Morgan Smith, RN (Emergency Department – Raleigh Campus), Jenny Morris, RN officer. “We have always been there for our (STICU); Julia Efird, RN, BSN, and Michele Brake, RN, BSN, (2 West ICU/MSIC); community in times of crisis. However, these Jessica Baker, RN, and Crystal Wilson, RN, (both of Neuro ICU); Tiffany Rogala, individuals and families need ongoing BSN, RN, Megan Shipp, BSN, RN, and Kristie Gitto, BSN, RN, (all of Staffing specialized care that WakeMed does Resources) earned critical care nursing certification (CCRN). not provide.” Tiffany Rogala, BSN, RN,(Staffing Resources) earned cardiac surgery certification. Transitional care specialists from SouthLight Healthcare will join Information Services congratulates Lori Mason, Christine Stein, Deborah Jones- WakeMed in its efforts to ensure patients Combs and Bobbie Watson on their promotions to team lead. with mental health and substance use Wendi Taylor, RN, and Sarah Kistner, RN, (both of the Emergency Department – disorders receive the care they need and Raleigh Campus) became certified emergency nurses (CEN). deserve. The integrated effort will allow WakeMed, SouthLight and provider Marcus Moore (Pathology Labs) was promoted to team lead for the Raleigh Campus. partners improve patient care and Julla Panneh, RN, (1D Clinical Evaluation Area) and Bindu Mason, RN, (Staffing outcomes collaboratively to improve Resources) earned certification in psych-mental health nursing. the health and well-being of our community. Great Job, GOLDEN SCANNERS!

Every quarter, MPDC recognizes the top performers when it comes to scanning compliance – which means our nursing units stay stocked with the items needed to care for patients. In addition, it means we are capturing charges for items used. Remember – the more compliant we are Above: Cary Hospital Surgical Services and MPD staff pose with scanning, the more it helps our with the coveted golden scanner (left to right): Colleen bottom line, so scan all you can! Carter, RN, Debra Elder, RN, Tyrone Winston, Katrina • Cary Hospital: Surgical Services – Pre- Jones, Tiffiny Hunter, Erinn Moore, RN, Meenakshi Op won with 96 percent compliance. Khullar, RN, Carol Weichel, RN, and Patricia Barnes, RN. • Raleigh Campus: CTICU won for the Right: CTICU staff pictured, from left to right Teena Chavis, second and third quarters of FY2017 RN, June Oburu, RN, Kevin Schmidt, director (Supply with 99 percent compliance. Chain), Helen McAdams, RN, Sarah Schmitz, RN, Lauren SPOTLIGHT ON PATIENT SAFETY Parker, RN, Elizabeth Foster, RN, and George Jones (MPDC). CULTURE OF SAFETY SURVEY RESULTS This summer, WakeMed conducted our annual Hospital Survey on Patient Safety Culture, which is administered by the Agency for Healthcare Research and Quality. The survey, which was open to all employees and medical staff members, measures hospital staff and provider perspectives on patient safety. “Having non-clinical staff participate in the survey is extremely important because they draw on their own health care experiences when thinking through how we perform as an organization,” commented West Paul, MD, PhD, senior vice president & chief quality and medical staff officer. “This year, 25 percent of the responses on the survey were from non-clinical staff, and we’d like to see that increase next year.” Highlights of this year’s survey results include: • Above benchmark on every single measure as compared to 650 Cary Hospital Unveils New Labor & Delivery Rooms hospitals and more than 400,000 responses • Overall in the 90th percentile After nine months of anticipation and construction, the newly-renovated • 48 percent participation rate among staff and physicians Labor & Delivery rooms at Cary Hospital have been completed and they began welcoming patients in early October. The work, which was funded in • Strong improvement in non-punitive response to error, which reflects part by the WakeMed Foundation, included renovating 13 patient rooms our ongoing efforts to create an open culture of safety by with a fresh, contemporary feel, along with updates to the common areas encouraging and recognizing Good Catches and the adoption of a and nursing stations. Fair & Just Culture. Physicians, staff and former patients were all involved in the planning of the • Physicians overall perception of patient safety is higher than any rooms to ensure everyone’s needs were met and to provide the safest and other group most comfortable labor and delivery experience possible. The renovated labor & delivery rooms increased from 350 square feet to 450 square feet In addition to providing data on where we stand today, this survey helps us and are decorated in a bright and welcoming look. The new rooms include three ‘zones’ – one for mom, one track trends over time. “Our goal is to be a top 10 organization – and top 10 for the clinical team and one for family/support person – which provide ample space for several people to be organizations are driven by data. We are working to provide actionable in the room and work together. Among the amenities offered include a separate TV in the family/support data to our physicians and care team so