To Medical Center
At the April 5 management
communication meeting Brad Masteller, general manager, Sodexo Dietetic
Services, and Mary Basil, nutrition manager, gave the management team
an impressive update on a wide variety of initiatives ranging from
optimizing nutrition for very low birth weight babies to community
support projects. The opening of the renovated University Hospital
cafeteria and the "at your request bedside meals," as discussed by
Masteller, have both been a big hit this year. Masteller mentioned the
January AVATAR patient satisfaction results indicate a mean score of
92.34 for "room service" and, for the Children's Hospital, a Press
Ganey survey ranking of 95th percentile for "quality of food."
Additional details are included in this newsletter.
Christine Lewis, Coding
and Processing manager, updated the management team on a major project
underway to convert the International Classification of Diseases (ICD)
9 codes to ICD-10 codes for diagnoses and procedures. The Centers for
Medicare and Medicaid Services is requiring these changes by October
2013. The changes will involve a dramatic increase in the number of new
codes and will require a new system and education. We can expect a
number of related operational and policy changes in the future.
Additional details are in this newsletter.
On another matter,
recently you may have read an article in The Catalyst concerning
advancements with social media. Our Public Relations, Marketing and
other departments throughout the organization have been creative in
using social media to enhance our communication and business
operations. Not surprisingly, abuse of social media, such as Facebook,
has been observed here and at other hospitals. I have asked a task
force to revisit our current guidelines and policies and prepare
recommendations on how we can maintain access to Facebook and other
social media while eliminating on-the-job abuse. The task force's
recommendations will be disseminated in or around June 2011.
Finally, we continue to
make progress with drilling down on our 5 + 5 cost savings plans as
discussed in previous Currents newsletters and town hall meetings. Our
goal is to reduce costs (using fiscal year 2009 as the base year) by 5
percent this year and 5 percent next year while improving the quality
of care. We are using the IMPROVE performance improvement tool to
structure and track our cost savings. We currently have more than 300
individual costs savings (IMPROVE) plans covering topics such as:
reductions in average length of stay; operating room turnover;
discharge process; standardization of contracts, supply savings,
reduction of bloodstream infections; improved blood utilization;
reduction of overtime and many others. At this point our costs, in
general, appear flat over the base period, but we have absorbed a pay
increase and routine inflation increases. I am optimistic that in the
next several months that we will see the results of much hard work. I
want to thank everyone involved for your dedicated efforts.
Thank you very much.
W. Stuart Smith
Vice President for Clinical Operations
and Executive Director, MUSC Medical Center
People–Fostering employee pride and loyalty
Brad Masteller, Dietetic Services general manager, and Mary Basel,
chief clinical dietitian and nutrition manager, reviewed highlights
from a recent expectations meeting with MUHA administrators. He
reviewed details from completed projects such as last August's Phase 2
renovation and grand opening (University Hospital Cafeteria); At Your
Request Room Service Dining (University Hospital); Sodexo's Star Chef
Club; Sodexo's Global Chef program and other programs that contributed
to improved patient satisfaction scores.
Basel spoke about progress
made in clinical nutrition from staff presenting research, Dietetic
Services Partnership (enteral ordering and delivery); parenteral
nutrition, MUSC-Citadel's Heart Health program to a partnership with
Weight Management Program supporting food service employees.
Other successful projects
include Healthy Holiday Cooking demonstrations, food swap, Stuff the
Bus campaign; sustainability harvests with local farmers, Katie's
Krops, recycling and other activities.
Helena Bastian, MUHA Human Resources director, presented the following
New HR Performance Improvement Initiative—Recruiters now rounding
monthly on pool of new hires with goals to improve— retention of new
hires, application tracking system (People Admin), On boarding process,
and HR Web site to include New Hire links
Transitions —If an employee is in a new job or if the job has
significantly changed, a Transitional Planning form is available in
SuccessFactors to assist managers with the evaluation process. Contact
Kim Duncan, 792-1962, email@example.com or Michelle Forman, 792-6219,
selection (employees in regular [permanent] positions)—All employees
hired into regular (permanent) positions, regardless of the number of
hours worked, must participate in a retirement plan and make a
selection in first 30 days of regular (permanent) employment. For
information, contact the Benefits Desk, 792-0826.
