Read Now - Sentara

Transcription

Read Now - Sentara

Martha Jefferson
magazıne
S P R I N G 2 015
Creature
Comforts
Complementary
Therapies Benefit
Patients, Visitors
and Staff
PLUS: New Approach to Hip Replacement Provides Quicker Recovery
3-D Mammography: Is it for You? | Meet Martha Jefferson’s New President
{ PRESIDENT’S LETTER }
Martha Jefferson
Magazine, established
February 2006, is a
publication of
Martha Jefferson
Hospital, a member
of Sentara.
Questions or
comments regarding
any material in this
publication should be
directed to the Office
of Public Relations,
500 Martha
Jefferson Drive,
Charlottesville,
VA 22911.
MARTHA JEFFERSON
HOSPITAL
PRESIDENT
Jonathan Davis, FACHE
Editors
Michael Cordell
Jenn Downs
Contributors
Diane DiCarlo
Karen Doss Bowman
Looking Forward to
the Journey Ahead
N
ow that I am officially just over one month into my time as president of Martha
Jefferson Hospital, I want to start by saying thank you. To those of you I have met,
and to the greater community, I truly appreciate your making my family and me feel
immediately welcomed to Charlottesville and to the Martha Jefferson family. I am excited for this
next chapter!
I have been spending the past several weeks meeting employees, donors and community
members, and I have very much enjoyed listening to and learning from those who have helped
make Martha Jefferson the wonderful community hospital it is today. It’s clear to me that Martha
Jefferson is a true community gem and is treasured by many.
Like many of you, I was personally drawn to Martha Jefferson because of the Caring Tradition,
and its cultural values have been front and center in every interaction I’ve had. The idea of the
Photography
Caring Tradition resonates with both my personal and professional values and beliefs, and with the
Luca DiCecco
Andrew Shurtleff
idea that what’s most important on any given day is taking care of our patients the best we can and
Design
Picante Creative
ensuring their safety while under our watch.
Martha Jefferson has a rich history, and many things of which to be proud. Moving forward,
though, in this ever-changing healthcare industry, we have many exciting opportunities and challenges ahead. While we already have wonderful outcomes and provide top-notch care, I believe
If you do not wish to
receive further fundraising
communications from
Martha Jefferson, you may opt
out of receiving these materials
by contacting the Foundation by
phone at (434) 654-8258 or
(800) 633-6353; by email at
MJH_Foundation@sentara.com;
or by writing to the
Martha Jefferson
Hospital Foundation,
500 Martha Jefferson Drive,
Charlottesville, VA 22911.
w
If you wish to opt out and then
later wish to opt back in to receiving fundraising communications,
please contact us at the phone,
email or address above.
we would be remiss if we didn’t keep a sharp focus on how we can continue to improve. I look
forward to finding ways to continue to take our services to the next level, and provide extraordinary care and outcomes. Additionally, I believe that growth is in our future. I look forward to
expanding our scope of services to be able to care for more people in the greater Charlottesville
area and surrounding communities. And finally, as health needs change, I firmly believe we must
continue to enhance our offerings, making sure we are meeting the needs of the community.
In closing, I look forward to meeting many of you in the weeks and months to come. Thank
you for your loyalty to Martha Jefferson—I cherish your commitment and hope you remain
connected and engaged with your hospital. Additionally, thank you for holding Martha Jefferson
to such a high standard of excellence. It’s my goal to stay the course and remain best in class in
providing the greater Charlottesville community with the care it deserves. And last, but certainly
not least, should we cross paths, please feel free to introduce yourself and help me continue to get
acquainted with the community.
I’m thrilled to be here, and I look forward to all that is to come.
r
inne of
Jonathan Davis, FACHE
President, Martha Jefferson Hospital
CONTENTS
s p r i n g 2 0 15
39
features
13
Creature
Comforts
Complementary Therapies
Benefit Patients,
Visitors and Staff
30
A New ‘Approach’
to Hip Replacement
Muscle-Sparing Technique Offers
Patients Outstanding Outcomes
34
3-D Technology
Gives Doctors
a New View
Tomosynthesis Provides
Additional Option for
Annual Mammograms
32 Calendar Pull-Out
spring 2015
| www.marthajefferson.org | Martha Jefferson |
1
CONTENTS
s p r i n g 2 0 15
10
departments
{ PRESIDENT’S LETTER } Inside Cover
{ THE BEST MEDICINE }
Best Care Anywhere
{ PRAISEWORTHY }
3
4
5
{ CAREGIVERS } 6
{ NEW FACES }
Jonathan Davis Embraces New Role as President
{ THE CARING TRADITION }
The Rose Lady
{ CLINICAL EXCELLENCE }
10
18
Light at the End of the Tunnel
{ HEALTH & WELLNESS }
21
Fact or Fiction? Health Myths
and the Truth About What to Believe
{ EAT WELL, LIVE WELL }
24
18 21
Moving Away From Meat
{ COMMUNITY }
27
New Peterson Health Center Improves
Access to Primary Care
{ PHILANTHROPY }
40
Philanthropy’s Goal: To Support the Caring Tradition
{ BOARD PERSPECTIVE }
64
27
Of Mammas, Curves and More
2
| Martha Jefferson | www.marthajefferson.org |
spring 2015
40
{ THE BEST MEDICINE }
I
Best Care Anywhere
BY MICHAEL CORDELL
’m always a little suspicious when I walk
into a business with a “We Care” sign
posted somewhere. The sign is often
a large piece of paper that is torn in a
couple of places and haphazardly taped
or thumbtacked to a wall. And it may be
smudged. And oftentimes it’s not even level.
I’m skeptical because I figure if a business has to put a
sign up that tells me they care, they’re likely doing so because
they’re not confident I’ll be able to tell from the service I
receive. Spoiler alert: I’m not going to think you care because I
read your sign—I’ll think you care if, while doing business with
you, I can tell you care. Or if you give me cookies.
Some businesses may feel they need to put up
the sign to remind their employees: “Don’t
forget … you care!” But I don’t think
caring works in quite the same way as
reminding employees to wash their
hands after using the restroom. You
don’t care because a sign tells you
to—you care because you care.
Although I do hope the restroom
sign works.
If only life were as easy as proper
signage. I would put up a sign in my
office that says, “I’m productive!” so
that when my boss stops by, he’ll be
reassured that I’m actually doing something.
I’d put a bumper sticker on my car that says,
“I don’t speed,” to help ensure I never get a traffic
ticket. Obviously there could also be significant downsides to
this as well: for example, when I’m out with my wife and she
wears her “I’m With Stupid” T-shirt.
The topic of caring is important because the foundation of
Martha Jefferson Hospital is its Caring Tradition. It’s at the core
of everything we do. But you won’t see signs in our hospital saying, “We Care.” Instead, you will see our commitment to caring
in the things we do.
Included in this issue of Martha Jefferson magazine are
just a few examples of our Caring Tradition: warm touches like
therapy dogs making the rounds at Martha Jefferson, musicians
playing the piano or the harp to comfort patients, and a cancer
survivor delivering roses for patients undergoing chemotherapy.
The Caring Tradition also shines through in efforts like those
of the experienced physician helping patients by alleviating
the pain associated with carpal tunnel syndrome, and in
Martha Jefferson’s commitment to developing top-notch
caregivers through the Institute for Nursing Excellence. The
examples of true caring at the hospital go on and on.
Martha Jefferson’s Caring Tradition is well known, but
sometimes people narrowly define it as the way in which
patients and family members are treated by our hospital’s
staff. The community knows they’ll receive warmth and
compassion from the people with whom they interact here,
and while that is obviously an integral way in which we care,
it’s just a part of the picture.
Our Caring Tradition doesn’t just mean treating everyone as individuals and with respect. It also means
having a medical staff trained at some of the
country’s leading medical schools. It means
state-of-the-art technology to ensure the
most comprehensive and current treatment resources available anywhere. It’s
an obsession with safety and outcomes.
It’s providing private patient rooms
and a setting designed for your comfort
and well-being.
Above all, the Caring Tradition is
about ensuring that you receive the best
medical care possible. Not just the friendliest, or the warmest, or the most compassionate—the best medical care possible.
Jim Haden, Martha Jefferson Hospital’s
recently retired president, did a great job of helping
to ensure that the Caring Tradition remained at the core of
everything we do. He helped make it a part of our DNA. And
the first thing Martha Jefferson’s new president, Jonathan
Davis, said when he spoke to our leadership team was that it
was our Caring Tradition that attracted him to this job.
It’s also obvious that Jonathan understands that caring
involves not just treating people like we’d want our family
members to be treated, but also includes attributes such as
top-in-their-field physicians, cutting-edge technology, and an
unparalleled commitment to safety and quality outcomes.
It’s not a small thing. It’s not a simple thing.
And it’s definitely not a sign.
It’s who we are..
spring 2015
3
{ PRAISEWORTHY }
Letters
W
e are proud to print the following excerpts of letters received from
patients regarding recent healthcare experiences at Martha Jefferson
Hospital. These letters remain anonymous, as Martha Jefferson takes
great strides to protect the privacy of community members.
It is with great pride and pleasure that I write this letter. Having recently been seen at Martha
Jefferson Hospital for both diagnostic and treatment procedures, I wish to share my thoughts and
experiences. From the moment my “driver” met us at our car with my wheeled “chariot,” the caring
began. Smiling volunteers greeted me at the information desk as stunning mountain views radiated
through the lobby windows. Soft music, impressive artwork and soothing colors completed the
scene.
Following preliminary testing in both the imaging and X-ray departments, it was determined
that I had pseudogout, which had decided to settle most uncomfortably in my hip joint. Dr. Hall,
my orthopedic surgeon, consequently told my husband it was only the second such case he had
seen in his 12 years of practice.
Following an aspiration procedure and a review of the lab results, Dr. Hall’s original diagnosis
was confirmed. I was scheduled for a steroid injection a few days later. Because of the superior care
I had received during the aspiration procedure, I requested (if possible) the same team to do the
steroid injection. Their professionalism and efficiency through both procedures was top-notch.
It is with pride in our community hospital and its many caring professionals and staff that we
say a sincere “thank you!” If I were to design a logo for the hospital, it would be a pair of open hands
holding the letters “MJH.” Underneath would be the words “We Care,” because you obviously do,
and it feels terrific!
— December 2014
If you have ever wondered whether the recent investments in the construction of the new
hospital and supporting medical complexes have been in vain, allow me to dissuade you of
that notion. It is one thing to build a beautiful piece of architecture, but it is another to fill it with
functional competence in the manner that has occurred on your hilltop. I entered the hospital
outpatient surgery unit for a cholecystectomy in the care of Dr. John Carl. At the end of the day,
I was not able to leave the hospital because of a complication and was admitted overnight. This
was an unexpected turn of events and could have been extremely anxiety-provoking, were it not
for the smooth competence of my surgeon and especially the nurses of the outpatient surgery
unit. In relatively short order, I was admitted and found that the same atmosphere of competence,
courtesy and professionalism continued through the nursing staff of the inpatient unit.
As a registered nurse (retired), I had been having the bad feeling that the professions of caring
for patients had been deteriorating to a very impersonal level, governed by cost-benefit thinking
and protocols. My faith in the healing professions of medicine, surgery and nursing has been greatly
restored by this experience and several other interactions with your wonderful practitioners on earlier
occasions in other departments. — November 2014
The labor and delivery team and our entire experience at Martha Jefferson Hospital was wonderful. A+ to the floor and everyone we encountered in the hospital. Great, great hospital! The building is
very nice, but it was the people that made it so wonderful.
— November 2014
@
4
Facebook
Feedback
Much appreciation to all the
ladies and Dr. John Jones for
volunteering their time today
for women’s breast health
screenings, as well as everyone
at the front desk; reception in
radiology; Joyce in registration; Ms. Napier the nurse
practitioner; Heidi; Mary Beth;
and everyone giving out gowns,
bags and food. Thank you all so
very much.
I can certainly vouch for how
blessed we are to have the
skilled doctors and nursing staff
at Martha Jefferson Hospital
in our community. After being
in the hospital since Saturday,
today I had surgery performed
by Dr. Edwards in orthopedics.
My hospitalist on the cardiac
unit, Will Knight, was simply
incredible!
I am 60, and six months out
from hip replacement surgery.
I’m a new guy. The Martha
Jefferson replacement unit was
fantastic. Dr. Schildwachter is
a very skilled surgeon. Thanks.
Only wish I could have done this
years ago.
“LIKE”
MARTHA JEFFERSON
ON FACEBOOK
and get updates
and insights on the
latest health news,
treatments and
technologies at our
new hospital.
Have an experience at Martha Jefferson you would like to share? Email your thoughts to MJHinfo@sentara.com.
spring 2015
{ NEW FACES }
Awards
Martha Jefferson is
pleased to welcome
the following new providers
to the hospital community.
Elizabeth Casner, M.D.
Emergency Medicine
Piedmont Emergency
Consultants
Dr. John Ligush Recognized With Quality Award
Congratulations to Dr. John Ligush, recipient of the 2014 Arthur
Bender Quality Award. The recognition is given annually to a physician
on the medical staff of Martha Jefferson Hospital who has given outstanding service to our community by improving the quality of care we
provide to our patients. Dr. Ligush, thank you for all your hard work!
Martha Jefferson Shares a Caring
Embrace with 1,000 People
Medical School:
University of Colorado
Health Sciences
(Aurora, Colorado)
Residency: Carolinas Medical Center
(Charlotte, North Carolina)
Allegra Deucher, M.D.
Obstetrics &
Gynecology
OBGYN Associates
The Caring Embrace Knitting Circle at Martha Jefferson Hospital has
reached a milestone, with the distribution of 1,000 shawls to patients in
need of a little extra comfort. Started in 2010, the knitting circle brings
together volunteers, staff members and community members to knit
shawls that are distributed to people in need of extra support. Inpatients
who need a special caring touch, family members struggling with worry,
and cancer patients have all been recipients of this special symbol of our
Caring Tradition.
The group meets once a week, and knitters of all ability levels are
encouraged to attend. Since its beginning, more than 100 knitters have
contributed their time and talents to making shawls through Caring
Embrace. For information on getting involved with the program, please
contact Marsha Taylor at 434-654-8401.
Medical School:
University of Virginia
(Charlottesville, Virginia)
Residency: Beth Israel Deaconess Medical Center (Boston, Massachusetts)
Natalie Kretzer, P.A.
Inpatient Medicine
Martha Jefferson Inpatient Services
P.A. School:
Duke University
(Durham, North Carolina)
Evan Pryse, N.P.
Emergency Medicine
Piedmont Emergency
Consultants
Master of Nursing Degree:
University of Hawaii
(Honolulu, Hawaii)
To get connected with one of our
providers, or for more information
on any caregiver at Martha Jefferson,
please call Health Connection at
434-654-7009 or 1-888-652-6663.
spring 2015
5
{ CAREGIVERS }
Jonathan Davis
6
spring 2015
Welcome to
Martha Jefferson!
Jonathan Davis Embraces
New Role as Hospital President
T
here’s a new face taking the lead at Martha
Jefferson. In January, the hospital welcomed its
new president, Jonathan Davis, who is taking
over the helm following the retirement of longtime president Jim Haden. Excited to be part of
the team, Davis believes he’s at the beginning of
a wonderful journey. But what exactly drew him
to Charlottesville? And why Martha Jefferson?
The following will hopefully allow you to start to
get to know Davis a little better, and also learn
about his plans for Martha Jefferson in the
months and years to come.
Why Martha Jefferson?
As Davis has been going through orientation and begun meeting
Martha Jefferson staff and community members, one of the more
frequent questions he has received is: “Why Martha Jefferson?”
For Davis, the answer is easy: Delivering compassionate care is his
spring 2015
7
{ CAREGIVERS }
number-one priority, and Martha Jefferson is a place
where patient-centered care is front and center.
When he began his healthcare career, Davis made
a pact with himself that he would only work for
faith-based institutions—typically known for their
warm, comforting care. When he heard about the
opportunity at Martha Jefferson and began to learn
about the Caring Tradition, however, his interest
was piqued.
