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PAGE - 1 IT’S ALL ABOUT ENGAGEMENT! JUNE 2015 ADENA’S SCOPES PARTNERSHIP CELEBRATES 1ST YEAR SUCCESS One year ago, no one knew what SCOPES was or what it could be. But today, the partnership between Adena Health System and Unioto Elementary to create a student-centered hands-on science and technology program has become well known in the community, and is quickly gaining statewide attention. Adena provided assistance to get the program off the ground, as a way to develop the young minds of future caregivers who have an interest in the sciences. Often Adena caregivers, including physicians, nurses and other technical staff visit the SCOPES classes to talk about their jobs as doctors, surgeons, nurses or technicians, doing demonstrations and answering questions the kids may have. With Adena’s support, the program has been able to purchase several pieces of equipment like a 3-D printer, robotics and other technology. The program is giving students hands-on training and helping them to develop their skills in science and math, and encourages learning opportunities they wouldn’t normally get in their regular classroom. “If you say SCOPES, people around town know what you are talking about, and they know about SCOPES kids. That’s something we’ve been able to do in just nine months,” said Unioto PreK-2 Principal Dana Letts. “It’s transformed our school, it really has.” Unioto was looking for a way to help students who perform well in Science and Math (STEM) classes, and to give them more opportunities to succeed. “It has given them a chance to go over and above, and given them a chance to experience things that sometimes with all the other state requirements they wouldn’t get a chance to,” added Dana. “Unioto wanted to be proactive in giving our students these experiences.” SCOPES teacher Jenni Domo says she is not surprised by how quickly the class has become such a hit. “I would expect nothing less,” she said. “Honestly, I just knew this would be a success. It’s been a vision of mine for a long time to have an all hands-on, all STEM, student-centered classroom.” More than 100 students in first through fifth grade attend a SCOPES class during the week. Each week, brings a new idea about which to learn, a theory to test, or a problem to solve. “One of my students always says, ‘This isn’t your grandmother’s science class,’” joked Jenni. MOVE MORE MOTIVATION! We are entering our fifth week of the Move More Challenge, what are you doing to get motivated and stay motivated? Many caregivers are finding ways to get moving by walking in groups on breaks, or working out together. Exercising in groups is a great way to hold each other accountable to our goals. Cindy Freeman of Unit 2A has made exercise and getting fit a big priority in her life. She is now motivating other caregivers to join her in that quest to live a healthier lifestyle. Cindy says, “I think the Move More Challenge is awesome!” Her enthusiasm is rubbing off on others around her. Recently, Cindy recruited some of her fellow caregivers to try a new workout class at the YMCA with her. Keep up the great work! We want to know what you and your teams are doing to motivate each other during the 12-week challenge. Is there a new exercise class in town you think others might enjoy? Do you schedule time to meet with others and walk? Tell us your stories at [email protected] Photo below: Danielle, Cindy, Josette, Kelley, and Chelsea take a break after a recent Tabata class at the YMCA. Continued page 4 Health System DR. JAMES MANAZER SHARES HIS EXPERIENCES AS A SURGEON WITH STUDENTS IN THE ADENA UNIOTO SCOPES PROGRAM.

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IT’S ALL ABOUT ENGAGEMENT!

JUNE 2015

ADENA’S SCOPES PARTNERSHIP CELEBRATES 1ST YEAR SUCCESSOne year ago, no one knew what SCOPES was or what it could be. But today, the partnership between Adena Health System and Unioto Elementary to create a student-centered hands-on science and technology program has become well known in the community, and is quickly gaining statewide attention.

Adena provided assistance to get the program off the ground, as a way to develop the young minds of future caregivers who have an interest in the sciences. Often Adena caregivers, including physicians, nurses and other technical staff visit the SCOPES classes to talk about their jobs as doctors, surgeons, nurses or technicians, doing demonstrations and answering questions the kids may have.

With Adena’s support, the program has been able to purchase several pieces of equipment like a 3-D printer, robotics and other technology. The program is giving students hands-on training and helping them to develop their skills in science and math, and encourages learning opportunities they wouldn’t normally get in their regular classroom.

“If you say SCOPES, people around town know what you are talking about, and they know about SCOPES kids. That’s something we’ve

been able to do in just nine months,” said Unioto PreK-2 Principal Dana Letts. “It’s transformed our school, it really has.”

Unioto was looking for a way to help students who perform well in Science and Math (STEM) classes, and to give them more opportunities to succeed. “It has given them a chance to go over and above, and given them a chance to experience things that sometimes with all the other state requirements they wouldn’t get a chance to,” added Dana. “Unioto wanted to be proactive in giving our students these experiences.”

