To Medical Center Employees:
the Aug. 18 Communications meeting, Lois Kerr, accreditation manager,
updated the management team on the results of the Joint Commission
recertification survey of our Stroke Program. The survey was conducted
Aug. 17 and 18.
According to Kerr, the preliminary survey results as reported by the
Joint Commission surveyor indicated “no requirements for improvement.”
The surveyor stated we have a “strong program” led by exceptional
physicians and clinical staff. Our Stroke Program leaders and staff,
according to the surveyor, have done an exceptional job of caring for
stroke patients, incorporating the National Patient Safety Goals, and
improving performance to drive excellence. Congratulations to the
leadership and staff of our Stroke Program.
On another matter, over the past year outpatient services and Heart and
Vascular Services continued to achieve exceptional patient satisfaction
scores while some other areas observed a need for improvement. During
the past several months we refocused our efforts to achieve our overall
80th percentile patient satisfaction score goal through emphasis upon
hourly nurse rounding, daily nurse manager rounding on every patient,
discharge phone calls and other “Must Haves” including AIDET. To
date this fiscal year, those efforts are making a positive difference
and we are seeing improvements. For adult patients discharged from the
University Hospital and ART since July 1 their level of satisfaction
has shifted from the 41st to the 95th percentile.
Other examples of exceptional patient satisfaction results include the
Pediatric Emergency Room which ended the fourth quarter (June 30) with
a 99th percentile patient satisfaction score, and their July 1 to date
rank remains at the 99th percentile. Congratulations to Julie Heckman,
nurse manager, and her staff. Also, Ray Manigault, radiology
director, and the radiology managers and staff have done a great job
with taking their outpatient patient satisfaction results to a new
level for this highly competitive service with a 68th percentile rank
(mean score 92.7) for July 1 to date.
I ask that everyone focus upon the patient satisfaction results for your particular clinical or support service.
Finally, plans are being made to conduct medical center town hall
meetings in September and early October. The schedule is indicated
below except for department-based town hall sessions scheduled
separately. Additional details concerning the agenda will be issued
Thank you very much.
W. Stuart Smith
Vice President for Clinical Operations
and Executive Director, MUSC Medical Center
Town Hall Meetings
Sept. 16: 7:30 a.m. and 2 p.m., SEI Auditorium; Sept. 18: 11 a.m., 2W Amphitheater; Sept. 25: 10 a.m., IOP Auditorium; Sept. 28: 2 p.m., SEI Auditorium; Sept. 29: 3 p.m., ART Auditorium; Sept. 30: 11 a.m., ART Auditorium; Oct. 1: 3:30 p.m. IOP Auditorium; Oct. 2, 11 a.m., SEI Auditorium
People—Fostering employee pride and loyalty
Colleen Corish, R.N., clinical services director, Oncology
and Medical Surgical Services, recognized 7W nurse manager Kathy Wanstall and
staff relating to a Wins letter written by the family of an oncology patient
who received care at MUSC this spring. The family thanked 7W staff for their
outstanding care, superior sense of compassion and family-like concern for
their family member who recently died.
Employee of the Month – August
Conflict of Interest disclosure
Santana, Pre-Op Surgery patient representative, helped ease the anxieties
connected with surgery for a patient and his family. He was attentive,
kind and responsive to all of our needs and treated us like family, wrote
the patient in a thank you letter. (by Peggy Anthony, nurse manager of ART
Plutro, LSW, a social worker at IOP’s STAR Ladson Day Treatment Program,
was recognized for providing the highest quality care and service for her
patients. Plutro helped an anxious STAR patient who was hospitalized by
visiting her daily after her workdays. She’s also helped patients receive
YMCA summer scholarships, therapeutic horseback riding lessons and other
activities. Since 2006, the STAR facility has recognized two employees of
the year nominees and multiple employees/physician of the month awards.
(by Harriet Cooney, IOP interim administrator)
Reece Smith, medical center compliance officer, reviewed
details with Conflict of Interest disclosure process for MUHA employees. MUSC’s
Board of Trustees mandated the disclosure within the past year. The disclosure
process has already has been rolled out to the University and UMA and will be
rolled out to MUHA in September. The disclosure process will be available via a
training module in CATTS that will lead users to a disclosure survey. The
training module reviews the institutional policy on conflicts, defines terms and provides guidance on
appropriate disclosures. Disclosure surveys will be reviewed to determine if
there is a need for further action. Employees should not report any salary from
the MUSC enterprise on the disclosure survey. Questions regarding this process
should be directed to the compliance office, 792-7795.
Helena Bastian, MUHA HR director, reviewed the following
Planning Stage Acknowledgement forms are due Aug. 31. Currently, 17
percent have already been completed.