“The Caring Tradition culture that runs through
the entire Martha Jefferson organization is something
that can’t be matched or mimicked at any other
institution,” says Davis. “As I felt the spirit of the Caring Tradition throughout the hospital, I realized there
was a personal connection, and that’s really at the
root of what drew me to Martha Jefferson. The belief
that each and every patient should be treated as an
individual, and that compassionate care is who we are
and what we do day in and day out, is such a powerful
message and something I wanted to be part of.”
Another draw to Martha Jefferson for Davis was
the fact that the hospital is part of Sentara, a 12-hospital, not-for-profit healthcare system.
“When you combine the great culture that currently exists at Martha Jefferson with the knowledge
and best practices surrounding clinical quality and
outcomes that a larger system can provide, you truly
have a winning combination,” notes Davis. “Sentara
is a recognized leader across the country when
it comes to patient safety and quality, and as we
continue to integrate as a system, I look forward to
working as one to further improve upon the excellent care we already deliver.”
Planning for a Bright Future
Looking ahead to the future of Martha Jefferson,
Davis is excited about the opportunity to engage with
employees, members of the medical staff and the
Charlottesville community in a journey to define and
deliver best-in-class care to each and every patient
who walks through the hospital’s doors. Following the
strategic plans the organization has defined, Davis says
growth will be an area of focus right away.
“We’re going to be looking at how we can
extend our footprint in the greater Charlottesville
area to make sure there are access points for people
in need of care,” explains Davis. “Being there for our
patients is most important, and we want to make
sure we are providing excellent service and best-inclass outcomes, and truly meeting the needs of
the community.”
8
| Martha Jefferson | www.marthajefferson.org
A Healthcare History
While Jonathan Davis may be a new face at Martha Jefferson, he’s
no stranger to health care. Davis earned a Bachelor of Science
degree in physiology from Arkansas State University, a master’s in
physiology from Northern Arizona University and a master’s in public healthcare administration from Tulane University. Additionally,
he is a fellow of the American College of Healthcare Executives.
Davis began his career in patient care in the early ’90s and
progressed through middle management to three different president and CEO appointments at hospitals ranging in size from 25
beds to 300 beds, with revenues up to $260 million. Two of the
hospitals Davis worked at are part of two of the largest faith-based
health systems in the United States (Ascension Health and Catholic
Health Initiatives).
Most recently, before coming to Martha Jefferson, Davis served
as president of Methodist Charlton Medical Center in Dallas, Texas,
working with a team at Methodist Health System that doubled net
revenue to $1.2 billion over seven years. During Davis’ five-year
tenure, the hospital served five city rescue squads, treated 87,000
emergency room patients, grew to provide robotic surgery and
cardiothoracic surgery, opened a new 128-bed tower, and added a
69-bed long-term care unit.
And the Answer Is … ?
Jonathan and
his wife, Janet,
along with
their son,
Andrew, and
daughter,
Sydney.
Davis also notes that he plans to identify current
services at Martha Jefferson that can be enhanced, as
well as new services to enable the hospital to keep up
with the community’s needs in the decades to come.
In order to get to know Jonathan Davis a bit better
and get a snapshot of his life outside of work, we
asked him to answer the following questions.
During the Off-Hours
Q: What’s your favorite movie?
A: “The Shawshank Redemption”
Although Davis has been busy getting acquainted
with Martha Jefferson, getting his family settled has
been a major priority for him as well. Jonathan and
his wife, Janet, along with their two children, Andrew (7) and Sydney (5), couldn’t be more thankful
for the warm welcome they have received from the
Charlottesville community.
“Charlottesville is already presenting itself as a
wonderful place to raise our children,” notes Davis.
“We are happy with the schools here, and also all of
the history and culture the Central Virginia area has
to offer.”
The Davis family has already made several trips
to Wintergreen to go snow tubing and spend some
time on the slopes, and they look forward to exploring the area more as spring arrives.
When he’s not spending time with his family,
Davis enjoys trail running and the great outdoors.
Although he mostly runs for relaxation and enjoyment now, he has completed four Iron Man competitions, as well as a 100-mile mountain bike race in the
mountains of Colorado.
Q: If you could only eat one meal for the rest
of your life, what would it be?
A: Great pizza at local restaurants
Q: What’s your favorite color?
A: Blue
Q: What’s your dream vacation?
A: Going to the beach with immediate and
extended family
Q: Whom would you choose to play you in a
movie about your life?
A: Jimmy Fallon
Q: What’s your favorite sport?
A: Anything outdoors
Q: How would your friends describe you?
A: Athletic and hardworking
Q: Describe your perfect day.
A: Being with my family for an active day outdoors
Sundaes to Celebrate!
As a way to welcome Jonathan Davis to Martha
Jefferson and allow staff the opportunity to meet
him in person, an ice cream social was held in his
honor, with all staff invited to attend. Hundreds of
employees came out to show their support for Davis
and enjoy a sweet treat.
9
{ THE CARING TRADITION }
The ROSE Lady
Cancer Survivor Says it With Flowers
A
s a cancer survivor, Annie Dodd understands firsthand the physical
and mental challenges of fighting the disease. In order to help
others facing the same battle, and in gratitude for the kindness
shown to her by doctors, nurses and other staff members
during treatment at Martha Jefferson’s Phillips Cancer Center, Dodd
established Floral Blessings. Through this program, Dodd delivers
roses one day each month for nurses and staff to give to patients
undergoing chemotherapy or radiation treatments.
10
spring 2015
Sharing Medical
Equipment, Helping
Those in Need
D
“I believe 100 percent that flowers are a special gift to give,”
says Dodd, a former floral designer. “They brighten a person’s
day—no matter what kind of day they’re having. I wanted to
share something that would help people smile when they’re
going through challenging times. And in my heart, I believe that
flowers will make someone smile, even on their worst days.”
Dodd knows how difficult it can be to muster a smile during
the hard times. Her diagnosis of colorectal cancer came in July
2013, just two months after her mother’s death. On the day of her
first radiation treatment, Dodd was determined to keep a positive
attitude. She asked a radiation technician to take a “thumbs-up”
picture of herself to send to her uncle in California, just to let him
know she’d be okay. The next day, when she realized she still had
the camera in her purse, Dodd asked another technician to take
her picture again. She ended up having a picture taken on each of
her 25 days of treatment and later compiled the collection into a
memory book.
“It was something to take my mind off the treatments when
I walked through the door,” explains Dodd. “It was something to
pull my focus away. And when you get your picture taken, you
spring 2015
uring the final years of her life, Peggy
Shorter Woodson suffered the devastating effects of post-polio syndrome.
After Woodson’s death in spring 2013, her
daughter and son-in-law, Annie and Douglas
Dodd, were overwhelmed by the task of trying to figure out what to do with the medical
supplies and equipment that were left. The
couple quickly learned that although some
smaller items were easy to get rid of, larger
equipment such as power chairs, patient
lifts and hospital beds were difficult to find
homes for or to donate to senior communities or donation centers because of limited
storage space.
The Dodds also knew that there were
many people in the community who could
use such items but would be unable to
attain them on their own because of financial difficulties, insurance limitations or lack
of awareness.
“As an occupational therapist, I know
how important the right medical equipment can be to improving an individual’s
safety and well-being,” says Annie, a cancer
survivor. “After much research, I found there
is a tremendous need for used medical
equipment in our community, but there isn’t
an organized way of matching individuals in
need with donors.”
To help meet that need, the Dodds
established Recycled Blessings, a program
of their nonprofit organization, All Blessings
Flow. The program collects, recycles and distributes donated, used medical equipment
by partnering with local churches, senior
organizations, social workers, neighbors
and friends. While the Recycled Blessings
program currently operates out of a storage
unit, the Dodds hope eventually to have
a location and regular operating hours, to
make it more convenient for people to drop
off or pick up equipment.
“We’ve been truly blessed ourselves,”
Annie says. “For those who are struggling,
this program can be such a blessing. If I can
just find the equipment out there that’s not
being used and recycle it to someone in
need, then everyone will be blessed.”
11
A volunteer in the
Cancer Center
delivers a rose to a
patient undergoing
treatment.
have to smile. My thought is that you’ve got to smile through
the difficult times to get through them.”
Before each bunch of Floral Blessings roses is delivered,
Dodd prays over them, asking “for God’s blessings to flow to all
who touch each flower,” she says. She also wrote a short poem
of encouragement (see sidebar), which has been printed onto
bookmarks and is presented to each person who receives a rose.
In addition to radiation treatments and chemotherapy,
Dodd underwent three surgeries during her battle with
cancer. She is grateful to Martha Jefferson’s doctors, nurses
and other staff members, who were compassionate and
responsive to her needs.
“The experience at Martha Jefferson was fantastic,” says
Dodd, an occupational therapist working on an as-needed basis.
“Everyone was extremely loving and caring. Radiation was quite
painful for me, but I could call the nurses anytime. They were
there to talk to me and were helpful with everything.”
The first time Dodd sent flowers to the Phillips Cancer
Center, she meant to do it just that one time. But she began
getting thank-you notes from grateful patients after the delivery
and felt that God was calling her to continue the gesture. One
patient addressed a thank-you note to her as “Dear Rose Lady,”
expressing how receiving the flower gave her comfort and
reminded her that she was not alone in her cancer journey.
“This person referred to a ‘society of sisters’ and how
comforted she was to know that other people were praying for
her,” Dodd says. “I thought that was extremely touching. That
note convinced me that I needed to keep doing this.”
12
spring 2015
Annie’s Prayer
for Cancer
Survivors
The following
blessing is printed
on a bookmark and
presented along with
a single long-stemmed
rose to patients undergoing radiation treatments and
chemotherapy:
I said a prayer today for a blessing
On this beautiful flower
That it may bring you a reminder
Of God’s grace and His wonderful power
To feel His love and His presence
In every minute and every hour
As you fight this battle, you are not alone …
May you feel the love that is given
Through this precious flower
With Love and a Prayer,
From a friend and fellow warrior
In the fight against cancer
Creature
COMFORTS
Martha Jefferson Provides Complementary Therapies
to Benefit Patients, Visitors and Staff
spring 2015
13
F
or many of us, there is something undeniably comforting about coming
home after a long day and being greeted enthusiastically by a furry,
four-legged friend. For others, music—classical, jazz, pop or any other
genre—feeds the soul and distracts from everyday worries.
“To see that expression
and know that you can
bring some joy to these people,
it’s just amazing.”
14
spring 2015
Dante Walker
In fact, there are many ways to help alleviate stress
at home—but what about when you’re away from home?
What about when, for example, you’re in the hospital?
Few places cause more anxiety than a hospital—any
hospital. Just hearing the word makes many people
nervous, causing them to think of tests or surgery they
may require, or perhaps reminding them of the last time
they visited an ailing loved one.
Yet, a hospital is meant to be a place of healing, and
at Martha Jefferson Hospital caregivers want patients to
feel comforted and cared for, both in body and mind.
The hospital itself, of course, has been designed to
provide a more soothing environment for healing, but to
further supplement the quality medical care provided by
doctors and staff, Martha Jefferson also offers a number of
complementary therapies. As you walk the halls and enjoy
art displays designed to comfort, you will often hear live
music coming from the piano in the hospital lobby, or
from the roving harp players. You may also get a glimpse
of Dusty, Triscuit or Bagel, three of the therapy dogs who
come in to soothe our patients and provide our staff with
a welcome break from the hustle and bustle of their daily
responsibilities.
“At Martha Jefferson, we offer many complementary
therapies to help reduce patients’ and visitors’ anxiety
while they are here,” notes Martha Hunter, director of
patient relations. “For some, the art provides something to
focus on while they are waiting. Seated massage helps oth-
ers relax while they are going through chemotherapy.
The list goes on, but the goal is the same: to help people
feel better.”
Comfort From Furry Friends
It’s no secret that many people love their pets like
family. And in fact, research has demonstrated that pets
can have enormous health benefits for people. Some
studies have shown that pets can lower a person’s blood
pressure and improve recovery from heart disease.
Another study demonstrated that patients who spent a
short amount of time with a dog before an upcoming
procedure experienced a 37 percent reduction in
anxiety levels.
The real evidence comes, however, from firsthand
experience.
“I’ve seen patients who were not able to communicate at all suddenly start to smile when they had one
of the dogs next to them,” says Carol Easter, a volunteer who brings her dogs Triscuit and Bagel to visit
patients at least once a week. “To see that expression
and know that you can bring some joy to these people,
it’s just amazing.”
Various generous volunteers and their dogs make
the rounds nearly every day at Martha Jefferson, visiting
the infusion center, radiation oncology, the intensive
care unit and patient rooms.
spring 2015
15
“Music is such a part of people’s everyday lives; it just makes
sense that it would make them feel better here.”
Music to Soothe the Soul
Calling All Art
Aficionados
Docent-led art
tours are available
at Martha
Jefferson Hospital
twice a week:
Tuesdays,
10-11 a.m.,
and Thursdays,
1:30-2:30 p.m.
Tour groups meet
at the Concierge
Desk in the main
lobby of Martha
Jefferson Hospital.
Please call
434-654-7009
for a reservation.
16
“The only place we’re not allowed to visit is the
cafeteria,” notes John Williams, another volunteer who
brings his 11-year-old golden retriever, Dusty, to visit
the hospital at least once a week. “But we will visit
everywhere in the hospital we can.”
Patients and visitors have responded well to
these visits.
“Some people burst into tears of joy,” remarks
Easter.
“Even some cat people will come in for a pat,”
adds Williams.
Many staff members also make a point of stopping
for a visit with the therapy dogs as they pass by, or
during a break.
“The staff has been wonderful to us and to our
dogs,” says Easter. “They seem genuinely happy to
see us, and the dogs get lots of love from all of them.
Sometimes they even have biscuits for them.”
Williams agrees, adding: “You really need staff
support for something like this, and we have had really
nice response from them.”
In addition, as Martha Jefferson now offers only
private rooms, if patients have been in the hospital
for a few days, they can request to have their own pet
come in for a visit from home.
“Pets are family members to so many people,
and our patients who are here for an extended
period of time tend to miss their four-legged friends,”
says Hunter. “It’s wonderful to be able to let them
spend time with their furry companions—it really
raises their spirits.”
spring 2015
The simple act of listening to music has for centuries
been known to be able to influence one’s mood. Slow,
quiet music can be very relaxing and meditative. Fasterpaced music can be uplifting. Most music, in fact, can
be helpful as a stress-management tool—a welcome
distraction from other cares and even pain, helping to
ease emotional and physical distress.
Since its donation in 2001 to Martha Jefferson by
a grateful family, a baby grand piano has been sitting
in the hospital’s main lobby. Throughout the course
of a typical week at Martha Jefferson, a number of
volunteers will come through to play the piano for the
enjoyment of patients, visitors and staff.
Among those volunteers is 11-year-old Dante
Walker, who comes in every Wednesday afternoon to
play a variety of music, from classical to jazz to rock.
“I get requests for Beethoven and Mozart or Stevie
Wonder and John Lennon,” Walker says. “I like sharing
with other people and making them feel something.”
Walker has been playing the piano since he was
five, according to his mother, Nikuyah, who says
Dante has been well received by patients, visitors and
employees of the hospital.
“The doctors and nurses come by and tell him
how great he’s doing, and that he’s making their
shift easier,” she says. “If he misses a day, they’ll
ask where he was. Volunteers come and bring their
spouses. It’s gratifying.”
John Garland, a math teacher at Albemarle High
School and a local wedding disc jockey, also comes
to share the gift of piano music with Martha Jefferson’s visitors.
“I was born and raised here in Charlottesville,”
says Garland, “and I’ve always been a big believer in
giving back to the community where I was raised. My
three daughters were born at Martha Jefferson, and
it’s a real gift to me to be able to do something for the
hospital where my daughters were born.”
When visitors listen to Garland play, they won’t
hear classical music, but they will hear the classics.
“I play at a more lively pace—Jerry Lee Lewis, Billy
Joel. I like to keep things more upbeat,” he adds. “It’s
funny; I get the best reaction from little kids, because
we’re near the maternity unit. They often ask for Disney
tunes. But all kinds of people will stop and listen.”
