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February 9, 2016 Looking to the future of mobile health Click these stories February is Black History Month Test your knowledge and p. 2 you could win Above & Beyond See all the awesome things your co-workers are doing in p. 3 their professions Five things you can do What can you do to make sure we’re accreditation ready? So p. 4 glad you asked! My funny Valentine When Cupid's arrow finds its target at Beaumont Health p. 5 Spotlight on Peggy Jernigan “We really are patient advocates who help promote quality, p. 7 cost-effective options for their needs.” Beaumont launches mobile health programs for remote communication between physicians and patients B eaumont Health recently launched the first of three technology pilot programs that enable patients to communicate with their physicians and care providers through virtual visits including e-visits, video visits and electronic check-ins. The pilot programs are currently in use at about 10 physician offices in Royal Oak, St. Clair Shores, Troy and other cities. Virtual visits are among a number of medical technology initiatives being assessed to meet the growing demand for easier, more convenient ways for patients to connect with health care providers, eliminating the need for an office visit for nonemergent medical concerns, such as What do you think allergies, a cough or cold. For participating physicians, this is an exciting, new way to enhance patient communication and interaction. “As time goes on, technology is enhancing our ability to communicate,” said Richard Cooke, M.D., St. Clair Shores Family Medicine. “This is another avenue that helps make the delivery of medicine more efficient and, in many cases, it’s better for patients.” of mobile health options? Email Beaumont.Blend@ Beaumont.org and share your opinion. The e-visit pilot allows patients to log into the Beaumont patient portal, myBeaumontChart, select their condition from a list and then answer conditionspecific questions. The physician logs-in, evaluates the patient’s current medical conditions, allergies, health issues and symptoms to recommend the most appropriate treatment. The physician can also order medication or lab work to complete the visit. During the pilot phase, eligible conditions for e-visits include back pain, sinus issues, chest cold, cough, pink eye and urinary problems. See, Telemedicine, continued on p. 2 2 Beaumont Health recognizes Black History Month in February Throughout February, Americans observe and celebrate Black History Month to honor and learn about the achievements of African-American men and women in our history. Carter G. Woodson, the son of former slaves and only the second African-American to earn a doctorate from Harvard University, took an interest in and studied black history. To encourage others to do the same, in 1926 he designated the second week of February as “Negro History Week.” He chose this week to celebrate the birthdays of two important men, President Abraham Lincoln and Frederick Douglass. This week-long celebration became an annual event and focused on a specific theme each year. In 1976 – the fiftieth anniversary of observing Negro History Week – the observance was expanded to a month-long celebration: Black History Month. Test your knowledge of AfricanAmerican history and enter to win! In honor of Black History Month, we recognize and celebrate the remarkable men and women whose lives and achievements continue to impact and inspire us today. Test your knowledge of black history by participating in our “Who Was First?” quiz. Each person who answers all five questions correctly by Friday, Feb. 19, will be entered into a drawing to win two tickets to the Charles H. Wright Museum of African American History in Detroit. Beaumont Health’s commitment to diversity and inclusion is rooted in our core value of respect. Once you answer the quiz questions, we’d appreciate your feedback on how you’d like to see diversity embraced at your site and throughout Beaumont. Thanks for participating! Telemedicine Continued from front page “This really complements what we’re already doing and provides the ability to see patients in a whole new way,” said Trevor Ripley, M.D., Troy Family Medicine.” If you know a patient well and already have a relationship with them, this technology will make things easier as far as time is concerned.” Enhancing and expanding access to care and improving patient communication is one of the driving forces behind the initiatives set to launch this year. While e-visits have been up and running for a short period of time, Beaumont Health is also preparing to launch features allowing patients to connect with their physician via remote video conferencing, in addition to streamlining the online bill pay process. “We are all moving toward electronic systems very cautiously,” added Dr. Cooke. “A number of safeguards have been put in place to ensure patients are receiving the best care possible. We’ve included protocols and guidelines for patients that are built into the questionnaire for the electronic visit to occur.” These initiatives are intended to establish convenient access points for Beaumont Health patients – especially those with limited mobility, those living in rural areas or those whose condition does not require physical interaction. Subra Sripada, executive vice president, chief transformation officer & chief information officer, Beaumont Health, said, “In