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www.FrankfordHospitals.org • Winter 2007 F r a n k f o r d Quality is TOPS at Frankford! Frankford Hospitals’ New Approach to Performance Measures, Performance Improvement (PI), Data Tracking and Dissemination Frankford Hospitals have recently adopted a new approach to performance measures, Performance Improvement (PI), and data tracking and dissemination. The acronym that has been chosen for the effort is TOPS. It was selected because it infers that at Frankford we strive to be TOPS, making quality, both in clinical and organizational performance, our priority. TOPS will be something you will be hearing more about, as it will be used to refer to Frankford’s “balanced scorecard” for organizational development as well as our efforts toward becoming a top performer in clinical outcomes. The section below explains more about TOPS. The column at the right includes answers to some frequently asked questions regarding our performance measures. T: O: P: S: Team and Talents Operational Outcomes Patient and Physician Focused Strategic Direction – New Services Team and Talents: • Turnover Rates • Vacancy Rates • Training and Development Hours • Absentee Rates • Employee Engagement Operational Outcomes: • Quality/Clinical Indicators • Operational Indicators (e.g. overtime, FTE management, supply cost control) • Financial (e.g. budget performance, revenue growth) Patient and Physician Focused • Patient Satisfaction • Patient Safety • Physician Satisfaction • Physician Recruitment Strategic Direction – New Services • Share TOPS Performance Monitoring and Benchmark Results • Strategic Direction • New Services/Programs • Service-line Development and Growth In This Issue: TOPS Quality is TOPS at Frankford Performance Measures – Frequently Asked Questions (FAQs) What are the performance measures? Performance measures include specific medical information collected from a patient’s medical record. We are collecting information on patients with heart attacks, heart failure, pneumonia and surgeries. Why were they developed? To measure how well we provide care to our patients. Who developed the performance measures? The Centers for Medicare and Medicaid Services (CMS) is a government agency that developed the performance measures. It provides health insurance for people 65 years and older, persons with disabilities under 65 years old, and kidney failure patients requiring dialysis or transplant. Welcome to the Frankford Pulse Newsletter! We are pleased to present the first issue of the Frankford Pulse newsletter! The Pulse is the result of much discussion with many groups within our Hospital family, including senior leadership, our employees and medical staff, about the need to create a communication vehicle that would celebrate Frankford’s many achievements as well as provide updates on hospital policies, initiatives and events. This inaugural issue chronicles many of the highlights that have taken place over much of the last year as well as current service, program and policy updates. Going forward, we will publish the newsletter on a quarterly basis. Ultimately, the Pulse will evolve into what all of us would like to make it, and be a successful venture because of all of our efforts. Do you have a story idea? Has your department recently participated in a special event or been honored with an award? Please let us know about it so we can include it in future issues of the Pulse. You can forward story ideas, information, and/or photos to the Marketing Department via e-mail at [email protected], phone at 215-612-4952, or fax at 215-612-5001. I look forward to working with all of you to continue to celebrate our successes and make the Pulse be one of them! Maria Cerceo Slade Director, Marketing, Public Relations and Communications Editor, Frankford Pulse Frankford Hospitals Use the Road Map to Follow the Right Path Our New Code of Conduct Shows You the Way What is our goal? To be known to the community we serve as providers of top quality care! As a healthcare organization, Frankford Hospital is required to publish a Code of Conduct. This document is intended to be a “road map” to assist all staff in our day-to-day decision making. The Code of Conduct is meant to clarify our hospital’s mission, values and principles, ultimately defining the character of our organization. Much has been written lately about the codes of conduct for many organizations and their lack of usefulness or effectiveness. For example, the code of conduct at the now defunct Enron Corporation was a hefty 65-page document. Beautifully bound and printed, the Enron code of conduct specifically prohibited many of the activities that were secretly conducted, activities that eventually led to the company’s destruction. Were the guilty employees of Enron, many of them senior management, ignorant of the code or did they just act in reckless disregard of it? As part of the annual policy review process, Frankford Hospital, with approval from our Board of Directors, has updated our Code of Conduct. Still retaining the “Do the Right Thing” theme and tagline, the revised Code of Conduct has been clarified to just 45 simple words. Here they are: At Frankford Hospital, we will provide exceptional care to our patients, show respect and dignity toward all members of our community, honor our patient’s right to privacy, comply with all applicable laws, avoid conflicts of interest, and conduct all business practices with honesty and integrity. The shortness of our code should make it easy to remember and its simplicity should resonate with everyone’s intrinsic perception of “doing the right thing.” Most times the shortest route to any destination is a straight line. Our new Code of Conduct, our new “road map,” provides for us a very straight path to the character of Frankford Hospital. To learn more about our new Code of Conduct and how it should be incorporated into our daily activities, visit the Compliance page on our Intranet site at www.fhcs.org. Learn More About