Garland agrees that staff members are some of the
biggest fans of his music.
“It is a great honor to have doctors and nurses
spend their well-earned breaks listening to me play,”
he says. “I am just so glad I get to have a place to come
Paws
for a Pat
While patients and visitors are
the primary recipients of Martha
Jefferson’s complementary therapies, the hospital
staff often benefits from them as well. Staff members
can request a small gift for their colleagues and often
spend their breaks enjoying the music in the halls
or stopping for a quick pat with one of the hospital’s
therapy dogs.
“We noticed that employees were enjoying seeing
the therapy dogs as much as the patients were,” says
Suzanne Smith, chaplain. “Whenever a pet comes in to
visit with patients, the staff tries to find time for a pat
because it brightens their day, so we decided we would
offer time with the therapy dogs especially for staff.”
From this idea was born “Paws for a Pat,” an event
during which staff members could take a moment to
enjoy the dogs’ company.
Volunteers and their therapy dogs came for the
event one day in December 2014 around lunchtime,
and mats were set up on the floor so participants
could sit with a dog in their lap, if they so desired.
“We had a steady stream of employees coming
by, and they were just overjoyed,” recalls Smith. “They
were so appreciative that this special gift of the volunteers’ time was just for them. We know that therapy
dogs lower stress levels in hospitals, and it really did
make the staff who came by smile and feel good.”
The response was so overwhelmingly positive
that, Smith says, the Martha Jefferson plans on holding the event every other month in the future.
play, give back to my community and just have a blast!”
Music can be heard in patient areas of the hospital as
well, thanks to volunteers who come in to play the harp in
the cancer center or in patient rooms, as requested.
“It is beautiful, soothing music that helps people relax
during chemo treatments and brings joy to patients recovering in their rooms,” says Hunter. “Music is such a part of
people’s everyday lives; it just makes sense that it would
make them feel better here.”
The Art of Caregiving
For many years, first at the outpatient care center and
later in the hospital itself, Martha Jefferson has included
art as a part of the healing process and in the design of its
facilities—and for good reason. Carefully considered art
programs in healthcare environments have been shown to
result in shorter hospital stays, fewer needed medications
and lower readmission rates for patients. At Martha Jefferson, Hunter has worked with an art consultant to develop
a collection of original artworks and to place each piece in
the location where it would have the greatest impact.
“In a waiting room, you will see a piece that is a bit
more thoughtful and abstract, so that your mind can ponder
the art rather than worry about the procedure you are waiting on,” notes Hunter. “On the other hand, in a treatment
area the art is more straightforward. In the birthing rooms,
for example, we chose images of local gardens.”
Healing Through the
Comforts of Home
The overall impact of all of these complementary therapies
is a more comforting experience during one’s hospital stay.
And to reinforce these efforts, Hunter notes that the
hospital provides some little, homey touches.
“Through the efforts of the Patient Experience
Council and the generous support of our community, we
recently started providing homemade banana bread for
our inpatients,” she says, “and our staff can send a card or
small gift to patients who don’t have family, or to other
staff members who may need a little pick-me-up.”
It’s all a part of the Caring Tradition Martha Jefferson
is known for, she adds. And while there is no place like
home, the hospital staff wants you to feel as comfortable
as possible while you’re visiting.
“It’s a part of our healing environment,” says Hunter.
“We want to be able to offer things to reduce anxiety—to
make our patients’ experience as homelike as it can be.”
www.marthajefferson.org | Martha Jefferson |
17
Light at the End
of theTUNNEL
Effective Treatments Now Available for
Sufferers of Carpal Tunnel Syndrome
N
umbness or tingling in your hand and wrist. Sharp,
piercing pain shooting up from your wrist to your arm.
Muscle weakening in the base of your thumb.
18
spring 2015
These are some of the most common symptoms
of carpal tunnel syndrome (CTS). It’s uncomfortable,
often painful, but absolutely treatable, according to
Steve Hoover, M.D., hand and wrist surgeon at Martha
Jefferson Orthopaedics.
What is Carpal Tunnel Syndrome?
“Carpal tunnel syndrome occurs as a result of a
compression or irritation of the median nerve as it
runs through the carpal tunnel in the wrist,” explains
Dr. Hoover.“The carpal tunnel is an anatomic area
with bones on three sides and a ligament forming the
roof.The nerve and the flexor tendons to the fingers
run through it, and the area can become compressed.”
Symptoms usually begin gradually, sometimes
with a burning, tingling or itching numbness in the
palm of the hand or the fingers.
“There is a wide spectrum in terms of which
symptoms are most prominent in different patients,”
adds Dr. Hoover.
Symptoms often appear during the
night, although as the condition worsens, people with CTS may begin to feel
symptoms during the day as well. Grip
strength may decline, making it
difficult to form a fist or grasp
small objects.
As to what causes CTS, in
the past researchers focused a
good deal on repetitive and forceful movements of the hand and
wrist, such as typing or working
on an assembly line, but there has
been little clinical data to prove
that hypothesis. So what does
cause CTS?
“Some medical conditions
predispose people to having carpal
tunnel syndrome,” says Dr. Hoover.
“There is a probable genetic component, and age is also a factor.That
said, certain tasks also exacerbate the
problem, so we might try to reduce or
eliminate those as part of treatment.”
Clearing the Tunnel
“People experiencing symptoms several
times a week—for example, if their
fingers are going numb or
tingly, or if they are waking
up in the middle of the night
feeling like their hands are
‘falling asleep’—should see a
physician,” says Dr. Hoover.
In fact, since prolonged
compression or irritation can
lead to permanent muscle
atrophy, diagnosis and treatment for CTS by a primary
care physician or an orthopedic surgeon should begin
as early as possible after the
onset of symptoms.The doctor likely will begin by taking
a patient history and conductSteven Hoover, M.D.
ing a physical exam, and in
some cases will recommend a nerve conduction or electromyogram
study to help confirm the diagnosis.
To treat CTS, a number of options
are available to patients.
“Bracing and injections are two of
the mainstays of nonoperative treatment for CTS,” says Dr. Hoover.“Sometimes ergonomics or activity modification may be helpful as well.”
Dr. Hoover adds that although CTS
can often be treated without surgery,
the decision to treat operatively
is based on the severity of the
patient’s condition.
“For many people we
start with nonoperative
treatments first, but there
are some patients we take
straight to surgery because
they are losing function so
quickly,” he notes.“In general,
when the patient presents, if the
disease has already progressed so
far that there is severe weakness or
atrophy, I will recommend that we go
ahead into surgery. However, at least half,
if not the majority, of my patients aren’t so
advanced that we have to abandon nonoperative treatment.”
spring 2015
19
If surgery is required, the procedure is
fairly straightforward. After making a small
incision in the palm, the surgeon makes an
incision across the width of the carpal tunnel
ligament (the roof of the tunnel), releasing
pressure on the median nerve.
“That simple procedure can solve the
problem,” says Dr. Hoover.“With a solid diagnosis of CTS, the patient’s chances of good,
long-term relief are 85-95 percent.There
are some very severe cases in which such
recovery may not be possible; however, these
extreme cases are really in the minority. In
general, we are able to do a good job of helping people get back to being symptom-free.”
Is Carpal Tunnel Syndrome Preventable?
Since it is not completely clear what causes carpal tunnel syndrome, there
are no proven strategies to prevent it. However, you can help reduce the
stress on your hands and wrists by doing the following:
20
•
Relax your grip. Most of us exert more force than necessary
to perform many manual tasks. Try to hit the keys on your
keyboard more gently, for example, and for prolonged writing, use a big pen with an oversized grip adapter so you don’t
have to grip the pen as tightly.
•
Take frequent breaks. Gently stretch and bend your hands
and wrists periodically, and alternate tasks whenever you can.
•
Sit up straight. Poor posture causes your shoulders to roll
forward, shortening your neck and shoulder muscles and
compressing the nerves in your neck. These nerves run all the
way down to your wrists, fingers and hands, so slumping in
your seat could be hurting more than just your back.
•
Don’t bend to the extremes. You should not be bending
your wrists all the way up or down for prolonged periods.
Take a relaxed middle position instead. That means, if you use
a keyboard, keep it at elbow height or slightly lower.
•
Keep your hands warm. Your hands are more likely to
become stiff and painful if you work in a cold environment.
Adjust your thermostat or wear fingerless gloves to keep your
hands and wrists warm.
spring 2015
Fact or Fiction?
Health Myths and the Truth
About What to Believe
W
e all want to be as healthy as possible, and there’s no shortage of
advice available about how to do so. Conventional wisdom, passed
down from one generation to another, is full of ideas that presume
to stand in for “doctor’s orders,” including recommendations to eat
more carrots for better eyesight; starve a cold, feed a fever; and drink a
glass of wine each day to improve heart health. But is there any truth to
these popular proverbs, or are they just old wives’ tales?
We sat down with family physicians Margo Gill, M.D., and Tiffani
Dennis, M.D., to learn the facts behind some of these common adages.
Do carrots really
improve eyesight?
While carrots do not actually improve eyesight, they
are high in the nutrient beta carotene, which is good
for the components of the eyes that support vision
and overall eye health. Additionally, carrots and other
orange and yellow foods contain high concentrations
of the compounds lutein and zeaxanthin, powerful
antioxidants that can reduce damage to tissues such
as those of the eye. “A diet rich in these compounds
has been shown to reduce the risk of macular
degeneration—a major cause of age-related blindness—and cataract formation,” says Dr. Dennis. “So
while carrots will not improve vision, including them
in your diet can be helpful in preventing damage to
the eye, as well as other tissues.”
Fact or Fiction?
Research indicates that dark chocolate (cocoa)
is high in antioxidants, which help combat
potentially harmful “free radicals” in the
blood and throughout the body.
• Is it good advice to starve
a cold and feed a fever?
• Is chocolate really healthy?
Research indicates that dark chocolate (cocoa) is
high in antioxidants, which help combat potentially
harmful “free radicals” in the blood and throughout
the body, and which may offer some protection
against vascular disease and cancer. However,
according to Dr. Gill, “there is no actual trial to tell
us how much chocolate to consume. It is best to
think about everything in moderation and to eat a variety of foods
generally high in antioxidants,
including tomatoes, blueberries
and broccoli.”
• Does red wine
help the heart?
Studies have suggested that
consuming 4-6 ounces of red
wine, five to seven days a week,
offers protective benefits to the
heart. Red wine contains antioxidants and a substance called resveratrol, which may help reduce incidences
of heart disease. “This does not mean that
a glass of red wine is going to prevent heart
disease among people who have untreated
high cholesterol, never exercise and lead a
generally unhealthy lifestyle,” comments Dr.
Gill. In fact, adds Dr. Dennis, “heavier alcohol
consumption and binge drinking actually
increase cardiovascular risks.”
22
spring 2015
This one has an easy answer: no. “When people
are ill, they should eat what their body tells them
will be good,” says Dr. Gill. “The real key when not
feeling well is to stay hydrated and make sure you
are urinating normally—particularly in the case of
children. And if you don’t eat for three days, you’ll
almost certainly make up the lost calories when
you’re back to feeling better.”
• Is high-fructose corn syrup
more harmful than sugar?
The body has difficulty breaking down high-fructose
corn syrup, according to Dr. Gill, causing concern
that it may contribute to obesity and thus
heighten the risk for developing Type 2
diabetes mellitus. “When patients check
their blood sugar after eating carbohydrates, the levels can vary,” explains Dr.
Gill. “but there is thought to be a notable
spike in blood sugar that lasts longer
with high-fructose corn syrup than with
other carbohydrates or sugars.”
Dr. Dennis adds that high-fructose
corn syrup often is used to sweeten drinks
such as sodas, which add calories to the
diet. “Consumption of such drinks does not
usually coincide with decreased food calorie
intake, so this fact may help explain the increased
risks for obesity, metabolic syndrome and diabetes
associated with consumption of such beverages.”
Fact or Fiction?
Red wine contains antioxidants and
a substance called resveratrol,
which may help reduce incidences
of heart disease.
Fact or Fiction?
Low-fat or fat-free dairy products—such as cottage
cheese, reduced-fat cheese, low-fat milk,
and plain or Greek yogurt—offer the benefits
of protein and calcium without adding
too much sugar to your diet.
• Is organic food healthier
than regular food?
• Are low-fat foods better
for you than full-fat foods?
Some fat is necessary in your diet, says Dr. Dennis,
who points out that, according to the Centers for Disease Control, less than 10 percent of our daily caloric
intake should come from saturated fat. Americans
tend to eat more foods that are labeled as low-fat, but
the lower fat content often is compensated for with
higher amounts of sugar. “Don’t avoid fat altogether
at the expense of added sugar,” advises Dr. Dennis.
There are many good low-fat options that are
healthy, however, adds Dr. Gill. Low-fat or fat-free
dairy products—such as cottage cheese, reduced-fat
cheese, low-fat milk, and plain or Greek yogurt—
offer the benefits of protein and calcium without
adding too much sugar to your diet.
Some organic foods can provide potential health benefits, says Dr. Gill. Organic whole milk, for example,
contains higher levels of the omega-3 fatty acid DHA
and other fats that support good brain health. Choosing organically grown fruits—particularly apples—
also may offer benefits. “Pesticides used by nonorganic growers tend to stay in the flesh of the apple itself,
so there’s a potential to consume more pesticide than
expected,” notes Dr. Gill. “I recommend that people
check the Internet for guidance on which foods tend
to be lighter and heavier in pesticides, based on how
they grow and are consumed.”
• Will cracking your
knuckles cause arthritis?
While cracking your knuckles may be
a habit that others find annoying, the
good news is that it apparently does
not cause arthritis. In fact, says Dr.
Dennis, “there is no evidence that it is
good or bad for your joints”. The cracking noise may be caused by tendons
snapping over tissues, or by nitrogen gas
that is pulled into the joint space temporarily
by negative pressure.
spring 2015
23
{ EAT WELL, LIVE WELL }
By
RITA P.
SMITH,
MS, RD, CDE
Moving Away
From Meat
Easing Into a Vegetarian Diet can Make for a Smoother Transition
M
aking a move toward more vegetarian meals could be just the thing your
health needs. Many studies show that a meatless diet can reduce the
risk for cardiovascular disease; lower body weight, blood pressure and
cholesterol; and keep cancer cell promotion at bay. It may be a hard sell
to the family to jump into going completely vegetarian, but inching in
that direction at a leisurely pace could be a good health game plan.
24
spring 2015
Vegetarian Protein
Shopping List
3 Dried beans and peas: black, cannellini,
chick, Great Northern, kidney, lentil,
navy, pinto and white beans
So, what exactly is a vegetarian diet? One type (vegan)
includes no animal products at all, while the other
(vegetarian) could include dairy products and eggs but
no fish, poultry, beef, pork, lamb, veal or game.
If you do decide to move toward a vegetarian
lifestyle, forgoing animal protein, each meal still
needs to be balanced with protein, starch, and
vegetables and/or fruit. The following are a few tips
that can help you alter your diet. It all starts by simply
eating fewer animal proteins than you are typically
accustomed to.
3 Soy products: cheeses, milk, yogurt,
tempeh and tofu
3 Veggie or soy bacon, burgers, sausage
and “ground beef” crumbles
3 Nuts and nut butters: almonds,
cashews, peanuts, pecans, pistachios,
soy and walnuts
3 Green edamame soybeans
3 Quinoa
1.Breakfast
Tip: Have eggs and breakfast meats such as bacon
and sausage less frequently.
Step 1: Have them just on the weekends.
Step 2: Replace with soy bacon or sausage.
Menu Ideas:
2. Lunch
Tip: Begin to alternate meat-filled sandwiches with
vegetarian fillings such as nut butters, hummus
or veggie burgers. Add layers of raw vegetables
such as spinach or lettuce leaves, tomato slices,
mushrooms, and roasted bell pepper strips.
Tip: Replace meat in hearty soups, stews and
salads with beans like kidney and white beans or
chick peas, nuts and soy milk cheeses.