they can improve the quality of care zone, large soaker tubs for mom-to-be and tinted windows along with privacy blinds. Upgrades were also we provide,” continued Dr. Paul. made to the nurses’ station for our staff and physicians to do their work and be easily accessible to patients. The results from this survey will be used to guide patient safety initiatives We are also pleased to off in-room spa services, including facials and massages to patients in the post- for the next year, which will include hospital hand offs and transitions, partum areas. improving communication between departments and infection prevention “Nearly 2,500 babies are born at Cary Hospital each year, and we are pleased to provide a beautiful new basics (hand hygiene, personal protection equipment, etc.) among others. environment for our patients and their families,” commented Seth Brody, MD, chief medical officer, Cary Hospital. “In addition to how they look, the new rooms have integrated state-of-the-art technology to ensure the highest quality of care.” NEWS FROM WAKEMED PHYSICIAN PRACTICES

Welcome New Physicians

Muhammad Blair Jennifer Jessica Sami Jenna Ureena Peter Lee, MD Tariq, MD Robinson, MD Whitham, MD Tomasula, PhD Mardam-Bey, MD Beckham, MD Manandhar, MD Nocturnist – Hospitalists – Cary Pediatric Pediatric Cardiology Pediatric Weight Wake Orthopaedics OB-GYN – Hospitalists – Cary Hospital Hospital Cardiology Management Raleigh Raleigh Campus Welcome New Advanced Practice Providers Stephanie Gray, CNM, OB-GYN – Holly Springs Sarah Rullo, NP, Neonatology Sara Dusel, PA, Hospitalist – Raleigh Campus Elissa Henderson, NP, Pulmonary Critical Care Medicine – Raleigh Campus Natalie Small, PA, Cardiology www.wakemedphysicians.com RECOGNIZE | REVIEW | REPORT

Caring for patients with compassion and expertise is at the heart of who we are and who WakeMed’s Good Catch Program encourages staff to positively impact patient we’ve been for more than 50 years. Patients, safety by speaking up, reporting good catches and sharing their experiences. If their family members and care team often you have made a good catch, share it by clicking the “Report a Good Catch” link build strong, nurturing relationships on the WakeMedWeb. throughout the care experience. “It’s this special bond that often leads patients and Peggy Richardson (Pathology Labs – Cary Hospital) made her good catch families to want to show their appreciation with a gift in honor of a when she identified that a patient who had just been caregiver or a care team – and sometimes they feel like a simple admitted to the floor was wearing another patient’s ‘thank you’ isn’t enough,” says Abby Johnston, director, major gifts & identification band. Peggy did not perform any lab planned giving, WakeMed Foundation. test on that patient and reported the information to the nurse so the error could be fixed. Thank you, Because WakeMed employees cannot accept gifts from patients and Peggy, for your dedication to patient safety! families, the Gifts of Gratitude Program, administered by the WakeMed Foundation, provides patients and families with the A patient on 3B CVSIC had been prescribed opportunity to recognize the people and quality of care they received. Amiodarone – but the order was written to begin Below are three examples of how this program is making a positive after the patient was discharged from the hospital. impact – on our patients, our staff and our community. Autumn Vick, RN, realized that the patient was not currently on that medication and alerted the To learn more about this program, contact the WakeMed Foundation providers, who were under the impression that he at [email protected]. was taking it already. Autumn’s attention to detail A Simple Gift; A World of Good helped make this Good Catch possible and protected the patient – if he had begun taking the medication A yo-yo is a simple activity that can serve as a great distraction from pain and discomfort. Brian Stearns (6B at home, he could have developed a heart block. Orthopaedics & Oncology), pictured right, frequently offers yo-yos to patients to help keep their minds off their current situation. “I find that if the patient can focus on something else for a while, it helps in pain management and recovery,” he says. “Just like a good book, magazine, or puzzle, a yo-yo is a great way to COMINGS & GOINGS get rid of nervous energy.” One patient Stearns gave a yo-yo to was particularly impacted by it – the gift brought back positive memories from his childhood and helped his healing process. Upon discharge, the Nursing Education wishes a happy retirement to Ava Krier, BSN, RN, who patient donated $100 to purchase yo-yo’s for Stearns to give to other patients. is retiring after 43 years at WakeMed. The Gift of Time for Grieving Families Mother’s Milk Bank welcomes new pasteurization technician, Cathy Joyce. When Jennifer and Haywood Alexander’s son Griffin was delivered stillborn, the grieving family longed for Clinical Dietitians – Cary Hospital welcomes Heather Davies, RD, LDN. a way to honor their son. “When we first heard of Cuddle Cots, we immediately saw how much they would Infection