LEHleHVAILEYHOSPITAL

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• IN THIS ISSUE1 • PCC Success3 • Bulletin Board4 • Physicians Receive

Faculty Ranks5 • Family Practice

Residency Approved6 • Career Corner7 • Benefits Update8 • Service Anniversaries

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Vol. 8, No. 15 July 28, 1995

Patient Centered Care Meeting with SuccessThe implementation of care deliverymodels, based on Patient Centered Careprinciples, is proceeding with positive resultsat Lehigh Valley Hospital. 7A was the firstof five prototype medical-surgical units to"go live" in June followed by 7B and 7C inJuly. Early feedback has been encouragingwith patients, physicians and staff reportinga high degree of satisfaction. Here is asampling of what they had to say:

"Given a choice, the majority of my colleaguesand I would not go back to our old caredelivery model. We truly love our new roles,our new unit facilities, and our redesignedprocesses." Deb Peden, R.N, Patient CareCoordinator, 7A.

"I was employed within Food Services for17 years. The change to my new role hasbeen an extremely positive experience. Iespecially enjoy being consistently assignedto one specific team of 4- 5 rooms andgetting to know those patients. Since I amconstantly in and out of the patient rooms, Iam able to keep them immaculate. Calllights are answered immediately by allmembers of the team. As the team memberprimarily responsible for patient transports,I complete the transport immediately aftergetting the patient ready, and then, upontheir return to the unit, I take them directlyto their room-the patient does not wait."Gloria Auve, Support Partner, 7B.

(please turn topage 2)

All of the prototype units feature patient servers which store allequipment and supplies needed for patient care. Pictured at thepatient servers (in photo at left) are Albert Dommel, technical part-ner, and Andrea Allmer, R.N., 7A. Opposite is Harry Shelhamer,technical partner, also on 7A.

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Patient Centered Care (from page 1)

"Previously, as a unit clerk, I was constantlydistracted and, as a result, completed mytasks in a very fragmented way. The role ofAdministrative Partner, along with our newprocesses and facility changes, allows me tofeel much more focused and useful than theold way of doing things." Gill Amey,Administrative Partner, 7th Floor.

"Support Partners were wonderful. Speedytransfers for procedures off the unit. I wouldrate the nurses a 10. I am certain I was onthe best unit in the hospital. The key: team-work! Seldom do you see people work thatwell together and always pleasant. My nursingcare could not have been better. The sensitivity

Howard Cook. unit-based pharmacist. confers withcolleagues in conference area on 7A.

of the staff really impressed me. They werevery caring." Patient, 4B.

Networking Success StoriesRecently, 13 staff nurses from the medical-surgical units and PCCU visited Rush Pres-byterian-St. Luke's Medical Center and theUniversity of Chicago Hospitals to viewfirsthand their implementation of PatientCentered Care. Staff members at RushPresbyterian-St. Luke's Medical Centershared the following: "There is very little staffturnover. Staff admit to loving their positions.They report increased self esteem, moreoptions and preparation for career advance-ment, autonomy and additional opportuni-ties for creativity and innovation.

Staff members at the University of ChicagoHospitals admitted that they had initialconcerns about the delegation of tasks bylicensed personnel to unlicensed personnel.In their words: "RNs must let go of taskswhich do not require an RN license toperform. Rather, RNs must concentrate ona new, expanded role to maximize profes-sional skills and abilities. You will find that atrust develops among licensed and unlicensedteam members and the concern about dele-gation is truly not an issue."

Hospice Sponsoring Camp for Bereaved ChildrenNearly 100 children and volunteers willattend the second annual children'sbereavement camp sponsored by LehighValley Hospice. The day camp will be heldMonday, August 7 through Thursday,August 10 at Birchwood Acres Picnic Grovein Bath.