• Whole-grain cereal with soy or almond milk
and seasonal fruit
• Peanut butter and banana slices on wholegrain toast
• Veggie sausage patty on a toasted English
muffin and half a grapefruit
spring 2015
25
Menu Ideas:
• Hummus and chopped raw veggies in a
tortilla roll-up
• Navy bean soup and a side salad
• Large veggie salad with pecans, chick peas
and dressing
• Grilled soy cheese sandwich on wholegrain bread and a cup of vegetable soup
• Sweet potato and apple stew with a
whole-grain biscuit
Two-Bean Soup With Kale
3. Dinner
Ingredients
Tip: Begin by having one vegetarian meal per
week, then increase the frequency.
Tip: Reduce the amount of animal protein in
stews, chili, spaghetti sauce and stir-frys, but
add more beans and vegetables.
Menu Ideas:
3 tablespoons vegetable or olive oil
1 cup chopped yellow onion
½ cup chopped carrot
½ cup chopped celery
½ teaspoon salt, divided (optional)
• Multigrain pasta with marinara sauce and
soy veggie crumbles, and a side salad
2 garlic cloves, minced
• Marinated, stir-fried tofu cubes with
assorted vegetables over wild rice
4 cups salt-free vegetable broth, divided
7 cups stemmed, chopped kale (about 1 bunch)
2 (15-ounce) cans no-salt-added cannellini beans, rinsed,
drained and divided
1 (15-ounce) can no-salt-added black beans, rinsed and drained
½ teaspoon freshly ground black pepper
• Stuffed baked potato with broccoli and
grated soy cheese
• Vegetarian meatloaf made with cooked
lentils
• Veggie burger on a potato bun with
seasonal vegetables
1 tablespoon red wine vinegar
• Burritos filled with brown rice, black
beans, corn, soy cheese and salsa
1 teaspoon chopped fresh rosemary
Directions
1. Heat a large Dutch oven over medium-high heat. Add oil to
pan; swirl to coat. Add onion, carrot and celery and sauté 6
minutes or until tender. Stir in ¼ teaspoon salt and garlic;
cook 1 minute. Stir in 3 cups vegetable broth and kale. Bring
to a boil; cover, reduce heat, and simmer 3 minutes or until
kale is crisp-tender.
2. Place half of cannellini beans and remaining 1 cup vegetable
broth in a blender or food processor; process until smooth.
3. Add pureed bean mixture, remaining cannellini beans, black
beans and pepper to soup. Bring to a boil; reduce heat and
simmer 5 minutes. Stir in remaining ¼ teaspoon salt, vinegar
and rosemary.
26
spring 2015
Follow Rita Smith, Registered
Dietitian, Online!
{ COMMUNITY }
Centered Around
Community Needs
O
New Peterson Health Center Improves
Access to Primary Care
n any given day, most of us know that if we need to, without much
effort we can make an appointment to see a primary care doctor,
either for a wellness visit or to address a health issue. For some
people in our community, however, due to various financial, practical
and personal factors, this seemingly simple task is truly not so simple.
To respond to this gap in available healthcare services, Region Ten Community
Services Board and Martha Jefferson Hospital have partnered together to offer a
blending of behavioral health and primary care services in the newly renovated
Peterson building in downtown Charlottesville.
Having opened to the public on Feb. 2, 2015, the Peterson Health Center
emphasizes comprehensive, coordinated care, bringing primary care services to
consumers already benefiting from Region Ten’s behavioral health services, as well
as providing a much-needed additional primary care clinic for the entire community.
“The idea for this center has been germinating for a few years,” says Robert
Johnson, executive director for Region Ten. “We had been meeting with local
physicians but hadn’t been able to make it work. Then a little more than a year ago,
I started talking with the team at Martha Jefferson about our desire to have a clinic that Martha Jefferson providers who will see patients
combines behavioral health and primary care, and it grew from there.”
at the Peterson Health Center.
spring 2015
27
{ COMMUNITY }
The new center also fits in well
with the community-centered priorities
of Sentara Healthcare.
“Sentara was looking to do something that incorporated the behavioral
health aspect of caregiving, so when we
got the request from Region Ten, it was
a great fit,” notes Judy Tobin, executive
director of Martha Jefferson Medical
Group. “We are both providing what we
do best; Martha Jefferson knows health
care and how to get people the appropriate medical care in the appropriate
setting, and Region Ten knows behavioral health care really well. Together,
we have created something that is much
stronger as a partnership.”
Overcoming BarrierS AND
Coordinating Care
Primary care services are critical in treating community members with mental
health issues.
“For years mental health caregivers
have understood that many people
with mental illness also have significant
physical illnesses,” says David Moody,
M.D., medical director for Region Ten.
“A number of barriers make it challenging for our patients to access good care,
and it has been shown that the average
lifespan for people with serious mental
illness is up to 25 years shorter than for
Primary Care at the
Peterson Health
Center
The Martha Jefferson Peterson Health
Clinic is committed to providing you
and your entire family the affordable,
high-quality healthcare services
you need. The clinic specializes in all
aspects of family medicine, including:
• Preventive care, including vaccines,
physicals and screenings
• Treatment for acute illnesses
• Chronic illness management,
including diabetes, high blood
pressure and asthma
• Pediatric and newborn care
• Women’s health services
• Geriatric medicine
people in the general population.”
Among the health risk factors for
mental health patients are modifiable
factors such as smoking, obesity and
inactivity, as well as social isolation,
unemployment and poverty, and a lack
of access to care.
The Peterson Health Center aims
to help alleviate many such factors by
removing the many barriers to primary health care that behavioral health
patients often face.
“These patients frequently are
dealing with financial factors, insurance
issues, motivational issues and transportation issues,” explains Moody. “In the
past, some patients have experienced
difficulties navigating a new bus line and
making it to a new clinic—and even for
patients who were able to get to that
clinic, they still faced the challenge of
communicating and coordinating with
the Region Ten team.”
With the opening of the Peterson
Health Center, however, patients
can—on the same day—come for their
appointments with their Region Ten
case manager and a primary care physician. Case managers may even go to
the primary care appointment with the
patient, to help ensure that the patient
fully understands what they need to do
for the benefit of both their physical and
mental health.
“Our goal is to make health care
more easily accessible for the people
we serve,” says Dr. Moody. “By bringing
primary care services into the same
location, we will be able to have closer
collaboration among healthcare providers and mental health providers.”
Such collaboration among caregivers can have a major impact on the
overall health of patients.
“Comprehensive care of any patient
is extremely important,” says Bruce
Clemons, M.D., medical director for
both Martha Jefferson Medical Group
and Peterson Health Center. “It’s always
important to take a patient’s behavioral
health into account when looking at
his or her overall health. Eating habits,
smoking, lack of exercise, depression
and anxiety can all keep people from
taking care of chronic issues like diabetes
and high cholesterol. When a patient has
additional problems, such as a mental
health disorder, ensuring his or her overall well-being is even more complicated.”
Strengthening Services
for the Community
With Region Ten’s behavioral health
team now on site at the Peterson
Health Center with a primary care team
from Martha Jefferson, patients have
convenient access to a wide variety of
health services.
“We have a provider available
from 8 a.m. to 5 p.m. every weekday,”
says Judy Tobin, director of Martha
Jefferson Medical Group. “While there
are a couple of primary care clinics in
downtown Charlottesville, there still
weren’t enough physicians available
to serve the community’s population.
The new center features a full-service
primary care clinic, with a physician and
two nurse practitioners taking care of all
patients who need care.”
For the caregivers, the center
represents a meaningful way to give
back to the local community.
Providing caregivers with a venue
to deliver important health services and
address the needs of an underserved
population, the Peterson Health Center
is truly a blessing for health professionals
and community members alike.
“To have Region Ten and Martha
Jefferson come together is a major
positive for the community and for
the people who will benefit from the
center,” adds Johnson. “I think citizens
will soon be seeing the great things that
will come from this partnership.”
Responding to Pressing Community Needs
Starr Hill Health Center Addresses Health Issues
In January 2013, the Martha Jefferson
Hospital Board of Directors accepted and
adopted the Thomas Jefferson Health
District’s community health needs
assessment and improvement plan,
known as Mobilizing for Action Through
Planning and Partnerships (MAPP2Health). The hospital then developed
an implementation strategy to address
the four priority health concerns identified in the assessment. Following are just
some of the efforts undertaken by Martha
Jefferson in 2014 toward implementing
MAPP2Health.
COMMUNITY HEALTH ISSUE #1:
An Increasing Rate of Obesity
Opened in 2013, the Martha Jefferson
Starr Hill Health Center is a free community wellness center with a nurse
practitioner on staff to help community
members set and reach goals for weight
control and overall wellness. In 2014, the
Starr Hill Center saw:
• 66 new patients
• 651 follow-up appointments
• 525 pounds lost*
• 71 percent of patients reach a goal
• Five patients who have decreased
dosage of or eliminated a medication
* Includes all patients seen in 2014
Insufficient Access to Mental Health
and Substance Abuse Services
To address the lack of access to mental
health services, in 2014 Martha Jefferson:
• Provided a financial and in-kind donation of a satellite office to the Women’s
Initiative, which offers mental health
counseling, support groups and social
support to women
• Planned development of an integrated
health primary care practice to be
co-located in Region Ten (see article,
page 27)
• Was represented on the Mental
Health and Wellness Coalition, which
sponsored a mental health navigator
to link people to services and track and
coordinate mental health drug use
Late and Insufficient Prenatal Care, and
Racial Disparities in Pregnancy Outcomes
One of Martha Jefferson’s primary efforts to
aid in providing prenatal care for parents
in vulnerable populations was introducing
the Baby Basics Moms Club. The hospital
launched a club in February 2014, and since
that time 35 moms-to-be have joined.
Among the results of the postdelivery
interviews:
• 100 percent were influenced to put babies
on their back to sleep
• 75 percent were influenced to breastfeed
• 75 percent were influenced to eat healthier
Tobacco Use Above the Healthy People
2020 Goal
Martha Jefferson representatives served on the
Tobacco-Free Community Coalition, which:
• Conducted a workplace tobacco use
assessment
• Partnered with community agencies to
help address gaps in tobacco-free policies
and/or smoke-free environments
• Completed a tobacco readiness-to-quit
survey
• Helped sponsor “Quit Smoking Charlottesville,” a smoking cessation program
29
A New ‘Approach’
to Hip Replacement
Muscle-Sparing Technique Offers Patients Outstanding Outcomes
F
or nearly seven years, Filofteia Paraski endured excruciating pain in her right
hip, including the time she spent caring for her ailing husband. While medications were effective in suppressing the pain for some of that time, Paraski’s
pain became unbearable following her husband’s death more than a year ago.
She even began to have difficulty walking.
Knowing the moment had come to address the
problem, in November 2014 Paraski chose orthopedic surgeon Megan Swanson, M.D., to perform
her hip replacement procedure. Paraski was one
of the first patients at Martha Jefferson Hospital to
undergo direct anterior approach hip replacement
surgery, a muscle-sparing technique Dr. Swanson first
performed at the hospital earlier that month.
“I was confident in Dr. Swanson,” says Paraski,
69, of Troy. “She was meant to be a surgeon. She has
a good bedside manner and explained everything to
me. She has a heart for her patients and is very good
at her job.”
What is the Anterior Approach?
Filofteia Paraski was one of the
first patients to have a direct
anterior hip replacement at
Martha Jefferson Hospital.
30
spring 2015
The anterior approach hip replacement procedure
involves accessing the hip through the front of the
upper thigh. The surgeon then works between the
muscles and tissue, leaving them attached to the
bones. This technique differs from the traditional
posterior approach, which involves accessing the
hip through the back upper thigh and splitting the
gluteus maximus (buttocks) and hip muscles, which
are sewn back together at the end of the procedure.
“Research is developing in this area, but
many studies are suggesting that with the anterior
approach, there’s less pain, less risk of dislocation
and fewer restrictions after surgery,” says Dr.
Swanson, who joined Martha Jefferson in January
2014. “I’m always an advocate of avoiding the cutting
of muscles and tendons, whenever possible. I believe
that less cutting opens the door for faster healing.”
Within an hour after her surgery was completed,
Paraski was up walking, and the next evening she
was able to go home. A week after her surgery, Paraski was able to walk around her home and do light
housework. By Christmas, she had graduated from
a walker to a cane and had hopes of donning her
flat-heeled pair of red shoes to celebrate the holiday.
“I was amazed,” says Paraski, who works part
time in Central Supply at Martha Jefferson. “Of
course there’s always some pain right after surgery
because the body is trying to heal, but the pain I felt
after surgery was nothing compared to what I had
experienced for years before.”
Megan
Swanson, M.D.
spring 2015
31
Paraski returned
to work at Martha
Jefferson Hospital
after surgery and
feels great.
Surgery for Healthy Patients
Martha Jefferson Hospital approaches all joint replacement
surgeries from a wellness perspective. These patients aren’t
sick when they come in for a knee or hip replacement, so
they aren’t treated as such. The Martha Jefferson program
emphasizes wellness, promoting recovery by educating
patients, encouraging movement soon after surgery and
sending patients home as soon as possible. There are no
drafty hospital gowns here—patients can put on their Tshirts and shorts for a more relaxed environment. Additionally, attending a “discharge brunch” before leaving Martha
Jefferson ensures that patients and their family members
learn everything they need to know about care once the
patient returns home.
“You came into the hospital and you were well—you were
wearing your clothes, working and living an active lifestyle,” says orthopedic surgeon Megan Swanson, M.D. “Our
wellness approach is an empowering concept. Our patients
don’t feel sick, and there’s something magical about being
able to take a shower. It’s good to go home as quickly as
possible and get a good night’s sleep in your own bed.“
32
spring 2015
Anterior approach hip surgery is available
to a wide range of patients, depending on the
individual’s anatomy and on any previous surgeries
performed on the hip. Moreover, this particular
technique may be beneficial for patients who live
alone and who would have difficulty following
postsurgical restrictions, such as refraining from
bending over, of the traditional posterior approach.
“Usually your surgeon can talk to you about your
medical history and your X-rays and discuss the risks
and benefits for the various surgical approaches,”
says Dr. Swanson. “We can help a patient determine
which type of surgery will be best for them.”
Dr. Swanson talks to her patients about their
health goals and then provides options. She always
recommends trying nonsurgical treatments first,
including physical therapy, pain medications or
injections.
“We think about joint replacement after the
nonsurgical options have been tried and stop
working,” Dr. Swanson adds. “When a patient can no
longer do the things he or she wants to do, then it’s
time to consider surgery. And that varies for everyone, so it’s important to have a good conversation
with a surgeon and work closely with your primary
care physician.”
“I was amazed. Of course there’s always some pain right after surgery because
the body is trying to heal, but the pain I felt after surgery was nothing
”
compared to what I had experienced for years before.
Compassionate Care for Joint Pain
Paraski’s results following surgery have been
outstanding, and she’s pleased to no longer be in
constant pain.
“I hope that people living with hip pain will
put away their fear of having hip surgery,” she says.
“Martha Jefferson’s doctors and nurses do a great job
taking care of everyone, and oh, my goodness—it’s
so wonderful not to be in pain anymore.”
Martha Jefferson surgeons like Dr. Swanson are
committed to answering patients’ questions, helping
them make decisions about treatments and guiding
them through the healthcare process. Dr. Swanson
credits the hospital’s full team for successful patient
outcomes—from the staff who deliver meals and keep
the facilities clean to the hospitalists, anesthesiologists
and nurses. She notes that most of her joint replacement patients go home the day after surgery, as long as
they are “medically ready and physically safe.”
“One thing that defines the Martha Jefferson
experience is compassionate care,” comments
Dr. Swanson. “I tell patients it should feel like I’m
holding your hand through the whole process, from
talking about your options preoperatively until you’re
back to doing what you love to do postoperatively.
We really try to make the whole process as seamless
as possible for the patient.”
Joint Camp: Learn
More About Joint
Replacement
If you’re considering a
hip or knee replacement
surgery, check out
Martha Jefferson’s classes
and seminars on joint
replacement. You’ll learn
about how the procedure
is performed, what the
risks and benefits are, and
how to care for yourself
at home after the surgery.