Employee Drop-In Sessions: Noon to 3 p.m., CSB Rm. 220, Friday, Aug. 21; 8
a.m. to12:30 p.m., Aug. 25; Noon to 3 p.m., Thursday, Aug. 27. We will not
be presenting formal training at the employee drop-in sessions. Instead,
employees will be assisted with log in and
viewing/signing the Planning Stage Acknowledgement form. If your
employees would like to attend a session, please make sure to verify and
send the form to the employee in SuccessFactors prior to attending so that
the form will be available for them to view. We also are distributing
instructions to the employee at the sessions on using the Notes feature to
track progress throughout the year using SuccessFactors.
People Admin Online Process
new People Admin Online posting process has cut the turnaround time from
request to posting from 16 days down to nine days.
for LDI attendees within six months of hire (includes interim positions).
1 (Aug. 21), 8:30 to 3:30 p.m., 2West Classroom; Session 2 (Aug. 27) and
Session 3 (Sept. 3), 8:30 a.m. to 4 p.m., Library, Rm. 437.
Quality – Providing
quality patient care in a safe environment
Kathie L. Hermayer, M.D., medical director of the Diabetes
Management Service and chair of the
hospital’s Diabetes Task Force, and Pam Arnold,
APRN, diabetes management program director, spoke to managers about
progress of the hospital’s inpatient diabetes certification efforts. Upon
certification, MUSC would be the first academic medical institution to receive
Joint Commission inpatient certification for diabetes care. Hermayer shared
stats from a Diabetes Care Journal (December 2009) reports that diabetes care
costs are projected to escalate from $132 billion (2002) to $351 billion (2025)
in the United States, that’s 1 million Americans per year new diagnosis of the
disease per year. Additionally, the estimated cost of diabetes in 2007 is $174
billion, of which half is attributed to hospital care.
There are six disease-specific specialty (advanced)
certification programs: primary stroke center, inpatient diabetes, COPD,
chronic kidney disease, VAD for DT (destination therapy) and lung volume
reduction surgery. As part of inpatient diabetes certification, MUSC (main
hospital, ART, IOP and Peds) must: designate a program champion/champion team;
staff education in diabetes management; medical record identifies diabetes
(existing or newly diagnosed), plus meet other criteria.
Benefits of certification will: improve quality of patient
care; provides an objective assessment of clinical excellence; requires a
systematic approach to clinical care; creates a loyal, cohesive clinical team;
promotes a culture of excellence across organization and facilitates marketing,
contracting and reimbursement.
MUSC has submitted the initial application to the JC and is
preparing to submit second phase of the application (performance measures) in
preparation for a sight visit in December or January.
recognized a multidisciplinary inpatient diabetes certification team, which
involves nursing, dietary, pharmacy, laboratory, patient safety, administrative
support and other department.
Chest Pain Center awning
Sandy Gould, R.N., Adult ED and Chest Pain Center nurse manager, updated employees
about the ART awning/overhang to accommodate ambulances. The project should be
completed by the end of August/September for DHEC licensing and approval. All EMS ambulance calls will continue to be received by 1W
Trauma ED and appropriately directed to either the main ED or Chest Pain/ART
Joint Commission Jeopardy
Linda Formby, R.N., Infection Prevention and Control manager
and Carl Kennedy, Outcomes & Quality Management/Patient Safety, reviewed
both JC infection control and 2009 National Patient Safety Goal (NPSG)
questions featuring a fun, interactive Jeopardy quiz.
week’s game challenged the audience with questions about hand hygiene,
isolation, patient food refrigerators and supplies. Other questions reviewed
NPSG Goals #13 – encourage patient’s engagement in their care; Goal #15 –
Reduce the risk of suicide; and Goal #16 – Medical Emergency Team calls,
review the 2009 NPSGs visit http://www.jointcommission.org/
Williamson, information services/infrastructure information group, presented
material about using SecureMail for e-mails outside of campus.
does not require additional software or a pass phrase or key to access secure
files. To read secure messages, the recipient will create an account on MUSC’s
IronPort server and use an account to see any MUSC secure message.
a message, a user will:
- Enter the words, [SEND SECURE] (including
brackets), in the subject line of a message.
- Or go to the “securemail.musc.edu” and
use your NetID to log in.
- Can send attachments (encrypted), as
- Send a warning to the recipient
(first-time) that they will receive a SecureMail message, although it is
- Need to adjust the browser (i.e. change
security settings to “medium” or “enable cookies for third parties”).
- Open the attachment.
- Establish the account or log in, if
can reply to the user from within the system, but cannot forward the message.
Recipients cannot add people to the reply. The message is sent only to the
recipient. Users will receive a message confirming sent messages in the
Exchange in-box or go to SecureMail to manage messages sent. For information,
The next meeting is Sept. 1.
Friday, Aug. 21, 2009