Progress NotesOctober 2015

News from Riverview Health Medical Staff Office

In This Issue

» A Note From Megan G. Wiles » Spotlight: Cameual Wright, MD, Creates

New Support Group » A Special Article: Houston, We Have

a Problem » News » Awards and Designations » Welcome New Physicians » 2015 Physician Service Awards » 2015 Medical Staff Leadership » 2015 Department Meetings » 2015 Committee Meetings » Physician Relations/Medical Staff Office

A Note From Megan G. WilesRiverview Health Foundation Executive Director

Philanthropic Partnerships

Dear Riverview Health physicians,

I am the new executive director of Riverview Health Foundation, and I look forward to meeting you. Philanthropy has been a big part of my life for several years. I’ve had the fortunate opportunity to serve as President of Legacy Fund, the community foundation for Hamilton County from 1998 to 2006. I’m excited to dive deeper in my new role to support Riverview Health and our community.

In 2016, the Foundation will be celebrating its 40th anniversary, and we’ll be highlighting the effects the Foundation has had on Riverview Health through the years. As one of our new initiatives, we’re introducing the term “philanthropic partnerships” to emphasize the need of partners to help the Foundation accomplish its mission and goals. Philanthropic partners can be individuals, corporations or community organizations that are committed to helping Riverview Health Foundation provide the resources needed to support Riverview Health in serving patients and the community. With support from philanthropic partners, we’ll be able to reach our goals to provide you with the equipment you need to provide high-quality care to your patients.

Current Goals and CampaignsLarge-bore MRIThe 2015-2016 fundraising focus of the Foundation is to raise $1 million for the purchase of a new large-bore MRI machine for Riverview Health. To date, we’ve raised more than $650,000 for this new machine, which will have such a positive effect on so many lives. For many, having an MRI can be a frightening experience, and as you know, it’s the goal of Riverview Health to provide the best patient outcomes and experiences for each and every person who comes through our doors. A large-bore MRI will enable our technicians and radiologists to do just that. It will

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also help provide faster scan times and comfortably accommodate patients who require more space or have claustrophobia.

Riverview Health AtriumIn addition to the large-bore MRI, we are also raising funds to help with the renovation of the Atrium on the second floor of Riverview Health. Our goal is to provide a quiet, comforting place where patients and their families can find peace. The renovation will provide a warm, yet airy atrium by improving the look and feel. Included in the renovations for the Atrium will be the relocation of our gift shop, which is operated by Riverview Health Auxiliary members, as well as the coffee shop—currently located next to the cafeteria.

We also plan to expand and relocate the Donor Recognition Wall in the atrium. We are planning an unveiling event in late February or early March to recognize all the generous Foundation donors throughout its inception and hope each of your names will be included.

Employee Volunteer CampaignThis year, one of our goals is to help purchase heated, massaging chemotherapy treatment chairs to provide as much comfort as possible for our patients who are receiving treatment. We also continue to raise money for our Employee Assistance Fund, which supports our fellow employees who are enduring financial hardships and need some help. A new prescription-assistance program is also being launched to help employees with financial gaps. Applications are available in the Human Resources office for employees in need.

While we’re excited to reach these milestones, they won’t be possible without help. I ask each of you to consider becoming a philanthropic partner with the Foundation by helping with one or all of the following:

» Consider making a gift to the Foundation. Your gift could be directed toward one of our current projects—the large-bore MRI, atrium renovation or employee volunteer campaign. Or you can support our endowment fund, which provides resources for Riverview Health in perpetuity so as the needs change from year-to-year, there are always funds available to help meet those needs.

» Share stories with us. Studies have shown that people will give when they are moved by a story. We want to hear your stories of patients whose lives have been affected by the care they received at Riverview Health. We will tell stories such as these through our Grateful Patient campaign and ask for your suggestions and support while keeping in mind all HIPAA provisions.

» Suggest corporate partners. Share names or contacts of vendors that we might approach to join us as a corporate philanthropic partner.

