October - Cone Health
Transcription
October - Cone Health
IN THIS ISSUE Flu News for U Design Work Begins on North Tower Learn More about New Recycling Law page 4-5 page 6 page 14 TomoTherapy is expected to offer cancer patients new alternatives in treatment with fewer side effects and better outcomes. Regional Cancer Center First in State to Offer New, Targeted Radiation Treatment If you’ve walked through the Moses Cone Regional Cancer Center in recent months, you’ve probably noticed a few hardhats and heard the rumble of heavy equipment. It’s all to make way for a new TomoTherapy Hi-Art radiation system that is expected to revolutionize the treatment options available to local cancer patients. TomoTherapy allows physicians to administer safer, more precise treatments with far fewer side effects than ever before. They can even “vaporize” cancers with extreme doses of radiation while protecting healthy tissue. That means complex cancers of the head, neck or lung can be treated without damaging surrounding organs or glands. The new system is the first in North Carolina and one of only about 225 in the world. It also represents a multimillion dollar investment for Moses Cone Health System. “We’re always challenged to carefully evaluate costs versus benefits, so we look for treatment alternatives that offer something valuable to our patients and our community,” says John Feldmann, MD, Medical Director, Moses Cone Regional Cancer Center. “TomoTherapy technology does that by helping us reduce side effects, improve outcomes and offer an alternative to many patients who have exhausted other treatment options.” (continued on page 3) OCTOBER 2009 No Changes to Benefits This Year; Enrollment Begins Oct. 12 The 2010 benefits enrollment process begins on Monday, Oct. 12, and runs through Friday, Nov. 6. If you do not want to make changes, your current benefit selections will continue into 2010 except healthcare flexible spending accounts, dependent care flexible spending accounts or pre-tax childcare deductions. You must elect these benefits each year. This will be a year of “no changes.” Plan design and premiums will remain the same as in 2009. However, if you are currently paying “healthy lifestyle” rates for your medical coverage, you will be required once again to: • Have a Non-Tobacco Use Affidavit on file. (You do not have to complete one if you already have one on file). • Complete the online health risk assessment. • Complete the biometric testing. You must complete all steps to keep the discounted health premium. This year we will be using a new company for the online health risk assessment and biometric testing. Look for more information in October and November about this. Enrollment Options Include: 1. If the only change you need to make is for your Healthcare Spending Account, Dependent Care Spending Account or pre-tax child care deductions, you may call the Benefits Service Center at 832-8777, and we will take your selections over the phone. We cannot take your entire enrollment by phone so if you need to make changes in addition to your flexible spending or childcare deductions, you must use another enrollment option. 2. Enrollers may visit your department. Check with your manager to see if an enroller has been scheduled for your area. 3. Trion Call Center will take your enrollment by phone Monday through Friday, between the hours of 8:30 a.m. and 5:30 p.m. Please call 346-3500, extension 635. 2 OCTOBER 2009 4. You may also enroll yourself via Lawson HR Employee Self-Service. 5. You can make an appointment with an enroller who will have scheduled hours on your campus. 6. You may visit a benefits coordinator during scheduled hours in Room 44 at The Moses H. Cone Memorial Hospital. We look forward to helping you with the enrollment process and serving your benefit needs in the coming year. Reminder You must complete a Self-Appraisal through the new online Performance Management System between Oct. 1 and Oct. 31. (continued from cover) What They’re Saying Patient satisfaction is all about treating people with kindness, giving them our full attention, keeping them informed, and meeting or anticipating their needs. Here are some examples of best and worst practice. These comments are taken directly from what our patients told phone surveyors about their hospital experience. The nurse and nurse tech went out of their way to explain things to me. They were open with me, and I really appreciated it. A nighttime nurse came in to change the bag on my IV. I asked her a question, and she completely ignored me. She was not my nurse that night, but she was a nurse. She would not even reply to my question. Radiation oncologists are excited about TomoTherapy’s ability to deliver high doses of radiation to tumors, while minimizing the dose to the surrounding normal tissues. In order to do this, a built-in CT scanner helps to precisely position patients before each treatment. “TomoTherapy was built from the ground up by some very bright people and gives us options we simply don’t have with conventional radiation,” says Robert Murray, MD, Radiation Oncologist, Moses Cone Regional Cancer Center. “I’m really hooked on the technology and what it can do for our patients.” In conjunction with the arrival of the system, two new physicians are joining the Health System’s radiation oncology team. Stacy Wentworth, MD, formerly with Wake Forest University Baptist Medical Center, will help to plan and conduct brain cancer treatments using the new device. Joseph Brooks, MD, the former chief of radiation oncology for the U.S. Army’s Madigan Medical Center in Tacoma, WA, will work with lung cancer patients. Brooks performed his residency with the National Cancer Institute. The first TomoTherapy treatments are scheduled to get under way in early October. I had some very good nurses that made me feel good while I was there. That showed compassion and concern. More prompt response when pain medication is required. The nurses stopped by and asked if there was anything they could do or if I needed anything. Spend a little more time in your room making you comfortable. The doctor was very attentive and spent a lot more time with me than I anticipated. Try to get the patient discharged a little faster. I went in with diabetes, and the staff and all the nurses came into my room and told me what I needed to do to take care of myself. The people answering the call button could be a little more courteous. They are rude and blunt. They make you not want to use the call button. The teamwork was well organized. There was a lot of chatter going on among the nurses and other staff members that I thought should be cut out. Personal chatter is what I’m talking about. I got the best care, better than anywhere. OCTOBER 2009 3 U Flu News for Health System Prepares as H1N1 Comes to Community H1N1 is here. While Guilford County had 45 confirmed cases by midSeptember, this is likely the tip of the iceberg. Physicians’ offices and schools are seeing an increase in flu-like illnesses. Local gyms warn of exposures. And even churches are changing their practices for as a result of the contagious virus. “We have seen a definite increase in the cases of flu-like illness within the community, and therefore, in our Emergency Departments,” says Lori Mason, Public Health Epidemiologist, Moses Cone Health System. Moses Cone Health System is taking many steps to be ready for the season. Employees have been reminded to stay home if they’re sick – and return only when they’ve been fever-free for 24 hours (without the use of fever-reducing medication such as Tylenol or Advil). Staff should remain off campus during their sickness unless they are here seeking medical