Database update—The database is down from 10-11 a.m., Tuesdays and
Thursdays. Managers are encouraged to close out the database prior to
10 a.m. on those days. LDI tracking
database classes are offered from 1-2:30 p.m., the second Thursday of
each month. Register via CATTS
form update —POCT, CATTS and Annual Unit/Department Position competency
fields are now reported as an "expire date or not applicable" field
(similar to the BLS, ACLS and Respiratory Fit Testing)
Key points to staff
qualifications update—new date fields have been automatically populated
with a Dec. 1 date (you may change these dates to coincide with your
unit requirements as needed). CATTS field will be updated to reflect
2010 data; reports for new fields were updated as of March 31; staff
qualification reports should now reflect new data
MUHA PTO Transfer
Request for 2011 Yes Campaign
In support of 2011 YES Campaign, MUHA will afford eligible employees
the opportunity to transfer PTO hours to support the campaign. This
request is separate and independent of any other YES Campaign pledges.
Employees may transfer the cash value of PTO hours. MUHA will write a
check for the total cash value of PTO hours transferred Transferred
hours will not be considered gross income. Employees will not pay
normal taxes on the value of leave transferred.
MUHA has been advised by
tax counsel that PTO hours transferred cannot be claimed as a tax
deductible gift and eligible employees must have a remaining balance of
120 PTO hours
request to transfer a minimum of eight hours/maximum of 40 hours of
accrued PTO to support the campaign.
MUHA PTO Transfer Request will be available via My Record on or around
Fitness at Work—MUSC
Employee Fitness Series; Wellness Wednesday Booths, National Start!
Walking Day (April 20); Earth Day Celebration (April 21); Bike to Work
Day (April 21); Fitness Fair (April 27) and Fitness Fun Facts posted on
Diseases—ICD-10 Revision Implementation
Christine Lewis, Health Information Services and Medical Records,
explained changes with the international classification of diseases
(ICD-9) procedure code sets. Beginning in fall 2013, the Center for
Medicare and Medicaid Services will implement a new version of
procedure code sets with ICD-10 (diagnoses) and ICD-10-PCS (inpatient
procedures). MUSC and all payors must comply with this change by Oct.
1, 2013. Migrating accurately to this new coding system will affect the
medical center's revenue. The new ICD-10 system provides room for
expansion and upgrades the institution to international standards. To
prepare for this migration, all MUSC systems must be synched. An
implementation team was formed to guide this complex process. In
January 2012, the hospital will change its version 4010 to version 5010
billing specs to reflect the ICD-10 change. The team is evaluating its
coding processes, work via audits and analysis as well as preparing an
educational plan to train and communicate changes.
Natalie Ankney, R.N.,
chair of Nurse Manager Council, introduced details about the council
and how clinical staff can submit an agenda item and present to the
council. Last fall, the group focused on improvements making it more
efficient, productive and approachable. They added a new steering
council to help streamline proposed topics and presentations.
Presenters may complete and submit a Nurse Manager Council topic
request form by the end of the month and prior to the steering
council's monthly meeting (1st Wednesday). For information, visit their
website via the MUHA intranet.
quality patient care in a safe environment
Pat Gaylor, R.N., quality and
safety specialist, spoke about this year's Culture of Safety Survey.
This survey serves to support a leadership standard set by the Joint
Commission that leaders create and maintain a culture of safety and
quality throughout the organization. As of April 4, 26 percent MUSC
employees completed the survey with the top three areas for completion
being Environmental Services (100 percent), Dietetics (82 percent) and
Facilities (61 percent). Gaylor encourages all employees to complete
the survey. Individual employee survey responses are confidential. The
survey is open until April 15.
April is National
Donate Life Month; On April 22, the MUSC Transplant Center will host a
blood, bone and marrow and South Carolina organ donor registry drive at
the portico from 11:30 a.m. to 3 p.m. For information, call Sara Stello
The next meeting is