The purpose of the camp, named Camp 4C,is to promote caring, coping, confidence andcourage in children following the death of aloved one. Lehigh Valley Hospice's supportservices staff, which includes social workers,clergy and volunteers, developed the campafter recognizing the need for specialservices to help children and teenagers copewith such a personal tragedy.

"Unlike adults, children and teens cannotturn to their peers for support during such atime because their friends may not haveexperienced the death of a loved one and, asa result, may find it difficult to relate tothem," says Tim Hash, social worker. "Thegreat thing about Camp 4C is that kids canmake friends they can talk to because theyhave experienced the same emotions."

Camp 4C is provided free of charge.Campers participate in activities designed tobe fun as well as to allow them the opportu-nity to explore their feelings related to theloss of a loved one. For more informationabout Camp 4C, please contact Tim Hash atext. 7400.

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Bulletin BoardBlood Donors NeededMiller Memorial Blood Center has scheduleda bloodmobile for Thursday, August 10from 7:30-11:30 am in Classrooms 2 & 3and the President's Room, CC&I-78.Because the number of donors decreasesduring the summer months, employeeparticipation can help prevent a criticalblood shortage. To register, please sign theregistration form posted in your departmentor contact the Employee Health Office atext. 8869 to schedule an appointment.

Benefit Concert PlannedThe Laudate Singers, a young, local groupof vocalists and musicians, will present abenefit concert for the John and DorothyMorgan Cancer Center on August 9 at 7:30 pmat Asbury Methodist Church, WalbertAvenue and Springhouse Road, Allentown.The group boasts an extensive repertoire,including sacred music, standards and showtunes. No tickets are needed for the concert,however, donations will be accepted at thedoor. Following the performance, membersof the audience will be invited to a receptionin the church hall.

Tickets Going FastTickets are still available for the RecreationCommittee's clam bake on Aug. 11 from5:30 - 11:30 pm at the Willow Tree Grove,Orefield. The event promises to be big onfun with musical entertainment provided bya disc jockey from 7-11 pm and games ofhorseshoes, volleyball and basketball on tapfor some friendly competition amongco-workers. Cost per person is $11.50 whichincludes choice of boneless barbecuedchicken or New York strip steak, 18 clams,baked potato, corn on the cob, pickledcabbage, ice cream and refreshments. Checksare payable to LVH Recreation Committeeand must be turned in by August 4 to SharonBartz, Trauma Program, CC&I-78. Be sureto indicate your choice of entree with yourpayment.

Preferred Provider SelectedMorrison-Crothall of Media, Pa. has beenselected as the preferred supplier for house-keeping and related services, effectiveSunday, August 13. The company wasselected based on its management, leadershipand cost containment abilities in addition toits support of the hospital's Patient CenteredCare philosophy. Until Morrison-Crothallassumes responsibility for housekeepingservices, please continue your cooperationwith Alan Boley and the ServiceMaster team.

If you have any immediate questions, pleasecontact Sue Toth, ext. 8374, or Carol Mutch-ler, ext. 1208.

Relay For Life A SuccessThe American Cancer Society's recent Relayfor Life realized more than $25,000 in proceeds.Contributing to the success of the event wasLehigh Valley Hospital's relay team whichraised more than $1,000 for the event.

I'm Worth It! WmnersThe Health Promotion and Disease Preven-tion Department has awarded prizes to thefollowing employees for their participationin the "I'm Worth It" program.

Grand Prize- $300 gift certificate for AAAtrip of choiceStacy Fisher, OR, CCLisa Gogel, Outpatient Pediatrics, 17

2nd Place- $100 gift certificate from BESTShuli Oh, Blood Bank, CCPat Shelly, 6S, 17

3rd Place- $75 gift certificate for LehighValley MallDeb Sterner, Infection Control, CCJudy Szep, Pediatrics Administration, 17

4th Place- $50 gift certificate for AcmeDiane Hartzell, HLA Lab, CCAnnette Stefko, 4S, 17

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Physicians Receive Faculty RanksMore than 300 physicians on Lehigh ValleyHospital's medical staff have received facultyappointments at Penn State University'sHershey Medical School.