treatment, says Renee Amburn, Director, Infection Prevention and Employee Health. The Health System is restricting people younger than 18 from entering its hospitals for visitation during flu season. All people are also asked to not visit the hospitals if they are sick, unless they are seeking medical treatment themselves. “We want to limit any unnecessary exposures to the virus in order to protect our patients and to maintain a healthy workforce,” says Noel Burt, Chief Human Patients Coming to Emergency Resources Officer. Departments with Flu-Like Illness The seasonal flu vaccine is required Aug. 23-29, 2009 189 for staff, volunteers Same week 2008 116 and medical staff; however, a separate Aug. 30 – Sept. 5 271 vaccine against the Same week 2008 125 H1N1 strain won’t be available until Sept. 5 – Sept. 12 370 mid- to late Same week 2008 170 October. No decision has been made about whether that will be required. “We will keep everyone informed as that research develops,” Burt says. Guidelines for H1N1 and Flu Season • Wash your hands and use alcohol-based rubs frequently – before and after seeing each patient and throughout your day. • If you are sick, stay home. Do not come to any office or department at Moses Cone Health System for any reason, unless you are seeking medical treatment. • Follow the latest recommendations for healthcare workers and do not return to work until you have been fever-free for 24 hours. • Managers need to log all employee illness in the Safety Zone Portal. • Stay flexible in your job. If this illness reaches widespread proportions, we may all be asked to perform other duties or help in different ways to care for our community. 4 OCTOBER 2009 • If you see anyone – including employees, contractors, physicians or visitors – who appears to be ill, contact your manager. Managers are asked to immediately question people who are demonstrating symptoms and ask them to visit Employee Health or leave the building. • Practice good cough etiquette: Cover your mouth and nose with a tissue when you cough or sneeze. If you don’t have a tissue, cough or sneeze into your upper sleeve, not your hands. Put any used tissues in the waste basket and wash your hands. • Consider your options for emergency childcare. You should have a plan for how you can be at work if you are healthy, but your child is sick and/or can’t attend school or childcare programs. Sue Hampton, RN, Employee Health, gives Ralph DeBruhl, Safety Officer, a seasonal flu shot. Get Your Mandatory Seasonal Flu Vaccine Employees, medical staff and volunteers can receive free seasonal flu vaccines at all Employee Health offices. The seasonal flu vaccine is mandatory. Staff, employed physicians and volunteers who intend to work during flu season must receive the vaccine by Oct. 31 unless they have a signed medical waiver. No appointment is needed during these hours: Moses Cone Hospital Employee Health Monday – Friday, 7:30 a.m. – noon and 1- 4:30 p.m. Wesley Long Community Hospital Employee Health Monday – Friday, 7:30 - 11:30 a.m. The Women’s Hospital Employee Health (For Administrative Services Building employees also) Monday – Friday, 7:30 - 11:30 a.m. Behavioral Health Center Available at Benefit Fair. Annie Penn Hospital Employee Health Monday and Wednesday 7:15 a.m. - 3:45 p.m. and Friday 1- 4:30 p.m. Shots are also available: • Oct. 5-9 during Benefit Fairs at each hospital. • Oct. 12 flu vaccine clinic at Moses Cone Hospital Room 31 (7:30 a.m. – 4 p.m.) • Oct. 15 flu vaccine clinic at Wesley Long Community Hospital Classroom 2 (7:30 a.m. -4 p.m.) The seasonal flu vaccine, paperwork and supplies also have been sent to off site locations for nursing staff to give vaccinations. Requests for these vaccines should be made to the Employee Health office responsible for that site. Weekend and off-shift schedules will be posted as available. If you have special needs during this time, please contact your facility Employee Health office. A Hospital Outside the Hospital? Health System staff got a preview of a custom tent that could be used to triage and treat H1N1 patients in the event of a large-scale epidemic. The structure was set up recently in the parking lot at Wendover Avenue and Church Street. OCTOBER 2009 5 Tom Gettinger discusses the North Tower concept with Janice Holt, RN, Director, Neuro Operating Room, The Moses H. Cone Memorial Hospital. The hospital recently held design kickoff meetings to brief directors and key leadership about the scope and timeline of the project. Design Work Begins on North Tower Project Hospital officials are beginning early design work on The Moses H. Cone Memorial Hospital North Tower project, while seeking input from clinical staff and others who will use the space. The project would add 226,500 square feet to the hospital and redesign 90,600 square feet of existing space. (See accompanying box for more details.) This fall, the architects, engineers and Health System project leaders will hold regular meetings with several “key user” groups. These include representatives of inpatient areas, the central energy plant, OR/Surgical Services, PACU and pre- and post-operative areas, and the Emergency Department. “We want to be sure we have input from all our key users so that the final plans can best support the needs of our patients, staff and community,” says Karen Pierce, Director, Campus Projects. While design work on the nearly $200 million project has begun, construction will not occur until the project receives both Certificate of Need (CON) approval from the state and building approval from the Health System Board of Trustees. The board’s decision will take into account the Health System’s financial outlook as well as the health of the economy in general, Pierce says. “This design should be timeless enough that if we need to hold off and wait six months, a year, we can,” she says. “But at the same time, we want to take advantage of this favorable construction market if possible. We all recognize that this project will replace existing services that are 6 OCTOBER 2009 aging and provide much-needed upgrades to best serve our community, retain and recruit excellent staff and physicians, and compete in the marketplace.” Key Features of the Pending CON and financial approval, construction could begin North Tower Project in October 2010. Segments of the • The new North Tower will house three project would be finished in 2013 additional nursing departments of 32 and 2014. beds each, allowing the hospital to Pierce will work on this project privatize all its rooms. with a team of executive leadership, including Tom Gettinger, Executive • Enlarged operating rooms will provide needed space for surgical teams and Vice President, The Moses H. Cone Memorial Hospital; Jim Roskelly, high-tech equipment. Vice President, Strategic Planning; • Redesigned pre- and post-surgery areas Debbie Grant, Vice President, will improve patient privacy and increase Nursing; Judy Schanel, Vice efficiency. President/Service Line • An additional 48,000 square feet in the Administrator; Vicki Block, Vice Emergency Department will improve President, Heart and Vascular efficiency and patient flow. Center; Bill Bowman, MD, Vice • A new main entrance to Moses Cone President, Medical Staff Services; Hospital will be built on Church Street. and Ron Galloway, Director, Construction Management. The System is working with Perkins + Will, an architectural firm in Charlotte; Affiliated Engineers based in Chapel Hill; Brassfield & Gorrie, a Raleigh-based contractor; and Hammes Company, healthcare consultants based in Newport News, Va. In Brief Emergency Department to Open New Area for Stable Patients Rehabilitation staff hold the giant care package