Prevention welcomes Caitlin Underhill, BSN, RN. help families who experience loss,” explains Jennifer. Cuddle Cots, pictured left, are bassinets designed to Klarissa Barnes, MHA, BSN, RN, bids a fond farewell to Surgical Services keep babies who have passed away stay cool. They can as she transitions to Imaging Nursing. be placed at the mother’s bedside and help relieve some Patient & Family Experience welcomes Irina Gomez, who transitioned fear and anxiety for families who have lost a child by from Patient Financial Services. providing them more time to create memories. The Alexanders donated funds for a Cuddle Cot as well as Risk Management welcomes Jessica Schmidlin, RN, who transitioned additional bereavement training for our Raleigh from the Emergency Department – Raleigh Campus. Campus Women’s Pavilion staff. “For parents WakeMed OneCall welcomes Shannon Richardson, Victoria Tine and experiencing a stillborn birth, the first step in a long Heather Maloch. and difficult grieving process is saying hello and good bye in a matter of days. Since the donation of the Clinical Administrators welcome Sandra Terry, BSN, RN, as a Cuddle Cot, it has been used by parents with positive responses,” commented Donna Lane, RN, manager, supplemental CA. Women’s Pavilion & Birthplace. Pharmacy welcomes new administrative assistant Kelli Worsley. Saying Thanks, Giving Back Mike Kelmel was on vacation in San Diego when he awoke from a nap 5C Medicine welcomes Kachi Amadi, RN. and realized something was wrong. “It was like my brain was not WakeMed Physician Practices – Primary Care – Garner welcomes Ashley connected to my body,” is how he describes the feeling – which turned Hemphill, RN. out to be a stroke. After five days in a California hospital, Mike returned Revenue Integrity welcomes Alexandria Scott-Walker. home to Raleigh and began a four-month stint of outpatient rehab at WakeMed. Unable to work or drive, a highlight of his week was WakeMed Physician Practices – Primary Care welcomes Ashlee Wilson and spending time at the Rehab Health Park – surrounded by others who Dana Jackson. were overcoming their own personal hurdles. When he completed his WakeMed Urgent Care – Cary welcomes Mle Stone and Elaine Frasher. treatment, he made a donation to WakeMed in honor of his speech therapist, Jill. “She is such a genuinely kind and nice person, and I just 3A CVIC welcomes Shyla Middleton, RN, Cecely Tucker-Akarolo, RN, and wanted to thank her in some way,” he says. Mike also decided to give Melanie Young. back to WakeMed through his time and now volunteers in the 1D gym and by staffing the Health Park 6A CVIC welcomes Stephanie Sampson and new manager Lynn welcome desk – providing a welcoming smile to others seeking care. Right: A year after his stroke, Mike Ackerman, BSN, RN. returned to San Diego and thanked the staff at the fire department where he had gone in search of The NICU and newborn nursery welcome Theresa Abraham, RN, Elvia assistance and medical care. Schroeder, RN, Renee Collum, RN, Briana Hamilton, RN, Karen Slingluff, RN, Nicole Caruso, RN, and Jennifer Maynard, MD. Happy On October 6, the physician assistant (PA) CICU welcomes Georgette Becerra, Marlene Torralba, RN, Udora profession celebrated its 50th birthday. What is Cherry, RN, Kelsey Fowlkes, RN, and Anna Johnson, RN. now a well-established, 120,000-person strong The Department of Spiritual Care welcomes resident chaplains who will be medical profession originally began as a pilot serving at WakeMed until August 2018: Jonathan Blackburn, Tara program at Duke University with just four Workman, Leigh Ross, Jordan Tripp, Johnsie Peele and Elijah Fulcher. students, who graduated on October 6, 1967. The department also welcomes new chaplain interns: Lindsay Baggett, The original goal of the program was to Renee Bethea, Jaqueline Boyer, Alice Evans, Marie Fox, Kathy Galde, n! expand a physician’s capacity to see more sio Aime Kidimbu, Tina Morris-Anderson, and LaShonda Van Hook. fes patients, especially in rural America. Pro PA WakeMed has been a leading employer of PAs for many years. Our first physician assistant ADDITIONS & ATTACHMENTS was Steve Oschutti, PA-C, who was Jennifer (Wheeler) DiMilia, LPN, (WakeMed Physician Practices – hired in the early 1980s by Charles Helton, MD, (Heart & Vascular Physicians). Today, we employ over Pediatrics) got married on April 21 and welcomed daughter Charlie 100 physician assistants in all specialty areas – from hospital medicine to cardiac surgery to primary care. Grace on June 24. “WakeMed fosters an environment where physicians, physician assistants and nurse practitioners work hand-in-hand with the rest of the care team to support our patients and provide the most appropriate, Megan Coffey (Imaging Services – Brier Creek Healthplex) and highest quality care,” commented Jeff Lamphere, PA, executive director, Advanced Practice Providers. husband Brandon welcomed son Luke Alexander on June 19. WakeMed has also played an important role in the development and training of physician assistants Heather Smith, BSN, RN, (Staffing Resources) and husband Travis through our medical education