Hardwiring Excellence ...................2 The Center for Gynecology and Women’s Health Expands ..............3 Why are the selected treatments chosen? The selected treatments have proven to provide the best results for patients with these illnesses. When do these treatments happen? Some occur when the patient first arrives at the hospital, some occur during the stay, and some are for care the patient should receive at discharge. Who uses this information? The information is provided to CMS, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), insurance companies, and most importantly, patients. How does a patient use this information? The information provided can help a patient make informed decisions on where he or she would like to receive care. “Fearless” Frankford Campus ICU Nurse Wins on NBC’s Fear Factor ...........5 2 Winter 2007 F r a n k f o r d Frankford’s Department of Surgery Expands Hardwiring Excellence By Grace A. Odums, Manager, Training and Organizational Development By now you have heard the buzz around the book: Hardwiring Excellence, by Quint Studer. If you haven’t, let us catch you up. Quint Studer, President of The Studer Group, LLC, is the former president of Baptist Hospital. Not the Baptist Hospital we know today: the entity rated #1 in Patient Satisfaction in the nation, three years consecutively. That’s what the book is about – how he, his leadership team and his associates or employees, in lock step, marched their way to service excellence victory. Mr. Studer became president of Baptist Hospital in 1996, a time when employees were resigning – 30% turnover ratio, morale was very low, profit margins were almost non-existent and patient satisfaction hovered between 9th and 40th percentile. Between 1997 and 2003, Quint and his leadership team, along with every associate (employee), committed themselves to a definitive business strategy, engaged a clear business model and together, transformed their organization into the Baptist Hospital we know today. Together, they achieved: Patient Satisfaction in the 99th percentile • 12% employee turnover • 34% increase in patient volumes • Upgraded bond rating by Moody’s (the Wall Street Gurus) • $1.8 million addition to the bottom line These accomplishments secured and continue to garner industry accolades like: • Sodexho Marriott Service Excellence Award • USA Today Quality Cup (in association with Rochester Institute of Health) • Malcolm Baldridge Award Baptist Hospital is consistently ranked among the top 100 “Best Places to Work” by Fortune Magazine and top 50 “Best Places for Professionals of Color” by Diversity Inc. Magazine; all of which are earmarks of an Employer of Choice. The book, Hardwiring Excellence, details the nine pillars upon which an organization must actively build its enterprise – in order to achieve and sustain breakthrough performance in each of the following key areas: PEOPLE, PROCESSES, PATIENTS, PROFITABILITY Here’s an excerpt: “…Through this journey, I learned that the results come from hardwiring (meeting) agendas, (performance) evaluations, (organizational) communication, training, (hiring) selection, discharge phone calls, thank you notes, and more. This way, hardwired behaviors drive the system if the leaders change. This is crucial since most staff and physicians will work at a facility longer than the average CEO. Hardwiring excellence supports the organization’s values and sustains the gains. This, then, is why I wrote the chapters to come: to lay out the actions and behaviors all organizations can use to hardwire excellence.” In the months to come, all department directors, managers and supervisors will be invited to participate in the required learning series entitled, what else: Hardwiring Excellence – offered through Frankford Hospital’s Learning University – Management and Leadership Performance Institute. After the management sessions are completed, abbreviated versions of the workshop will be offered to all front line team members. So, managers – if you haven’t secured a copy of Mr. Studer’s book, please check in with your Campus Administrator. And as you read through the book, in preparation for the learning series, please be certain to share with your staff what you glean from the book, because “…results come from hardwiring communication.” Jennifer Chalfin Simmons, MD, Breast Surgeon After a brief leave, breast surgeon Jennifer Chalfin Simmons, MD, has returned to Frankford’s Department of Surgery. Specializing in the treatment of breast disease, Dr. Simmons’ areas of expertise include minimally invasive biopsies, skin sparing mastectomies and sentinel lymph node procedures. Working closely with Frankford radiologists, pathologists, medical oncologists and radiation oncologists, she also provides seamless, comprehensive care to the breast cancer patient. Dr. Simmons has resumed her practice both at the Torresdale and Bucks County Campuses. Richard S. Chang, MD, Thoracic Surgeon Richard S. Chang, MD, recently joined John A. Heim, MD, in surgical practice at Frankford Hospitals’ Bucks County, Torresdale and Frankford campuses. Both Drs. Chang and Heim specialize in thoracic surgery. Dr. Chang’s areas of expertise include the surgical management of benign and malignant disease of the lung, mediastinum and esophagus. He is skilled in pulmonary resections, video assisted thoracic surgery (VATS), esophageal surgery, esophageal stenting, video mediastinoscopy, trachealbronchial stenting, tracheal resections and laser bronchoscopy. Dr. Chang received his medical degree from Hahnemann University. His training includes a surgery residency at New York Medical College and a Cardiothoracic Surgery fellowship at Thomas Jefferson University Hospital, Jefferson Medical College. Jeffrey M. Finkelstein, MD, DMD, FACS, Otolaryngologist Jeffrey M. Finkelstein, MD, DMD, FACS, is a board-certified otolaryngologist specializing in general ENT, sinus surgery and head and neck surgery. Dr. Finkelstein’s training includes a surgical internship and residency at the