that they recently packed and sent to Iraq. Shown here (from left) are Karissa Hicks, Tracy Hargraves and Allison Bolin. Supporting Each Other, Supporting Our Troops Staff members of Inpatient Rehabilitation at The Moses H. Cone Memorial Hospital have a special connection that inspired them not only to support U.S. troops but also to involve rehabilitation patients in the effort. Karissa Hicks, Physical Therapist Assistant, is married to Specialist James Hicks, who is serving his third tour in Operation Iraqi Freedom. Led by Tracy Hargraves, Rehab Technician, and Allison Bolin, Occupational Therapist, staff rallied to collect care-package items, including toiletries, snacks, candy and magazines. The staff also included the patients in packing and mailing the packages, a unique way to aid in their rehabilitation. “We used the activity of packing the boxes to help patients work on a variety of skills, including increasing the use of one of their upper extremities, or improving their trunk control or their balance,” says Becky Windsor, Team Supervisor, Rehabilitation. “Going to the post office then helped patients with money management skills, community mobility and communication skills.” The troops received the packages and all the items were distributed quickly, Hicks says. The center plans to send another box of goodies closer to the holidays. The Moses H. Cone Memorial Hospital Emergency Department will open Section B in its Short Stay area from 4 p.m. to 2 a.m. to help improve patient flow. A select group of patients will be moved to this location after their initial assessment and evaluation in the Emergency Department. The group will include stable patients who are awaiting further diagnostic studies, inpatient beds and rehydration. The area will be staffed with Emergency Department staff and the Emergency Department physician extender. Assist Now Takes Help Requests Online Computer users at Moses Cone Health System can now report problems or issues in a new way: online. In addition to calling 832-7242 or emailing assist@mosescone.com, users can go the Intranet homepage. From there, go to the Help menu and click on Assist Desk Contact. Employees will be prompted to provide their domain accounts and complete a short form, including a description of the problem. A work ticket will be created within Assist’s Help Desk software. OCTOBER 2009 7 Teams Save More than Expected on Supplies, Medications The Supply Operations Committee has saved more than $1.7 million on supplies and medications, topping its adjusted goal of $1.6 million in savings for the fiscal year. Most of these savings came through more than 150 separate projects that either resulted in better pricing, alternative product choices or improved medication dosing or administration. Value Analysis Teams made up of clinicians, contract administration and other administrative staff suggested opportunities to save money and then reviewed them closely. “This is done to make sure that we can effectively use the new product and understand the pricing and contractual implications,” says Ken Boggs, Vice President, Supply Chain. “In addition to the savings projects, these groups also approve items that will improve efficiency, safety or clinical effectiveness, even if they add cost.” Boggs says the teams will focus next year on looking at “essentially identical” supplies and products that are available from multiple companies. The goal is to find the best prices from among the alternative vendors. Pharmacy has been successful with this in many ways by collaborating with physicians and by using pharmacists and technicians on nine quality improvement teams, according to Brian Romig, Executive Director, Pharmacy. “Each team has been working on many quality improvement projects and together have discussed 140 topics,” he says. “Many of the topics resulted in supply cost savings due to improvements in quality, improvements in dosing and decrease in waste.” 8 OCTOBER 2009 Examples include: • Using extended infusion Zosyn rather than intermittent infusion Zosyn (saving nearly $100,000 a year). • Using smaller doses of Thrombin that provide equal clinical effectiveness in certain surgical procedures (saving more than $300,000 a year). • Using Heparin rather than Lovenox to prevent deep vein thrombosis in medical patients (saving about $20 a day per patient). • Using Misoprotil rather than Cervidil for cervical ripening in certain obstetric patients (saving about $200 per patient). • Using premixed nicardipine rather than mixing it in the Pharmacy (saving $57,000). • Reducing waste in IV delivery (saving $75,000). The pharmacy has also had success ensuring the appropriate use of • antibiotics with particular attention to medications related to the core measures of pneumonia and the Surgical Care Improvement Project • (SCIP). Working to ensure the appropriate site of treatment (inpatient versus outpatient) is also saving cost. • In addition, the Health System has had financial success with the rebates it gets back after certain supply and • medication purchases, collecting $500,000 more than it budgeted for this fiscal year. Some Cost Savings Various Pharmacy projects saved $565,000. (See article at left for more information). Re-bidding cardiac rhythm management systems saved $184,500 through September, or $443,000 in a year. Eliminating the case cart program at the main Moses Cone Hospital Operating Room saved $151,000. New pricing on trauma products and on advanced neuromodulation saved $107,000. • Better pricing on bariatric knees saved $98,500. • Changes in open-heart surgical items, assisted by Goodroe consultation, saved $61,000. While Recent Surveys Are Finished, Health System Must Remain Vigilant The state and federal surveys of Moses Cone Health System, which started June 19 following an H1N1 exposure in the NICU, have been completed successfully. While that is worth celebrating, it is also worth noting that The Joint Commission will soon be here, state regulators will continue to monitor the Health System and the flu season has already begun. Joan Wessman “We have worked very hard these past months to improve our processes and physical environment to ensure compliance with regulatory requirements and, most importantly, to keep our patients and staff safe and protect our community’s health,” says Joan Wessman, Chief Nursing Officer. “I believe we have learned much during these months, particularly related to H1N1, infection prevention, incident command and team work. I don’t want us to slip back to old ways - we truly must maintain the gains we made.” Wessman challenges staff to continue to hold each other accountable in the coming months. She also encourages department leaders to monitor, audit, observe, inspect and round to the same degree that they did to get ready for the recent surveys. “We all need to ‘own’ this organization and our outcomes,” she says. “I want to thank everybody involved in the successful outcome of the Division of Health Service Regulation survey. I am proud of our work and all of you.” Hospital Completes Successful Trauma Survey The Moses H. Cone Memorial Hospital has completed a “deficiency-free” trauma survey with the American College of Surgeons and the state of North Carolina. “Moses Cone Health System is the first Level II Trauma Center in North Carolina to be verified by both the ACS and the state,” says Judy Schanel, Vice President, Moses Cone Hospital. “This is evidence of the high quality of care we provide to the communities we serve.” The hospital should receive the official report and notification of its dual trauma designation within two months. “The commitment for the Trauma Program throughout the hospital is