To Medical Center Employees:
MUSC President, Ray Greenberg, M.D., Ph.D., explained in his latest
e-mail to all employees that the economic stimulus bill (now signed
into law as the American Recovery and Reinvestment Act) is a
complicated piece of legislation. The State of South Carolina will
receive $860 million in Medicaid match funds. Each state has its own
plan on how to apply Medicaid funding and it will likely be a couple of
months before our State Department of Health and Human Services irons
out the details.
Our financial team is now in the process of wrapping up a report on our
January financial performance. Details will be reported at next week’s
management communication meeting and included in the next issue of this
newsletter. We also will discuss our financial performance and status
of cost savings initiatives during the March town hall meetings. We
know that we will need to continue our diligent efforts to control
costs while providing compassionate and quality care.
As mentioned in previous newsletters, we know that many hospitals have
observed decreasing patient satisfaction results as staff morale has
been affected by cost containment initiatives or other organizational
change. We continue to have impressive patient satisfaction scores in
some areas, but we need to improve in other areas. Our goal is to reach
the 80th percentile. Here is a summary of the patient satisfaction
results, as indicated by the Press Ganey survey, for Jan. 1 through
Patient Satisfaction Results
Jan. 1 – Feb. 17
61 (N 494)
75 (N 97)
Emergency Room 70 (N
Behavioral Health 84 (N 375)
not indicated above, the Digestive Diseases inpatient areas scored the
84th percentile and the Heart & Vascular inpatient area scored the
95th percentile. In the near future we will be reporting percentile
ranks and mean scores by all service lines in this newsletter.
Also, I want to highlight the outstanding work done by HCC Mammography
second and third floor during the first quarter of this calendar year.
Survey questions related to “Test or Treatment” including friendliness
of staff; skill of staff; and concern for comfort ranked at and above
the 90th percentile. This underscores the great job they do with AIDET
and with demonstrating their exceptional patient care skills.
Congratulations to the HCC Mammography team for their great work.
On a related matter, Chris Rees, quality and patient safety director,
shared highlights of the Hospital Consumer Assessment of Healthcare
Providers and Systems (HCAHPS) results at the Feb. 12 MUSC Board of
Trustees meeting. The HCAHPS measures adult patients’ perception of
quality care and is regarded as the “public report card.” Rees
explained that among the hospitals reporting, MUSC scored second
highest in the state. Also, among University Hospital Consortium
members, MUSC ranked third out of 52 academic medical centers. We are
pleased with our progress and will provide additional details at the
March town hall meetings.
Thank you very much.
W. Stuart Smith
Vice President for Clinical Operations
and Executive Director, MUSC Medical Center
People—Fostering employee pride and loyalty
deBarros, peri-natal administration, introduced Meredith Repik,
executive director of the S.C. Lowcountry Chapter of the March of
Dimes, who spoke about the March for Babies Campaign, April 25. Details
about the campaign will be posted via Broadcast Messages and The
thanked employees for their continued help of previous March for Babies
Campaign through donations and active support, which has provided
advances in care so that more babies are born healthy and support for
families, plus funding for research and programs. Since 2007, MUSC has
received funds to support several pre-term birth prevention clinics and
post pregnancy programs (Department of OB/GYN), a pregnancy model of
care (College of Nursing), plus other national funds to support
research grants amounting to almost $624,000.
Repik noted that the Lowcountry Chapter of the March of Dimes is only
capable of providing this level of support through successful
fundraising with its March for Babies campaigns.
Organizers of this family-friendly event are promoting individual
walkers who are encouraged to raise $150 per person in sponsorships.
Walkers receive an event T-shirt and other event items.
Repik also spoke about the success of the 2001 March of Dimes Folic
Acid research campaign, which is now followed by the premature birth
campaign now extended to 2020.
In South Carolina, it’s estimated that 1:6 babies is born prematurely
(about 173 babies per week). Many of these babies are born and cared
for at MUSC’s NNICU.
Repik introduced Maggie Thompson, Ambulatory Care Service Excellence
manager, whose own twins were born prematurely at MUSC in 2003. Thanks
to the help of a qualified team of physicians, nurses and specialists
and support from the March of Dimes, Thompson’s twins, Sam and Ellie,
are healthy, active four-year-olds.
For campaign information, visit http://wwwmarchforbabies.org/teams/569512 or contact de Barros at 792-8431 or firstname.lastname@example.org.
Helena Bastian, MUHA HR director, reminded managers that all licensed
personnel are required to have their cardiopulmonary resuscitation
(CPR) card by the American Heart Association or American Red Cross
prior to orientation. Bastain thanked managers for submitting their
PEER forms on time.