Learn more or register for
a seminar today by calling
Health Connection
at 434-654-7009.
spring 2015
33
3-D Technology
GIVES DOCTORS A
NEW VIEW
Tomosynthesis Provides
Additional Option For
Annual Mammograms
A
n annual mammogram, by and
large, isn’t exactly something
most women look forward to with
great anticipation. And while some
women may approach a screening with a bit of
trepidation, the
exam is a great
way for doctors
to be proactive in
detecting any breast
health issues that
might be present.
The process of acquiring imagery
through tomosynthesis isn’t much
different from that of a traditional
mammogram. However, an
additional set of images is provided
to radiologists with 3-D technology
that provides added views.
2-D Mammography
3-D Mammography
Over the years, mammogram technology has
been greatly enhanced, yielding more useful data for
caregivers to consider in making diagnoses. First came
the conversion from film to digital mammography,
and now, thanks to new advances, an imaging process
known as tomosynthesis enables doctors to examine
breast health in three dimensions, more efficiently and
in greater detail than ever before—providing major
benefits to both patients and caregivers.
any significant changes from what they are traditionally accustomed to as part of a mammogram.
“While the breast is in compression during a
scan, the X-ray tube moves swiftly in an arc over
the breast, and multiple images are obtained,” says
Dr. Pease. “A computer then produces a movie-like
picture of the breast that incorporates the 3-D data.
Is 3-D Mammography For You?
A More Complete Picture
The process of acquiring imagery through tomosynthesis isn’t much different from that of a traditional mammogram, except that an additional set of
multiple, lower-dose radiation images is taken of each
view of the breast. According to Scott Pease, M.D., a
breast fellowship-trained radiologist at Martha Jefferson, while each compression will be a few seconds
longer with tomosynthesis, women shouldn’t notice
If you are interested in 3-D mammography, the best first
step is to talk with your physician about whether the
technology is right for you. Your doctor can help you
decide the best course of action to take moving forward.
If you are in need of a physician, our referral line can
help! Call Health Connection at (434) 654-7009 to get
connected with a physician near you.
spring 2015
35
Dr. Scott Pease is a
breast fellowship-trained
radiologist at Martha
Jefferson Hospital.
The Women’s Committee of
Martha Jefferson Hospital
Supports Tomosynthesis
Through Generous Donation
Martha Jefferson Hospital was able to accelerate plans to provide
tomosynthesis (3-D breast imaging) capabilities following a generous commitment from The Women’s Committee of Martha Jefferson
Hospital. In turn, The Women’s Committee thanks the community for
its tremendous support as sponsors, participants and donors toward
the committee’s three annual events: Martha’s Market, the In The Pink
Tennis Tournament and the Squash Cancer Tournament. A total of
$595,000 from event proceeds will be directed toward funding tomosynthesis at Martha Jefferson between now and 2017 as part of this
multiyear funding commitment.
Candice Kurtz, who serves as a board member on The Women’s
Committee, received an early diagnosis of breast cancer last year,
thanks to tomosynthesis.
“I’m so proud that The Women’s Committee, through our successful fundraisers, has been able to provide funding toward the purchase
of tomosynthesis mammography technology,” says Kurtz. “Tomosynthesis is truly lifesaving, and The Women’s Committee’s goal is make
this technology available as routine, standard care to all women in
our community, truly advancing the Caring Tradition for which Martha
Jefferson Hospital has become known.”
“The support of The Women’s Committee truly makes a difference,” comments Sue Hunt, director of medical imaging at Martha
Jefferson Hospital. “The committee’s efforts were a major factor in
enabling Martha Jefferson to make this move to upgrade our current
technology and provide 3-D mammography to our community.”
36
spring 2015
The additional images provided in a tomosynthesis exam can offer radiologists a different
perspective on tissues that normally overlap.”
All mammograms are X-ray exams that
image soft tissues, with cancers often appearing as white spots on a scan. However, the
tissues that give the breast its shape and function can sometimes also appear very white
on a mammogram—especially in the case of
women with more dense breast tissue—potentially masking early signs of breast cancer.
Thanks to the many extra images captured
by tomosynthesis, the technology provides
physicians with a more complete picture of
the breast, even in women with dense breasts.
Fewer Callbacks, Less Anxiety
Apart from the capabilities of 3-D mammography as a state-of-the-art tool for detecting
cancer, radiologists believe one of the
technology’s greatest benefits is in reducing
the number of patients called back in for
follow-up diagnostic testing.
“Having this new technology really allows us to
reduce the number of ‘false alarms,’” says Dr. Pease.
“While that may not seem like a huge deal, reducing
the need for follow-up tests makes the whole process
easier on patients. Having to go back in for additional
testing, and not knowing if you may or may not have
breast cancer, causes a great deal of stress and anxiety for women—and even for other family members.
Employing 3-D mammography allows us to see things
on the first scan.”
Dr. Pease adds that reducing the need for a second look also helps to keep expenses down—both in
terms of the patient’s time and the costs associated
with screening.
“Anything we can do to minimize the impact on
patients, while not losing our sensitivity for detecting
cancer, is a wonderful thing,” notes Dr. Pease.
ANYTHING WE CAN DO
TO MINIMIZE THE IMPACT
ON PATIENTS, WHILE NOT
LOSING OUR SENSITIVITY
FOR DETECTING CANCER,
IS A WONDERFUL THING.
The Next Chapter in Mammography
An exciting new technology with multiple benefits to
patients and caregivers, tomosynthesis likely signals a
shift in how all mammography will be conducted in
the future, according to Dr. Pease.
“In recent years, research has begun to show
that with this new technology we can improve our
sensitivity to detecting cancer,” notes Dr. Pease. “As a
spring 2015
37
radiologist, that is my goal and number-one focus, so
anything that can aid me in that is beneficial.”
Although it is impossible to predict yet who
will benefit most from 3-D mammography, Dr. Pease
notes that there is likely no downside risk. The overall
radiation dose for a tomosynthesis exam is below
FDA requirements for screening mammography and
compares to doses used a decade ago in 2-D screenfilm technologies. Very low X-ray energy is utilized,
and no studies have demonstrated risk from such lowdose radiation in adults of screening age. Even when
considering the potential for any such risks, Dr. Pease
believes the benefits of early breast cancer detection
far outweigh any drawbacks.
“3-D mammography is now an established
technology, and its use will continue to increase in
coming years,” adds Dr. Pease. “The longer we study
the technique’s outcomes, the better the chance we
will continue to upgrade and improve our ability as
caregivers to detect breast cancer as early as possible.”
38
Worried About the Cost of a
Mammogram? Let us Help!
Free Breast Health Screening
April 18
9 a.m. - 2 p.m.
Appointments are required. Call Health Connection
at (434) 654-7009 to see if you qualify.
You may qualify for this service if you don’t have
insurance that covers mammograms; you are 40 or
older; and it’s been more than a year since your last
mammogram, or you’ve never had a mammogram.
The free screening is made possible thanks to
the philanthropic support of The Women’s Committee of Martha Jefferson Hospital.
spring 2015
Grateful Breast
Cancer Patients
Give Back
Ponies Provide a Welcome
Distraction at the Infusion Center
R
ecently patients at the Martha Jefferson Infusion Center were surprised with the pleasant
distraction of ponies, in plain view through the facility’s windows, to enjoy while undergoing chemotherapy. Christy Collins and Janet Arsenault, both breast
cancer patients who were diagnosed and treated at
Martha Jefferson, came up with the idea as a way to
show their appreciation for the hospital’s staff, as well
as to brighten the days of others who are currently
going through treatment.
“It can be a long day sitting there in the infusion
center, but also it has to be stressful to work there,”
says Arsenault. “We thought it would be neat to share
some love with the staff and those who are currently
undergoing treatment.”
Arsenault and Collins met each other in a Look
Good, Feel Better class, a free service offered to cancer patients at Martha Jefferson Hospital. After realizing they had the same diagnosis and same stage of
breast cancer, the two immediately bonded.
“Janet and Christy met in class that I was
teaching, and it was apparent these two ladies had
a connection,” recalls Pat Mitchell, RN, senior clinical
research nurse at the Phillips Cancer Center. “It brings
my heart joy to see how something terrible like a
cancer diagnosis can turn two complete strangers
into lifetime friends.”
Along their journeys, both of the women quickly
realized the importance of support during treatment,
as well as the added benefits complementary healing
efforts can have on the patient experience (see story,
page 13). Out of their appreciation for the added
touches they received, Arsenault and Collins devised
the plan to bring ponies to Martha Jefferson.
“When I was diagnosed with stage 2 triple
negative breast cancer, I was desperately looking
for someone with this type of breast cancer to talk
to,” says Collins. “As fate would have it, I sat down at
a class right next to Janet Arsenault, and since that
time we have supported one another. Having gone
through the cancer process, we appreciate all of the
therapies Martha Jefferson Hospital has to offer. But
Janet felt like the hospital was missing one—thus
the ponies!”
“For many patients undergoing infusion treatment, it’s a long six to eight hours in the chair,” notes
Mitchell. “These two women truly brightened the
days of many—both patients and staff.”
Janet Arsenault
Christy Collins and Janet Arsenault
{ PHILANTHROPY }
Philanthropy’s Goal:
To Support and Enhance
Martha Jefferson’s
Caring Tradition
W
Jonathan Davis and
concierge desk volunteers
Janice and Page Mann
e have come to recognize that the only constant in our cyclonic
world is change. As much as we kick and scream, change—particularly in
health care—is all around us. It occurs locally in Charlottesville, with changes
in facilities, partnerships and leadership at Martha Jefferson, just to name
a few. Additionally, it happens more broadly with changes in health plans,
government and private programs, and societal “safety nets.” For caregivers,
practices and procedures are changed daily based on research, evidence and
new findings regarding best practices. And finally, change takes place in ways
we may not even recognize—“life-changing” discoveries in science that add
years to patients’ lives and literally save us from disease that would have been
fatal just a short time ago.
At Martha Jefferson Hospital, in the face of constant
change, we often ask the question: “What makes ‘us’ remain
‘us’?” Our Caring Tradition is often cited as the “glue” that binds
us together and forms the core of the services we provide.
Today, the vital support of community philanthropy
continues and is centered on protecting, maintaining and
enhancing Martha Jefferson’s Caring Tradition, however and
wherever one encounters it. We frequently receive letters
describing the wonderful care and service our patients
receive, often ending with the phrase: “The Caring Tradition
is alive and well.” Whether it’s being greeted at the door by
our valet parking staff; a physician with not only expertise,
but time for a personal touch; a nurse who embraces patients
and their family members during difficult times; the comfort
of a lovingly knitted shawl for a patient needing comfort; or
a palliative care chaplain and nurse being present for a family
meeting, the extra touches do make a difference. Daily, they
create a more pleasant experience and a positive atmosphere
for healing. They help to make Martha Jefferson what it is.
Having been successful in keeping the Caring Tradition as
a key priority for our hospital, this hallmark of excellence at
40
| Martha Jefferson | www.mjhfoundation.org |
spring 2015
Martha Jefferson now seems poised to expand further throughout
our larger Sentara Healthcare organization. In fact, Sentara is now
seeking to share the core elements of the Martha Jefferson culture
with our colleagues at the other hospitals in our network—a
meaningful testament to the fruits of our efforts over the decades
and a sign of even better things to come.
With that in mind, the Martha Jefferson Hospital Foundation’s
goals for 2015 are clear and straightforward. Stated simply, we will
work to enhance the Caring Tradition of Martha Jefferson Hospital.
Our specific focus will remain on meeting the operational and
endowment objectives of the Haden Institute for Nursing Excellence and Innovation (more on page 42) and strengthening our
commitment to a sustainable Palliative Care Program through funding assurances, including engaging additional professional staff
positions and providing an endowment for the program’s future
needs. Finally, the Foundation Board has directed that a special
fund be established in support of the Caring Tradition as part of its
annual recommended apportionment of unrestricted gifts.
Your generous support makes all the difference. Gifts from
our community remain here to support our community and
strengthen our Caring Tradition, and for that we deeply and
sincerely thank you.
Martha Jefferson has given
more than 1,000 shawls
to patients in need of an
additional Caring Embrace.
Ray Mishler, Vice President
Larry Martin, Chair
Martha Jefferson
Hospital Foundation
Martha Jefferson
Hospital Foundation
spring 2015
| www.mjhfoundation.org | Martha Jefferson |
41
{ PHILANTHROPY }
The Haden Institute
for Nursing
Excellence and Innovation
I
Securing the Future of Outstanding
Nursing Care at Martha Jefferson
f you have been following this magazine for the past few years, besides articles
on program innovations, stories from our patients and friends, and (of course)
some humorous essays, a constant theme has been the focus on nursing at
Martha Jefferson as a key priority in ensuring that we continue to provide great
care and top-notch patient and family experiences. We have highlighted the
importance of advancing nursing education, in keeping with the research that
ties higher education achievement to better patient outcomes. And we have
42
spring 2015
Philanthropy Supporting Nursing
presented nursing research as a core component of our efforts to find and implement
evidence-based practices at Martha Jefferson,
within the Sentara system and across the
country. Our nurses are represented at the
most influential nursing conferences and symposiums, sharing their knowledge to advance
nursing practice industrywide. As evidenced
by our efforts, nursing is clearly a major focus
of the care we provide at Martha Jefferson.
In September 2013, the Martha Jefferson
Hospital Board approved a concept that is the
first of its kind for a community hospital, establishing the Institute for Nursing Excellence
and Innovation at Martha Jefferson Hospital.
And in fall 2014, the board moved to rename
the institute in the name of retiring Martha
Jefferson President Jim Haden, in honor of
his career, service and legacy of championing
great nursing.
While Martha Jefferson’s nursing program
is already recognized and highly regarded
with Magnet® designation and redesignation,
the Haden Institute for Nursing Excellence
and Innovation will further facilitate the
advancement of educational goals for nurses,
improve evidence-based nursing practice, and
refine clinical outcomes and nurse/patient
satisfaction.
This multimillion-dollar initiative fosters
nursing excellence through financial support for formal education and professional
certification, funding for nursing research
and evidence-based practice fellowships and
practice innovations, support for a clinical
simulation learning lab, funding for expansion
of advanced practice nursing roles, and capital
support for implementation of best practices
and innovative care delivery models.
“Without the structure of the Haden
Institute and the support of our generous
and caring community, we would be
challenged to achieve the margin of excellence we strive to maintain in our nursing
outcomes,” says Amy Black, chief nursing
executive at Martha Jefferson.
The Haden Institute has several immediate priorities, including the aforementioned
educational advancement and research
support, as well as leadership development,
innovations in care at the bedside, capital
support for new technologies and practicing
competencies, and new skill development
through our unique clinical skills lab. New
roles for nurses, such as our nurse practitioner-guided palliative care service, will be
modeled, along with other advance practice
roles in our physician practices.
Our goal is to raise $20 million
to accomplish these objectives:
$14 million to be utilized between
now and 2020, and a $6 million
endowment of reserved funds
to continue these important
objectives after that time. To date,
$10.2 million has been raised and
committed to these ends.
The Haden Institute is an
investment by Martha Jefferson
and our supportive community in
arguably the single most important
aspect of great care and outstanding outcomes—the expertise and
compassion of the nurses who
serve our patients. As Jim Haden
helped to define the hospital’s
expectations for great nursing
during his tenure, going forward
the Haden Institute will continue
to drive and mold those expectations for the future good of our
community.
spring 2015
Resolution to Rename
the Institute for
Nursing Excellence
and Innovation in
Honor of Jim Haden
WHEREAS, great nursing has
been a hallmark of Martha
Jefferson Hospital’s Caring
Tradition for decades; and
WHEREAS, Martha Jefferson
has been designated and
redesignated as a Magnet
hospital in recognition of
nursing excellence; and
WHEREAS, Jim Haden during
his tenure as president and
CEO of the hospital held
nursing as one of its highest
strategic priorities; and
WHEREAS, the Martha
Jefferson Hospital Board
approved the establishment
of the Institute for Nursing
Excellence and Innovation at
the hospital in 2013; therefore be it:
RESOLVED that the Martha
Jefferson Hospital Board
dedicate the naming of the
institute in honor of Jim
Haden, and henceforth it
will be referred to as the
Haden Institute for Nursing
Excellence and Innovation
at Martha Jefferson Hospital;
and further
RESOLVED that Jim Haden
serve as a voluntary advisor
for the institute to help guide
and ensure the implementation of its objectives and
commitment to its donors.
