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Wednesday, Jan.1, 2014 LOOKING BACK AT 2013 Ladies Night Out in Smithfield NOTEWORTHY It’s flu season After seeing an uptick in positive tests for the flu in recent weeks, Ronnie Syverson, the infection preventionist for Johnston Health, has declared the start of flu season. “We’re asking patients and visitors to use the tissues and masks, as needed, at the cough etiquette stations,” he says. “And we’re asking the public to refrain from visiting patients in the hospital if the visitors have flu-like symptoms such as fever, coughs, sneezing and runny noses. “To prevent the spread of flu and other viruses, it’s a good idea to stay at home if you have these symptoms,” he adds. Syverson says the lab has seen about 30 cases thus far. Amber Daughtry, patient experience specialist. Health Chat with Dr. Raj Majithia Welcome to Johnston Health Here’s a list of employees and volunteers joining us in December. Full-time staff: Franklin Harvey, network administrator, MIS; Kevin Smith, EVS director, Aramark; Summer Massengill, EVS worker, Aramark; John McArthur, floor tech, Aramark; Skyler Kennemur, Jeffery Tracy and Suzanna Brown, CNAs, behavioral health; Brandon Thompson, exercise specialist, cardiac rehab; Wanda Hoskins, patient access registrar; Tara Lee, patient care assistant, flex; Dorene Berryman, RN, behavioral health; Stella Lewally, RN, third floor; Angela Williams, RN, JMC-C emergency department; Medina Inclan, cook, Aramark; Richard Musgrave, EVS worker, Aramark. PRN: Connie Kingsbury, administrative coordinator, JMC-S; Holly White, CNA, JMC-S flex; Frank Barnes, respiratory therapist, JMC-S; Tanya Hansen Laber, CNA, behavioral health; Michaela Pavlik, patient care assistant, JMC-C emergency department; Lori Hall, RN, same day surgery; Russell Tolin, respiratory therapist, JMC-C; Eboni Chavis, social worker, behavioral health; Ashley Glover, ultrasound tech. Volunteers: Kathy Hilburn, hospital volunteer. Save the dates Jan. 8, from 11 a.m. till noon: Health Chats, Dr. Anshul M. Rao, a rheumatologist employed by Johnston Health, will speak in the Medical Mall auditorium. To reserve a seat, please register online at www.johnstonhealth.org. Jan. 16, from noon till 4:30 p.m.: Red Cross bloodmobile visit, call or email Kim Thompson (ext. 7736) for an appointment. Do you know a caregiver who would like to know more about safety, falls prevention or infection prevention or who would be interested in learning about community resources for aging adults. Hour-long seminars will be held at: First Baptist Church in Clayton, Jan. 16; Benson United Methodist Church, Jan. 21; Johnston Medical Mall, Jan. 23; and Princeton Church of God, Jan. 30. All of the presentations begin at 6 p.m. and are free. LifeLiner is published weekly by the Marketing and Community Relations Department. Suzette Rodriguez, writer and editor Emily Bass, social media Got news? Call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. Above, from left, David Strong, president of Rex Healthcare, joins Johnston Health Board Chair Ralph Stewart and CEO Chuck Elliott for a photo at the groundbreaking. TOP TEN LIST OF ACCOMPLISHMENTS FOR THE YEAR It was a hectic, yet productive year for Johnston Health: An affiliation, accreditations, a groundbreaking in Clayton and hard work by many to add services and to improve quality, finances, market share and patient satisfaction. Here’s a list of the most notable achievements during 2013. THE AFFILIATION. Following a 17-month-long search, the Johnston Health Board of Commissioners in March selected UNC Health Care for a joint partnership. From the beginning, the board’s strategic goal was to strengthen and prepare Johnston Health for the sweeping changes in health care reform. The affiliation agreement is expected to be finalized by Feb. 1, 2014. 1. EXPANDING AT JOHNSTON MEDICAL CENTER-CLAYTON. Work on the $50 million addition, which includes a three-story wing for 50 inpatient beds, began in early September and is now progressing ahead of schedule. If all goes according to plan, the work will be complete by January of 2015. Also notable, Johnston Medical Center-Smithfield added a holding area for patients seeking behavioral health care. 2. EARNING FULL ACCREDITATION AS CHEST PAIN CENTERS. The designation, awarded by the Society of Cardiovascular Patient Care in April, signifies that Johnston Health has a higher level of expertise in dealing with patients who arrive with symptoms of a heart attack. Also notable, the radiology departments earned accreditation for CT services. 3. BUILDING THE ELECTRONIC HEALTH RECORD. With the help of a vendor, the MIS department put into place the computer programming and work stations, and taught doctors how to enter patient orders electronically. The paperless project, which took about 18 months to complete, met the requirements of a federal incentives program. In all, Johnston Health has received payments of $2.9 million. The money will go toward the EHR expenses. 4. 5. RECRUITING A VICE PRESIDENT OF MEDICAL AFFAIRS. Dr. Donald Pocock assumed the new position in November. He brings to the job more than 30 years of clinical and administrative experience in private practice and hospital settings. ADDING SERVICES FOR PATIENTS. With the addition of Dr. Raj Majithia in August, patients with diseases of the pancreas and liver now have access to advanced endoscopic treatments or ERCP. Also in August, Dr. Anshul Rao brought to Johnston Health his specialty of rheumatology. 6. FINANCIAL IMPROVEMENTS. Johnston Health closed the fiscal year with an operating income of $2.8 million. It was the first positive margin in five years and at a time when other health care systems have reported losses. Two of the key factors: fiscal discipline, particularly in Smithfield; and a strong performance in Clayton. 7. Barbara Miles ‘goes the extra’ for PA clients Barbara Miles carries with her the stories of people she meets and befriends through her work with Project Access of Johnston County, the physician-led initiative to provide access to medical care to people who have no means to pay for it. There’s the woman who’s been living in her car since losing her job and going through a divorce. The client who cancels appointments when it rains because she has to put out buckets to catch the water leaking through her roof. And then there’s the woman who has jaw pain from eating deer corn. When Miles told her about the local food pantries, she said she didn’t want to take food away from others who needed it more. As the program specialist for Project Access, Miles has drawn some conclusions about the 1,600 or so clients she’s helped over the last five years: All are polite. They never complain. All are grateful for any assistance they receive. And, most notably, all have serious health problems that haven’t been dealt with in years. “I love that our program is able to provide people with something that no one else has,” Miles says. “Everyone else has said ‘no’. But the generosity of our hospital and our doctors has been astounding.” Among other things, it’s Miles’ job to manage the cases of the 350 or so clients in the program and to re-enroll them, as required, every six months. Last month, she was honored as the Johnston Health Ambassador for December. During a presentation in the Project Access Medical Mall offices, CEO Chuck Elliott offered praise for Miles’ enthusiasm for the job and dedication to clients. “She’s the face of the department,” he said. “And clients consider her as a friend, confidante and advocate.” Georgia Anthony, who is director of the department, says Miles is at work every morning by 7:15. “She’s always working because the job is an important part of her life,” she says. “And she knows everyone by their first names. She’s been a friend to every one of the 1,600 people who have been enrolled in our program over the years.” Miles, who grew up in Pennsylvania, did medical billing for a children’s therapy service in Florida before moving to Clayton. When she saw the emergency department and outpatient center going up on N.C. 42, she decided she wanted to be a part of it, she says. When the job opening came up at Project Access, she says she was intrigued with the possibility of working with a program that could be so helpful to people with such desperate needs. Has the work changed her? “I hope I’m a kinder person,” she says. “I hope it’s made me more compassionate.” Miles says she no longer takes her health or things such as going to the dentist for granted. And while the stories that clients tell can be heartbreaking, they don’t feel self-pity, she adds. “They’re too busy trying to survive.” Miles and her husband, Tim, live in Clayton and have three grown children. ENHANCING THE PATIENT EXPERIENCE. With the addition of patient experience specialist Amber Daughtry, the health care system now has a sharper focus on customer satisfaction. Why is that important? Federal reimbursements are now tied to surveys that measure a patient’s perception on things such as pain management, cleanliness of the room and responsiveness of the staff. 8. IMPROVING QUALITY, PATIENT SATISFACTION. The health care system made gains in core measure results and patient satisfaction scores. Specifically, the organization improved its satisfaction scores in all categories by an average of 3 percent, which was better than the national average increase of 1 percent. 9. IMPROVING MARKET SHARE. Johnston Health grew its market share by 1.5 percent during 2013. Of note, the organization reinvigorated its branding, added marketing events and appearances on local TV and radio, and used the web site and social media to get out the word about events, free screenings and new doctors and services. 10. CEO Chuck Elliott and Georgia Anthony, Project Access director, congratulate Barbara Miles on her award. Wednesday, Jan. 8, 2014 THE PRECEPTORS NOTEWORTHY Interim director making impact on ‘little things’ Women’s Pavilion working on patient satisfaction goals Preceptors meet monthly to get updates and to build their skills. Those attending the December gathering were: seated, from left, Debbie Price, Gina Cobb-Jackson and Alicia VanCamp; standing, Agnes Chavez, Kim Langston, Monnie Thompson, Robin Powell, Lisa Johnson, Kim Woodard, Amanda Higgins Howell and Tonya Worley. Celebrating a birth on New Year’s Day Zeara McKoy and Decarise Holder of Selma are the proud parents of the first baby born in the New Year at Johnston Medical Center-Smithfield. Their son Jacobi Holder was born at 8:47 a.m. on New Year’s Day and weighed 5 pounds, 13 ounces. “It’s pretty cool to be the first,” Zeara says. The baby is the couple’s first. Johnston Health Volunteers gave the new parents a basket of baby items. Shot days for January Don’t forget your mandatory vaccines, including the annual TST. You may walk in without an appointment from 7 a.m. till noon and from 1 till 3:30 p.m. on Jan. 17 in Smithfield (fourth floor of the Bright Leaf Tower). On Jan. 14 in Clayton, employees can get their shots from 7:30 a.m. till noon and from 1 till 3:30 p.m. in the QA office. Johnston Health on video If you missed the October debut of the Johnston Health patient experience video, here’s the link to see it from your computer. http://johnstoncc.libguides.com/ content.php?pid=440332&sid=3722908 Also, follow this link to see the Town of Clayton’s new marketing video, which includes a short clip of Jackie Ring, chief operating officer of Johnston Medical Center-Clayton: http://www.youtube.com/ watch?v=mtVfyFmXWac Of note, the fiveminute video will air nationally at 7 a.m. Friday on the Discovery Channel. Save the dates Jan. 16, from noon till 4:30 p.m.: Red Cross bloodmobile visit, call or email Kim Thompson for an appointment time. Know a caregiver who would like to learn about infection prevention or who would like to get info about community resources for aging adults? Tell them about our caregiver seminars scheduled as follows: First Baptist Church in Clayton, Jan. 16; Benson United Methodist Church, Jan. 21; Johnston Medical Mall, Jan. 23; and Princeton Church of God, Jan. 30. The presentations begin at 6 p.m. and are free. LifeLiner is published weekly by the Marketing and Community Relations Department. Suzette Rodriguez, writer and editor Emily Bass, social media Got news? Call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. They’re the coworkers who orient, teach, prod PRECEPTORS SHARE THEIR 2014 RESOLUTIONS T hey’re the co-workers who orient the newbies, pass along new information, and remind us all to do essential tasks such as getting the flu shot and completing annual competencies. Yet, preceptors take on these additional responsibilities without perks or extra pay. “They’re important people,” says Lori Martin, who is director of education. “They are the liaison between our department and theirs.” Martin says directors usually choose as their preceptor someone with longevity who knows the ropes. “It’s usually someone who is also patient and nurturing,” she adds. Martin says directors rely heavily on preceptors to mentor, teach and train new employees. “That’s why we, in education, think it’s so important to meet monthly with them to share updates from The Joint Commission, for example, as well as information to help them develop leadership skills. Our objective is to empower preceptors so they can do a better job,” she says. The preceptors who attended the meeting last month admit their roles can be challenging. But there’s also the reward of knowing that they have helped someone achieve, says Lisa Johnson, who is a nurse in the emergency department. So what would a preceptor wish for in the New Year? What follows are a few of their personal and professional goals for 2014. Monnie Thompson of Home Care & Hospice, says her personal goal is to do something every day to help someone. “People always need uplifting words of encouragement or kind deeds, no matter how small,” she says. “Sometimes just a smile and a kind word is all it takes.” Alicia VanCamp, who had overseen PCU for the last several years, has since transferred to the education department. She looks forward to helping co-workers in a different way, she says. Agnes Chavez, who is the point of care coordinator for the lab, says she would like to put together a training video that could include topics such as safety, general lab policies and procedures. Debbie Price of case management says she would like to motivate the staff to do the mandatory requirements before the middle of the new year. She has a personal goal to lose weight. Gina Cobb-Jackson, a nurse and clinical educator in surgery, is expecting a grandchild this summer and resolves to spend as much time as possible savoring moments with family. Mark your calendars for upcoming Johnston Health State of the System You’re invited to the first Johnston Health State of System address. Chuck Elliott, CEO and president of Johnston Health, will highlight the health care system’s accomplishments in 2013 and look ahead to plans for 2014, which will include the affiliation with UNC Health Care. He will be joined by David Strong, president of Rex Healthcare and chief operating officer of UNC Health Care—System Affiliations. In his presentation, he will bring updates about Rex and the other hospitals now affiliated with the larger UNC system. The addresses will be held on both campuses. Here is the schedule: Jan. 22: 2:30 p.m. in the Bright Leaf lobby of the hospital (Johnston Medical Center-Smithfield) Jan. 22: 3:30 p.m. in the main confer- ence room at JMC-Clayton Jan. 24: 10:30 a.m. in the auditorium of Johnston Medical Mall Jan. 24: 11:30 a.m. in the Bright Leaf lobby of the hospital. For employees and physicians who aren’t able to attend, a video of the event will be made available on Hospital Quicklinks at a later date. If you would like to ask questions, please send them in advance to Suzette Rodriguez at [email protected]. If the questions pertain to the affiliation, attempts will be made to include answers within the information covered by the speakers. Other general questions may be answered later in a written response that can be shared and sent via email to employees. The address is an initiative of the communications team. Mothers of newborns appreciate getting a good night’s sleep. So when Tina Gist rounds on patients in the Women’s Pavilion, she tells them about efforts to keep the halls quiet, and asks if noise has disturbed their sleep. Depending on the response, she draws on the white board a Tina Gist plus or minus next to a big “Z” to let staff members know how well they’re doing. Grading “ZZZZZs” and shooshing one another to be quiet are among the things that Gist, the interim director of women’s services, wants to build into the culture during her short stint. “We’re all guilty at times of talking too loudly,” she says. “It’s easy to get caught up in the moment.” Before coming to Johnston Health, Gist was nurse manager at Eastern Maine Medical Center in Bangor for 12 years. She left the job to follow her daughter, Amanda, who lives in Holly Springs and is a first-year student in the PA program at Campbell University. In all, Gist has 30 years of nursing experience. She has most loved her work in the neonatal intensive care unit, supporting families through tough deliveries and teaching them how to take care of their newborns. “Taking care of their child is the most important thing to them,” she says. “In addition to the child, you’re taking care of the family, too.” Gist grew up in the Dallas area of Texas. Her father was a dermatologist; her mother was a nurse. They impressed upon Tina and her three sisters the importance of finding a profession that could be both gratifying and financially rewarding, she says. After graduating from the University of Texas at Arlington, she worked in surgery and critical care for three years before switching to postpartum/mother baby care in 1986. Before moving to Maine in 2001, she was the charge nurse for the NICU and newborn nursery for five years at All Saints Hospital in Forth Worth. Since coming aboard Nov. 18, Gist has been focusing, too, on cleanliness and improving the registration process for patients. Until now, patients had been registering at the busy work station up front. Now the unit secretary takes them to an observation or labor and delivery room where she can privately interview them without interruptions. “The department is much busier than it appears on paper,” Gist adds. “The acuity of our patients is higher, and our outpatient volumes are significant for a hospital of our size. We are the dedicated emergency department for pregnant patients.” For the fiscal year ending Sept. 30, 2013, the department had 1,299 births. Also, Gist is working with environmental services director Kevin Smith to start a roomrefresher program. It would encourage patients to call EVS when they want their room tidied up. A small sign attached to the mirror above the sink would note the instructions and a phone number to call. “It’s all the little things that add up,” she says. Gist and her husband, Greg, a selfemployed accountant, live in Smithfield. In addition to Amanda, who has a 4-year-old daughter, they have a younger daughter, Michelle, back in Maine. Wednesday, Jan. 15, 2014 THE EMPLOYEE PHARMACY NOTEWORTHY Need help with college expenses? The Johnston Health Volunteers are now accepting applications for scholarships. To be eligible, applicants must be pursuing a health care profession, live in Johnston or an adjacent county, and have a 3.0 or higher grade point average. A committee will consider the student’s academic record, financial need, extracurricular activities and work ethic. Applications and a copy of the requirements may be downloaded from the Johnston Health website. (Click on the volunteer tab of the homepage.) Copies are also available from the front desk in the hospital’s main entrance. The completed application packets must be forwarded to Kay Matthews, scholarship chairperson, by April 1. There will be no deadline extensions. What’s the State of the System? It’s a look back at accomplishments in 2012 and a look ahead to initiatives and projects in 2013. Johnston Health president and CEO Chuck will be joined by David Strong, president of Rex Healthcare and chief operating officer of UNC Health Care-System Affiliations. Here is the schedule for the addresses: Jan. 22: 2:30 p.m. in the Bright Leaf lobby of the hospital (Johnston Medical Center-Smithfield) Jan. 22: 3:30 p.m. in the break room at Johnston Medical Center-Clayton Jan. 24: 10:30 a.m. in the auditorium of Johnston Medical Mall Jan. 24: 11:30 a.m. in the Bright Leaf lobby of the hospital (Johnston Medical Center-Smithfield) For employees and physicians who aren’t able to attend, a video of the event will be made available on Hospital Quicklinks at a later date. If you would like to ask questions, please send them in advance to Suzette Rodriguez at [email protected]. If the questions pertain to the affiliation, attempts will be made to include answers within the information covered by the speakers. Other general questions may be answered later in a written response that can be shared and sent via email to employees. Save the date Jan. 16, from noon till 4:30 p.m.: Red Cross bloodmobile visit, call or email Kim Thompson (ext. 7736) for an appointment time. Know a caregiver who would like to learn about infection prevention or who would like to get info about community resources for aging adults. Tell them about our caregiver seminars at the following places and dates: First Baptist Church in Clayton, Jan. 16; Benson United Methodist Church, Jan. 21; Johnston Medical Mall, Jan. 23; and Princeton Church of God, Jan. 30. All of the presentations begin at 6 p.m. and are free. LifeLiner is published weekly by the Marketing and Community Relations Department. Suzette Rodriguez, writer and editor Emily Bass, social media Got news? Call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. Employee pharmacist Donna Dewberry talks with an employee about her prescription. She has been the friendly face at the counter for the past nine years. HERE’S A FEW TIPS FOR USING THE PHARMACY O n a typical 9-to-5 weekday, employee pharmacist Donna Dewberry fills between 50 and 100 prescriptions—all while answering the phone, selling over the counter items and consulting with customers at the window. It’s a lot to juggle, especially since Dewberry works by herself, says Greg Garris, director of pharmacy. But there are simple things employees can do to make her job easier and more efficient, such as faxing refill requests rather than calling them in. “I’m answering the phone when I could be filling prescriptions,” she says. “It would be much easier if everyone filled out and faxed the request forms, and then trust that I’ve received them. “Our employee pharmacy is a wonderful benefit,” she adds. “I want everyone to be able to get the most out of it, including being able to ask me for information and guidance.” Garris encourages employees to use the pharmacy during its operating hours, from 7 a.m. to 8 p.m. Monday through Friday. (An inpatient pharmacist, Lynn Burrell, covers when Dewberry is off.) At all other hours, an inpatient pharmacist will fill a prescription if it’s an emergent need, Garris says. “But it’s not an emergency if you forget to place an order for a routine prescription or can’t come to the pharmacy during regular operating hours,” he adds. When a prescription is filled afterhours or on weekends, it’s good idea to call ahead and ask when it will be ready, Garris says. “Orders for hospital patients will take priority over employee prescriptions, so additional time may be needed for dispensing.” Lynn Burrell Garris notes that the employee pharmacy can’t accept cash for payment. A check, credit or debit card is acceptable. Also, he says that employees must be present to sign the receipt if they’re paying for the prescription through payroll deduction. It is illegal for anyone else to sign on their behalf, he says. Dewberry offers a tip for saving time and expense on co-pays. When a doctor prescribes a medication, ask him to write the prescription for a generic and, if applicable, a 90-day supply. “Remember to make this request while you are still in his office,” she says. The prescription refill form is in HospitalQuicklinks in the hospital-approved forms folder and inside the pharmacy subfolder. Here’s the link: \\Jmh-policy\forms\Pharmacy Rheumatologist talks about aches, pains Georgene Capps of Princeton knows firsthand the suffering caused by arthritis. At age 30, she was diagnosed with ankylosing spondylitis, an inflammation of the spine that leads to severe stiffening in the back. She works with the Johnston County Osteoarthritis Project, interviewing participants in a long-range study focusing on the risk factors for the most common form of arthritis. So she knows many people who have arthritic knees and hips. Last Wednesday, Capps, 61, was among the 60 or so people who came to the Johnston Medical Mall to hear Dr. Anshul Rao, a rheumatologist, talk about treatments for autoimmune, joint and connective tissue diseases. His presentation was part of the Health Chats series. Of the diseases that Dr. Rao talked about, osteoarthritis is the most common. It afflicts more than 27 million Americans and is particularly painful as the cartilage deteriorates and bone begins to rub against bone. While osteoarthritis can be genetic or caused by a previous trauma, it is most often associated with being overweight. The best prevention is weight loss and exercise, he says. “For every one pound of weight reduction, there’s a four-pound reduction of stress on the joints.” While there is no medical therapy, there are ways to treat symptoms of osteoarthritis, he says. These include physical and aquatic therapies, bracing or splinting, cortisone injections, heat applications and taking NSAIDs such as Ibuprofen or Aleve. After the presentation, Capps said she was pleased local residents now have a fulltime rheumatologist. “It’s a big deal to have a specialist close by,” she says. “It’s difficult to drive long distances when you’re older and in pain. An audience listens intently during last week’s Health Chat with Dr. Anshul Rao. Lean event helps employees improve surgical patient prep Before patients are taken to surgery, their charts have to be complete. The paperwork must include the patient’s history and physicals, called H&Ps for short, and the signed form giving the surgeon consent to do the procedure. But in more than a third of surgery cases, the hospital doesn’t have one or the other of the forms on the day before the procedure. And when those documents are missing, surgeries can be delayed. During an RIE last week, a team of employees looked at the paperwork problem and other processes related to surgical patient prep. Jessica Springer, director of Lean transformation for Johnston Health, says patients typically bring one or both forms to their appointment for pre-procedural testing. In other instances, surgeons may bring the papers. But neither method is fail-safe, she says. Springer says the staff is now working with physician offices to fax a copy of the paperwork ahead of time to the hospital. Until now, it was thought that copies wouldn’t be acceptable. To save time, the same day surgery staff will chart at the bedside rather than using paper forms and entering the information into a computer. They will try out this week the C5 tablets used by ICU nurses, she says. The group is also working on a process to lock up IV pumps. It appears that other departments may be borrowing them at night and not returning them. The staff has to look for them the next day, which takes up valuable time, she says. To reduce delays in the OR, there’s a plan to give the same-day sur- Employees participating in an RIE last week were, from left, Bill Murray, Renee Cocker, April Culver, Debbie Batten, Sam Beavers and Jessica Springer. At far right is Allison Godwin, the Lean consultant from N.C. State. gery staff a call within 15 minutes of the time that the patient is supposed to go into the operating room. “And if we know the patient is not coming back to the same room, we’re going to let environmental services know that we have a room that needs to be cleaned in 15 minutes,” she says. The group also came up with a new process for communicating better with Spanish-speaking patients in those instances when the hospital’s translator is unavailable. The staff will have access to a speaker phone so that on calls with the Language Line operators, the patient, staff and provider can more easily talk and listen to one another. Thursday, Jan. 23, 2014 ‘A JOINT ADVENTURE’ NOTEWORTHY Learning CPR, having fun during Go Red Week Would you know what to do if someone collapsed with a heart attack? What if it was a friend or a family member? It’s a good idea to be prepared. Any of us may have an opportunity one day to save a life, just by knowing how to do chest compressions. All non-clinical staff and volunteers are invited to learn hands-only CPR during training sessions scheduled the first week of February in Smithfield and Clayton. It’s one of the activities being planned at Johnston Health for Go Red Week in keeping with American Heart Month. Chest pain coordinators Hank Long and Kenny Gooch will be leading the sessions. And Gooch will share a personal story of how he recognized the early symptoms of a heart attack and took action. In Smithfield, the sessions will be on Feb. 6 from 7 till 11 a.m. in the cafeteria and on Feb. 7 from 11 a.m. till 3 p.m. in the Medical Mall auditorium. In Clayton, the sessions will be Feb. 4 from 7 till 11 a.m. in the conference room and on Feb. 6, from 1 till 5 p.m. in the conference room. Also, Dr. Matthew Hook, a cardiologist on the medical staff, will talk about heart health and peripheral artery disease at 11 a.m. on Feb. 5 in the auditorium. To register for this free event, go to the Johnston Health website, www.johnstonhealth.org. Also, Feb. 7, a Friday, is the official Go Red Day. Please show your support for heart health by wearing red. And email photos of your department in red to Emily Bass, marketing coordinator. She’ll post them on the Johnston Health Facebook page. Finally, learning about heart health can be fun, too. Long and Gooch have put together a crossword puzzle, which will be distributed next week. Those who complete it correctly can turn it in and be entered into a drawing. Four lucky winners will receive $25 gift certificates to Sheetz. Want to read more about the importance of bystander CPR? Here’s the link to a recent story published in the News&Observer. http:// www.newsobserver.com/2014/01/20/3542 294/cpr-taking-life-into-your-own.html> Need help with college expenses? The Johnston Health Volunteers are now accepting applications for scholarships. To be eligible, applicants must be pursuing a health care profession, live in Johnston or an adjacent county, and have a 3.0 or higher grade point average. Applications and a copy of the requirements may be downloaded from the Johnston Health website. (Click on the volunteer tab of the homepage.) Copies are also available from the front desk in the hospital’s main entrance. The completed application packets must be forwarded to Kay Matthews, scholarship chairperson, by April 1. There will be no deadline extensions. LifeLiner is published weekly by the Marketing and Community Relations Department. Suzette Rodriguez, writer and editor Emily Bass, social media Got news? Call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. ‘No pass zone’ encourages responsiveness Pilot program seeks staff’s support with assisting patients Bobby Plowman of Smithfield shares a light moment with Heather Woodard, a physical therapy assistant, after she flexes his new knee. He had joint replacement surgery on Monday. Hospital rolls out new program to prep patients for joint surgery CLASSROOM, GYM NOW OPEN ON SECOND FLOOR B obby Plowman prepared for his total knee replacement this week by watching a surgery video on YouTube. The clip was so graphic that he clicked off half-way through it. On Tuesday, the 67-year-old Smithfield retiree winced as Heather Woodard, a physical therapy assistant, gingerly lifted his leg and slightly flexed his new knee. It was the day after surgery. “I didn’t know it was going to hurt this bad,” he said. Starting in February, patients like Plowman will have a better idea of what to expect after surgery and how to prepare for surgery. Johnston Health is adding an educational program and has opened a gym and rehab area on second floor of the Bright Leaf tower for jointreplacement surgery patients who will need physical and/or occupational therapy. The program is titled “A Joint Adventure” and the first class for patients is scheduled on Feb. 3. During the sessions, patients will get an overview of their surgery, but also helpful advice on exercises to strengthen arms and legs, and tips on how to prepare at home for their recovery. One of the suggestions, which will be included in a patient guide, is to borrow a walker or a pair of crutches and to do a walk-through to see if rugs or furniture may be in the way. Another suggestion is to set up ahead of time a recovery space where items such as tissues or the TV remote control is within easy reach. “The purpose is to help patients think ahead and to plan for their recovery,” says Woodard, who will be one of the instructors. “I don’t think patients really understand how they’ll be affected by the surgery. This program will give them a much better picture.” It’s also suggested that patients choose a family member or friend to act as a coach, who can offer support before and after surgery, and during the hospital stay and recovery. Until now, Woodard says physical therapy assistants had been Stephanie O’Neal working with patients in their hospital rooms and getting them up to walk out on the hall. Now they can take patients to the gym where they can climb steps and get practice, for example, using a reacher tool to pick up items off the floor or to grab items out of a kitchen cabinet. There’s also a plan to install a mock car so that patients can practice getting in and out of the front seat. Stephanie O’Neal, director of fourth floor surgical, is leading the program and will be the patient’s point of contact or navigator. “This is a holistic approach to joint replacement,” she says. “We’ll have a team working together to assist patients and to give them the best possible experience.” Plowman says he plans to take advantage of the physical therapy and rehab offered as part of his recovery. He wants to get back to playing golf as soon as possible and to his job as a high school football official in the fall. And he thinks it’s a great idea to offer as much education as possible to others who are planning joint replacement surgery. “I’m sure it will be much more helpful than watching the surgery on YouTube,” he says. Do you have to be a nurse or a CNA to help an inpatient whose call light is on? A pilot program now underway on Second East of the Bright Leaf tower is based on the assertion that any member of the staff, regardless of job description or patient assignment, can take out a moment to help the patient. It’s called the No Pass Zone, and it simply asks employees to stop in and see what the patient needs if an alarm is sounding or a call light is on. Other hospitals are using the program and have gotten favorable responses on patient satisfaction surveys, says Amber Daughtry, who is the patient experience specialist for Johnston Health. “We want to create an environment of responsiveness and caring,” she says. “We should never pass up an opportunity to help a patient.” So what does the program ask of employees? Here are the steps that Daughtry has outlined. First, introduce yourself when you enter the room. Evaluate the patient’s request. The need could be as simple as getting an item such as reading glasses or a TV remote that may be out of the patient’s reach. Once you’ve met the need, turn off the call light. Thank the patient for letting us care for him, and then ask if there’s anything else you can do for him. If the request is for pain medication or if the IV alarm is beeping, look on the communication board to find the CNA or nurse’s phone number. Use the phone in the room to make the call and to ask how long it will be before he or she can respond. Give that information to the patient, and turn off the call light. “You’re giving the patient an expectation of how long it will take,” she says. “Tell the patient that if the nurse or CNA hasn’t responded within that particular amount of time, then to call again.” Daughtry says she’ll schedule in-services with non-clinical and ancillary staff. “We want everyone to feel comfortable with entering a patient’s room,” she adds. “If we don’t respond to call lights or alarms, then patients will think we’ve forgotten them. If all goes well with the pilot, then the program could be rolled out as soon as a month in all clinical areas of Johnston Health. A pilot program on second floor is encouraging staff to take advantage of opportunities to assist patients. Two sessions Friday for State of the System A gym area and kitchen make up the Joint Replacement Center on second floor of the Bright Leaf tower. Patients will also attend classes there. It’s not too late to attended a Johnston Health State of the System address. There will be two sessions Friday (tomorrow) in Smithfield. They are at 10:30 a.m. in the auditorium and 11:30 a.m. in the Bright Leaf lobby of the hospital. CEO Chuck Elliott and David Strong, president of Rex Healthcare and chief operating officer of UNC Health Care-System affiliations, will share news and updates. Thursday, Jan. 31, 2014 ‘STAYIN’ ALIVE’ NOTEWORTHY Consider a payroll deduction to help co-workers in need If she won the lottery, Tammy Wood, the benefits specialist for the human resources department, says she would keep it a secret and write checks to the employees in need who appear at her door every day. Yes. There are coworkers among us who are struggling, even though employed. And their problems aren’t always of their making. Sometimes it’s just bad luck. A fire, a flood, a health emergency. Wood says it’s often hard for people to admit they need help, much less ask for it. Until now, she’s been able to give only hugs or offer tissues to those who arrive in tears to share sad news. But now, there’s a way to help. In place since December, the employee emergency fund is a way that employees can help one another through tough times. Wood is HR’s liaison to a committee that reviews requests, and it’s her job to screen applications according to the policy’s guidelines. Thus far, she has received six applications, one of which met the criteria. The committee asked for additional information before granting the employee the maximum amount of assistance, $500. A fundraiser at Christmas boosted the coffers, but more is needed, Wood says. The account has about $500 remaining. To sustain the fund, Wood encourages employees to payroll-deduct a few dollars every pay period. “If we all contributed a little, it could add up to a lot,” she says. The employee who received the assistance left in tears, Wood says. But this time, they were shed out of gratitude. Want to contribute to the employee emergency fund? Employees who donate at least $1 a pay period or make an outright donation of $10 to the employee emergency fund can wear jeans and a sweatshirt or a football jersey to work on Friday (tomorrow). For a $5 donation, employees can wear either jeans or a sweatshirt or jersey. To participate and get the required sticker, fill out the payroll deduction form or give a check or cash to Tammy Wood in HR. Employees in Clayton can see Sharon Muller in the emergency department to purchase a sticker. Other employee emergency fund committee members in Smithfield, who can accept donations and distribute stickers, are Linda Kropp in finance, Pam Miller in case management, Wanda Darden in patient registration, and Patrick Price in engineering. Save the date Dr. Matthew Hook, a cardiologist on the medical staff, will talk about heart health and peripheral artery disease at 11 a.m. on Feb. 5 in the auditorium. To register for this free event, go to the Johnston Health website, www.johnstonhealth.org. The presentation is part of Go Red Week, which recognizes the importance of heart health. LifeLiner is published weekly by the Marketing and Community Relations Department. Suzette Rodriguez, writer and editor Emily Bass, social media Got news? Call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. Leslie Sullivan, an aerobics instructor for HealthQuest, leads a dance Friday at the Johnston Medical Mall to the beat of the Bee Gees’ disco song, “Stayin’ Alive.” It’s one of the scenes in the production of a two-minute video that will complement sessions of CPR instruction. It will play next week as part of the Go Red Week activities to recognize heart health. What’s the video’s plot? A mall walker collapses with a heart attack, and a bystander comes to his rescue. The actors, a narrator and the dancers are Johnston Health employees. EMPLOYEES BUST A MOVE FOR GO RED WEEK N inety percent of sudden cardiac arrests happen at home. So there's a good chance that knowing how to perform CPR could save the life of a loved one: a spouse, a brother or sister, a parent or grandparent. In fact, a victim's chance of survival triples when someone does chest compressions, says Kenny Gooch, who is the hospital's chest pain coordinator. Next week, Gooch and Hank Long, who is the chest pain coordinator in Clayton, will teach hands-only CPR to staff, volunteers and anyone else who’s interested in learning. A video featuring Johnston Health employees as actors and dancers will make the experience fun. Gooch says the new CPR has no mouth-tomouth step. And if you're hesitant to learn CPR because you’re afraid that chest compres- Stats for cardiac arrests In the U.S., there are 400,000 instances of sudden cardiac arrest every year. —90% happen at home; in only 5% of those cases, the person will survive —1 out of every 4 will get no help sions might end up hurting someone, then consider Gooch's plain-spoken response. “You can't hurt a dead person. And if you do nothing, then that's the way he or she will stay.” In Smithfield, the CPR sessions will be Feb. 6 from 7 till 11 a.m. in the cafeteria and on Feb. 7 from 11 a.m. till 3 p.m. in the Medical Mall auditorium. In Clayton, the sessions will be Feb. 4 from 7 till 11 a.m. in the conference room and on Feb. 6, from 1 till 5 p.m. in the conference room. Staff treasures thank-you notes, letters Eloise Brickhouse was so pleased with her mother's hospital care that she wrote a letter just before going home on Jan. 1. She named names and shared short anecdotes about everyone she could remember, from the ED doctor to the CNAs to the staff delivering the meals and cleaning her room on Third Floor Medical. In all, her letter complimented 21 people across five departments and services. “Everybody complains when something goes wrong,” Brickhouse said Monday from her home in Currituck. “Not everybody says when something goes right.” She was impressed when nurse John Sabadish took time to hold her mother's hand and to listen when she was afraid. She described hospitalist Dr. Mohammad Hussain as patient and kind as he worked through most of a night to reach a diagnosis. She praised Dr. Robert Hennon for thoroughly explaining the surgery he would perform to correct her mother’s health issue. Donna Hinnant, director of Third, says such written praise means the world to staff. When letters or notes arrive, she reads them aloud at huddles, puts them in employee mailboxes, posts them on bulletin boards. And she writes thank-you notes to the employees who are mentioned, and she recommends them for Spotlight awards. Hinnant says she gets about 10 letters a month. Sometimes patients scribble notes on the backs of paper towels or on the paper place mats on meal trays, she says. Others arrive weeks after the patient has gone home. She treasures them all, regardless of how or when they’re sent. “Our people want to know they're appreci- ated,” Hinnant says. “It helps our staff connect to purpose. It just makes you feel good.” Chief operating officer Ruth Marler Patients sometimes also reads the letwrite thank you’s on ters during her paper towels. twice-monthly meetings focusing on patient satisfaction. Sometimes, the letters are addressed and sent to a member of the Johnston Health Board, who may read them during committee meetings. Shelby Holt, director of cardiopulmonary services, says she takes into account the positive comments when evaluating her staff. “It tells me that the employee went above and beyond,” she says. Not all patient encounters are equal, however. While the cardiopulmonary rehab staff, for example, sees the same patients over several weeks and builds relationships, Holt says respiratory therapists see as many as 30 different patients in a day. “When a patient acknowledges and thanks our therapists in a letter, it reminds them why they chose the profession,” she says. “With the fast pace, burnout is always a possibility. The notes remind them they make a difference.” Brickhouse says her mother, Connie T. Godwin of Pine Level, is gradually getting better and is happy that their thank-you letter is making the rounds at Johnston Health. “I will sing the praises of this hospital far and wide,” she wrote. “The staff was constantly there, and they treated my mother as a person, not just a room number.” ED assistant named Ambassador In the Smithfield emergency department, Sidney McCall is known for the calm he brings to tense situations. He’s the patient care assistant who administers EKGs to patients arriving with symptoms of heart attack. And among other things, he has a way of putting at ease patients who may be struggling with behavioral health problems. “I like figuring out how to help people during chaotic moments,” says McCall, who has worked in the ED for the past 18 months. “It’s my nature to be calm and slow to anger.” Last week, he was honored as the Johnston Health Ambassador for January. During a presentation, CEO Chuck Elliott said McCall starts every day with a bright and enthusiastic attitude. “He never hesitates to step forward to offer assistance,” he said. Elliott also read complimentary notes from Brice Helms, a security officer, and Ed Stone, a nurse who’s now retired from the behavioral health department. Both twrote of instances in which McCall either slowed or stopped physical altercations with patients. For his part, McCall says he draws on his life and previous work experience. Before coming to Johnston Health, he was the 24/7 manager of a group home for at at-risk youth. “It was a super stressful job,” he says. “One of the toughest challenges is a disrespectful kid who says anything he wants.” McCall says the job helped him to see things differently. “I try to look at the root,” he says. “If you show children love and discipline, it works over time. But initially, they need you to understand what they’re going through.” He says