University of Chicago Hospitals and Clinics. He received a Doctor of Medicine degree from the Medical College of Pennsylvania and a Doctor of Dental Medicine degree from the University of Pennsylvania School of Dental Medicine. Dr. Finkelstein is a member of the American Medical Association and the American Academy of Otolaryngology Head and Neck Surgery. Alliric I. Willis, MD, Surgical Oncologist, General Surgeon, Laparoscopic Surgeon Alliric I. Willis, MD, recently joined Jeffrey T. Brodsky, MD, in surgical practice at both the Torresdale and Bucks County Campuses. Dr. Willis’ areas of expertise include surgery of the head and neck with particular interest in minimally invasive surgery for thyroid cancer and parathyroid disease. His other areas of expertise include the surgical treatments of melanoma and breast cancer with interests in breast conservation surgery and sentinel lymph node biopsy. Dr. Willis’ educational background includes an undergraduate degree from Harvard College and a medical doctorate from the University of Pennsylvania School of Medicine. His surgical training includes a residency in general surgery at Washington University in St. Louis, Barnes-Jewish Hospital, and a surgical oncology fellowship at Fox Chase Cancer Center, Philadelphia. Dr. Willis is a member of the Society of Surgical Oncology. Press Ganey 101 Press Ganey is the Patient Satisfaction Survey tool that is utilized by Frankford Hospitals to measure the satisfaction of our inpatients, and Emergency Department and Ambulatory Surgery patients. Each of Frankford’s fellow Jefferson Health System (JHS) member hospitals also use the Press Ganey Patient Satisfaction Survey. Not every patient who receives care at Frankford Hospital receives a survey. Patients are randomly selected from the uploaded patient files sent from Frankford to Press Ganey. Press Ganey mails surveys to patients’ homes with a postage paid envelope enclosed. Patients complete and mail the survey back to Press Ganey. Each survey includes a letter from Frankford’s President and CEO, Roy Powell, encouraging the patient to complete the survey. Survey results are compiled and returned to us quarterly, however; members of the Administrative or Management staff can access real time results via the Press Ganey web site any time day or night. The Press Ganey tool asks patients to rate their experience with us on a scale of 1–5 with 1 being VERY POOR and 5 being VERY GOOD. Press Ganey tells us that to improve our scores we should focus on moving the 4s to 5s. We need to change our patient’s perspective of us from being GOOD to being VERY GOOD. How is that accomplished? Communication, Communication, Communication and focusing on the three top priority index questions, which are: • Staff included you in decisions regarding treatments • Responsiveness to concerns and complaints • Staff sensitivity to inconvenience continues on page 8 Winter 2007 F r a n k f o r d Neurosurgeon Merylee E. Werthan, MD, Honored at Retirement Celebration Frankford Hospitals’ Board of Directors, Administration and Medical Staff recognized Dr. Merylee Werthan for her pioneering role in the field of neurosurgery and the leadership she provided both Frankford’s Department of Surgery and Division of Neurosurgery since 1968, at a surprise retirement dinner held in her honor at the Torresdale-Frankford Country Club on August 9. Described by the American Board of Neurosurgery as someone with “excellent character,” Dr. Werthan served as an ambassador for Frankford Hospital to fellow members of the medical staff, our patients and community for nearly 40 years. Her commitment to Frankford, along with her dedication to patient care, left an indelible mark on the hospital and make her an irreplaceable member of the Frankford family. 3 Pastoral Care Services Expand Frankford Hospitals’ Pastoral Care Program has expanded over the last year to include on-call clergy from various denominations for the emergency needs of our patients. The lay pastoral care volunteers who visit patients at each campus attend a five-week course and hospital orientation before being accepted into the program. This team has an interfaith approach and will visit patients of any religion to provide spiritual comfort, and sometimes just a smile and a hello. Among the three campuses, the volunteers visit with an average of 2000 patients a month and are also available to counsel and support hospital staff. Prayer services are offered in the chapel at the Torresdale Campus for people of all faiths every Thursday afternoon at 1 p.m. Services last approximately 15 minutes, and are open to patients, staff and visitors. A service of Christian prayer is also offered in the chapel on the first Sunday of every month at 1:30 p.m. Local clergy and pastoral care volunteers lead services. All are welcome to attend. Frankford Hospitals’ Outpatient Physical & Occupational Therapy Center Expands Hours Roy A. Powell (right), President and CEO, Frankford Hospitals, presents neurosurgeon Merylee E. Werthan, MD, (left), with a commemorative plaque at her retirement celebration. The Center for Gynecology and Women’s Health Expands Since the Center for Gynecology and Women’s Health opened at the Torresdale Campus in mid-July, the service has continued to grow and expand. The Center, located in Suite 106 of the Torresdale Medical Office Building, offers patients the expertise of gynecologists Dr. Gregory Bolton, Dr. Richard Krauss, Dr. Deborah Schrager (see story at right), and nurse practitioners Marie McClay, CRNP, MSN, and Tracy McGorry, CRNP, MSN. This experienced and dedicated staff offers a range of women’s health services to their patients. In addition to general adult gynecology, the group specializes in adolescent gynecology, coordinated care for breast and gynecological diseases, minimally invasive surgical treatments for a range of gynecological conditions, the latest treatments for pelvic floor disorders and bladder problems, premenstrual syndrome and menopause management, and osteoporosis