Authorized this day,
November 10, 2014
Peter C. Brooks, Chair
Board of Directors
43
Boosting Compassionate Caregiving
Through Support of Nursing
W
hen Earnie Edwards and his
wife, Lottie, moved to Charlottesville after his retirement from aluminum
producer Alcoa in 1999, one of the first to
welcome them to their new neighborhood
was Martha Jefferson Hospital president Jim
Haden, who retired in 2014. The Hadens
and Edwardses quickly became friends, and
it wasn’t long before Earnie was invited to
contribute his financial savvy to the hospital’s
Finance Committee.
44
spring 2015
“I have always loved to stay busy, so after checking around
and meeting some of the people involved with Martha Jefferson,
I agreed to serve,” says Edwards, who retired from Alcoa as senior
vice president and controller. “It was a new experience for me
working with the medical community, but Jim Haden’s unbelievable
personal influence was also a factor. He is a really exciting and fun
person to be with.”
Serving on the hospital’s board of directors for nine years,
Edwards gained new insights into managing a medical community
and came to appreciate the role that nurses play in providing
superb care. The Edwardses also experienced such care firsthand;
Lottie, who endured severe rheumatoid arthritis for many years,
received compassionate care from Martha Jefferson’s nurses during
an extended illness before her death in September 2013.
As an expression of his gratitude for the care Lottie received,
Edwards recently made a generous contribution to the Haden Institute for Nursing Excellence and Innovation, a program to support
nursing education, professional growth and research. Edwards’ gift
also is a nod to Jim Haden’s leadership and support for the hospital’s
nursing program.
“I wanted to support the Haden Institute because it was the right
thing to do,” says Edwards. “Martha Jefferson’s nursing program,
under the leadership of Amy Black, has been just superb in my years
of association with the hospital. The Magnet® designation confirms
that, and my wife and I had personal experience with their outstanding care. They do a great job and are deeply rooted in the Caring
Tradition. Nurses are the workers in close contact with the patients
and can often make the difference between a positive and negative
hospital experience, despite the good work of the doctors.”
Edwards has served on many boards during his career and in
retirement, and he considers Martha Jefferson’s organization to be
one of the most efficient and effective he has worked with, attributing
those qualities to a strong staff and committed board members. He
credits Haden’s vision, integrity and deep understanding about hospital administration and the medical community for making Martha
Jefferson Hospital a leading medical center for the region.
“Serving on the board for Martha Jefferson has been a great
learning experience about health care, and it’s the most complex
business I’ve encountered compared to the business entities, education communities and civic organizations I’ve had experience with,”
Edwards notes. “The Caring Tradition is an excellent guidepost for
Martha Jefferson, and it fits well into the direction that I think health
care is heading.”
Edwards hopes that Martha Jefferson will continue to grow
in size and maintain excellent performance to become a leading
community hospital in the United States. Even so, he hopes the
hospital preserves its tradition of personalized, compassionate care by
strengthening the nursing program.
“As Martha Jefferson grows, I hope leaders keep the Caring
Tradition and become a lighthouse for healthcare effectiveness in the
Sentara system and throughout the nation—thus finishing what Jim
Haden led us to put on course,” adds Edwards. “This should result
in a long life of excellent health service to the greater Charlottesville
community and beyond.”
A Five-Decade
Relationship
With the
Caring Tradition
W
spring 2015
hen Don and Jane Danilek moved
back to Charlottesville in 1998, they
were well acquainted with Martha Jefferson’s Caring
Tradition, since the births of their first two children
at the hospital nearly 40 years earlier. Don has
been actively involved with Martha Jefferson over
the past few years playing piano in the lobby as a
regular music therapy volunteer. The Danileks also
were neighbors and friends of Jim and Sue Haden
and annually supported the hospital’s mission
philanthropically.
With Jane’s unfortunate illness and untimely
death in spring 2014, Don and Jane once again
came to experience the expertise, care and
compassion of the Martha Jefferson team in the
hospital’s oncology practice and infusion center.
Following Jane’s passing, Don and the couple’s
four children, in a desire to create a lasting and
significant memorial and to perpetuate what Jane
stood for and meant to them, established the Jane
Till Danilek Nursing Scholarship Fund as part of the
Haden Institute for Nursing Excellence and Innovation. The interfaith chapel on the hospital’s second
floor also has been dedicated in Jane’s memory. As a
result of the Danileks’ generosity, Jane’s legacy will
endure, and the Caring Tradition will be enhanced
and strengthened for decades to come.
45
Tangible Benefits of the Nursing Institute for
Emergency Department Nurses
An Interview With Karen Gates, Director of Emergency Services,
Nursing Education and Research
Q:
Could you tell us about the nursing
education facet of the Haden Institute for
Nursing Excellence and Innovation—particularly
the nurse residency program and “onboarding”
of new nurses?
A: Working together with the department
nurse educators, the Haden Institute for Nursing Excellence and Innovation is providing an
increased level of support for our newest nurses
during their orientation period. Recent nursing
school graduates are finding that Martha Jefferson
Hospital offers a unique opportunity to advance
their knowledge and skills through our nurse residency program. This program, funded through the
Haden Institute, demonstrates Martha Jefferson’s
commitment to developing a safe, highly qualified
nursing staff.
Q: Has this mentoring program been used in the
Emergency Department? If so, how?
A: For approximately seven years, a nurse residency program (previously known as a “new graduate program”) has been utilized in the Emergency
Department (ED) at Martha Jefferson Hospital for
recent nursing school graduates wishing to begin
their nursing careers in the ED. Many emergency
departments do not accept new graduates, but
Martha Jefferson has taken a different approach to
this valuable subset of nurses.
This innovative program allows for a blended
environment of classroom, simulation and in situ
(“in place”) learning. Each week has a focus (for
example: cardiology, respiratory or gastrointestinal)—the nurses work through learning modules,
hear a content expert speak and complete
simulation experiences with their nurse residency
coordinator. Then, as the nurses spend shifts with
their on-the-unit preceptors, they continue to build
their knowledge about the studied topics, which
increase in complexity as the new nurses gain
46
experience over the course of the program. This
model builds a strong foundation of knowledge,
both didactic and practical.
Q: Are these nurses then employees at Martha
Jefferson, or is this an education program where
they go out and find jobs elsewhere?
A: The nurses taking part in the nurse residency program at Martha Jefferson are employees
of the hospital—financially supported by the
program, rather than the individual departments.
As they complete the residency program, they are
transitioned into vacant roles in their respective
departments.
Q: What is the value of the simulation lab in
nursing education for Martha Jefferson’s nurses?
A: Simulation is an innovative approach to
learning that allows nurses to practice skills in a
safe, controlled environment and be involved in
low-frequency, high-impact procedures they may
otherwise not experience. These simulated experiences offer nurses a venue to analyze their own
spring 2015
actions, reflect on their skills and clinical reasoning, and critique the decisions of others without
jeopardizing patient safety. We are privileged to
have such a state-of-the-art simulation learning lab
at Martha Jefferson.
Q: How does Martha Jefferson use research to
improve patient care?
A: At Martha Jefferson we synthesize research
and place it into practice at the bedside to improve
patient outcomes, an approach known as evidencebased practice, which has helped us improve the
quality of patient care. In the ED, for example,
we have implemented a fall-prevention program,
based on a compiled body of evidence, that has
impacted our patients in a positive manner. Detecting patients at risk for falling early in their course
of treatment has greatly reduced the number of
patient falls at Martha Jefferson. Moreover, many
of our nurses have participated at national and
international conferences to share the findings of
our research, on this topic and others.
Q:
What is the value of having these components housed in the Institute?
A: Including the components as part of the
institute reinforces Martha Jefferson’s commitment
to expert, quality patient care. Providing nurses
with valuable resources to continue their education
impacts the overall quality and safety of patient
care and allows us to retain well-trained, knowledgeable nurses who are focused on patients and
their families.
Q: How does the Institute’s support for excel-
lence in nursing translate into better care for
patients, and how does Martha Jefferson’s Caring
Tradition tie into all of this?
A: Nursing is a complex, ever-changing profession. Through the Haden Institute, dedication
to excellence in nursing is evidenced by ethics,
standards and best practices. Nursing remains a
balance of science and art, and at Martha Jefferson
our dedication to patient care is an important part
of the framework of the Caring Tradition.
spring 2015
47
{ PHILANTHROPY }
A Community of
Philanthropists
I
Making a Difference
for Those Facing
Health Challenges
nspired philanthropy from individual donors, organizations, and volunteers hosting community events and fundraisers helps Martha Jefferson Hospital
provide exceptional, compassionate care to each and every patient who walks
through its doors. Whether providing funds toward state-of-the-art technology for the early detection and treatment of cancer, or toward comfort services
like complimentary massage, yoga and exercise classes or complimentary wigs
and head covers from Marianne’s Room, philanthropy supports programs that
enhance patient care during challenging times.
Community volunteers led an array of events and initiatives throughout
2014, including fundraising efforts to provide yarn for the Caring Embrace
program; a civic group’s donation of toys for children visiting the Emergency
Department; the Martha Jefferson golf tournament; the annual MJ5K Run,
Walk and Kids’ Dash; the In The Pink Tennis Tournament; the Squash
Cancer Tournament; and the highly successful Martha’s Market. Cumulatively, these events and initiatives involve thousands of volunteers, participants and supporters and raise more than a half-million dollars annually in
philanthropic support for Martha Jefferson Hospital. Our community shares
a core value of generosity, and through these generous gifts Martha Jefferson
is able to provide personalized care and the best possible outcomes to help
our patients truly feel better.
48
spring 2015
MARTHA
JEFFERSON
CHAMPION’S CUP
The Martha Jefferson Champion’s Cup
golf tournament has become a signature
event for Martha Jefferson Hospital. Over
the course of the tournament’s history,
more than $1,000,000 has been raised
to support programs and services at the
hospital. Eight Champions lead a flight of
three teams, “championing” a cause that is
a philanthropic priority of the hospital. In
2014, the flight winner of the President’s
Cup (low gross score on the orange ball)
and the flight winner of Champion’s Cup
(best two net scores) split the proceeds
from the event between their two causes,
cardiology and cancer care.
Save the Date
David Rathburn (center), with his flight,
winners of the 2014 President’s Cup.
Martha Jefferson
Champion’s Cup
Monday, May 18
Glenmore Country Club
MJ5K Run,
Walk & Kids’ Dash
Refreshed for 2015
Join us on Saturday, May 2, for the new
and improved MJ5K Run, Walk & Kids’
Dash. This family-oriented 5K will meander
through the Martha Jefferson Hospital campus and Peter Jefferson Place, with scenic
mountain views at every turn. The course
is designed to accommodate runners and
walkers of all ages and fitness levels. Kids 12
and under can enjoy the Kids’ Dash on the
Lorenzoni Run loop around the amphitheater
on the hospital front lawn. Proceeds from
the race will support hospital programs and
services that enhance the Caring Tradition.
The 2015 MJ5K will take place on the grounds of Martha Jefferson Hospital.
spring 2015
49
Lions Club Donates
Toys to Emergency
Department
This past fall, the Thomas Jefferson Lions Club
collected toys and then donated them to the
Martha Jefferson Emergency Department, to be
given to children to help make their experience
a bit more pleasant.
Bob Nedby, with the Thomas Jefferson Lions
Club, presents donated toys for children to
Catherine Boucher, Martha Jefferson Hospital
administrative director
If you or your
community-minded
group/business
is interested in
supporting Martha
Jefferson Hospital
and making a difference
in the lives of your family,
friends and neighbors,
please contact
Lauri Wilson at
ltwilson@sentara.com
or 434-654-8173.
In The Pink Becomes Personal
W
50
hen Amy Newman Nolasco of Crozet
joined The Women’s Committee of
Martha Jefferson Hospital in 2011,
she had no idea her volunteer efforts eventually
would hit so close to home.
An avid tennis player, Nolasco simply thought
of the commitment as an opportunity to use her
passion to support a good cause—raising money for
cancer patients through the committee’s In The Pink
Tennis Tournament. After her mother, Pam Newman, was diagnosed with breast cancer in January
2014, however, Nolasco realized the full impact of
fundraising efforts by The Women’s Committee.
Newman, who underwent a double mastectomy
in April and chemotherapy over the summer, benefitted from the services of Marianne’s Room, which is
part of Martha Jefferson’s Cancer Resource Center.
There she was able to select a wig, scarves and soft
prosthetics—all items paid for by proceeds from
In The Pink.
“It makes me feel great to see all the good that
In The Pink provides and to have experienced that
firsthand,” says Nolasco. “I’m happy to play tennis
any day of the week, so when I signed up for In The
Pink the first time, it was a no-brainer. But now, after
seeing everything my mother has experienced, I can
honestly say that the $30,000 we raise specifically
for Marianne’s Room impacts people in ways that
nothing else can. It makes a huge difference. Breast
cancer—from diagnosis and doctor visits to wait
times and decision-making, all the way through treatment and post-treatment—just really sucks. The little
spring 2015
Amy Nolasco and her mom, Pam Newman
part we are able to provide through In The Pink is
really a bright spot of hope that makes women feel
so much better about themselves and gives them
confidence that they can get through it.”
“Marianne’s Room provides everything you need
to make the process as comfortable as possible,”
adds Newman, who also lives in Crozet and enjoys
spending time with Amy’s daughters, Grace and
Molly. “You don’t have to go out and find these
things on your own, and that’s so helpful. Everything
they do is meant to make you look good and feel
good. You just don’t feel alone.”
Nolasco learned about The Women’s Committee, which also hosts the iconic Martha’s Market
and newly added Squash Cancer Tournament, from
fellow tennis enthusiast Jean Momorella, a Women’s
Committee member at the time who invited Nolasco
to join the group. The three annual events raise more
than $440,000 per year in support of women’s health
programs at Martha Jefferson. Nolasco, who moved
to the area from Northern Virginia five years ago, is
beginning a three-year term as co-chair of In The Pink
alongside Bonnie Hagerman.
Despite the uncertainty and concern that goes
along with a battle against breast cancer, Newman
has had a positive experience at Martha Jefferson.
She has felt confident in her doctors—including
surgeon John Jones, M.D.; medical oncologist
Erika Struble, M.D.; and radiation oncologist Sylvia
Hendrix, M.D.—and appreciated their willingness to
let her make final decisions about her treatment plan.
She was impressed with the teamwork demonstrated
Marianne’s Room is a special resource room in the Martha Jefferson
Hospital Cancer Resource Center for women diagnosed with cancer,
providing wigs, scarves and special “Chemo Caps,” as well as soft
postoperative prostheses and camisoles for breast cancer patients after
a mastectomy. Proceeds from the In the Pink Tennis Tournament are the
primary source of funding for Marianne’s Room.
$4 Million Raised for Women’s Health, Thanks to
The Women’s Committee
Since 1993, The Women’s Committee of Martha Jefferson Hospital has been proud to support many facets of
women’s health care, with the primary emphasis on breast health. Over the past 21 years, through the tremendous success of Martha’s Market, the In The Pink Tennis Tournament, and the Squash Cancer Tournament,
The Women’s Committee has raised more than $4 million in support of areas such as breast health, technology,
women’s midlife health, heart disease and outreach to underserved populations.
Women’s Committee volunteers preparing for opening day of the 2014 Martha’s Market. Seated on the bench (left to right)
are Addie Miller, 2015 Martha’s Market Chair, and Katy Kreienbaum, 2015-2016 The Women’s Committee Chair.
spring 2015
51
2015 In the Pink co-chairs Bonnie Hagerman
and Amy Nolasco
by doctors, nurses and other medical professionals.
“All of my doctors have taken time to talk with
me and have given me honest feedback to make
the best decisions,” says Newman, whose mother
also had breast cancer. “They’ve been so generous
with their time. I can’t say enough good about
Martha Jefferson.”