Thank you for all you do for the patients and staff at Riverview Health. Should you have any questions, a desire to learn more about our plans for 2016 and beyond, or you want to make a gift, please feel free to contact me at 317.776.7317 or mwiles@riverview.org.

Sincerely,

Megan G. Wiles

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Spotlight: Cameual Wright, MD, Creates New Pregnancy Support Group for Adolescents

Adolescent Pregnancy and Peer Support GroupWhen: First Monday of each month, 6-7 pmWhere: Dad’s Retreat (Lower level of Women’s Pavilion, Entrance 11)

Q: Tell us about the new support group.A: The Adolescent Pregnancy and Peer Support Group was created to address the unique needs of adolescent parents. With the help of pediatricians, obstetricians, nurses, psychologists and nutritionists, we plan to educate adolescent mothers and fathers on topics such as the physical changes during pregnancy, childbirth, interpersonal dynamics, proper nutrition, baby basics, CPR and first aid, and skills for everyday living. We also plan to interact with existing non-profit networks, social services, pantries and other charitable organizations in the community to assist patients in accessing these resources. The group setting will allow patients to collaborate with each other and create their own support system. Q: Why did you want to start this group?A: I’ve personally seen an increasing amount of adolescent mothers in my practice over the years. In addition to the changes that are experienced by all mothers, pregnant teens also face challenges related to family dynamics, peer interaction, financial pressures, self-esteem issues, body-image concerns and educational demands. I’ve found the difference between those people who thrive after a teen pregnancy and those who struggle in life is often directly linked to the amount of support they receive. While searching for avenues in the community to provide this support, I discovered there was an opportunity to create a unique space for the needs of these new families. Brandi Pedigo, RN, shares my vision, and together she and I are spearheading this effort. Q: Why is having a group like this important to our community?A: Adolescent pregnancy can be an overwhelming experience not only for patients, but also for significant others, families and the community at large. I’m confident that, with proper education and support, these patients can be effective parents and positive members of society. To achieve this, we need to develop an integrated network of resources that includes the healthcare community, public health resources, schools and other community institutions. It’s my hope that this group will be the first step toward that. Q: How can other physicians get involved?A: I’m grateful for the overwhelming support and positive feedback I’ve received thus far. We’re always open to new ideas or volunteers. Anyone is welcome to contact me for further information at cwright@riverview.org.

Cameual Wright, MD, OB/GYN Specialists of Indiana

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A Special Article: Houston, We Have a ProblemBy Derek Hansen, director of Chaplaincy Services

Recent research suggests the majority of patients and their surrogates have religious or spiritual values that go unaddressed during their hospital stay.

Let me first counter this problem by saying we have wonderful healthcare professionals who do address the holistic needs of our patients by addressing their religious and spiritual needs and concerns. Our admitting personnel obtain religious affiliation information to facilitate specific patient care needs as it relates to a person’s beliefs. We have Spiritual Care Volunteers who assess our patient’s religious affiliation and offer to contact their clergy for follow-up care and work to fulfill the patient’s basic spiritual requests (e.g., prayer, sacred text, referral to a chaplain). I’ve even heard of instances in which a nurse offered a comforting prayer to a patient who was requesting it. As chaplains, we receive referrals to visit patients for a variety of emotional and spiritual needs. Although we’re doing a decent job addressing these needs, I believe there’s room to improve and work toward excellence as we do in other areas of the organization.

What can we do to improve?

First, acknowledge the need. There’s an elephant in the room. It’s the religious and spiritual needs of our patients. We’re not caring for a disease or sickness—we’re caring for a person. This person’s pain and healing are intertwined with his or her constructs of the deeper concepts of meaning and purpose. Addressing the religious and spiritual needs of our patients helps relieve their stressors and anxieties. These stressors and anxieties can impede the physical healing process, but we can help by acknowledging and understanding this.

Second, address the need. Every staff member serving at Riverview Health must respect, value and be willing to be an advocate for the religious and spiritual concerns of our patients. This does not mean we have to be religious to do so. It means we’re willing to assist in facilitating what it is that brings spiritual meaning to the patient. Seventy percent of dying patients want their doctors to ask them about their religious beliefs.