SCOPES teacher Jenni Domo says she is not surprised by how quickly the class has become such a hit. “I would expect nothing less,” she said. “Honestly, I just knew this would be a success. It’s been a vision of mine for a long time to have an all hands-on, all STEM, student-centered classroom.”

More than 100 students in first through fifth grade attend a SCOPES class during the week. Each week, brings a new idea about which to learn, a theory to test, or a problem to solve.

“One of my students always says, ‘This isn’t your grandmother’s science class,’” joked Jenni.

MOVE MORE MOTIVATION!

We are entering our fifth week of the Move More Challenge, what are you doing to get motivated and stay motivated?

Many caregivers are finding ways to get moving by walking in groups on breaks, or working out together. Exercising in groups is a great way to hold each other accountable to our goals.

Cindy Freeman of Unit 2A has made exercise and getting fit a big priority in her life. She is now motivating other caregivers to join her in that quest to live a healthier lifestyle. Cindy says, “I think the Move More Challenge is awesome!”

Her enthusiasm is rubbing off on others around her. Recently, Cindy recruited some of her fellow caregivers to try a new workout class at the YMCA with her.

Keep up the great work!

We want to know what you and your teams are doing to motivate each other during the 12-week challenge. Is there a new exercise class in town you think others might enjoy? Do you schedule time to meet with others and walk? Tell us your stories at [email protected]

Photo below: Danielle, Cindy, Josette, Kelley, and Chelsea take a break after a recent Tabata class at the YMCA.

Continued page 4

Health System

DR. JAMES MANAZER SHARES HIS EXPERIENCES AS A SURGEON WITH STUDENTS IN THE ADENA UNIOTO SCOPES PROGRAM.

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ADENA PIKE NUTRITION TEAM GETS CREATIVE DURING RENOVATION

ADENA SET TO PICK UP 2ND CONSECUTIVE GALLUP AWARD

This week, a team of Adena caregivers will travel to Gallup’s headquarters in Omaha, Nebraska to pick up our organization’s second consecutive Gallup Great Workplace Award.

Adena Health System participated in an extensive application process that required engagement results to be correlated to business outcomes. In addition to the Gallup Great Workplace Award, Adena is also in the running for two more awards: Essence of Engagement and Customer Champion. We will find out at Tuesday night’s dinner and awards ceremony if we will be awarded either of these extra honors.

In addition, Karen Jenkins, Director of Radiology and Rehabilitation Services, is

among the top 10 national nominees for Gallup’s Manager of the Year Award. She will also find out Tuesday if she is selected as the nation’s top manager!

The Gallup Great Workplace Award is a tremendous achievement for any organization. Just 40 companies in the world were given the honor this year! This is proof that engagement is the cornerstone of our culture at Adena Health System, and something of which we each should be very proud.

Congratulations to all of our caregivers for your commitment to engagement, and to our patients!

TESTING MARKS THE FINAL COUNTDOWN TO ADENA ONE

Today marks exactly two months to the Adena One go-live for our acute care sites. On Aug. 1, 2015 at 12:01 a.m., all Adena hospitals and urgent cares will begin to use Meditech 6.15 for patient encounters, taking us into a new era of technology that is long overdue. Last week, teams of caregivers filling the Meditech Training Rooms, went through the second and final round of parallel testing to make sure the new IT system is in sync with our current work processes. “We take charts of patients with current diagnoses whom we’ve had in the system before, and we look to mimic those into the electronic system to make sure everything translates,” said Jackie Rebman, RN, an Adena One team lead. “Parallel testing is important to recreate that chart identically,” added Linn Weimer, Chief Information Strategy Officer and Adena One Lead. “When we look at that whole medical record in the new system, we want to be able to say we got the identical results.”When teams did the first round of

parallel testing two weeks ago, they did identify some gaps in the flow of information, and some bugs needed to be worked out. But Linn and Jackie agree, the testing was a success because the second round of parallel testing has been far less stressful.“We still had some decisions we needed to make,” said Linn. “But the nice thing about this round is, it has been pretty quiet. It’s a huge difference than two weeks ago. From my standpoint, it’s wonderful. Just walking through the room, I’m feeling ok. We’re getting there and we’re where we need to be.”

What’s next?– Testing and adjustments will

continue– Physicians will participate in

Webinservice training on using the electronic medical record

– Training for end users– Migration of the test system in some areas prior to go-live. Targeted for June 15– Check and adjust will be ongoing.

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ADENA PIKE NUTRITION TEAM GETS CREATIVE DURING RENOVATIONNEW CMO STRUCTURE ANNOUNCED

Beginning today, there is a change in the organizational structure of Adena’s physician leadership, as well as few adjustments to the operational structure. Late last week, it was announced that a new model was being implemented.In the memo, from Chief Operating Officer Eric Cecava, Chief Medical Officer Dr. John Fortney, and Chief Human Resources Officer Eric Perdue, details include the appointment of three Chief Medical Officers, with each having oversight of specific areas of the organization, including: Surgical Specialties; Medical Specialties; and Primary Care.