evident to all,” says Cheryl Workman, RN, Trauma Program Manager, Moses Cone Hospital. “It is with that spirit that we were successful not only within our state, but nationally.” The comments from the reviewers were extremely positive, including examples such as: • “This survey was easy because of the thorough preparation you did before our arrival.” • “You did a commendable job in correcting all the issues identified on your consultative visit.” • “Your application was outstanding and made our job easy.” • “Your performance improvement is some of the best I have seen.” • “You should be proud of your efforts.” Schanel credits the Trauma Team, which includes Jay Wyatt, MD; Burke Thompson, MD; Cheryl Workman, RN, Trauma Program Manager; Michael Jeffery, PA; Shawn Rayburn, PA; Becky Ward, Registrar, Trauma Service; Sharon Branam, Registrar, Trauma Service; Joyce McLaughlin, Office Coordinator; and Leigha Shepler, Injury Prevention Coordinator, SAFE Guilford. “In addition, many thanks to the Emergency Department, who wowed the reviewers, and to all the nursing units that worked so diligently to complete their education requirements,” Schanel says. “Also, thanks to Medical Records for pulling all the charts, Food Services for catering, and everyone else who contributed to this successful visit.” OCTOBER 2009 9 United Way Why Give to the United Way? As you may know, the area unemployment rate has nearly doubled in the past year, and many residents are struggling. Local agencies supported by the United Way are helping, but the demand for their services keeps rising. For example, Family Service of the Piedmont, which provides housing, bankruptcy and budget services, has seen its call volume more than double during the past year. Guilford Child Development now has 450 children on its waiting list for scholarships to pay for childcare. The Women’s Resource Center, which helps train women for new jobs, has seen demand for its services spike by 30 percent since last year. “Please consider supporting the United Way this year … even if it’s just a few dollars a pay period,” says Denya Hawkins, Chairwoman, Moses Cone Health System United Way Campaign. Here’s why some of your co-workers give to the agency: “My husband died on the basketball court playing basketball with friends. We had an 8-year-old son and I was six months pregnant with our second child. When something like this happens to you, it is hard to know where to turn. Hospice and Palliative Care of Greensboro came into our lives Kizzy Graves and helped get us through the most difficult of times. Kids Path (the child support group of Hospice) helped my son with counseling and helped him to go to camp, which was so good for him. Hospice stayed in our lives as long as we needed them. Without this support, our lives would have been very different. I can never thank Hospice enough, and I cannot tell you how important this agency is to families like mine when they are in need. I will always be a supporter of the United Way.” — Kizzy Graves Endoscopy Tech, Wesley Long Community Hospital 10 OCTOBER 2009 My son, TJ, was born into this world with Lee’s Syndrome. Lee’s Syndrome is a neurological disorder that affects all motor skills. Hospice and Palliative Care of Greensboro and Kids Path have impacted our lives in many ways. Being a single parent, these United Way agencies have allowed TJ and Lee Salters me to live our lives as close to normal as possible. The people who have helped us have become lifelong friends and love TJ. Caregivers stay with TJ and this allows me to do errands, go to doctor’s appointments, go to the grocery store and work at my job. If it had not been for these agencies, I would not have been able to maintain a job. — Lee Salters Receptionist, Radiology, Wesley Long Community Hospital Bob Bessey, standing, leads four volunteers through a quiz game during a training session on Health System policies and safety practices. The volunteers, from left, are Bob Jones, Mary Byrd, Frances Whitman and Keith Halstead. Kim Johnson, CT Tech, (left) and Jim Whiting, Vice President, Regional Cancer Center, (right) watch as Nancy Kimber, Nutritional Services Ambassador, plays the “Wheel of Need” game at the United Way kickoff at The Women’s Hospital of Greensboro. • FUNraising events will be from Oct. 12 – 30. Look for an Iron Chef competition between Health System leaders and Sodexo chefs; drives for spare change – every penny counts; one-day profit-sharing from our Gift and Uniform shops (the more we spend, the more money for the United Way campaign); and other fun events. • Last year, 34 percent of employees pledged, and the committee is asking them to maintain their gift this year. Additionally, the committee is seeking 1,000 new donors to pledge a minimum of $1 per pay period (or $26 total). Anonymous employee donors have agreed to match those new pledges. • Donors who give just $5 a pay period, or $130 dollars total, will receive a Caring Card from United Way of Greater Greensboro, granting them discounts into dozens of area businesses. (In order to qualify, your donation must be designated to the United Way of Greater Greensboro or an agency they sponsor.) • Want to pledge? It’s easy with E-Pledge. Go to Lawson HR, click on E-Pledge and then United Way form. If you have questions, please contact the United Way committee at 832-3444 or e-mail unmailbx@mosescone.com. • As of mid-September, Annie Penn Hospital had raised $31,000 toward its goal of $35,000 for the United Way of Rockingham County. Annual Volunteer Training Informs and Entertains The Moses H. Cone Memorial Hospital recently held required training for its volunteers, with a fun new twist. Volunteers participated in “Heck If I Know,” a game designed by Bob Bessey, Director, Volunteer Services, to share information about policies and safety at work practices. During the game, four volunteers competed to answer questions. Frances Whitman won, and her team won a prize. The training session also featured: • An update from Tom Gettinger, Executive Vice President, Moses Cone Hospital, who spoke about patient satisfaction scores, construction projects and future plans. • Introduction and comments from Terry Akin, Chief Operating Officer. • Fiscal year 2009-10 budget information from Myra Tejada, Treasurer, Volunteer Board. The volunteer department will fund more than $23,000 worth of hospital and community projects this fiscal year. • Fray Metcalfe, President, Volunteer Board, and Patricia Schoffner, President-Elect, announced the volunteer milestone awards. This year, 49 volunteers hit service-hour milestones. The longest tenured volunteer has accumulated more than 17,000 hours. Together, all the honored individuals have provided enough service hours to equal more than 45 years of full-time service. • The meeting ended with lunch and door prizes from the Magnolia Gift Shop and Panera Bread. “It was a great way to have fun with friends, while providing an innovative way to learn about hospital procedures and practices,” says Mary Byrd, Volunteer. OCTOBER 2009 11 Moses Cone Health System Leadership Council Have a question and don’t know who to ask? Need to direct a patient to management? Here is a listing of Moses Cone Health System leadership. Please feel free to clip this and post in your department. Tim Rice Terry Akin Steve Anderson Vicki Block President and CEO Chief Operating Officer Office: Administrative Services Building 832-9500 Office: Moses Cone Hospital 832-7881 Vice President, Physician Network Vice President, Moses Cone Heart and Vascular Center Office: LeBauer HealthCare at North Elam 547-1552 Office: Moses Cone Hospital 832-7951 Ken Boggs Bill Bowman, MD Noel Burt Troy Chisolm Vice