Service—Serving the public with compassion, respect and excellence
Feather, R.N., manager for Meducare, related several sugges-tions
relating to MUSC’s Patient/Family Shuttle operations. One idea
suggested cutting the wait time for employees and patients who use the
shuttle. Feather will confirm this. To report any issues, contact
Feather at 792-1169.
Quality—Providing quality patient care in a safe environment
Linda Formby, R.N., manager for Infection Prevention and Control and a
member of the Joint Commission Interdisci-plinary Survey Readiness
Rounds team, updated managers about readiness relating to infection
control. Non compliance continues and will be observed and noted by JC
the last year, the medical center has increased the number of hand
hygiene dispensers available throughout the medical center.
Nails and hand jewelry—Any artificial nails are prohibited by direct
patient caregivers. Artificial and long nails may be one area where
organisms can harbor putting both the staff member and patient at risk
for infection. Natural nail length should be trimmed to no longer than
a quarter inch. Formby also reminded staff about jewelry guidelines.
Direct patient caregivers should not wear more than three rings.
q Non-compliance within contact precautions rooms—These areas
require that anyone entering a designated room wear a gown and gloves.
An alternative option for a rounding team is for two-to-three people to
be gowned and gloved to enter the room versus having the entire group
enter the room.
q Visitors/family compliance within contact precautions
rooms—Those who enter a contact precautions room, including visitors,
should use gowns and gloves. Yellow gowns are available and are
appropriate for most encounters for both staff and visitors. Dietary
personnel should follow specific guidelines for their department.
q Precautions rooms’ signage on doors and charts—Staff should use
proper signage with patient doors and charts for isolation patients.
Appropriate isolation cards on the doors, an unmarked label on the
outside of the chart and a label marked with the type of isolation
precautions on the inside of the chart.
q Reuse of unused/non-contaminated isolation supplies—Isolation
supplies within a door caddy that are unused/non-contaminated can be
placed in another caddy or be reused. Used and contaminated items
should be discarded.
q Identifying clean items and proper disposal of expired
items—Staff should designate equipment as clean/disinfected by storing
in a designated area, bagging, etc. Please contact Infection Prevention
and Control for assistance. Staff should pay particular notice to
used/expired items stored out of place and discard them. Often these
items are found in out-of-the-way places and not rotated in the same
manner as other supplies.
q Uncovered linen and storage recommendations for patient foods—
Linens should always be covered. Policy C-60 states that stored food
taken from a patient’s tray or food brought in from home should be
labeled with the patient’s name and date. Patients are allowed to store
food for up to 72-hours.
Sharon Dunning, R.N., MUHA risk manager, gave an update on the
occurrence reporting challenge using the UHC Patient Safety Net (PSN)
system between Feb. 8 to March 14.
The effort was created to recognize units and individuals who actively
use the PSN system to report medical events—concerns, occurrences,
issues or potential errors.
According to Dunning, within the last six years, events with no harm
actually accounted for about 40 percent of total reported events.
Reporting helps to identify opportunities for improvement (such as
systems issues, communication or coordination between department or
services) even if there was no actual event or if the event did not
reach the patient due to active recovery efforts by staff.
Since the Feb. 8 challenge kick off, organizers have seen a 15 percent
increase in reporting from staff. So far, the top reporting units in
this challenge are: HCC, ART DDICU, RT Pediatrics Ambulatory Care, MH
9West and IOP 3North. The top reporting individual is: Amy Allen, RT
Pediatrics Ambulatory Care.
Second place are: Alice Harris, MH 10East; Annette McCall, IOP; Bonnie Vasenda, HCC; and Catherine Sailors, ART DDICU.
Final winners for both unit and individual reporting will be recognized during Patient Safety Awareness Week, March 8-14.
The next meeting is scheduled for Feb. 24.
Town hall meetings
The town hall meetings will be held Monday, March 9, 3:30 p.m., IOP
auditorium; Tuesday, March 10, 2 p.m., 2W amphitheater; Wednesday,
March 11, 7:30 a.m., 2W amphitheater; Friday, March 13, 10 a.m., ART
Auditorium; Monday, March 16, 11 a.m., SEI Auditorium; Tuesday, March
17, 11 a.m., ART Auditorium; Wednesday, March 18, 11 a.m., SEI
Auditorium; Thursday, March 19, 3 p.m. SEI Auditorium, Monday, March
23, 3 p.m., ART Auditorium; and Tuesday, March 24, 11 a.m. IOP
Friday, Feb. 20, 2009