During her relatively short time living in this
community, Nolasco has grown to love the area’s
picturesque setting and caring people. She’s grateful
for the way local residents have rallied around cancer
patients and survivors through their support of activities sponsored by The Women’s Committee.
“This kind of thing epitomizes the spirit of generosity in Charlottesville,” says Nolasco. “It’s important
for the community to get behind this effort. In the
last two years, besides my mom, I’ve known several
other women who have been diagnosed with breast
cancer. People need to be aware that the chances are
that they or one of their loved ones will be impacted
by breast cancer at some point in their lives. Men and
women alike should want these types of services in
their community.”
SAVE THE DATE
FOR THE WOMEN’S
COMMITTEE
FUNDRAISERS!
In The Pink
Tennis
Tournament
Saturday,
Sept. 26
Squash
Cancer
Tournament
Martha’s
Market
October
2015
November
2015
For information regarding sponsorship
of any of these events, contact
Lauri Wilson at ltwilson@sentara.com
or 434-654-8173.
52
spring 2015
Philanthropy Supporting the Arts
Connecting
Art and Medicine
Joanne Coleman of Earlysville sees many parallels
between her career as a nurse practitioner and her
avocation as an artist: Both are grounded in
compassion and awareness.
“Ebb and Flow,” a gift by artist
Joanne Coleman to Martha
Jefferson Hospital for addition
to the hospital’s collection
of original works of art
“My career and my artwork have heavily influenced each other, and it has a lot
to do with intuition, insight and compassion—these all build on each other,” says
Coleman, a certified family nurse practitioner at UVa Medical Center’s Division of Pulmonary Medicine, where she diagnoses, treats and manages patients with pulmonary
spring 2015
53
Joanne Coleman in
her home studio
54
diseases, sleep apnea and other sleep disorders.
An artist since childhood, Coleman’s passion is
creating pieces that convey movement and energy.
She recently donated a painting entitled “Ebb and
Flow” to Martha Jefferson Hospital, a piece rendered in duochrome acrylic paint that appears to
change colors when viewed from different angles.
In the painting, Coleman conveys a sense of energy
flow and movement—a theme that runs through
spring 2015
much of her artwork.
“This type of paint I used, which changes colors as you move around it, makes the piece seem to
take on a life of its own,” notes Coleman, who often
uses paints that incorporate earthy, organic material
such as bark, dirt, grass and leaves. “That sense of
energy and movement in my artwork represents how
I interact with my patients when I’m doing a total,
head-to-toe assessment. I’m not just looking for a
only through excellent healthcare, but also by
surrounding patients, visitors and staff with the
beauty of artwork.
“It’s the perfect blend of that compassion
and warmth and security and comfort that a
hospital should provide,” says Coleman. “Art
in a healthcare setting gives that feeling of
peacefulness and serenity to the person who is
visiting a loved one in the hospital, or someone
who’s coming in for a procedure. Art provides
a way for a person to center their own body’s
energy, as well as to help focus the energy that
surrounds all of us. Most important, art can
offer a different view of life beyond the physical
human experience to a higher level of being
able to feel as if you’re part of a larger picture. It
brings some focus into the situation a person is
dealing with.”
Coleman hopes her painting can contribute
to the sense of comfort and peacefulness
patients, visitors and staff may feel in the hospital
and in all Martha Jefferson facilities.
“I hope anyone at Martha Jefferson who
is viewing my painting can find that sense of
compassion that conveys the feeling that they’re
not alone dealing with the illness of a loved
one,” Coleman adds. “I hope they feel that sense
of warmth and care and of being able to be part
of that painting, even if for just a moment. It can
help them get outside a difficult situation for a
moment and feel that they have a reprieve.”
sleep disorder, but thinking about the patient’s individual
body energy and unique issues. It’s rewarding to work with
patients and to help them meet their goals for their most
optimum level of health.”
Coleman, who has studied art on the East Coast and
in Europe, donated the painting after learning of Martha
Jefferson’s extensive art collection and openness to receiving new pieces of original artwork. She was inspired by
Martha Jefferson’s commitment to offering compassion not
spring 2015
How to Make a
Gift of/for Art
at Martha Jefferson
Hospital
To learn how, through your personal
philanthropy, you can help support the
arts-in-healthcare program or enhance
the healing environment of care at Martha
Jefferson Hospital, contact the Foundation Office at 434-654-8258. For inquiries
regarding gifts of art, contact Cathy Link
Sedwick at clsedwic@sentara.com.
55
{ PHILANTHROPY }
2014
GIFTS
of GRATITUDE
T
here are times when a special friend, beloved family member or compassionate caregiver inspires in us a desire to
acknowledge and pay tribute to that individual and relationship in a distinctive and meaningful manner.
One such meaningful expression is a charitable gift made in honor
or memory of a special friend or family member that can be directed to
support Hospital programs or services that were significant in the life of
that individual.
Often, a patient or family member, grateful for the care and caring
provided at Martha Jefferson, has a desire to do something tangible to say
thank you and to acknowledge the difference that a special caregiver or
team of caregivers have made during an especially vulnerable time.
These philanthropic gifts help support vital programs and services at
Martha Jefferson that benefit patients, families and caregivers alike.
In addition to the letter to the individual(s) making the gift, the Martha
Jefferson Hospital Foundation will send a personalized note (gift amount
is not disclosed) to the individual or family of those recognized and unless
otherwise requested, the donor is listed in Hospital and Foundation
publications.
The following list features memorial and tribute gifts received from
January 1, 2014 through December 31, 2014. This list is arranged by and
features the name of those honored and includes the names of those willing to be recognized for their gifts.
* Deceased
Commemorative Tree
56
I n Memory
Marjorie Alegretti
The Family of Marjorie Allegretti
Doris G. Ashby
Kitty and George Eudailey
Doris and Len Gardner
Jim and Sue Haden
Mrs. Melinda Harris
Mr. and Mrs. William A. Leftwich, Jr.
Piedmont Emergency Consultants
Daniel L. Seale, M.D. and Rita R. Seale
Mr. and Mrs. William B. Sutler
David and Jane McLaughlin
Harry and Kari Miller
Louis and Susan Morris
George Noyes
Marilyn and Don Schultz
Tom and Annette Selinger
Nancy Sperling
Jan R. and Deborah Squires
Robert and Eleanor Strietman
Mr. and Mrs. George Swansburg
Mary Whalen
Andrea Wiggers
Anonymous Friends of
Ginny Bowman
Shirley Barnett
Gloria and Donald Fletcher
William S. Bradshaw
Doris M. Benzinger
Janice S. Creasy
Elizabeth C. Bishop
Jim Haden
Richard Kirven Brantley
Anna F. Brantley
The Anna and Kirven Brantley
Charitable Fund
Howard L. Bishop
Jim Haden
Judy W. Brown
George Brown
Christopher Blake
Mr. and Mrs. Jerald E. Pinto
Kenneth P. Bucci
Anonymous
Margarete Boehme
Diana and Helmut Boehme
Jim Burns
Rosemary Burns
Ernie ”Santa” Boggs
Amy McNabb
Richard Burton
Irene Allen Burton
Leon M. Bowen
Charlotte M. Bowen
Susan Hawkins Cain
Hugh and Debbie Hawkins
Virginia S. Bowman
Tom Bowman
Mr. and Mrs. John F. Caswell, Jr.
Ms. Margaret J. Clarity
Chuck and Peggy Cusic
Carol and Bill Deets
Pat Fatzinger
Mr. Eric A. Fatzinger
Joseph and Elaine Ferrara
Mr. Richard B. Fontaine and
Mrs. Barbara J. Fontaine
Jim and Sue Haden
Richard J. Camirand
Cindy Camirand
William Lee Anderson
Don and Marian Spano
Our Parents
Duncan W. and Susan Campbell
Carmen and Jose, Marion
and Francis
Mr. and Mrs. Robert F. Buzzard
Carol Cavendish
Ms. Anita Abner
Regina Bilko
spring 2015
JohnAllen, Brittany, Holly and
Sharon Cavendish
Ms. Jennifer L. Deem
Mt. Pleasant United Methodist
Church Caring Committee
Mr. and Mrs. William D. Smith
Connie and Bob Williams
John Grayson Chestnutt
Mr. and Mrs. Frank F. Fountain
Mr. and Mrs. Donald E. Koonce
David, Cara and Ella McDaniel
Robert L. Conley
Bill and Joanne Bickley
The Blackwood Family
Mrs. Amy Haycock
The MacNamara Family of Edgewater
Annapolis, MD
Ms. Elizabeth Powers
Ms. Tracy Redmond
Fred and Judy Rhodes
Anonymous
D. Broward Craig
Joyce P. Craig
The Joyce and Broward Craig
Charitable Fund
Dallas R. Crowe
Ethel M. Crowe
Jane T. Danilek
Frederica Bacher
David and Catherine Boardman
Joan M. Brakman and Family
Anne Brown
Rosemary Burns
Jeanette and Clif Buys
Ms. Elizabeth J. Callan
Mr. and Mrs. Harold Culver
Danilek Family Trust
Mary S. and Frank A. Dodge
Mrs. Judith Dutterer
Nancy J. Fisher and Ledford
Carpenter, Jr.
Jean and Edmund Fording
Cal and Ann Fowler
57
{ PHILANTHROPY }
Mrs. Marilyn Gilbert
Jim and Sue Haden
John and Ilse Hendrix
Mrs. Helen Holweger
Bo and Lizbet Hopkins
Dolores Johansen
Ann Kostick
David and Robin Mellen
Louise and Mike Monticello
Ms. Jimmie Lou Richardson
Joanne B. Robinson
Patsy Stegall
C. Bruce and Lois S. Till
Dr. Clara Belle Wheeler
Marie Groh
Ellen MacCall
Bruce L. MacCall
The Hon. Jesse B. Grove, Jr.
Lt. Col. Robert Kirkwood Spencer
Paxson C. MacDonald
Jim and Sue Haden
Gregory MacDonald
Mrs. Barbara Nelson
Barbara A. Dixon
Gene Dixon, Jr.
Marcia Hastay Kelly
Gil and Mary Jane Medeiros
Douglas W. Dobbins
Anonymous
Carolyn P. Knicely
Mr. and Mrs. Bill Martin
Augusta County Commissioner
of Revenue Office
Philip and Wilma Balsley
Mr. and Mrs. James E. Waitier
Thomas C. Dobbins
Anonymous
Janice A. Faulconer
Nina Y. Brunell
Ms. Judith P. Chaplin
Pat Dabney
Meg Gilmer
Sandra and David Goldberg
Jim Haden
Marijo Lecker
Pharmacy Staff
John and Theresa Metz
Mr. William K. Miller, Jr.
Mrs. Philip F. Murray
Gudrun and Todd Reeder
Leslie N. Richard
Cathy Link Sedwick
Amy Skinner
Pam Wolf
Gloria G. Fennell
Anonymous
Ernest Al Flynn
Wendy Waldner Flynn
Elisabeth Greenbaum
Priscilla Long Whitlock
Thomas Grimes
Mr. and Mrs. Harold F. Grimes, Jr.
58
Larry L. Hastings
T. J. and Lauri Wilson
Pat Inglis
Mr. and Mrs. Edward O’Dwyer
Bob Jennings
Betty Jennings
William G. Keller
Mrs. Lois M. Keller
Dr. Jim Knight
Mr. and Mrs. William E. Doyle, Jr.
Dr. and Mrs. David L. Morris
Andrew F. Krieger
Enid B. Krieger
Mary Jo Larew
Patricia A. Fulton
Mr. Michael J. McGirr
Donald G. Lederman
Mary Antil Lederman
Donald George Lederman Family
Jo Locher
Mr. and Mrs. Miles Porath
Mr. and Mrs. Stanley Reid
Ralph D. Long
Ms. Maxine T. Butcher
Bettye G. Dickinson
Betty R. Hiter
Monica Laws
Linda C. Leake
Jane W. Meyer
Edith Longenbach
Candace M. Abel
spring 2015
Dr. Cary N. Moon, Jr.
Mary D. Moon
Preston E. Morris
Susan B. Morris
Dr. Anthony J. Murgo
Mary S. and Frank A. Dodge
Evlynn A. Murphy
Janice S. Creasy
Dr. Latham B. Murray
Dr. and Mrs. W. S. Jennings, Jr.
Jacqueline M. Oblinger
Jim Haden
Mr. and Mrs. Eugene S. McVey
Mrs. Elizabeth Payne
Annie L. Powell
Rhonda I. Page
Jean Printz
Jim and Sue Haden
Sarah A. Marshall
Teresa B. Quick
Erin and Brant Nesbitt, Lisa and
Brian McGill, and Jerry Quick
Sandra K. Reusing
Bill and Janet Reusing
Jerrold Robinson
Joanne B. Robinson
Wilmer Rogers
J. Sue Brown
Josephine Scarlata
Ginnie and Peter Gillen
Ilse Schneider
Nancy L. Fischer
Edward W. Shiflett
Janice S. Creasy
Irvine “Lee” Shiflett
Kimbly P. and Thomas A. Redman
Dr. John C. Shilan
Tom and Karen Vaughan
Royal and Louise Swing
Janice S. Creasy
Elizabeth Tebell
Edith S. Ballard
Mr. and Mrs. Laurence H. Gardner II
Sally Goodrich
Karen and Charlie McFall
Mr. Kenneth C. Miller III and
Ms. Terri L. Perkins
Andy Sorrell, Chair
Rural Planning Caucus of Virginia
Ms. Sylvia G. Whitt
Allan Wimbish and Nancy Crayton
Doloris Collins Thomas
Mr.* and Mrs. Alvin R. Clements
Susan W. Cox
Cecil and Shirley Day
Ross Drury
Jim and Susan Frankowski
Jim and Sue Haden
Mrs. Lila Kay Lennard
Cheryl Norman
Ross and Sylvia Payne
Frank and Carolyn Rose
Larry and Carole Saunders
Cathy Link Sedwick
Jim Thomas
In Honor
Janet Arsenault
Frank Squillace and
Jane DeSimone Dittmar
Dr. Joshua Fischer
Jim Haden
Nancy Fisher
Jo Ann and James Farrell
Ann L. Atwell
Mina S. Ford
Anonymous
Amy Black
Erika and Robert Viccellio
Todd French
Richard L. French
Brenda Braxton
Dr. Lindsay Friesen
Peter Brooks
Jim Haden
Betty Gaines
Jim Haden
J. Michael Burris
Gary and Aileen Selmeczi
Rebeccah T. Getz
Carol Chandross
Susan Cabell Mains
Amy and Jason Chestnutt
Mr. and Mrs. Donald E. Koonce
David, Cara and Ella McDaniel
Leah Gropen
Mr. and Mrs.* Fred Brenner
Marie Haden
Darren and Stephanie Haden
Dr. Bruce Clemons
Les Disharoon
Pat Haden
Jim Haden
Joyce P. Craig
Anonymous
Sue Haden
Michael and Dianne Burris
Alan N. Culbertson
Dr. Joe and Sally Gieck
Dr. Joe and Sally Gieck Fund
Nancy S. Hagen
Mr. and Mrs. George C. Pierides
John B. Thomas
Jim and Doloris* Thomas
Don and Jane* Danilek
Jim and Sue Haden
In Memory Of Mrs. Vallani
Candace M. Abel
Dr. Sylvia Hendrix
Mrs. Susan T. Webb
Anonymous
Debbie Desmond
Mrs. Peter A. Wallenborn, Sr.
Dr. and Mrs. White McKenzie
Wallenborn
Jim Haden
Mary Jo Hill
Mr. and Mrs. James F. Adams
Sarajane Dickey
Robert W. Jackson
Lucia Kaestner
Carol Chandross
Dr. Greg Doull
Doug and Sterling Hudson
Mary P. Warren
Bertram L. Warren, Jr., M.D.
Dr. Rebecca Kenner
Anonymous
Lydia S. Driscoe
Charlie and Rosemary Cona
Martha J. Whitworth, M.D.