Dr. H. Takaji Kittaka, Jr. has accepted the role of Chief Medical Officer for Primary Care. He has most recently served as Adena’s Chief Transformational Officer, and will continue with those duties. Dr. Kittaka

also serves as the Medical Director for AdenaCare and for the Accountable Care Organization.

Dr. Anthony Freeman has accepted the position of Chief Medical Officer for Surgical Specialties. He is currently Adena’s Chief of Staff and the Chair of Anesthesiology. Dr.

Freeman recently completed a Master’s degree in Health Care Administration through Ohio University. Both individuals bring a wealth of experiences to their new roles that will positively serve Adena. The third position of Chief Medical Officer for Medical Specialties is currently open, and the team is working to fill that role internally.

The goals of the new model are: simplification that will lead to an improved flow of communication and decisions; efficient use of resources; governance through committees; and creating opportunity for those interested in leadership.

Dr. John Fortney will transition to the role of Senior System Medical Advisor. In this role, he will partner with our CEO Mark Shuter to focus on Adena’s overall health-related vision and the molding of our

strategies. Dr. Fortney will also serve as a physician representative to our various communities, work closely with the Adena Health Foundation and other philanthropic opportunities, and mentor present and future physician leaders. He will continue to have responsibilities for Graduate Medical Education, the Quality program and provider Information Technology.

In addition, with the former appointment of a Chief Operating Officer, the following reporting structure changes will also take effect. The Chief Nursing Officer (CNO) will transition and report directly to the COO. Emergency Services as well as Oncology will transition and report directly to the Chief Nursing Officer.

Finally, Olivia Vance has accepted the role of Director, Care Management. In her new role Olivia will continue to work with the Hospitalist Program as our liaison. She will also have responsibilities for Clinical Documentation Integrity, Case Management, Social Services, Clinical Denials and Utilization Management. Olivia will report to Judy Henson, CNO.

INFO AVAILABLE ABOUT NEW DEGREE PROGRAM

If you didn’t have the opportunity to meet with advisors last week regarding the new degree program, created from the partnership between Adena and Ohio University Chillicothe (OU-C), you can still receive information. Just reach out to Katie Oberley at [email protected] and she can get you the information you need.The new curriculum and creation of a Bachelor’s of Science degree in Technical and Applied Studies has an emphasis in Health Care Administration and Applied Management. To qualify, a caregiver must have 60 hours of college credit or possess an Associate’s degree. You will then take an additional 60 hours of classwork (at a minimum) put together by Adena and OU. Specific courses have been selected to address current gaps we have at Adena.

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ADENA’S SCOPES PARTNERSHIP CELEBRATES 1ST YEAR SUCCESS CONTINUED...The benefit of the SCOPES class is not just for the students. Jenni goes into other classes in the school to share science lessons and experiments. If other students are interested in a particular SCOPES lesson they may also sit in the class that day.

News of the excitement in the SCOPES classroom has other teachers in the area interested in how they can use the SCOPES model for their own students.

“There is not one school in Ross County that hasn’t had a teacher contact me asking how they can emulate our methods,” said Jenni. This summer, she will conduct a workshop open to area teachers on how they can use the SCOPES style of teaching in their own classrooms.

Word of the program’s success and Adena’s partnership has also made its way to the state level. Representatives from SCOPES and Adena have been asked to speak to the Ohio State Board of Education to demonstrate

SCOPES as a model for other schools in Ohio, and how they too may form successful partnerships with businesses and organizations in their communities.

“If there could be more partnerships between schools and businesses around the state, like the one we have with Adena, it would be transformational for math and science learning,” said Dana.

Both SCOPES teacher Jenni Domo and Principal Dana Letts are quick to point out that none of the program’s success would have been possible without Adena believing in their vision and

continued support.

“This has just been a great program for us, and we could not have done it without Adena.” says Jenni.

Several Adena caregivers have also taken the time to speak to the SCOPES students throughout the year. The doctors and nurses always bring visual aids and projects to help explain the lesson with a hands-on learning.

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SCOPES LESSONS BRING EXCITEMENT

The students participating in Unioto Elementary’s Adena SCOPES program all say they look forward to “SCOPES day.” The day of the week when they attend Jenni Domo’s SCOPES class.

“After my first day of SCOPES, I went home and told my Mom you don’t have to worry about me not wanting to wake up for school on Wednesdays because I’ll be excited that it’s SCOPES day,” said Charlie, a third grader. “Most days I’m like ‘Five more minutes!’ when she tries to wake me up. But on Wednesdays, I get right up because I can’t wait for SCOPES.”