prevention, diagnosis and treatment. The Center also offers a variety of cosmetic services including laser hair removal, leg vein therapy, skin rejuvenation and BOTOX® injection therapy for facial wrinkles. The Center for Gynecology and Women’s Health offers convenient appointment hours including evenings and early mornings. In the coming months, the Center will also begin to offer services at the Bucks County Campus. We will include information regarding a Bucks County office location, hours and phone number as soon as the details are finalized in an upcoming issue of the Pulse. For more information on the Center or to make an appointment, please call 215-612-4143. The staff at the Medical Plaza proudly assists the community to excel to new levels – from the weekend warrior to the elite athlete – through newly extended hours: Monday through Thursday (7 a.m. – 8 p.m.) and Friday (7:30 a.m. – 4:30 p.m.). Experienced physical and occupational therapists provide expert care in orthopedics, sports medicine, geriatrics, work conditioning, vestibular rehabilitation and ergonomic assessments. The staff includes board-certified physical and occupational therapists, certified strength and conditioning specialists, a certified hand therapist, a certified lymphedema therapist, an orthopedic clinical specialist, and a certified McKenzie specialist. The state-of-the-art facility, conveniently located on the southwest corner of Grant Avenue and Roosevelt Boulevard, is 5,500 square feet. It offers the latest equipment including an isokinetic dynamometer as well as a professional staff with extensive experience in various specialty areas. For more information on the Center’s physical, occupational or hand therapy services, please call 215-676-9711. Deborah Schrager, MD, Returns to Frankford Hospitals, Joins the Center for Gynecology and Women’s Health From left to right: Richard Krauss, MD, Gregory Bolton, Sr., MD, Tracy McGorry, CRNP, MSN, and Marie McClay, CRNP, MSN. Deborah Schrager, MD, returned to Frankford Hospitals in midJanuary, rejoining partners Gregory Bolton, MD, and Richard Krauss, MD, and nurse practitioners Marie McClay, CRNP, MSN, and Tracy McGorry, CRNP, MSN, at the Center for Gynecology and Women’s Health. Dr. Schrager will provide gynecologic care to patients in Suites 106 in the Medical Office Building at the Torresdale Campus. She will also begin to see patients this spring in a new office in Langhorne, PA, located near the Bucks County Campus. Appointments with Dr. Schrager are immediately available and can be made by calling the Center at 215-612-4143. 4 Winter 2007 F r a n k f o r d Frankford Hospitals to Participate in “Seven in ’07” Smoke-Free Initiative On January 19, 2007, Frankford Hospitals, along with the six other hospitals with locations in Bucks County, recently made a commitment to become a 100 percent smoke-free environment as part of the “Seven in ’07” smoke-free initiative. This new policy will make all outdoor areas of each of our hospital campuses, outpatient centers and office buildings located in Bucks County and Philadelphia “smoke-free” by the end of 2007. Smoking is currently prohibited inside all of Frankford’s buildings and only allowed in designated areas outside. The new policy will prohibit smoking by employees, patients and visitors outside all of Frankford’s facilities as well. Frankford is extending the effort to include our Philadelphia locations in accordance with the city’s recently passed smoking ban ordinance, which, in addition to applying to restaurants and bars, covers all public buildings including hospitals. While the “smoke-free” initiative is an important step toward providing a healthy environment for our hospital community, it will impact many, including employees and physicians, as well as patients and their families. To aid in this transition, Frankford is committed to providing support and resources to those who make the decision to quit smoking, including smoking cessation workshops and classes. We will continue to provide updates 3 South Opens at the Bucks County Campus One of 14 private rooms on 3 South, a new inpatient unit at the Bucks County Campus. In November, the Bucks County Campus received Department of Health (DOH) occupancy for 3 South, a new 14-bed inpatient unit. 3 South features 14 private rooms, all equipped with telemetry monitoring systems. The rooms allow for patient privacy and have been well received by both patients and physicians. Carole Medoff, Vice President, Frankford Hospitals, accepted a plaque from the Bucks County Health Improvement Partnership (BCHIP), recognizing Frankford’s participation in “Seven in ’07” at a press conference held at Bucks County Community College in Newtown, PA. The Cancer Center at Frankford Hospital Honors Breast Cancer Survivors at Annunal Luncheon on progress toward the goal of becoming “smoke-free” in future editions of the Pulse. This is the first project of its kind in the country and we are excited to be part of an effort that promotes health and wellness. Thank you in advance for your support of this important initiative. The Critical Crew Returns to the Dragon Boat Festival The Torresdale Campus ICU Nursing Staff participated in the 5th Annual Philadelphia Dragon Boat Festival on October 7, 2006. “Critical Crew” was making its second appearance in the festival, after taking the gold in their 2005 race category. This year’s team was a combination of some novices, as well as many returning members from the 2005 team. With the support of family, friends and colleagues, Critical Crew raised over $6,000. The team donated part of its proceeds to St. Jude Children’s Research Hospital to support research to battle childhood cancers. The remaining funds were donated to a program to provide mammograms to uninsured or underinsured in need of this service. The “Critical Crew” rowers from Torresdale Campus ICU return to the Dragon Boat Festival for the second year. Radiation Oncologist Shari Rudoler, MD, (right) greets breast cancer survivors at The