To Medical Center Employees:
On April 24, our management team, including nearly all medical center
supervisors with responsibility for hiring and performance evaluation,
will take part in our thirteenth Leadership Development Institute
(LDI). This LDI will be conducted on campus and will serve to provide
an update on our MUSC Excellence goals and progress, and to focus upon
best practices to create a culture of patient safety.
LDIs are intended to make our management team better leaders. We have
full confidence in those who are managing the medical center during the
LDI, and greatly appreciate their work.
The theme of this LDI will be “Constructing a Safe Environment.” Our
guest speakers will include Wayne Frazier, Senior Safety and Mission
Assurance Manager for the National Aeronautics and Space Administration
(NASA), and Rich Bluni, Studer Group speaker and author of Inspired
Nurse. Frazier will discuss “Culture of Safety Benchmarking” and Bluni
will address practical actions that can improve quality and safety. Our
guest speakers have volunteered their time.
On another matter, at the April 21 communications meeting, Lois Kerr,
Accreditation Manager, gave an update on the key issues we must
thoroughly address to fulfill Joint Commission standards. The Joint
Commission’s practice is to conduct unannounced surveys. We expect the
Joint Commission survey team to arrive anytime between now and March
2010. Highlights of Kerr’s presentation are included in this
newsletter. For additional details, contact Terri Ellis, Joint
Commission Coordinator, at 792-5106 or email@example.com.
Finally, the medical center will conduct its annual Employee
Partnership Survey from April 27 through May 8. Press Ganey, a national
survey firm, will compile the data. As in the past, the survey will be
conducted through the Internet.
I will be issuing an e-mail to all medical center employees on Friday,
April 24 to highlight opportunities identified in last year’s survey
and to share progress made on this year’s organization-wide action
plans. Managers also will be receiving a survey information packet to
share with staff.
Individuals’ survey responses will be confidential and anonymous.
Everyone’s participation will be greatly appreciated. We anticipate
receiving the final survey reports from Press Ganey in June. The
results will be widely disseminated and action plans developed.
Thank you very much.
W. Stuart Smith
Vice President for Clinical Operations
and Executive Director, MUSC Medical Center
Meredith Strehle, Reward & Recognition team leader, recognized Employees of the Month winners.
People—Fostering employee pride and loyalty
Horlback, Environmental Services (Hollings Cancer Center), was
recognized for an Applause Award for assisting and caring for a fallen
patient. Horlback stayed with the patient and escorted her to her
Heather Ketchabaw, Heart & Vascular Center, was recognized for
rendering assistance to a patient’s family member while visiting ART.
Mark Fennessey, Facilities Management-Central Energy Plant, was honored for providing assistance to an employee after hours.
Employee Partnership Survey— Scheduled for April 27 to May 8. Employees
will receive an e-mail from Stuart Smith announcing the survey and
encouraging employee participation on April 23. Managers will be
receiving departmental packets and also may access survey information
on the MUHA LDI Web site.
National Hospital Week (May 10-16)
- May 11: Administrators/directors/managers greeting for morning and afternoon shifts at main entrances
- May 12: Costco and Sam’s Wholesale visit (university hospital and ART), 10 a.m. to 2 p.m.
- May 13: Wellness Wednesday – Staff massages in ART, Children’s Hospital lobby and IOP, 10 a.m. to 1 p.m.
- May 13: Ice cream social for night shift (ART, university hospital and IOP), 10:30 p.m. to midnight.
14: Annual bake off—Participants must pre-register and entries should
be submitted between 1:30 and 2 p.m., university hospital cafeteria.
Judging is at 2:30 p.m.
15: Annual photography contest (Children’s Hospital lobby)—Entries
should be submitted to MUHA HR by May 6), Judging is 2:30 p.m.
Performance management process update
- Additional information for Hospital Week 2009 will be e-mailed or posted on the MUHA intranet.
The kick-off meetings, which took place last week, were successful. The
project will now move forward at a fast pace. System will incorporate
components of the revised Performance Management Policy and new
evaluation forms (as recommended by the design team). Testing in
specific areas will follow. HR will continue to report on the project’s
Benefit of the Month—May
MUSC Harper Wellness Center—Employees are eligible to receive a
complimentary week pass during May. Employees who tour the facility can
register to win a 30-minute massage or a one-month membership. Visit http://www.musc.edu/hsc or call 792-5757.