“I really like the new technology, and getting to work with it and learn about it and what it can be used for,” added third-grader Isaac.

“We’re always doing things, like science experiments, and we’re not just sitting the whole time doing work,” said fellow third-grader Keegan.

And, they are learning about things they didn’t even know they would like. “We learned some Algebra,” Keegan added. “And before, I had no clue how to do that.” When asked if he was now an Algebra whiz Keegan replied shyly, “Yeah, pretty much.”

The students also had the opportunity to go on several field trips throughout the year. One of their favorite trips was to The Ohio State University where they met with Engineering students.

“I learned what engineers do,” said Charlie. “It was cool seeing the college kids using the same stuff we do (variations of their 3D printer and robotics).”

When asked if there was anything he learned this year that made him think, “Wow that’s interesting,” Charlie replied with a grin. “Let’s just say a lot of stuff.”

The class has also been instrumental in helping students build their confidence and grow their potential in Math and Science. “It’s helped me a lot with Math,” said Allison, a third

grader. “I used to not like Math because I didn’t think I was very good at it, and I was a little nervous about joining SCOPES. But once I started SCOPES, I figured out I actually do like Math and I am good at it!”

Unioto Elementary is looking forward to building on the success of its SCOPES program’s first year. They have several grant proposals out for various educational programs totaling $65,000.

One of the grants will help build a greenhouse on campus where the students will grow fruits and vegetables. The food grown will be donated to the Sherman Food Program, which is a program that provides food for low income students to take home.

The school also hopes to expand the courtyard by adding a new water structure and companion plantings for all students to enjoy and learn from, as well adding a sensory garden for students with special needs.

The class is also looking forward to working more with electronics, and hopes to receive a grant that will help them build more snap circuit boards and create their own snap circuits.

With students on summer break, many are surely looking at things differently after a year of intense hands-on learning and discovering thanks to Adena and the SCOPES program.

Third grade SCOPES students pose with teacher Jenni Domo next to the classroom’s 3D printer.

SCOPES third graders demonstrate the OSMO technology which improves their abstract and quick thinking skills.

One of the favorite pastimes in class is robot basketball.

Bottom photo: SCOPES students talk with OSU engineering students during their field trip to learn about how they use equipment similar to what they have in their classroom at Unioto.

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ADENA PIKE NUTRITION TEAM GETS CREATIVE DURING RENOVATIONCOMMUNITY-FOCUSED FOR 120 YEARS

June 27 will mark the 120th anniversary of Adena’s founding. What began as a need in the community back in 1895, continues in how we view our role in the communities we serve today.

Adena was founded because there was a need in the community for quality health care. After several failed attempts - first the Cholera House, then the Pest House - it took a coordinated effort by a group of community-minded citizens to come up with the idea to begin a true hospital.

Within 15 years, community need outgrew that first hospital that was created in a house on Bridge Street. The hospital at Chestnut and Cherry Streets was built, doubling the size of the staff and expanding every few years. In just over 60 years, the need to expand to our current location came and we haven’t

stopped working to meet the needs of our patients, here in Chillicothe and now throughout the region.

Growth based on need continues today. As our service area and the expectations of our patients have grown, Adena has worked to meet the needs of our communities. In the past 10 years, we have added services like Dermatology, Heart Surgery, Robotics, expanded Orthopedics and Oncology and so much more. We did this because it was the right thing to do for our patients. There was a need for these services in our region, and our patients deserved to have access to these services close to home.

Just as our founders did 120 years ago, the health of those in the communities we serve is imperative to our success as a healthcare provider, and to each of us as

members of the communities in which we live. Health includes making sure we provide our family, friends and neighbors with the healthcare services they need, when they need it; as well as working with businesses and our community leaders to enhance those things that help improve the health and quality of life for the people who live here.

As we have for 120 years, Adena remains committed to our region and to those we serve.

Sincerely,

Mark Shuter, President and CEO,Adena Health System

AN INTERVIEW WITH MARK SHUTER: 10 YEARS OF ADENA LEADERSHIP

Adena President and CEO Mark Shuter marked his 10-year anniversary with the Health System on May 23. We sat down with him to chat about the past decade and how Adena, and the healthcare industry have changed, as well as what we need to do to keep Adena progressing for the next 10-20 years.

Q: So does it feel like you’ve been here for 10 years?Shuter: It doesn’t really feel like it’s been 10 years. It’s gone by fast.

Q: What are the most significant changes you’ve seen over the past 10 years?Shuter: Some things have changed a lot, and some haven’t change that much. The physical changes on the Chillicothe campus are evident with the addition of the Northeast expansion, the Cancer Center and PACCAR, and we’ve expanded our footprint with the addition of Adena Greenfield and Adena Pike Medical Centers.