Cancer Center at Frankford Hospital’s annual Breast Cancer Survivors’ Luncheon held on October 25, 2006 at Rosewood Caterers. The buffet luncheon featured the keynote presentation, Spirit Soaring, Laughter Roaring, Spirituality and Humor, by Yvonne Kaye, PhD, CT, a motivational speaker, humorist, author, bereavement specialist, columnist, and businesswoman. Guests also had the opportunity to participate in a Question & Answer Session with panelists from The Cancer Center at Frankford Hospital, including Medical Oncologist Julia Kennedy, DO, Radiation Oncologist Shari Rudoler, MD, and Breast Surgeon Jennifer Chalfin Simmons, MD. Bucks County Campus Emergency Department Expansion Continues In late January, construction was completed on Phase 3 of the six-phase Bucks County Campus Emergency Department expansion project. Phase 3 involved completing the interior finish upgrades of four fast-track patient treatment cubicles and the cardiac rooms. Phases 1 and Phase 2 opened four new private treatment rooms and renovated two older private rooms. The triage area was also expanded to include two new beds. These initial phases also involved renovating the patient registration area to enhance patient privacy. Phase 4 is now underway, which will expand and renovate the nursing station as well as add a new medication preparation room. New treatment room in the Emergency Department at the Bucks County Campus F r a n k f o r d Finance Department Improves Finances Through Luxury Car Raffle! Winter 2007 5 Frankford’s Own Jeannine Keenan, RN, BSN, CCRN, Wins Fear Factor Grand Prize Congratulations to 10 Finance Department employees who walked away $10,700 richer (collectively) following the Frankford Hospital Foundation Luxury Car Raffle! The announcement of the winners was made at the Bucks County Campus on September 28, 2006, during a Health Fair that close to 100 members of the Lower Bucks Chamber of Commerce attended. While not enough tickets were sold to award the original grand prize (the choice between $25,000 or a 2006 Chrysler 300 Touring), the 10 winners each walked away with $1,070. Four other winners (Jennifer Buck-Capilli, Joe DeFusco, Lou Yellin and May Raburn) took home between $500 and $2,000 each. Additional congratulations and thanks to Lisa Thomas who won a 42" Hitachi Flat Screen, Plasma TV. Lisa sold 25 Luxury Car Raffle chances, beating her nearest competitor (Mary Ann Hornung) who sold 19. Thanks to all employees who participated, and to the Frankford Hospital Auxiliary who donated the television! NBC’s Fear Factor host Joe Rogan (center) congratulates Jeannine Keenan, who teamed with exhusband Jimmy to win the grand prize. Winners of Frankford Hospital Foundation 2006 Car Raffle Grand Prize ($10,700 total prize): Front row: (left to right) Linda Manini; Carl F. Gregory (Frankford Foundation President); Richard Gordon and Helene Montini. Back row: (left to right) Elizabeth Beatrice; Deborah DiPaolantonio; Mike Donaghy; John Fazen and Jacqueline Kingman. Missing from photo: Pam Marren and Irene Ovecka. Nursing Education Fair Provides Information for Nurses of Today and Tomorrow Frankford Hospitals’ Nursing Resource and Professional Development Council co-sponsored a Nursing Education Fair on October 26, 2006, with Nursing Spectrum magazine. Held at the Torresdale Campus, this event was provided to support both those interested in pursuing a nursing career and nurses looking to continue nursing education. Representatives from a variety of local nursing schools, including those that offer RN to BSN, RN to MSN and BS, or BSN to MSN programs, as well as our own Frankford Hospital School of Nursing, staffed exhibits at the fair. This event was open to all Frankford employees and the general public. Over 150 attended, including Frankford nurses, nurse practitioners and other hospital employees and some of their family members. The event coordinators received positive feedback from the school representatives regarding the attendance and hospitality of our staff! Jeannine Keenan, RN, BSN, CCRN, has always been one to step up to the plate, but she never dreamed that millions of TV viewers would witness her moxie. Keenan and ex-husband Jimmy recently accomplished daredevil feats and bested three other divorced couples on NBC’s reality show Fear Factor. Keenan originally auditioned to be on Fear Factor because her brother Michael coaxed her to be his partner at an open casting call in Philadelphia. When judges planned a show for divorced couples some two months later, they asked her to appear with her ex-husband. Keenan says her ex, a former SWAT member of the Philadelphia Police Department, was a natural for the contest. “We had no idea what the stunts would be until right before we had to perform,” says Keenan, an ICU staff nurse at the Frankford Campus. “It was scary, but we put our past aside, and friends that we are, worked as a team again for a shot at the $50,000 grand prize.” To win the prize Keenan and Jimmy had to balance themselves on 12-inch beams above the deck of a moving ship, scoop up stinging scorpions that were crawling around their heads, and race through a very dangerous obstacle course. Keenan has always been the kind of person who chooses the more challenging path-hang-gliding school for vacation and what she calls a “blood and guts” career in the ICU. “People at work say I give 100% of myself and typically care for the worst-ofthe-worst patients,” says Keenan. “When they ask me how I stay so calm, I tell them I just do what I know I have to do.” Three hundred friends and members of the Frankford Hospital staff threw a party in her honor, complete with video airing of the September 6 Fear Factor episode. “When I heard you were competing, I knew you’d win,” one staff member told her. Most of the winnings, split 50/50, will go to fund their children’s school tuition plus a 1966 red Plymouth Barracuda for 15-year-old James, and upcoming surprises for daughter Jeannine, 13, and son Jude, 10. Keenan thinks the experience was the best