The appointments recognize the physiciansfor their role in teaching medical studentsand resident physicians, caring for patientsand, frequently, conducting medical research.

"These dedicated generalist and specialistphysicians are helping to prepare the doctorsof the future for the Lehigh Valley andcommunities across the country," said Elliot]. Sussman, M.D., president and CEO ofLehigh Valley Hospital. "Our role as educa-tors challenges us to remain on the cuttingedge of clinical developments to ensure thattomorrow's physicians are well-trained."

As one of the oldest teaching hospitals inPennsylvania and the region's only memberof the nation's Council of Teaching Hospitals,Lehigh Valley Hospital has long been com-mitted to professional education and higherlearning. At any time, 85 resident physiciansand 50 medical students are in training atthe hospital.

Because of the hospital's medical educationpartnership with Penn State, Robert].Laskowski, M.D, Lehigh Valley Hospital'ssenior vice president for clinical services, hasbeen named assistant dean at Penn State.Earlier this year, C. McCollister Evarts, M.D.,dean of Penn State's College of Medicine,was named a Lehigh Valley Hospital trustee,the first time a medical school dean has beenmade a board member of an affiliated teach-ing hospital.

The following clinical chairs at Lehigh ValleyHospital have been made associate chairs ofPenn State departments:

John P. Fitzgibbons, M.D., medicine;Herbert C. Hoover, M.D., surgery; MichaelW Kaufmann, M.D., psychiatry; AlphonseE. Maffeo, M.D., anesthesia; Mark A.Osborne, M.D.,radiology; Victor R. Risch,

M.D., clinical radiology; andJohn D. VanBrakle, M.D., pediatrics.

Administrative and clinical leaders receivingfaculty titles include:

Stephen K. Klasko, M.D., interim chair ofOB/GYN, named associate professor ofclinical obstetrics and gynecology; RonaldA. Lutz, M.D., interim chair of emergencymedicine, named clinical associate professorof emergency medicine; William L. Miller,M.D., vice chair of family practice, namedassociate professor of family and communitymedicine; Gary G. Nicholas, M.D., programdirector of general surgery residency, namedprofessor of surgery; John]. Shane, M.D.,chair of pathology, named clinical professorof pathology; Richard H. Snyder, M.D., vicechair of medicine, named associate professorof clinical medicine; Elliot]. Sussman, M.D.,president and CEO, named professor ofmedicine; and Headley S. White Jr., M.D.,chairman of family practice, named clinicalassociate professor of family and communitymedicine.

Academic rank reflects a physician's expertise;local, regional and national reputation; andyears of experience in patient care, medicaleducation and research, the major componentsof the medical academic world.

Faculty ranks include assistant professor,associate professor and professor. A title witha prefix, such as clinical professor of familypractice, indicates major involvement inpatient care and teaching.

A suffixed title, like professor of clinicalfamily practice, signifies evidence of scholarlyachievement, in addition to patient care andteaching.

An unmodified rank, such as professor offamily practice, indicates involvement inscholarly patient care-related activitiesincluding clinical research, teaching andappropriate publications.

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Famity Practice Residency ApprovedLehigh Valley Hospital has received approvalto train family practice physicians beginninginJuly 1996. The hospital currently trains85 new doctors--called residents-each yearin internal medicine; general, colon andrectal, and plastic surgery; obstetrics andgynecology; and dentistry. Also, more than500 medical students each receive part oftheir education at the hospital.

The three-year family practice residencycurriculum will focus on providing primary,family-oriented care to patients at the LehighValley Family Health Center, 1730 Chew St.,Allentown, as well as in the hospital and inthe private offices of generalist and specialistphysicians who serve as faculty. Six residentswill be trained per year in the program, whichwill collaborate on research and facultydevelopment with the department of familyand community medicine at Penn State'sCollege of Medicine at the Milton S. HersheyMedical Center, Hershey.