partnership with area PA programs and Wake AHEC. This work will welcomed son Alexander Bailey on August 26. continue to expand over the next year as we welcome 10 Campbell PA students to WakeMed for their full Corby Dominguez (ED Registration – Brier Creek Healthplex) one-year of clinical rotations. “WakeMed is proud to offer extensive clinical training and education to welcomed son Marcos Dominguez on September 9. physician assistants, who represent part of the next generation of providers for our community. The students who come to WakeMed have the opportunity to train in a busy, high-quality hospital and we Heather Brobson (WakeMed Physician Practices – Pulmonology) have the benefit of hosting exceptional clinicians who are dedicated to patient care,” commented John married Troy Ragland on October 14. Perry, MD, vice president, Medical Education. Kaitlin Goldston, RN, (STICU) got married on October 14. Dr. Andrew Moran, Dr. Satish Mathan, Dr. Kirk Peterson, Dr. Jason Harris, Radiation Safety President Medical Chair – Medical Chair – Officer Raleigh Radiology Raleigh Campus Cary Hospital WakeMed Welcomes Raleigh Radiology Treatments for Pregnancy & Pelvic Pain, In late August, WakeMed welcomed Raleigh Radiology as the official provider of professional and interpreting services for all WakeMed imaging studies. Changing Incontinence & Lymphedema radiology interpreters isn’t something hospitals do frequently – in fact, this is the first WakeMed Outpatient Rehab announces the introduction of new services to help relieve time we’ve done so in WakeMed’s 55-year history – and we want to thank everyone who pre- and post-pregnancy pain, pelvic pain from a variety of issues, and treatments for helped make the transition successful. “The Radiology Transition Steering Committee lymphedema as well as incontinence. worked tirelessly to ensure that the transition went so smoothly. Exceptional patient care and quality were the priorities as the team worked to orient Raleigh Radiology to Incontinence WakeMed, make sure credentialing requirements were met and integrate operations Physical therapists offer therapies to reduce the incidence of urinary leakage, urgency, and billing,” commented Holly Carpenter, executive director (Imaging Services). frequency and difficulty emptying the bladder due to pregnancy, surgery, pelvic organ prolapse and other conditions. Since the transition, we have been tracking numerous key performance indicators, including report quality and turn-around times, to ensure we continue delivering Pregnancy Pain exceptional quality, service and value for our patients and their families. Additionally, Back pain, joint pain, urinary incontinence, round ligament pain and discomforts we are pleased to be able to offer a number of new services, including: associated with diastasis recti are all conditions pregnant and new moms may • Interventional radiology at Cary Hospital experience. Physical therapists offer treatments for these issues. • Brachytherapy (radioactive implants for cancer treatment) Lymphedema • MRI-guided breast biopsy Lymphedema is chronic, progressive swelling in a part of the body due to cancer, heart • Microwave and cryoblation failure, surgery, infection, venous insufficiency and other issues. WakeMed occupational Since the transition, the therapists provide the Dr. Vodder method of manual lymph drainage – the gold standard Raleigh Radiology providers therapeutic treatment for lymphedema. have been fully integrated into Pelvic Pain the WakeMed system and have Pregnancy, endometriosis, pelvic organ prolapse, vestibulitis and many other issues can access to WakeMed email and cause pelvic pain. Therapies are available to help people find relief. RapidConnect. “We are excited to be at WakeMed and are These services are available by physician referral at a number of outpatient locations: grateful for the warm welcome WakeMed Outpatient Rehab WakeMed Outpatient Specialty Rehab we have received from the 3701 Wake Forest Road, Suite 120-Raleigh (inside Cary Hospital) Staff from Imaging, medical staff, clinical team and Phone: 919-350-4199 1900 Kildaire Farm Road – Cary NEW! Information Services, administration. WakeMed is truly a special place that places Miriam Loughry, PT Phone: 919-350-1985 Raleigh Radiology the patient first and we are delighted to be part of an Christi Springfield, PT, DPT and Administration organization and culture that shares our values,” commented WakeMed Physician Practices – Stacy Patterson, OT gathered for a Satish Mathan, MD, president, Raleigh Radiology. “We are Physical Therapy briefing during the looking forward to the continued collaboration with WakeMed 10010 Falls of Neuse Road, Suite 009 – WakeMed Outpatient Rehab operates under the early days of the North Raleigh license of Raleigh Campus. WakeMed Physician and growth of subspecialty imaging services that we can offer Practices – Physical Therapy is an independent transition. patients here in Wake County.” Phone: 919-350-1508 practice. WakeMed Outpatient Specialty Rehab Deidre Queen, PT operates under the license of Cary Hospital. (Lymphedema treatment is not available at this practice)