reward, proof of what can happen when you don’t give up. “You can do everything you imagine, I tell the 14year-old girls on the Bustleton Believers softball team that I coach,” Keenan says. “All you have to do is believe in yourself.” Excerpts of Jeannine’s story were previously published in The Nursing Spectrum. Frankford’s Diabetes Education Program Merits American Diabetes Association (ADA) Recognition (From left to right): Some of the Education Fair volunteers included Sue Shotzbarger, RNC, Sue McMullen, RN, MSN, CCRN, Bea Leyden, RN, BSN, CCRN, Dot Wojtylak, RNC, MSN, CNA, BC, and Mary Walsh, RNC, BSN. Frankford Hospitals’ Diabetes Self-Management Education Program recently once again received certification from the American Diabetes Program (ADA). In late December, Frankford’s Program was honored with the ADA’s Education Recognition Certificate, which assures that educational programs meet the National Standards for Diabetes Self-Management Education Programs. These Standards were developed and tested under the auspices of the National Diabetes Advisory Board in 1983 and were revised by the diabetes community in 1994 and 2000. Frankford’s Diabetes Program has been providing diabetes education and support services to patients since 1989 when the program was certified through the Commonwealth of Pennsylvania. “We are pleased to once again receive the honor of ADA certification and look forward to continuing to provide an excellent service that makes an everyday difference for people living with diabetes,” says Sharon Ulmer, RN, CDE, Manager of Frankford’s Diabetes Program. For more information on the Diabetes Program, please call 215-831-2122. 6 Winter 2007 F r a n k f o r d The Cancer Center at Frankford Hospital Paddles to Success at the 2006 Dragon Boat Festival New Audiology Center Opens at the Torresdale Campus The Cancer Center was honored to take part in the 5th Annual Philadelphia Dragon Boat Festival on Saturday, October 7, 2006, on the Schuylkill River along Boat House Row. Set in Chinese tradition, dragon boat racing is one of the fastest growing water sports in North America. With a combined wish to raise money for The Cancer Center and market its services, 24 employees from various hospital departments, their family members and friends, all first-time participants, came together to train and compete in this exciting event. While most teams represented Philadelphia communities and businesses, some participants came from as far as Canada to join in the fun. This daylong event consisted of more than 125 boats competing against one another to finish a series of 500 meter races. Each boat was ornately decorated in Chinese fashion with a colorful dragon head and tail holding a crew of 20 paddlers, one drummer and a steersperson. The team members worked together to guide the boat through the water as fast as possible. Needless to say, this took a great deal of strength, coordination and teamwork. Despite adverse weather conditions the day of the race, the team members pulled together and proudly paddled their way down the river while being cheered on by supporters and spectators. Team supporters enjoyed a day of fun under team tents that were lined along the riverbanks. The event raised over $7,000 for The Cancer Center. A new full-service Audiology Center recently opened at the Torresdale Campus. The Center, which operates out of the Physical Therapy, Occupational Therapy and Speech Therapy Department on the 2nd Floor of the Torresdale Campus, offers hearing screenings as well as hearing aid evaluations and consultations. The Center also sells reasonably priced hearing aids with warranties and labor contracts, which include complimentary cleanings and adjustments. Both the prices and services are more favorable and comprehensive than those offered by local hearing centers and hearing aid retailers. For more information, please call the Torresdale Audiology Center at 215-612-4001. Certified Audiologist Michelle Goldstein, MS, CCC-A, prepares to administer a hearing test with the assistance of the latest audiology equipment and a sound treated booth at the Torresdale Campus. The Preventive Health and Wellness Departments and Frankford School of Nursing Students Present Health Fair at Bucks County Elementary School Frankford Nurse Champions Help Halt Hunger Staff from Frankford’s Preventive Health and Wellness Departments and students from the Frankford Hospital School of Nursing provided important health information to students from St. Joseph the Worker School in Fallsington, PA on February 1, 2007. The health fair was held as part of St. Joseph’s Catholic Schools Week celebration. Nearly 200 students from St. Joseph’s, including preschoolers through eighth graders, were treated to information about nutrition, exercise, the human skeleton, safe babysitting practices, poison safety, and the benefits of handwashing. The health fair was held in the school’s gymnasium where the students were able to remain with their individual classmates and move from one exhibit to another, learning and asking questions as they moved through the room. Frankford Hospitals’ Nurse Champions helped organize HALT Hunger, a holiday food drive that collected 2,363 non-perishable food items among the three hospital campuses in November. These items were donated to the following organizations which provide food to members of our communities in need, including: Frankford Group Ministries (food cupboard), Holmesburg Methodist Church (soup kitchen), Saint Matthew Church (food cupboard), Calvary Chapel (food cupboard), and A Women’s Place (shelter for victims of domestic violence). Thanks to everyone who participated for your contributions and generosity! Mark your calendar! The next food drive to support programs in the Frankford communities will be held for two days: March 27 & 28, 2007. More information will be distributed Frankford Hospitals’ Nutrition Center Director Erica Brigati, RD, discusses the nutritional value of popular children’s foods and snacks with a group of