But I’d say one of the most significant changes would be something you don’t necessarily see, but it’s made a difference in

how we provide care for our community. The breadth of our services is a lot larger today. For example, someone who comes in with a heart attack can be treated right here. We can do an angioplasty or even open heart surgery in Chillicothe. This is something we used to have to send north. It would be interesting to know how many lives have been saved.

This goes for many other areas too. Look at Oncology, patients used to have to drive to Columbus for a lot of the same treatments they can get here today. Robotic surgery is also available here now, and our Orthopedic specialty is growing and respected in the industry and by our patients. The list goes on and on.

Q: How does Adena’s growth over the past 10 years translate to the communities we serve?Shuter: We see hundreds of thousands of visits a year in our facilities all over the region. And every place we have a clinic or offer a service we are not only meeting the needs of our patients, but we are creating jobs in those communities. We are also bringing in

top quality providers and nurses. Today, 40 percent of our nurses have a bachelor’s degree. That’s twice as many as just 10 years ago. That should tell our patients they will get skilled, high quality care at Adena. That is exciting.

Q: Where do you see Adena headed in the next 10 years?Shuter: There’s still a lot of work to be done to build the depth of Adena. Primary care is an area where we will need to focus. Connecting patients with a PCP and managing chronic disease, and other ailments a lot of baby boomers face, will drive the need to create even more depth in our subspecialties to serve our population. If you don’t have that depth, when you lose one practitioner it can cause a lot of stress on the entire system. For Adena the next 10 years are going to be more exciting than the last 10.

Q: What is the one thing you are most proud of?Shuter: We’ve accomplished a lot in a relatively short time, when the industry hasn’t been so kind to us. I think the creation of our

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An Interview with Mark Shuter: 10 Years of Adena Leadership continued...

education mission and the building of PACCAR and our Graduate Medical Education program has been really important for Adena and for our region. It’s given us the opportunity to partner with higher education in the area to deliver courses to educate current and prospective caregivers. It has also given us the chance to bring in new talent and build a pool of new physicians who we hope will stick around and become engaged in Adena’s culture and lifelong members of the community.

We’re also entering a very interesting area in terms of population health. We know that diabetes is a real problem for our patients in terms of their overall health, and we also know that it has a $150 million impact on the organization. Once we get every part of the care continuum – the endocrinologist, the PCP, the ICU doctors – all on the same page, we are going to make a difference for our patients and for Adena.

Adena’s four key strategies, Adena Operating System, Adena Medical Group, Clinical Integration and IT and just coming together and will become a fly wheel. Once that fly wheel starts, you won’t be able to keep up with them. We can almost take our last 10 years – where we couldn’t keep up with our problems – and going forward we may have a hard time keeping up with the opportunities. We’re creating opportunity and it’s exciting.

Q: How have the industry changes over the past five years impacted the patient? Is health reform a good thing?Shuter: The level of complexity is just mind numbing, on top of a system that was already incredibly complex. One of the most important parts is what’s happening with information technology. It won’t be long and you will be able to influence a healthcare system with a Smartphone. The most important thing to happen from the federal standpoint are the incentives they placed around IT (meaningful use, mandating electronic medical records). We were going down that path anyway, but this put a structure around it. And once you have portability… Guess what – look at your mobile device, we will be able to visit the doctor on our phone or tablet for routine visits. When you look at the level of saturation and understanding with our IT install Meditech 6.15 on the inpatient, going to the EMR, and thinking where the worlds going to be that you’ve got to have data at your fingertips. Your customers want to influence the system from a mobile device, and we’ve already seen that patients will switch to a provider if they can get fingertip

access. I think we’re going to be really well positioned.

Then there’s the issue of

quality. All of a sudden quality is going to pay. To me that is very exciting. We’ll do fine with that. We’ve lagged a bit because our information technology has been behind everyone else. IT installed in the 1990s is just not geared for where we’re at today. So, once we have the tools to deal with this, we’ll outperform everyone.

Most of the directional change in healthcare is something I’ve wanted my whole career. Do I wish it was on a one-page document that was easy to understand, yeah. But it’s the right thing.

Q: What can we as caregivers do to make Adena even better?Shuter: Most people love what they do, but they get frustrated with some people and they ask me what I’m going to do about it. It’s really what are WE going to do about getting everybody aligned with the same vision. It’s getting to that WE thing. Look at our engagement scores – there’s still not 100 percent of us on board. And until 100 percent of us are on board, this won’t be able to completely benefit our customers, our direction or our communities. If we’ve grown 1,000 jobs in the past 10 years, what could we have grown if every caregiver was completely engaged? How many families are we creating possibilities for because we are employing 1,000 people more than we were 10 years ago, and those 1,000 caregivers are spending money in town, which has helped create 3,000 jobs for people who can go home at night feeling good that they were productive and able to feed their families? If we are all 100 percent engaged, how many more jobs can we help to create in the future?