President, Supply Chain Vice President, Medical Affairs Chief Human Resources Officer Vice President/Administrator, Behavioral Health Center Office: Moses Cone Hospital 832-8170 Office: Behavioral Health Center 832-9615 Tim Clontz Tom Dorle Cindy Farrand Tom Gettinger Executive Vice President, Health Services Vice President, Marketing Vice President/Administrator, The Women’s Hospital of Greensboro Executive Vice President, The Moses H. Cone Memorial Hospital Office: Administrative Services Building 832-7695 12 Office: Moses Cone Hospital 832-3900 Office: 200 E. Northwood Street, Suite 301 832-8100 OCTOBER 2009 Office: Administrative Services Building 832-8657 Office: The Women’s Hospital of Greensboro 832-6505 Office: Moses Cone Hospital 832-7881 Bob Goldstein Debbie Grant, RN Paul Jeffrey John Jenkins Executive Vice President, Physician Network and LeBauer HealthCare Vice President, Nursing Vice President/Administrator, Wesley Long Community Hospital Vice President, Management Systems/Chief Information Officer Office: Moses Cone Hospital 832-8858 Office: LeBauer HealthCare at North Elam 547-1552 Office: Wesley Long Community Hospital 832-1400 Office: Moses Cone Hospital 832-8006 Grace Moffitt Bill Porter Jim Roskelly Judy Schanel Interim Vice President/ Administrator, Annie Penn Hospital Vice President, Fund Development Vice President, Corporate Planning and Development Vice President/Service Line Administrator Office: Administrative Services Building 832-9450 Office: Administrative Services Building 832-8199 Office: Moses Cone Hospital 832-8243 Susan Shumaker Beth Ward Joan Wessman, RN Jim Whiting President, Moses ConeWesley Long Community Health Foundation Chief Financial Officer and Treasurer Chief Nursing Officer Vice President, Regional Cancer Center Office: Annie Penn Hospital 951-4582 Office: Administrative Services Building 832-9555 Office: Administrative Services Building 832-8005 Office: Moses Cone Hospital 832-2770 Office: Regional Cancer Center 832-0820 OCTOBER 2009 13 Got aDrink? Recycle the Bottle Moses Cone Health System is placing new recycling containers throughout all hospitals and facilities to assist with recycling plastic bottles, which is now required by state law. The new requirement took effect Oct. 1. The new recycling containers will be placed prominently in public areas and on nursing units. The containers on the nursing departments will be blue with the recycling logo and a round hole on the lid. Other containers in public areas will be labeled “Cans and Bottles.” The recycled items in these containers will be collected by Environmental Services, deposited in large recycling containers at each facility’s loading dock, and picked up several times each week by the city of Greensboro. The Nutritional Services departments have also developed programs to comply with this requirement and increase recycling in their areas. “Recycling has always been the right thing to do and everyone’s responsibility,” says Jack Smith, Director, Environmental Services, The Moses H. Cone Memorial Hospital. “Now that it is also mandated by the state, we need everyone’s help. Please properly dispose of your own plastic bottles and help us get the word out to our patients and visitors.” Joining Forces Annie Penn Hospital recently opened its newly named Department 300, after merging its 2A and 3A departments. Here, staff enjoy the grand opening event (far right). Tora Simpson, RN, Assistant Director, 300 (left), and Mona Easter, Director, 300 and ICU (right), prepare to cut the cake. 14 OCTOBER 2009 “Recycling has always been the right thing to do and everyone’s responsibility. Now that it is also mandated by the state, we need everyone’s help. Please properly dispose of your own plastic bottles and help us get the word out to our patients and visitors.” Jack Smith Director, Environmental Services, The Moses H. Cone Memorial Hospital Daniel Gottsegen, MD Timothy Fontaine, MD Juan Fernandez, MD Greensboro Gynecology Joins Health System’s Physician Network On Sept. 1, Greensboro Gynecology Associates joined the growing Physician Network of Moses Cone Health System. Through this partnership, the physicians and staff of Greensboro Gynecology became employees of the Health System. Located at 719 Green Valley Road, Greensboro Gynecology Associates specializes in gynecologic healthcare and infertility. The practice opened in 1964 and, today, handles approximately 20,000 patient visits annually. Its clinical staff includes Daniel Gottsegen, MD; Timothy Fontaine, MD; Juan Fernandez, MD; and Nancy Young, Nurse Practitioner. The practice has a high-complex CLIA certified lab and is nationally accredited in ultrasound and bone density services. “We’re pleased to join the Health System,” Gottsegen says. “We believe this partnership will enable the Health System and our medical group to ensure the ongoing quality of women’s healthcare in the region.” “We are excited to announce this partnership with such a well-respected and long-standing physician practice in our community,” says Steve Anderson, Vice President, Physician Network. “This relationship will be a win-win-win for patients, the practice and the Health System.” The Physician Network offers a business model that benefits both physician practices and the Health System in the midst of a changing healthcare environment. From the physician standpoint, the advantages are: • An opportunity to share in the Health System reimbursement contracts to improve what they’re being paid for their services. • Better access to new technology for electronic medical records, scheduling systems and more. • Access to patient satisfaction, quality indicator and risk management services. At the same time, the Health System benefits by gaining a strong working relationship with the physicians. The affiliation with Greensboro Gynecology Associates is the first transaction for the Physician Network utilizing this new model. For more information about the Physician Network, contact Anderson at steven.anderson@mosescone.com or call 547-1552, or Bob Goldstein, Executive Vice President, at bob.goldstein@mosescone.com. OCTOBER 2009 15 Free to Breathe Walk, Run to Benefit Lung Cancer Research Donna Niemela, Surgical Tech, (right) shows Avra Shorkend, Surgical Tech, new instruments to be used in a procedure at The Women’s Hospital of Greensboro. Surgical Technologists Educate Themselves, Others The lead surgical technologists and the surgical technologist IIIs throughout Moses Cone Health System have been busy this year – educating themselves, other staff, students and the public. Using PowerPoint presentations in their “Back to Basics campaign,” these surgical technologists delivered information to all operating staff. Themes covered included: labeling medications on and off the sterile field, gowning and gloving, sterile technique and draping. The surgical technologists also developed a process to educate students and the public about what a surgical technologist is and what that job description entails. In the last part of 2008, the group launched a “buddy system” to pair area surgical technology students with either a surgical technologist or a registered nurse at the Health System. This pairing helps students with any questions or difficulties they may have during their clinical rotation and provides the student with a valuable “real life” resource. Surgical technologists have also been stressing the importance of being certified. A recent issue of noted that 100 percent of staff in the Annie Penn Hospital Operating Room are certified surgical technologists. “Along with the lead surgical technologist being certified, we have been working hard to bring certification to the forefront and show the importance of having certification to all staff in the Operating Room and the importance of maintaining that certification,” says Donna Niemela, Surgical Technologist III, Operating Room, The Women’s Hospital of Greensboro. Finally, this year the lead surgical technologist and the surgical technologist IIIs are challenging themselves to take advantage of a variety of educational classes offered through the Health System and directly apply those new skills to their leadership roles. 