Residents will learn to treat common acuteand chronic illnesses, to assist women infamily-centered, low-risk birthing and to

promote health in newborns, children,adolescents, adults and seniors.

Residents will also learn from non-physicianfaculty including a family therapist, socialworker, clinical nutritionist, family nursepractitioners, clinical pharmacist, healtheducator and community and health outcomesresearcher.

"Family physicians are patient experts,prepared to help each patient to receive thebest health care, regardless of age, gender orhealth need," said William Miller, M.D.,vice chair, family practice, and programdirector, family practice residency. "Theresidency program will emphasize a familyand community orientation. We plan torecruit some of the nation's best medicalstudents to our program, many who, wehope, will ultimately practice in ourcommunity."

In addition to Dr. Miller, family practice resi-dency staff members include Headley S. WhiteJr., M.D., chairman; Brian Stello, M.D., prac-tice director; Barbara A Salvadore, R.N.,M.S.N., administrator; and Ginger A Holko,R.N., B.S.N., practice manager.

HR Development InformationHospital OrientationThe next hospital orientation will begin at8 am at CC&I -78 on Monday, August 7. Anoptional tour of both sites will be held onWednesday, August 9 beginning at 1 pm at17th & Chew and 2:30 pm at CC&I-78.Reservations are required for the tour. Toregister, call ext. 1211.

CPR CertificationCPR Certification will be held in two partsand attendance is required at both. Part Iwill be held Wednesday, Sept. 6 from 9 amto noon in Room 900, School of Nursing,17th & Chew. Part II will be held Wednesday,

Sept. 13 from 9 am to noon, same location.An additional set of classes will be held onTuesday, Aug. 8 and Wednesday, Aug. 16. Toregister, complete and return the appropriateform located on the monthly HRD calendar,outside Room 900, School of Nursing, 17th& Chew, and the AV Services area, CC&I-78.

CPR RecertificationCPR Recertification will be held in the 24-hourperiod beginning at lOam on Wednesday,August 30 in the Nursing Learning Lab,2nd floor, GSB, CC & 1-78.

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Career CornerSometimes, jobs have a way of turning intocareers. But, it's more a matter of motivationthan luck, of pursuing opportunities insteadof letting them slip away.

MargaretJessup was job-hunting when shewas hired by the hospital as a paging operatorin 1977. Today, she serves as technical direc-tor of the Neurophysiology Lab.

In between, Jessup became a CNS unitclerk, received on-the-job training tobecome an EEG technician and, with a lotof encouragement from her director, tookcourses to become the first registered EEGtechnician in the Lehigh Valley.

"The support I received from HumanResources and a former supervisor wasinvaluable to me," Jessup says of her career

development. "They helped to guide mealong the way."

Because continuing education has played aprominent role in her career, Jessup hastaken advantage of the hospital's tuitionreimbursement program.

"Tuition reimbursement has made it possiblefor me to be where I am today," she says.Currently, Jessup is pursuing a bachelor'sdegree in management and psychologythrough Allentown College's Accessprogram. It's been a long haul, but she hopesto graduate within the next two years.

"For any employee who has a goal and reallywants to pursue it, Lehigh Valley Hospitalprovides plenty of opportunities," Jessupsays. "It's worth putting forth the effort.People can accomplish so much if they aremotivated to do a little more."

More About Tuition Reimbursement ....Tuition reimbursement is a valuable benefitfor Lehigh Valley Health Network, Inc.personnel. More than 500 employeesnetwork-wide use this benefit each year. Anyemployee interested in applying for tuitionreimbursement should be aware of thefollowing guidelines:

• Employees are no longer eligible for pre-payment for courses that started afterJanuary 1,1995.

• Employees must complete the front andback of the tuition reimbursement formand have it signed by their departmenthead before the course starts.

• The course must be college-credited andjob-related or provide preparation foranother job within the network to whichtransfer or promotion might be reason-ably expected.