Islet Cell Transplant program
Amanda Budak, R.N., Digestive Disease Center Islet Autotransplantation
program coordinator, reviewed details of MUSC’s breakthrough with the
state’s first autologous islet cell transplant for a patient with
chronic pancreatitis. The patient, a woman from Aiken, had a total
removal of her pancreas and isolation of the insulin-producing islet
cells, which were then transplanted into her liver on March 9.
The procedure benefits patients diagnosed with chronic pancreatitis, an
inflammatory disease that renders severe, chronic intractable pain. One
option for treatment of the disease is a total pancreatectomy. The
disease affects eight to 10 new patients per 100,000 people per year;
incidence rate has quadrupled in the last 30 years; occurs more in
males than females (2:1 ratio); and shortens life expectancy (5-year
survival rate, 65 to 80 percent). Candidates for pancreatectomy surgery
are individuals with severe, intractable pain from chronic pancreatitis
that is unresponsive to medical management.
A challenge with total pancreatectomy is that it renders the patient as
a brittle diabetic, leaving the patient with no glucose control and
severe type 1 diabetes. The islet cell transplant prevents this since
the islet cells, which are responsible for producing insulin, are
extracted from the patient’s own pancreas, which is surgically removed.
Next, an interventional radiologist, using fluoroscopy, reintroduces
them into the liver where they lodge into blood vessels and begin
producing and releasing insulin, providing the patient with some level
of glucose control.
To date, MUSC has successfully treated three patients.
Quality—Providing quality patient care in a safe environment
Lois Kerr, accreditation manager, unveiled results from March’s mock
survey and identified key issues in preparation for the next Joint
Commission survey visit. Specifics included mayday carts and adult/peds
strength dosing; HR competency files; electronic documenta-tion-systems
downtown procedures; medication management processes (high alert
medications; medication verification process; meds labeling and safe
administration of meds); 2009 National Patient Safety Goals (patient
identification; handoff communication; time out/universal protocol and
handwashing); Provision of care (initial assessment, reassessment, plan
of care, restraints, pain management, operative/procedural progress
notes and continuity of care); environment of care (safety/security
risks, managing risk, fire risk and free/unobstructive access to
exits), documentation (verbal orders time/dated, informed consents,
updated history/physicals, MR entries time/dated, illegible handwriting
and discharge planning) and patient confidentiality.
Joint Commission survey readiness rounds—patient safety
Carl Kennedy, Outcomes & Quality Management/Patient Safety,
reviewed specifics about patient safety as part of the Joint Commission
Survey Readiness rounds. He reviewed recent actions across the
enterprise relating to patient safety: posting of 2009 NPSG posters
(bright yellow); implementation of American Hospital Association’s
patient wristbands system (yellow-fall risk, red-allergy, and
purple-advanced directives/DNR); collaboration with infections
prevention projects and anticoagulation treatment (recent hiring of
Charles S. Greenberg, M.D., Division of Hematology/Oncology and consult
team leader for coagulation problems).
Kennedy also emphasized the benefits of hand hygiene and its origins
with Hungarian-born physician Ignaz Semmelweis, M.D., who discovered
hand washing as a way to prevent the spread of disease and infection,
especially in patient care areas.
Critical Testing/Critical Values was identified as a centerwide issue
by the Joint Commission. When information is documented, both time and
date information should be recorded. This is needed to help track
compliance and ensure that necessary treatments are performed.
Reporting Patient info—ensure that systems and back-up practices are in
place; medication safety—ensure that time and date are listed in a
medication label; reconcile medications; time out— conduct
pre-procedure verification process.
Finally, Kennedy reminded all medical center staff to attend the
“Culture of Safety” presentation featuring National Aeronautics and
Space Administration staff who were involved in quality/safety issues
following the Space Shuttles Challenger and Columbia disasters. The
talk reviews lessons learned and how it can apply to health care.
Presentations are 1:45 to 2:15 p.m. and 2:30 to 3 p.m., April 23,
Baruch Auditorium. For information, call 792-2719 or e-mail
Norma Jean Cole, R.N., is the new assistant nurse manager in 1W
Adult Emergency Department. Cole worked previously at the Chest Pain
Center at ART.
The next meeting is April 28.
Friday, April 24, 2009