16 OCTOBER 2009 Moses Cone Health System is co-sponsoring the second annual Free to Breathe Lung Cancer 5K in the Triad on Nov. 14. Employees and volunteers are invited to help raise awareness and donations for lung cancer research by participating in either the 5K race or the 1-Mile Run/Walk. There will also be a kids’ dash and a rally with speakers, music, food and entertainment. The event will be held off of Grandover Parkway at 4512 Weybridge Lane in Greensboro. The Employee Council of the Regional Cancer Center is volunteering at the event. To register or for more information, go to http://freetobreathe.com/registertriad2009.html. It’s All About Rey Buendia, RN, 3700, The Moses H. Cone Memorial Hospital, is now a Progressive Care Certified Nurse and has earned the designation PCCN. Anne Macner, Executive Director, Post Acute Rehabilitation, received a perfect score in her surveyor training with the Commission on Accreditation of Rehabilitation Facilities (CARF). She is now an intern and, upon completion of two surveys, she will be a CARF surveyor. Jill Tsoutis, RN, 3700, The Moses H. Cone Memorial Hospital, passed the Medical-Surgical Nurse examination offered by the American Nurse Credentialing Center and is board-certified. Jill Smith (from left), Michael Friesen, Senior Technical Analyst, Information Systems, and Debra Coble, Rad Tech, Radiology, are among those working on a committee to evaluate existing policies and develop an online policy manual. Systemwide Online Policy Manual is Being Developed Executive leadership has asked that a multidisciplinary project committee evaluate the existing policy process and system and design a more comprehensive, Systemwide online policy manual. This comes in response to employees’ requests. This committee will systematically review all existing policies as well as design a new system to manage, monitor, retrieve and archive policies. The goal is to prevent duplication, decrease the numbers of department-specific policies (when possible), eliminate all hard-copy manuals and develop an easier, more user friendly system to locate needed policies quickly. In June, the project committee began this process by reviewing the four main Systemwide manuals. The committee has completed the review of the Administrative and Patient Care Manual and has started reviewing the Infection Prevention, Human Resources and Safety manuals. After this work is complete, these four manuals will be combined into one Systemwide manual. The committee will then begin a review of department specific policies throughout the entire Health System. “We anticipate this process to take some time; however, we hope to complete the review process by next summer,” says Jill Smith, Quality Project Management Specialist, Quality. “We are very excited that some departments have already taken an active interest in participating in this important project; however, we do believe a systematic approach is the best,” Smith says. “This change will take some time and patience.” What can the individual employees do in the meantime? Keep an eye out for updates, assist in departmental assessment of specific policies and continue to provide feedback about what works and what doesn’t. What can individual departments do to help this process? 1 Determine if the department-specific policies are truly policies versus departmental procedures or guidelines. 2 Compare all “department-specific policies” to the Systemwide policies and determine: A Does a Systemwide policy adequately represent the department-specific policy? B Is it necessary to maintain the department-specific policy? (Be prepared to explain why). 3 Make sure each of the “department-specific policies” have documented: A The originating department. B The approval department or committee (should be Medical Executive Committee, Nurse Executive Committee or Leadership Council). C A review/revision date within the last three years (The Joint Commission requirement). Flag any department-specific policies that can be relocated to an archive folder (when/if the Systemwide policy meets the need). If you have further questions or concerns please feel free to e-mail or call Smith at jill.smith@mosescone.com or 832-4359. 4 OCTOBER 2009 17 Error Proofing Can Improve Quality Have you ever wondered why your car gives an audible alarm when you leave the keys in the ignition if you open the driver’s side door? Or why the car manufacturers would install such an alarm as a standard feature, when it costs additional money? In addition to improving customer satisfaction, car manufacturers wanted to reduce the number of customer complaints they receive. This is one of their metrics, just as the core measures are one of our metrics in healthcare. The alarm was the result of a concept called “error proofing.” Error proofing is an effort to improve materials, machines or methods in order to prevent human error. The approaches to reducing errors are varied and changing, but they all focus on eliminating errors first. If the errors can’t be eliminated, then error proofing attempts to uncover them and lessen their effects. Error proofing should be used if you have a process that causes errors to happen repeatedly. Some examples of successful error proofing are: • Marking surgical sites in the patient’s presence to prevent wrong side/site surgeries. • Changing the color of pills that look alike but are very different, to make sure the wrong pills are not accidentally given or taken. To learn more or to suggest a process that might benefit from errorproofing, contact Kendall Johnson, QI Team Leader, Quality Excellence Initiative. Putting the Brakes on Errors The first documentation of an errorproofing device was the Otis elevator brake. At the Crystal Palace Exposition of 1853 in New York, Elisha Otis rode an elevator above the crowd and had an assistant cut the cable. The elevator brake stopped the elevator and Otis from falling. Thank You Notes Periodically, Code U will publish letters of thanks from patients, visitors, employees or others. Many of these letters exemplify employees living our mission: “We serve our communities by preventing illness, restoring health and providing comfort, through exceptional people delivering exceptional care.” I just wanted to let you know how wonderful the staff at the new Moses Cone MedCenter High Point are. I had to drive my husband there at about 11:30 p.m. because he was having severe abdominal pain. He had had gastric bypass surgery in late July and thought he was having a gallbladder attack. The staff took us in immediately and began attending to him, while I checked him in. Ultrasound and a CT scan revealed he had a strangulation of part of his intestine. At around 4:15 a.m., he was transferred to Moses Cone Hospital to undergo emergency surgery to repair the affected area. Every single employee at the Moses Cone MedCenter High Point was courteous, compassionate, knowledgeable and helpful. Because of the late hour and the fact that I am terrible with names, I cannot remember the names of all of the folks on the night shift who helped us, but I wanted to commend them for a great job. My husband was scared, as was I, and they made a bad situation for him into the best they could. They reassured him and calmed him down as well as provided excellent care. Please pass our thanks along to the entire night shift staff at MedCenter High Point. We will not forget this experience, and if anyone we know needs medical care, we will recommend the Moses Cone High Point facility. We had the choice of going to High Point Regional Hospital, but we chose Moses Cone MedCenter High Point. I’m awfully glad we did! — Julie Setzer Have you received an impressive thank-you letter? Please drop a copy in interoffice mail to Code U, Marketing, Administrative Services Building. 