• WIthin 90 days of completion of thecourse, the following will be required forreimbursement:

• ORIGINAL transcript with a grade of"C" or better (copies will not be accepted,you are responsible for making your owncopies).

• School billing statement indicating cost oftuition (no canceled checks or paymentreceipts will be accepted).

• For each calendar year in which thecourse(s) begins, the amount of tuitionreimbursement is limited to $2,400 forfull-time employees and $1,200 for regularpart-time employees.

• Only tuition costs are reimbursed.Employees are responsible for entrance,textbooks, equipment and travel fees.

All completed forms should be sent to theHuman Resources Department at CC&I-78.If you have any questions, please call JanetMiller at ext. 8843.

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Benefits UpdateBuilding a Mutual Fund PortfolioBuilding a diversified portfolio mix matchedto an investor's circumstances and goals hasthe potential to provide for a more secureretirement, according to Tacy Macgill-Biggsof Fidelity Investments.

"Many investors adjust the content of theirportfolio as they go through life," she says ofthe process of increasing or decreasing theamounts of investments designed to achievegrowth or preserve capital while providingincome. "Your investments should alwaysreflect an overall level of risk that you feelcomfortable with," she adds.

Of the models described here, Macgill-Biggs notes that they are examples of hypo-thetical asset allocation and should not beconsidered investment advice. For moreinformation about Fidelity mutual funds,including expenses and charges, call1-800-405-6084.

• Aggressive Growth Model (100% Equity)

This portfolio is made up entirely ofgrowth or equity mutual funds, providingthe greatest opportunity for growth overtime. As a result of this focus, the value ofthe account is likely to fluctuate widely,especially over the short term.

This portfolio is appropriate only forthose investors who can tolerate substan-tial fluctuation and who have sufficienttime (at least 12 years) to ride out thesefluctuations.

• Wealth-Building Model

This portfolio is invested primarily ingrowth or equity investments, combinedwith a secondary component in bonds anda small amount in short-term invest-ments. The substantial investment inequities may enable the account to appre-ciate over time and provide protectionagainst inflation. As a result of thisemphasis on equities, the value of theaccount is likely to fluctuate substantially,although the bond components shouldmoderate these fluctuations.

This portfolio is generally appropriate forthose investors who can tolerate substan-tial swings in value and who have suffi-

cient time (at least 7 years) to ride outthese fluctuations.

• Moderate Growth ModelThis portfolio is balanced betweengrowth/equity investments and bonds,with a component in short-term invest-ments to provide stability and liquidity.The investment in equities may enablethe account to appreciate over time andprovide some protection against inflation.As a result of the equities/growth compo-nent, the value of the account is likely tofluctuate somewhat, although the bondand short-term components shouldsubstantially moderate these fluctuations.This portfolio is generally appropriate forthose investors who cannot toleratesubstantial swings in value and who typi-cally have a 3-7 year investment horizon.

• Capital PreservationThis portfolio includes a primary compo-nent of short-term investments to provideliquidity, while maintaining a secondarycomponent in bonds to provide somewhathigher returns. The small investment inequities provides partial protectionagainst inflation. Although the majorcomponent of the model is short-terminvestments, the portion in bonds andequities will cause some fluctuation invalue.Because of the conservative nature of theportfolio, it is generally appropriate forthose investors who cannot tolerateswings in value or who expect to with-draw a significant portion in the next 2-3years.

• Current Income (100% Short-Term)This portfolio invests exclusively in short-term or money market investments toprovide maximum liquidity. As a result,the model is generally not protectedagainst inflation and potential investorsshould be encouraged not to consider thismodel for long-term investments.Because of the conservative nature of theportfolio, it is generally appropriate forthose investors who cannot tolerateswings in value and who expect to with-draw a significant portion in the nearterm (2 years).