today’s tech-savvy world, patients want more information at their fingertips, more quickly. The Beaumont e-visit and video technologies are an innovative and secure way to meet these needs. It allows patients to remotely communicate from anywhere in order for us to manage their care and overall health.” Telehealth services are just one more step in the health care technology evolution and are expected to enhance patient and physician engagement while connecting patients with convenient, high-quality and secure electronic care. Insurance coverage for these services is currently under review by the Centers for Medicaid and Medicare Services. In a recent report, CMS approved the use of video telemedicine for Medicare visits beginning in July. There are no additional costs associated with the technologies and services available during the Beaumont pilot period. For more information about locations and physicians participating in this pilot, contact Brian Vargo, pilot project lead and senior consultant, at 248-551-9870. 3 Above & Beyond The hard work of Beaumont Health team members extends outside our walls Beaumont Hospital – Royal Oak and Beaumont Hospital – Troy received the 2016 Distinguished Hospital Award for Clinical Excellence from Healthgrades. vvv participation in the FACE Poverty campaign by partnering with the Brightmoor Health Outreach Collaborative in Detroit, to provide biweekly basic health care for members of the community. vvv The Diabetes Program at Beaumont Hospital – Grosse Pointe was recently audited by the State of Michigan. The team passed the audit and demonstrated they are meeting the National Standards for Diabetes Education and received recognition from the Michigan Department of Community Health. Jan Akervall, M.D., Ph.D., Otolaryngology, published an article “A Novel Panel of Biomarkers Predicts Radioresistance in Patients with Squamous Cell Carcinoma of the Head and Neck,” which was ranked No. 1 out of BioMed Library’s list of Top 20 Articles. vvv vvv Center for Exceptional Families, in partnership with UM-Dearborn’s College of Education and Health and Human Services, was awarded $750,000 by the Michigan Department of Health and Human Services to establish a new training center called The Center for Autism. vvv The Life Support Training Institute, Beaumont Health’s EMT and paramedic training program, has earned a full five-year accreditation from the Commission on Accreditation of Allied Health Education Programs, with the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions. vvv Oakland University William Beaumont School of Medicine Pediatric Interest Group was recognized by the American Association of Pediatrics for its John Fox, president and CEO of Beaumont Health, was recognized on Becker’s Hospital Review’s 130 Nonprofit Hospital and Health System CEOs to Know List. vvv Luis Goncalves, M.D., section head of Obstetrical Ultrasound and Fetal Imaging at Beaumont Hospital – Royal Oak, was awarded a grant by the National Institutes of Health. vvv Michael Lutz, M.D., Urology, presented at the White House for a summit coordinated by the Office of Intergovernmental and External Affairs in partnership with the Men’s Health Network. vvv Duane Mezwa, M.D., health system chair, Imaging, was recently elected to the board of governors of the American Board of Radiology. vvv Doris Neumeyer, RN, coordinator of Emergency Preparedness and Emergency Medical Service at Beaumont Hospital – Troy, received the Business Person of the Year award by the Greater Romeo Washington Chamber of Commerce. She was also elected chairperson of the Region 2 North Healthcare Coalition Planning Board for 2016. vvv Betty Priskorn, vice president, Community Health and Outreach, will be honored as a Community Role Model Winner by Henry Ford College, at its 43rd Annual Women’s Recognition Luncheon. vvv Mohamad Rustom, RN, BSN, director of Clinical Language Services at Beaumont Hospital – Dearborn, recently became a Fellow of the American College of Healthcare Executives, the nation’s leading professional society for health care leaders. Fellow status represents achievement of the highest standard of professional development. Only 9,100 health care executives hold this distinction. vvv Susan Walker, social worker, Transplant Department, was selected to receive the National Council on Nephrology Social Work Region 3 Award. vvv Gregory Zemenick, M.D., Orthopedics, won the Dr. Arthur L. Johnson Award for the 2016 Dr. Martin Luther King Jr. program through Wayne State University. Celebrate your professional achievements in Above & Beyond. Simply email [email protected]. 4 Five things you can do to stay survey-ready It only takes a few minutes to make sure you’re ready for an unscheduled accreditation survey. Clean the fridge. Toss expired milk, juice and food products, and don’t leave opened milk in refrigerators or on galley counters. Make sure freezers are frost-free and refrigerators and ice machines are clean and free of calcification and dirt. And remember, refrigerators in patient areas and galleys are reserved for patient food and beverages only – no medications or staff food allowed. Dress for success. Follow the dress code for your area and wear your Beaumont Health badge at all times. Remember to wear your hair per department policy, and no artificial nails for those working in clinical areas. Watch your WOWs. Check your workstations on wheels to make sure they are dust-free and