Robert Klitzman, MD, director of the Masters in Bioethics program and a professor of Clinical Psychiatry at Columbia University writes, “Those who discuss these issues—whether they initially wanted to do so or not—are, however, more likely to rate their overall hospital care as excellent. Among advanced cancer patients, 88 percent feel religion is at least somewhat important, and 72 percent feel the medical system supported their spiritual needs only minimally or not at all.”

Third, time and/or training is not the issue. Dr. Klitzman also writes, “Sixty-two percent of physicians felt their training was inadequate in dealing with spiritual and religious needs. Seventy-three percent felt they did not have the time to address spiritual and religious needs.” It typically takes less than 15 seconds for a physician or nurse to address what may be most important to the patient or family members.

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Here’s a crash-course in spiritual care: The following script can be used whenspeaking with a patient.

“Some patients would like to have a discussion with someone here about spiritual issues; some patients wouldn’t. If you’d like to, we can arrange for someone to talk with you.” If he or she responds, “Yes,” simply put in a referral to the chaplain, or in emergent situations, have the chaplain on-call paged.

A mere 15 seconds can contribute to the excellent experience we strive for everypatient to have.

News

New Location for Patient Accounts Customer ServicePatient Accounts Customer Service team has officially moved. They are now located right off the atrium in the same hallway as Medical Records.

Riverview Health Rides: New Transportation Services for Patients We’ve partnered with Janus Developmental Services, operator of Hamilton County Express Public Transit, to offer a new transportation program serving patients of Riverview Health. Patients with appointments at any Riverview Health location are able to use Riverview Health Rides as an alternative to driving.

Hamilton County Express, an origin-to-destination public transportation service, has been serving the Hamilton County community since 2007 and has increased ridership each year. In 2014, the bus service provided 48,640 transportation trips throughout Hamilton County. More than 2,000 of those trips were to or from Riverview Health locations.

The Riverview Health Rides transportation service operates Monday through Friday between 7 am and 5 pm and Saturday from 7 am to 1 pm. One-way or round-trip rides are $5 in exact change. Monthly passes for $55 are available for unlimited rides (pending availability).

Janus Developmental Services, Inc. is celebrating 36 years of providing individuals with disabilities the opportunity to participate and contribute within the community. For more information about Riverview Health Rides, please contact Christy Campoll, Director of Transportation, at 317.773.8781 ext. 131. Individuals with medical appointments at a Riverview Health location who wish to schedule a ride can call 317.473.2323.

Awards and Designations

Riverview Health Remains Penalty-free on Readmission RatesWe’re pleased to announce we are, once again, penalty-free on our 30-day readmission rates for serious health conditions, according to the Centers for Medicare and Medicaid Services (CMS).

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The CMS hospital readmission rate evaluation is part of the Hospital Readmissions Reduction Program started in 2012, which penalizes hospitals for excess readmissions. The program was designed to improve care and optimize the healthcare system.

According to a recent report from Kaiser Health News, “The majority of the nation’s hospitals are being penalized by Medicare for having patients frequently return within a month of discharge—this time losing a combined $420 million, government records show. Since the fines began, national readmission rates have dropped, but roughly one of every five Medicare patients sent to the hospital ends up returning within a month.”

Welcome New Physicians

2015 Physician Service Awards

Congratulations to all the physicians celebrating an anniversary at Riverview Health this year! We enjoyed celebrating you during the annual Physician Service Awards on Oct. 8.

Michael Baker, DPM—Podiatric SurgeryFeriyl Bhaijee, MD—PathologyAmy Corrigan, DO—Family PracticeNabeel Farooqui, MD—Allergy & AsthmaHeather Gates, NP—Fishers Pediatrics

Megan Hawkins, NP—WorkmedSwapna Katipally, MD—NephrologyChris Lowery, DO—General SurgeryBushra Rafeeq, MD—NephrologyKatherine Voss, MD—Urology

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2015 Medical Staff Department Meetings

Riverview Health Medical Staff bylaws identify six departments: Child/Maternal Health (Pediatrics and Obstetrics), Emergency Medicine, Family Practice, Internal Medicine, Hospital Services (Pathology, Radiology, Radiation Oncology) and Surgery. Physicians are assigned to the department that best reflects the mode of professional practice. Additional department assignments are made with respective department approval. Only active-voting staff members may vote, but both active and provisional staffs have meeting attendance requirements.