he learned structure, mental toughness and teamwork from playing sports. At Goldsboro High, he was a running back with aspirations of playing football at a major university. “I’ve been hit, slammed, pinched and talked junk to,” he says. “But in team sports, you shake hands, win or lose, at the end of the game. You learn a center. You also learn how to win and how to do things the right way without getting angry.” McCall has his sights set on working as an EMT-paramedic. Before coming to Johnston Health, he took courses at Wayne Community College and earned his certification. He has accepted a fulltime job with Johnston County EMS and plans to continue to work, as needed, in the Smithfield ED. McCall has a cool vibe outside work, too. In his spare time, he likes singing the Frank Sinatra genre of music and performs with the Starlight Dance Band in Goldsboro. “I’m an old soul,” he says. McCall was born in Frankfurt, Germany, and grew up in Goldsboro. His father was in the Army and near the end of his military career when Sidney came along. He has six brothers and sisters, four of whom are older. McCall met his wife, Maria, at their church, St. James Church of Christ, which is another important part of his life. The couple lives in Goldsboro and has three children, ages 11, 22 and 26. From left, Michelle Cooke, CEO Chuck Elliott, Amy Hamby, Dr. Mannie Gupta and Mark Nischwitz congratulate Sidney McCall. Wednesday, Feb. 5, 2014 New manager settling in at cancer center THE AFFILIATION NOTEWORTHY It’s Go Red Week: Work the puzzle, learn CPR, wear red for the cause The crossword puzzle attached to today’s issue of the LifeLiner tests your knowledge about sudden cardiac arrests. To be entered into the drawing for a prize, complete the puzzle correctly, sign your name at the top of the page and leave the entries at one of three locations: the front desk in the hospital’s main lobby, the administration office in Clayton or the education department at the Medical Mall. If you haven’t already, check out the “Stayin’ Alive” video filmed last month at the Johnston Medical Mall with Johnston Health employees. Here’s the link: http:// www.youtube.com/watch?v=A0nAKWTewI&feature=c4overview&list=UUW9w9BbP2Y_AxzrJK9ng3g There’s still time to catch a CPR session led by chest pain coordinators Kenny Gooch and Hank Long. If you work in Smithfield, stop by the cafeteria from 7 till 11 a.m. Thursday, or the Medical Mall auditorium from 11 a.m. till 3 p.m. Friday. If you work in Clayton, there’s a session from 1 till 5 p.m. Thursday in the main conference room. Also, don’t forget to wear red on Friday. Send your department photos to Emily Bass at [email protected] for posting on our Web site. Welcome to Johnston Health Here’s a list of employees and volunteers joining us in January. Full-time staff: Sandy Blake, Bethany Brennan, Latonya Busby, RNs, progressive care unit; Melissa Dodd, patient registration, JMC-S; Alison Kilgore, patient access team leader, JMC-S; Ashley Lucas, OR tech, JMC-S; Kimberly Hurley, manager of oncology; Teresa Rose, RN, JMCC oncology; Danielle Smith, switchboard operator; Courtney Wilson, CNA, progressive care unit; Pamela Raynor, CNA, third floor; Susan Smith, educator, education; Elizabeth Hudson, physical therapist, rehab; Laura Curry, RN, third floor; Kasi Horton, RN, third floor; Lisa Cardieri-Morris and Trisha Hammes, RNs, emergency department; Karen Kingsbury, RN, hospice house; Linda Revell, cashier/grill cook, Aramark. PRN: Stephanie Berrios Rivera, CNA, progressive care unit; Karen Cranford, OR tech, JMC-S; Maegan Demma, phlebotomist, JMC-S lab; Ashley Givens, CNA, third floor; Jennifer Peacock, RN, nursery; Rachella Vieux, CNA, third floor; Monica Hoover, ultra sound tech, cardiology; Jacob Hopkins, lifeguard, HealthQuest; Tiffany Johnson, patient care assistant, progressive care unit; Oscar Whitehead, security officer; A reminder about shot days Need your TST or vaccinations? In Smithfield, shots will be given at employee health from 7 a.m. till noon and 1 till 3:30 p.m. on Feb. 21. In Clayton, shots will be given in the QA office from 7:30 a.m. till noon and from 1 till 3:30 p.m. on Feb. 18. Kim Hurley brings wide range of experience to job The expansion at Johnston Medical Center-Clayton is on schedule and 20 percent complete. Most of UNC Health Care’s $57 million investment, as part of the affiliation, will go toward paying for the project. Finally, it’s a done deal WITH HUD APPROVAL, AFFILIATION MOVES FORWARD I f you’re new to Johnston Health, then you may have questions about the affiliation with UNC Health Care. Here’s a short recap of the major points. THE BACKSTORY: After President Obama signed into law the Patient Protection and Affordable Care Act in March 2010, Johnston Health’s Board of Commissioners began studying the coming reforms. They concluded that it would be difficult for an independent hospital to make it on its own. In looking ahead, they set four priorities: to reduce expenses, to grow clinical services, to plot a strategic course and to gain access to capital. Thus began the discussion of options and, eventually, the idea to pursue a joint venture. THE INVESTMENT: UNC Health Care will invest $57.6 million into Johnston Health, most of which will go toward construction of the inpatient expansion in Clayton. The project is expected to cost $50 million. In return, UNC will have a 35 percent stake and Johnston Health will retain 65 percent ownership. A NEW BOARD: Johnston Health Services Corporation will oversee the operation of Johnston Health. All 11 Johnston Health Commissioners will keep their seats. UNC has appointed six new members, bringing the total to 17. Those new members from Johnston County are former medical chiefs of staff, Drs. Eric Janis and Dennis Koffer, and a chief deputy with the Johnston County Sheriff’s department, Bengie Gaddis. The members from UNC are: Gary Park, president of UNC Hospitals; David Strong, president of Rex and chief operating officer of UNC Health Care-System Dr. Koffer Gaddis Affiliations; and Chris Ellington, executive vice president and chief financial officer of UNC Hospitals and chief financial officer of System Affiliations for UNC Health Care. The board will continue to meet in the Bright Leaf Conference Room, which has been remodeled and enlarged. Johnston Health’s new logo BRANDING: The Old Well of UNC will replace the rolling J’s, but the transition to the new logo will be gradual. Johnston Health will keep its name. The board approved the new logo at its meeting on Jan. 23. THE OTHERS: The other affiliates are Rex in Raleigh, Pardee in Hendersonville, Caldwell in Lenoir, High Point Regional, Chatham Hospital in Siler City and, in the works, Nash, which is in Rocky Mount. UNC is developing new hospital campuses in Holly Springs and Hillsborough. WHAT THEY’RE SAYING: At the recent State of System Address, David Strong of Rex said he felt humbled that Johnston Health had chosen UNC as its partner. In the announcement on Friday, CEO Chuck Elliott said “we’re thrilled to begin our work with UNC.” Affiliation timeline LifeLiner is published weekly by the Marketing and Community Relations Department. Suzette Rodriguez, writer and editor Emily Bass, social media Got news? Call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. Dr. Janis November 2011: The Johnston Health Board of Commissioners announced its intent to search for a partner. The following year, a selection committee reviewed proposals from five organizations before narrowing the field to three: Vidant, WakeMed and UNC Health Care System. March 2013: The board voted unanimously to negotiate exclusively with UNC Health Care for a joint partnership. November 2013: The board entered a management agreement with UNC. For the last 30 years, the hospital had been managed by QHR. January 31, 2014: The U.S. Department of Housing and Urban Development signed off on the affiliation agreement. The federal agency’s approval was needed because it’s the guarantor for the $144 million loan used to finance construction of the Clayton campus and the hospital’s five-story patient wing. Growing up, Kim Hurley wanted to be a pediatrician. But when she had the opportunity in nursing school to spend time in a neonatal intensive care unit, she realized it wasn’t for her. A friend and mentor suggested medical oncology. So Hurley did a preceptorship on Kim Hurley a hospital floor for cancer patients and fell in love with the work. Soon afterward, she got a job there as an oncology nurse. And it’s been her passion ever since. Since Jan. 6, Hurley has been manager of Johnston Hematology & Oncology. She brings to the job a wide range of experience, from educating, caring and advocating for cancer patients to coordinating clinical oncology research. Before joining Johnston Health, she worked for 14 years at Cape Fear Valley Health in Fayetteville. During the last two years of her tenure, she was the nurse navigator and coordinator for a lung nodule clinic, which was a new service line for the health system. In her new role, she looks forward to helping grow the business and helping the hospital earn accreditation for its oncology services. “You have a complete center here, with medical oncology on one side and radiation oncology on the other,” she says. “It’s a real plus for patients.” Hurley says she’s felt welcome from the start. “When I came to interview, it was as if I had walked into a home. Everyone was so friendly and accepting,” she adds. Hurley was born in Roxboro and grew up in Fayetteville. After graduating from high school, she earned her bachelor’s degree from Methodist College. After getting married, she followed her husband into the hospitality business and managed a dining room staff at a Pine Hurst resort for four years. With her heart set on a medical career, she left the job and went into nursing school at Fayetteville Technical Community College fulltime. To supplement the family’s income, she did substitute teaching in the public schools during the week and worked as a CNA on the weekends. By then, the couple had a 2-yearold son. “I enjoyed being a substitute teacher and helping children learn,” she says. “As a nurse, I think you have to love to teach, otherwise you can’t tell patients how to take care of themselves.” In 2012, Hurley earned her bachelor’s degree in nursing from East Carolina University. From cancer patients, Hurley says she’s learned to see life in a different way. “They have a zeal for living, and they seem to know how to turn a bad situation into a positive one. I’ve known patients who have had fulltime jobs, were busy parents and still managed to make time for their treatments. “It’s made me re-evaluate my life,” she adds. “My problems don’t seem big anymore.” Hurley and her husband, Shawn, live in Fayetteville. She has two children, Nicholas, 10, and Matthew, 18, from a previous marriage, and Shawn has four grown children, Kayla, 25, Jessie, 23, Devin, 22, and Rebecca, 20. Wednesday, Feb. 12, 2014 THE COMMUNICATION BOARD NOTEWORTHY Kenny Gooch teaches hands-only CPR to Kay Stanley and her husband, Dennis. Learning hands-only CPR Kay Stanley of Four Oaks took time out from her walk at the Johnston Medical Mall on Friday to learn hands-only CPR. The mini-sessions were taught by Kenny Gooch, an emergency room nurse who is the coordinator for Johnston Medical Center’s chest pain accreditation. He and coworker Hank Long of Clayton taught more than 100 employees and visitors during classes held last week. Want to learn? Gooch and Long are available to speak to community groups and to teach CPR. To arrange a date, please call the marketing office at 919-938-7103. There are more than 400,000 cardiac arrests every year in the U.S. Ninety percent of them happen at home. And in those cases, only five percent of the victims will survive. “It’s easier than I thought,” Stanley said after the training. Her husband, Dennis, a retired City of Raleigh employee, knows CPR and says he would not hesitate to use it if someone needed it. “I would want someone to do the same for me,” he says. Winners announced Winners of the drawing for prizes in last week’s Go Red heart health crossword puzzle are: Pam Snead, Helen Burris, Vernicia Lofton and Janis Howard. Please see Emily Bass in marketing to pick up your prize. Save the date The Third Annual Johnston Health Champions 5K has a new date: It’s May 3, and HealthQuest Fitness and Wellness Center is running the event on behalf of the Johnston Health Foundation. The money raised will go toward the Angel Fund to support cancer patients at Johnston Health. Participants can register now at HealthQuest’s front desk or online at East Carolina Road Racing, ecrr.us/events/2014johnstonhealth5k. All entry fees are nonrefundable. Early entry fees from now till April 4 are $25, then go up to $30. They include a Tshirt, food and water. This event is for all ages, runners, walkers and fitness levels. LifeLiner is published weekly by the Marketing and Community Relations Department. Suzette Rodriguez, writer and editor Emily Bass, social media Got news? Call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. Melissa Robertson, human resources assistant, updates the communication board in her department. The pillar headings now reflect Johnston Health’s partnership with UNC Health Care. BOARDS OFFER LOOK AT GOALS, PERFORMANCE w ant to know how well the organization is performing? Then take a few minutes to look at the communication board in your department. It’s a snapshot of the progress that Johnston Health is making toward its goals and objectives. Here are the basics. THE BACKSTORY: The board is a tool of the communications team, which was convened in 2009 as part of the Studer Group Service Excellence program. There are six other teams: steering, employer of choice, measurement, leadership development, inpatient satisfaction, outpatient & ED satisfaction, standards. All meet at different times and have different purposes. WHY IS THE INFO IMPORTANT? It’s an objective, accurate measure of how well we’re performing and meeting goals. Why does that matter? When we perform well, we can buy the tools and equipment to make our jobs eas- ier. When we don’t perform well, we look at ways to reduce expenses. Also, the scores are a factor in determining pay increases for employees. WHO SEES THE DATA? Nowadays, savvy consumers are scrutinizing the data (it’s public and available on the internet) to help them decide where to seek health care. Also important, government reimbursements are now tied to how well we perform. WHO’S THE SOURCE ? Melissa Robertson, an HR assistant, is a member of the communications team. She gathers the info from reports in the quality folder on Hospital Quicklinks, and also from the finance and HR departments. She sends out the pillar reports midmonth to managers and directors. ASK YOUR DIRECTOR: In the HR huddle, Robertson says her director reviews and explains the new information once it’s posted. That’s been especially helpful to new employees, plus it helps bring to life the numbers, charts and colors, she says. With partnership, new pillars We think of pillars most often as the supporting columns for a building. But they’re also the areas in which we talk about our organization’s goals and objectives. Now that we’ve aligned ourselves with UNC Health Care, those pillars have changed. And while UNC and the other affiliates are planning to roll them out on July 1 (to coincide with the start of their fiscal year), we’ve already incorporated the new pillars into daily huddles, meeting agendas and communication boards. Why have pillars? “We’re using them to align our strategies, goals and operations, and to unite our system and our co-workers,” Culver says. “They represent our priorities and those of UNC.” The new pillars are: People, Quality, Growth, Value and Innovation. Service, which used to be a separate pillar, now falls under Quality. The old Finance pillar has a new name and a broader definition as Value. And the new Innovation pillar will include things such as Lean (process improvement) efforts, new models of care and best practices. Pillar definitions People includes not only the medical staff, co-workers and volunteers of UNC Health Care, but also the patients, visitors and families who come to us for care, and the communities we serve. We are committed to a caring, healing culture of excellence that is founded in respect and compassion for our patients, our co-workers and ourselves. While quality includes traditional quality metrics like core measures and outcomes, it is also expressed as timeliness and excellent service. Patient satisfaction is part of the Quality pillar. “Quality” links directly to our culture, focusing on not only to what we do, but how we do it. Growth: Increasing our market share is important to the stability of UNC Health Care. Expanding our reach also allows us to provide excellent care to people across North Carolina. Providing value in health care is more than the cost of care; it’s about providing the right care at the right time in the most efficient manner possible. Value is also measured by our service and dedication to our communities and the people of North Carolina, which includes providing care to all, regardless of ability to pay. In the ever changing field of health care, innovation is critical to success. UNC Health Care is a leader in innovation through its clinical trials, research, new care models and creative partnerships. We strive to make the best better through continuous improvement and an emphasis on best practices. Rehab grad thankful for caring staff There’s a small calendar in the cardiopulmonary rehab room at HealthQuest with the Rev. Dannie Hayes’ name on it. And for every day the retired pastor from Pine Level comes to exercise, a gold star goes up. Dr. Hayes, 64, had quadruple-bypass heart surgery a year ago this week. Last April, he started the rehab program and finished in July. But he so much enjoyed the experience, he says, that he joined the wellness center. He’s now lost 35 pounds and comes three mornings a week to exercise with others who are enrolled in rehab program. “I gained strength and confidence, and found a fantastic support group,” Hayes says. “They weren’t pushy, just reassuring. It’s one of the greatest things that has happened to me.” Hayes was pastor at Pine Level Baptist Church for 12 years before poor health Dr. Dannie Hayes and his forced him wife, Rose, sit for a photo. to retire in January of 2012. The work had been his passion, his love, his calling, and giving it up was hard, he says. Even before his cardiologist discovered Hayes’ blockages, he had been suffering with back pain caused by osteoarthritis and twisting of his spine. Specialists have said that there’s little they can do to fix the condition, he says. “Some days I wake up and I’m in so much pain. If I didn’t have this outlet, it would be so much easier for me to stay home, nurture the pain and not get any exercise at all,” he says. “I’m so thankful that I have that connection.” Melissa Speas, coordinator of the cardiopulmonary rehab program for Johnston Health, says many patients arrive apprehensive about exercising—particularly those who have had bypass surgery. “Many are afraid to walk to the mailbox and back,” she says. But as they go through rehab, they see that they can do the tasks they once enjoyed, and they regain their independence. “Because it’s a supervised program, there’s always someone here to help them and a physician is close by,” she says. “They also get nutritional counseling, education and stress management—tools to help them maintain a heart-healthy lifestyle once they graduate.” Speas says there are about 164 graduates every year, and about half to two-thirds of them return, either as HealthQuest or SilverSneakers members. “It turns into a social support group,” she says. “They build a relationship with staff and with one another.” The program is one of 39 in the state certified by the American Association of Cardiovascular and Pulmonary Rehab. The staff, which includes an RN, respiratory therapist, exercise specialist and dietician, receive high patient satisfaction scores for patient care. “We enjoy making our patients feel special, and there’s a lot of one on one attention, even within the group setting,” she says. “That’s important to us.” In class, Hayes says he likes to encourage the new patients. “They’re struggling, just like I once did,” he says. “And we talk about their journey.” He says the calendar is part of his story, and is one of the many ways the rehab staff has made him feel special. It’s also a way to prove to his wife, Rose, that he’s exercising three days a week. “She’s told them to hold me accountable,” he adds. “And they do.” Wednesday, Feb. 19, 2014 THE INTERNS AMONG US NOTEWORTHY Your feedback, please The Joint Commission, which is the accrediting agency for Johnston Health, requires the organization to periodically survey the staff to assess the culture as it pertains to patient safety. “These surveys help us to identify opportunities that will help us to improve the safety of patients,” says Dr. Donald Pocock, who is the vice president of medical affairs. The surveys are now available for distribution, sorted by department and available for pick up in the conference room of the quality assurance department on the ground floor of the hospital. They contain a preaddressed postage paid return envelope for the employee’s convenience. “I’d like to encourage everyone to participate in this anonymous survey,” he says. They are due by Feb. 28. Save the date The Third Annual Johnston Health Champions 5K has a new date: It’s May 3, and HealthQuest Fitness and Wellness Center is running the event on behalf of the Johnston Health Foundation. The money raised will go toward the Angel Fund to support cancer patients at Johnston Health. Participants can register now at HealthQuest’s front desk or online at East Carolina Road Racing, ecrr.us/events/2014johnstonhealth5k. All entry fees are nonrefundable. Early entry fees from now till April 4 are $25, then go up to $30. They include a Tshirt, food and water. This event is for all ages, runners, walkers and fitness levels. Discounts for employees The human resources department is putting together a discount program for employees. Letters have been sent to business owners across the county, seeking their participation. Tammy Wood, benefits specialist, says interest thus far in the Johnston Health Advantage program has been good. “We’ve gotten replies from a variety of services, from jewelry stores to tire and auto repair shops.” Johnston Health employs about 1,500 people, most of whom live and shop in Johnston County. “Businesses can promote their goods while also reaching a new base of potential customers,” Wood says. “We think it’s a great marketing tool.” Wood says it’s the department’s plan to roll out the new program in early March. Elaine Penuel is pursuing her master’s degree. Tsz-Kiu Chui, a dietetic intern, visits with William Brandberg of Smithfield, a patient on Second East. She has enjoyed working at a hospital where there’s time to interact with patients and staff. The ECU interns are, from left, Jacob Lewis, Ryan Killane and Anaira Knight. STAFF, VISITING STUDENTS LEARN FROM ONE ANOTHER ON THE JOB T sz-Kiu Chui is not much on sweet tea, but she does find the hospital’s meatloaf tasty. She’s from Hong Kong, and she’s here at Johnston Health for a month as a dietetic intern. It’s part of a program through Meredith College, which will prepare her for the R.D. exam, and, ultimately, a career as a registered dietician. “I’ve enjoyed working in a community hospital,” says Chui, who is a graduate of the University of Illinois at Champagne. “I’ve been able to interact and spend more time with patients than I would have at a larger urban medical center.” The hospital has hosted dietetic internships for as long as Kathy Rikard can remember. When she came to work as a dietician in 1992 for Aramark, (the company with whom the hospital has long held a contract for food services), there were interns. Ever since, Rikard has been the internship coordinator for the department, which has grown over the years from one dietician to five. Today, there’s such a demand for dietetic internships across the country that Rikard reviews applications and schedules students for slots a year out. In fact, a student starting in March has been waiting 10 years for an internship, she says. While the interns gain experience, Rikard says her department gleans new ideas and insight. “They keep us abreast of new information and new ways of documenting,” she says. “They’re a resource.” They’re also an extra hand. Rikard says interns do presentations to diabetic and cancer support groups, in-service training for food service employees. And they’ve put together teaching materials for outpatient diabetes classes. In one case, an intern improved a tubefeeding process for patients. The Pirates It’s been an interesting month for the three interns from East Carolina University. Ryan Killane of Clayton and Jacob Lewis of Kenly have shadowed vice presidents and participated in an RIE. And Anaira Knight, who lives in the Cleveland community, has written blogs for the website and assisted in the hands-only CPR classes during Go Red Week. “I’ve been able to see the things I’ve learned in class,” says Killane, who has worked parttime at HealthQuest since 2006. “It’s interesting to see how the departments interconnect.” Although he’s caught himself yawning in some of the meetings he’s attended, Killane says the material is anything but boring. “There’s never a dull moment here. There’s something different going on every day,” he says. Killane has been asked by CEO Chuck Elliott to write a grant application for a community paramedicine program. Such a program is now underway, and being funded by the Duke Endowment, at New Hanover Regional Medical Center in Wilmington. Lewis is interning with Amber Daughtry, the patient experience specialist. He’s been attending patient experience huddles and compiling patient satisfaction data to support new initiatives. Knight is interning in the marketing department, where she’s writing for the website and assisting with marketing events. “I’ve enjoyed doing a variety of things here,” she says. “I’m a hands-on person.” Ashley Drotzur, the recruiter for Johnston Health, says the hospital hosts about 10 interns a year. Once a director has accepted an intern, she says the student must go through a clearance process that includes a background check and signing a confidentiality agreement. Like employees, they’re required to follow the code of conduct, which includes the dress policy. An administrative director During her 34 years at Lenoir Memorial Hospital in Kinston, Elaine Penuel of Grifton has worked her way up from staff nurse to administrative director of inpatient nursing. And although she’s approaching an age when she could retire, she’s pursuing a life-long personal goal to earn her master’s degree. Here at the hospital, Penuel is doing her capstone practicum—the final piece she needs in order to graduate in May. From the spiritual care library on third floor, she’s laying the groundwork for an advisory council that will include patients and families. Johnston Health is part of the North Carolina and Virginia Hospital Engagement Network, called NoCVA for short, and patient-family engagement is one of the thrusts of the rural collaborative. On Thursday, she’ll convene a kickoff meeting to roll out a charter and to explain the council’s objectives. “The goal is to provide patient-and-familycentered care,” she says. “While it’s not a new concept, the advisory council is a new way of enhancing it.” RIE focuses on organizing supplies, equipment in emergency department Here’s a scene from last week’s storm. LifeLiner is published weekly by the Marketing and Community Relations Department. Suzette Rodriguez, writer and editor Emily Bass, social media Got news? Call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. A supply room and other storage areas in the emergency department got a thorough makeover this week—all toward saving steps and freeing up space for patient care. “We got rid of stuff we didn’t need and reorganized supplies into functional groups,” said Jessica Springer, director of Lean transformation for Johnston Health. “So now, we don’t have to go hunting for things.” The work was part of an RIE, which began last week and concluded on Tuesday. Also notable, the ED gained an exam room up front that had been used for storing orthopedic supplies. Those supplies, which included crutches and strollers, were moved to a vacant office at the back of the minor treatment area. The new space is easily accessible for the staff working up front and in the back, she says. Cabinets and a sink that weren’t being used in the ED’s main supply room were torn out to make room for additional storage. And an ice machine was moved to the break room, which adds convenience for everyone, she says. Participants in last week’s RIE were from left, intern Jacob Lewis, Kyle McDermott, Michelle Cooke, Jessica Springer, Kevin Smith and Jessica Hudson. Wednesday, Feb. 26, 2014 GETTING TO KNOW THE CODE NOTEWORTHY Welcome to Johnston Health Here’s a list of employees joining us in February. Full-time staff: Shauntella Edwards, RN, fourth floor; Charday Williams, patient care assistant, behavioral health; Christian Newcomb, RN, labor and delivery; Murray Dees, social worker, hospital wide; Samantha Beasley, CNA, behavioral health; Kerry Colonna, RN, third floor; Ashley King, RN, fourth floor; Susan Parry, CNA, behavioral health. PRN: Dakota Herring, patient care assistant, progressive care unit; Sean Hurley, security, Smithfield; Evelyn Alonzo, CT technologist, Smithfield; Tim Little, patient care assistant, Smithfield ED; Dana Grice, patient care assistant, second floor; Shelby Jackson, sitter, HealthQuest; Mattie Johnson, patient care assistant, fourth floor; Brian Lackey, RN, Clayton ED; Kayla Lee, patient care assistant, second floor; Omar Powell, respiratory therapist, Smithfield. Need a map? Maps of the hospital floors, the Johnston Health Medical Mall and the Johnston Health campus are available on Hospital Quicklinks under the folder titled campus maps. The PDFs can be easily printed or copied for mailing electronically. We wish him well Amber Stroud, coordinator for the HIM department, sat in on a class Friday for coders who are learning new code sets for ICD-10. Many other employees will be required to take a few hours of training, beginning in March. STAFF TRAINING UNDERWAY FOR ICD-10 E ver heard of getting burned while skimming along on fiery water skis? There’s a diagnosis code for that (Y9272) in the Tenth Edition of the International Classification of Diseases, called ICD10 for short. There’s also a code for getting injured while playing a brass instrument, Y93.J4, and for getting injured while in a chicken coop, V91.07XA. For the past year, the hospital’s coders have been learning new letter and number combinations that correspond to all sorts of scenarios— all toward getting ready for the federal government’s Oct. 1 deadline to switch over to the new code set. The new manual, which has 68,000 codes, makes the old ICD-9 with 14,000 codes, look puny. “It’s been challenging,” says Pam Pflaum, who is director of health information management for Johnston Health. On Friday, she sat in with her coders on a complex training session led by Donielle Bailey, who is the ICD-10 project coordinator for UNC Health Care. Pflaum says the staff is required to complete 80 hours of training. If all goes as planned, they will finish their classes by March 28, and then begin coding from both manuals to get practice. In short, the diagnosis codes are how the federal government, and most private health insurers, assess a value for every patient visit. Insurance companies use these codes to deter- mine how much to pay hospitals for care. “There are lots of moving parts,” says Chris Stephens, who is the project manager for ICD-10 at Johnston Health. He is an employee of Rex Hospital, and is on loan for the special project here. “I’m looking at all the touch points and learning how the system works. “We’re going to have to Chris take one bite at a time. And Stephens is project mangetting everyone in on the ager for ICDtraining is the most critical 10. thing,” he says. “If we don’t do well (on ICD-10), we won’t get paid for the work we’ve done, and that affects everyone.” Stephens says medical providers and certified nurse anesthetists started their training this month. He is now finalizing a training plan for staff. It will begin as early mid-March and will have to be completed by July 31. Depending on whether the employee’s role is clinical or non-clinical, the training could be six or four hours, he says. “ICD-10 is a way to improve the diagnosis and treatment of diseases,” Stephens adds. “But it’s also changing the way we get reimbursed. So if we code something wrong, then we get paid less, or we get paid too much, and then we have to pay it back.” Derek Slavin, director of food services, is leaving Johnston Health after six years of service. All staff is invited to a send-off reception from 2 till 4 p.m. Friday in the physicians dining room of the cafeteria. Health Chats in Clayton The quarterly Health Chats featuring doctors on the medical staff will have a second location starting in April: The Council Chambers of the Clayton Center in downtown Clayton. Dr. Jodi Bailey of Triangle Premier Women’s Health will be the next speaker at 6 p.m. on April 15 in Clayton and at 11 a.m. on April 16 in Smithfield in the auditorium at the Medical Mall. LifeLiner is published weekly by the Marketing and Community Relations Department. Suzette Rodriguez, writer and editor Emily Bass, social media Got news? Call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. A new room for the linen From left, Regina Faison and Edna Carmichael count and sort the blankets, sheets and towels that patients on the floors and other clinical areas will need for the day. The pair are working in a new space down the hall from the sterile processing department, on the way to the loading dock. They also have a new extension: 3537. Promoting chest pain accreditation Gordon Woodruff and his wife, Debbie, were so impressed with the lifesaving care he received in the emergency department in Smithfield last summer that they’re eager to share their story with others. Debbie, Gordon Woodruff The 62-year-old lawyer survived a massive heart attack on June 24, 2013, thanks to the staff and medical providers who assessed and diagnosed his condition, and then got him in en route to the cath lab in Raleigh—all within 22 minutes of the time he walked into the ED. “Ten miracles happened that morning,” says Debbie Woodruff. “Everybody knew exactly what to do, and their timing was incredible.” During the recent State of the System address, CEO Chuck Elliott used the Woodruffs’ story and that of another patient, Jason Hudda of Clayton, to highlight the hard work of the organization to become accredited chest pain centers. In the past year, the emergency departments have provided specialized care for a combined 61 patients who were having active heart attacks. At the cath lab that morning, Woodruff received two stents, one of which opened a complete blockage of his left main artery. Since then, he has made a full recovery and has lost 90 pounds through diet and an exercise program at HealthQuest. An ad featuring Woodruff’s picture and testimonial is now under design and will appear soon this summer in Our State Magazine. It’s one of the many media outlets the marketing department is using to get out the word about the accreditation. Indeed, the chest pain center accreditation has been an ongoing story for Johnston Health. In addition to the news releases to local and regional newspapers last May, a larger story was featured in the Johnston Health 2012 annual report, which was mailed to 30,000 households in the county. Print ads have appeared over the months in the eight local newspapers. They’ve also been featured on county maps, season passes at Smithfield-Selma High School, playbills for the Neuse Little Theatre, medicine bags at Creech Pharmacy and inside the visitor guide notebooks at Smithfield hotels. Also, ads have appeared on digital billboards in Smithfield and movie screens at Smithfield Cinema, and have aired on the radio in Dunn and WRAL-TV. To keep everyone abreast of marketing efforts for chest pain accreditation and other services of Johnston Health, the marketing department is adding a website page to display the latest ads circulating in print, radio and TV. There will be a page as well for patient testimonials and letters. Both will be features of the new website, which will make its debut next month. “Not everyone reads their community newspaper or pays attention to billboards,” says April Culver, the vice president who oversees marketing activities for Johnston Health. “This will be a great way for everyone to see where and how we’re spending our advertising dollars.” Wednesday, March 5, 2014 THE VOLUNTEER GIFT SHOP NOTEWORTHY There’s a Quicklinks folder for that It started as a network folder for shortcuts. Rather than having MIS technicians go around to every computer to update icons, links to the shared folders within departments would live in one central place: thus the name Hospital Quicklinks. But since appearing on desktops in April 2008, Quicklinks has evolved into a repository for information. There are now folders for hospital campus maps, templates, HR policies and meeting minutes. Jonathan Crabtree, the MIS supervisor, says there are 109 objects, which can be visually overwhelming when someone is trying to find a particular link, for example, to the Maintenance Helpdesk. (That’s where you place a work order for the engineering department.) Still, it’s worth the effort. Not sure how to record a phone message? Look in the Cisco Phone Training Guides folder. Need the phone numbers for departments? You can find it in the phone lists folder. Need someone to notarize a document? There’s a list of employees who can handle the task. Want to know what’s cooking in the cafeteria? Check out the folder labeled food service menus. Need the new PowerPoint template with the UNC Health Care logo, go to the folder labeled hospital approved forms, then look in the marketing subfolder. Interested in finding out what’s going on in the leadership meetings that follow the monthly meetings of the Johnston Health board of commissioners? You can read the minutes in the Leadership Meeting Minutes folder. Crabtree points out that some of the info in the folders needs updating, and he encourages departments to do so. He can grant access to someone within the department to make those changes. Requests to add new folders must be placed by a work order. To do that, or to get something fixed on your computer, click on the link titled MIS Helpdesk and fill out the fields. In the meantime, take a moment to browse Quicklinks and learn something new and useful. A patient story, State of the System videos If you missed the State of the System last month, you can watch the address on You Tube channel. It’s unlisted, so you need to use this link (press the control key and click): https://www.youtube.com/watch? v=9NTaWj3rEZw&feature=youtu.be There’s also a short video interview with Gordon Woodruff and his wife, Debbie. He was a heart attack patient who was a guest at the State of System session in the auditorium of the Medical Mall. Here’s the link to the Woodruff video: https://www.youtube.com/watch? v=XLZgB5JW4Hc&feature=youtu.be LifeLiner is published weekly by the Marketing and Community Relations Department. Suzette Rodriguez, writer and editor Emily Bass, social media Got news? Call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. Director swayed by kindness Russ Curry says welcoming staff made a good impression Phyllis Everette was shopping Tuesday in the hospital’s Volunteer Gift Shop for a birthday present for her sister. All profits go toward buying equipment and other items that departments need in the care of patients. Jewelry, flowers and bears; There’s something for all IT’S WHERE THE RECEIPTS YIELD GOOD DEEDS T here’s hardly a weekday that Phyllis Everette doesn’t buy something in the Volunteers Gift Shop—candy for the staff, a stuffed animal for a grandbaby, a gift for a baby shower. On Tuesday, she picked out a heartshaped trinket for her sister’s birthday. “They always have new things,” says Everette, who is the clinical coordinator for the intensive care unit. “Plus, you can find things there that you can’t get anywhere From left, Janet Evans and Shelby Holt of the cardiopulelse.” monary department gather with Sue Archambeault and When December rolls Myrtle Pilkington of the Johnston Health Volunteers to around, she’s done with show off the department’s blanket warmer purchased Christmas shopping. with Gift Shop profits. Throughout the year, she simply tucks underneath her desk the giftlast leg, the volunteers bought the batteryshop purchases she’s made. “I rarely have to powered model that’s now ferrying visitors buy anything else,” she says. back and forth from their cars to the entrances. By shopping where she works, Everette is But they’ve also bought small things such as giving back to the workplace. lab bags for the cancer center and yoga mats That’s because the volunteers spend the gift for patients in the behavioral health departshop profits on equipment and other items— ment. Until then, the patients had been doing large and small—that departments need in the the exercises on the bare floor. care of their patients. Volunteers have also bought sheet cakes as Sue Archambeault, president of the volunpart of the celebration honoring employees teers, says a committee grants requests for during Hospital Week. And on Christmas Day, things that will bring the most benefit to the they distributed 130 teddy bears and ceramic most patients. “We’re looking for impact,” she Christmas trees to patients in the hospital. says. Everette, the frequent shopper, likes knowing Most recently, they bought a blanket warmer that her purchases end up helping patients. “I for the cardiopulmonary department. The don’t regret buying anything in the gift shop,” piece of equipment, which cost $5,800, had she adds. “I know it’s going to a good cause. been on the staff’s wish list for years, but had “And the ladies who run the shop are so nice. never made the cut, says Shelby Holt, director It makes shopping so much more fun.” of cardiopulmonary services. Does your department have a need that’s not A patient who’s wrapped in a warm blanket in the capital budget? Please describe what is more relaxed and comfortable, she says. But you need, how it affects patients and how more important, the heat improves their blood many. You may send the requests to April flow, which makes testing for peripheral arteCulver at [email protected]. rial disease, for example, easier and more accurate. Who are the Gift Shop managers? “It’s been a blessing,” Holt adds. “Our paEver wonder who picks what goes in the tients, who are often wearing just a hospital Gift Shop? It’s volunteers Nancy Small gown, say the warm blankets feel so good. For and Kay Matthews. “They’ve done a pheus, Christmas has arrived early.” nomenal job in deciding what employees Volunteers contributed their largest gift, and the general public want to buy for $25,000, to the emergency department’s capithemselves and as gifts for others.” tal campaign. But they’ve also made smaller —Sue Archambeault, volunteers president donations such as $2,000 to the Angel Fund. When the diesel-powered golf cart was on its Russ Currie could have gone to a bigger place with a position of greater responsibility. But the new director of food services says he chose Johnston Health because he liked the caring and kindness among the staff. An incident at the salad bar in the cafeteria might have sealed the deal on his first visit. A nurse dropped a bit of salad dressing on the floor, and it Russ Curry splattered on his shoe. “She started apologizing, trying to make things right,” he says. When a cashier standing nearby saw the mishap, she used the opportunity to tell the visiting Currie that everyone was trying to make him feel welcome. “It’s not that way in every place,” he adds. “That’s what makes this place different. And that’s why I came.” Prior to coming to Johnston Health, Currie was the general manager of food and nutrition services for two years at Virginia Commonwealth University Medical Center in Richmond, Va. In addition to patient-meal preparation and delivery, he was responsible for cafeteria and franchise operations, catering services and the clinical nutrition program. He oversaw 175 employees. Throughout his 24-year career with Aramark, Currie has overseen the food and nutrition services at six hospitals. His largest assignment was at Vidant Medical Center in Greenville, where he worked for 12 years. Among other things, he designed and opened a heart-healthy full-service café for the new cardiac hospital. It was at East Carolina University in Greenville where he earned a master’s degree in systems technology. He received his bachelor’s degree in dietetics from The Ohio State University. Currie says he’s always been interested in food. He was a cook in the cafeteria while in school at Ohio State. Back then, the kitchen was responsible for preparing meals for the City of Columbus’ Meals on Wheels program. Growing up in Cleveland, Ohio, he used to quiz his grandmother, who was of German descent, about her recipes. She never used measuring cups or spoons—always a pinch of this or a handful of that for her tasty breads and cakes. But his passion has been more about managing people than cooking dishes. “Food is the end result,” he says. “It’s really the development of people, whether its staff or managers. I’ve developed managers over the years. It gives me great satisfaction to see people grow and develop, to impart knowledge and then to have them figure it out on their own.” Here at Johnston Health, Currie says his most immediate project will be to get the cafeteria and food services up and running in Clayton. The inpatient beds are scheduled to open in January 2015. Among other things, he’ll have to plan for staffing and the level of service. Though Johnston Health is a smaller hospital than his other past assignments, he says he’s looking forward to growing with the newly affiliated health care system, and to enjoying a better balance between work and life. He and his wife, Bonnie, have seven grandchildren and another one on the way. All but two of them live in Wake Forest. Need a shot? If you need a shot this month, please mark your calendar. In Clayton, an employee health nurse will be giving shots and TSTs on March 18 from 7:30 a.m. till noon and from 1 till 3:30 p.m. In Smithfield, shot day will be March 21 from 7 a.m. till noon and from 1 till 3:30 p.m. March 12, 2014 RETURNING TO ‘WORK’ NOTEWORTHY Internist relocates to Smithfield Dr. Collins says treating older adults is her passion Margie Gower was a