18 OCTOBER 2009 MOSES CONE HEALTH SYSTEM 2009 GOALS Results for Oct. 1, 2008 - Aug. 31, 2009 SYSTEM INDICATOR MEASURE ACTUAL GOAL Community Health Core Measure Optimal Care Compliance* 86.2% 85.0% Mortality Rate Risk-Adjusted Mortality Rate** 1.00 0.90 Would Recommend Inpatient 88.46 87.65 Would Recommend ED 72.00 72.35 Turnover % 12.78% 15.0% Employee Satisfaction Overall Job Satisfaction TBD 78.70 Internal Succession Internal Succession % 63.0% 60% Physician Relationships Physician Satisfaction TBD 8.0*** Margin (%) 6.78% 6.25% Length of Stay 5.02 5.08 QUALITY PATIENT SATISFACTION Patients Who Would Recommend Us For Care Turnover EMPLOYEE & PHYSICIAN ENGAGEMENT FINANCE Margin (%) AT OR ABOVE TARGET BELOW THRESHOLD BETWEEN THRESHOLD AND TARGET TBD - To Be Determined The threshold is the lowest acceptable value before the measure fails. * The Core Measure Optimal Care Compliance goal, new for 2009, takes into account how well the Health System meets targets in four core measures: Acute Myocardial Infarction, Heart Failure, Pneumonia and the Surgical Care Improvement Project. Staff from the Quality department will look at a random sampling of charts to determine if all of the proper documentation has been done for each of the core measure areas. This is a pass-fail process. The number of charts that pass out of all those examined is the percentage reported in this table. ***The Health System is working on eight strategies to help improve physician satisfaction. This measures how many have been implemented. Margin goal at the end of Fiscal Year 2009 is 4.97%. Length of Stay goal at the end of Fiscal Year 2009 is 5.05. ** The risk-adjusted mortality rate considers the severity (acuity) of patients’ conditions instead of simply calculating a mortality rate on the basis of actual deaths. The risk-adjusted measure is more commonly used in other health systems and is a much better indicator of the quality of care being given. A score of 1 is equivalent to the expected mortality rate given the acuity of patients. Any score less than 1 means there are fewer deaths than expected given the acuity of patients. If a score is greater than 1, there are more deaths than expected. OCTOBER 2009 19 SEPTEMBER Employee Award Winners Recognized Employee of the Month, Going the Extra Mile (GEM) and Annie’s Spirit awards recognize employees who go above and beyond their normal job requirements and represent the values adopted by Moses Cone Health System. The Moses H. Cone Memorial Hospital GEMs Keith Bailey, Purchasing Agent, Pharmacy Sandra Brady, Rehab Tech, Acute Rehab Wayne Fields, Mail Coordinator, Mail Room Brenda Modlin, HR/Recruitment Assistant, Human Resources Antonia Smith, Phlebotomist, Lab-Venipuncture Tina Stutts, Secretary, Care Management Wesley Long Community Hospital GEMs Brenda Brown, Supervisor, Environmental Services Kimberly Cheek, RN, Orthopedics Amy Cobb, RN, Telemetry Gloria Lucas, Administrative Coordinator, Nursing Administration James Mabe, Master Mechanic, Plant Operations Andres Salvador, Environmental Services Tech, Environmental Services What Winners Say “I enjoy working at Moses Cone Health System. It’s a great work environment, and you can work as a team.” April Harper "There is a great sense of gratification when my efforts are noticed and appreciated by my co-workers. These are the people who support, motivate and encourage me. I am truly thankful to serve on a team of caring professionals.” June Covington 20 OCTOBER 2009 The Women’s Hospital of Greensboro/ Administrative Services Building Employee of the Month June Covington RN, NICU Nominated by: Kristen Briers, RN, NICU June Covington received Employee of the Month for her extra work to ensure that the tiniest patients would be safe. “June once again proved what a GEM she is,” Briers writes. “There were two babies in Pediatrics who had been transferred from the NICU and were ready to go home. June went to Pediatrics to perform a carseat test on one of the babies before June Covington discharge. As it turned out, the baby couldn’t use a regular carseat and needed a second test in a car bed. June then got up in the middle of the night to come to The Women’s Hospital, get the appropriate car seat, drive over to Pediatrics and test the baby for the second time, all before she was scheduled to work 7 a.m. to 3 p.m. at the NICU. She did this all on her own and never complained, even though she was extremely tired. This is typical behavior of June, who always puts the needs of patients, families and her co-workers above her own. She is truly a GEM and an outstanding, caring, compassionate person. We are so grateful to work with her.” GEMs Teresa Hicks, Respiratory Therapy Clinical Specialist, Respiratory Care Deborah Hill, RN, Women’s Nursing Unit Melissa Wilkins, RN, Birthing Suites Behavioral Health Center Employee of the Month Alan Watt Physician Extender Nominated by: Rita Clark, Behavioral Health Care Facilitator, Behavioral Health Center Alan Watt received Employee of the Month for his willingness to pitch in and help with extra responsibilities. “Alan has been very flexible with his schedule this week, while two psychiatrists were on vacation,” Clark writes. “Alan covered all of another doctor’s caseload and the intensive outpatient program while taking care of his own patient load.” GEMs Angela Beard, Secretary, Outpatient Services Nancy Brown, Environmental Services Tech, Environmental Services Chris Judge, RN, Inpatient Adult Services LeBauer HealthCare GEM Kathleen Perdue, Clinic Scheduler, Pulmonary Office Health Services Division Employee of the Month April Harper RN, Emergency Department, Moses Cone MedCenter High Point Nominated by: Jennifer Beal, RN, Emergency Department, Wesley Long Community Hospital April Harper April Harper earned Employee of the Month for her willingness to take on additional responsibilities. “April was working relief in the Wesley Long Community Hospital Emergency Department and voluntarily took a 10-patient assignment, taking care of the behavioral patients,” Beal writes. “Our usual ratio is 1:4.” GEM Teresa Lackey, Secretary, Outpatient Rehabilitation Center, MedCenter Kernersville Regional Cancer Center 15th Annual George Wolff Symposium Includes Retirement Celebration The 15th Annual George T. Wolff, MD, Primary Care Symposium will also include a dinner this year to honor Wolff, who is retiring after his lengthy service to Moses Cone Health System and its Family Medicine Residency Program. George Wolff, MD Wolff was the first familyphysician director of the Family Medicine Residency Program at The Moses H. Cone Memorial Hospital. “Dr. Wolff considers this symposium one of his most important legacies because it brings community physicians and our graduates back together to network,” says Bill Hensel, MD, Director, Family Medicine Residency Program. “It’s a nice way for physicians in the community to continue to establish ties with each other. And what better time than this to have a celebration of Dr. Wolff ’s life achievements.” Wolff will continue working with the residency program one half day per week, performing