Q: What’s your most memorable moment from the past 10 years?Shuter: I can’t pick just one. But I always like

the people stories. Any story where someone’s done something that’s practically impossible. Look at Linn Weimer with the IT install, and there are 2,800 of us singing exactly out of the same hymnal. I love leadership. I love people doing great things for people.

The great part of my job is there’s not a week that goes by when I don’t get to go out and recognize someone. If you look at my calendar, we’re constantly going around talking to people who have done something great. And the stories are so different. From Emily who was a PCA here, who went to Wright State, who did an internship... You know you’ve got those stories of people doing great things. It’s always service above self. A lot of courage, that’s the fun part of the job. The best part of my job is that I get to see all of them.

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ARMC’S READMISSION RATES LOWER

When a patient is readmitted to the hospital shortly after being released, there is reason for everyone involved in that patient’s care to be concerned. Part of the Affordable Care Act of 2010 addresses hospital readmissions, and penalizes hospitals financially when patients return within a certain amount of time.

Recognizing the importance of educating our patients about their illness and care after they leave the hospital has been a key initiative for Adena for the past few years; not only to help reduce the number of readmissions, but because it’s the right thing for our patients. The education being provided by physicians, nurses, nurse navigators, diabetes educators and many more caregivers is paying off.

Last week, the Center’s for Medicare and Medicaid Services (CMS) has released its hospital 30-day all-cause readmission data for 3rd quarter 2014. The information showed that Adena Regional Medical Center’s readmission rate has significantly improved to 16 percent from our 2nd quarter 2014 rate of 19.6 percent. Comparative data shows Ohio’s overall 30-day all cause readmission rate to be

18.5 percent, with the national rate at 18 percent.

And while Adena remains focused on the overall (all-cause) readmission rate, we are also targeting readmission rates specific to Chronic Heart Failure (CHF), Acute

Myocardial Infarction (AMI), Pneumonia (PN), Chronic Obstructive Pulmonary Disease (COPD), and Total Joint Replacements for hips and knees (TKR & THR). These readmission rates are being monitored by CMS pursuant to the Patient

Protection and Affordable Care Act of 2010, for which we are subject to penalties if readmission rates exceed national benchmarks.

To help reduce our readmission rates, Adena has a multi-disciplinary team in place that works to investigate every readmission. They search for root causes and develop plans of correction and improvement at every opportunity. The members of this dedicated team are to be congratulated for their progress.

The team includes: Administrative Sponsor: Eric Cecava, COO

Physician Sponsor: John Fortney, MD, CMO

Physician Champions: Kirk Tucker, MD, CQO; Karen Evans, MD; Alix Tercius, MD; Jack Baker, MD; and Shane Matheny, MD.

Administrative/Clinical Champions: Elaine Storrs, Josh McCoy, Cindy Harmeyer, Michael Diener, Michael Dennis, Sharie Betts-McNeely, Sandy Zickafoose, Bryan Piccirillo, Fred Yingling, Bambi Huffman, Krystle Guarnieri, Jason Monroe, Kristen Lambert, Amanda Salyers.

EDUCATION HAS PATIENT SINGING A NEW SONG

Adena is working hard to help patients understand their chronic diseases, especially diabetes. We have a team of diabetes educators who are now available to work with our providers in helping patients manage their treatment for the best results.

As many caregivers know, patients can become confused or non-compliant when it comes to self-care, especially when it involves administering medication using injectables. But often a refresher or a new way to educate is just what it takes to get the patient back on track. Recently, Diabetes Educator Molly McLeland, RN shared the story of one patient who benefited from her help.

“I recently saw a patient for a follow up visit at Dr. Seidensticker’s office. He is an older gentleman who cares for his disabled wife and was sent to me because Dr. Seidensticker was concerned the patient was experiencing low blood glucose. The patient was not taking insulin correctly and had been trying to keep his blood glucose low, but had hypoglycemia unawareness (he did not feel lows and would just pass out when his blood glucose got below 50’s). I told him that having good blood glucose is important but it was not safe to have blood glucose that is too low, especially when driving and being a care giver for another person. I worked with Dr. Seidensticker to lower the

amount of insulin ordered and educated the patient about how to take it safely. The patient came back later and was no longer having low blood glucose issues. He told me he had ‘a song in his heart again,’ and he had not felt like singing for a long time - and now felt like singing again. I thanked him for helping to remind me of the reason I do my job and it made me want to work harder to help others.”