CNA for 31 years before retiring in 1996. She is one of eight Johnston Health retirees who now volunteer at the hospital. A sailboat by student Trevon Williams A new art exhibit The artwork of students from West Clayton Elementary School is now on display along the Women’s Pavilion hallway. The art teacher is Emily Parks. The Johnston County Arts Council coordinates the exhibit with art teachers from Johnston County Public Schools. ICD-10 training begins March 17 What’s ICD-10? It stands for the Tenth Edition of the International Classification of Diseases, and it’s the coding system used to improve the diagnosis and treatment of diseases and, most importantly, to determine how much hospitals get paid for care. Come Oct. 1, the new code set will replace ICD-9, which has been in place for 34 years. While coders are the employees who will work most closely with ICD-10, it affects everyone, says Chris Stephens, who is responsible for implementing the new set at Johnston Health. “If it’s not done well, then the hospital doesn’t get paid for the services it’s provided.” It’s so important, in fact, that Johnston Health is requiring training for most employees. The courses will appear March 17 on HealthStream. They have been tailored and assigned based on how employees might interact with the ICD-10 codes, Stephens says. A module for clinical staff will have six courses; and the training for employees in patient financial services will have 10. The training is mandatory and must be completed by July 31. An ICD-10 steering committee is made up of the chief financial officer, the vice president of medical affairs as well as directors of case management, education, health information management and PFS. They’re suggesting that managers and directors use their huddles as a way to encourage employees to complete the courses by the due date, he says. LifeLiner is published Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. RETIREES RECONNECT, HAVE FUN AS VOLUNTEERS O n a recent Thursday morning, Dorothy Fields was manning the hospital’s front desk when she noticed several EVS employees cleaning the lobby. She wondered if surveyors from The Joint Commission might be on their way. After making a phone call, Fields found her suspicions unwarranted. Still, she had to chuckle at that old “high-alert” feeling. It had been part of her work life for nearly 29 years. Before retiring in 2006, Fields was responsible for getting the hospital prepared for the accrediting agency’s surprise visits. She still works in the quality department one day a week, but it’s much less taxing than before. “I thought I would be out the door completely,” Fields says. “But I’m not the kind of person to stay at home.” Farrah Nguyen, volunteer coordinator, says Johnston Health retirees make great volunteers for obvious reasons: They know the campus well, and have a good knowledge of services. “When they return, I think they find great satisfaction in helping people in a different sort of way,” she says. “I wish we had more of them. We need more help.” Denise Langston escorts patients to sameday surgery and family members to the recovery area in endoscopy. “When I worked, I never saw public people and very rarely someone in need,” she says. “Now, all I do is help people, and it really makes me feel good.” Langston worked at the hospital for 30 years before retiring in January, 2011. She last worked in the health information management department. “At the time, I thought that there was no way I would ever come back,” she says. But less than a year later, she filled out the volunteer application. “You don’t miss the work, but you do miss the friendships,” she says. “What I’m doing now is fun.” And Langston knows how to have fun. She laughs with other volunteers and uses her sense of humor to ease tense moments for patients. To a man who was carrying his wife’s handbag to surgery prep, Langston complimented him on how well his shoes matched his accessory. The couple got a good chuckle. “I always wish them luck,” she adds. “I tell them that everything’s going to be OK.” Margie Gower was a beloved CNA on Two West before she retired in ’96 after 31 years. She’s been volunteering now for nearly 15 years. “Everyone used to call me ‘Ma’,” she says. “I’ve always loved people. And volunteering gets me out of the house.” In one respect, Fields says she treats her volunteer day as if it were a job. “If I know I’m going to be out, I try to find someone to cover for me,” she adds. “I enjoy what I do. I came back because I thought it would be interesting to assist people. And it has been.” Nguyen lists other hospital retirees who volunteer: Vernell Harvey, Wanda Blackmon, Gertrude Beaver, Georgia Pilkington and Judy Phillips. And until recently, Sallie Evans was a volunteer. She came to work at the hospital when it first opened. An internist has joined the medical staff of Johnston Health. Dr. Nicole Collins of Wake Forest is opening a fulltime practice in the Johnston Medical Mall in Smithfield. She welcomes adults of all ages, particularly older adults. “I’m a comprehensive physician,” she says. Nicole Collins, MD “I’m big on preventive health, but I’m equally concerned about my patient’s mental health and social well-being.” Before coming to Johnston Health, Collins was in practice for 12 years in Louisburg with two other internists. “I loved my patients,” she says. “I’m looking forward to establishing those kinds of relationships here, too.” Collins received her bachelor’s degree from the Philadelphia College of Pharmacy and Science, and her medical degree from Pennsylvania State University. She completed a two-year residency in internal medicine at the University of South Carolina. Following another year of residency in internal medicine, she completed a year-long fellowship in geriatric medicine at what is now Vidant Hospital in Greenville. She is board certified in internal medicine. Collins grew up in Philadelphia and says she knew by age 5 that she wanted to be a doctor. In high school, she was signing “Dr.” in front of her name in her classmates’ yearbooks. “It’s all I ever wanted to do,” she says. It wasn’t until her final year of medical school, however, that she chose internal medicine and discovered a passion for working with older adults. During her years of practice, Collins says she’s seen increasing numbers of patients with dementia, and as patients live longer at home, more falls. So she works particularly hard at getting families involved in watching and caring for their aging parents. “Thankfully, there’s a sense of community in small towns where neighbors grow old together,” she adds. “We have many conversations about people taking care of one another.” Collins is married to her husband, Jeff Johnson. They have two children, ages 10 and 8. The new practice, Johnston Medical Associates Internal Medicine, will begin seeing patients and taking appointments March 24. The number to call is 938-7187. Zone raises awareness, emphasizes goal to be more attentive The No Pass Zone was such a success on second floor that it’s being rolled out this week hospital wide. Started in January as a pilot, the initiative was aimed at improving the HCAHP scores for the responsiveness of hospital staff to patient needs. After two months, the score increased slightly above the 75th percentile, which is better than the benchmark set by the Centers for Medicare and Medicaid Services. For January, the score of 80 was up 21 points from the previous month. “I was surprised we were able to move our scores and to get our staff and patients on board that quickly with this initiative,” says Amber Daughtry, who is the patient experience specialist. When in the zone, employees are asked to stop into the patient’s room to offer assistance if they hear an alarm or see the call An initiative that began on second floor is going hospital wide this week. light flashing. “It only takes a minute to see what patients need, and it makes such an impression,” Daughtry says. “It shows that all of us— clinical and non-clinical—are working together to ensure that they’re getting what they need. It shows we care.” No Pass Zone signs will be posted this week so that visitors and family members are aware of the initiative, Daughtry says. “They’ll know we have a process in place, and that we intend to respond.” Tonya Murphy, who is the clinical coordinator for respiratory therapy, thinks the No Pass Zone is a great idea. “It makes patients feel they’re being attended to,” she says. When Murphy recently answered a call light during the pilot, the patient simply wanted to talk with her nurse. She found the nurse’s name on the white board, went and found her and relayed the message. The patient was satisfied, and the nurse appreciated the help, she says. Sophia Smith, the clinical coordinator for second floor, says she’s proud to have hosted the pilot program. “It was an opportunity to recommit ourselves, and to explain the initiative to other departments,” she says. “It’s helped us hardwire what we should do.” March 19, 2014 STORIES THAT CONNECT Nathan Clendenin gets Katie Coulbourne and Derek Walker ready for their takes. He’s using the white board to reflect light. NOTEWORTHY Our new website’s debut It’s been in the making for months. The new Johnston Health website will make its debut today. It promises to be more userfriendly and to have more options. A complete story about its features will appear in next week’s issue of the LifeLiner. The address will still be Johnstonhealth.org. Honored by the Chamber The Smithfield-Selma Area Chamber of Commerce has named Lesley Atkinson its top Ambassador of the fourth quarter of 2013. Atkinson is the sales and marketing coordinator for HealthQuest. Member services vice chair Dwight Morris and board chair Keith Dimsdale presented the award. Nominations sought The Standards of Behavior Committee is seeking nominations for its "Making A Difference" program, which recognizes the work of departments in terms of the organization’s five pillars: people, quality, growth, value and innovation. Nomination forms are available from and may be submitted to the Rev. Greg McClain, manager of spiritual care services and chairman of the committee. Docs on the move Dr. Marc Stevens is moving to a new opportunity in western North Carolina in late June. We wish him the best. He has been an advocate for his patients and a supporter of Johnson Health. His successor at Triangle Orthopaedics will be Dr. Lucas Romine, who will be joining the Johnston Health medical staff in August. Also, Dr. St. Claire, a neurosurgeon from Raleigh, will begin seeing patients March 25 in the Medical Arts Building. A short fiscal year Johnston Health’s fiscal year will change to coincide with UNC Health Care. So during the next two months, the finance team and directors will be putting together a budget for the new fiscal year, which begins July 1 and ends June 30, 2015. The old fiscal year ran from Oct. 1 to Sept. 30. Save the date The Masquerade $5 Jewelry and Accessory Sale will be from 7 a.m. till 5 p.m. on April 2 and from 7 a.m. till 3 p.m. on April 3 in the hospital cafeteria. Proceeds go toward the Volunteer Scholarship Fund. Children ages 11 to 13 can learn how to be safe and responsible babysitters during the SafeSitter classes scheduled this summer. In addition to basic child care tips, they’ll learn basic lifesaving techniques, how to prevent accidents, and how and when to call for help. The education department has scheduled the two-day sessions from 9 a.m. till 4:30 p.m. on June 19-20 and July 15-16 in the auditorium of the Medical Mall. The fee is $65 per child. To pre-register, call 938-7736. LifeLiner is published Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. UNC Health Care broadens series to include affiliates Two Johnston Health employees are helping promote a new UNC Health Care series called “RealMedicine: Stories that connect.” Katie Coulbourne, clinical coordinator for endoscopy, and Derek Walker, an RN on fourth floor, will appear and speak briefly during an introduction that includes other UNC affiliates. Nathan Clendenin, the series’ producer, came Thursday to film. He also took video shots of several employees as they smiled. The series will be made up of stories about physicians, nurses, employees and patients across the system. Want to see a story? Check out http://uncmedne.ws/realmedicine Got an idea for a story? Email Clendenin at [email protected] or call 919-923-6834. Name changes reflect CMS rule W hen patients get mammograms, rehab or chemotherapy at the Johnston Medical Mall, it’s not always clear to them that those outpatient services are, indeed, provided by the hospital. Getting rid of any possible ambiguity or confusion is the thrust behind several important name changes at Johnston Health, particularly for the departments outside the walls of the hospital and on the Clayton campus. The Centers for Medicare & Medicaid Services requires hospitals to clearly identify their services so that consumers know exactly with whom they’re doing business, says April Culver, vice president of planning and external affairs. “It’s a distinction that we’ve really not emphasized in the past.” So, for example, Johnston Therapeutic Wound Center is now Johnston Health Therapeutic Wound Center, A hospital department of Johnston Health. It’s important to use the new name and accompanying phrase on paperwork and marketing materials, and to say both when answering the department’s main phone number and when taking transferred calls that may be from the public, she says. “We realize it’s a major change and a mouthful,” she adds. “But it’s what we have to do to be compliant.” Another consequence is that Johnston Health will henceforth become the name for both the health care system and the hospital. In other words, the facility names, Johnston Medical Centers in Smithfield and Clayton, will no longer be used. From now on, the outpatient center and emergency department in Clayton will be called Johnston Health Clayton. While it may sound redundant to use Johnston Health twice in the names for outpatient services, Culver says it’s important that consumers easily grasp that the service is a department of the hospital. For now, the departments in Clayton (surgery, emergency, laboratory and ambulatory imaging) must identify themselves as hospital departments of Johnston Health. But once the inpatient beds open in January 2015 and the outpatient center becomes a hospital, then the phrase will no longer be needed. Still, the two hospital departments in the Johnston Professional Plaza—Johnston Health Clayton Hematology Oncology and Johnston Health Clayton Sleep Center—will continue to be called hospital departments of Johnston Health because they are not inside the hospital building. Home Health welcomes new manager Marisa Hamilton of Youngsville, a registered nurse with 19 years of experience, is the new manager for Johnston Home Care and Hospice. “It’s a wonderful opportunity,” she says. “I’m looking forward to building relationships with customers, including co-workers, patients and famiMarisa Hamilton lies.” Before accepting her new role, Hamilton was the team leader for Rex Home Services. She says her director knew of her interest in management, and asked if she would like to fill the opening. Hamilton will remain an employee of Rex Hospital and work on contract with Johnston Health. “My passion is taking care of people in their homes,” Hamilton says. “You get to know patients on a different level. You get to know their families. It’s so much more of a holistic approach to nursing.” Hamilton grew up in Blacksburg, Va. She received her associate degree at Wytheville Community College and her bachelor’s and master’s degrees in nursing from Jefferson College. She first worked for two years at Montgomery Regional Hospital on the floor for medical and surgical patients. Afterward, she went to Winston-Salem Baptist for a year where she worked with acute pediatric patients. For the next several years, she worked for a home health agency in Virginia. She started out taking care of patients, young and old, and then moved up into management positions. A year and a half ago, she moved to North Carolina to accept a position as clinical manager for an independent home health agency in Raleigh. After attending general and nursing orientations on Monday and Tuesday, Hamilton will get settled today in her office. And on Thursday, she’ll have her first opportunity to meet the nurses on her staff. “As clinical manager, you get to see the different facets of the job,” she says. “There’s teaching and helping nurses understand the changing Medicare regulations that we have to follow. And then there’s the role of being the middle person between the executive leadership and the clinical staff, and helping them meet in middle so that we achieve our goals to be financially strong and to provide excellent care.” Lean focuses on OR turnaround Surgery is a major source of revenue for Johnston Health. During an RIE last week, a team of staff members from Clayton and Smithfield looked at how to better use staff and supplies and how to reduce turnaround times between surgical procedures. Jessica Springer, director of Lean process improvement for Johnston Health, summarized the group’s challenges and action plans as follows. ▪The da Vinci surgical system takes a significant amount of time to move and set up. To save time, the group suggested leaving it in Room 2. ▪There are sometimes “hold” items on the case cart that a surgeon may or may not use during a procedure. The group suggested putting those items in a bag with a special label, which lets others know not to open it during the initial set up. This plan reduces waste. ▪To improve efficiency, endoscopy and the Women’s Pavilion are going to schedule their procedures (caesarian sections) within the operating room module. This will prevent surgeons from getting double-booked, which can create delays. ▪The group also came up with a plan called parallel turnover. This means the circulating nurse and CRNA together will talk with and bring the patient to the OR. This new process is expected to help get the patient in the room faster and to improve patient safety. ▪There’s also a plan to consolidate the inventory between and outside the operating rooms and the sterile processing department. This should reduce the time it takes to pick the supplies. The group came up with ideas to improve efficiencies in the Clayton Members of the team during last week’s RIE were: intern Ryan Killane, Jim Kurian (from NCSU), Jessica Springer, Lynn King, Kim Daughtry, Jackie Ring, Heidi Spicer, Sabrina Davis, Karla Allen, Jackie Stevens, Allison Godwin (from NCSU) and Dana Davis. operating rooms. ▪To save time, the sterile processing techs will now pick the case carts. Until now, the OR techs had done the task. This change will allow the techs to stay in operating room. ▪Also, the staff will work toward getting the OR attendant more familiar with set up and positioning equipment as a way to reduce the turnaround time. March 26, 2014 CLAYTON CONSTRUCTION NOTEWORTHY Construction at Johnston Health Clayton is going well. On Friday, crews were installing the steel beams for the stairway and laying exterior stone. Above from left, Scott Williams, the construction manager for Johnston Health, looks over the blueprints with site superintendent Dan Bernard of TA Loving. The two are part of a larger team that meets every Tuesday to review progress and update scheduling on the project. NCAMSS officers, from left, are: Sherry Settle, secretary; Donna Phillips, president-elect; Rhonda Boyd, president; and Jennifer Deel, treasurer. Hosting a NCAMSS meeting Donna Phillips, manager of medical staff services for Johnston Health, is presidentelect of the North Carolina Association for Medical Staff Services. And as the program coordinator, she hosted and put together the group’s quarterly meeting on March 10 at the Johnston Medical Mall. Among the guest speakers for the day were Dr. Donald Pocock, vice president of medical affairs for Johnston Health. He talked about the challenges of developing effective medical staff leaders. More than 30 directors and managers from hospitals across the state attended the event. Lean’s A3s now on Quicklinks Interested in reading about the staff’s efforts to save steps and reduce waste? Story boards, also called A3s, have been posted on Hospital Quicklinks in the Lean folder. What does A3 stand for? It’s the European term for an 11-by-17-inch sheet of paper, which is just the right size for displaying the nine boxes or steps used to guide employees in identifying and then finding a solution to a problem. Photos, short phrases keep the story simple, to the point. Open house at the ELC You’re invited to the Spring Festival at the Early Learning Center from 10 a.m. till 1 p.m. on April 5. The family event will include an open house, children’s games and activities as well as visits from local firefighters, EMTs and police officers. ELC children will perform for visitors. Proceeds from a cake and hotdog sale, and a silent auction will go toward enhancing activities at the center. Upcoming Health Chats Dr. Jodi Bailey of Triangle Premier Women’s Health will talk about women’s health during the next Health Chat at 6 p.m. on April 15 at the Clayton Center and at 11 a.m. on April 16 in the auditorium at the Johnston Medical Mall in Smithfield. To register for the free event, go to www.johnstonhealth.org. Shop at the jewelry sale The Masquerade $5 Jewelry and Accessory Sale is from 7 a.m. till 5 p.m. on April 2 and from 7 a.m. till 3 p.m. on April 3 in the hospital cafeteria. Proceeds go toward the Volunteer Scholarship Fund. LifeLiner is published Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on FaceBook and Twitter. Super uses stickies to stay on schedule WHEN DRYWALL GOES UP THIS WEEK, WING’S INTERIOR WILL QUICKLY TAKE SHAPE F rom the war room of the TA Loving trailer, site superintendent Dan Bernard oversees construction of the Johnston Health Clayton project as if he were conducting a 60-piece orchestra. On any given day, 15 to 20 subcontractors (which can compound into more than 100 workers) may be on site. And just as musicians must know the arrangements of a symphony, so must the subs know exactly when to come in and what to do. “It looks chaotic, but there’s a rhyme and reason,” Bernard says of the construction beehive. “It’s my job to keep it all straight.” Six months into the project, it’s been smooth sailing. In spite of 20 or so rain days, the project is scheduled to finish on time: Jan. 6, 2015. On Friday, a crew began laying the exterior stone. And on Monday, another crew began hanging drywall on the first floor of the three-story patient wing. Alterations have begun, too, on the existing building. To accommodate the construction outside the emergency department, the entrance for ambulances has been temporarily relocated around to the front. Stretchers now arrive through a side entrance of the emergency department’s reception area. Also notable, on April 1, crews will begin demolishing the main conference room to make way for the kitchen. “Things will start happening quickly,” Bernard says. To keep the construction project on course, Bernard has translated the pages of schedules into a simple story board made of sticky notes. They’re attached across sections of two walls inside the war room. Every trade is represented by a color. The notes are arranged in vertical columns beneath the days of the week so that everyone can see right away what’s going on and what’s coming up. “It takes away the guess work,” he says. Bernard uses the tool also to see if there’s too much activity scheduled on a certain day. “I can check the logic by putting it all on the story board,” he says. On another wall, a large site map is divided into quadrants and given letters to identify locations. Colored numbers on other parts of the map denote the order in which steel has been erected. Scott Williams, the construction manager for Johnston Health, says Bernard is a stickler for finishing on time and ensuring that the work is done right. “If we tell him that something is due Wednesday, he tries his best to get it done by Monday,” he says. Bernard says finishing on time is good business. “We all make money if we get the work done on schedule. If we finish late, then it’s bad for everybody,” he adds. To stay on track, crews work on weekends, if need be. The cement for the ground floor of the patient wing, for example, was poured on a Saturday—all 300 cubic yards of it, Williams said. So how does this project compare to the first? “The first time, no one was here,” Bernard says. “Now we’re having to schedule our work around employees, visitors and patients, and that comes with regulations.” For example, permits for certain types of work have to be filed 48 hours in advance. Utilities have to be shut down so that crews can move water lines, relocate gas meters and upgrade transformers. “We have to put up dust walls to ensure that the hospital is safe,” he adds. Bernard thinks the most difficult part of the project will be the addition to the emergency department because it affects the most people. Another big task will be moving the MRI to its new space. During the 45 days that it will take to move the equipment, recalibrate and test it, a mobile MRI will be leased to ensure that the service is available. Bernard says he wanted to come back and work on the expansion because he likes finishing what he starts. “Plus I enjoy working with Scott, Kyle McDermott and Jackie Ring. Everyone here is so nice,” he adds. More content, features and employee photos appear on website Johnston Health’s new website is easier to use and has more information and features, including a page for employees. Emily Bass, marketing coordinator, worked closely with New Media Campaigns to add and update content and to design the website. The work started last June. A signature color was chosen after Johnston Health finalized its partnership with UNC Health Care in February. “Many of the sections are reorganized and expanded,” she says. “We’re now at a good starting point to keep our content relevant.” From henceforth, Bass will be able to post announcements and new information to keep the site current. Also, readers can easily share pages on social media, and the blog is now a part of the website. “If departments have changes in policies or services, I can more easily update the information on the site,” she says. Public calendars list special events and offer online registration. Applications to become a volunteer (chaplain, hospice, hospital or junior volunteers) can now be completed and submitted online. On the employee page, there’s a calendar that lists classes and in-house events. There’s also an archive of newsletters as well as employee awards and recognitions. The website uses more photographs of employees and has a special section for patient stories. The search feature for doctors is also more functional. If you’re viewing the site with an older browser such as Internet Explorer 7 or 8, you may be missing some of the design features. It works The homepage now includes more photos of employees. Above, the start of the Champions 5K last year. best with IE versions of 9 and above or Chrome, Bass says. “We’re now working with MIS and our website designers so that everyone can view the site at its best here at work.” April 2, 2014 A PINWHEEL GARDEN NOTEWORTHY Your LifeLiner, twice a month Starting this month, the LifeLiner will publish every first and third Wednesday rather than every Wednesday. Electronic versions will continue to go out at noon, or shortly thereafter. Also, paper copies will continue to be distributed to departments on Wednesday afternoons. Extra copies are available in the newsstands near the Cyber Café at the Johnston Medical Mall or at the hospital’s front desk. Clerk of Superior Court is valuable legal resource Summer staffing starts April 27 As you plan vacation, keep in mind the period for summer staffing. It applies to employees in all non-clinical support departments who do not flex based on volumes or patient census. In addition to the three holidays (Labor Day, Memorial Day and Fourth of July), employees must take eight paid days off during the stretch of pay periods starting April 27 and ending September 27. Awards banquet is May 13 The Johnston Health Ambassador of the Year will be named May 13 at the employee awards banquet in the cafeteria. It’s also the night that employees celebrating milestone anniversaries of 10, 15, 20 years and beyond will be recognized. Employees celebrating five-year anniversaries will be treated to breakfast on May 13, too. The human resources department will send out invitations to both events. Clayton lab earns re-accreditation The Accreditation Committee of the College of American Pathologists has awarded accreditation to the Johnston Health Clayton laboratory following a recent on-site inspection. During the visit, inspectors examined the lab’s records, quality of control procedures for the preceding two years as well as staff qualifications, equipment, safety program and overall management. Clayton adds procedure Since late February, bone density tests have been available in the radiology department at Johnston Health Clayton. Ricky Byrd, imaging director, says it’s been convenient especially for patients who are accustomed to pairing the test with their mammogram. Answer this question correctly to be eligible for Mudcats tickets Answer this question correctly and you will be entered into a drawing to win general admission tickets to a Mudcats game at 7 p.m. on April 15 or 16. What event sponsored by the Foundation is taking place on May 3 to assist the Angel Fund? Please email your answer and (your preference for 2 or 4 tickets) to Anaira Knight at [email protected] by noon on Thursday. Winners will be notified via email by noon on Friday and given instructions for picking up their tickets. No phone calls, please. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Foundation to honor Will Crocker Nurses from third floor who planted pinwheels in front of the Johnston Health emergency department on Tuesday were, from left, Cassidy Gray, Ashley Rains, Casey Nunnery, Whitney Page and Holly Brewer. CAMPAIGN RAISES AWARENESS OF CHILD ABUSE W hen you see the colorful pinwheels this week in flower pots and in landscaped areas around the hospital, think of the value of children and the bright futures they deserve. This week, the nursing staff on Third Medical/Pediatrics has planted the pinwheels as part of a month-long campaign to raise awareness of child abuse and neglect in North Carolina. The pinwheels symbolize the stable, healthy childhood that all children deserve. “Abuse and neglect can come in many different forms,” says Donna Hinnant, director of the floor. “There’s verbal, sexual and physical abuse. And neglect can take the form of not providing food, medical attention or proper shelter.” Hinnant says the nurses on her staff are participating in the campaign because they love taking care of children. Even though Johnston Health has few pediatric patients, (about 10 patient days in a twoweek period), all of the nurses on her floor keep up their certifications in pediatric advanced life support or PALS. In addition to the children, she says her staff assesses their families and looks for ways to help them. This includes referring parents to parenting classes offered at the health department and connecting them with other community resources to help with living expenses and food. Hiede Erickson, social worker/case manager for Third Medical/Pediatrics, says 37 percent of child abuse and neglect reports in Johnston County involve children from infants to age 5. And she says most of the reports are of neglect. “Typically, law enforcement officers see the majority of cases, followed by school teachers, and then medical providers,” she says. “But anybody can report neglect or abuse.” Erickson says education and outreach lead to prevention. “Helping parents figure out how to parent, and helping families get the resources they need can go a long way,” she says. Child abuse, neglect, and other adverse experiences that are not addressed, damage the architecture of the developing brain, resulting in poor outcomes for children and communities, from academic failure to violence to chronic health issues, Erickson says. Because of the nature of the health care business, Johnston Health often needs a friend at the Johnston County Courthouse. Will Crocker, clerk of Superior Court, has been a trustworthy legal resource for the last 35 years. And he will be sorely missed when he retires at the end of December, hospital leaders say. When the hospital has needed help in securing guardianships and other legal documents important to the care and wellbeing of patients, it’s been able to rely on Crocker. On Oct. 9, the Johnston Health Foundation will honor Crocker at its social preceding the annual golf tournament. The event will be at the Portofino Clubhouse in Clayton, and proceeds from ticket sales will go toward needs at the SECU Hospice House. Alison Drain, director of the Foundation, says honoring a member of the community is something new for the Foundation. “We wanted a way to thank people for helping to build a better community and a stronger health care system,” she says. Rather than having a program and dinner, Drain says the Foundation chose the social so that attendees could mingle and talk with the honoree in a fun, light atmosphere. There will be entertainment and heavy hors d’oeuvres. On Thursday, Bobby Parker, chairman of the Johnston Health Services Corp. Board, thanked Crocker for making himself available to help with legal matters at all hours of the day and night, weekends and holidays. “Without his dedication and service, our administrators and staff would find it difficult, if not impossible, to resolve difficult and often sensitive issues,” he said during the board meeting. The board approved a resolution of appreciation for Crocker and gave him a standing ovation. Crocker attended the meeting to swear into office the 17 members of the new board. He told the group that serving people was what elected officials were supposed to do. Lost, found end up in Helms’ hands If you’ve ever left behind a phone charger or a favorite pair of bedroom slippers in a hotel room, then you know what a chore it can be to get it back, if at all. It falls to Captain Brice Helms of the hospital’s security department to reunite patients, visitors and employees with items they’ve lost or left behind at Johnston Health. The shelves of the lost-andfound closet, which is in same day surgery, are chockfull. There are sunglasses, pillows, sweaters, gloves, car keys and even walkers. Clothes, by far, make up the bulk of the items and come mostly from patient rooms, Helms says. If a name is on the piece, then he makes every effort to contact the owner, through a letter and/or phone call. If the clothes go unclaimed after 30 days, then he bags them up and donates them to the Salvation Army. Before the bags go out the door, however, employees at behavioral health look through the clothing to see if their patients can use them. Valuables such as jewelry, wallets and cell phones are kept in the safe. And Helms makes every effort to find the owners, even tracking them through patient records. Through a process that Helms put into place two years ago, security officers take detailed reports of lost items and keep a detailed log of found items. All items go into plastic bags and a form with their history is attached. Helms says it would make his job easier if lost items were turned in as soon as they’re found. Owners typically call the next day if they’ve lost or left behind something. And he says it would be helpful if the discharge staff on the patient floors could check behind patients to make sure they’ve collected all of their possessions before they leave. Helms says people are grateful to the security office for making the extra effort to return lost items. The wife of one patient hugs the captain every time she sees him in the hospital. Helms returned her smartphone, which had photos of her husband’s foot. “They used the pictures to show the doctor the progression of his disease, Captain Brice Helms checks the paperwork on items in the lost and found closet. It’s his job to make sure that Johnston Health exhausts all means to reunite owners with their possessions. which started with an infected toe and ended up with surgery. It was a visual record, and to them it was priceless,” he says. April 16, 2014 VALUING THE VOLUNTEERS NOTEWORTHY It’s your birthday Want to wish a happy birthday to a coworker? Human Resources has posted in its folder on Hospital Quicklinks the birthdays of all employees. So if you see Charlene Meyers of HealthQuest or Laura Rose of Behavioral Health today, wish them a happy birthday. Don’t worry, the list doesn’t include birth dates. So there’s no ages attached. During Patient Experience Week, focus turns to listening, engaging families, patients in their care Need a shot? Employees in Smithfield can get their shots on Friday from 7 a.m. till noon and from 1 till 3:30 p.m. at Employee Health on fourth floor of the Bright Leaf Tower. Welcome to Johnston Health Here’s a list of employees and volunteers joining us in March. Full-time: Marisa Hamilton, manager, Home Health & Hospice; Russell Currie, director of food services, Aramark; Carolyn Baldwin and Amy Milligan, remote coders, HIM; Michelle Carroll, practice administrator, nursing administration; Angela Douglas, consultant, HIM; Doris Hufton, respiratory therapist; Katherine Murphy, RN, fourth floor; Anna Powell, CNA I, third floor; Michael Sanchez, CNA II, behavioral health; Rita Shiflett, patient access registrar; Millie Wilson, assistant, human resources; Dr. Nicole Collins, Johnston Medical Associates Internal Medicine; Casaundra Driver, RN, second floor; Caitlyn Edwards and Rachelle Gordon, phlebotomists, lab; Valencia Garry, CNA I, SECU Hospice House; Porche Ingram, medical assistant, JMA Internal Medicine; Dorrie Johnson, medical assistant, JMA Internal Medicine; Brett McLamb, supervisor, security; Lisa Radford, patient care assistant, progressive care unit; Britni Barnes, CNA I, third floor; Nettie Lundy, PCA II, emergency department; Donna Nanney, RN, second floor; Dannielle Patterson, RN, progressive care unit; Joseph Sowunmi, RN, ICU; Takeia McClenny and James Han, EVS, Aramark; Hector Moreno, food services, Aramark. Part-time: Ashleigh Hooks, CNA I, third floor; Lori Lucas, RN, Women’s Pavilion; Jeanne Mullins, patient access registration; Krysti Seals, patient access registrar; Jessica Edwards, CNA I, third floor; Cassandra Silver, patient advocate, nursing administration. PRN: Patrick Bridges, security officer; Christy Giles, CNA I, Hospice House; Sarah Ryals and Ashley Wilkins, PCA I, second floor; Helen Adams, RN, Women’s Pavilion; Renee Sanders, RN, ICU; April Woodall, RN, Hospice House; Whitney Anderson, ultrasound tech, EKG; Glorimar Davila, CNA I, Hospice House; Kaitlyn Jernigan, PCA I, progressive care unit; Katie Taylor, monitor tech, ICU. Volunteers: Dianne Creech, hospice; Geneva Wall, Linda Howell, Peggy Wall and Judith Eberhardt, SECU Hospice House; Madison Kennemur, Hadi Siddique, Lucy Allen, Margaret Frook and Mattie Richardson, hospital. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Gracious, thankful at age105 Hospital leaders and administrators attending the annual Volunteer Awards Banquet last Wednesday at Johnston Community College praised the work of volunteers, who donated 39,579 hours for the year. From left, Sue Archambeault, Greg McClain and, at far right, Kristin Lassiter, all of whom oversee volunteers, present a ceremonial check that puts this year’s value of volunteers at $832,752. At center are, Bobby Parker, chairman of the Johnston Health Services Corp. board, and Chuck Elliott, CEO of Johnston Health. Parker: ‘Your service is a precious gift’ T hey help the staff, patients and visitors in myriad ways, from filling water pitchers to fetching lab bags to delivering flowers. Indeed, it would be hard to do without the 175 men and women who volunteer at Johnston Health. “Your service is invaluable and inspiring,” CEO Chuck Elliott said Wednesday during the annual Volunteer Awards Banquet. “In all sorts of meaningful ways, you help us meet the needs of our patients and families.” Bobby Parker, chairman of the Johnston Health Services Corp. board, thanked the volunteers for giving generously of their time. “Don’t ever forget the value of what you’re doing,” he said. “Your service is a precious gift.” Elliott and Parker did the honor of handing out certificates and pins to the volunteers where they sat. As the two walked quickly back and forth across the banquet room to keep pace with the program, they were getting a taste of what it’s like to be a volunteer, said April Culver, the vice president who oversees the hospital volunteers. “We can’t say thank you enough for all that you do,” she said during her remarks. Farrah Nguyen, the volunteer coordinator, pointed out a few stats. Last year, the chaplain, hospice and hospital volunteers contributed 39,579 hours for a total value of $832,752. Helois Daughtry, who began volunteering in September 1984, has contributed the most hours (24,256) and is the longest -serving volunteer. And among the volunteers, there are 14 married couples. Also during the banquet, the Rev. Greg McClain honored chaplain volunteer Jim McCarver with the Overa S. Stevens Award for dedicated service. At left, Pansy Evans helps Patt Kerbe attach her first 500-hour pin to her lapel. Volunteers were honored last week for their service to Johnston Health. At right, Myrtle Pilkington, at 91, is the oldest volunteer. Della Edwards of Smithfield believes a firm handshake is a good judge of character. And back in the day, it was how she sized up the visiting preachers at her home church, Bethesda Baptist near Clayton. Although it’s been a while since Edwards has been able to attend a church service, she’s still on the mind of the congregation. Last Thursday, her deacon stopped by to extend belated-birthday wishes. On April 7, Edwards turned 105. At last count, she had received 164 cards. “And I appreciated every one of them,” she says. In the hustle and bustle of caring for patients, it can be easy to overlook what they may be thinking or feeling. That’s why pulling up a chair and taking the time to ask questions and to listen can make a world of difference. What brought them to Johnston Health? What’s important to them? What can we do to improve their experience? Listening is a form of caring, says Amber Daughtry, the patient experience specialist for Johnston Health. “It’s a way to gain insight into what means most, whether it’s having clean linen every day or shaking hands with everyone who comes into the room.” During Patient Experience Week, April 28—May 2, Daughtry wants everyone to “think patient experience.” On Patient Day, April 28, members of the new Patient-Family Engagement Advisory Council will interview patients and write down their stories. “They can talk about their care, their medical histories, their backgrounds. The point is that we listen,” she says. On Tuesday, the stories will be posted on a table in the cafeteria and at Johnston Health Clayton’s administrative office. There will be candy there for employees. (Night shifts will get the candy delivered to them.) Story board contest: A story board contest will reflect how departments enhance the patient experience. Entries will be judged on effort, creativity, originality and the message. The first-place winner will receive a prize. To enter, fill out the attached form by April 23. See the videos: To learn how MCG Health Care and Dana-Farber Cancer Institute are engaging patients and families in their health care systems, check out the video showing from 11 a.m. till 2 p.m. on April 29 in the chapel. A Q&A will follow. Directors: Please encourage staff to attend. If you haven’t yet seen the Johnston Health patient experience video, you’re invited to watch it in the cafeteria on April 28. Snow cones: A cool treat for everyone—in Clayton from 11 a.m. till 7 p.m. on April 30 and in Smithfield on May 1. A fun puzzle: How good are you at following directions? Test your skill by doing the Direction Daze attached to this email. Info about deadlines and prizes are on the form. Amy Jones headed to National Summer Games The daughter of Vicky Lindsay, who is a verification specialist for community wide scheduling, is representing Special Olympics of North Carolina in the National Summer Games in New Jersey on June 14-21. Amy Jones is among five female athletes from the state who will compete in the bocce singles, doubles and four-man team events. She and her husband, Chris, have competed together in bocce and won gold medals for the last 15 years at the county level. “This is Amy’s first time away from home, and she’s very excited,” Lindsay says. “She’s already packed her suitcase.” After putting their daughter on the plane for New Jersey, Lindsay and her husband, Jimmy, will drive up to watch her compete. Afterward, the couple is planning to vacation in the Amish Country. The athletes will stay in the dorms at the College of New Jersey and will have a full week of activities, including a sightseeing tour to the Statute of Liberty, Lindsay said. Patient advocate Cassandra Silver visits with Della Edwards from her room on third floor. During her stay, she turned 105. May 7, 2014 JOHNSTON HEALTH CHAMPIONS NOTEWORTHY Perinatal Memorial Service May 18 The Rev. Greg McClain, manager of Johnston Health’s spiritual care services, will lead a memorial service at 3 p.m. on May 18 to honor the memory of babies who have died during the last two years. Physicians, chaplain volunteers and nurses from the Women’s Pavilion will participate in the special service, which will include music, poems and readings. Also, Susan Ramsey, senior community director of Eastern Carolina Division March of Dimes, will be a guest speaker. Vickie Brown, the night clinical coordinator for the Women’s Pavilion, says the staff has invited about 20 families to attend. A balloon release and reception will follow this year’s service in the hospital’s chapel. About 40 people attended the first service held last year. Healthy Minds, Healthy Lives Family Fun Day is Thursday The Child Collaborative in partnership with Johnston County Mental Health invites families to its Healthy Minds, Healthy Lives Family Fun Day from 5 till 7 p.m. Thursday (tomorrow) at the Johnston Medical Mall. This free event will include children’s games and activities, an art contest, a variety of vendors and free food. Johnston Health will be represented by staff from HealthQuest and behavioral health. May is Mental Health Awareness month. Ladies Night Out Johnston Health’s Ladies Night Out will be May 15 from 5 till 7 p.m. in the medical mall. To register for this free event, go to (http:// johnstonhealth.org/community/classes-andevents/events/ladies-night-out/). The event will include screenings, nutrition and cooking demos, health-related tips and tours. It’s for women of all ages, so bring daughters, mothers and grandmothers, too. There will be refreshments, vendors and raffles for prizes, too. Learning how to babysit safely Children ages 11 to 13 can learn how to be safe and responsible babysitters during the SafeSitter classes scheduled this summer. In addition to basic child care tips, they’ll learn basic lifesaving techniques, how to prevent accidents, and how and when to call for help. The education department has scheduled the two-day sessions from 9 a.m. till 4:30 p.m. on June 19-20 and July 15-16 in the auditorium of the Johnston Medical Mall. The fee is $65 per child. To preregister, call 938-7736. There is a limit of eight children per session. ICD-10 training deadline extended Congress has delayed implementation of ICD-10 by at least a year, but Johnston Health will continue its prep for the big changeover, originally set for Oct. 1. However, employees will have until the end of December to take the assigned training through HealthStream. The original deadline had been July 31. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Next week: food, photos thank you’s Johnston Health gears up for National Hospital Week Nearly 200 people participated Saturday in the Johnston Health Champions 5K. The event raised $13,600 for the Angel Fund, which assists cancer patients who are struggling financially. Road race draws crowd eager to support cause O n race days past, Erin McMahon and co-workers at Four Oaks Bank had been content to hand out water to runners and walkers in the Johnston Health Champions 5K. This time around, the Smithfield-branch office manager yearned for a different experience. So McMahon rounded up employees from other branches, even the CEO, and formed a team to enter the race. And while a bank employee still manned the all-important water station on Saturday, it was the team that got the love (and the prize of a pig pickin’) for having the most members. Nearly 200 people participated in the 3rd Annual Johnston Health Champions 5K, which was moved up this year to coincide with Smithfield’s Ham & Yam Festival. The event got underway at 9 a.m. on the hospital’s front driveway. “We had so much fun that we’re doubling the size of our team next year,” McMahon said later on Tuesday. “It was a great cause and a great team-building experience.” It was also quite the workout for McMahon, who pushed her 2-year-old son in a stroller. She said it weighed about 45 pounds. They finished in 46 minutes. Ayden Lee Jr., the bank’s chairman, president and CEO, ran and walked with his son, Jason, and grandson, J.T. It was their first 5K, and Lee says they let 9-year -old J.T. set the pace. At 65, Lee turned out to be the oldest race participant. All three Lees finished around 38 minutes. “The course was laid out well and presented Smithfield in a favorable light to the participants,” Lee said. “It was a lot of fun.” Gear’d Up, the team from Kenly 95 PETRO, used the event as a community outreach project. “We’re big on community involvement,” says Ernie Brame, who is the general manager for the truck stop located at Exit 106. It was also a prelude to the 3rd Annual East Coast Truckers Jamboree, which begins Thursday and ends Saturday. While the team included seasoned runners, it also had employees who were not so accustomed to walking long distances, he says. “They cheered on one another, and they all finished the race. I think they had a wonderful time.” Alison Drain, director of development for Johnston Health, says the event raised $13,600 for the Angel Fund, which assists with the needs of cancer patients who are struggling financially. Drain says the event gets bigger and better from year to year. Along the route, inspirational signs and the Princeton High School Band helped spur on the runners and walkers. “You could feel the energy and excitement from the crowd,” she says. “It was a beautiful day and a great cause.” Men’s results: First: Jonathan Wood, 25, of Raleigh, 18:23 Second: Luke Fang, 27, of Smithfield, 20:37 Third: Larry Lam 32, of Benson, 20:53 Women’s results: First: Emily Bass, 25, of Raleigh, 22:33 Second: Kristen Ellington, 19, of Cary, 22:51 Third: Guyn Reece, 14, of Smithfield, 22:59 An outdoor space in the center of the hospital is getting new mulch and plants and a spring cleaning this week—all in preparation for National Hospital Week, which starts on Sunday. The courtyard used to be the place where employees, patients and visitors went to smoke. But next week, weather permitting, it will be “snow-cone central.” The sweet treat will be offered from 11 a.m. till 7 p.m. on Friday. Ralph Stewart, who serves on the board of the directors for Johnston Health Services Corp., donated the rose bushes and azaleas to brighten up the spot. Environmental services employees have cleaned up the windows, tables and benches, and engineering employees are adding pine needles this week. “We’re rejuvenating the space so that employees can enjoy time outside,” says Doug Harrison, director of human resources, who planted the bushes. “It’s a good place to unwind and get some sun.” Harrison says the activities for the week ahead are meant to acknowledge and thank employees for their dedication. “We’re evolving into a new organization and that process has required a lot of sacrifice and hard work,” he adds. “We want everyone to know that we so much appreciate all that they do here at Johnston Health.” What follows is a brief overview of the week ahead. Monday: Operation Thank You, and an employee photo album on Facebook. Of the more than 500 photos submitted, the marketing department will select the best 100 or so for posting. Tuesday: Service Award Breakfast, 7:30 a.m.; Red Carpet Service Awards Banquet, 6 p.m. A banquet highlight will be the naming of the Ambassador of the Year. Honorees will be treated to prime rib and pan-seared chicken breast with artichoke lemon sauce. Wednesday: A basket of treats will be delivered to all departments. Thursday: A meal for all employees from 11 a.m. till 1:30 p.m. and at 6 p.m. The menu includes roast beef and turkey wraps. It’s also snow cone day for Johnston Health Clayton. Friday through Sunday: A free movie at the Howell Theater in Smithfield. Show your ID badge to get two complimentary tickets. Thanks to the Johnston Health Advantage program, employees can get free drink and popcorn refills. In honor of our nurses If you haven’t already, take time out this week to thank the nurses on our staff at Johnston Health. The ad at left will be running in this week’s News & Observer, on local billboards and internally on the Mediplay board in recognition of Nurses Appreciation Week. From left, Barbie Davis, Jamie Williams and Crystal Lee from nuclear medicine take a creative approach to their photo. An album of the 100 best will be posted to Johnston Health’s Facebook page on Monday as part of National Hospital Week. Wound Center recognized for making a difference E very department has a story to share. Last month, Angela Fortson of the Johnston Health Therapeutic Wound Center wrote the following story about how her department is making a difference. The recognition program is an extension of the Standards Committee. An acrylic, titled Resolved. A passion for painting Lynn Barwick, a clinical documentation specialist for Johnston Health, has been painting off and on for the last seven years. “Painting takes me completely outside myself and when I paint, I feel as though I'm doing what I need to be doing,” she says. “I feel drawn to paint women's faces in a way that illustrates that all the ‘broken pieces’ that we may see in ourselves are actually beautiful when viewed as a whole,” she says about her art. Barwick has worked at Johnston Health for several years, first as a business office secretary and later as a nurse. After leaving in 2008, she returned in December 2012 to accept her current position. What’s your passion? Send a photo of your hobby to the LifeLiner, and we’ll publish it. A call to all local artists Johnston Health has enlisted the help of the Johnston County Arts Council to gather and and select works of original art for the 50 patient rooms and family waiting areas now under construction in Clayton. The hospital is looking for works that are either 16 by 20 inches or 18 by 24 inches and of media such as (but not limited to) acrylic, chalk, crayon, collage, watercolor or pen and ink suitable for framing under glass. All will be matted, framed and installed by Johnston Health. The Arts Council will collect the entries at its office located at 1115 Industrial Park Drive, Smithfield. An art committee will select the entries based on artistic merit and suitability for patients and visitors. Preference will be given to artists who grew up in Johnston County or who now live or work in Johnston County. The artwork must be uplifting and inspiring. Artists may enter as many as five entries. Johnston Health will pay $50 for each entry selected and will install a plaque next to each artwork with a short story of the artist’s inspiration for the work and his or her connection to Johnston County. It is also the intent of Johnston Health to publish a catalog that would include a scanned image of the artist’s work. The selected artists will be invited to a preview party prior to the opening of the hospital’s new wing in January 2015. Artists are invited to tour the construction at Johnston Health Clayton at 6 p.m. on May 21. Artwork must be submitted by June 20 to the Council. Artists will be notified by email or phone by July 11. For more information, contact Darlene Williford at 919 938-0306 or [email protected] People: We have such a great team in the Wound Center. They truly have the patient’s best interest in mind. Our team members are vested in their jobs. Their number one focus is to help our patients to heal. We see our patients frequently. Our care is personalized depending on the needs of each patient. The concern this staff has for patients is outstanding. We have a close staff that often refers to one another as family. Quality: Healing patients is what we do, and we see wonderful results. The national average heal rate is 80 percent. We are currently at 93 percent. Our job is rewarding. We see many patients who are here for a second opinion because they have been told they need an amputation. The greatest gift we can give these patients is limb salvage. We have so many wonderful stories we could tell. We have seen amazing results. We have healed wounds when others said it could not be done. Our team takes great pride in what we do. Growth: We are constantly looking at ways we can grow as a department. We have recently been approved to start doing total contact casting in the Wound Center. Dr. Cieza and Dr. Singh both volunteered to train and apply these casts when applicable. We need to stay competitive with other wound centers. Offering services like TCC is definitely a step in the right direction. When some pa- The Rev. Greg McClain, who is chairman of the Standards Committee, presents Angela Fortson with a certificate recognizing her department as making a difference. From left, other members of the staff are Danielle Bass, Linda Sorrells, April Gardner, Stephanie Keene, David McCoy, and Manmohan Singh, MD. tients have wounds on their feet that just won’t heal and pressure is an issue, the total contact cast can offload the wound. In other words, it may be the key to pressure-relief for these patients and allow healing to occur. Our team embraces new technology. It is exciting to try new treatments, especially when we see positive results. Value: The Wound Center team is aware of how important it is to control expenses and maintain a positive productivity. Our team flexes by volume always. It truly is a team effort for the Wound Center to be profitable and give excellent care at the same time. We are always thinking about ways we can save and reduce expenses but also about new services we can offer to increase revenue. Hyperbarics is a huge financial contributor of our program. All of our staff is charged with keeping our hyperbaric program strong. One employee can’t make the department successful. It takes a team that works together, and we absolutely have that here at the Johnston Health Therapeutic Wound Center. Innovation: We are extremely excited about the partnership with UNC Health Care. We have already made contact with UNC’s Wound Center and will be touring in the future. We look forward to the endless possibilities that could become available to us through this new relationship. Our staff members are open-minded and excited about the future. Our team embraces any change that could improve the quality of care we give our patients. Hands-only CPR initiative gets RACE grant, AHA quality nod Johnston Health will receive a $5,000 grant to support its community outreach efforts to teach hands-only CPR. A representative of RACE CARS, which stands for Regional Approach to Cardiovascular Emergencies, Cardiac Arrest Resuscitation System, contacted chest pain coordinators Hank Long and Kenny Gooch on Monday to share the news. RACE brings together hospitals, EMS systems, first responders and telecommunicators to improve survival from sudden cardiac arrest. Data provided by Johnston County EMS says that there were 179 cardiac arrests in the county last year and that bystanders performed CPR in 39 (or 22 percent) of those cases. Based on those statistics, it’s beneficial to educate and train residents in hands-only CPR, Long says. “It’s our goal to improve the survival rates of those suffering from sudden cardiac arrest by training 1,000 people out in the community this year,” he says. “We also want to teach hands-only CPR to every member of our non-clinical staff at Johnston Health. With these initiatives in place, we’re hopeful that we can improve the percentage of bystander CPR to 50 percent by February 2015.” Anaira Knight teaches hands-only CPR to the Chick-Fil-A mascot during the Garner Business Expo. Gooch and Long have been teaching hands-only CPR at health and community fairs, business expos and road races. They have also partnered with WellnessWorks of Johnston Health to teach the lifesaving skill at local businesses and governments. The grant will be used to buy new teaching manikins and to cover the cost of marketing materials. “Johnston County EMS is assisting with our community outreach events and is also entering out-of-hospital data into a registry,” he says. In the grant application, Long pointed out that heart disease and heart attacks rank as one of the top five health problems, along with obesity and diabetes, in the county. The grant application was written by Anaira Knight, a graduating ECU senior who interned this spring in the marketing department. She has also assisted in the CPR training. Also, development director Alison Drain assisted with the application. There was other good news this week: The American Heart Association has recognized Johnston Health for its quality improvements in the care of patients suffering sudden cardiac arrest. Specifically, the organization has achieved the Mission: Lifeline Referring Center-SILVER Level Recognition Award for having met specific core measures and transfer times that are critical to saving heart muscle. Last May, Johnston Health became an accredited chest pain center. A treat for nurses On Thursday (tomorrow), the Cyber Café is honoring nurses by giving them a free beverage or special sweet treat with the purchase of a lunch. The lunch spot is operated by Johnston County Industries as part of a culinary training program. Want to receive Cyber Café news? To get on the list, contact Shirley Chamberlain at [email protected]. Shot days Employee Health will be offering shots in the EH Office on fourth floor of the Bright Leaf Tower in Smithfield from 7 a.m. till noon and from 1 till 3:30 p.m. on May 16. In Clayton, shots will be given from 7 a.m. till 1 p.m. on May 20 in the QA office. (Please note that this is a change from an original schedule.) Community Outreach Op The Johnston Pet Adoption Center on North Bright Leaf Boulevard in Smithfield needs newspapers, bleach and kitty litter. The Johnston Health emergency department won first place last week in the patient experience storyboard contest and will receive a pizza party as the prize. From left, members of the staff are Jessica Hudson, Lori Giggey, Megan Westbrook and Maegan Hewett. Winning second place was Two East, and third, PCU. Those staffs will get treats from Dunkin’ Donuts. More than 100 employees completed the Directions Daze puzzle to enter a drawing for prizes. Amy Skinner, above, and Judy Williams were the winners. May 21, 2014 ROLLING OUT THE RED CARPET NOTEWORTHY Camp Courage set for July 26 When young people experience the death of a parent, sibling or close friend, how do you help them grieve? Signing them up for bereavement camp may be a good start. Children ages 6 to 16 are invited to Johnston Health’s first Camp Courage The ropes course at Camp Mary Atkinson from 8 a.m. till 5 near Selma will be p.m. on July 26. It one of the many fun will be at the Girl activities at a beScouts’ Camp Mary reavement camp for Atkinson near children and teens. Selma. There will be games, expressive art activities and music as well as family time. “Johnston County has one of the highest rates of teen death in the state,” says Tami Bambaugh, who is manager of the SECU Hospice House. “And at the Hospice House, we’ve seen an increase in the number of patients younger than 40 who have children. It’s our job to help every member of the family, including children, through the bereavement process.” The camp will have nurses, chaplains, social workers and bereavement counselors, all of whom have been trained to work with children and teens. There’s no fee to attend. Bambaugh says the Girls Scouts will offer four activities, including the ropes course. Johnston Home Care & Hospice and the Hospice House will offer four other activities that include art and music. “It’s going to be fun and therapeutic, too,” she says. “We’re hopeful that the camp can be a yearly event.” To register, please visit the events section of www.johnstonhealth.org. If you have questions, contact Murray Dees at 919-209-5104 or [email protected]. Also, donations to Camp Courage may be mailed to the Johnston Health Foundation, P.O. Box 1376, Smithfield, NC 27577. Congratulations graduate Debra Nirella, an RN in case management, has earned her bachelor’s degree in nursing from Mount Olive University. She graduated May 3. Until enrolling full-time at Mount Olive, she had taken classes at Georgian Court College, St. Joseph’s College of Maine, UNC and Brookdale Community College. Williams earns certification Judy Williams, who is the hyperbaric technician at the Johnston Wound Center, has earned her certification from the National Board of Diving & Hyperbaric Medical Technology. She lives in Micro and has worked at the wound center since opening in 2003. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Gold turns feedback into action Nurse says listening can solve a lot of problems As the Johnston Health Ambassador of the Year, Brian Gold will receive special acknowledgement, eight hours of paid time off and a parking space of his choice for a year. Presenting the award were, from left: Jackie Ring, chief operating officer of Johnston Health Clayton; Chuck Elliott, CEO and president of Johnston Health; Gold, who is an emergency department nurse at Johnston Health Clayton; Bobby Parker, chairman of the Johnston Health Service Corp. board of directors; and Daniel Register, director of the emergency department at Johnston Health Clayton. Staff shines at banquet ED NURSE NAMED AMBASSADOR OF YEAR A n emergency department nurse known for putting patients first has been named the Johnston Health Ambassador of the Year. Brian Gold of Garner won the award during the Red Carpet Awards Banquet on May 13. He is among 12 employees previously honored by their peers as Johnston Health Ambassadors of the Month. He was chosen for the top award RNs Sharon Hughes, left, and Karen Hughes, by the hospital’s administraright, were among 70 employees celebrating tors. “I’m humbled and honored,” milestone anniversaries last week. Gold said afterward. “I enjoy Employees and their milestones were: helping people and saving lives.” 30th—Kyle McDermott and Brookie Gold has been a nurse at Johnston Stanley; 25th—Diana Allen, Jean Barnes, Health Clayton for the past three years. Amanda Browning, Teresa Chappell, He is a preceptor, a member of the chest Cynthia Renfrow and Jacqueline Smith; pain committee and chairman of the cus20th—Karla Allen, Tracy Davis, Denise tomer service committee. Deel, LaRue Keith, April Moore, Teresa During the presentation, Chuck Elliott, O’Neal and Wake Styron; 15th—Vickie CEO and president of Johnston Health, Brown, Gina Cobb-Jackson, Cynthia kept the audience in suspense as he deCone, Lori Dishman, Donna Godwin, scribed the recipient as a positive role Donna Hinnant, Teresa Johnson, Barbara model, patient advocate and problem Joyner, Barbara McDougle, Gary Mileski, solver. He said the selection of the AmShelly Phillips, Tracy Register, Robin bassador of the Year is based on exemSchwartz, David Sellers, Billy Stanley, plary actions and commitment to the goals Karen Strickland, Angela Wadsworth, of Johnston Health. Lisa Whitley; 10th—Cynthia Baker, Cathy “They live by our ideals, mission and Batten, Mark Bowling, Jennifer Brown, vision, and strive to better themselves and Billie Bryant, Magaly Buffey, Donna the organization,” he said. Camin, Brenton Cherry, Jeanne Codd, Elliott also said Gold had played an Millie Coley, Crystal Collins, Lisa Cotimportant role in Johnston Health Clayton, Tracey Davis, Angela Fortson, Jan ton’s being recognized nationally by its Garner, Crystal Godwin, Janice Hinton, vendor, Healthstream, for having outKaren Hughes, Sharon Hughes, Stephanie standing patient satisfaction scores. Keene, Laura McLamb, Amber NewAlso at the banquet, employees celecomb, Deborah Norris, Daniel Pate Jr., brating milestone anniversaries and retireDebbie Price, Patrick Price, Eric ment were recognized and honored. Rothman, Ashley Scott, Deborah During guest remarks, Dr. Regina Ryan, Shepard, Kristy Stanley, Rhonda Stanley, chief of the medical staff, thanked emWade Staten, Jacqueline Stevens, Robbie ployees for working alongside doctors in Taylor, Rebecca Whitley, Judy Williams, taking care of patients. Lee Wilson and Cynthia Wooters. Bobby Parker, chairman of Johnston Retires recognized were: Dan Kelley for Health Services Corp., said the board of 22 years, Gussie McLean (21), Lucy directors has great confidence in the staff. Coats (40), Marcia Warner (30), Shelva “We know the hospital is in good hands,” Watkins (38) and Teresa Rhodes (32). he says. “You are the most valuable asset we have, and we appreciate you.” During his career in technology and broadcast sales, Brian Gold felt isolated behind the computer. So at age 44, he went back to school to become a nurse. And in two years, he went from being a CNA to an LPN to an RN. “You’re never too old to try something new,” says Gold, a nurse in the emergency department at Johnston Health Clayton who was honored last week as Ambassador of the Year. “I’ve always liked helping people. I think it’s a way to return some of life’s karma.” Since coming on board in October 2010, Gold has made good things happen in Clayton. Known as a good listener, his insights have helped improve processes and the overall patient experience, says Daniel Register, director of the emergency department. Among the health care systems using Healthstream to measure patient satisfaction in 2013, the Clayton ED rates in the top 10 percent of performers in the nation, Register says. “And Brian has been a big part of that accomplishment. “He’s quiet and reserved. But when he speaks, everyone listens because what he says is spot on,” Register adds. “He understands that making a good impression on patients and families is the key to bringing them back.” Gold says he enjoys working in emergency departments because of the diversity of patients and the opportunity to save lives. His first nursing job out of school in 2008 was in the ED at Duke-Raleigh Hospital. In the Clayton ED, where the atmosphere can be tense, he tries to put patients at ease by explaining what’s going on or why they may have to wait to see a doctor or to get a test result. “In an ED setting, people can arrive scared and unsure,” he adds. “Sometimes, people just want to vent. Taking the time to listen seems to solve a lot of problems.” Gold grew up in High Point. He lives in Garner and has a grown daughter and two grandchildren, ages 11 and 13. When he’s not working, he enjoys outdoor activities including snow skiing. Pageant titleholders to visit hospital Saturday morning Leah Sykes of Jacksonville, Fla., Miss America’s Outstanding Teen 2014, will visit Johnston Health along with 11 other local, state and regional pageant titleholders on Saturday. Chaplain volunteer Christine Allen will meet Leah and the other young ladies in the main hospital lobby about 12:30 p.m. Leah Sykes before taking them around to see patients and staff on the floors and departments. The titleholders will be available to sign autographs. Allen will be enlisting the help of the nursing staff to ask patients whether they would like a visit. Here’s a list of other visiting teens and their titles: Emili McPhail, North Carolina Outstanding Teen 2013; Cassie Donegon, Miss Virginia’s Outstanding Teen 2013; Kaitlyn Royal, Benson’s Outstanding Teen 2013; Emma Carter, Johnston County Outstanding Teen 2013; Catherine White, Sampson County Outstanding Teen 2014; Vanna Prestage, Clinton Outstanding Teen 2014; Kaelyn Embler, Mount Holly Outstanding Teen 2014; Kristyn Ember, Mount Holly Outstanding Teen Carolina Princess 2014; Victoria Baskett, Miss Greater Cape Fear 2014; Brook Fair, Miss Greater Cape Fear Outstanding Teen 2014; Elizabeth Obrien, Moore County Outstanding Teen 2014. June 4, 2014 HOSPITAL HOSTS UNVEILING NOTEWORTHY Dunston named Ambassador Catering coordinator has knack for country cooking An artful ceiling for patients A rose garden is in full bloom at Smithfield Radiation Oncology in the Johnston Medical Mall. Artists volunteering with the nonprofit Healing Ceilings art initiative have painted about a dozen acoustic ceiling tiles that now adorn the treatment room. Above, Charlie Blinson of the engineering department installs the artwork last Wednesday above the linear accelerator and down the hallway to the treatment room. Amy Edwards, who is head of the nonprofit, says she is also rounding up tiles for the radiation oncology office in Clayton. You can follow the work of the nonprofit on its Facebook page. An art show for Johnston Health Johnston Health employees and volunteers are invited to submit their original works of art for display along the Women’s Pavilion hallway. The exhibit will go up Monday and will continue to hang till July 11. For more info, contact Suzette Rodriguez in marketing and community relations at ext. 7103 or by email. Syverson earns certification Ronnie Syverson, director of infection control for Johnston Health, has earned his board certification in infection prevention and control. He is accredited by the Association for Professionals in Infection Control and Epidemiology. Congratulations graduates Hiede Erikson has earned her master’s degree in social work. She graduated May 17 from the University of North Dakota. She has been with Johnston Health for about 18 months and is the social worker case manager assigned to third floor. Also, Caitlyn Hines and Jenna Upchurch have earned their bachelor’s degrees in nursing. The CNAs graduated May 11 from Barton College. Quality awards announced The quality award for completion of head CT or MRI and interpretation within 45 minutes of ED arrival will go to both departments of emergency service and radiology. Both hit the criteria 100 percent of the time. The award for improvement in communication about medications went to the progressive care unit. Next quarter, the focus will be on improving pain management, and the award will go to the campus that gets closest to operating at the 90th percentile for treatment of long-bone pain. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. At left and right, Gale Cass and Brenda Mitchell volunteered to craft this year’s memorial quilt. The angels are fashioned from swatches of cloth contributed by hospice families in memory of their loved ones. A quilt for remembering SWATCHES TELL STORIES OF LOVED ONES V alerie Howell and her daughter, Mary Lee, spotted the Wolfpack logo as soon as they walked into the hospital chapel. The snippet on the square at top and center of the memorial quilt belonged to their husband and father. Ricky Howell of Princeton was 58 when he died of pancreatic cancer on March 28, 2013 at the SECU Hospice House. After his retirement from the N.C. Department of Cultural Resources, he worked on the event staff for N.C. State, his alma mater. “He never cared about clothes,” his wife said. “So my biggest dilemma was which piece of cloth to contribute in his memory. But when I saw his event staff shirt, everything fell into place. It wrapped up his life. He loved the Wolfpack.” The Howells were among the 50 or so people gathered at the hospital on May 28 for the unveiling of this year’s community memorial quilt. It was made with swatches of fabric that families contributed back in the fall during a special service at the Johnston County Agricultural Center. A project of Johnston Home Care & Hospice, the quilt will hang in an alcove at the north end of the Johnston Medical Mall. Others from years past are dis- played at the SECU Hospice House and at Johnston Home Care & Hospice in the medical mall. Gale Cass and Brenda Mitchell, both of whom volunteer with Johnston Health, put the quilt together. They cut the swatches into angel shapes, zigzagstitched the edges, and then used an ironon adhesive to attach them to squares. Other volunteers helped out by tying knots to connect the layers. The ceremony was the first for the Rev. Kiki Barnes, who has been the hospice chaplain since October. “I marveled at how the volunteers went to such painstaking detail. It reflects their genuine care and enthusiasm for patients and families,” she says. “The quilt is a meaningful, constructive way to memorialize family members,” she says. “While a person may not be physically present, it’s comforting to know that he or she is not forgotten.” Howell said that seeing the quilt reminded her that she’s not alone in her loss. Her daughter, Mary Lee, agreed. “The squares represent families all surrounding and supporting one another,” she said. Before leaving, she used her smartphone to snap one last photo as a keepsake. Amanda Dunston is known for her countrystyle cooking. And she makes no apologies for using ham hocks or fatback to season some of the dishes she prepares for customers. “I can’t help it,” the catering coordinator says. “I’m old fashioned.” Last week, Dunston was honored as the Johnston Health Ambassador for April. In a presentation prior to the Johnston Health Foundation’s monthly dinner meeting, CEO Chuck Elliott praised her for taking pride and ownership in her work. “She’s a role model in the dietary department,” he said. “Her pleasant and caring attitude promotes customer service to patients, employees and friends of the hospital.” Dunston was setting up the dinner in the physician’s dining room last Tuesday night when Elliott called together the guests. “I thought I was going to meet someone who was being honored. I had no idea it was me,” she said. “It made me feel well-appreciated.” Dunston has been with Johnston Health for nearly ten years. She started out as a cook, then moved into managing the hospital’s Cyber Café until it closed in 2010. That’s when she took on her new role as catering coordinator. Her job is to prepare the food, and then set up and take down the spreads at the special events, which are scheduled and managed through the dietary department. She averages eight to 10 gigs a week for groups ranging in size from six to 75 people. Russ Currie, who has been the director of food services for Aramark since February, says Dunston worked particularly hard to prepare the special meals during hospital week, which included the Red Carpet Banquet. “In the short time I’ve been here, she has provided direction to a lot of us who needed it,” he added. Dunston grew up in Smithfield and has been catering for 35 years. She started out washing dishes for two well-known local caterers, Washie Scoffield and Rena Carter. It wasn’t long before she was cooking with them for large events all over the county. She eventually started her own business, which she still runs today. Dunston says she gets more enjoyment out of watching people eat more than she does eating. “I taste the food, but I’m not big on eating,” she adds. “Some days a bowl of chicken broth is all I want for lunch.” During her spare time, Dunston enjoys shooting pool and has won district level competitions of the American Pool Association. She lives in Selma and has a grown daughter and two grown grandchildren. At left and right, CEO Chuck Elliott and food services director Russ Currie congratulate Amanda Dunston on her award. PFS director settling into new job Deans likes variety, problem solving that comes with health care The Women’s Pavilion staff threw a going away party in April for interim director Tina Gist. When she called them together for this quick group photo, she didn’t tell them that it was for the “You Make A Difference” recognition award. She said she wanted it to be a surprise. Last week, CEO Chuck Elliott presented the award certificate to clinical coordinator Dana Davis. From left to right, employees are Renee Adams, Lucile McHenry, Kristy Stanley, Suzanne Foy, Kathleen Sturdevant, Kim Bryant, Vickie Brown, Amy Hamby (administrative director), Gist and Amber Newcomb. Women’s Pavilion recognized for making a difference E very department has a story to share. Before leaving in April, interim director Tina Gist wrote the following story about how the Women’s Pavilion is making a difference. The recognition program is an extension of the Standards Committee. People: The Women’s Pavilion has a great group of nurses, perinatal techs, secretaries, housekeepers and providers who deliver excellent care to patients. Most of the time, the events are happy, and the staff can join in the celebration of a new baby with the parents and their families. Employees make every birth a special occasion. They call it a birthday party. But there are sad times, too, and they have to change gears. They are exceptional in supporting parents through this difficult time, and they give parents what they need to cope with a loss. The care they provide is one of the most important times, happy or sad, in this patient’s life. They try to make it memorable. Quality: The staff provides quality care to patients, and it shows. They know they are caring for two patients, the mom and the baby (or babies). Their care can affect the mother, baby and their families for the rest of their lives. Patients have told me that our nurses are excellent, and that they’re glad to have such great care close to home. Others have said that our staff has “bent over backwards” to give the patient what she wants during birth. Employees are currently working on C Section turnaround times for the OR. The goal is to decrease the time it takes to turn over a room between C Sections. This can be achieved by standardizing the time of all cases in order to respond to emergent cases when they occur within a safe time period, which is set by national standards. Growth: Our census swings erratically, and the staff responds to highs and lows. During the last half 2013, there were 236 more babies born than during the first half. That trend continued through the beginning of 2014 when, in January, there were 27 percent more babies born than a year ago. The staff worked hard during that busy month without complaining. Value: The charge nurses responsible for flexing the staff during low census do an incredible job. They flex when appropriate and are still able to provide the same level of care to patients. All of them do well at controlling supply expenses. They understand that by controlling expenses, they’re able to purchase more items needed for patient care. Innovation: Since November, the Women’s Pavilion has worked on initiatives to improve patient care and experience, which also affects HCAHPS. These were in three categories: responsiveness of staff, cleanliness of the room and quietness. Through these initiatives, we significantly improved our scores. We worked with Environmental Services to clean up the units. We initiated HUSH and changed the culture to provide a quieter and calmer environment for patients. The responsiveness score went from 65 in October to a high of 86; the cleanliness score, from 50 in October to a high of 80; and the quietness score, from 55 in October to a high of 77. The goal is to provide an improved response to the needs of the patient and her baby, and to provide a clean and relaxing environment. RIE focuses on revenue cycle The implementation next year of the new coding system, called ICD-10, will bring about changes that will affect reimbursements. And preparing for those changes was the focus last week of a rapid improvement event. During the week-long exercise, a team of staff and an administrator targeted the revenue cycle, specifically the processes for scheduling, insurance verification and preregistration. “We recognized that claim denials were due to invalid medical necessities and a lack of authorizations,” says Jessica Springer, director of Lean transformation. “In some situations, this was happening because the physician documentation was incomplete or because there were multiple hand-offs and phone calls to physicians offices.” The team decided to improve the work flow of the employee in charge of inpatient insurance verification. They also made and put into a binder some instructional materials for the staff of the physician offices where authorizations and orders had been problematic. To make the process easier, physician offices may now fax over demographics sheets, which are needed for verification, she says. The team standardized and added procedure codes to the order forms for the lab, radiology and cardiology departments. And there are plans to redesign the work of the revenue staff. Rather than having separate tasks such insurance verification, estimators and preregistration phone callers, employees will own the account for all of those functions, Springer says. “We’re also going to look into a preauthorization service for referring Rehab program offers class for COPD patients From left, members of the team in last week’s RIE were: Cherie Paonessa, Angela Deans, Tamela Putnam, Chief Financial Officer Eddie Klein and Nancy Batchelor. physicians,” she adds. By reducing the number of denials, it’s anticipated the hospital will save about $121,000. News for sharing from UNC Health Care... June issue of UNC Health Care Leadership Update now available The latest issue of UNC Health Care Leadership Update is available at this link. Highlights include an update from Tracy Parham, UNC Health Care's Chief Information Officer, on Epic@UNC, an introduction to the new pillars that span all UNC Health Care locations, and an update from Amy Bragg, System VP of Strategic Planning, on UNC Health Care’s approaches to growth and health care reform. After three weeks on the job, the new director of patient financial services says she’s feeling right at home. Before coming to Johnston Health, Angela Deans had been a career employee at Wilson Medical Center. While there, she got to know chief operating officer Ruth Marler and many other Angela Deans co-workers who have since taken jobs in Smithfield. Deans says the PFS department in Wilson, where she was director, was similar-sized and faced similar challenges. “So the job feels familiar—only the location and faces are different,” she says. “I’m happy to be here.” While a senior in high school, Deans entered a summer work/study program that placed her as a registrar in the emergency department. Afterward, the hospital hired her part-time while she studied at then Atlantic Christian College. After Deans graduated with her degree in business, the hospital hired her full-time as a staff assistant in the business office. Through the years, she worked her way up from assistant business manager to manager and then to director. In 1990, Deans returned to school to earn a master’s degree in health care administration from UNC. Deans says she enjoys the challenges of working on the business side of health care. “I like problem-solving and the variety of tasks. It’s never the same thing from one day to the next. And I enjoy working with staff to improve processes that increase our collections,” she adds. Deans grew up in Sims. As a youngster, she worked in tobacco and picked cucumbers. And in high school, she drove a school bus. “So I’ve worked all of my life,” she says. She and her husband, Ted, of 35 years, live in Bailey. They have a grown son and daughter, and a 4-month-old granddaughter. An archive is available here. First ‘Real Medicine’ video - UNC Surgeon has humble beginning in Burma Moe Lim, MD, a spine surgeon in the UNC Department of Orthopaedics, is featured in the first “Real Medicine: Stories that Connect” video. If you know a co-worker who inspires, motivates and connects with patients and coworkers at Johnston Health, submit your story at this link. Shot Days Need a shot or a TST? In Smithfield, shots will be given from 7 a.m. till noon and from 1 till 3:30 p.m. on June 20 at employee health on fourth floor of the Bright Leaf Tower. In Clayton, shots will given from 7 a.m. till 3 p.m. on June 17 in the lab. Patients suffering from COPD are now being offered a class that focuses more intensely on how to better manage their disease. Until now, cardiac and pulmonary patients had been meeting together in the ongoing cardiopulmonary rehab classes at HealthQuest. But starting this week, COPD patients can opt for the expanded class offering additional instruction specific to their disease. “By grouping together patients with COPD, we think they will be able to draw from common experiences and therefore better encourage and support one another,” says Shelby Holt, director of cardiopulmonary services. The cardiopulmonary rehab program combines exercise sessions with classroom instruction on topics such as healthful eating and stress reduction. The new class will go a step farther and offer counseling, for example, on how to travel safely or what to do if symptoms suddenly worsen, Holt says. “We want them to be as knowledgeable as possible so they can avoid a health crisis that requires an emergency trip to hospital,” she says. Patients will need a physician referral for the class, which will meet at HealthQuest twice a week for about an hour. June 18, 2014 THE FIRST BABY GIFTS NOTEWORTHY Feedback please The Food Services Department would like your feedback. It’s conducting a brief survey to get an assessment of the cafeteria service this week. Survey forms are at one of the cash register check-out stations. Once completed, the forms go into the box located on the condiment stand. The survey will be available through June 22. “We want feedback so that we can provide the best food and service possible,” says Russ Currie, director of food services. See the employee art exhibit The artwork of four Johnston Health employees is on display now through July 11 along the Women’s Pavilion hallway of the hospital. The artists are Lynn Barwick, William Corbett, Jody Houston and Ruby-Lynn Lee. Health Chat in July to focus on dementia Dr. Nicole Collins of Johnston Medical Associates-Internal Medicine will be the next speaker at Health Chats, the quarterly health series presented by Johnston Health. Her topic will be “Recognizing dementia, the signs and symptoms.” She will speak at 6 p.m. on July 15 at the Clayton Center and at 11 a.m. on July 16 in the auditorium of the Johnston Medical Mall. To register for this free presentation, go to the Johnston Health website. Congratulations graduate Leslie Byrd graduated May 6 from Wayne Community College with an associate degree in nursing. She passed her licensing exam on June 3 and has accepted a fulltime RN position on the progressive care unit. She has worked as a flex CNA for the past three and a half years at Johnston Health. Wellness programs on the way for children, cancer patients Children and cancer patients will benefit from two programs now in the works. The Johnston Health Foundation has won a $5,000 grant from the Johnston County Community Foundation to help set up a health and wellness program at Johnston Health Hematology & Oncology. Also, the Johnston Health Foundation has added the Healthy Kids Fund, which will provide scholarships to a HealthQuest Fitness and Wellness program for underserved children. Instructors will teach nutrition and healthful eating and lead the children in exercises. Want to give? The Foundation is accepting contributions to the following: Hospice Fund, Angel Fund, Healthy Kids Fund and Patient Assistance Fund. Donors may also give directly to the Johnston Health Foundation and to the Johnston Health Foundation Endowment at the NC Community Foundation. Congratulations newly weds Whitney Page, an RN on third floor, was married to Isaiah Giles on May 24 in Dunn. The couple lives at McGee’s Crossroads. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Savannah Hatem, 7, delivers 30 blankets that she and others have made for infants who will be born at Johnston Health Clayton. She is the daughter of Amanda Tatem, who is an X-ray technologist on the staff. She’s learning to serve while learning to sew T he first infants born at Johnston Health Clayton this winter will get a hand-sewn blanket, thanks to a service project led by 7year-old Savannah Hatem, whose mother Amanda is an X-ray technologist on the staff. Last week, the rising third grader delivered 30 blankets to the chief operating officer, Jackie Ring, who took time out to look at every piece. Savannah has learned to sew from her grandmother, Connie Mills, who is a quilting instructor at Johnston Community College. Mills liked her granddaughter’s project so much that she convinced the women in her quilting class to whip up a few extra blankets to help Savannah get started. To raise money for her project, Savannah pitched her idea to Woodmen of the World Lodge 543. And she came away with a contribution to buy the materials. She made 10 of the blankets, herself. And she has plans to do 10 every month. Before she launched into making the blankets, Savannah made an appointment with Ring to propose her project. “I think they’re wonderful, and I’m so impressed that she’s taken this on as project,” Ring says. Amanda Hatem says her husband, Michael, assigned the service project as part of Savannah’s homeschooling instruction. “We’re trying to teach her to give back to the community,” she says. Last year, Savannah toured a Kinston orphanage and distributed 20 handmade pillowcases that were a service project of the local Woodmen lodge. “She learned that not every child has a father and mother at home, but there are organizations out there that make sure these children are not forgotten,” Hatem says. Savannah sews one day a week with her grandmother. “We have a lot of fun,” she says. Anderson named Ambassador The birth of her first child was such a positive experience that April Anderson decided that day she wanted to be a labor and delivery nurse. But after graduating from nursing school in 2006, there wasn’t such an opening available when she applied at the hospital. So Anderson took a job on the surgical floor, and figured she would stay until there was an opening she liked better in women’s services. It ended up being a good fit. “I liked it enough that I’ve been here eight years,” says Anderson, who is a charge nurse and team leader for fourth floor. “I love working with patients, helping them with pain control, physical therapy and rehab. It’s rewarding to see them get back to their normal lives.” In May, Anderson was honored as the Johnston Health Ambassador of the Month. During a presentation, Chuck Elliott, CEO and president of Johnston Health, described the nurse as eager to learn, calm and composed during stressful situations, and a team player to whom co-workers look up to. “She is a role model for ADIET principles, and she’s often sought out by former patients when they return to the hospital,” Elliott said. “She’s always aware of safety procedures and encourages other staff to always work safely.” Stephanie O’Neal, director of the floor, says Anderson is kind and compassionate and often gets compliments from patients. “As a leader, she plans ahead throughout the day so that coworkers are organized and poised to leave at the end of their shift. When situations occur, April is quick to respond. When I take a day off, I know that our floor is in great hands. “She is a true asset, and I’m so proud of her commitment and accomplishments,” O’Neal says. When Anderson is away from work, she and her husband are busy with their blended family. Together they have six children, ranging in age from 5 to 16, who are active in dance and sports. The family lives in Rosewood near Goldsboro. RIE focuses on OR inventory Getting a handle on inventory can save time, money and steps. During a rapid improvement event last week, a team of staff members and an administrator focused on better managing the equipment and supplies for the operating rooms. Jessica Springer, the director of Lean transformation, says the team identified several areas for improvement. Here’s a brief rundown of the challenges and the team’s ideas for tackling them. A standard work plan was documented for how to order supplies, update dictionaries on new supplies and how to return broken equipment and instruments. This plan will help the department when the materials manager is away. “We also recognized that there’s a significant amount of stock with no activity for 365 days,” Springer says. “We’re continuing to investigate how to rectify that.” The team set up specific days and times and a process for sales representatives who want to pitch their products. Until now, they had come at all times of the day and week. The team combined the inventories for sterile processing and the OR, and moved them to the sterile processing department. Until now, the equipment and supplies had been spread across five different locations, requiring the staff to walk from place to place to get what they needed. Items used less often will go into the “1-2-3 room,” which is opposite the sterile hallway. “We’re hopeful this will reduce the time it takes to pick supplies for the case carts for surgeries,” Springer says. “OR techs have had to pick the case carts between cases, and there’s not always sufficient time allotted for the task.” The team is also recommending a 30-day trial of a task identified as an OR supply specialist. This would become part of an existing OR tech’s job. “We want to see if that role can increase the efficiency of the OR. He or she would be responsible for picking case carts and managing the supplies and inventory,” she says. Springer says the departments will hold off on moving the supplies until after June 29, when the fiscal inventory for the OR is complete. From left, CEO Chuck Elliott, chief nursing officer Linda Allen and fourth floor director Stephanie O’Neal congratulate April Anderson. Welcome Junior Volunteers They’re here. Those fresh-faced junior volunteers, 44 in all, from ages 15 to 18, and representing every high school in the county. You can recognize them by the lime-green collared shirts they’re wearing. The Junior Volunteers will be learning about health care careers while also helping out with tasks such as delivering flowers to patients, assisting hospital departments and transporting patients by wheelchair. “The Junior Volunteer program is a great way to make friends, research a career in the medical field, and it brings personal satisfaction by helping others,” says Farrah Nguyen, manager of volunteer services. The Juniors will be here until Aug. 8. July 2, 2014 A PILOT PROJECT NOTEWORTHY Catch the shuttle at the big rock Shuttle riders now have a new spot to get on and off at the hospital entrance—the large memorial rock just beyond the canopy. Kyle McDermott, senior administrative director of support services, says the change will reduce traffic congestion and improve traffic safety under the canopy where drivers pull up to drop off and pick up patients. The shuttle, however, will stop underneath the canopy for pickups when there’s a heavy downpour, he says. McCarver stays on the go filling church, JH needs Patient portal goes live Patients can now view their lab results, preregister for scheduled appointments and get access to their records online, and much more. A patient portal is up and running and accessible through the Johnston Health website. Users can find the directions they need on the patient portal page, which is under the patients and visitors tab on the home page. Health Chat to focus on dementia Dr. Nicole Collins of Johnston Medical Associates-Internal Medicine will be the next speaker at Health Chats, the quarterly health series presented by Johnston Health. Her topic will be “Recognizing Dementia, the Signs and Symptoms.” She will speak at 6 p.m. on July 15 at the Clayton Center and at 11 a.m. on July 16 in the auditorium of the Johnston Medical Mall. Employee survey on the way What’s your opinion about your job and your work place? Along with other UNC Health Care affiliates, Johnston Health is asking its employees to fill out a survey, which will be available online July 21 through Aug. 4. Thirty-two of the questions will be on all the surveys throughout UNC Health Care. Four others have been chosen by Johnston Health. To ensure confidentiality, a representative from every department will hand out to employees an envelope containing a random number that he or she can use to access the survey. “We’re hopeful that this new method will help everyone feel more secure that their answers will remain confidential,” says Tim Hays, vice president of human resources. In departments where fewer than five employees fill out the surveys, results will not be reported to the director, he added. Instead, they will be rolled into a larger division. Hays says UNC Health Care typically has a 90 percent participation rate from its employees. Last year, 59 percent of Johnston Health employees filled out the survey, which was 10 percentage points higher than the 2010 survey. “So we’re seeing improvement from one survey to the next,” he added. “Hopefully we can continue that upward trend.” Hays says survey results from last year, for example, prompted salary reviews and spurred CEO rounding during department huddles. “So it’s important that we have this kind of feedback from employees,” he says. “It helps us improve.” LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. His fav job: Volunteering as chaplain Johnston Health is trying out a new process for cleaning. At right, Darryl Patterson of Aquaox and his wife, Christina, were involved in the recent filming of a TV segment promoting the disinfection system. Former EVS director returns with new approach to cleaning A former director of environmental services has returned to Johnston Health to introduce his company’s revolutionary way of cleaning. Starting this month, Darryl Patterson will be leading a 60-day pilot testing and trial in two areas of the hospital. Since going to work eight months ago as vice president of Aquaox, he has designed and developed the application system, including the cart and a wand to mist the disinfectant. Patterson will be training environmental services employees how to use the product, which is made of salt brine and softened water through a process of electrolysis. “It’s a hypochlorous acid mist, which is non-toxic,” he says. Patterson says the Centers for Disease Control has said the cleaner is 200 times more effective than bleach in killing microbes. “It kills spores, allergens and odors,” he says. A generator on site will produce and dispense the product. Because the cleaner is electro-statically charged, it attaches to all surfaces. While one of the products is used to wipe away bio-film, another is applied through the wand or a rotating mister to cover an entire room to clean areas such walls and curtains. “It dries so fast that it doesn’t damage anything,” he adds. After the 60 days is up, Patterson will report his findings to administration. In the meantime, his company is promoting the Aquaox infection control system through US Media TV, producer of Health Briefs with Terry Bradshaw. A few weeks ago, a videographer spent a day with Patterson at the hospital filming for the five-minute segment, which will air sometime in August. Patterson, who lives in Clayton, says he talked his company into doing the local pilot at Johnston Health rather than at a hospital in another state. Nurse practitioner joins QuikMed staff From the time she was five years old, Lindsay Tart wanted to be a nurse. At that young age, she even declared her intentions on a home video that her mother has kept till this day. “I love helping Lindsay Tart people feel better,” she says. Tart, who grew up in Linden, is the new medical provider at QuikMed. The nurse practitioner succeeds Angela Wadsworth, who is now working with Dr. Mark Bowling in Johnston Health’s family care practice at the Johnston Professional Plaza in Clayton. Before coming to Johnston Health, Tart worked in a gastroenterology practice in Fayetteville where she diagnosed, managed and treated a variety of acute and chronic GI diseases and disorders. She became a registered nurse in Sep- tember 2008 and then completed her master’s in nursing in July 2012. She became a licensed nurse practitioner in October 2012. Both her bachelor’s and master’s degrees are from East Carolina University in Greenville. As an RN, Tart worked in a variety of settings. She last worked as a float nurse at Duke Raleigh Hospital where she provided care to orthopedic, neurology and oncology patients. Her career has also included a three-year stint at Cape Fear Valley Hospital in Fayetteville. Tart, who started June 16 at QuikMed, says she is enjoying her new position and her co-workers. “We have a great team here,” she says. “Everyone at Johnston Health has been friendly, and I really like the small town atmosphere here in Smithfield. Everyone is so kind.” She and her husband, Peter, live near Spivey’s Corner. They have a 3-monthold daughter, Leighton. QuikMed, an urgent care in the Johnston Medical Mall, is open from 9 a.m. till 5 p.m. Monday through Friday. Co-pays for Johnston Health employees are $35. During the course of his life, Jim McCarver has operated a funeral home, worked for a mortgage banking company and sold commercial-building supplies—all interesting and successful ventures. But it’s been his volunteer work in retirement—as a Christian counselor and life coach, the music director at his Asbury Methodist Church, and as a chaplain at Johnston Health—that has brought the most reward. “It’s so fulfilling,” he says. “I wouldn’t take anything in the world for it.” In April, the Rev. Greg McClain, manager of spiritual care services for Johnston Health, presented McCarver with the Overa S. Stephens award for faithful service. The award is named after the Rev. Stephens, who was instrumental in starting the volunteer chaplaincy program 40 years ago. “Jim is compassionate and caring,” McClain says. “His chaplain ministry has been a blessing to patients, families and staff.” McCarver, who came on board as a chaplain in July 2006, had the most volunteer hours in 2013: 755 in all. The 12 volunteer chaplains are on a call rotation, and they cover the hospice house as well as the hospital and the outpatient campus in Clayton. McCarver grew up in the small town of Decherd, Tenn., just across the state line from Huntsville, Ala. As a youngster, he attended church regularly with his family. After going into the funeral home business, his church background came in handy. Whenever a pastor didn’t show up to conduct the funeral, McCarver would jump in and deliver the service. It wasn’t long before folks started calling him the Rev. McCarver. He became an ordained minister in 1998. But it wasn’t until his job relocated him to Smithfield, and he and his wife, Deb, began volunteering at the hospital, that he began reexamining his faith. He was delivering a plant to a room one day when the patient asked McCarver to pray with him. “I didn’t feel it was the right opportunity,” he says in hind sight. “But I did it, and it reawakened within me a desire to serve people and the Lord.” McCarver eventually focused his volunteerism as a chaplain, and decided to pursue a bachelor’s degree in biblical studies. He recently earned his degree online from Liberty University and is now starting a master’s program. McCarver says being a volunteer chaplain can be stressful but is always fulfilling. “It takes you to another level you never thought you had,” he says. “I’m growing in my faith. When I’m on call, I pray that the phone doesn’t ring. But if it does, I pray that I’ll have the strength, knowledge and ability to do what I have to do.” The Rev. Greg McClain presents Jim McCarver with the Overa S. Stephens award for faithful service. July 16, 2014 A MAKEOVER FOR HEALTHQUEST NOTEWORTHY Workforce engagement survey kicks off Monday What do you think about your workplace? Johnston Health is seeking feedback through a survey along with most other UNC Health Care hospitals. It will begin Monday and end Aug. 4. Employees will be able to answer the question online and confidentially. Starting today, a representative or the director from each department will be handing out to employees an envelope containing instructions and a pass code ticket that can be used to access the survey. These envelopes are sealed and contain random pass codes assigned by Press Ganey, the company conducting the survey. These pass codes are unknown to everyone, including Johnston Health and UNC Health Care. Please do not lose the pass-code ticket because it cannot be replaced. That’s because neither Johnston Health nor UNC Health Care has no way of knowing what pass code was in the envelope. Employees who do not receive their envelopes during the distribution will get their pass code through the mail at their home address. The survey has 32 questions and takes about 10 minutes to complete. It is open to employees who were hired prior to June 1, 2014. The web address for the survey will be on the ticket, and a link to the survey can be found in the employee survey folder on Hospital Quicklinks. If 75 percent of Johnston Health employees participate in the survey, then all will be treated to ice cream as a celebration. The HR department wishes to thank the department representatives and directors for assisting with the distribution and encouraging participation. Need summer supplies? The Johnston Health Volunteers are selling chances now through July 31 to win a bag containing $200 worth of items. Tickets are $1 apiece or six for $5, and can be purchased in the Volunteer Gift Shop. The drawing will be at 3 p.m. on July 31. All proceeds go toward paper, pencils and supplies for patients through the Operation Cheer initiative. From left, members of last week’s RIE team were Megan Westbook, Amy Hamby, Tim Hays, Dr. Kumari Verghese, Cyril Reyno, Bailey deCathelineau and Shelly Malone. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Vanderlaan named Ambassador Co-workers praise CNA for team work, work ethic Darlene Creech of Clayton works out last week in the newly expanded aerobics room at HealthQuest. The fitness and wellness center is in the midst of a makeover. Center adds room for cycling; expands aerobics, massage W hen an interior decorator sent over samples of subdued, earth-tone colors, Ashley Scott knew they weren’t right for the HealthQuest remodeling project. In a place where there are few windows and natural light, the paint on the walls would have to brighten up the place. “In this environment, we need energizing colors,” says Scott, who is director of the wellness and fitness center. “We want to get people excited and ready to exercise.” The new look is definitely drawing attention. There are nine accent colors from Basic Khaki to Red Red Rose to Green Lane. The new carpet pulls the look together. The changes go beyond cosmetics. The massage rooms, which used to be on the back hallway, have been moved to a new space (formerly the diabetes education classroom) accessible from the main corridor. There’s also additional space in the aerobics room and, next door, a dedicated cycling room with new bikes. Cycling classes had been held in a small space, originally a storage room, overseeing the racketball courts. Scott says the popularity of cycling and Zumba, as well as a robust massage business, had driven the need for expanding and updating. A third massage therapist may be hired to help take care of customer demand. Scott says the update started last year when the deck around the pool was replaced and the steam rooms repaired. Then new cardio machines replaced aging equipment on the fitness floor. Weightlifters will appreciate the recent addition of a larger, safer squat rack, Scott says. In the locker rooms, slip-resistant rubber flooring has replaced the carpet, and new benches are on the way. Also, the TV lobby will be getting vending machines and new furniture. Scott says the staff will add a few proshop items across from the front desk. With the addition of a small storage area, there’s now a place to store the merchandise rather than displaying it all. Scott says announcements will appear on a digital board rather than on fliers, posters and bulletin boards. “To reduce clutter, many of those will not be going back up,” she says. A future phase will extend new flooring to the fitness floor and continue upgrades to the locker rooms. “We’re still a work in progress,” she adds. “We’ll be doing a little at the time as funding becomes available.” HealthQuest opened in January 2003. In the 10 years since, more than 17,000 people have come through the doors, either as members, guests or patients in the cardiopulmonary rehab program. Among the 3,861 members, 240 are Johnston Health employees and 36 are volunteers. “We have a wonderful staff and great programs,” Scott adds. “I am amazed at how many first-time guests don’t know of all the amenities we have within this building.” “To remain competitive in the fitness market, we needed the facelift. Appearance speaks volumes, and if members are dissatisfied with the maintenance of a facility, they tend to look elsewhere.” Sherry Vanderlaan likes working hard and learning new things. The patient care assistant, who works nights in the Smithfield emergency department, will begin classes next month at Johnston Community College. She wants to earn an associate degree in medical assisting. Before joining Johnston Health a year ago, Vanderlaan was a certified nursing assistant at a nursing home for three years. While she enjoyed caring for the aged, it was sad to watch their decline, she says. “I’m having fun in the ED, taking care of patients of all ages and knowing that they are going to get well,” she says. “I like the hospital setting. I’m seeing interesting things and learning something new every day.” Vanderlaan is known among co-workers as a young woman of few words. Her work in the ED, however, draws the praise of co-workers. So much so that she was recognized recently as the Johnston Health Ambassador for June. During a presentation in the ED, Ruth Marler, chief operating officer at Johnston Health, said Vanderlaan goes the extra mile to ensure that rooms are quickly cleaned between visits. “She makes sure patients get what they need and are comfortable,” she says. “She answers call bells right away and looks for ways to satisfy the patient and family.” Marler, who shared comments from nominators, said Vanderlaan “strives to learn and grow by observing new procedures and asking strategic questions to improve the delivery of care.” She also communicates well with coworkers and is willing to relieve them for appropriate breaks, she said. “Sherry is always an excellent team player.” Vanderlaan grew up in Newark, N.J. and moved to Selma as a teen. She has a 21-month -old daughter. From left, Sherry Vanderlaan is congratulated by Beverly Farish, emergency services coordinator, Chief Operating Officer Ruth Marler and Michelle Cooke, emergency services coordinator. RIE focuses on patient flow from ED to behavioral health Patients coming to the emergency department to get behavioral health care are now being screened more quickly and efficiently, thanks to improved processes put into place last week during a rapid improvement event or RIE. In the new BH Express Track, ED nurses are contacting a behavioral health screener right away if they determine that the patient has no serious medical conditions. Heretofore, nurses had been ordering lab work and waiting for results to medi- cally clear the patient before calling in the screener. Jessica Springer, director of Lean transformation, says about 60 percent of patients seeking or needing behavioral health care can follow the Express Track. From the RIE, a team of ED and behavioral health nurses and the on-site psychiatrist came up with an algorithm to decide which patients could fall into the “express” category. They also put together a training module for staff, acquired a single phone number to quickly reach behavioral health screeners and worked with the marketing department to design an information sheet to raise awareness about the behavioral health resources available in the community. “These changes can reduce our length of stay for behavioral health patients and the hours of sitters who are needed to stay with these patients,” Springer says. After the staff fine tunes the process, then the team plans to see how it might work in Clayton once the inpatient beds open. (See the team photo at far left.) August 6, 2014 CAMP COURAGE NOTEWORTHY Kudos for quality The Carolinas Center for Medical Excellence has recognized Johnston Health for 100 percent compliance with the central-line insertion practices and for maintaining zero central-line associated blood stream infections for 18 or more months. Finance employee oversees contracts for organization Help needy schoolers by filling the bus Johnston Health is partnering with the Rotary Club of Central Johnston County to collect school supplies that the Salvation Army will distribute to local needy children. The drive, titled Fill the Bus, will continue through Thursday. Want to give? Deposit donated supplies into one of the boxes at HealthQuest in the Medical Mall or at the entrance to the cafeteria. Items on the list include notebooks, pencils, glue sticks and loose notebook paper. For more info, contact Alison Drain at 9387169 or [email protected]. Art for Hope: For cancer patients The Johnston Health Foundation has set up an online campaign during August to raise $10,000 to buy original artwork and to brighten up the interior of Johnston Health Hematology & Oncology in Smithfield. The project will complement and prepare the department for a nutrition and wellness program starting in January. Last month, the North Carolina Community Foundation awarded the Johnston Health Foundation a $5,000 grant to carry out the program, which will offer patients nutrition counseling and cooking demonstrations, water aerobics classes and art therapy. In the days since launching the campaign, the Johnston Health Foundation has raised more than $4,000. Local artists are serving on a committee led by Johnston Health to gather paintings that will go into waiting areas, exam and treatment rooms. Other artists are offering donations and discounted prices on their pieces. Donors who contribute $500 or more will get their names on a plaque next to the painting. To read more about this project (and other opportunities to give), go to the Johnston Health website. Shot days Need a shot or your annual tuberculin skin test? On shots days, no appointments are necessary. The walk-in clinic is from 7 a.m. till noon and from 1 till 3:30 p.m. on Aug. 15 at the employee health office on fourth floor of the Bright Leaf tower. In Clayton, the clinic is from 7 a.m. till 3 p.m. on Aug. 19 in the lab. Shop the summer clearance sale The Volunteer Gift Shop will have a summer clearance sale from 10 a.m. till 2 p.m. on Aug. 21 in the hospital café. There will be discounted prices on jewelry and other items. Employees may use payroll deduction and all shoppers may pay with credit cards or cash. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Johnson named Ambassador Jackson Haga, 8, of Garner decorates a picture frame during craft class at Camp Courage, a day-long bereavement camp held July 26 at Camp Mary Atkinson and put on by Johnston Health. In the background, hospice social worker Murray Dees assists other campers. Children play, get help with grieving O n a recent Saturday, Isabella Montano tie-dyed a T-shirt, hugged a horse and climbed a 50-foot-tall ropes course. She made a new friend, Tristan, with whom she shares a dislike for cleaning her room. For 16 young people, Camp Courage was a day to play and forget the cares of the world. But just as important, it was an outlet, too, for expressing and talking about feelings in the wake of losing a loved one. Isabella, who is 12, lost her grandpa, Elton Lee Eason, in January. He died two months after being diagnosed with fungal meningitis. She and her brother, Matthew, also a camper, have fond memories of visiting his home in Selma and playing checkers. “He was fun and funny, too,” Isabella says. “We talked on the phone, and we always told each other that we loved each other.” The camp was the vision of SECU Hospice House manager Tami Bambaugh and hospice social worker Murray Dees. While the hospice program of Johnston Health offers bereavement services to families, it had never included an emphasis on the children. “Children tell us they don’t like showing grief because it makes parents sad or upset,” Bambaugh says. “So they keep it bottled up.” The majority of the youngsters at Camp Courage had lost a parent within the last year or two, she says. Others had lost a classmate, a family friend, a grandparent, an aunt or uncle. The camp, which was held at Camp Mary Atkinson off N.C. 42 East, mixed activities with group therapy led by trained, experienced counselors. There was no charge to attend. By the end of the day, Isabella said she was feeling much better. “This was very helpful. I loved it,” she said before skipping off to join her friend in a canoe ride on the lake. Bambaugh and Dees began the planning several months ago. As they put out feelers, several people passionate about the cause came forward to volunteer—some with ties to special resources and talents. Heide Erickson, a social worker at Johnston Health, recruited her friend, Ashley Franey, a psychotherapist skilled at incorporating horses in her sessions with children. The women had worked together previously with at-risk foster children. At Camp Courage, they designed a fun exercise in which campers built their grief journey out of props such as hula hoops and noodles, and then lead a horse through it. Others made donations to the camp, including Carol Smith, the office coordinator at the SECU Hospice, and Caroline Hester, the administrative director who oversees home care and hospice services. Sheetz, a convenience store, made sandwiches for lunch. A Boy Scout troop provided all the art supplies. Bambaugh did some bartering to get the location. In exchange for use of the grounds and Leadership Center at Camp Mary Atkinson, she helped the staff with camper registration on four consecutive Sunday afternoons. Also, the director and camp staff at Camp Mary Atkinson volunteered to lead the activities, which included archery, crafts and canoeing. Among the other volunteers were two Johnston Health hospice volunteers and three counselors from Johnston County Public Schools. At the end of the day, parents were invited to join the children for a ceremony around a campfire. One by one, they tossed into the fire a letter they had written during the day to their lost loved ones. Some of the parents wrote a letter, too. “It summed up the emotions and feelings they had talked about throughout the day,” Bambaugh says. “The burning letter was a visual of letting go and saying final goodbyes.” Afterward, parents and guardians told Bambaugh that they were grateful for the camp and believed the experience would help them reconnect with their children, she says. “I’m proud of our volunteers, and I’m proud of the children for being so brave to open up and trust us. “This was a wonderful experience for us all,” she said. Teresa Johnson likes the detail in her work and the friends that she’s made while on the job. She and Diane Westbrook have worked together for nearly 15 years and without a harsh word between them, she says. They share the office at the end of the finance hallway at the Johnston Medical Mall, and they will work in offices next to each other once they move to fourth floor of the Bright Leaf tower later this month. Last month, Johnson was recognized as the Johnston Health Ambassador for July. And she was quick to say that Westbrook was just as deserving of the award. Kevin Cielinski, the controller, wasn’t surprised. “Teresa is a great team player who’s always willing to help out,” he said. During the presentation, CEO Chuck Elliott described Johnson as pleasant, friendly, dependable and responsive to questions or needs. “She never needs to be reminded when something needs to be completed,” he said. “She excels at keeping everyone on track toward completing tasks.” Johnson started out with Johnston Health in the mid 1980s doing the payroll. After four years, in 1987, she left to accept a job with the state as an administrative assistant to the controller. She returned to Johnston Health part-time in October 1998 so that she could be closer to home and spend more time with her sons, Reed and Matthew. Her job became full-time in 2010. “It’s rewarding to assist directors and administrators with getting what they need,” she says. “It’s a good feeling knowing that you’ve been able to help them get what they need.” Elliott says Johnson was particularly helpful during the due diligence period prior to the affiliation with UNC Health Care. Attorneys reviewed all of the hospital’s managed care contracts, and Johnson had to provide much of the information. A big part of Johnson’s job is to keep up to date the 1,400 or so contracts that Johnston Health holds with vendors, colleges and nonprofits, among others. She processes new contracts as well as coordinates approvals and changes to existing contracts. Johnson says contracts had been under the purview of the compliance department until 2009, when a restructuring shifted the duty to the finance department. Until then, she had overseen accounts payable. In addition to overseeing contracts, Johnson does monthly reconciliations, journal entries, and is the department’s preceptor. She also processes invoices and checks for the Volunteer Gift Shop. Johnson grew up near McGee’s Crossroads. She and her husband, Eddie, live in Four Oaks. From left, Kevin Cielinski, CEO Chuck Elliott and CFO Eddie Klein congratulate Teresa Johnson on her award as Johnston Health Ambassador of the Month. August 20, 2014 JOHNSTON MEDICAL ASSOCIATES NOTEWORTHY Scott Metzel has more than 24 years of experience Shop the summer clearance sale The Volunteer Gift Shop will have a summer clearance sale from 10 a.m. till 2 p.m. on Aug. 21 in the hospital café. There will be discounted prices on jewelry and other items. Employees may use payroll deduction and all shoppers may pay with credit cards or cash. Welcome to Johnston Health Here’s a list of employees and volunteers joining us in August. Fulltime: Catherine Cassidy, EVS worker; Dedra Rhodes, RN, third floor; Fredi Perez, EVS worker; Jason Pope, RN, endoscopy; Kristain Hinton, RN, emergency department; Mary Raynor, patient care assistant, emergency department; Onika Nix, RN, cath lab; Shannon Chamblee, RN, progressive care; Amy Hays, RN, third floor; Abigail Osborn, physical therapist; Brittany Parker, RN, third floor; Cheryl Waddell, patient care assistant, second floor; Crystal Adair, medical assistant, JMA-Gastroenterology; Efia Barnes, cardiovascular tech, cardiac cath; Inna Zboichyk, RN, behavioral health; James Creech, security officer; Jennifer King, RN, emergency department; Joni Canady, EVS worker; Kayla Mercer, RN, third floor; Lauren Lopez, RN, endoscopy; Marquis McDaniels, security officer; Megan Lord, RN, second floor; Nicole Ferrell, RN, home health; Tammy Holland, medical assistant, JMAInternal Medicine; Tina Latham, department secretary, operating room; Wendy Barnes, eligibility specialist, business office; Carolyn Steele, sleep tech, sleep lab. PRN: Beverly Stolarick, social worker, behavioral health; Jonathan Holt, service representative, HealthQuest; Latoya Green, CNA, hospice house; Mary Landaverde, CNA, hospice house; Rachel Weaver, EKG tech, cardiology; Allison Glasson, RN, wound center; Erica Johnson, aerobics instructor, HealthQuest; Kaylynn Johnson, registered respiratory therapist; Mary Wood, RN, hospice house; Miranda Miller, RN, emergency department; Nicolette Hines, RN, emergency department. Volunteers: Linda Sorrells, hospital; Mary Iles, chaplain; Ruth Kennedy, hospital; Iris Hocutt, chaplain. Johnston Health Volunteers award college scholarships The Volunteers of Johnston Health recently awarded college scholarships of $1,000 apiece to 11 students headed into health care professions. The recipients were Jenna Burrell of Clayton, Libby Dotson of Clayton, Lauren Hussey of Clayton, Taylor Hamilton of Four Oaks, Anna Hughes of Clayton, Monica Piszczor of Clayton, Meribeth Lamberth of Clayton, Kaylee Morgan of Clayton, Mark Fang of Smithfield, Caitlyn Powell of Four Oaks and Danielle Williams of Four Oaks. The Volunteers use proceeds from their special sales of jewelry, shoes and books to fund the scholarships. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. ED director settling into new role Ricky Byrd is the practice administrator for Johnston Medical Associates. What’s up, new with the practices S ince assuming his new role as administrator of Johnston Medical Associates, Ricky Byrd has been getting to know the staff and providers at the clinics spread around Johnston County, and to begin putting into place a structure and best practices. The former radiology director at Johnston Health Clayton is now an employee of the UNC Physicians Network, which is based in Morrisville and is made up of 36 practices. Johnston Health is contracting with the group for its management services, which for now, is Byrd. It’s the equivalent of being the CEO, the COO and the CFO, all rolled up into one, he says. Until now, Byrd and administrative director Tracey Carson had shared the task of overseeing the practices. What follows are a few basics and the latest news about JMA. WHAT, WHO IS JMA? Johnston Medical Associates is the group of practices owned by Johnston Health. The medical providers and staff are all Johnston Health employees. These clinics are: the family care practices in Clayton and Kenly; QuikMed and the internal medicine practice at the Johnston Medical Mall; the gastroenterology, rheumatology and neurology practices on the ground floor of the Medical Arts Pavilion; and the infectious disease practice on the pavilion’s second floor. NEW DOCS ON THE WAY: Drs. Mai Trang Nguyen and Jarmella Russell, both internists, will soon join Dr. Nicole Collins at JMA-Internal Medicine on Sept. 2 and 29, respectively. And Dr. James MacDonald, who is married to Dr. Russell, will open his neurology practice Sept. 15. GOING EPIC: JMA will be the first at Johnston Health to adopt Epic, an electronic health record software. (It will replace Allscripts, which the practices are now using.) Epic will enable the clinics to better communicate with other providers within UNC Health Care as well as those at Duke and WakeMed, Byrd says. “It will simplify our lives. It’s a great reporting tool.” JMA will go live with Epic during February or March 2015, he says. WHY ARE THEY IMPORTANT?: Under the Affordable Care Act, hospitals can lose a portion of their Medicare and Medicare payments if they have too many patients who are readmitted within 30 days of discharge because of three medical conditions: heart attack, heart failure and pneumonia. Byrd says JMA will play a vital role in engaging and providing medical homes for patients who may never have put a priority on their health. WHAT ARE THE EXPECTATIONS?: Byrd wants patients to have the best possible experience at JMA, and he believes that the providers, both now in place and coming soon, are all passionate about putting patients first. The greatest value of JMA is that it provides preventive care so that patients won’t need hospitalization, but to also refer patients who do need hospital services, he says. If his office seems chilly, it’s because Scott Metzel is still getting used to the climate in North Carolina. After living in Anchorage, Alaska for the past eight and a half years, the temps here in Smithfield likely feel tropical by comparison. But Metzel is not Scott Metzel complaining. “Alaska was beautiful, picturesque, but the winters were long and cold,” he says. Plus, the Robinsville, N.J. native is happy to be back on the East Coast, closer to family and his three oldest children, who are studying at universities in Alabama and Idaho. Since coming aboard last month as director of the emergency department, Metzel has been getting to know the staff and providers. “We’ve got a great team, and I’ve felt a good vibe and energy from everyone,” he says. The team includes veterans Michelle Cooke as ED manager and Beverly Farish as ED coordinator, and Dr. Manny Gupta as clinical director. Metzel has 24 years of emergency, critical care nursing and management experience. Before coming to Johnston Health, he was the director of emergency services at Providence Medical Center for three years, and the director of the cardiac cath lab at Alaska Regional Hospital for two years. Prior to those positions, he was in active duty with the Air Force after 27 years. Shortly after receiving his nursing degree from the College of New Jersey (that’s where he met his wife Kim), he was assigned to Seymour Johnson in Goldsboro, the first of many tours stateside and abroad during his career. His first exposure to emergency medicine was at a base in Florida. Until then he had worked mostly in intensive care units. He says he liked the chaos, fast pace and “putting together the puzzle” in the emergency department. He later returned to school and earned a master’s in emergency disaster management from American Military University. Metzel says his military training has helped shape his leadership skills. He believes in being fair, approachable and making sure that everyone understands the mission. The couple lives in Wake Forest and has four children. In their spare time, they enjoy watching their children participate in sports. RIE focuses on reducing denials for urgent admissions Getting the proper authorization for admissions is the best way to ensure that the hospital gets paid for its services. During a recent RIE, a team focused on reducing denials having to do with urgent admissions requiring authorizations. Jessica Springer, director of Lean transformation, says the lack of a standardized communication process was among the obstacles. Insurance carriers were directing questions or requests to case managers and, at other times, to the hospital’s insurance verification person. The team created for case managers a payor matrix that identifies the docu- ments that each insurance carrier wants. “The matrix keeps us from sending them paperwork they don’t want, and it also reduces the fees we pay to a faxing service.” Springer says the team also looked at cases in which claims were denied because insurers questioned whether patients should be kept for observation or admitted. The team came up with a process to get a determination right away from insurance companies as to the level of care they’re willing to accept, she says. “The moral of the story is that you need to do as much as you can while the patient is still here,” she says. Under a plan now in place, case manager assistants know throughout the day as case managers finish charting the progress of patients. Until now, case managers had been holding all of their utilization reviews till the end of the day, Springer says. So the assistants had no idea when the reviews were actually done, and they were getting the reviews when they were busiest with discharge planning. The team also put into place a standardized work plan for registration that will help improve the accuracy of the information they enter. “One of the best parts of the RIE was getting the two groups together,” she says. “Several team members had never met.” September 3, 2014 THE ICE BUCKET CHALLENGE NOTEWORTHY JMA adds internist to practice Dr. Nguyen puts emphasis on wellness, preventive care Teachers are artists too The latest exhibit along the Women’s Pavilion hallway showcases the work of art teachers at Johnston County Public Schools. Above is a landscape in acrylic by Leslie Smith of Four Oaks Elementary. Employees are invited to an informal reception at 5 p.m. on Sept. 18 in the hallway. It’s a great opportunity to talk art with the teachers and ask about purchasing their work. The rotating exhibit is a collaboration between Johnston Health and the Johnston County Arts Council. Brrrrr….. Tim Hays, vice president of human resources, is the latest at Johnston Health to take the ALS ice bucket challenge. See his video and others on our Facebook page. Shelby Holt, director of cardiopulmonary services, doused the VP Tuesday afternoon behind the Women’s Pavilion. Hays said the ice water felt good on such a hot day. Rock-A-Thon to benefit home care, hospice patients A rock-a-thon benefiting the volunteer fund to support patients and families of Johnston Health Home Care and Hospice and the SECU Hospice House will be from 8 a.m. till 4 p.m. on Sept. 11 in the Johnston Medical Mall. The day will include live entertainment, refreshments, prizes and a silent auction that includes an assortment of gift baskets. Employees are invited to join the activities, including rocking for the cause. (If you would like to rock, please schedule with Wanda Johnson, volunteer coordinator, by calling 919-209-5103.) To donate, please make out your check to the Johnston Health Foundation and mail to the SECU Hospice House, attn. volunteers, P.O. Box 1376, Smithfield, N.C. 27577. Free prostate screenings In keeping with prostate cancer awareness month, Johnston Health is offering free prostate screenings from 1 till 5:30 p.m. on Sept. 24. Drs. Robert Lippitt and Adel Mohamed will do the procedures in their office at the Medical Arts Pavilion. To schedule a screening appointment, call 1-888-977-3319. Shot days Need a shot or annual tuberculin skin test? In Smithfield, employees can stop by the employee health office on fourth floor of the Bright Leaf tower from 7 a.m. till noon and from 1 till 3 p.m. on Sept. 19. In Clayton, employees can stop by the lab from 7:30 a.m. till noon and from 1 till 3:30 p.m. on Sept. 16. No appointments are necessary. A bonus Employees eligible for merit raises will soon receive a bonus equal to 1.5 percent of their base pay. The Johnston Health board of directors approved the payment last week after recognizing the health system’s strong finish for the fiscal year. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Johnston Health earns Gold Seal Johnston Health has earned The Joint Commission’s Gold Seal of Approval® for accreditation by demonstrating compliance with The Joint Commission’s national standards for health care quality and safety in hospitals. The accreditation award recognizes Johnston Health’s dedication to continuous compliance with The Joint Commission’s state-of-the-art standards. Johnston Health underwent a rigorous unannounced on-site survey in July. A team of Joint Commission expert surveyors evaluated Johnston Health for compliance with standards of care specific to the needs of patients, including infection prevention and control, leadership and medication management. “In achieving Joint Commission accreditation, Johnston Health has demonstrated its commitment to the highest level of care for its patients,” says Mark G. Pelletier, R.N., M.S., chief operating officer, Division of Accreditation and Certification Operations, The Joint Commission. “Accreditation is a voluntary process and I commend Johnston Health for successfully undertaking this challenge to elevate its standard of care and instill confidence in the community it serves.” “With Joint Commission accreditation, we are making a significant investment in quality on a day-to-day basis from the top down. Joint Commission accreditation provides us a framework to take our organization to the next level and helps create a culture of excellence,” says CEO Chuck Elliott. “Achieving Joint Commission accreditation, for our organization, is a major step toward maintaining excellence and continually improving the care we provide,” he says. The Joint Commission’s hospital standards address important functions relating to the care of patients and the management of hospitals. The standards are developed in consultation with health care experts, providers, measurement experts and patients. Early Learning Center earns accreditation The Early Learning Center of Johnston Health has earned accreditation from the Southern Association of Colleges and Schools. “Accreditation demonstrates to our community that we’re focused on raising student achievement, providing a safe and enriching learning environment, and maintaining an efficient and effective operation staffed by highly qualified educators,” said Helen Patterson, director of the ELC. Following a visit from an external team earlier this summer, the center scored 388 points out of a possible 400 for education quality, 388 for teaching and learning impact, 391 for leadership and 386 for resource utilization. New procedure offers relief for accidental bowel leakage Dr. Raj Majithia of Johnston Medical Associates-Gastroenterology is now offering a nonsurgical procedure for patients suffering from fecal incontinence. Solesta is a quick treatment that gives patients more control by bulking up tis- sue in the anal canal. The procedure can be done in his office without sedation. For more info or for referrals, call 919938-7182. It’s estimated that more than 15 million people in the U.S. live with symptoms of fecal incontinence. An internist has joined Dr. Nicole Collins in practice at Johnston Medical Associates—Internal Medicine in Smithfield and will begin seeing patients next week. Mai Trang Nguyen, M.D., of Cary, has 13 years of experience in treating chronic and acute illnesses. Before coming to Johnston Health, she was the mediDr. Mai Trang Nguyen cal director of Optimus Health Group in Raleigh, a primary care, internal medicine and urgent care practice. Dr. Nguyen is a graduate of the University of Massachusetts Medical School. She completed her internal medicine internship and residency at UMass Memorial Medical Center. Nguyen emphasizes preventive care and enjoys treating patients who have diabetes and other chronic illnesses. “It’s rewarding to see results,” she says. She believes patients should be at the center of their treatment. “It’s important that they understand their disease process, their medications and how they can contribute toward optimizing their health,” she says. Another essential part of primary care is coordinating patient care, including appropriate referrals to specialists and utilizing community resources, she says. Nguyen grew up in Vietnam where she says health care is a luxury. At a young age, she and her parents and siblings were able to escape from the communist country and to resettle in Boston with the help of a charitable organization. After graduating from college, she spent a year teaching English at a refugee camp in the Philippines. Her mother had seen to it that her children learned English as a second language. So by the time Nguyen arrived in Boston, she was able to communicate with and understand her teachers in school. “I feel privileged to be able to provide care to the public,” she adds. “It’s very rewarding.” In joining Johnston Health, she’s excited about growing the practice and working within the larger UNC Health Care family. She and her husband, Neil, live in Cary and have a 12-year-old daughter. Administrators assigned new roles, responsibilities under plan for early 2015 A new organizational structure will take place within the next three to four months. The changes were announced during the leadership meeting on Friday. Jackie Ring, the chief operating officer for Johnston Health Clayton, will assume a new role as chief nursing officer. She will succeed Linda Allen, who is retiring in early 2015. Ruth Marler, the chief operating officer for Johnston Health, will have responsibility for operations at both campuses. Also of note, Kyle McDermott will take on additional duties as the site administrator for Clayton, and he will have a new title as vice president of support services. The new organizational chart can be found on Hospital Quicklinks. September 17, 2014 SINGING AT THE ROCK-A-THON NOTEWORTHY Meet the art teachers Employees are invited to an informal reception at 5 p.m. on Sept. 18 (Thursday) for the Johnston County Public Schools art teachers who are displaying their work along the Women’s Pavilion hallway. The exhibit is a joint project of the Johnston County Arts Council and Johnston Health. Light refreshments will be served. Couple will add depth to Johnston Health services National Voter Registration Day Are you registered to vote? If not, you’ll have the opportunity to do so here at Johnston Health. From 11:30 a.m. till 2 p.m. on Sept. 23, Ann Stallings and Mary Anne Walker of the Johnston County Board of Elections will be available in the cafeteria at a red-whiteand-blue table to help with registrations. Those registering will not have to show identification, but they will have to write on the form either their drivers license number or the last four digits of their social security number. Books are fun Do you like to read? Make plans to shop at the book fair from 10 a.m. till 5 p.m. on Sept. 24 and from 7 a.m. till 3 p.m. on Sept. 25 in the hospital cafeteria. A portion of the proceeds will go toward the Johnston Health Volunteer Scholarship Fund. Payroll deduction is available. Art exhibit opens Oct. 1 at mall Patsy Cheek of Four Oaks will be the first artist to show her work in a rotating exhibit at Johnston Health Hematology and Oncology. The exhibit, which will hang along a hallway inside the practice, is an outgrowth of the Art for Hope campaign, and it will complement a health and wellness program starting in January 2015 for patients. Visitors and employees are welcome to go and see the exhibit after 4 p.m. on weekdays. Volunteer recruitment fair is Oct. 6 Do you know someone who would like to volunteer? With the addition of the inpatient beds in Clayton, Johnston Health will need more volunteers. A recruitment fair will be from 9 till 11 a.m. on Oct. 6 at the Clayton Center in downtown Clayton. This will be an opportunity for members of the community to get information about volunteering at either of the Clayton and Smithfield campuses. A presentation on breast cancer Dr. Rachel N. Goble, a fellowship-trained breast surgeon from Rex, will talk about breast cancer at 7:15 a.m. on Oct. 9 in the Johnston Medical Mall auditorium. Doctors and employees are invited to this presentation, which will count as a CME . This event is being put on by a Johnston Health committee tasked with preparing the organization for cancer accreditation. Topics will include use of prognostic indicators, evidence-based guidelines used in the treatment process, the role of the patient navigator. Email Caroline Hester at [email protected] right away to reserve a seat and breakfast, which will be served at 7 a.m. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Neurologist, internist join staff Wanda Johnson, the hospice volunteer coordinator for Johnston Health, sings with her sister, Deborah Davis, and her dad, Edgar Johnson, during the Johnston Health Home Care and Hospice rock-a-thon on Thursday. At the piano is their other sister, Vera Wright. The event raised more than $8,000. Hospice volunteer coordinator comes full circle with new job W anda Johnson lives in the house where she grew up and next door to the church where she learned to sing and play the piano. It was her grandfather who gave the land for Faith Freewill Baptist Church, and he was the minister there for many years. “My daddy made sure we were in church every Sunday,” says Johnson, who sang her first solo at age 6. Last Thursday, she performed with her father and two older sisters at the Johnston Health Home Care and Hospice rocka-thon, which is organized and hosted by the hospice volunteers. Since July, Johnson has been the parttime hospice volunteer coordinator. She works out of an office at the SECU Hospice House, where she had previously been a volunteer for two and a half years. Which leads to another story. “I feel I’ve come full circle,” Johnson says. For 32 years, Johnson sold electrical equipment to power companies. She decided to leave her job and go to work with her son in his construction business. But when the recession hit and the housing market tanked, the business closed and Johnson was without a job. “I started doing other things,” she says. And one of those “things” was in the home care business, where she took training and eventually earned her certification as a nursing assistant. The skills came in handy when her grandmother had a stroke in September 2010. So Johnson juggled her then fulltime accounting job with caring for her grandmother, who was 101. “We were very tight, and I loved that time we had together,” she says. By December, her grandmother’s health had failed, and she was admitted to the Rock on! Volunteers raised more than $8,000 during Thursday’s rock-a-thon, which included sponsorships and a silent auction. The money is spent on the needs of hospice patients and their families. For example, volunteers use the money to buy toiletry items for family members, to stock the kitchen pantry at the hospice house with food and to buy special meals that patients may request. Volunteers also buy seasonal flowers for the hospice house yard and bird seed for the feeders, which patients can see from their beds. SECU Hospice House. When Johnson’s mother passed away in 2005, she had used in-home hospice services. But this would be Johnson’s first experience with the hospice house. Her grandmother was a patient for five days before she passed away. Johnson was so impressed with the staff and the care that she immediately applied to work there, as needed, as a CNA. When she was asked to wait a year before applying, Johnson decided instead to become a hospice volunteer. “So I’ve run the gamut, from working in home care with patients to volunteering with hospice,” she says. “Since coming on board, I’ve loved hearing the wonderful stories that families are sharing about their experience with hospice,” she says. “Everyone has been so supportive.” Johnson lives near Kenly in the Shoe Heel community. She has three grown sons and five granddaughters. She continues to work part-time as an accountant and tax preparer. He’s a neurologist; she’s an internist. Drs. James MacDonald and Jarmella Russell are a married couple and new parents. And Russell they’re both MacDonald setting up practices at Johnston Health. “It’s a nice package deal,” says MacDonald, who has an office in the Medical Arts Pavilion. Russell, who recently completed her residency, has joined Drs. Nicole Collins and Mai Trang Nguyen at Johnston Medical Associates—Internal Medicine, which is in the Johnston Medical Mall. They met each other at Wake Forest University Baptist Medical Center. He was completing a fellowship in neuro-rehabilitation, and she was in medical school. Since getting married two years ago, they say they have enjoyed being able to talk shop with each other. MacDonald says he has a special interest in headaches and traumatic brain injury. Before coming to Johnston Health, he was the medical director of rehabilitation at Wake Forest University Baptist Medical Center in WinstonSalem. He received his medical degree and completed his fellowship at Wake Forest. He finished residencies at Boston and Virginia Commonwealth universities. MacDonald decided to pursue a medical career in neurology after his grandfather was diagnosed with Parkinson’s disease. In his practice, he will be treating degenerative diseases as well as stroke and movement disorders. “I’m looking forward to establishing a rapport with patients and treating their illnesses and injuries,” he says. Russell completed her internal medicine residency in June and is looking forward to opening her practice. “My goal is to keep patients healthy so that they don’t need to go to the hospital,” she says. “I like focusing on preventive care, particularly smoking cessation.” Russell lost her father to asthma when she was 9 years old. From that experience, she set her sights at a young age on becoming a pulmonologist. But in medical school, she found that she enjoyed internal medicine and the variety and challenges that come with diagnosing illnesses. MacDonald grew up in Wilmington, and Russell in Detroit. The couple and their son, Aiden, who was born June 10, live in Clayton. For an appointment with Russell, call 9387187. For an appointment with MacDonald, call 934-3022. Johnston Health staff rolls out campaign to educate, raise awareness about falls Starting next week, patients and visitors at Johnston Health will get a dose of education on how to prevent falls. Colorful placemats will go underneath every patient’s evening meal, and educational materials will be on display near the main entrances at the hospital and Johnston Health Medical Mall. Also, employees will be challenged to identify fall hazards that will be staged in a mock hospital room. Caroline Hester, the administrative director who oversees home care and hospice, is participating in the hospital’s push next week to raise the community’s awareness about falls and how to prevent them. The Johnston Health Talk on WTSB radio airing Thursday will focus on the topic, she says. “Every year in our country, one-third of Americans aged 65 and older will fall,” she says. “It’s so important that we get rid of tripping hazards at home, that we be mindful of medications and that we keep our vision sharp. Also aging adults need to exercise to keep their legs strong, which makes falls less likely.” The National Council on Aging says that falls are the leading cause of injury death for older Americans. Statistics gathered by the U.S. Centers for Disease Control and Prevention are revealing: Every 14 seconds, an older adult is treated in the emergency room for a fall; every 29 minutes, an older adult dies following a fall. Oct.1, 2014 RAISING AWARENESS NOTEWORTHY Volunteer recruitment fair Oct. 6 Do you know someone who would like to volunteer? With the addition of the inpatient beds in Clayton, Johnston Health will need more volunteers. A recruitment fair will be from 9 till 11 a.m. on Oct. 6 at the Clayton Center in downtown Clayton. This will be an opportunity for members of the community to get information about volunteering at either or both of the Clayton or Smithfield campuses. Purchasing manager pulls up Georgia roots to relocate to Smithfield Golf anyone? There’s still time to enter the First Citizens Bank Annual Golf Classic, which is an annual fundraiser to support the work of the Johnston Health Foundation. The tournament is Oct. 10 at Pine Hollow Golf Course in Clayton and offers tee times at 8 a.m. and 1 p.m. The cost of $100 per player includes lunch and a ticket to the Foundation Social at Portofino Clubhouse in Clayton on the night prior to the tournament. Proceeds from the social will go toward the hospice fund. This year’s event is honoring the retiring Clerk of Superior Court Will Crocker. To reserve a space to either event, contact Alison Drain at ext. 7169 or [email protected] Neurologist to speak at next Health Chat Dr. J. Alex MacDonald, the newly recruited neurologist to Johnston Health, will talk about headaches, traumatic brain injury and stroke during the next Health Chat. The session at The Clayton Center on 111 E. Second St., in Clayton, will be from 6 till 7 p.m. on Oct. 14. The session at the Johnston Medical Mall in Smithfield will be from 11 a.m. till noon on Oct. 16. To reserve a seat for this free event, please register online at www.johnstonhealth.org. The marketing department of Johnston Health hosts the quarterly presentations as a way to introduce new physicians to the community. Fall Fest set for Oct. 17 Shop for one-of-a-kind gifts at Fall Fest, which will be from 11 a.m. till 5 p.m. in the Johnston Medical Mall. The deadline for participating vendors is Oct. 1. For more info, contact Shanna Hodges at [email protected]. Celebrating Halloween A costume contest, a free meal for employees and a silent auction of baked goods are on tap for Halloween at Johnston Health on Oct. 31. All proceeds from the bake sale will go toward the employee emergency fund, which helps those who are facing financial hardships caused by such situations as illness, or loss of home due to fire. Community Memorial Service is Nov. 2 Johnston Health will hold its annual Community Memorial Service at 3 p.m. on Nov. 2 at the Johnston County Agricultural Center on N.C. 210, west of Smithfield. The service is open to all who have experienced the loss of a loved one. Participants are invited to bring a fabric swatch representing their loved one. These pieces will be sewn into a memorial quilt, which will be unveiled next summer. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Aaron says position felt ‘meant to be’ The color pink A lighted tree in the corner of Ambulatory Imaging at the Johnston Medical Mall is decorated in pink boas and ribbons in recognition of breast cancer awareness month. It was the idea of Terri McLamb, who is the office secretary. The outpatient services does about 400 mammograms every month. Save the date: Once again in October, Johnston Health Clayton will host Ladies Night Out. The women’s health event will be from 5 till 7 p.m. on Oct. 28. It will include food, vendors and information about medical services. Volunteer Gift Shop keeps on giving P roceeds from the Volunteer Gift Shop are continuing to pay for needs large and small, in plain sight and behind the scenes: from wall clocks for hospital rooms, to stuffed bears for young patients undergoing surgery, to a machine that can be used at health fairs to check cholesterol levels. Sue Archambeault, president of the Johnston Health Volunteers, says word is getting out about the grants supplied by profits from the gift shop. In the past month, departments have submitted five requests to the volunteer council for consideration. Archambeault says the council grants the requests that they believe will have the greatest impact on the most patients. Copies of the applications are available from the volunteers folder on hospital quicklinks. Directors may submit the completed forms to April Culver, vice president of planning and external affairs. Here’s a list of the purchases since January and the associated departments: Analyzer LDX System Cholestech machine, $1890: WellnessWorks. Copy machine, cartridge refill: preadmission testing. $30-$35 worth of candies and 12 deodorants monthly: behavioral health Two donations of $1,000 each to the employee assistance fund: human resources 140 stuffed bears for young patients: same day surgery Two bed alarms and one rolling storage cart: second floor Analog wall clocks for patient rooms: hospital wide Coffee, creamer, sugar and filters every month for patients and families: Johnston Health Hematology and Oncology 15 lab bags and two ice coolers for Johnston Health Hematology and Oncology in Clayton and Smithfield 20 fidget quilts for Alzheimer patients in the hospital Books valued at $300 from the Books Are Fun vendor: Early Learning Center Two treadmills, $8,500: cardiopulmonary rehab program at HealthQuest $100 donation to Hospice Rock-A-Thon: Hospice Volunteers, who spend the fundraiser’s proceeds on the needs of hospice patients and their families. $1,000 donation to the patient assistance fund: a giving program of the Johnston Health Foundation A DVD educational library, $1,230: behavioral health Melissa Speas, coordinator of the cardiopulmonary rehab program, shows volunteers Sue Archambeault and Myrtle Toole the features of the two new treadmills purchased with proceeds from the Volunteer Gift Shop. The program is at HealthQuest. Patricia Aaron had a good job and a nice home back in Ellijay, Ga., with most of her grown children living close by. But since losing her husband to cancer in 2008, she had been feeling a tug to do something different with her life. Patricia Aaron On a morning in April, she awoke with a decision to resign her job as director of supply chain at Gordon Hospital in Calhoun, Ga. where she had worked for 13 years. Co-workers couldn’t believe she was leaving without having another job. But Aaron says she was acting on faith, and felt that God had a plan. After two weeks at home, she began pulling together job references, and a work friend suggested she call a former boss, Eddie Klein, who had hired her at Gordon. So Aaron looked him up at Johnston Health, and she and the now chief financial officer caught up over the phone. A few days later, she was surprised when Klein called her back to ask if she might be interested in an interim position as purchasing manager. After mulling it over for a couple of days, Aaron agreed to visit to see if Johnston Health and Smithfield would be a good fit. From the start, she says, the opportunity felt right. “With everyone I met, we clicked,” she says. “I fell in love with the town and the hospital. It seems like this was all meant to be.” With the interim position now ending, Aaron has accepted the job fulltime. Her youngest daughter will continue living in the house that Aaron will leave behind in Ellijay. All nine of her grown children have been supportive of her decision to change jobs and move to North Carolina, she says. Even though she has worked in the health care business for 34 years, Aaron has told her family that she’s not ready “to hang up her spurs.” Aaron started her career at Chestatee Regional Hospital in Dahlonega, Ga., as an accounts payable clerk. She quickly advanced to become an accounting manager and later assumed duties in the area of purchasing. “I was bit by the purchasing bug,” she says. “It was so challenging, and new things would come your way every day. I was intrigued by it.” Eventually, her job morphed into purchasing altogether. At Gordon, she focused on standardizing processes for the Adventist Health System—much like she will be doing here as Johnston Health becomes part of UNC Health Care. “In my old job, I did many of the things that I’m now being asked to do here,” she says. “So I’m able to share my experience and training with others.” As for living in Smithfield, Aaron says her neighborhood reminds her of the area where she grew up in Atlanta, Ga. She likes small towns because they offer a relaxed pace, and opportunities to get to know neighbors and to get involved in church. Outside of work, Aaron enjoys traveling abroad. Over the past few years, she’s been to Europe twice and to Ireland. A Paul Harris Fellow The Rotary Club of Central Johnston County has recognized Chuck Elliott, CEO and president of Johnston Health, as a Paul Harris Fellow for his contributions to and volunteerism with the club. The recognition is named after Harris, a lawyer from Chicago who founded Rotary International in 1905. The Central Johnston club meets for lunch at noon every Thursday in Room 1404A of the Johnston Medical Mall. Drain earns CFRE certification Alison Drain, executive director of the Johnston Health Foundation, has earned her professional certification from CFRE International. In doing so, she has met a series of standards set by the organization, which includes tenure in the profession, education, demonstrated fundraising achievement and a commitment to serAlison Drain vice to not-for-profit organizations. She has also passed a rigorous written exam testing the knowledge, skills and abilities required of a fundraising executive, and has agreed to uphold Accountability Standards and the Donor Bill of Rights. Drain, who is also the director of development for Johnston Health, has master degrees in public administration and social work from West Virginia University. She is a graduate of Randolph-Macon Woman’s College. Outside of work, she is the public relations chair for the Rotary Club of Central Johnston County, a member of the Clayton Chamber of Commerce and chair of its Christmas parade. She and her husband, Drew, live in the Cleveland Community, and have a daughter, Isabelle. Use your VIC card to support the Early Learning Center If you buy groceries at Harris Teeter, then you have an opportunity to contribute toward the enrichment programs at Johnston Health’s Early Learning Center. It’s part of the grocery chain’s Together in Education program aimed at raising funds for schools. Here’s how it works: At checkout, simply give the cashier the code for the ELC, 2834, and the VIC card. Once the card is linked, then the ELC will receive a percentage of your purchases of Harris Teeter brand items during the school year. This does not interfere with VIC savings or add costs to the customer. “It’s free, and it’s great way to support us,” says Helen Patterson, the ELC director. “So don’t forget to link your VIC card to our account code the next time you shop at Harris Teeter.” It’s time for the flu shot Have you had your flu shot yet? Here’s the October schedule for employee health on fourth floor of the Bright Leaf tower in Smithfield. Morning slots: 7 a.m. till noon on Oct. 2, 13, 17, 20, 27; 6 a.m. till noon on Oct. 12; and 5 till 9 a.m. on Oct. 9, 28. Afternoon slots: 1 till 3:30 p.m. on Oct. 2, 13, 17, 20 and 27; noon till 7 p.m. on Oct. 6, 30; 4 till 10 p.m. on Oct. 19. Here’s the October schedule for the Clayton campus: Oct. 3—9a.m. till 1 p.m. in the lab; Oct. 9—8 a.m. till noon in the lab; Oct. 12—4 till 6 p.m. in the emergency services coordinator’s office; Oct. 18—4 till 6 p.m. in the emergency services coordinator’s office; Oct. 21—7:30 a.m. till 3:30 p.m. in the lab; Oct. 30—1 till 5 p.m. in the lab. Ronnie Syverson, infection control preventionist, says there have already been a few cases of the flu reported in the state. He says this year’s vaccine has four different strains of the flu virus, compared to three last year. “We’re trying to be proactive and to get everyone vaccinated as early as possible,” he said. Falls Prevention Week winners Employees were challenged to identify all of the fall hazards staged in an empty hospital room last week as part of Falls Prevention Week. Those who completed the test were entered in a drawing for prizes. Winners were Sam Beavers and Wendy Hunter of the pharmacy, Faith Barefoot of fourth floor, and Amanda Johnson of the flex staff. Crystal Reimann, who set up the room, says 39 employees participated and most found all 20 of the hazards. “Some of them identified more potential hazards that were not intended,” she says. To raise awareness about preventing falls, a committee did educational displays and staff passed out educational placemats with the evening meal trays to patients. The patient access department was recently recognized for its impact at Johnston Health. At center, Amber Williams, patient access supervisor for Smithfield, accepts the You Make a Difference certificate and congratulations from CEO Chuck Elliott and CFO Eddie Klein, at back left and right. From left, other members of the team are: Crystal Johnson, community wide scheduler; Lauryn Woodley, team leader; Wanda Darden, team leader; Mercedes Velenzuela, interpreter; Yvonne Chamblee, registrar; and Elia Cabrera, registrar. Patient access dept. honored for making a difference H ave you ever wondered about the day-to-day routine of the registrars in the patient access department? They do much more than sit behind a computer and enter information. The members of the staff wear many hats and do so with a smile. Johnston Health places a great emphasis on the department because registration is the first stop for patients. It affects their entire visit, even after discharge. Quality: The patient access staff thinks of the community as customers, and it strives for excellence. To decrease wait times and expedite care, pre-registration for outpatient procedures is completed prior to a patient’s scheduled visit. In the emergency department, the staff uses mobile carts to complete registration at the bedside. This is a way to provide patients with a comfortable environment during their medical emergency. People: Patients and their families see the patient access staff first when presenting for emergency, outpatient or inpatient care. Every staff member brings a unique characteristic to make the department a great team. They have the best interests of the patient at heart, and they want to ensure that the patient and family understands their insurance benefits and financial responsibility. The members of the team work well with one another, other departments and other facilities outside of Johnston Health. Growth: We are always looking for ways to grow and improve as a department. For example, the patient access staff has joined the Women’s Pavilion in pre-registering patients who are expected to deliver at Johnston Health. Also, the staff adjusts well to changes in staffing and census swings. Value: The patient access team understands the importance of maintaining positive productivity and controlling expenses in the department and for Johnston Health. The team is always making sure that regis- trations are completed accurately so that there is no lost productivity or lost revenue when the billing office submits the claim to the insurance company. With the continued changes in reimbursements and insurances, one employee can not make the department successful. It takes a team working together. Innovation: The patient access team has begun educating patients and their families about the patient portal offered through Johnston Health. This feature enables patients to stay up to date with their health records and upcoming visits. Our staff members always maintain an open mind and adapt to any changes necessary to improve the patient’s experience and to ensure that Johnston Health is profitable. The patient access department was recently recognized for the difference it makes in the lives of patients. Amber Williams, who is the patient access supervisor for Smithfield, wrote the above story of how the department contributes to the organization through the five pillars. Welcome to Johnston Health Here’s a list of employees and volunteers joining us in September. Fulltime: Allison Rowe, physical therapist; Joy Austin, switchboard; Elizabeth Holiday, staff accountant; Dr. Mai T. Nguyen, Johnston Medical Associates-Internal Medicine; Joy Austin, phlebotomist, Smithfield emergency department; Xena Hill, physician office assistant, JMA-Specialty Services; Tracy Branch, monitor tech, progressive care; Deshawna Brown, environmental services; Lakeysha Ray, environmental services; Tierra Bynum, food services; Sharnise Saunders, dietician aide, food services; Brittany Dale, RN, second; Stacie Colbourne, RN, fourth; Rainy Dew, RN, fourth; Mindy Narron, RN, third; Angela Wright, patient care assistant, behavioral health; Davin Yangau and Samuel Thornton, respiratory therapists; Hannah Best, RN, Smithfield operating room; Tracy Alphin, RN, Smithfield emergency department; Stephanie Blanchard, RN, Smithfield emergency department; Naomi Parker, Smithfield ED, certified nursing assistant; Leah Yates, RN, Smithfield emergency department; Susan Hanson, phlebotomist, Smithfield lab; Sharon Jernigan, claims processor, business office; Lindsay Johnson, patient financial counselor, business office; Elia Cabrera, patient access registrar (part-time); Roshanda Lett, CNA, SECU Hospice House; Trudeau Nichols, RN, Hospice House; Candis White, security officer in Smithfield; Jennifer Acosta, patient access registrar in Clayton; Banne Beltran, patient access registrar in Clayton; Lindsay Hatcher, patient access registrar in Clayton; Victoria Darden, medical assistant, QuikMed; Victoria Darden, medical assistant, Johnston Professional Plaza in Clayton; Laura Vaughn, RN, fourth floor; Dr. James MacDonald, JMA-Specialty Services; Laura Vaughn, RN, 2 West; Emily Langston and Karishma Persaud, sitters, HealthQuest; Kimberly Harris, patient financial counselor, Smithfield business office; Tiffany Bido and Katrina McCormick, environmental services in Smithfield; Shannon Keeney, RN, ICU; Kayla Langdon, patient care assistant, ICU; Alanda Lucas, RN, ICU; Wallace Cooper, patient care assistant, progressive care unit; Morgan Pierce, RN, progressive care unit; Maria Black, RN, fourth; Lauren Dodd, CNA, third; Nikki Holloman Warren, CNA, third; Brooke McKay, RN, labor and delivery; Robert Burleigh, operating room attendant in Smithfield; Johnnie Lee, aerobics instructor, HealthQuest; Jensine Cochran and Rita Hill, ultrasound techs in Smithfield; Angela Taylor, patient financial counselor; Kim Layne, patient access registrar in Smithfield; Rachel Abbott, RN, Home Health & Hospice; Tamara Wiles, RN, Hospice House; Todd Miller, project manager, MIS; Martin Banghart, security officer in Smithfield; Catherine Whitley, CT technologist; Christopher Fitzsimmons, respiratory therapist in Clayton; Michael Morris, quality/ follow-up nurse, Clayton ED; Adriana Garcia, medical lab tech in Clayton; Dr. Jarmella Russell, JMA-Internal Medicine. PRN: Petra Bouwen, RN, third; Iris Ballard, RN, Smithfield ED. Volunteers: Debra Garner, Joseph Garner, Rebecca Roberts and Elizabeth Hodge, all hospital volunteers. Johnston Health welcomes new orthopedist to medical staff A new orthopedist has joined the medical staff of Johnston Health. Lucas Romine, M.D. is in practice with Triangle Orthopaedic Associates. Before coming to Johnston County, he served Lucas Romine on the faculty in the department of orthopedic surgery at Johns Hopkins Hospital. He specializes in shoulder and elbow surgery. A native of Nashville, Tenn., Dr. Romine is a graduate of Berry College in Georgia where he played basketball on a full athletic scholarship and was named All America. He earned his medical degree from the University of Tennessee Health Science Center and completed his residency training in orthopedic surgery at Ochsner Medical Center. After residency, he completed a fellowship in shoulder and elbow surgery at Johns Hopkins. While there, he gained advanced experience in modern, innovative surgical techniques, including arthroscopic and open revision reconstruction of the shoulder and elbow, and reverse shoulder replacement. Romine was a lecturer at Johns Hopkins University School of Medicine and involved in the clinical education of the medical students and residents. While in Baltimore, he also provided medical treatment for elite athletes as a team physician for the Baltimore Orioles. He and his wife, Ashley, enjoy spending time with their children, staying fit and traveling abroad. Oct.16, 2014 PRACTICING DONNING, DOFFING NOTEWORTHY Recognizing pastoral care Chaplains will be making rounds to offer a blessing of hands during Pastoral Care Week, Oct. 19-25. They provide care for spiritual needs in ways such as helping with sadness and family worries, overcoming fears, talking about death and dying, offering spiritual resources, and finding hope, peace and meaning in life. The Rev. Greg McClain is director of spiritual care services, and the Rev. Kiki Barnes is the clinical chaplain for Johnston Health Hospice and the SECU Hospice House. They get support from the 14 local pastors and clergy persons who serve as chaplain volunteers. These volunteers provide on-call coverage for Johnston Health, Johnston Health Clayton and the SECU Hospice House. Pat a case manager on the back Take time out this week to say thanks to Johnston Health’s Case Management Team. It’s National Case Management Week, and a great time to recognize the important work that case managers do. The 21member team is made up of RN case managers, social work case managers , clinical documentation improvement RN specialists, case management assistant and secretarial support. They provide utilization management, care coordination, length-of-stay management, discharge planning, care transitions, resource management and patient advocacy. Fall Fest on Friday Shop for one-of-a-kind gifts at Fall Fest, which will be from 11 a.m. till 5 p.m. on Friday in the Johnston Medical Mall. Raising breast cancer awareness Johnston Health Clayton will host Ladies Night Out from 5 till 7 p.m. on Oct. 28. The women’s health event will include food, vendors and information about medical services. Celebrating fall, Halloween A costume contest, a free meal for employees and a silent auction of baked goods are on tap for Halloween (Oct. 31) at Johnston Health. All proceeds from the bake sale will go toward the employee emergency fund. Want to help out? Bring your baked goods to the cafeteria from 7 till 9 a.m. The auction will begin at 9 a.m. and end at 2 p.m. Employees will be treated to lunch in the cafeteria from 11 a.m. till 1:30 p.m. (A site in Clayton will be determined.) For night shifts, departments will be called to pick up meals about 7 p.m. Remembering loved ones Johnston Health will hold its annual Community Memorial Service at 3 p.m. on Nov. 2 at the Johnston County Agricultural Center on N.C. 210, west of Smithfield. The service is open to all who have experienced the loss of a loved one. Participants are invited to bring a fabric swatch representing their loved one. These pieces will be sewn into a memorial quilt. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Hospital gets ready for PCI Critical care transport vital to cardiac service Brandon Godwin, a nurse in the Smithfield emergency department, helps paramedic student Josh Nichols double-glove during an impromptu training session Tuesday on how to gown up in personal protective equipment. Godwin is helping the ED staff prepare for the prospect of treating a patient with Ebola. Staff practices, prepares for threat of Ebola virus False alarms help ED tweak processes T wo patients who came to the Smithfield emergency department on Wednesday were seen and quickly ruled out as having Ebola. Such false alarms are becoming fairly common in hospital EDs across the country as the public becomes jittery about the threat of the virus. Ronnie Syverson, infection preventionist for Johnston Health, says the two separate cases had one thing in common: Both patients had traveled or been in contact with someone who had traveled outside of the U.S. But neither of those destinations had been to a country affected by the Ebola outbreak, he says. Asking the right questions is key to determining if patients have contracted the virus. “We can’t be fearful. We have to stay focused. We have stick to the facts,” he says. “The risk of contracting the illness here in the U.S. is still very low. We all need to find peace in that.” To aid and educate the staff, Syverson is sharing an Ebola screen, which consists of three pertinent questions for patients. “These are the pieces of the puzzle,” he says. “These are the questions we should be asking.” Have you traveled outside the U.S. to a country affected by the Ebola outbreak within in the last 30 days? Have you come in contact with anyone having symptoms and diagnosed or suspected of having Ebola? Do you have any of the follow symptoms: fever of greater than 101.5, headache, muscle pain, vomiting, diarrhea, abdominal pain, unexplained bleeding or bruising? “If the answer to all three questions is yes, then it’s reasonable to be suspicious,” Syverson says. In the clinical setting, the staff member would then give patient a mask to don and call the ED charge nurse right away. In both cases on Wednesday, Syverson says the ED followed proper procedures and protocols, including isolating the patients and decontaminating EMS responders. “This was good practice,” he says. “It allowed us to identify areas that we need to improve.” Over the past several days, Syverson says a committee of directors and senior staff has been meeting to put together and shape a policy specifically for Ebola. As the Centers for Disease Control and Prevention sends out new information daily, the committee makes changes. “It’s a living, breathing document,” he adds. When it’s complete sometime next week, the committee will post it on Quicklinks. Among other things, the ED staff has been practicing donning and doffing personal protective equipment. Outside the hospital, Syverson meets on Mondays with representatives from Johnston County agencies: EMS, the office of emergency management, the 911 emergency call center and the health department. They also listen in to the daily teleconferences from the CDC. “We’re doing everything we can to prepare,” he says. “We’re keeping each other informed, and we’re working and planning together.” Want to learn more about Ebola? Check out the websites for the World Health Organization and the Centers for Disease Control to get up-to-date and factual information. We wish her well Volunteers, physicians and staff are invited to a reception honoring Linda Allen, chief nursing officer for Johnston Health, who is retiring after having worked with the hospital for more than 30 years. The reception is from 2 till 4 p.m. on Oct. 29 in the cafeteria. The addition of a critical-care transport service at Johnston Health is the latest step in getting ready for interventional cardiology procedures, including stenting, set to begin in January. Rex Critical Care Transport is opening a hub here in Smithfield, and it will begin aroundthe-clock service on Monday. The transport team will have its quarters along the hallway behind the emergency department and will park its ambulance near the bay. Last month, Johnston County Commissioners approved a franchise for the critical-care transport service. From its base at the hospital, the ambulance will respond to calls also from hospitals in neighboring counties. “It’s a traveling ICU unit,” says Tracey Carson, who is the administrative director overseeing the interventional cardiology program. “It has all the tools, including a ventilator, to get critically ill patients safely to a hospital that can offer more specialized care.” When Johnston Health begins its interventional cardiology program, Carson says Rex Critical Care will provide a second, dedicated ambulance. On procedure days, the ambulance will park at the Women’s Pavilion entrance, which is closest to the cath lab. Also, Carson says Johnston Health has an agreement with Rex Hospital to treat those patients who may need open-heart surgery. A requirement of the program is that the hospital must transport those patients, from the cath lab to the hospital offering open-heart surgery, within 90 minutes. Drs. Willis Woo and Matthew Hook, interventional cardiologists with N.C. Heart & Vascular, will perform the procedures. These will be done in the existing cath lab until the hospital gets state approval to build a larger lab. An architect is now preparing the drawings for a shell space next to the ED. If all goes as planned, the new lab could be ready by May. Following the procedures, specially trained staff will care for the patients in designated cardiac-observations rooms on the bridge of second floor (formerly 2 East). These rooms will have telemetry so that staff at the bedside, at the nursing station around the corner, and in the ICU can all see the patients heart monitors. Carson says the cath lab staff has been training since August with their peers at Rex. To get the lab ready, the hospital has purchased an intravascular ultra sound system. Using catheters, physicians can get images of diseased blood vessels from inside the artery. It provides detailed and accurate measurements of the vessel and areas of plaque. Also significant, directors of the Johnston Health board approved the interventional cardiology program at their September meeting. Meet the critical care teams You’re invited to meet the Rex Critical Care Transport team during a gathering at 4:30 p.m. on Oct. 23 at the Smithfield emergency department’s ambulance bay. In addition, UNC Air Care will be on the helipad, weather permitting, to offer a peek inside its helicopter. All who come to the meet-and-greet event will be eligible to enter a drawing for two floorseat tickets to the N.C. State vs. South Florida basketball game on Nov. 23 at PNC Arena. Take time to come out and welcome these critical-care transport teams, whose services will enhance the care and treatment of our patients here in Smithfield and Clayton. Nov. 5, 2014 LADIES NIGHT OUT NOTEWORTHY Marketing department wins awards The marketing department of Johnston Health has won two awards in a contest put on by the Carolinas Healthcare Public Relations & Marketing Society. For its Health Chats Speaker Series, the department won a Golden Tusk Award for overall marketing/ communications program. Also, its patient testimonial ads won a Wallie Award in the category for campaigns in consumer/trade publications. The awards presentation is Dec. 4 during the society’s 2014 fall conference in Charleston, S.C. New jobs draw more than 3,000 applicants RNs win quarterly quality awards The RNs on fourth floor have won the HCAHPS award for showing the most improvement in managing pain. The quality committee determined the winner after comparing patient satisfaction scores for the quarter ending June 30 with the most recent quarter, ending Sept. 30. The RNs will receive three hours of paid time off. (This will be pro-rated for part time staff.) The RNs on staff at the Clayton emergency department won the core measure award for getting closest to the 90 percentile in managing long-bone pain. They will also be given three hours of paid time off. Love a parade? Would you like to represent Johnston Health as a volunteer marshal for the Clayton Christmas Parade? The parade steps off at 3 p.m. on Dec. 13. Marshals are needed to stand along the route to ensure that spectators don’t hinder the parade’s movement. If you’re interested in the volunteer gig, contact Alison Drain, director of the foundation, who is this year’s parade chair. The parade is an event of the Clayton Chamber of Commerce. Shot days scheduled for November Need a shot or a tuberculin skin test? Employee health will hold its walk-in clinic from 7 a.m. till noon and from 1 till 3:30 p.m. in the Bright Leaf tower office on Nov. 21. In Clayton, shots will be offered from 7:30 a.m. till noon and from 1 till 3:30 p.m. in the lab on Nov. 18. No appointments are necessary. Decked out in pink Diane Dolese of Clayton, top right, was among the more than 200 women who came to learn and have fun on Oct. 28 during the third annual Ladies Night Out at Johnston Health Clayton. Members of the staff offered free chair massages as well as mammogram sign-ups and valuable info about women’s health. Guest vendors such as Retha Beasley of Retha’s Wreaths and Denetra Jackson of Patty Cake Bakery sweetened and livened up the event. In the photo above, staff participating from the radiology and scheduling departments were, from left, Lisa Cotton, Crystal Johnson, radiology director Patricia Weaver, Robin Burkhart, Amanda Bruckner, Tina Randazzo, Eddie Bennett and Brandy Frederick. Growing a mo to change face of men’s health It’s Movember, and CEO Chuck Elliott and ten Johnston Health Mo Bros are growing moustaches to raise awareness about men’s health, including prostate and testicular cancers. Elliott says a urology group associated with UNC Health Care challenged him to participate in the Movember Foundation’s campaign. To spread the fun, he invited members of the leadership team to grow with him. Those who signed on were Tim Hays, Doug Harrison, Ricky Byrd, Hank Long, Michael Thompson, Kyle McDermott, Greg Baker, Daniel Register, David Sellers and Shannen Turnbaugh. Elliott says all of the men started with clean shaven faces on Nov. 1 and will grow their moustaches through Nov. 30. Click here to visit their web site, http:// moteam.com/johnston-health, contribute to the cause and learn more about men’s health issues. Those who wish to write checks rather than donate online can make them out to the Movember Foundation and give them to one of the Mo Bros for mailing. We’ll follow their progress, too, on our Johnston Health Facebook page. The Johnston County Arts Council is featuring Cleveland High School in its latest art exhibit along the Women’s Pavilion hallway. The art teacher is Charlene Bowling. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor Emily Bass .……………...social media To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Ramping up for Clayton inpatients Knitting for patients The women of the prayer shawl ministry at Holy Cross Lutheran Church on N.C. 42 west of Clayton have knitted 20 blankets and shawls and 18 hats for patients undergoing chemotherapy at Johnston Health. At left and right, Elaine Reese and Sheila Hirt recently delivered the items--all with a hopeful message attached. The ten or so women in the group meet on the first Saturday of every month to knit for a cause. Their handiworks have also gone to patients at the SECU Hospice House. While the construction crew is wrapping up work on the three-story wing at Johnston Health Clayton, the human resources department here in Smithfield is busy building the staff needed to operate the inpatient services there. Nearly 200 employees, a MaryLynn Smith mix of full-, part-time and as-needed positions, will be needed. These will include about 90 nursing positions and 100 other support roles such as secretaries, technicians and transporters. Ashley Drotzur, the recruiter for Johnston Health, says she has received nearly 3,000 applications since posting the jobs in midOctober. These include about 60 transfer requests from Johnston Health employees, many of whom live in the Clayton area and want to work closer to home. “The majority live in Johnston County and the Raleigh area,” she says. “We’re getting many calls, and we’re encouraging everyone to look online.” Drotzur says the goal is to fill the positions by the first week in December so that new hires can attend orientation and begin training. MaryLynn Smith, who was recently named the administrative director of inpatient nursing, may have the longest list of positions to fill. She will begin interviewing applicants this week for eight leadership positions and, soon afterward, 60 staff positions—36 of which would be fulltime. She will oversee critical care and all inpatient medical/surgical/pediatric nursing. Heidi Spicer, formerly the director of surgery at Clayton, was named administrative director of specialty nursing, which includes obstetrics and emergency services. She has several positions to fill as well, including 44 for women’s services, which will begin Feb. 1. “It’s exciting and challenging,” says Smith, who has been the director of the intensive and progressive care units during the past year and a half. “This is my first administrative director role. I’m looking forward to working with all departments.” Smith says Jackie Ring, chief nursing officer for Johnston Health, will do the formal interviews with the finalists for the leadership positions. Smith says she’ll be looking for experience as she fills the nursing positions in Clayton. “We’re going to need strong, experienced nurses who can handle sudden swings in patient ratios,” she adds. “Here in Smithfield, we’ll be better able to train and mentor nursing graduates who are newly hired.” She says employees already on staff will be the first applicants considered for the new jobs. Smith, who grew up in Long Island, N.Y.. has 10 years of leadership experience in emergency and critical care nursing. She and her husband and three daughters moved to North Carolina from Kenner, La., in the aftermath of Hurricane Katrina. She had been the director of critical care at Kenner Regional Medical Center before leaving in 2005. Her education includes a master’s in health care management. Back in HR, Drotzur is using every spare moment to train her own successor, Millie Wilson, who is an HR assistant. When the inpatient wing opens, Drotzur will transition to an HR generalist and will work primarily in Clayton, and Wilson will have recruitment duties. Whitley takes on new role as Home Care and Hospice liaison Lisa Whitley has nursed patients recovering from sickness and surgeries, and prepped them for procedures. Now she’s helping them in a different way. As the caretransition quality liaison for Johnston Health Home Care and Hospice, Whitley is making it easier for Lisa Whitley physicians to care for patients in their homes. Whitley has more than 18 years of nursing experience with Johnston Health. Before taking on her new role, she worked in the heart catheterization lab for five years. Earlier in her career, she worked in surgery, endoscopy and intensive care. Her experience outside the hospital has included short stints with a hospice agency and a dialysis center. As the liaison, Whitley will be the face of home care and hospice. She will arrange for services that require the skills of a nurse or a physical and/or occupational therapist. She will explain services to patients and families, help determine eligibility, and assist with completing necessary paperwork. “We can assess, monitor and identify problems that can be taken care of at home, which is a better option for most patients,” she adds. “We want to achieve positive patient outcomes while making processes as easy as possible for physicians.” If a patient, for example, has fallen a number of times at home, a home health nurse can perform a physical assessment to help determine the cause. The staff can then work with the physician on a plan of care to address the problem. “I think it’s important that patients understand their disease process and how they can manage symptoms at home,” she says. Whitley particularly enjoys working with older patients and helping them understand hospice. “I want patients and families to be able to consider hospice care early enough to get the full benefit of our services, if they so choose,” she adds. A native of Erwin, Whitley and her husband, Zack, live on Brogden Road in Smithfield. They have two sons, Zeke, 17, and Zeb, 12. To contact Whitley for more information, call 919-628-7476. Welcome to Johnston Health Here’s the list of employees and volunteers joining us in October: Fulltime: Kathryn King, CNA, Behavorial Health; Erin Tharington, respiratory therapist; Sanoj Shakya, (MLT) lab in Smithfield; Debara Williams, RN, fourth (surgical/ortho); Sarah Fair, RN, progressive care unit (PCU); Heather M Chilsen, RN second, med/surg; Scott Gantt, EVS worker; Amanda Nunnery, document leader, HIM; John Sicat, Fresenius nurse in dialysis; Kimberly Redding, RN, Home Health; Beth Joslyn, medical technologist, lab in Smithfield; Kristina Butler, medical assistant, JMA - Internal Medicine; Marcia L. Sennholtz, CNA, third (pediatrics and med/ surg); Bonnie Shackelford, patient access registrar; Hunter Bunn, EVS worker; James Mitchell, EVS worker; Stephanie Fernandez, EVS worker; Hannah Warren, patient service worker; Pamela Dyson, cook. Part-time: Rachel Johnson CT tech, Clayton; Nera O. Bryant, quality follow-up nurse; Smithfield emergency department; Amanda Thornton, patient advocate, administration. PRN: Sharon Gronendyke, patient care assistant, progressive care unit (PCU); Kayla Baker, patient care assistant, second (med/ surg); Sonya Moore, phlebotomist, lab in Smithfield; Lori B. Radford, RN, Clayton emergency department; Karen Ennis, RN, second; Robert Gonzalez, RN, Clayton emergency department; Kristi Shepard, RN, Smithfield emergency department; Maurice Watson, security officer in Smithfield; Kathryn Hewett, CNA, third; Bernice Irving, CNA, SECU Hospice House; Arlene Smith, cardiovascular ultrasound tech, cardiology in Clayton; Nicole Davis and Miranda Harper, CNAs, third. Volunteers: Beth Huber, Patricia Foote, Reginald Buie, all hospital volunteers. Shot days Nov. 18, 21 Need a shot or a tuberculin skin test? Employee health will hold its walk-in clinic from 7 a.m. till noon and from 1 till 3:30 p.m. in the Bright Leaf tower office on Nov. 21. In Clayton, shots will be offered from 7:30 a.m. till noon and from 1 till 3:30 p.m. in the lab on Nov. 18. No appointments are necessary. Project Access has been recognized for its positive impact on Johnston Health. At center, CEO Chuck Elliott presents the You Make a Difference recognition award to director Georgia Anthony. At left, Patsy Stewart, diabetes educator, nominated the staff for the award. Other staff members are Tracy Auman, medical assistant, and Barbara Miles, program specialist. Greg McClain, at right, is chairman of the standards committee, which oversees the recognition program. Absent from photo was Rebecca Hunt Hawley, the nurse practitioner for Project Access. Project Access recognized for making a difference I n her work as a diabetes educator for Johnston Health, Patsy Stewart sees patients referred to her through Project Access. Last month, she wrote the following story about how the department contributes through the organization’s five pillars. The program operates along the former human resources and marketing hallway at the Johnston Medical Mall. People: What sets Project Access apart is the care the staff has for clients and one another. It’s a small department yet the staff is able to accomplish so much and with limited resources. Employees work closely as a team to meet the needs of underserved people in Johnston and Harnett counties. It’s amazing when you consider all that they have done since organizing six years ago. Quality: Patients share their stories with me about the quality of care they have received through the program. For example, a patient told me that he had not been to the doctor in four years until Project Access worked to get him an appointment. “I believe I would have died without the help of Project Access,” he said. On another day, I witnessed an act of kindness. The director of the program, Georgia Anthony, escorted a patient who had lost her way to my office. Georgia had been waiting in the lunch line at the Cyber Café when she saw the woman who was lost and asked if she needed assistance. I think this shows how the staff goes above and beyond to meet the needs of the people enrolled in the program. tient services and diagnostics such as X-rays and lab studies. In 2010, The Duke Endowment awarded a three-year grant to continue Project Access in Johnston County and to replicate the program in Harnett County. Since 2008, Project Access has enrolled more than 1,800 Johnston residents and 250 patients from Harnett. The value of these donated services is more than $11 million. The program recently re-applied for an additional two-year grant from The Duke Endowment. Growth: Project Access began in 2008 with a grant from the Kate N Reynolds Charitable Trust. The hospital agreed to donate services for the enrolled patients while providing in-kind donations of office space, phones and technical assistance for the staff. In the first year, 30 primary and specialty-care providers volunteered to see patients in their offices and to donate the cost of services. During 2008, 376 qualified patients were enrolled and received care valued at more than $1.6 million. These services included office visits, inpa- Value: Without the resources and preventive -care services provided through Project Access to our community, we would see more hospital admissions and emergency department visits from those who can least afford it. Innovation: Project Access tries to meet all needs from flu shots to foot care. They believe in taking risks for the good of the organization and the people that we serve. Because they’re imaginative and take initiative, they’re able to meet the expectations of their clients. Crocker grateful for recognition at hospice social Clerk of Superior Court Will Crocker likes to say that God gave him a wonderful wife, many friends and a very good memory. At the Johnston Health Foundation Social on Oct. 9, the soon-to-retire clerk got hugs, handshakes and accolades for his 35 years of service to the hospital and community. But he was quick to turn the focus to hospice, the cause to which all had been invited in his honor. “Hospice is a wonderful thing,” he said afterward. “I was proud to have been a little part of an event to support it.” As his wife, Rita, was nearing the end of her life, Crocker brought in sitters around the clock to help out. But it was the hospice nurses who were the most helpful, he says in hindsight. “When she needed medicine for pain at 2 in the morning, they were there. I was able to spend time with Rita and to hold her hand,” he says. “They were helpful in so many ways.” In his honor and in her memory, Johnston Health has placed a bench and plaque in the flower garden behind the SECU Hospice House. He says Rita understood the demands of his office and reminded him to let go of his job’s worries and frustrations that oftentimes followed him home. As for the hospital, Crocker remembers administering the oaths of office to trustees for first time on July 3, 1966, when Lloyd Gilbert was in charge. And for his At the recent Johnston Health Foundation Social, Rep. Leo Daughtry of Smithfield (at center), and Dr. Cary Bizzell of Clayton, a foundation board member, present Will Crocker with a plaque for his service to the hospital and the community. last time, he swore in the returning hospital board members on Oct. 16, 2014. But it was his work behind the scenes that hospital insiders will remember most: his assistance in securing guardianships, claims to estates and other such legal documents important to the care and wellbeing of patients and their families. “Thank you all for what you’ve done for me,” Crocker told the hospital board that night at the meeting. But board chairman Bobby Parker said it was Crocker to whom the board owed thanks. And all rose to give him one last hardy round of applause. The First Citizens Bank Annual Golf Classic at the Pine Hollow golf course in Clayton in raised more than $60,000. And the social, held the night prior at the Portofino Clubhouse in Clayton, raised more than $19,000. Proceeds will go to support the Check out our virtual tours You can now tour Johnston Health without leaving your own home. Virtual tours of the hospital and outpatient departments are now a feature of our Johnston Health web site. Nov. 19, 2014 ENHANCING CANCER CARE NOTEWORTHY In reflecting on tenure, Ring says highlight was opening Clayton Jackie Ring says she’s looking forward to mountain living and the challenges of running a small hospital. On Dec. 29, the chief nursing officer will begin her duties as president and CNO at HighlandsCashiers, a 108-bed hospital that is part of Mission Health. “I will definitely miss the people,” says Ring, whose last day here will be Jackie Ring Friday. “I treasure the relationships that I have developed at Johnston Health and in the community over the past eight and a half years.” Ring says she will most remember her tenure as chief operating officer at Johnston Health Clayton during which she played a key role in planning for and opening the outpatient center in October 2009, which has since earned a reputation for providing quality care and customer service. “It has been an incredible experience and I have been blessed to work with such wonderful leaders and staff. I will miss them all,” she says. Outside of work, Ring is finishing courses for her doctorate degree in December and will take the next year or so to write her dissertation. She says the class work has broadened her perspective and challenged her to think in different ways. In addition to her bachelor’s degree in nursing, Ring has master’s degrees in business and health care administration. Also, Ring serves on the North Carolina Board of Nursing. The 14-member board implements policy and oversee the activities of the Board of Nursing. In a Nov. 11 announcement to the organization, Chuck Elliott, CEO and president of Johnston Health, said Ring had provided “exceptional leadership and contributed significantly to the outstanding growth and quality improvement” that had occurred during her tenure. “We will miss her as a vital member of our administrative team,” he said. “We’re also happy for her and celebrate with her as she enters this new challenge.” Ruth Marler, chief operating officer, will serve as the interim CNO until Johnston Health can find a permanent successor. A search will begin in January after the opening of the inpatient wing at Johnston Health Clayton, Elliott said in the announcement. We wish her well Debbie Batten, manager of same day surgery, is retiring after 32 years. A reception honoring her will be held Friday in the doctor’s dining room of the cafeteria from 2 till 4 p.m. Staff and volunteers are invited to attend. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Grant OTW to fund new program Community paramedics will provide in-home care to chronically ill More than 40 original local works of art are going up this month at the medical oncology clinics in Smithfield and Clayton. The Art for Hope Campaign is among the ways that Johnston Health is enhancing its environment and care for patients. Above, Garry Gavitt, an accountant in the finance department, has volunteered to hang the paintings. Art, wellness, a navigator Cancer care committee works toward accreditation G arry Gavitt, an accountant in the finance department, has carpentry skills, loves art and empathizes with patients undergoing cancer treatment. So when the opportunity presented itself to hang new artwork at Johnston Health Hematology and Oncology, he gladly obliged Through the Art for Hope campaign led by the Johnston Health Foundation, donors contributed more than $11,000 to acquire colorful, engaging paintings to spruce up the hallways, exam rooms and treatment areas of the oncology clinics in Smithfield and Clayton. The artful environment in Smithfield will complement an education and wellness program set to begin in January. The program, made possible through a $5,000 grant secured by the foundation, will offer education, nutrition classes, art therapy and water aerobics. These new projects are examples of how Johnston Health is enhancing its services for patients with cancer. Behind the scenes, important work has already been done to improve cancer care and treatment. Since convening in March 2013, the Johnston Health Cancer Care Committee, made up of physicians and staff members from several disciplines, has been meeting nearly every week to review cases and to collaborate on plans of care for the newly diagnosed. “Through the conferences, we’ve been able to foster multidisciplinary discussions and provide more timely decisions on the best treatments and support for patients,” says Caroline Hester, who is the administrative director overseeing cancer care services. The committee is working toward earning national accreditation for the cancer care program. And by January, the group will have met a long list of standards and will be ready to apply, she says. An annual report published and disseminated in December will give an overview of services and upcoming initiatives. It will also feature the ways in which Johnston Health is raising awareness about cancer, and educating and supporting patients. In September 2013, Johnston Health did a survey to assess the health needs of the community, and the results showed, among other things, a high incidence of tobacco use and a lower incidence of scheduling routine mammograms and pap smears. Community Outreach ANGEL FUND: In May, the Johnston Health Champions 5K raised $13,600 for patient needs. LADIES NIGHT OUT: Staff offers helpful info about prevention, nutrition, health care services. “Those needs have been another driver,” Hester adds. “We’ve taken that information, and we’re trying to fill the disparities.” Toward that end, the Angel Fund has been helpful to patients who are struggling financially and, for example, can’t afford co-pays, pain medications or gas to get to and from doctors appointments, Hester says. Recently, use of the fund has been expanded to provide free mammograms for those who qualify. Among its patients, the hospital sees the highest incidence of cancer in the breast and lungs, Hester adds. The cancer program will soon add a full-time patient navigator who will focus on patients diagnosed with those two types of cancer. “We want to enhance our care and ensure that we have quality, comprehensive services for our patients,” Hester says. “Cancer is such a taxing disease that we want patients to be able to get the care they need right here in Johnston County.” A Johnston County EMS paramedic typically spends his day en route to 911 calls. But the thrust of a program now in the works would have specially-trained paramedics checking in with certain patients at home, for example, to see if they’re taking their medications or are well enough to get to their doctor’s Beverly Legath appointment the next day. Rather than responding to 911 calls, the community paramedic will try to prevent them. In short, it will be his job to help chronically ill patients proactively manage their own care after leaving the hospital. Johnston Health has received a $350,000 grant from The Duke Endowment to implement this care-transition program, which will include local agencies such as EMS and Johnston County Mental Health. Beverly Legath, director of case management, wrote the grant application. She says the program is designed to prevent costly readmissions and to reduce non-urgent visits to the emergency department. “More importantly, this is an opportunity to deliver care in a more coordinated and efficient way,” she says. “We’re helping patients maintain accountability for their health. This program says that we care.” Johnston County EMS would be responsible for hiring and training two full-time advancedpractice paramedics. If all goes as planned, the program could be up and running by July. The program would focus on patients who are at high risk for readmissions and frequent non-urgent calls to EMS. This could be due to their disease state, for example, diabetes, COPD and heart failure, and/or social factors, such as living arrangements. “These patients have medically and socially complex needs and live at home. They feel they have no health care options other than emergency services,” she says. “The community paramedic program can begin to address their medical and social needs in a costeffective way that promotes better use of health care resources.” Johnston Health earns ‘Top Performer’ recognition from The Joint Commission We are pleased to announce The Joint Commission has recognized Johnston Health as a 2013 Top Performer on Key Quality Measures®. Johnston Health has been recognized for its excellence in accountability measure performance shown to improve care for certain conditions and is one of 1,224 hospitals in the United States to achieve the distinction as a 2013 Top Performer. Johnston Health has been recognized for its achievement on the following accountability measure sets: heart attack, heart failure, pneumonia and surgical care. “At Johnston Health, we have made it a top priority to address patient safety and quality health care by improving upon our evidencebased care processes,” said Chuck Elliott, CEO and president of Johnston Health. “We are proud to be named a Top Performer and thank our entire hospital staff for its knowledge, teamwork and dedication to improve Johnston Health’s performance.” Dec. 3, 2014 MAKING FITNESS FUN NOTEWORTHY Can’t sleep? Visit our lab Did you know there’s a service at Johnston Health to improve your sleep? You can check out the newly renovated sleep lab during the Smithfield-Selma Chamber of Commerce Eye Opener from 7:30 till 9 a.m. on Dec. 11. Johnston Health is hosting this networking event to show off its services to the business community as well as to staff, administrators and hospital leaders. In leading quality, she values communication with staff, physicians Share the love Want to share Christmas with a needy child? You can help make the holiday special by picking a gift tag now through Dec. 17 from the Angel Tree, a program of Johnston County Social Services for children in foster care and infants of needy mothers in the adolescent parenting program. The trees are in the education department, Women’s Pavilion and in the administration office at Clayton. A free meal; poinsettias for sale Johnston Health will treat employees to a holiday meal on Dec. 10. Serving times are from 11 a.m. till 1:30 p.m. in the cafeteria in Smithfield and in the conference room in Clayton. Departments will pick up meals at 7 p.m. for the night staff. Also that day, you can contribute to the employee assistance fund by purchasing a red poinsettia for $15. Wear an ugly sweater; build a pretty box Got decorating skills? Tap into your creative side by decorating a box for the canned food drive to support the Salvation Army food program. Judges will choose the most creative entries for a first-, second- and third-place recognition on Dec. 17. It’s also the day to wear an ugly Christmas sweater. No offensive designs, please. ELC’s got talent Staff, volunteers and visitors are invited to the Early Learning Center’s Christmas show at 3 p.m. on Dec. 19 in the auditorium of the Johnston Medical Mall. The 3- and 4-yearolds will be singing and playing the Kristal Bells. Bloodmobile to visit Jan. 22 Employees are encouraged to donate blood during the next visit of the American Red Cross Bloodmobile from noon till 4:30 p.m. on Jan. 22 in front of the hospital. To schedule an appointment, call Kim Thompson at ext. 7736. All donors will receive a gift. Reaching the goal for CPR Chest pain coordinators Hank Long and Kenny Gooch have met their goal this year of teaching hands-only CPR to 1,000 people. They’ve taken the blue manikins to business expos, health fairs, community events and festivals across the county, and handed out certificates to the newly trained. Among the people he has met, Long says a volunteer firefighter who survived a recent heart attack stands out. “I’ve come to appreciate how every person is a blessing to our communities, and that this project has been worth it all if it helps to save even one life,” he said. LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department Suzette Rodriguez…...writer, editor To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. Holloman promoted to director Personal trainer Frankie Benavidez leads exercises during the Healthy Kids program. Twenty children have enrolled in the first session. HealthQuest kicks off program to get youngsters fit, healthy I t’s not what you might expect: Eight young people in a circle, doing squats, faces flushed and smiling. “That’s what happens when you exercise; it makes you happy,” says personal trainer Frankie Benavidez, who is leading classes two nights a week for the Healthy Kids program at HealthQuest. Now in their fifth week, the students have gotten over their shyness, made friends and seemingly embraced their hour-long routines. The class of 9- to 12-year-olds meets at 6 p.m. followed by the teens at 7. Altogether, there are 20 participants. In addition to the weekday sessions, they come in on Saturday mornings, too. Through the jumping jacks, bear crawls and sit ups, Benavidez calls out to the students by name, encouraging them to keep pace. He explains which muscles get worked, then later quizzes everyone on what he or she has learned. He talks with them, too, about attitude, commitment, work ethic, accountability. There’s daily homework to do, and Benavidez, this week, will distribute paper slips for parents to initial as they watch their children complete exercises. “He’s cool,” says Christina Hernandez of Smithfield, a fifth grader. “I love doing everything, and I’ve made friends.” April Beasley drives from Newton Grove to bring her 11-year-old daughter, Courtney, to the program. Five years ago, Beasley had a gastric bypass to lose weight, and she doesn’t want her daughter to face the same prospect when she grows up, she says. So far, so good. Since beginning the program, Courtney has been snacking less, drinking more water and watching her portion sizes at meals. Beasley is hopeful that the exercise program will help her daughter shed pounds and lower her blood pressure. “I just want her to be happy. I want her to be healthy,” she says. HealthQuest launched the 12-week program in November with support from the Johnston Health Foundation, which has raised money to pay for scholarships. The awards are based on financial hardship and health-risk factors. Otherwise, the fees are $200 for members and $250 for non-members. In addition to exercise, a dietician leads sessions on nutrition. A local cardiologist, Dr. Benjamin Atkeson, suggested starting a health education program for children, says Alison Drain, director of development for Johnston Health. He has since contributed $10,000 to the scholarship fund and pledged $40,000 over the next four years. “It’s important for the medical community to address prevention,” he told Drain in an interview. “Eliminating smoking from public places was a good start. Now we must deal with obesity.” Drain says the foundation has received other contributions to the program, and she’ll soon send out letters asking HealthQuest members for support. Benavidez says he’s thrilled with the opportunity to work with young people. “We’re always trying to create and put into place programs to improve the fitness of children and to get their parents involved with healthful activities, too. “Making wise choices about what you eat, and learning to lead an active lifestyle is a good lesson for us all,” he adds. “And it doesn’t have to be drudgery. It can be fun.” For more information about the Healthy Kids program, call 919-938-7581 or look for the HealthQuest page on the Johnston Health website. If you would like to contribute to the Healthy Kids Fund, contact the foundation at 919-938-7169. When Cynthia Holloman became quality coordinator five years ago, she took a job working weekends at a local nursing home. Still in love with bedside nursing, it was her outlet for patient care. Now that she’s director of quality, Holloman says she’ll give up the weekend job. Rather than taking care of one patient at a Cynthia Holloman time, she’ll now have opportunities to improve outcomes for all patients. And that’s what Holloman likes most about quality. “Quality can touch everything,” she says. “You can make a difference in so many ways.” Holloman, who has worked with Johnston Health since earning her nursing degree 17 years ago, started out taking care of patients in orthopedics, labor and delivery, and endoscopy. When the hospital needed a uniform process for scheduling procedures, she moved into a new role and opened the community wide scheduling department. Eventually, she took on patient registration and initiated bedside registration in the emergency department. Her first quality-related task was developing a formal peer review process for nurses. After a few years, she moved into the quality coordinator position, and liked it right away. While auditing charts, she saw the value of looking at data. And in learning about regulatory processes, she came to understand and appreciate how the federal government leads hospitals to do clinical tasks, large and small, to positively affect patient outcomes. Those processes range from practicing good hand hygiene to calling time outs before starting surgery. “Most caregivers love their patients, but don’t like the paperwork,” Holloman adds. “That’s why it’s so important for us to explain why we need to follow processes. We all want the same things, just sometimes for different reasons.” Holloman says communication goes a long way toward helping the hospital meet quality goals. She thinks it’s important to give feedback right away to staff and doctors. “We’re here to help, not punish,” she adds. “If we’re not meeting a core measure, then it’s more likely that a patient can be readmitted to the hospital,” she says. “It’s not only costly for us, but it means that patient is losing time with children or grandchildren. “Quality is where we can make a difference,” she says. “That’s why we want to perform at our very best.” Endo has a new look Patients like the new accent color, and the staff likes the look, flow and orderliness of the endoscopy area. The changes were brought about from a week-long rapid improvement event last month. Amy Skinner, clinical coordinator, says the staff now tracks patients on a dry-erase board rather than thumbing through paper tacked to a wall. Noisy bronchoscopes, which had been out in plain sight, now neatly hang in a storage room at the end of the hall. Staff members now have an office, formerly used for storage, from which to chart and make phone calls. Until now, their desk had been in a middle bay, which is now free for patients to use. Skinner says new curtains and office chairs are on the way. And she’s still working on fitting everything in a central storage area. “It’s a work in progress,” she says. “But it already feels so much better.” Patients are also enjoying the small TVs in the prep bays. Not all had been working. And the procedure room is less cluttered and more organized so that staff can move around in low light without tripping on cords. Also notable, the department improved its scheduling process for patients. The result: a better experience for patients and a more manageable work day for staff. Following an RIE, the endoscopy area is better organized and clutter-free. Dec. 17, 2014 TIS THE SEASON FOR FUN, GIVING NOTEWORTHY ELC’s got talent Clayton draws positive reviews ahead of debut Expansion will enhance services, economic profile Staff, volunteers and visitors are invited to the Early Learning Center’s Christmas Show at 3 p.m. on Dec. 19 in the auditorium of the Johnston Medical Mall. The 3- and 4-yearsolds will be singing and playing the Kristal Bells. I t’s all coming together. Construction is now complete on the $50 million inpatient expansion at Johnston Health Clayton, and crews began moving in the beds, equipment and furnishings this week. What follows are some of the insights shared by a local businessman, physician and town planner as Johnston Health moves toward opening its new wing on January 10, 2015. Bloodmobile to visit Jan. 22 Employees are encouraged to donate blood during the next visit of the American Red Cross Bloodmobile from noon till 4:30 p.m. on Jan. 22 in front of the hospital. To schedule an appointment, call Kim Thompson at ext. 7736. Johnston Health has set a goal to schedule at least 25 donors. All donors will receive a gift. A flu uptick across the state Since the beginning of November, the Clayton and Smithfield emergency departments have seen 50 cases of the flu, many of them children. Ronnie Syverson, infection preventionist, began distributing cough etiquette kits to departments in late November. Department of Health officials say it's still early in the flu season, but as of last week, the virus has become widespread in Eastern North Carolina. So far this season, 238 cases have been reported in the state, more than 150 of them in just the last few weeks. A reputation for service Save the date for Clayton opening You’re invited to the ribbon cutting at 1:30 p.m. and the tours from 2 till 4 p.m. at Johnston Health Clayton on Jan. 10, 2015. Ashly Hardin, secretary for PCU, whipped up her Christmas sweater from scratch. A battery pack kept her lights twinkling through the day. Her ensemble brought smiles to patients and doctors. On Wednesday, the staff contributed 1,900 pounds of canned goods, all of which will go to the food pantry at the Salvation Army. Radiology contributed the most: 284 pounds. Employees also voted on their favorite decorated collection boxes. Results are below. Behavioral Health received honorable mention. An invitation to the open house in the form of a direct mail card will go out soon to 45,000 households in Johnston County. The card, which was designed by the Ron Sloan agency in Four Oaks, has photos of the new wing’s features, including the atrium. The event will also offer activities for children, indoors and out. Jim Lee of Clayton has never been a patient at the emergency department at Johnston Health Clayton, but he’s steered plenty of people right up to the front door. As a partner with the Walthom Group, a commercial and residential development firm, it’s his job to sell prospective homebuyers on Clayton. And the hospital, he says, has been one of the most impressive tools in his kit. When he takes visitors on a tour around town, he pulls into the Clayton campus and stops at ED’s front door. More than most folks, Lee recognizes the value of an ED to a small town. He was once a volunteer EMT in nearby Garner, and remembers long ambulance trips through heavy traffic to big hospitals. “Those were stressful minutes,” he says. But there’s comparatively less traffic on N.C. 42 West. The campus is a five- to 10-minute drive from most Clayton neighborhoods, and the wait to be seen in the ED is always short, he says. “People don’t realize they need emergency services until they do, and then it’s the most important thing in the world,” he says. “Not only does Johnston Health Clayton look nice and new, but it’s got the latest technology, high -caliber physicians and the service is extraordinary.” A magnet for development Clayton planning director David DeYoung says Johnston Health Clayton has indeed been a catalyst for growth. And the hospital’s expansion was among the factors prompting Moody’s Investor Service to upgrade the town’s bond rating in September, he said. “We expect that the N.C. 42 corridor will remain one of the fastest growing areas within the city limits,” he says. “People move to Clayton because it’s a great place to live and play. Knowing that there is now a full service hospital just minutes from downtown will be an additional draw.” In the five years since opening, Johnston Health Clayton has welcomed new neighbors, including a 100-bed nursing home, a 77-bed assisted living center and a 36,000-square-foot, two-story medical office building. Convenient services for patients LifeLiner is published on the first and third Wednesdays by the Marketing and Community Relations Department 2nd: Radiology Suzette Rodriguez…...writer, editor To submit news items, call 938-7103 or email [email protected]. Follow us on Facebook and Twitter. 1st place: Pre-Admission Testing 3rd: PCU Through the past 14 years, Ghulam Shaikh, M.D. has seen businesses and rooftops spring up around his internal medicine practice at the commercial area clustered around I-40 and N.C. 42, which is a few miles west of Johnston Health Clayton. Dr. Shaikh thinks the addition of inpatient services will be a plus for his patients, many of whom are retirees. “The campus is easy to get in and out of,” he says. “They don’t have to travel as far, nor sit for hours in an emergency department.” Email for all on the way Starting in January, employees who have been without email will be the first to get the UNC Health Care addresses. During a second phase, those employees with email will switch from the Johnston Health system to the new email system. The new system will have limitations. Most notably, users will be assigned quotas depending on their roles. For example, directors will be allowed 3.4 gigabytes of email storage, while managers and physicians will be allowed 2.8. MIS will send out warnings when users get close to exceeding their quotas. Also notable, deleted emails will disappear after 24 hours. “We’re excited about everyone getting on board with the new system,” says Teresa Chappell, director of MIS. “It’s important to have the ability to communicate effectively with all employees.” Check out the pillar boards Info posted on the pillar boards around both campuses is now easier to read. Also new, minutes from the monthly leadership meetings are now attached to boards as well as copies of weekly huddle topics and the LifeLiner, a newsletter distributed twice monthly. Jessica Springer, director of Lean, assisted the communications committee with designing and summarizing the info, which reflects the organization’s goals and objectives. Welcome to Johnston Health Here’s a list of employees and volunteers joining Johnston Health in December. Full-time: Crystal Felice, manager of the Clayton lab; Niya Hagans and Jason Elks, respiratory therapist; Chelsey McDaniels, CNA, SECU Hospice House; Michele Price, hematology supervisor, Smithfield lab; Casey Tyndall, Jacqueline Dayton, Hela Letaief and Deena Matthews (Clayton), pharmacy techs; Sheri Styron, nuclear medicine tech in Clayton; Leslie Cushing, aquatics trainer, HealthQuest; Carolyn Ellis, director of cardiac services; Sharon Hardison, RN, oncology in Smithfield; Mark Melville, Holly Cranford and Shelia Townsend-Phillips, RNs on third floor in Clayton; Jessica Perry, RN, progressive care in Clayton; Dominque McLean, RN on 2 East; Mark Smith, staff pharmacist for Smithfield and Clayton; Noah Bell, staff pharmacist for Clayton; Lindesy Strickland, physical therapy assistant in Clayton; Candace Bombardier, RN, labor and delivery, Smithfield; Tiffany Borbas, patient care assistant, third floor in Clayton; Dione Clark, Donna Grande, OR techs, Clayton; Jason Guerrero, patient transporter for CAT scan, Clayton; Lucel Lassiter and Stephanie Olive, CNAs, third floor in Clayton; Heidi Rowan, phlebotomist, Clayton; Mark Shutt, Frank Starry, Tyler Tripp, John Zhoroff, all security officers in Clayton; Linda Squires, Tunisia Jenkins, Britany Baker, Shavon Jackson, Willie Johnson, Carolyn ONeal, Justin Ramirez, Lakeshia Soloman, Stephanie White, Pamela Wiggs, Donquetta Williams, Richard Wilson, Shanetta Clark, Donald Crenshaw, all food services; Joshua Burnette, food services manager; Melissa Phelps and Jane Guziak, food services supervisors; Christopher Farmer, Christopher Murray, Beverly White, Cleveland Anderson, Manny Badillo, Freda Harris, Ricardo Kearney, Lissette Ramirez and Marlene Rios, environmental services workers; Part-time: Susan Musico, department secretary, Johnston Health Foundation/ development; Corinna Walker, RN on 2 East; Jason Argila, physical therapy assistant in Clayton; Deborah Wall, clinical chaplain in Clayton; Bianca Price, CNA, third floor in Clayton; Joann Tippett, RN, progressive care in Clayton; PRN: Karie Hodges, RN, third floor in Clayton; Simone Mignott, patient registrar; Stephanie Shaffer, pharmacy tech; Holly Tipton, patient care assistant, behavioral health; Melissa Bowers, nuclear med tech in Smithfield; Christina Garner, RN, operating room; Paula Koenig, perinatal technician, labor and delivery in Smithfield; Cherish Scott, EKG tech, Clayton; Ninoschka Smith, RN on 2 East; Michael Williams, OR tech in Clayton; Deanne Mizner, physical therapist, Clayton; Kayla Messer, CNA, third floor in Clayton; Keith Pagano, security officer in Clayton; Volunteers: Beverly Adams, Marjorie Coker, Joyce Kidd, Mary Krysty, Mary Lu Stott, Caroline Armstrong, Kenneth Armstrong, Glendora Barbour, Shirley Daniel, Ogden Headington Jr., Jared Holliday, Carol Otten, Ava Dunston, Linda Fitzgerald, Carolyn Jones, Sandra Masten-Rossini, Linda McKeel, Michael Medlin, Alice Rogers, Cynthia Thompson. Collection results The Activities Committee would like to thank the Engineering Department for helping collect and weigh the food, and the department champions who encouraged the collection and decoration of the boxes. The following departments had the most pounds per FTE. Pre-admission Testing: 21.2 lbs (127 total) Sterile Processing: 13 lbs/fte (103 total) Engineering: 12.1 lbs/fte (177 total) 100 Pound Club Case Management Sterile Processing Pre-Admission Testing 3rd Floor Nursing Behavioral Health Engineering Food Services Radiology 100 103 127 159 170 177 180 284 Other Departments Marketing Cardiology Finance Education Clayton PCU Human Resources JMA Suite 100 Med Arts Health Info Mgt Business Office 9 37 41 57 63 63 68 82 89 94 A boost for the employee emergency fund The sale of poinsettias last week raised $328.50 for the employee emergency fund. Since January 2014, 11 employees have received assistance totaling $4,932. The fund has a current balance of $1,627.31. Tammy Wood, benefits specialist, is HR’s liaison to a committee that reviews requests, and it’s her job to screen applications according to the policy’s guidelines. She says there are coworkers among us who are struggling, even though employed. And their problems aren’t always of their making. Sometimes it’s just bad luck. A fire, a flood, a health emergency. The fund is a way that employees can help one another through tough times, she says. Above Doug Harrison and Beth Barefoot were among the directors taking turns Dec. 10 at the sales table. Holiday schedules for departments Department Admnstratn Amb Imaging Business Cardiac Rehab Crdio Strs Lab Case Mgt Cath Lab Comm Wide Compliance Early Learning Education Emergency Emp Pharmacy Endoscopy Engineering Finance Food Services Foundation Gift Shop HealthQuest HIM HmCr & Hspce HR Infction Cntrl JMA offices: Clayton Rhmtlgy Nrlgy Lab (S&C) Mrktng/ComRel MIS Med Onc (S&C) *Rad Onc(S&C) Med Staff Off OR Project Access Quality QuikMed Radiology(S&C) Rehab: Outpatient Inpatient Registration: Outpatient ED Resource Mgt SameDay(S&C) Special Procds *Spiritual Care Strl Processng Wound Center Dec. 24 OCSA closed closed closed closed open closed closed closed closed closed open 7 a.-5 p. *EO open till noon closed open closed open till 12:30 open till 2 p.m. open till noon open closed ABP Dec. 25 OCSA closed closed closed closed open closed closed closed closed closed open closed EO 24 CC closed open closed closed closed closed 24 CC closed ABP Dec. 26 OCSA open closed closed open open open closed closed closed closed open open open 24 CC closed open closed open open open open closed ABP Dec. 31 open open open till noon open open open open open open open open till 4 p.m. open open EO open till 2 p.m. open open open open till 12:30 open till 5 p.m. open open open open Jan. 1 OCSA closed closed closed closed open closed closed closed closed closed open closed EO 24 CC closed open closed closed closed closed 24 CC closed ABP open open open till noon open closed 24 CC open open open till noon open closed closed closed open closed closed closed open closed 24 CC closed closed closed EO closed closed closed EO closed closed closed open closed 24 CC open closed closed open closed closed closed open open open open open open open till 4 p.m. open open open open open open open open closed closed closed open closed 24 CC closed closed closed EO closed closed closed EO open open closed closed closed open open open closed open 6 a.- 5 p. open open till noon closed EO open open open till noon closed open closed closed EO closed closed closed 6 a.-2 p. open closed open open closed open open 6 a.