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Currents May 6
To Medical Center Employees:
National Nurses Week and National Hospital Week are celebrated May 5 –
10 and May 11 – 17 respectively. Numerous activities have been
scheduled to recognize accomplishments and to express appreciation for
exceptional service. A summary of activities is posted on the
Medical Center Intranet (http://www.musc.edu/medcenter/).
The May Standard of the Month for the medical center is “Communicate
any concerns, suggestions and ideas to my supervisor in an open and
honest manner.” This standard is in keeping with our commitment to
communicate at all levels.
The May standard has been posted on the MUSC Excellence Web site and
department-based communication boards should be updated to include the
May Standard of the Month poster.
We have a number of communication vehicles in place including routine
departmental meetings, town hall meetings, Currents newsletter,
department or division-based newsletters, the employee perspective
survey and action plans and other forms of communication. While all of
these communication tactics are good, the most effective is
face-to-face communication. Everyone is encouraged to bring
forward any concerns, ideas and suggestions for improvement . . . and
to express appreciation to others for a job well done.
Supervisors must be accountable to respond promptly and appropriately.
Thanks to everyone for a job well done.
W. Stuart Smith
Vice President for Clinical
and Executive Director, MUSC
Service—Serving the public with
compassion, respect and excellence
Fred Miles, hospital maintenance manager, and Ronnie Bailey, Otis
Elevators announced plans for planned elevator upgrades in the main
hospital from May to July. Upgrades to Elevator #6 will include new
stainless steel doors, controller within a new hospital-style interior,
card reader, plus upgraded safety enhancements. The project begins May
27 and will continue for the next eight weeks.
should use the “D” Elevators #1 and #2, main hospital and “B” Elevator
#13, Clinical Sciences Building. Eventually, these elevators will have
the new “Code Blue” card reader capability identical to Elevator #6
Otis will also install remote elevator monitoring technology, which
helps monitor problems and manages faster service response time to
service calls. Another program, EMS Panorama, will provide Miles with a
real-time elevator monitor and control tracking system for all
campuswide elevators to improve services.
People—Fostering employee pride
Marilyn Schaffner, Ph.D., R.N., reviewed details of the medical
center’s initiative with discharge calls.
to Schaffner, implementing discharge calls, calls made to patients
within 48-hours of discharge, helps establish and solidifies trust;
gives staff an opportunity to connect with patients following discharge
and finally, connects what we do to purpose.
Discharge calls provide an understanding of how the patient feels about
MUSC, the service they received and improvements to care. It gives the
registered nurse an opportunity to demonstrate empathy and concern and
provides an opportunity to: improve clinical outcomes; pass on positive
responses which recognizes and rewards deserving staff; gather process
improvement suggestions and; trend data to see where we have gaps and
opportunities for improvement.
From an MUSC Excellence perspective, discharge calls are about results
and directly impacts all pillar goals. Discharge calls represent the
entire package and ensures that great care is always delivered to all
At MUSC, a discharge calls pilot was conducted on 8 West (medical
oncology from May 2007 to date) and was implemented in the Adult
Emergency Department in January. The pilot compared the effectiveness
of pre-discharge and post-discharge calls (mean score was greater than
90th percentile with discharge calls). The study found that the
combination of discharge calls and hourly rounding increased patient
satisfaction among staff and generated overall satisfaction among
nurses and physicians. Currently, overall patient satisfaction at 8West
has reached the 89th percentile.
ART staff completed education and training and initiated the practice
of discharge calls April 30. The main hospital, Institute of Psychiatry
and Children’s Hospital has scheduled education training and will
implement discharge calls June 4.
Development of Standards
Kathleen White, Facilities Management and Construction & Design,
introduced the Interiors Team— Stephanie Whited, Liz Price, Debbie
Smith and Kathleen White. The team is under the Department of
Facilities & Capital Improvements.
White and Whited reviewed Facilities Management’s Standards Program,
which is the result of a collaborative, ongoing, two-year planning
process working with a design firm to review current trends in health
care facilities and make recommendations. All recommendations must pass
administrative approval from the Aesthetics Committee.
A number of trial projects have already been introduced in various
hospital areas including the 7th floor main hospital waiting room,
ultrasound corridor, main hospital elevators, etc. White reminded
managers to expect broader design changes around the medical center
that complement the hospital’s realignment project. White reminded the
audience that the effort offers designers a unique opportunity for
making broad, sweeping improvements to the hospital. She also explained
that design contributes to the overall healing process of patients
within a hospital facility and that research supports evidence-based
design. The projects will incorporate the use of natural elements in
all design (fossil leaf, bamboo, sea grass), soft patterns (arcs,
bars), earth tones color palettes (blue, green, tan, creams),
flooring—wood grains, textures and lighting (indirect, natural). Design
improvements are being planned for hospital patient rooms and
renovations in the STICU, Peds Radiology, MRI/CT Waiting Area, Adult ED
expansion and Interim Peds ED.