• Charge nurses have always been allowed to adjust Pyxis inventory of non-controlled medications when needed – and the RPIW team extended this ability to all nurses. This created standard work, improved communication with Pharmacy and ensures a more accurate inventory for FOCUS ON PHARMACY VALUE STREAM medication administration. • Pharmacy used to deliver patient medications all together – An important part of our Wake Way 2 Excellence efforts thus which nursing staff would then sort and distribute. Thanks to far has been the work of our value streams. A value stream time saved with the two changes listed above, Pharmacy now includes every department that touches the patient — either delivers patient medications to individual patient bins, directly or indirectly – therefore, each value stream includes improving efficiency and giving nurses more time to spend multiple departments, clinical areas and enterprises. This with their patients. month we are going to take a look at the Pharmacy Services value stream to see how their ongoing work has been diffused Value Stream: The combination of the "path" that a throughout the organization. patient takes as they move through the WakeMed The Pharmacy value stream has been in place a year and has held two Rapid Process Improvement Workshops (RPIW), with system and the “value” of the treatment and more planned in the coming months. The goal of an RPIW is to experience from the patient’s perspective. create, test and implement improvements and standard work on a small scale before they are rolled out broadly. The goal of the second RPIW was to improve the medication reconciliation process for patients in the Emergency The first Pharmacy RPIW, which focused on medication Department with a goal of expediting this process and delivery to 3A, 3B and 3E, is a great example of how this improving patient safety. Again, the team developed ideas that happens. The team piloted numerous ideas during the week – could be applied to all of our emergency departments, three of which turned out to be so successful that they were including defining the elements of a complete home rolled out system-wide a few months later: medication list, eliminating confusing and conflicting • Nurses were allowed to return unopened, unused information from outside sources and providing education to medications (non-controlled medications only) to the patients and family members. The team also improved the original pocket in the Pyxis machine. Previously, these medication reconciliation workflow for Pharmacy staff and medications were put in an internal Pyxis bin, unloaded by clinicians and explored new ways to engage pharmacy pharmacy technicians and returned to the pharmacy for technicians earlier in the patient’s encounter. Work continues sorting before eventually being returned to the unit for re- on testing and evaluating these changes – so stay tuned for stocking – an inefficient, time consuming process. more updates! Non profit Organization U.S. Postage PAID Raleigh, NC Microscope is a monthly newsletter written by 3000 New Bern Avenue and for the employees of WakeMed. Our goal is to provide Raleigh, NC 27610 Permit NO. 1307 employees and friends of WakeMed with the most up-to-date news on all of the hospital system’s activities. The Public Relations department thanks all of the ADDRESS SERVICE REQUESTED employees who contributed to this publication. We welcome comments and suggestions on this publication and its content. Call (919) 350-8120, e-mail [email protected], or write Microscope, Wake Med Public Relations Department, 3000 New Bern Avenue, Raleigh, NC 27610. Kate Wilkes, Editor WakeMed Employees, Photos

© WakeMed Public Relations, October/November 2017

FIGHT THE FLU GET VACCINATED BY NOVEMBER 15! Flu vaccines are still available free of charge to all WakeMed employees, medical staff members and volunteers. This year we are offering vaccines that are egg-free and preservative free. We will not be offering flu-mist. Any employee who fails to receive a flu vaccine, renew a previously approved exemption, or obtain a new exemption from Occupational Health by 4 pm on 2018 is right around the corner and so is Live Well, the November 15 will be ineligible to work at any WakeMed popular 12-week group fitness and healthy lifestyle facility and employment will be terminated. Medical education program. Beginning in January, Healthworks Staff members who do not comply will have privileges LIVEWELLIN will offer a morning and evening class time. Live Well is suspended. free and available to qualifying employees, who will Remember, to qualify for any potential WakeShare receive full alternate standard credit for the 2018 Payout next year, you must meet all Occupational WakeWell Reward. Call Hailee Wingfield at ext. 07043 Health requirements by their original due date. For to set up a Live Well Consult, which must be completed more information, contact Occupational Health at ext. by December 29. Don’t delay – let us help you improve 07370 (Raleigh Campus), ext. 02631 (Cary Hospital) your health and make lasting lifestyle changes! or ext. 01685 (WakeMed North).