-5 p. open open till noon open open open open open closed open closed closed EO closed closed closed (OCSA) On-call service available (EO) Emergencies only (ABP) Available by pager (24 CC) 24-hour call coverage during closing *An on-call administrator can be reached through the switchboard operator *To reach radiation oncology for emergencies, call 919-713-1502 *Spiritual Care will use volunteer chaplains for emergency coverage. (Ask the switchboard operator to call the on-call chaplain if needed.) Welcome to Johnston Health Here’s the list of employees and volunteers joining us in November. Welcome aboard! Fulltime: Rodney Barbour and William Wright, security officers; Donna Pautke and Kayla Pilkington, patient care assistants on 2 East; Kelcy Connolly, nursing assistant, behavioral health; Laura Horton, RN, Smithfield emergency department; Nelda Johnson, Smithfield staff pharmacist; April Maupin, EVS worker; India McArthur, nursing assistant, SECU Hospice House; Tiffany Turnage, Smithfield pharmacy tech; Danny Weston, patient care assistant, 2 East; Lisa Cramer, RN, behavioral health; Wendy Anderson, RN, labor and delivery; Landon Jernigan, nursing assistant for flex unit. Part-time: Maria Trejo, Micah Barlow, Devin Cockrell, Devon Murphy, Sheena Murphy, all patient access registratrars. PRN: Michelle Sawyer, RN, Clayton emergency department; Mintoria Stockton, RN, third floor. Volunteers: Donna Bilski, Bonnie Hall, Beth Huber, Evelyn Klemstine, Donna Kozlowski, Judy Lowe, Jeanne Houser, Judith Hudgins and Lois Smith. Departments announce holiday closings Department *Admnstratn Amb Imaging Business Cardio Strs Lab Case Mgt Cath Lab Comm Wide Compliance Copy Center Early Learning Education Emergency Emp Health Emp Pharmacy Endoscopy Engineering Finance Food Services Foundation Gift Shop HealthQuest HIM HmCr & Hspce HR JMA offices Lab (S&C) MIS Med Onc (S&C) *Rad Onc(S&C) Med Staff Off OR Project Access Quality QuikMed Radiology(S&C) Rehab Outpatient Inpatient Registration Outpatient: ED: Resource Mgt Same Day (S&C) Special Procds *Spiritual Care Strl Prcssng Wound Center Nov. 27 OCSA closed closed closed open closed closed closed closed closed closed open closed closed EO 24 CC closed open closed closed closed closed OCSA closed closed EO 24 CC closed closed closed EO closed closed closed EO Nov. 28 OCSA closed closed closed open closed closed closed closed closed closed open closed 7 a-5 p EO 24CC closed open closed closed open closed OCSA closed closed open 24 CC closed closed closed EO closed closed closed open closed open closed open closed open closed closed EO EO open closed closed open closed closed EO open open open (OCSA) On-call service available (EO) Emergencies only (24 CC) 24-hour call coverage during closing *An on-call administrator can be reached through the switchboard operator *To reach radiation oncology for emergencies, call 919-713-1502 *Spiritual Care will use volunteer chaplains for emergency coverage. (Ask the switchboard operator to call the on-call chaplain if needed.) Happy Thanksgiving! The Johnston Health Foundation held its first annual volunteers recognition dinner last Thursday at the Johnston Medical Mall. From left, Cliff Painter was among the three retiring board members honored for service, outgoing chair Lucy Coats was named “Board Member of the Year,” and local businessman and community leader Durwood Stephenson was named “Volunteer of the Year.” Foundation thanks volunteers, leaders during banquet Director points up successes in 2014, increase in gifts, donors over past 2 years T hey’ve both given generously and worked tirelessly behind the scenes. Last Thursday, the Johnston Health Foundation honored its outgoing chair, Lucy Coats, as “Board Member of the Year,” and local business and community leader, Durwood Stephenson, as “Volunteer of the Year.” Kyle McDermott, vice president of support services, helped organize the foundation in 1992 and still serves. During his presentation, he thanked Coats for her 40 years of service to the hospital—15 of those while serving on the foundation board. “She gives of her time, talent and treasure,” McDermott said. “She engages others in giving; she is an ambassador; she influences others through her quiet, yet strong disposition. She cares deeply about the hospital and Johnston County.” Coats, who was director of anesthesiology before retiring last year, has given significantly to the foundation’s campaigns and initiatives over the years. David Mills, who is the board’s incoming chair, did the presentation for Stephenson. He talked about the businessman’s reputation for integrity, fairness and sound business dealings as president and founder of Stephenson General Contractors. Outside of work, he and his wife, Vickie, have a nonprofit corporation to Project Access wins grant The Duke Endowment has awarded Johnston Health a grant for $329,750 that will continue Project Access for the next two years. At right, Rebecca Hawley, who is the program’s part-time nurse practitioner, sees a patient in the Project Access clinic, which is open Thursdays from 6 till 9 p.m. Located at 711 North Street, the medical office is shared Monday through Thursday with a wellness program serving employees of Johnston County government. Johnston Health owns the building and provides it to the Project Access program as an in-kind donation. Since 2008, Project Access has enrolled more than 1,800 Johnston residents and 250 patients from Harnett. The value of these donated services is more than $11 million. assist at-risk children. Also, Stephenson has served on the N.C. Board of Transportation, the N.C. Banking Commission and on the executive committee of the N.C. Global Transpark Trustee Board. As for his work with the foundation, Stephenson chaired the capital campaign for the SECU Hospice House, raising more than $4 million. He also reached out to local industries and assisted the foundation in raising nearly $500,000 to renovate space for the behavioral health holding area as part of the larger emergency department expansion project. “Durwood has given of his time, talent and treasure to support the cause of improving health care for the people in our communities,” Mills said. “He’s really the volunteer of the decade. In the 25 years that I’ve known him, it’s been an honor and a pleasure.” Stephenson and Coats were both surprised with the awards. “The honor has come with being associated with the people here,” Stephenson said. “When I see the hospice house parking lot full, I’m gratified knowing that people have a place to pass with dignity and peace. “When you reach out and help serve, you never know how great the impact can be,” he added. Coats said she had enjoyed her tenure on the board and felt proud of the foundation’s work. “We’re making a difference in the lives of patients, from helping them get critical medications to helping them with transportation to doctors appointments.” Fundraising successes: In all, the foundation raised $290,000 this year through its four campaigns and events. These were the Johnston Health Champions 5K, the First Citizens Bank Annual Golf Classic, the Foundation Social and the Art for Hope campaign. In addition, the foundation applied for and received a $5,000 education and wellness grant for cancer patients. Gifts are increasing: The foundation received 1,769 gifts in the year ending Oct. 31, which was nearly three times the number from two years ago. Also significant for the same period, the number of donors grew nearly six-fold, from 116 to today’s 687. On saying thanks: “Volunteers take time away from families, jobs and hobbies to make a difference, and they can affect change for the world. So it’s important to thank and recognize them, to pause and to celebrate accomplishments. They’re truly diamonds in the rough.” --Alison Drain, executive director of the foundation. New officers, members: David Mills is the chair; Julia Narron, vice chair; Jim Jenkins, treasurer; and Stewart McLeod, secretary. Jeff Pope of Four Oaks Bank and Tammy Holt of SECU are new. The board also thanked retiring members Joe Austin, Cliff Painter and Patti Hooper. Endowments: A way to give well into future A Benson woman’s gift is now helping patients here at Johnston Health During her lifetime, Benson native Cara Lee Priest was known as a selfless, giving person who liked to save her money. After her death in August 2009, her family chose to honor her memory with an endowment through the North Carolina Community Foundation. Because of that gift, Priest is, now and forever, helping to provide services and programs benefitting patients at Johnston Health. Kemp Mosley, an associate attorney at Narron, O’Hale & Whittington, P.A., in Smithfield, says there are many benefits to endowed charitable gifts. “The grantor is able to truly perpetuate the gift and to define the potential uses,” he says. “The principal will always remain intact. The charity will receive perpetual annual benefits. And the endowed gift remains 100 percent tax deductible.” A concern for many donors is how their permanently endowed gift will be managed and invested. The North Carolina Community Foundation works with investors to make sure their money is invested wisely, says Alison Drain, director of the Johnston Health Foundation. “They are a fixture in charitable gift management and hold many endowments set up on behalf of nonprofits across the state, including our own Johnston Health Foundation,” she says. “Having that expertise and experience gives donors peace of mind, knowing that their money will be kept safe.” Drain points out that Johnston Health faces challenges as it continues to serve uninsured and underinsured patients while also adapting to changes in the health care industry. “An endowment for the hospital can have a huge positive impact if the gift is invested wisely and allowed to grow with donations,” she said. Drain says financial donations can be made directly to the Johnston Health Foundation Endowment or donors can set up new endowments by making a gift or leaving a bequest in their will. The foundation’s page on the Johnston Health website provides language that can be used when making a charitable bequest to the Johnston Health Foundation Endowment. “Giving money to an endowment is investing in the future of a community,” Drain adds. “It’s one way to ensure that our children and their children have a better place to live and work.” Welcome to Johnston Health Here’s a list of employees joining us in July. Fulltime: Edward Metzel, director of the emergency department; Adrienne Windham, RN, third floor; Faye Hatcher, RN, second floor; Elizabeth Colclasure, RN, ED; Douglas Fryar, RN, ED; Catherine Rzany, RN, PCU; Crystal Davis, RN, PCU; Maurice Cleveland, security officer; Patricia Johnson, grill cook; Ulises Vaquez, EVS floor tech; Beatrice McKnight, food service worker; Kelly Moore, grill cook/cashier; Kimberly Rau-Dasnoit, dietary aide; Nallely Sanchez, EVS worker. PRN: Erica Thomas, certified nursing assistant, third floor; Lori Kimmerly, medical assistant, JMA-Clayton; Hettie Peele, RN, behavioral health; Amber Hudson, respiratory therapist. Volunteers: Suzanne Fitzgerald Save the date A public ribbon cutting for Johnston Health Clayton’s inpatient wing will be held Jan. 10. The marketing department is in the early stages of planning for the Saturday event. The hospital will open to inpatients on Jan. 14 with OB service beginning later in February. At center, Shelby Holt, director of cardiopulmonary services, accepts the You Make A Difference certificate from CEO Chuck Elliott. Respiratory therapists are. from left: Wendy Banks, Willsheana Clark, John Forbes and Morgan Rogerson. The other therapists are: Diana Allen, Tonya Murphy (clinical coordinator), Connie Knowles, Kimberly Aycock, Melissa Runyon, Cynthia Williams, Kristin Kelemen, Eric Odongo, Frank Barnes, Kristina Schrader, Michael Berumen, Rob Bulgarino, Will Mtendera, Karonica Nelson, Lynn Hufton, David Dixon, John Yee, Pam Vargas, Amber Hudson and Charles Warren. Respiratory therapy honored for making a difference E very department has a story to share. Shelby Holt, director of cardiopulmonary services, wrote the following story of how respiratory therapists are making a difference. The recognition program is an extension of the Standards Committee. On Monday, CEO Chuck Elliott presented the You Make a Different certificate to the staff and praised them for their dedication and commitment to patients. The story illustrates how the department contributes in the areas of the five pillars. People: When a patient crashes, who gets called to help out? It’s the respiratory therapist. The respiratory care department is made up of a diverse group of professionals who deliver care to patients of all ages. Because they’re often needed in many places at once, they’re adept at multitasking and prioritizing. The staff works well together and with other disciplines, relying on their individual strengths to give the best care possible. Education for a respiratory therapist includes a concentration in disease processes known to cause difficulty breathing in patients. The therapist learns different treatment modalities and determines which is best for each patient. Quality: Therapists care for the patient while in the hospital, and they use every opportunity to teach the patient how to care for themselves at home. This may include teaching patients how to use an inhaler, how to breathe a certain way or how to quit smoking. Respiratory therapists are always prepared to help patients better manage their disease. The respiratory care department responds to all code blues and jets within the hospital and other buildings on campus. Therapists are known to be the experts and are often called upon when patients are not doing well. Sometimes a crisis situation, such as intubation, can be avoided if the patient’s condition is recognized soon enough. The department examines missed medications and pulmonary function reading turnaround time as quality measures to look for ways to improve the care of patients. Therapists have improved missed medication rates by increasing awareness of what was being missed and why. They are also looking at ways to avoid missing medications. Growth: The demand on respiratory therapists is projected to increase as Baby Boomers age and as the number of patients diagnosed with asthma and COPD goes up. Respiratory therapists will be at the forefront of treating these patients. The respiratory care department is responsible for many procedures. Therapists perform nebulizer treatments, pulse oximetry, incentive spirometry, chest physiotherapy, arterial blood gases, bronchoscopy assistance, pulmonary function studies, and assistance with conscious sedation, just to name a few. The therapists are capable of performing intubation when needed and are experts at mechanical ventilation, invasive and non- invasive. With the ICU staff, the department helped to initiate a ventilator-acquired pneumonia policy shown to reduce the incidence of that type of infection. The department recently took over the administration of inhalers. This has enabled the therapists to teach patients the proper technique for self-administering an inhaled medication. It has also helped to decrease duplication in medications, which reduces expense to the hospital and improves patient safety. Value: The respiratory care department flexes when needed to reduce labor expense. The staff helps monitor productivity and helps decide when it is time for a staff member to flex off. This is evenly shared between all members of the department. The staff is constantly looking for ways to conserve supplies while still providing proper patient care. Innovation: The respiratory care department is working to develop evidence-based protocols. Evidence-based protocols deliver improved patient outcomes and appropriate allocation of services. Recently added equipment includes a high -flow oxygen setup capable of delivering high amounts of oxygen to patients through a special cannula. This is for patients who have a low arterial oxygen level but are moving air without difficulty. Use of this equipment in the right patient group could prevent the need for intubation and mechanical ventilation. This would have the effect of decreasing length of stay and reducing expense for the hospital and patient. Survey results prompting café changes A majority of the 237 employees responding to a food services survey in June said they were satisfied with their overall dining experience, including how quickly and efficiently they were served. While most of the responses about the taste of the food were positive, a good number of employees said they would like to have more food choices, said Russ Currie, director of the food services department. In a comment section, employees asked for more food options at night, more variety of soups and Southern food, and additional days of the exhibit station where the chef prepares a special dish. Chef Tim Brennan says changes are already in the works. He plans to expand the exhibit station to five days a week and to insert new soup recipes into menu. While it’s not feasible to keep the salad bar open at night, he’s looking at stocking more grab-and-go items for the night shift. Brennan says diners may be unaware that the grill, which is open through the Melanie Heath prepares the grab-and-go salads on Tuesday. The café will begin preparing more of these items for the night shift in response to a recent food services survey. night and wee hours of the morning, offers healthful options such as fish tacos, turkey burgers and grilled chicken breasts. So what else might surprise café diners? “Ninety percent of our vegetables are fresh and grown in North Carolina. Deliveries arrive Monday, Wednesdays and Fridays,” he says. “A small percentage of the vegetables are frozen. Canned items are kept as an emergency back-up, in case the kitchen loses power.” Brennan says the staff must follow recipes for preparing the dishes so that they have the proper nutritional values. “We can’t deviate, especially for patients,” he says. Also, he says diners may be surprised that most of the sauces and entrees are made from scratch, including the lasagna, meatloaf and fried chicken. Welcome to Johnston Health Here’s a list of the employees hired during June. Fulltime: Alicia Bailey, social worker/ discharge, case management; Thomas Callon, security officer; Wanda Dean, patient registrar; Rachelle Fuller, patient care assistant, second floor; John Griffin, lab technician/registrar, Smithfield; Rosaura Laabidi, specialty RN, Smithfield emergency department; Mindy Lapanne, patient access registrar, Smithfield; Brenna Parker, RN, second floor; Lisa Peacock, social worker/discharge, case management; Lindsey Tart, RN, Smithfield emergency department; Kristen Tew, medical lab tech, Smithfield lab; Karissa Witkamp, pharmacy tech, Smithfield pharmacy; Siamora Woodard, preschool team teacher, Early Learning Center; Lindsay Tart, nurse practitioner, QuikMed; Ashley Heath, patient access registrar; Ashlynn Eason, RN, third floor; Shannon Boney, RN, third floor; Amber Tart, RN, ICU; Shelby New, RN, ICU; Benjamin Duncan, security officer; Robert Barnes, floor tech, EVS; Laura Jasmine, social work case manager, case management; Sheritta McCleary, patient financial counselor, business office; Divina Dela Cruz, patient care technician, dialysis; Penny Schott, Charles Sanders, Cassie Recore and Ty’Quanna Vinson, EVS workers; Jerry Markham, floor tech, EVS; Courtney Barber, food services worker, cafeteria. Part-time: Lynn Parker, charge auditor, health information management. PRN: Lesley Gleave, respiratory therapy, Smithfield; Tiffany Lewis, teacher assistant, Early Learning Center; Emily Metcalf, RN, third floor; Kimberly Rozier, physical therapy assistant, Smithfield; Shadae Sanders, patient care assistant, second floor; Caitlyn Wynn, CNA, flex unit in Smithfield; Logan Langdon, cardiovascular ultrasound tech, cardiology; Tiffany Stanley, phlebotomist, lab; Jackie Brockington, RN, behavioral health; Cathy Purves, RN, cardiology; Joseph Comeau, speech language pathologist, home health. Department closings for July 4 Department *Admnstratn Amb Imaging Business Cardio Strs Lab Case Mgt Cath Lab Comm Wide Compliance Copy Center Early Learning Education Emp Health Emp Pharmacy Endoscopy Engineering Finance Foundation Gift Shop HealthQuest HIM HmCr & Hspce HR JMA offices MIS Med Onc (S&C) *Rad Onc(S&C) Med Staff Off OR Project Access Quality QuikMed Radiology(S&C) Registration Outpatient: ED: Resource Mgt Same Day (S&C) Special Procds *Spiritual Care Strl Prcssng Wound Center July 4 OCSA closed closed closed open closed closed closed closed closed closed closed closed EO closed/24 CC closed closed closed closed closed OCSA closed closed closing at noon on Thursday, all day Friday/ 24 CC closed closed closed EO closed closed closed EO closed open closed closed EO EO open closed (OCSA) On-call service available (EO) Emergencies only (24 CC) 24-hour call coverage during closing *An on-call administrator can be reached through the switchboard operator *To reach radiation oncology for emergencies, call 919-713-1502 *Spiritual Care will use volunteer chaplains for emergency coverage. (Ask the switchboard operator to call the on-call chaplain if needed.) Before retiring at the end of April, purchasing manager Dan Kelley (far left) nominated his department for the You Make a Difference recognition. From left, the resource management staff is made up of Kevin Grams, Ann Parker, Terrel Stanton, Robbie Taylor, Rebecca Hurley, Dan Norris, Barbara McDougle, Melanie Hulth, Tamala Buie, Ed Clifford, Dan Pate Jr. and senior director of support services Kyle McDermott. Materials management honored for making a difference F rom the basement of the Johnston Medical Mall, a cadre of employees makes certain the hospital and outlying clinics get the supplies they need to treat and care for patients. On the shelves of the distribution center, the department of materials management stocks and distributes 1,214 line items ranging from catheters to nasal cannulas to soy infant formula. The department also manages about 4,000 line items hospital-wide as well. Employees also run a copy center and are responsible for courier and mail services, shipping and receiving, distribution and purchasing. They negotiate pricing for supplies, capital equipment and construction projects. Before retiring at the end of April, Dan Kelley, the manager of purchasing, wrote the following story of how the department makes a difference at Johnston Health. The department was recognized with the “You Make a Difference” award last Friday. Kelley returned for the presentation, which was led by the Rev. Greg McClain, manager of spiritual care services and chairman of the standards committee. The recognition program is a project of that committee. People: Our 11 employees take pride in what they’re doing. Cross-training is a key element to our success. Every employee has the basic knowledge of his or her counterpart’s responsibilities and can without hesitation cover for one another to ensure that deliveries go out on time to serve our customers. Their combined work service to Johnston Health is more than 200 years. We’re proud to say that we have “zero” turnover. And our employees often receive accolade about their work. Growth: Supply-chain management is going through an evolution of consolidation. The “standalone” community hospital can no longer survive in today’s healthcare environment. In order to further reduce expenses and streamline the supply chain process, we’re currently working with UNC Health Care and the affiliated hospitals to evaluate the potential of consolidating supplies purchases. This could create greater purchase volumes which can lead to superior buying power. Quality: We think of everyone at Johnston Health and our community as our customers. We’re always striving for excellence. In our receiving area, for example, Kevin Grams, our gatekeeper of supplies and equipment, ensures that arriving shipments are in good condition, accurate and delivered quickly to the end user. This is true for all other employees within the department, too. Value: The products value-analysis committee led by our department is responsible for evaluating the expense and efficiency of products proposed for hospital use. The group, which is made up of employees with clinical, administrative and financial backgrounds, meets the second Wednesday of every month. It follows a stringent process that enables us to control cost and avoid or eliminate duplication. Too much inventory or stocking a little-used product can tie up space and waste money. Keeping a balance in our inventory can be challenging and difficult, a constant game of chess. Innovation: The use of automated dispensing cabinets, called Omnicells, for issuing supplies is being entertained. This would eliminate the use of “stickered” supplies that are inefficient and costly both by material and labor. The patient is automatically billed for the product as it is dispensed. Another consideration is diagnosis-based charges rather than charges based on the patient’s initial diagnosis upon admission. Many of our colleagues in other hospitals are doing this with good results. Sleep lab rooms get new decor Sophie and Randolph Reid Tuesdays with Sophie Patients and staff in the behavioral health wing receive a special visitor every Tuesday afternoon. Randolph Reid, a retired homebuilder, brings his therapy dog, Sophie, at 4 p.m. They stay for an hour. Reid has owned the Golden Doodle since she was 8 weeks old. Shelly Malone, director of behavioral health services, says the dog makes everyone smile. “She’s so friendly and lovable. We all look forward to her visits,” she says. Patients who come to the hospital for sleep studies now have more comfortable, decorative quarters in which to spend the night. The four sleep rooms on third floor are getting new mattresses, paint, curtains and bedspreads. The upholstery on the chairs in the rooms has a sheep motif—a fitting touch. Remodeling for two of the rooms is complete, while the other two are close to being finished. So what happens during a sleep study? Tracey Woodruff, the administrative director who oversees the service, points out that the studies are painless. When patients arrive at night, a technician places sticky patches with sensors on the scalp, face, chest, limbs, and a finger. While the patient sleeps, the sensors record brain activity, eye movements, heart rate and rhythm, blood pressure, and the amount of oxygen in the blood. Also, elastic belts placed around the chest and belly measure chest movements and the strength and duration of inhaled and exhaled breaths. Wires attached to the sensors transmit the data to a computer in the next room. “The wires are very thin and flexible,” Woodruff says. “They are bundled together so they don't restrict movement, disrupt your sleep, or cause other discomfort.” Fresh paint, new colors greet patients in the sleep lab. The four rooms on third floor have been remodeled and are getting new furnishings. Woodruff says a physician order is needed for the studies. To schedule an appointment, call 866-937-6692. Respiratory therapy is life-long love Welcome to Johnston Health Here’s a list of employees joining us in May. Full-time staff: Khrystian Warren, CNA, wound center; Angela Deans, director of patient financial services; Rebecca Bir, patient care assistant, behavioral health; Volha “Olga” Zatsirka, patient care assistant, emergency department; Leanne Nichols, RN, hospice house; Stacey Costanza, RN, oncology; Elisa Pendergrass, RN, hospice house; Rebecca Evans, RN, wound clinic; Alfreda Smith, RN, operating room; Bethany Hacker, remote coder, HIM. PRN: Danielle Tucker, patient care assistant, med surg floor; Katherine Thompson, social worker, behavioral health; Aaron Godwin and Ashley Johnson, CNA, third floor pediatrics; Robert Lewis, MRI technician, Clayton; Hannah Hall, patient access registrar, patient access; Edina Hood, radiology technician, radiology; Virginia Chafin, RN, hospice house. Part-time: Amanda Blanton, birth registrar, health information management. Volunteer: Alfred Cotham, hospital. David Dixon recognized as Ambassador of Month Community outreach op Divine Destiny Day Care, an adult day care center at 612 Powell Street in Smithfield, is seeking donations of gently used shoes, sandals and flip-flops for a fundraiser through the end of June. The center will accept the shoes from 8 a.m. to 4:30 p.m. or a pick-up may be arranged by calling director Katrina Boylan at 919-934-7144. Department closings for Memorial Day Department *Admnstratn Amb Imaging Business Cardio Strs Lab Case Mgt Cath Lab Comm Wide Compliance Copy Center Early Learning Education Emp Health *Emp Pharmacy Endoscopy Engineering Finance Foundation Gift Shop HealthQuest HIM HmCr & Hspce HR JMA offices MIS Med Onc (S&C) *Rad Onc(S&C) Med Staff Off OR Project Access Quality QuikMed Radiology(S&C) Registration Outpatient: ED: Resource Mgt Same Day (S&C) Special Procds *Spiritual Care Strl Prcssng Wound Center May 26 closed closed closed closed open closed closed closed closed closed closed closed closed EO closed/24 CC closed closed closed closed closed closed/OCSA closed closed closed/24 CC closed closed closed EO closed closed closed EO closed open closed closed EO closed open closed (OCSA) On-call service available (EO) Emergencies only (24 CC) 24-hour call coverage during closing *An on-call administrator can be reached through the switchboard operator *To reach radiation oncology for emergencies, call 919-713-1502 *Spiritual Care will use volunteer chaplains for emergency coverage. (Ask the switchboard operator to call the on-call chaplain if needed.) *Employee Pharmacy will fill new emergent prescriptions only At top, massage therapists Marci Thames and Michelle Killane work their magic. Below left, Kim Hurley shows Troye Honore and her daughter, Gaelen Campbell, both of Clayton, how to find breast lumps. And at right, Caroline Hester checks a blood pressure during Ladies Night Out. LNO: Health screenings, food, fun A ladies night out at the Johnston Medical Mall can be fun and informative, too. The free event put on by Johnston Health mixed healthful advice and screenings with shopping for jewelry, home goods and beauty products. It drew about 200 women. “A free massage was my motivation to come,” said Crystal Fornwalt of Princeton as she snacked with a friend at the Cyber Cafe. “But now that I’m here, I’m seeing lots of things I’m interested in.” At the eatery, women had their pick of fruits, veggies, sandwiches and sweets—a spread catered by Johnston County Industries, which runs a culinary training program with support from Johnston Health. Troye Honore and her daughter, Gaelen Campbell, both of Clayton, came together. At the oncology table, Kim Hurley, manager of oncology services for Johnston Health, was challenging them to find the five lumps in a squishy teaching prop for breast self exam. “I’ve learned that you have to press hard,” Campbell said afterward. At the nutrition table, a large dispenser with ice water and slices of fresh oranges and lemons made for a pretty, healthful drink. As they filled cups, dietician Louisa Sherrill and an intern, Elizabeth Alexy, encourage women to think before they drink. By skipping a 20-ounce Coke every day, a person can lose 25 pounds in a year, Alexy said. “Drinking well makes a difference.” Anaira Knight, a former Johnston Health intern, taught hands-only CPR at another table. Those who learned the life-saving technique left with a colorful certificate. Patsy Stewart, a diabetes education nurse, and her director, Lori Martin, pricked fingers to check blood sugar. And Marisa Hamilton, manager of Johnston Home Care & Hospice, and administrative director Caroline Hester checked blood pressures. Staff from radiology, the women’s pavilion and local OB/GYNs offices also talked with women and handed out samples and helpful pamphlets. Susan Ramsey of the Eastern Carolina Division March of Dimes shared tips on healthy pregnancies. Charlotte Fournier, a crime scene investigator with the Johnston County Sheriff’s Department, offered basic tips on how women can avoid looking like targets for crime. “There are a lot of predators out there,” she says. “We need to be aware of our surroundings. As you’re walking to your car, don’t text or talk on the phone. Keep your head up, swing your arms and stand up straight.” Fournier said the event provided the perfect audience for her safety message. And it’s a great way to focus on health, too, she added. “I had a great time.” RIE focuses on ED patient flow to beds Nearly 15 percent of admissions come through the hospital through emergency departments. So the patient’s transition from the ED to an inpatient bed needs to be as smooth and quick as possible. Toward that end, a team of employees during an RIE last week tackled four situations identified as causing delays in patient flow. These centered on patient transports to the units, the call reports between the ED and the floors, and the notification to environmental services to clean inpatient rooms. Here are the changes and processes the team put into place to end those delays: The daily huddle to discuss patient census and staffing is now at 1 p.m. rather than 11 a.m. Also, the huddle now includes staff from the Clayton ED. The later time allows a fuller picture of how many admissions to expect. The bed placement staff is now giving to the ED nurse the names of the receiving nurses and their Ascom numbers (wireless phones) for calling the report. The ED secretary now scans and electronically sends the admit orders to registration rather than physically carrying over the paperwork. Also, there’s a plan to use the charge nurse to help facilitate patient transport. Nursing units will record times for the following steps: discharge from floor, patient discharge from Meditech, and time to complete patient-room cleaning. The team has also identified who can request a “stat clean” for a room and for what reason. “Early feedback from the staff is that they love getting the Ascom number,” says Jessica Springer, director of Lean process improvement. “An early trial is showing that it works well. The staff also liked the change in the daily huddle time.” From left, staff participating in the RIE last week were Kevin Smith, Gail Hudson, Mary Lynn Smith, Beverly Farish, Anaira Knight, Elizabeth Robertson, Joy Haggins-Parrish and Dr. Don Pocock, who is vice president of medical affairs. David Dixon enjoys being a respiratory care practitioner so much that he has two full-time jobs. He’s at the hospital six nights straight, takes off a day, and then works six nights straight at Rex Healthcare in Raleigh. Even after 38 years, he still loves the profession. “Not many people get the chance to do what I was called to do,” he adds. “I can’t wait to get to work every day.” Dixon has been with Johnston Health for three and a half years, and he has been with Rex about six months. After 90 days on the job, the Raleigh hospital presented him with its grateful patient award. A family was so impressed with his care that they made a sizeable donation in his honor. Patients here at Johnston Health have been impressed, too. So much so that they asked that Dixon be recognized as an ambassador of the month. During a presentation at the end of April, Ruth Marler, Johnston Health’s chief operating officer, read aloud excerpts of compliments passed along by two families whose loved ones received care from the respiratory therapist. Both described Dixon as being compassionate and taking the time to explain every detail and step of the procedure or treatment. “The care delivered stood out and was very much appreciated,” Marler said. “The greatest compliments our co-workers receive are those coming from patients and families.” Shelby Holt, director of cardiopulmonary services, says Dixon has a great bedside manner. “He’s good to his patients, and they remember him,” she says. In a typical night, Dixon sees as many as 35 patients. He is trained in emergent and routine care for all patients, from newborns to the aged. Dixon grew up in Wake Forest and worked in a grocery store while going to high school. It was the store owner who suggested that he check out respiratory therapy as a career. At the time, her brother-inlaw was director of respiratory care at then Wake Memorial Hospital. On his next day off, Dixon shadowed the director and liked what he saw. “I was impressed with the rapport that the respiratory therapists had with the staff, and the respect they had from the medical community,” he says. After graduating with an associate degree in May 1977, Dixon took a job as assistant director of respiratory care at Nash General in Rocky Mount. Two years later, he was promoted to director. “I ate, slept, drank and breathed it,” he said of his work. During his career, he also sold medical equipment related to respiratory care, which required travelling all over the country. For those 12 years, he often spoke at healthrelated conventions and trade shows. For 11 years, Dixon was a shift supervisor at WakeMed, where he oversaw 16 respiratory therapists. “I walked 11 miles a night and burned 3,000 calories,” he said. When he and his wife, Eve, a critical care nurse, decided to dial back their work life, they worked nights, Fridays through Sundays. But after a while, Dixon wanted more to do during the weekdays. And that’s when he signed on for two full-time jobs. One month out of the year, the couple takes time off to travel to foreign countries. They also like spending time at the beach and entertaining their grandchildren. From left, Shelby Holt and COO Ruth Marler recognize David Dixon as the February Ambassador. Staff launches support group for patients with COPD Better Breathers Club a passion for Clayton RT A cardinal and yellow warbler visit the birdfeeder in Lori Martin’s back yard. She captured the image in January following a snow. An eye, passion for photography Lori Martin, director of education, says her first love is photography. From the sunroom of her home in the Cleveland community, she uses a Nikon Coolpix P5 10 to capture images of birds. The point-and-shoot camera has a 42x zoom, which is equivalent to a 1000mm lens. She sets the camera to the sports mode for rapid-fire shooting. In November, Martin says she’s headed to Churchill, Canada to see polar bears in the wild. She’s already planning to buy a new camera with an even longer zoom to take with her on the trip. What’s your passion? If it’s photography, share your favorite photo. Or take a picture of your artwork or handiwork to share with others. Send it to the LifeLiner, and we’ll publish it. Supporting cancer patients Got a sweet tooth? Here’s a way to satisfy a craving and to help cancer patients who are struggling with expenses related to their treatment. Johnston Health Hematology and Oncology is having a bake sale from 9 a.m. till 2 p.m. on April 17 (tomorrow) at the Johnston Medical Mall. All proceeds will go toward the Angel Fund. For more info or to donate, contact Arqueta Lindsey at 989-2192 or [email protected]. Good Friday schedule Department *Admnstratn Amb Imaging Business Cardio Strs Lab c Case Mgt Cath Lab Comm Wide Compliance Copy Center Early Learning Education Emp Health Emp Pharmacy Endoscopy Engineering Finance Gift Shop *HealthQuest HIM HmCr & Hspce HR JMA offices MIS Med Onc (S&C) *Rad Onc(S&C) Med Staff Off OR Project Access Quality QuikMed Radiology(S&C) Registration Outpatient: ED: Resource Mgt SameDay(S&C) Special Procds Spch Thrpy *Spiritual Care Wound Center April 18 closed closed closed losed open closed closed closed closed closed closed open for shot clinic closed EO closed/24 CC closed closed open closed closed closed closed closed/24 CC closed closed closed EO closed open till noon closed EO closed open closed closed EO coverage till 3 p.m. closed closed (EO) Emergencies only (24 CC) 24-hour call coverage during closing *An on-call administrator can be reached through the switchboard operator *To reach radiation oncology for emergencies, call 919-713-1502 *Spiritual Care will use volunteer chaplains for emergency coverage. (Ask the switchboard operator to call the on-call chaplain if needed.) *HealthQuest will be closed Easter Sunday At top, from left, Ja’net Brooks paints with her daughter, Kawau, who is an ELC graduate; Joshua Martinez, 3, shows off his shark art; the ELC’s four-year-olds sing for the crowd; and Trooper Chad Summerlin, a parent volunteer, brings his cruiser for children to explore. Finch Wallace, 3, is the son of Michelle and Banks Wallace of Smithfield. OPEN HOUSE SHOWS ELC’s COLORFUL, FUN SIDE W hen Trooper Chad Summerlin of Princeton was offered a promotion in a neighboring county last year, he turned it down. A move would mean that he would have to pull his two daughters, Aubrey and Maisen, out of day care at the Early Learning Center. And for him and his wife, Kadie, leaving was out of the question. “We stayed here because of the Early Learning Center,” said Summerlin, who has been a parent-volunteer at the center’s spring festival for the last three years. “It’s had that big of an impact on us.” Every year, Summerlin dresses in his uniform and lets children play and eat snacks in the front seat of his state highway patrol cruiser. And upon request, he’ll turn on the blue lights. The Saturday outing, held April 5, is purely about children having fun. Inside, the little ones painted (and got their faces painted) and played bingo. Outside, a story time gathered a small group underneath a tent. Children climbed aboard a fire truck and an EMS ambulance until the volunteers were dispatched to an emergency. A police cruiser was also a hit. The Early Learning Center children sang and played the hand bells for a rapt audience of parents, grandparents and instructors. And some of them, including the center’s director Helen Patterson, joined in when a HealthQuest dance instructor led a Zumba class. Dwight Morris, executive director of the Johnston County Partnership for Children, was a guest speaker at the public event. He said that when children play, they learn soft skills such as how to get along with others. “It all begins in the early years,” he added. “Ninety percent of a child’s brain is developed before age 5.” Also, Morris praised Johnston Health for investing in children through the Early Learning Center, and he applauded Patterson and her staff for their passion. “Children are the best resource we’ve got,” he said. “It’s just smart to invest in their early education.” HQ challenges staff to log 10,000 steps a day HealthQuest Fitness & Wellness Center is participating in the Worldwide Walking Challenge to take 70,000 steps in seven days. Here’s how you can participate. Complete a registration form at the reception desk of HealthQuest Fitness & Wellness Center and receive your log form. Walk everyday from April 28 to May 4 and log your daily steps. Return your form to HealthQuest no later than May 7. All participants will receive a prize. The challenge will begin April 28 and will end May 4. A kickoff event will be at 8:30 a.m., 12:30 p.m. and 5:30 p.m. on April 28 in the Johnston Medical Mall. HealthQuest will be giving away pedometers to the first 30 people who register. If you choose to participate in the chal- lenge, you can purchase a pedometer from a local store. You may also log your steps by the mile. “If you have an average stride of about two and a half feet, it takes a little more than 2,000 steps to walk one mile. Five laps around the interior of the medical mall is equivalent to one mile,” says Ashley Scott, director of HealthQuest. Adults in the U.S. walk between 2,000 and 3,000 steps per day, she says. “To stay healthy, you should get at least 30 minutes of physical activity on most days of the week. Walking 10,000 steps a day can help you achieve that goal. “If your goal is to lose weight, start slow and gradually work up to walking 12,000 to 15,000 steps a day. “Our ancestors averaged 15,000 to 20,000 steps a day. So get stepping and count on feeling great,” she said. Terrie Ray thought she wanted to be a certified public accountant until the day she visited her grandmother in the hospital and witnessed a lifesaving event. Sick with cancer, her grandmother had suddenly stopped breathing, and the respiratory therapists Terrie Ray on the code team quickly inserted a tube to open her airway. “Watching the way they worked has always stuck with me,” says Ray, who has been a respiratory therapist for the past 15 years. She went on to shadow an RT before enrolling at Fayetteville Tech and earning an associate degree. After her clinical rotations at Cape Fear Valley, she worked at the hospital for the next eight years. Along the way, she earned her bachelor’s degree. When Johnston Health Clayton opened in October 2009, Ray, who lives near McGee’s Crossroads, was hired in the emergency department. Since then, she’s been working toward a master’s in health care management. Early on in her career, Ray wanted to start a chapter of the Better Breathers Club, which is a support and educational program for people with chronic obstructive pulmonary diseases, called COPD for short. Since January, she’s been working with the education department and The American Lung Association of North Carolina to put together a local program. On Tuesday, Ray led the first meeting in Clayton. “My goal was to establish the purpose of the club, to find out what they need and what we at Johnston Health can do to make things better,” she says. The club will meet from 3 till 4 p.m. on even months at Mount Pleasant Advent Christian Fellowship in Clayton and on odd months at the HealthQuest kitchen in Smithfield. Kim Woodard, an RN from the cardiopulmonary rehab program at HQ, will lead the Smithfield meetings, the first of which is May 20. Also, Joyce Fountain, a respiratory therapist in Clayton, will help out with the program. “I’ve had aunts and uncles who died with COPD,” Ray adds. “Seeing what they and other patients have gone through has made me even more passionate about starting the support group.” Ray says one out of every four COPD patients has depression and half are smokers. “Because smoking is a comfort to them when they’re feeling down, it’s doubly hard to get them to quit,” she adds. “Smoking makes COPD worse, so it’s a viscous cycle.” Through the club, she’s hoping to introduce patients to exercise and education through the hospital’s cardiopulmonary rehab program. At every meeting, members will get the latest information on respiratory health care to help them better manage their disease. The club is open to caregivers and family members, too. Respiratory diseases are the third leading cause of death, behind cancer and heart disease, Ray says. And women are now dying more often from COPD than men. “Many of us breathe fumes from cooking and second-hand smoke, which can lead to asthma, emphysema and chronic bronchitis,” she says. Ray compares the lung’s elasticity to blowing up a balloon. “What you breathe can cause the lining of the lungs to lose their elasticity, and then they can’t move air. You’ve got to have healthy lungs to support good heart function.” If you would like to find out more about the club, contact Ray at [email protected] or call 919-585-8923. Also, here’s a link to a handout, which can be downloaded and copied for distribution: http://johnstonhealth.org/ community/classes-and-events/supportgroups/better-breathers-club/.