Helena Bastian, Human Resources director, provided details of MUSC’s
National Hospital Week activities — May 11-17.
- Monday, May 12—Administrator/Manager/Supervisor breakfast
welcome: Participants will be at the main entrances of clinical
buildings distributing fruit and bagels for both morning and afternoon
shifts. Hospital Week giveaways also will be distributed to staff.
- Tuesday, May 13—Employee Photo Contest: Submit to any of
three categories (people, landscape/nature and pets). Judging will
occur 2:30 p.m., Children’s Hospital Lobby. Sam’s Wholesale visit, ART,
7 a.m. to 4:30 p.m.
- Wednesday, May 14—Harper Student Wellness Center is
offering a free one-week membership during the month of May.
- Thursday, May 15—Sam’s Wholesale visit, 7 a.m. to 4:30
p.m., Children’s Hospital lobby. Pizza party for night staff beginning
Employee Benefit of the
- Friday , May 16—Employee Bake-Off. Submit in any of four
categories (cake, pie, cookies/brownies, other). All entries must be
submitted between 1:30-2 p.m., MUHA Cafeteria.
Bobby Shaw, Harper Student Wellness Center director, introduced a new
trial incentive for employees and students throughout May. In honor of
National Hospital Week, MUSC participants can try out the
exercise/fitness facilities and wellness programs for one week
throughout the month. Participants can activate their complimentary
week pass by visiting or calling the membership desk, 792-5757.
Employee Standard of the
Employees are encouraged to speak up and communicate their concerns,
suggestions or ideas to their area supervisor or manager in an open and
honest manner. Leadership should respond promptly.
Finance – Providing the highest
value to patients while ensuring financial stability
Hargett, MUSC medical center controller, presented the medical center’s
financial statement ending March fiscal year (FY) 2008. Net patient
revenue is up to $52 million during the same period last year, but $26
million below the 2008 budget.
Several factors have driven up gross and net revenues, mainly the rate
increase and inpatient surgical volume. Operating expenses have
increased to $69 million compared to the same period FY2007. This is
mainly due to inflation and start up expenses with ART. When compared
to the year-to-date budget, operating expenses are favorable by $23
Productivity indicators are negative reflecting on ART new hirings,
while volume has remained static. The number of paid FTEs, including
contract personnel, have increased by 370 compared to FY2007.
Supply costs on a volume-adjusted basis are 1 percent above last year
and 20 percent above the current budget year. Actual operating income
is $16.4 million with a net income of $7.6 million.
Cash on hand is $22.6 million for 10.4 days. The average number of days
to collect on accounts receivable is 59 days compared to a budget of 55
days and 59 days in prior years.
Hargett reported that Medicaid has changed how the hospital is paid
regarding disproportionate shares. In- stead of quarterly estimated
payments, MUHA is now paid through increased per diem rates (DRGs).
Therefore, a payment is sent only after a patient has been
billed—slowing cash input. Analysis shows that the hospital has been
underpaid by $8 million under this new method. A request for an interim
settlement has been submitted. Other items that reflect a negative
impact on cash are inventory build up for ART ($4.8 million and
additional FTEs). Investment income is improving as MUHA is more
aggressive in investing excess cash at this time.
- Green Ribbons for Great Kids— Children’s Mental Health
Week, May 5-10—Employees, staff and students are encouraged to support
Lowcountry children through the purchase of a green awareness ribbon
and Friday blue jeans/dress down day on May 9. Green ribbons are $5.
Proceeds will benefit the Institute of Psychiatry’s STAR and IMPACT
children’s psychiatric day treatment programs. For information, call
- MUHA will host the next LDI #10 event beginning 8 a.m., May
21 at the North Charleston Convention Center. Save the date!
- Karen Driggers, R.N., was named the new nurse manager,
Department of Family Medicine, Calhoun Street office. Driggers was a
former SEI nurse manager and Meducare program director.
- MUSC Night at the Battery is May 9. Watch the Charleston
Battery vs. Miami FC Blues at 6 p.m. (game time is 8 p.m.), Blackbaud
Stadium. Highlights include a half-time soccer match between doctors
and nurses, fireworks and MUSC water bottle giveaways. Employees can
purchase discounted tickets at $5/each (Maximum of four tickets per
person) online at http://www.charlestonbattery.com.
- Kim Curnell-Pean, R.N., has been named the new nurse
manager of 2 Center Medical-Surgical Admit Unit.
- Linda McDonald, R.N., Joint Replacement Unit (JRU), will
serve as the interim nurse manager of 2JRU and 7East, assisting former
nurse manager Nancy Tassin, R.N., who has accepted a new position as
administrator for the new neuromuscular service line.
Friday, May 9, 2008
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