students from St. Joseph the Worker School in Fallsington, PA. The Cancer Center’s team of paddlers celebrates after a successful day at the 2006 Dragon Boat Festival. Boxes of food donations for the HALT Hunger Food Drive in the Main Lobby at the Torresdale Campus. regarding collection locations. Please bring a non-perishable food item to help Halt Hunger. F r a n k f o r d Winter 2007 7 Fore! The Frankford Hospital Foundation Golf Classic Has Another Successful Outing Frankford Hospitals Celebrate National Wear Red Day Over 150 golfers enjoyed the course at Frankford-Torresdale Country Club and helped raise over $185,000 to support the Frankford Hospital Health Center Clinic on May 22, 2006. Special thanks to title sponsor M&T Bank as well as W.H. Meyers Construction Company and Cross Castner Architects for their generous support. Thanks to the following employees and volunteers who have graciously served as members of the Golf Committee: Ray Breswick, Greg Doran, Tom Drotar, Lili Gillman, Kelly Gribbin, John Osgood, May Raburn, Marc Schlessinger, Debbie Sinclair, Maria Cerceo Slade, Gail Sullivan, John Quinn, Bob Trauffer, Heidi Volpe, Dominic Webster. Over the past three years the Frankford Hospital Golf Classic has raised over a half million dollars in net revenue to support various hospital programs. We look forward to another successful Golf Classic this year, which will be held on May 21, 2007. The Cardiac Rehabilitation and Preventive Health and Wellness Departments championed Frankford Hospitals’ first celebration of National Wear Red Day, a day created by the American Heart Association (AHA) to raise awareness of heart disease in women, on Friday, February 2. Heart disease is presently the Number 1 killer of women in the United States. To mark the important day, all Frankford employees, medical staff, and volunteers were invited to wear an article of red clothing to work. The halls of our buildings were full of red on February 2 as staff members showed their support by donning red sweaters, red scrubs, red socks and even red surgical caps. As part of the awareness campaign, complimentary blood pressure screenings were also offered to employees, patients and visitors at all hospital campuses, outpatient centers and off-site office locations. At the screenings, staff sold the AHA “Red Dress” pins as well as raffle tickets for prize packages that included heart healthy cookbooks, a gift certificate for a massage at the Wellness Center and other fun items. Through this effort, $240 was raised for the AHA and $238 for Frankford’s Cardiac Rehabilitation Program. The winners of the raffle packages were Celia Matthews, A/R Customer Service, 5009 Frankford Avenue, Dolores Fox, Medical Records, Frankord Campus, Chris McKeever, RN, PACU, Torresdale Campus, Carol Comstock, RN, OR, Bucks County Campus. Thanks to all who participated. Thanks to the generosity of the Frankford Hospital Auxiliary, Central Scheduling’s own Helen Konrad will enjoy the white sandy beaches of Bermuda! Helen was one of hundreds of Frankford employees who entered the Golf Classic’s Bermuda trip raffle that raised over $4,000 to support the Frankford Health Center Clinic. Quality & Patient Safety Corner “Quality & Patient Safety Corner” will be a regular feature of the Pulse. It will include important information related to patient safety, Joint Commission on Accreditation of Healthcare Organizations (JCAHO) survey guidelines and updates, and Performance Improvement (PI) initiatives. In this issue, the process of medication reconciliation is reviewed and includes a definition, important facts and a pertinent case study example. What is Medication Reconciliation? Medication reconciliation is the process that compares a patient’s best-known list of current medications against the physician’s admission, transfer, and/or discharge orders. Discrepancies are brought to the attention of the physician and, if appropriate, changes are made to the orders. Why should Medications be Reconciled? • To Prevent Adverse Drug Events • It’s the Right Thing to Do! Medication Reconciliation Facts from the Institute for Healthcare Improvement (IHI) • Forty-six percent of all medication errors occur at transition points (e.g., admission to hospital, transfer between units, discharge from hospital). • Medication reconciliation ensures that patients receive all intended medications and no unintended medications following transitions in care locations. • Medication reconciliation can virtually eliminate errors occurring at transitions in care. Can You Speak JCAHOese? Q. A JCAHO surveyor asks, “How do you reconcile medications?” The correct answer is: A. Medications are reconciled at admission, transfer and discharge. The Medication Reconciliation Form, located in the H & P Section of the patient chart, is used as a reference tool in the reconciliation process when prescribing medications. Ellen DeMayo (2nd from left), Wellness Coordinator, performs a blood pressure screening for Francine Dellmyer (left), Medical Records, as Amy McCrae, PT, GCS, (right), Manager, Physical and Occupational Therapy, Torresdale Campus, purchases a “red dress” pin from Linda Danila, RN, (2nd from right), Wellness Department nurse, at the “Wear Red” Day celebration held in the Torresdale Campus cafeteria. The Cancer Center at Frankford Hospital Celebrates National Cancer Survivors Day with a Hawaiian Luau For more information on Frankford’s Patient Safety initiatives, please call Robert Giannini, Patient Safety Officer, at 215-612-5321. Case Study A 68-year-old woman was discharged from the hospital on a HMG-CoA reductase inhibitor (statin) and resumed her home statin. Eleven days later she returned to the hospital with a diagnosis of severe rhabdomyolysis due to statin overdose. Several factors contribute to the potential for patient confusion regarding his or her medication regimen, including multiple names for a single drug and formulary variations when the patient receives medications from more than one pharmacy. Cancer survivor AnnaMae Werner (left), and her friend Pat Robolick (right), both of Tullytown, PA, “celebrated life” at The Cancer Center at Frankford Hospital’s 4th Annual National Cancer Survivors Day event on June 11, 2006. Werner and Robolick, along with hundreds of cancer survivors, their family members and caregivers, enjoyed a Luau on the grounds of the Cancer Center that included Hawaiian inspired cuisine, music, games, raffles and prizes. In its 19th year, National Cancer Survivors Day is an annual, worldwide Celebration of Life held in hundreds of communities throughout the United States, Canada, and other participating countries to recognize the lives of people living with a history of cancer, and focus attention on the issues of cancer survivorship. 