The bylaws of the medical staff require departments to meet no less than twice yearly. Please keep this information or forward to your office manager for scheduling purposes.

Child/Maternal HealthTuesday, 7 amBoard Room11/10/2015

General Medical StaffTuesday, 6:30 pmKrieg DeVault Conference Rm.11/10/2015

Emergency MedicineTuesday, 7 amPhysician’s Library11/03/2015

Internal MedicineTuesday, 5:30 pmBoard Room11/10/2015

Family PracticeTuesday, 5:30 pmPhysician’s Library11/10/2015

SurgeryTuesday, 5:30 pmClassroom A & B11/10/2015

2015 Medical Staff Leadership

Family PracticeJeremy Fisk, MD - ChairBryan Sharpe, MD - Vice Chair

Hospital ServicesCharles Mulry, MD - ChairThomas Dugan, MD - Vice Chair

Internal MedicineAhmad Saltagi, MD - ChairRaj Nagaraj, MD - Vice Chair

SurgeryBrian Keys, DO - ChairJeffrey Ginther, MD - Vice Chair

PresidentCameual Wright, MD

Vice PresidentNorman Mindrebo, MD

Secretary/TreasurerJennifer Zyromski, MD

Child Maternal HealthKathy Miller, MD - ChairKatheryn Moreira, MD - Vice Chair

EmergencyJohn Howard, MD - ChairLindsay Tanner, MD - Vice Chair

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2015 Medical Staff Committee Meetings

In compliance with the bylaws of the medical staff: Article XI: 11.14, Duration of Committee Membership, Medical Staff members shall be assigned to committees by the President of the Medical Staff, except as specified elsewhere in the bylaws. The assignments will be based on committee need and staff members’ interest or expertise.

Committee meetings are scheduled with frequency as defined in the bylaws. Meeting schedules are listed as follows for 2015. In some instances, meeting schedules for the entire year were unavailable. You will be notified by meeting calendar/memorandum the week before each meeting. Likewise, you will be informed of time/room/day changes or cancellations as soon as the information is known.

Please keep this information or forward to your office manager for scheduling purposes.

Other Committees: » Physician Education, Physician’s Assistance, Institutional Review, Ethics and Bylaws

committees—meet at least once annually, dates to be announced » Laser Safety—meets ad hoc » Joint Conference—meets quarterly, dates to be announced

Credentials Wednesday, 7 amBoard Room11/04/201512/02/2015

Special Care Tuesday, 7 am5 South Conference Rm.12/08/2015

Medical Executive Wednesday, 7 amBoard Room11/18/201512/09/2015

Pharmacy & Therapeutics Tuesday, 7 am5 South Conference Rm.11/17/2015

Quality Review & MR/UR Monday, 6 pmPhysician’s Library11/02/2015

Infection PreventionFriday, 7:30 am5 South Conference Rm. 11/20/2015

Tissue & TransfusionFriday, 7 amBoard Room12/11/2015

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Physician Relations/Medical Staff Office Contact List

Heather Caudill, Manager317.776.7190, hcaudill@riverview.org

Jenny Kronenberg, Payor Credentialing Specialist317.776.7199, jkronenberg@riverview.org

Leslie VanHoogstraat, Credentialing Specialist 317.776.7137, lvanhoogstraat@riverview.org

Stephanie Reasoner, Administrative Assistant317.776.7153, sreasoner@riverview.org

If you have any suggestions or items for future issues of Progress Notes that you feel may be of interest to your colleagues, please contact Heather Caudill, hcaudill@riverview.org.

From left to right: Stephanie Reasoner, Jenny Kronenberg, Heather Caudill, Leslie VanHoogstraat

Free Car WashPrint this out and bring it to the Medical Staff Office to claim your car wash!