For more information about the services of our Diabetes Educators, contact Molly at [email protected].

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CAREGIVING BEYOND MEDICINE

Patient care at Adena means much more to our caregivers than just providing healthcare services. Recently, the caregivers on the ARMC Palliative Care Unit and Chaplain Paul Ray demonstrated how we can make a

difference in the lives of our

patients beyond their

medical

treatment and care.On May 15 the unit learned in its morning huddle that a patient they had cared for in the past was returning to Adena, the same day her daughter was set to graduate from Greenfield McClain High School.“When we learned she was on her way we immediately started talking about if there was anything we could do to enable the patient to be a part of her daughter’s graduation,” said Chaplain Ray. “At that point we didn’t know her condition, or if it would be possible for her to go to graduation so we decided to wait until she arrived.”

While they were waiting Chaplain Ray called McClain H.S.

Principal Jason Potts to find a solution so this mother would not miss her daughter’s

graduation.That’s when he learned the

ceremony was going to be streamed live online. As the day

went on it became clear the patient was not going to be able to leave the hospital. The staff worked with her family to make sure she had a computer, and there was a good connection to the live stream so she was able to see it clearly without interruption.Also during that conversation, Chaplain Ray learned the patient wasn’t the only one with a child graduating that evening. The principal told him of another student whose father was in Adena.The Chaplain says he was surprised he did not know this because he had spent a lot of time talking with this patient, who had never mentioned it. “I went up to his room and asked him if he had a daughter graduating from McClain, and when he said ‘yes’ I told him you don’t have to miss it. We’ve

found a way for you to watch it.”The patient was touched and extremely grateful by the staff’s effort to make sure he had a computer in his room so he could be a part of his daughter’s special day. Before he found out about the live stream, the man said he’d been upset that he wouldn’t be there. “I thought well, they’ll take pictures and show me. Then I got crying about how I was going to miss it,” he said.The patient said, “I got to watch it like I was right there, and it meant so much, because I was afraid I was going to miss it. It was great, it really was. I’m so thankful for the pastor letting me know about it. It really means a lot.”Chaplain Ray said after graduation the first patient’s daughter came to visit her mother in her cap and gown. The family was so appreciative for the staff helping make that special moment happen. Two days later the girl’s mother passed away. The staff was honored to have been able to give the patient and family a special memory.As for the other patient, he is still recovering from his condition, when we spoke to him a couple days after graduation, a picture of his daughter in her cap and gown, with flowers was proudly displayed in his room.Chaplain Ray says he continues to share his appreciation for making it possible to see his daughter graduate. “Every day I’ve seen him since graduation he expresses how grateful he is for the opportunity to be a part of his daughter’s graduation.”For the Palliative Care team and Chaplain Paul Ray it was never about if they could make sure their patients were a part of their daughters’ special day, it was always about how they were going to ensure they didn’t miss it. It is that kind of dedication and compassion that our patients and their families will always cherish.

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ADENA PIKE NUTRITION TEAM GETS CREATIVE DURING RENOVATION

HEALTH AND WELLNESS STORE OPEN FOR BUSINESSAre you saving up for something big? Or are you ready to cash in some of those wellness points that you have already earned in the Move More Challenge?Either way, you will want to check out the new Online Health and Wellness Store. There is a wide variety of great prizes you can earn, simply by getting 90 minutes of additional activity into your week and collecting the points you earn as you meet that weekly goal.Keep in mind, the system needs time to input and update everyone’s data, so there is some “lag time” between the time you earn your points until they show up in your account. So be aware that your actual total points earned may not be added the moment you log your weekly minutes.Here’s how the points work. You received 10 points just for signing up. Then for each week you meet the minimum 90 minutes of activity, you will earn two more points per week. So after entering your Week 4 total, if you completed your 90 minutes each of the previous weeks, you should have 18 points accumulated (remember, they all may not show up until next week because of the “lag time”).You can find the store and check your point total at https://adena.storebloxcs.com/account/login.jsf . To log in, enter your Adena email address. Your password is your Employee ID number.

GET IT BACK!

The Move More Challenge is inspiring many people to step out of their comfort zone to try something new to add more activity into their daily lives.

Did you know you can earn money through Adena’s Get It Back program for qualifying exercise and nutrition classes?

Adena will reimburse you up to $100 a year for fitness classes, personal trainer costs, and Weight Watchers.

To qualify you must verify you participated in 80% or more of the program with a letter from your gym or instructor and also provide a receipt. You can pick up an application form in human resources.

In addition, Adena will reimburse you for one 5K entry per year. You must provide a receipt and the number from the event.

The Get it Back program is a great way to get started on a new path towards a healthier lifestyle.