8 Winter 2007 F r a n k f o r d Torresdale Heart Center Construction Update Torresdale Intensive Care Unit (ICU) Wins Prestigious AACN Beacon Award Only 56 Hospitals in U.S. Have Received This High Honor The Intensive Care Unit (ICU) at the Torresdale Campus recently earned the Beacon Award for Critical Care Excellence, an award given by the American Association of Critical-Care Nurses (AACN) and specifically designed to recognize the nation’s top hospital critical-care units. Critical-care units that receive the Beacon Award have demonstrated that they provide the very best in nursing care, exhibit high quality standards, including exceptional care of patients and their families, and foster healthy work environments. Criteria for winning a Beacon Award include: innovation/ excellence in recruitment and retention, education, training and mentoring, evidence-based practice and research, patient outcomes, creating and promoting healing environments, and leadership and organizational ethics. Congratulations! continued from page 2 Press Ganey 101 These are the areas that, according to experts at Press Ganey, are most important to our patients. If you are not familiar with the Press Ganey report, ask any member of Administration or Management for a copy. Read it and familiarize yourself with the questions and make a commitment to yourself and our patients that you, as an important member of the Frankford team, will make a positive difference in the perception of patients and their families. An architectural rendering of the new Heart Center entrance and lobby. Frankford Campus News Briefs x The Frankford Community Development Corporation recently relocated their offices to 4900 Griscom Street, a property owned by the Hospital and located near the Frankford Campus. Special thanks to the Plant, Operations and Maintenance (POM) staff for their work on the renovations, which helped accomplish this community service initiative. x A small conference room that can accommodate up to eight people was also recently constructed within the library area at the Frankford Campus. x The mother of a son recently treated in the Intensive Care Unit (ICU) at the Frankford Campus forwarded a letter of appreciation for the care that he received. Excerpts of the letter are included below. These words of praise demonstrate how well we can work together as a team to provide our patients and their families with a positive experience. “…Frankford Hospital is the best. …The nurses, WOW. They are great. They treated me so well. They held my hand and listened to my concerns. They answered my questions. They helped me understand how things would happen. They were nurses, and they cared. …The entire Frankford Hospital Staff was great. The people that cleaned were great. Thank you, Frankford Hospital. You are rated in my book as #1. Keep up the good work.” Latino Community Outreach Initiative Continues to Expand at the Frankford Campus The Frankford Campus continues to build an outreach program for its growing Latino patient population. Over the last several years, the Hospital has added many resources and services to address the needs of the Latino patient. These efforts have included the addition of bilingual signs, patient menus and education materials, Spanish television station options, and Spanish-speaking telephone operators who staff the Hospital’s Central Scheduling Call Center (215-831-5800). Frankford has also recruited a number of Latino employees, including a Spanish Community Liaison, the Hospital’s Chief Legal Counsel, nurses and laboratory technicians, as well as Spanish-speaking volunteers who staff the main information desk. Many of the Hospital’s Latino employees are also certified Spanish interpreters available to assist F r a n k f o r d Roy A. Powell, President & CEO, Frankford Hospitals Gary L. Perecko, COO, Frankford Hospitals Albert P. Tomchaney, MD, CMO, Frankford Hospitals Maria Cerceo Slade, Director, Marketing, Public Relations & Communications, Editor, Frankford Pulse Kelly Grimaldi, Marketing & Public Relations Assistant, Editorial Assistant, Frankford Pulse Article and photo ideas, contact: [email protected] or 215-612-4952 or FAX 215-612-5001 Marketing, Public Relations & Communications Department Frankford Hospital – Torresdale Mansion House, 2nd Floor, Knights & Red Lion Roads, Philadelphia, PA 19114 Betzaida Cruz, Spanish Community Liaison Spanish-speaking patients. For more information about Frankford’s Latino community outreach initiatives, please call Betzaida Cruz, Spanish Community Liaison, at 215-831-2272. www.FrankfordHospitals.org/pulse JG 07.1536 Renovations are currently underway for the new Heart Center, which will be located on the 2nd Floor of the Pavilion Building at the Torresdale Campus. The 30,000 square foot, stateof-the-art facility will contain three new cardiac catheterization laboratories, two electrophysiology service (EPS) laboratories, two open heart operating room suites, seven new coronary care unit beds, and a 14-bed pre-operative and recovery unit. One of the openheart operating rooms is approximately 900 square feet and will be equipped with the new SKYTRON® SkyVision system that will provide two-way video conferencing. The Heart Center is scheduled to open in late fall 2007.