To help you plan ahead, this calendar lists upcoming system-wide events, training classes and community events. For details and fee information, visit the WakeMedWeb. Send calendar submissions to Public CALENDAR OF EVENTS Relations or email [email protected].

Veterans Day Services CapRAC Training Opportunities Twelfth Annual Time is Brain: Advances in Stroke Care – Nov. 11, Andrews Center Friday, November 10 State Medical Assistance Team 800 Hazmat 11 am and Decon Review Introduction to NeuroAffective Relational Model (NARM) – Raleigh Campus, Cary Thursday, December 7 Nov. 15, Andrews Center Hospital and North Hospital 6 to 8:30 pm Motivational Interviewing Techniques for Mental Health All are welcome to join us as For more information and how to register email and Health Care Professionals, Part II – we honor the veterans within [email protected] Nov. 17, Cary Hospital the WakeMed family. Capital Medical Reserve Corps Orientation Creating Successful Rehabilitation Outcomes for People Wednesday, December 13 Living with Dementia – Nov. 18, Andrews Center WinterFest 6 to 9 pm Raleigh Campus For more information and how to register email New Drugs and Disease Management Strategies 2017 – Thursday, November 30 [email protected] Nov. 30, Cary Hospital 8 am to 4 pm State Medical Assistance Team 800 Initial Training It Takes a Village: Understanding and Treating Adolescent WakeMed North Saturday, December 16, and Sunday, December 17 Substance Use Disorders Using a Systems Approach – Tuesday, December 5 8:30 am to 5 pm Dec. 1, The McKimmon Conference & Training Center 10 am to 2 pm For more information and how to register email Adult Physical Assessment for Nurses: The Basics – [email protected] Cary Hospital Dec. 14 & 15, Hyatt Place Raleigh-Durham Airport Thursday, December 7 Wake AHEC Neuroplasticity, Rewiring Recovery, and Ethical Guidelines 9 am to 2 pm for Clinical Practice – Dec. 14, Training and Education Center, 6th Annual NCIMHA Conference and Annual Meeting Morrisville Promises to Keep: Caring for Every $5 Jewelry Sale From Surviving to Thriving: Mind/Body Approaches for Child’s Mental Health – Nov. 3, UNC Greensboro Cary Hospital Addressing Trauma – Dec. 15, Training and Education Center, Monday, December 4 Motivational Interviewing Techniques for Mental Health Morrisville 7 am to 4 pm and Health Care Professionals, Part I – Conference Center Nov. 3, Cary Hospital ORGANIZATIONAL DEVELOPMENT Raleigh Campus Dr. Science 2017 Clinical Microbiology Update – Nov. 6, Foundations of Leadership – Nov. 1, 8:30 am to 3:30 pm, MOB Monday, December 11 Andrews Center Leading at the Speed of Trust – Nov. 2, 8:30 am to 3:30 pm, 7 am to 4 pm 17th Annual Mast Symposium: Impacting Senior Care – MOB; December 7, 8:30 am to 3:30 pm, MOB Andrews Center Nov. 9, The McKimmon Conference & Training Center Coaching for Success and Improvement – Dec. 13, 8:30 am Clinical Supervision: Alliance and Adherence for Success, to 12:30 pm, MOB Part 2 – Nov. 10, Andrews Center