chart audits. The symposium will be held Nov. 6 in Room 0030 at Moses Cone Hospital. Faculty physicians will review current evidence-based guidelines for a variety of disease states, including GERD, osteoporosis, lower back pain, skin cancer, prostate cancer, diabetes, hypertension, postmyocardial infarction depression, menopause, asthma, re-hydration of children with nausea and vomiting, ultrasound, dermatology and practical use of antibiotics. Tim Lane, MD, will also provide an update on novel H1N1 influenza. The all-day event offers continuing medical education credits and is open to physicians, nurse practitioners, physician assistants, pharmacists and other interested healthcare providers. For more information, call Greensboro AHEC at 832-8025 or visit www.gahec.org. GEM Mark Allen, Mechanic, Plant Operations OCTOBER 2009 21 Mark Your Calendars Back to a Better Back If you suffer from back pain, minimally invasive spinal surgery may be an option. Dahari Brooks, MD, an orthopaedic surgeon with Greensboro Orthopaedics, discusses the latest in surgical procedures of the spine. Thursday, Oct. 15, 6:30-8 p.m. Moses Cone Hospital AHEC, Rooms 0029-0031 Registration is required. Call 832-8000. Cancer Prevention and Treatment Series: Cervical Cancer and HPV If you have a human papillomavirus (HPV) infection, you are at high risk to develop cervical cancer. Kelly Leggett, MD, an obstetrician and gynecologist with The Women’s Hospital, discusses HPV infections, vaccines and the importance of screenings for cervical cancer. Tuesday, Oct. 20, 6-7 p.m. Moses Cone MedCenter Kernersville, 1635 NC 66 South Registration is required. Call 832-8000. Coping with Stress in a Crazy World Jeanne Peters, Clinical Psychologist, LeBauer HealthCare Behavioral Medicine and the Moses Cone Regional Cancer Center, explores ways to beat stress and optimize your health. Thursday, Oct. 22, 6:30-8 p.m. The Women’s Hospital of Greensboro, Classrooms 5 and 6 Registration is required. Call 832-8000. Great Web Sites and Tools for Researching Health Information Molly Groves, Medical Librarian, Moses Cone Health System, and Carolyn Woods, branch manager of the Kernersville-Forsyth County Library, give tips on how to find reputable sources for health information on the Internet. Tuesday, Oct. 27, 6-7 p.m. Moses Cone MedCenter Kernersville, 1635 NC 66 South Registration is requested. Call 996-2006. Cervical Cancer Screening A free cervical cancer screening is available to all women 18 years of age and older who are currently or have been sexually active, or have never had a Pap test, or have not had a Pap test within the last 12 months. The screening is open to women who have no insurance, have Medicaid and/or Medicare, or cannot afford to visit their regular physicians. • Monday, Oct. 5, 5:30-7 p.m.; MedCenter High Point, 2630 Willard Dairy Road, Suite 300 • Monday, Oct. 12, 5:30-7:30 p.m.; MedCenter Kernersville, Suite 210 • Monday, Oct. 26, 5:30-7:30 p.m.; Annie Penn Hospital, Reidsville Registration is required. Call 832-8000. Management News Vince Carlson, Physical Therapist, is the new Director, Outpatient Rehabilitation. Previously, he was team supervisor for the Outpatient Rehabilitation Center at Brassfield. 22 OCTOBER 2009 Jami Goldberg is a new Organizational Development Specialist. Previously, he worked as a senior trainer for RF Micro Devices. He will lead new leader orientation and the Leadership Excellence I series. Satisfaction Scores Would patients recommend the Health System for care?* INPATIENT SCORES 100% Possible Wesley Long Community Hospital GOAL 87.3 Moses Cone Hospital GOAL 87.3 The Women’s Hospital of Greensboro GOAL 89.3 Annie Penn Hospital GOAL 85.19 Behavioral Health Center GOAL 86.5 100 100 100 100 100 98 98 98 98 98 96 96 96 96 96 94 94 94 94 94 92 92 92 92 92 90 90 90 90 90 88 88 88 88 88 86 86 86 86 86 84 84 84 84 84 82 82 82 82 82 80 80 80 80 80 78 78 78 78 78 76 76 76 76 76 74 74 74 74 74 72 70 72 89.88 84.96 86.13 JUNE JULY 70 AUG 72 89.93 86.67 90.68 JUNE JULY 70 AUG 72 90.26 95.33 92.03 JUNE JULY 70 AUG 90.48 88.24 83.33 JUNE JULY AUG 72 70 91.7 91.1 JUNE JULY Adult 95.2 JULY 91.3 AUG 89.1 AUG Child EMERGENCY DEPARTMENT SCORES Wesley Long Community Hospital GOAL 72.35 Moses Cone Hospital GOAL 72.35 Annie Penn Hospital GOAL 72.35 MedCenter High Point GOAL 72.35 95 95 95 95 90 90 90 90 85 85 85 85 80 80 80 80 75 75 75 75 70 70 70 70 65 65 65 65 60 60 60 60 55 68.24 72.53 69.35 JUNE JULY AUG 55 72.31 71.77 65.18 JUNE JULY AUG 55 74.06 74.42 77.0 JUNE JULY AUG 55 94.05 91.25 88.89 JUNE JULY AUG * These charts show an average of patients’ ratings when they are asked to what degree they would recommend Moses Cone Health System for healthcare services. They answer on a scale of 0 to 10. The ratings are then multiplied by 10 to convert them into the percentages on this chart. On all charts, lines indicate goals or proposed goals, as noted. OCTOBER 2009 23 More than 7,400 people make up Moses Cone Health System, and the success of the System depends upon the strength of these individuals. A “code” is made up of symbols representing a special meaning. Code U was developed to symbolize the publication’s “It’s All About You!” philosophy. Code U provides up-to-date news each month for employees and friends of Moses Cone Health System. Comments, story suggestions, photos and signed letters to the editor are welcome. Nonprofit Org. U.S. Postage PAID Permit No. 195 Greensboro, NC Moses Cone Health System 1200 North Elm Street Greensboro, NC 27401-1020 (336) 832-8131 www.mosescone.com CONTACT Newsletter Editor Marketing Department Moses Cone Health System 1200 North Elm Street Greensboro, NC 27401-1020 Phone: (336) 832-6516 Fax: (336) 832-7979 E-mail: newsletter@mosescone.com TIM RICE TERRY AKIN TOM DORLE DAWN MARTIN President and Chief Executive Officer Chief Operating Officer Vice President, Marketing Editor, CONTRIBUTING WRITERS Bob Bessey, Ken Boggs, Linda Edgerton, Wanda Kosterlytzky, Tommye Morrison, Donna Niemela, Myrtle Rapp, James Sidden, Jill Smith, Sheryl Thornton, Karen Tillman, Lisa Wilkerson PHOTOGRAPHY Doug Allred, Mike Coughlin, Wanda Kosterlytzky, Karen Tillman, Sharon Troxler Our Mission We serve our communities by preventing illness, restoring health and providing comfort, through exceptional people delivering exceptional care. Read Wina Prize! Each month, Marketing will draw five entries from the correct responses and award five free $6 meal tickets, valid at any Moses Cone Health System cafeteria. The following employees won the contest in September: Crystal Atkins, Secretary, Acute Rehab, The Moses H. Cone Memorial Hospital; Jay Christopher, Phlebotomist, Short Stay Center, Moses Cone Hospital; Kathy Lester, Patient Accounting Supervisor, Managed Care; Phyllis Lipscomb, Phlebotomist, Lab-Venipuncture, The Women’s Hospital of Greensboro; Cynthia Moore, Environmental Service Tech, Environmental Services, Annie Penn Hospital. This month’s quiz: 1. What is one of 225 in the world? 2. Are online health risk assessments required to get healthy-lifestyle discount premiums this year? 3. If you get the flu, when can you return to work? 4. What has increased by 30 percent since last year? 5. Name one award winner featured in this issue. ENTRY FORM Send your entries via interoffice mail to Marketing, Administrative Services Building, by Oct. 15. All correct entries will be placed into a random drawing, and five meal-ticket winners will be announced in the November newsletter. The contest is open to all employees and volunteers of Moses Cone Health System. Marketing staff is not eligible. Previous winners are not eligible in the calendar year that they won. ANSWERS 1. 2. 3. 4. 5. Name Department, Campus Phone