Anne Baldwin
Mrs. Estelle W. Echols
Mr. and Mrs. John A. Stillwell
Candice Kurtz
Dr. and Mrs. Scott Kasen
Dr. Joseph Evans
Anonymous
Dr. Daniel Landes
Lynne and Doug Miller
Joan Fadden
Jim Haden
Marijo Lecker
spring 2015
59
{ PHILANTHROPY }
Dr. Lee Litvinas
Anonymous
Dr. Alexander Schult
Virginia and Harold Hallock
Dr. Kevin McConnell
Anonymous
Carol Scott
Carol Chandross
Ray Mishler
Cathy Sedwick
Suzanne Hilton Smith
MJH Infusion Nursing Staff
Rosemary Burns
Paul and Cynthia Pearce
Dr. John R. Shrum
Elizabeth Cole
MJH Operating Room Nurses
Anonymous
MJH Medical Oncology,
Breast Surgery and Radiation
Oncology Teams
Mrs. Susan T. Webb
Dr. Linda Sommers
Mrs. Susan T. Webb
Dr. Baidaa Mohammed
Anonymous
Dr. Cynthia Spaulding
Dr. David L. Morris
Mrs. Luther Y. Gore
Anonymous
Dr. Joy and Dr. Burkard
Spiekermann
Jim and Sue Haden
Dr. Gordon L. Morris
Mrs. Luther Y. Gore
Anonymous
Reverend Terrence Staples
Elaine Muntner
Larry and Linda Offenberg
E. Ray and Thelma Murphy
Jim and Sue Haden
Dr. Bindu and Dr. Mohit Nanda
Jim and Sue Haden
A. Veralee Stewart
Jim and Sue Haden
Dr. Erika P. Struble
Mr. and Mrs. G. McNeir Tilman
Mr. and Mrs. Billy W. Kingery
Michelle Parkin
Benjamin Speckhart
William and Dorothy Tompkins
50th Wedding Anniversary
Jim and Sue Haden
Shelley Payne
Jeff Turner
Benjamin Speckhart
It is important to us that we
Dr. Mark Prichard
Derry Miller
Mrs. Susan T. Webb
Kat West
Nancy McKenzie West
support in accordance with your
Dr. Robert Pritchard
Paul and Cynthia Pearce
60
Suzanne H. Smith
Greenbaum Family Charitable Fund
Dr. Douglas Willson and
Ms. Diane Willson
Beth White
Mr. and Mrs. F. C. Abell
Dr. Christopher Willms
Virginia and Harold Hallock
recognize your generous
wishes. If your name does not
appear as you prefer, please
accept our sincere apology and
inform us of the correction by
Alana Geneve Romanella
Dr. Alan Romanella
Lauri Wilson
Jim and Sue Haden
calling or emailing the Founda-
Faye Satterly
Suzanne Hilton Smith
Dr. Cynthia Yoshida
The Farkas Family Foundation
MJH_Foundation@sentara.com.
spring 2015
tion Office at (434) 654-8258 or
Thank you.
In Honor of Jim Haden
1993
James E. Haden
president & ceo
2014
The following donors made gifts in honor of Jim Haden during 2014 in recognition of
his tenure and service to Martha Jefferson Hospital and the communities it serves.
Bill and Carolyn Achenbach
Rob and Nancy Adams ♥
Mr. and Mrs. Richard M. Ader
Dr. Jeff and Mrs. Paula Alberts
Elizabeth Smith Alford
Thea Alterman ♥
Michael and Marilyn Ashby ♥
Janet and Ron Baellow
Rod and Liz Beckwith
Mr. and Mrs. Earle Betts
The Betts Family Charitable Fund
Michael and Lillian BeVier
Amy and Richard Black ♥
Jimmy and Jean Blankenship ♥
Catherine Boucher ♥
Kathleen and Daniel Bowman
Tom and Ginny* Bowman
Joan M. Brakman and Family
Mr. and Mrs. Peter C. Brooks
Dr. Lincoln Brower
Bobbie and Bob Bruner
Michael and Dianne Burris ♥
Maxine and Henry Burton
Susan Cabell Mains ♥
Chris and Jim Camblos ♥
David and Carolyn Cameron
John and Laurie Carpenter
Jeanne and John Chamales
Vincent C. Cibbarelli
Charles and Marianne Cole ♥
Kevin and Tracy Combs
Dr. Greg and Erica Conner ♥
Joyce P. Craig
The Joyce and Broward Craig
Charitable Fund
Jim and Becky Craig
spring 2015
Michael L. and Jan Cubbage
Alan and Sharon Culbertson
and Family
The Culbertson Foundation
Jane* and Don Danilek
The Danilek Family Trust
Anna M. Day Foundation
Debbie and John Desmond ♥
Les Disharoon
Dr. Gregory H. Doull
Jenn and Brodie Downs ♥
Mr. and Mrs. Andrew J. Dracopoli
Mr. and Mrs. James C. Dunstan
Dunstan Fund
Earnest Edwards
Mr. Joseph Erdman and
Mrs. Rosemary Hill-Erdman
61
{ PHILANTHROPY }
Joe and Robyn Evans ♥
Jane Fellows ♥
Ronald and Nancy Fischer
David and Elizabeth Boger Foreman ♥
Daniel W. Fort
Mr. and Mrs. Keith A. Frazee
The Keith & Carole Frazee
Family Fund
Martha S. Fruehauf
The Fruehauf Foundation
Maureen Garmey ♥
The Genan Foundation
Bunny and Joel Gibbons
Carrie S. Camp Foundation, Inc.
Mark Giles
Richard and Leslie Gilliam
The Richard and Leslie Gilliam
Foundation
Greg and Ginger Graham
Bentley and Jim Grigg
David and Carolyn Grow
Dr. and Mrs. Stephen B. Gunther ♥
Sue Haden, Brian Haden,
Kelsey Haden and John Haden
Carol and Jim Hallett
Will Hammond ♥
Hantzmon Wiebel, LLP
Marilyn and Bob Harman
Roy and Lynda Harrill
Dana and Peter Harris
Mr. and Mrs. Andrew D. Hart, Jr.
Mr. and Mrs. Bruce E. Hathaway
Brenda and Curtis Hathaway
Sarah P. Hendley
Angela Herstek-Zongilla ♥
Ed and Angie Honeycutt ♥
Terry and Susan Hunt ♥
Martha F. Hunter ♥
Carol and Blake Hurt
Mr. and Mrs. Anthony R. Ignaczak
Ignaczak Family Fund
Tammy Carter James ♥
Dr. and Mrs. John A. Jane, Sr.
Sue Jarrell ♥
* Deceased
Commemorative Tree
♥ Martha Jefferson Hospital Employee
62
Pam and Rob Jiranek
Janet Stone Jones Foundation
Jennifer Smiley Kean ♥
Mr. and Mrs. Thomas J. Kelly
Brian H. and Barbara T. Kennedy
Howard Kern Charitable Gift Fund
Mr. Howard P. Kern
Patricia Ketchel and Roderick Dew ♥
Lawrence D. Keyes, Jr. ♥
Mr. and Mrs. Donald A. King, Jr.
Janemarie and Don King Fund
Dale and Rita Knauf ♥
Mr. and Mrs. Elliot H. Kuida ♥
Mr. and Mrs. Donald Laing III
Tom and Delia Laux
Ione Lee ♥
James (Jeb) and Jill Livingood ♥
Mark and Anne Logan
Ms. Laura M. Lowrance
Mary Ann and Bill Lucia ♥
Janice Lugar ♥
Len and Grace Mailloux
Nancy F. Maloy ♥
Brian and Jean Mandeville
Bobby and Judy Marks ♥
spring 2015
Jackie Martin ♥
Lynn W. and Lawrence J. Martin
Alex and Sandy McAlister ♥
Lisa McDermott, M.D. ♥
Regina and John McGovern ♥
Ray R. Mishler and Patricia L. Smith ♥
Mitford Children’s Foundation
Janice M. Karon
MJH Administrative Executive Committee
Mike Ashby, Catherine Boucher,
Ron Cottrell, Amy Black, Ray Mishler,
Marijo Lecker, Deb Thexton,
Judy Tobin, Mike Burris,
Anna Buchanan, Elliot Kuida,
Deb Desmond ♥
Daisy and David Moga
Mary D. Moon
Bob and Lisa Moorefield
Ms. Karen Moran and
Mr. B. Wistar Morris III
Morris Family Foundation
Dr. and Mrs. Gordon L. Morris
Richard and Patricia Muller ♥
Mary A. Mullins ♥
E. Ray and Thelma G. Murphy
Lang and Latham Murray
Charitable Fund
A Donor Advised Fund of
Renaissance Charitable Foundation
Drs. Mohit and Vandana Nanda
Cindy F. Napier ♥
Rob and Paula Newcomb
The Rev. William W. and
Ann Canter Nickels
Mr. and Mrs. Richard L. Nunley
Michael and Barbara Oblinger
Linda and Dennis Odinov
Charlotte and Jack* W. Owen
Robert Wood Johnson Foundation
Sandra C. Palumbo
F. Troost and Kathryn B. Parker
Kathryn B. and F. Troost Parker Fund
Mrs. Virginia S. Payne
Paula and Jim Pippin ♥
Mr. and Mrs. Joseph W. Richmond, Jr.
Dennis and Ann Rooker
Mr. and Mrs. Charles Rotgin, Jr.
Daniel and Sheila Saklad Family
Foundation
Tim and DeAun Sanders
Mr. and Mrs. James D. Satira
Nunley-Satira Family Fund in CACF
Faye Satterly ♥
Dr. Alexander A. Schult ♥
Kevin and Carolyn Schuyler
Daniel L. Seale, M.D. and Rita R. Seale
Cathy Link Sedwick ♥
Sentara Healthcare
Mr. Dennis B. Sigloh and
Rev. Jane E. Sigloh
Jane E. and Dennis Sigloh Fund
in CACF
Sallie and Ward Sims
Rita and Brian Smith
Mrs. H. Gordon Smyth
Linda and Jeff Sobel
Jefferson S. Strider
Cynthia and Jim Stultz
Stultz Foundation
Mrs. Richard D. Sullivan
Dr. and Mrs. Paul J. Tesoriere ♥
Debbie Thomas ♥
spring 2015
Mr. and Mrs. G. McNeir Tilman
Tilman Family Fund
Dr. William F. Tompkins III and
Dr. Dorothy Tompkins
William and Dorothy Tompkins
Charitable Fund ♥
Cynthia Traver
Bob and Terry Valiga
Allen F. Voshell, Jr.
Dr. and Mrs. White McKenzie
Wallenborn
Jan Dorman and Elliott Weiss
R. Ted and Sheila Weschler
Ms. Leanna West ♥
Peggy and Page Williams
Lauri and T.J. Wilson ♥
Susan and Leonard F. Winslow III ♥
Dr. and Mrs. Tom Wolanski
Mr. and Mrs. David J. Wood, Jr.
Mrs. Joseph M. Wood II
The Whitney and Anne Stone
Foundation
Margaret J. Wyllie
Anonymous (9) ♥
63
{ BOARD PERSPECTIVE }
Of Mammas,
Curves and More
I
BY BILL ACHENBACH
n 1976 a little-known country music singer named Ed
and was recently adopted by the American Hospital AssociaBruce first recorded a song called “Mammas Don’t Let
tion as the mantra for the new world of healthcare delivery.
Your Babies Grow Up to Be Cowboys,” which chronicled
According to Morrison’s thinking, a company in the
the tough life of the cowboy, urging mammas to “let ’em
first-curve phase rides traditional business methods to
be doctors and lawyers and such.”
success, often plateauing at a point where those leading the
After serving on numerous committees and boards at
organization begin to worry about what will come next. In
Martha Jefferson over the past 20-plus years, I have witnessed
the healthcare context, the first curve has been characterized
the stunning changes that have taken place in healthcare
by volume-based care delivery, with reimbursement based on
delivery. Change isn’t always easy, and with that in mind
fee-for-service and an inpatient focus, and rewards based on
I have on more than one occasion opined to Jim Haden
the quantity—rather than quality—of procedures.
that the lyrics of that song today could more appropriately
We now know with certainty that the first curve in
be: “Mammas don’t let your babies grow up to be hospital
health care is not a sustainable model. Costs are accelerating,
administrators/Let ’em be cowboys and lawyers and such.”
yet hospitals face relentless pressure from payors (insurance
Happily Jim’s mamma didn’t take that advice, and he has
plans, employers, Medicare) to reduce costs and share risks.
spent his career making a difference in the complex world
In response to those pressures, we are currently in the early
of healthcare delivery. The last 21 of those years have been
stages of a massive transition to health care’s second curve,
spent here with us in Charlottesville, and for us that has made
characterized by value-based delivery systems, with reimburseall the difference. Under his leadership we have grown from
ment based on outcomes, coordinated patient care, and popuan approximately 225-physician hospital to one currently
lation health management. Driven by technology and a more
employing or affiliated with close to 500 doctors. We enjoy
holistic view of wellness, the second curve will be centered
state and national recognition for patient satisfaction and
on the person, rather than the patient. Hospitals like Martha
clinical excellence. We are financially sound, with a healthy
Jefferson will still treat the sick and injured, but we will shift
operating margin. In 2011 we moved into an award-winning
our focus somewhat to providing healthcare products and
new hospital supported by one of the most successful
services for all states of health—while, importantly, working
philanthropic campaigns ever conducted in Charlottesville.
out how to be compensated appropriately for those services.
That same year we joined forces with Sentara Healthcare
We’re already well under way with the second-curve
to become part of their nationally recognized system. And
transition at Martha Jefferson, chiefly through our partnerthrough it all, we have stayed true to the
ship with Sentara and its many second-curve
Caring Tradition that defines Martha Jefferson
initiatives. This transition is sure to be
at its core.
challenging, will often be frustrating and
Jim quietly, but firmly and adeptly,
very well may be expensive, and we are very
steered the ship through those years of
pleased to have a strong partner in Sentara as
change. He has earned the affection and
we embark on the journey.
respect of those around him, while setting
That journey will be led by our new CEO,
the stage for Martha Jefferson to embark on
Jonathan Davis, who joined Martha Jefferson
its “second curve” journey.
in January. We wholeheartedly welcome
The second curve concept was first
Jonathan and look forward to the leadership
formulated by futurist Ian Morrison in his
he will bring to our cherished enterprise.
1996 book The Second Curve: Managing
Likewise, we bid a fond farewell to
the Velocity of Change. Speaking to the need
our friend Jim Haden as he embarks upon a
for recognizing and managing fundamental
well-deserved retirement, with our thanks
Bill Achenbach
change in the affairs of healthy institutions,
and gratitude for a job superbly done—and,
Board of Directors and
the idea has been employed by major compafrankly, just for being Jim Haden. We’re ever
Sentara Board of Directors
nies such as Walmart, Starbucks and Apple,
thankful that your mamma sent you to us.
64
spring 2015
Life doesn’t always run smoothly, but the Martha Jefferson Emergency Department at
Proffit Rd. does. Our expert doctors and staff provide high quality, comprehensive care 24/7.
And with our convenient location north of Charlottesville, and imaging and lab services
available on-site, you can get answers quickly and get back to life sooner.
24/7 emergency care at Rt. 29 and Proffit Road
Martha Jefferson Hospital. Delivering more tomorrows.
MarthaJefferson.org
Non-Profit Org.
U.S. Postage
PAID
Martha Jefferson
Hospital
500 Martha Jefferson Drive, Charlottesville, VA 22911
WHEN SMALL ORTHOPAEDIC PROBLEMS GROW INTO
BIG ORTHOPAEDIC
PROBLEMS...
Martha Jefferson Orthopaedics and Spine can help. Whether it’s chronic
shoulder arthritis, a recent sports injury or that nagging back or wrist pain
that just won’t go away, our 10 specialists are ready to tackle any orthopaedic
problem. From innovative technologies and diagnostic assessments to
surgical and non-surgical treatments and rehabilitation therapies, we
provide highly individualized care tailored to your specific needs. And with
free parking available at the doors of both of our convenient Charlottesville
locations, access to that care is hassle-free. Call to schedule your appointment
and get back on the path to a pain-free life today.
434.654.5575 | MJHortho.org

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