have no tape residue. Keep computers locked at all times to secure medications. Before you walk away from a WOW, activate the screen saver to protect patient information and make sure they are not blocking doors or hallways. Be familiar with the fire plan. This includes knowing the locations of fire alarm pull stations and fire extinguishers as well as the proper use of a fire extinguisher. Review how to report. Be sure you know how to report injuries, malfunctioning medical equipment and customer comments and complaints. Also, be sure you know how to look up credentials for physicians and online policies. Information, tools and resources for upcoming surveys by the Healthcare Facilities Accreditation Program and The Joint Commission can be found on the Accreditation page on the Beaumont Health intranet. Your manager can also answer questions about how to stay survey ready. Letter praises efforts to work together When a patient needed his chemo pump disconnected, two departments worked together to make it happen – and not lose the pump. To Whom It May Concern: A Beaumont Home Infusion Pharmacy chemotherapy patient was admitted to the Emergency Center at Royal Oak on Jan. 15. He was receiving continuous infusion chemotherapy using a Curlin ambulatory pump belonging to the Beaumont Home Infusion Pharmacy. He was scheduled to have the pump disconnected at the Infusion Center at Royal Oak at 5 p.m. Unfortunately, his admission to the Emergency Center prevented him from keeping his appointment. Having seen his Emergency admission in the Epic system, I immediately called the Emergency Center and spoke with the charge nurse, Stacey Hegerberg, RN. She quickly understood my concern for retrieving the pump from the busy Emergency Center. Stacey spoke with Kim Dean, RN, manager of Beaumont Infusion Center-Royal Oak, and in a wonderful display of inter-departmental cooperation, Kim agreed to perform the pump disconnect, and bring the Curlin pump back to the Pharmacy. No lost pump! Beaumont employees are AWESOME! These individuals need to be complimented for going above and beyond. Theresa Burke, RPh, BS Pharm Beaumont Home Infusion Pharmacy 5 Valentine's Day: Beaumont Health couples celebrate meeting at work Raymond and Cristen Laird had never met, but they felt like old friends. “I’m so happy I was given the chance to work in the department and meet my future husband,” Maureen said. They first crossed paths on their first day of residency in 2008, both surgeons working under the tutelage of Allan Lamb, D.O., at what was then Oakwood Hospital – Southshore. “We all had to sit in our assigned seats, so we weren’t sitting that close to each other,” said Cristen. I think at lunch we asked each other: ‘hey are you the other surgery person?’ By the next day, we were giggling and probably being irritating to everyone else who was doing orientation.” They were so comfortable with each other that another resident asked them on the second day of their residency if they were married. They answered: we just met yesterday. “Even from the very beginning, it was almost like we knew each other forever,” said Raymond. Three years later, they tied the proverbial knot and are now surgeons with offices in Trenton, working primarily out of Beaumont Hospital – Trenton. “We spent a lot of time together while we were residents,” Cristen said. “Whenever one of us had downtime, we’d help the other one out. We probably saw each other 4060 hours a week, just from work. We could’ve gone home after our shifts, but instead we’d hang out and chitchat for a while And we actually liked each other. It just became more and more obvious.” “At first, she didn’t remember my name.” The couple is expecting their first child in May. The Lairds are one example of couples who met and fell in love on the job at Beaumont, but hardly the only one. Here are a few others: A man’s world? Rob Bennett wasn’t too sure about his future wife, Maureen, when they first met in 1982 at Beaumont Hospital – Grosse Pointe. Maureen was only 17 at the time, and the first woman to be hired into what is now known as the Transportation Department—which was then a 99 percent male-dominated field. “His first thought was that a girl couldn’t do the job,” Maureen said. “My first thought was: ‘I don’t understand your thoughts on that subject…girls can do anything!’” Maureen proved herself, of course, and she and Rob became friends. They started dating five years later. They’ve been married for 29 years and have three children—all of whom were born at Beaumont – Grosse Pointe. Rob no longer works at the hospital, but still maintains strong ties there. Joshua Kuligowski met his future wife, Adrianne, while working as a patient transporter a few years ago in the Emergency Center at Beaumont Hospital – Troy. Joshua had worked there for a few years when she was hired on, and thought their first meeting went well. “We had a nice little chat. I even asked her to help work a shift for me,” Joshua said. “I thought I left a great impression but I found out later, when I saw her again, she couldn't remember my name!” Undeterred, Joshua said they soon got to know each other well, often hanging out after their shift ended at 3 a.m. to look for an open restaurant. When he first got up the courage to ask her out a few months later, she laughed. “I thought I did something wrong,” Joshua said. “I asked her why she was laughing. She told me that one of the secretaries we knew told her that I would be asking her out.” They soon took different jobs within Beaumont. Adrianne went to work in Nursing Administration at Beaumont Hospital – Grosse Pointe and Joshua started working in Emergency Center Patient Registration at Beaumont Hospital – Troy. They continued dating, and Joshua said he soon knew See, Beaumont love stories, continued on p. 6 6 Beaumont Health love stories Continued from p. 5 she was ‘the one.’ He devised an epic scavenger hunt that included clues and stops that led from Beaumont –Troy, where they first met, to Rochester Municipal Park, where he proposed. That was Nov. 28, 2013. They married Aug. 8, last year. Hello, nurse! Sandy Shoup said she met her husband, Jim, in 1986 at what was then Oakwood Hospital – Dearborn. He was a nurse in the Oncology Unit and she was his preceptor. “We used to play tricks on him a lot,” she joked. They went on one date and never looked back—they’ve been together ever since. Their four children were born at Beaumont – Dearborn and their coworkers help them celebrate each birth. They had baby pools to guess on the dates and sexes of our children,” Sandy said. “It was like one big family.” Almost three decades and going strong Sanford Koltonow, M.D., PsyS, director of the Physician Health & Wellness Program at Beaumont Health, said he met his wife, Mary Schlaff, M.D., 31 years ago. They married two years later and continued to work full-time together for three years, juggling schedules while raising two children. Mary left for a time, working at Macomb Hospital, but now works in the Emergency Center at Beaumont – Troy. Living, working and raising children together can be difficult for some people and Dr. Cristen Laird said she knows their situation is unusual. “It’s kind of weird,” she said. “If I could spend, literally, 24 hours a day with him, I would ... it’s just not particularly efficient.” Get the details on the new email retention policy Beaumont Health’s new email Record Retention Guidelines and Record Retention Policy goes into effect April 1. An email mailbox is not an appropriate method for longterm record storage. In addition, emails that do not support ongoing business operations should not be stored; they are to be deleted. In accordance with our new Beaumont Health Electronic Communication policy, please note: If you have the full-client version of Outlook: •emails will remain in the live system for 90 days •after 90 days emails will be moved to the archive •emails will be permanently deleted 12 months after the email was created •users may save emails to their computer or a network share drive, but they must be deleted when they are no longer necessary to conduct active business • items in the ‘Deleted Items’ folder will be automatically deleted after 30 days • voicemail messages delivered to email will automatically be deleted after 30 days If you use the web-based version of Outlook: •email will be retained and deleted after 90 days If you want to save your emails, move them to a folder you create on your computer, or on a shared drive for your work area. If you have questions, or need instructions for saving your emails, please call your local Service Desk. 7 F or the spry 80-year-old who claims he has all the help he needs at home – but has a grocery bag full of medications he won’t part with—a visiting nurse may be the difference between staying at home or being readmitted to the hospital. Scenarios like this, and countless others with potentially more dire circumstances, are what Peggy Jernigan and her case manager colleagues at Beaumont Hospital – Trenton solve each year. Coordinating care within and beyond the walls of Beaumont – Trenton is sometimes a winding path to a patient’s road to recovery after discharge. “Often the patient is afraid if anyone finds out they need help at home, they won’t be able to go home,” said Peggy. In her role as a case manager, Peggy identifies the needs and possible barriers to a smooth transition. Placements vary based on the patient’s needs – sometime a patient is sent home with no special needs, other times a complicated placement is needed – rehabilitation is another option, or maybe an acute care setting. She also relies on feedback from her clinician colleagues regarding the broad range of patients’ health care needs. Peggy’s work as a case manager taps into previous work as a home care nurse. “I was a home care nurse for many years, so I have experience navigating community resources available to patients.” Peggy says when a patient enters Beaumont – Trenton, the goal is to make them feel cared about and feel they have a say in what happens to them after they leave. “We really are patient advocates who help promote quality, cost-effective options for their needs. In our department, we refer to ourselves as discharge planning, not discharge reacting,” she says. Still, unforeseen insurance delays and unexpected family crises do happen – or a lack of communication rears its ugly head. That’s when the superpower strengths of her team kicks in. “It’s their varied experience – nursing – social work, it just falls in to place,” she said. “We all get along very well as a team.” EDITORIAL TEAM Lynn Anderson, Julie Antioch, Rebecca Calappi, Beth Montalvo, Scott Roush and Scott Spielman Photographers Elizabeth DeBeliso, Mark Nuytten and Tony Simler We welcome comments, feedback, letters to the editor and story ideas. Just email [email protected] and we’ll get back to you.