For more information on the Get It Back program call extension 28757.

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JUNE 2015

ADENA MONITOR BRIEF

DESIGN | JENNIFER CAPLINGER, COMMUNICATION AND MARKETING SPECIALIST

Monday 7 Bean Medley – VeganHot Ham & Cheese PaniniSouthwest Chicken Salad

TuesdayChicken TortillaTurkey Cuban PaniniMandarin Spinach Salad

WednesdayMinestroneReuben PaniniGrilled Chicken & Pasta Salad

ThursdayPotato ChophouseChicken Pesto PaniniClassic Chef Salad

FridayBaja Chicken EnchiladaGrilled Turkey & Cheese PaniniChicken Caesar Salad

FRIENDLY REMINDERS CAFETERIA MENUJUNE 1 - JUNE 7THEME: MEXICAN BAR

MondayStuffed PortabellaRanch ChickenBroccoliCauliflower Macaroni & Cheese Green PeasOven Roasted Potatoes

TuesdayLemon Herb Tilapia Ham LoafGreen BeansFresh Green BeansAu Gratin PotatoesBaked Sweet Potato

WednesdaySmkd Pulled ChickenSmoked Sausage/ Fresh KrautBroccoliRsted Brussels SproutsLima BeansMashed Potatoes/Gravy

ThursdayTurkey BurgerFootlong w Coney SauceGreen BeansSugar Snap

PeasMacaroni & CheeseCauliflower

FridayChicken n Veg Stir FryBeer Battered FishEgg RollRiceMixed Vegetable BroccoliCauliflower

SaturdaySpaghetti and MeatballsGarlic ToastChicken StripsAu Gratin PotatoesCorn

SundayTurkey Pot RoastChicken n NoodlesItalian Blend

Join in on the fun on the Adena’s Move More Challenge Facebook page. Share you weekly successes, tips for finding time for activity, and share pictures of you r team!

LIKE US ON FACEBOOK!

Fair Volunteers NeededAdena is looking for volunteers for the Pickaway County Fair June 22-27.Shifts available are:– 10 a.m. – 2 p.m.– 2 – 6 p.m.– 6 – 10 p.m.If you are interested in volunteering please email Ruth Bache a [email protected]. Please include your availability and t-shirt size.

Register Now for the 2015 Scioto Valley Golf ClassicThe Adena Health Foundation is hosting the 2015 Scioto Valley Golf Classic at the Valley Vista Golf Course on Friday, June 26. Registration and the free driving range open at 8:30 a.m. with a shot gun start at 10.This year’s entry fee is $100 a person ($50 is a donation). For more information contact Ralph Metzger at (740) 779-8755 or go to 2015SVGC.EVENTBRITE.COM

MENU (SOUP AND SANDWICH) FOR CARING HANDS CAFÉ AND ADENA DAILY GRIND

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JUNE 2015

ADENA MONITOR BRIEF

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JUNE 2015

ADENA MONITOR BRIEF

Emergency Medicine Resident Didactics June 2, 2015 PACCAR

8:00 a.m. to 9:00 a.m.

THIS EVENT ALSO AVAILABLE VIA LIVE BROADCAST! Anatomy of a Medical Malpractice Claim and Potential Liability Presented by: Brant Poling, Attorney Andrew S. Good, Attorney Objectives:

Describe the required elements of a malpractice claim; Define the Affidavit of Merit and how it applies to the law in Ohio; Describe the types of breaches of Standard of Care.

Cost to Attend: $20 External/Virtual Participants

$20 AMG physicians & Allied Health (invoiced to AMG CME funds) Fee waived Adena/VA Healthcare professionals and Students/Residents

***REGISTER AT http://www.adena.org/meded BY SELECTING CALENDAR EVENT DATE TO

ACCESS ELECTRONIC REGISTRATION PORTAL*** ***REGISTERED VIRTUAL ATTENDEE: LIVE BROADCAST ACCESS AT:

http://connect.adena.org/CME enter as GUEST with full name.***

There is no conflict of interest to disclose by speakers, planners, or CME Committee members in regards to this event.

Adena Health System is accredited by the Ohio State Medical Association to provide continuing medical education for physicians. Adena Health System designates this live activity for up to a maximum of 1 AMA PRA Category 1 CreditTM. Adena Health System has requested that the AOA council on Continuing Medical Education approve this program for 1 credits of AOA Category 2-A CME credits. The Ohio State Board of Nursing accepts AMA PRA Category 1 Credit(s)TM for the purpose of re-licensure.

Series Objectives: - Critically evaluate the evidence supporting standard emergency treatment protocols. - Implement resuscitation protocols which have been identified to improve patient

outcomes. - Support practice patterns with current evidence based literature.