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Service Anniversaries:August1995••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••Human Resources congratulates thefollowing employees on their service anniversaries and thanks them

for their continuing service to Lehigh ValleyHospital .• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •Thirty Years of ServiceAugust 31 Margaret Siff/Clinical Nutrition Serv

Twenty Five Years of ServiceAugust 10 John Del Villaggio/Resp Therapy-CAugust 17 Catherine Rhudy/Amb-SurgUnit

Twenty Years of ServiceAugust 4 Debby Chaban/Medical RecordsAugust 4 Lois Zellner/5A Med-Surg Unit

Fifteen Years of ServiceAugust 1 Carol Crowley/Mauch Chunk Med CtrAugust 18 Marilyn Guidi/Shock/Trauma UnitAugust 18 Darryl Laub/SecurityAugust 19 Donna StrobVCAT Scanning-CAugust 20 Helen Katz/Admitting OfficeAugust 23 Jacquelyn PuschockiGYN Repro EndolL&DAugust 25 Maryann Bock/Prog Coronary Care Unit

Ten Years of ServiceAugust 1 Brenda Hart/Heart StationAug st 5 Addie Bechtel/Medical RecordsAugust 5 Kim BoandV4S Med-Surg UnitAugust 5 Sandra Dinnie/Amb-Surg Unit-ORAugust 5 Deborah Gilbert/Home Care-Skilled NursingAugust 5 Cynthia Kocsis/6S Adult Psych UnitAugust 5 Joanne KoffeVOR-CAugust 5 Sherry Nikisher/Emergency Serv-CAugust 5 Carolyn Peters/3C Staging/Mon UnitAugust 5 Gregory Ross/lnfo Serv DevAugust 12 Sharon Diefenderfer/4A Med-Surg UnitAugust 12 Coreen Hartman/Lab-Info ServAugust 19 Maria Buskirk/OR-CAugust 19 Susan Eckhart/5B Med-Surg UnitAugust 19 Amy Hamilton/General Serv-CAugust 19 Darla Molnar/Biomed PhotographyAugust 21 Cassaundra Maxwell/patient AccountingAugust 22 . Rachel Allen/Ctr For Womens MedicineAugust 26 Patricia Consorti/PharmacyAugust 26 Ann Fatzinger/HR AdminAugust 26 Doreen Green/Transitional Open HeartAugust 26 Rosalie Schwambach/V ascular LabAugust 26 Pamela Snyder/Plant EngineeringAugust 27 Kimberly Braadt/7C M&S Nephr Unit

Five Years of ServiceAugust 1August 6August 6August 6August 6August 6August 6August 6August 6August 6August 6August 8August 13August 20August 20August 20August 20August 20August 20August 20August 20August 20August 22August 22August 27August 27August 27August 27August 27

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Kenneth Zemanek/Guidance ProgramCheryl Barr/Special Care UnitKimberly Bartman/4A Med-Surg UnitMarianne Benioff/Vascular LabKatherine Devaney/Neonatal ICUAnn Hoben/L V Hospice-TamaquaNancy Jerome/4A Med-Surg UnitChristine Krotzer/PharmacyDorothy Pecka/GICUGail Rennie/Outpatient PedsMelissa Sutliff/Ok-CWilliam Trexler/Nursing Float PoolBenjamin Santiago/Health Spec Med ProdGeri Berasley/Outpatient PedsLisa Bowers/OR-CSandra Chasser/Open Heart UnitKelly Corman/4C Med-Surg UnitArdyth Gadille/Trans Open HeartFrederick GrieseV5A Med-Surg UnitScott Henninger/Home Care-Hm Hlth AideMichele Ortiz/4B Med-Surg UnitJohn Talmadge/Emergency Serv AWilliam Evans/Food Serv ASherrye Lukow/Stores Proc DistrSolvey Balent/Clinical Nutrition ServEdgardo Diaz/General Serv-CSherry Kibler/Spectrum AdminRaymond Pagenhardt/MedevacEric Shannon/High Risk Perinatal Unit