Embed Size (px)
Citation preview
SEPTEMBER 2016
A publication for the Anna Jaques Hospital community
N e w s b r e a k111
Richard Maki, Chief Nursing Officer; Jeff Hadley, RN; Katie LeBlanc, Director of Medical/Surgical Services; and Mark Goldstein, President & CEO.
Congratulations to our September Shining Star, Jeff Hadley, RN, of
the Institution for Savings Inpatient Unit. Jeff has received positive
feedback from many patients, one patient specifically describing him
as “incredibly kind.”
Q & A with the PresidentMOX BOX
Q. I have seen a lot of unknown abbrevIatIons when doIng medIcal record revIews that often looks lIke “text” language. can we have a lIst of approved abbrevIatIons to use In medIcal records? I know we have a “do not use abbrevIatIon” polIcy, but thIs would be dIfferent and useful.
A. This was pointed out during the Joint Commission survey and addressed during a Patient Safety meeting this September. A task force has been formed and will use a well-referenced resource book to determine approved abbreviations for the hospital. More details will follow as the task force gets to work. Updates will be shared via the Patient Safety Newsletter, during shift huddles or department meetings. Contact your director, Sandra Levin, Chief Quality Officer, or Nancy Ryll, Patient Safety Coordinator, with questions. (See pg. 6 for more details on “Do Not Use Abbreviations”).
Q. there Is a water ban In newburyport and I wasn’t sure If you knew that the sprInklers are stIll waterIng the lawns here at the hospItal at nIght. Is thIs okay?
A. AJH began complying with the water ban as soon as we were informed. Thank you for bringing this to our attention.
Halloween at AJHHalloween at Anna Jaques continues to get better and
better each year. In 2014, witches and warlocks welcomed trick-or-treaters. In 2015, pirates took over the front lawn.
What will it be this year? See pg. 8 for more details and plan your first stop on October 31st to be at AJH!
Halloween 2015Halloween 2014
2 NEWSBREAK SEPTEMBER 2016
MARK’S MESSAGEOn behalf of the Board of Trustees and senior management, I want to express our gratitude for the support that followed the hospital’s difficult decision about how to absorb an unexpected $3 million loss of revenue by the Center for Medicare Services in FY17. This plan involves using prior year reserves to offset $1 million, establishing a break-even budget to cover another $1 million, and benefit reductions primarily in Earned Time accrual and pension plans to cover the remaining $1 million.
As I said in my letter to staff, nothing about this is easy or fair. But our plan to mitigate this one-time revenue loss has been based on what we believe is in the best interest of the hospital, our 1,200+ employees, and the communities we serve by maintaining current programs and services, current staffing levels (avoiding a potential layoff of 25-35 jobs), and current salaries and annual increases for all employees.
If some employees were angry about the cuts we’ve made, I would understand. I am angry. Someone else’s math error is directly impacting our staff, and that’s just not right. But instead of anger, many employees have expressed their support, understanding, and appreciation for our approach of putting services, jobs, and salaries first. I personally want to thank every employee and community member who has stopped me in the hallway, sent emails, and shared their feedback during Town Hall Meetings. Thank you for rallying behind the hospital and the tough decisions we’ve made under these unique circumstances.
As FY16 comes to a close and we embark on FY17, we know that there are challenges ahead but I’d like to reflect on the incredible year we’ve had in FY16. Our momentum will only continue to strengthen as we execute our strategic plan to grow volume and revenue. Major accomplishments include:• Welcomedelevennewprimarycarephysiciansandexpandedourco-brandedaffiliationwithBethIsrael Deaconess HealthCare; • Introducedstate-of-the-artMako™robotickneeandhipsurgery;• Nowoffer3DMammographyinNewburyport,HaverhillandAmesbury;• AddednewspecialtiesincludingtheThoracicClinic,PulmonaryRehabilitation,InterventionalRadiology, and reintroduced Gynecologic Oncology;• Outpatientgrowthhitanall-timehighat11%;• Namedoneofthe150BestPlacestoWorkinHealthCarebyBecker’sHealthcareReview;• BrokegroundinHaverhilltobuilda30,000-square-footmedicalofficecomplex.
I am proud of what we have accomplished in the last year and I am fully confident that we will continue to grow and thrive as we face these financial challenges together and remain an independent, vibrant organization.
PATIENT KUDOS“Thank you to the amazing staff in the Birth Center. I gave birth to a healthy, happy boy and the nurses were phenomenal. They made sure my baby and I were taken care of. This is my second child born there and I am so grateful. Thank you for another incredible experience.”
“I was fast tracked for an emergency surgery at Anna Jaques and had really great care, not one complaint….Nurses are nothing short of amazing, and nursing is the most caring profession out there. You all rock and I salute you!”
“I was admitted to Anna Jaques through the Emergency Department having broken my hip. Everything about my stay was just incredible. They were wonderfully supportive of me and provided me with incredible care - before and after the surgery.”
NEWSBREAK SEPTEMBER 2016 3
Anna Jaques has partnered with Shields Health Care Group to offer Positron Emission Tomography/Computed Tomography (PET/CT) scans to give patients the most advanced medical imaging technique available today. This offers our community a powerful tool for diagnosing and staging cancer, evaluating coronary artery disease, and differentiating Alzheimer’s disease from other forms of dementia.
PET/CT scans enable physicians to detect the presence of disease earlier and pinpoint its location with much greater accuracy than PET or CT scans alone.
The PET/CT technology is a mobile system that will be on-site at the hospital every Tuesday following a survey by the Department of Public Health on October 5th.
INTRODUCING SHIELDS PET/CT AT AJH
MARK GOLDSTEIN APPOINTED BY GOVERNOR BAKER TO SPECIAL COMMISSION TO ADDRESS PRICE DISPARITY
On September 15th, physicians and hospital leaders gathered for the annual Medical Staff Meeting and honored retiring physicians Joe Hull, MD, and H. Thompson Mann, MD. Both longtime physicians were named honorary medical staff members for their years of dedicated service to Anna Jaques and our community.
Dr. Hull has 30+ years of experience practicing emergency medicine at Anna Jaques following ten years in internal medicine and nephrology. He served in many leadership roles including President of Greater Newburyport Emergency Physicians, Inc., former President of the AJH Medical Staff, acted as a hospital representative to the Board of Trustees, served as chairman of the Credentials Committee, and was a member of the Trauma Executive and Bylaws
Committees.
Dr. Mann is a board-certified internist who joined Anna Jaques in 2003 as a Hospitalist. Dr. Mann has been a leader in the Hospitalist program providing quality patient care and collaborating with the hospital, medical and nursing staff. Dr. Mann is an Olympic swimmer and former world record-holder and competed at the 1964 Summer Olympics in Tokyo, Japan, where he received a gold medal.
The meeting also welcomed Kenneth Sands, MD, MPH, Chief Quality Officer and Senior Vice President, Health Care Quality at Beth Israel Deaconess Medical Center, who presented the CME, “High Reliability and Humanism: Can they Coexist?”
AJH MEDICAL STAFF ANNUAL MEETING
David Swierzewski, MD, President of the Medical Staff (left), presented Honorary Medical Staff awards to retiring physicians Joe Hull, MD (right), and H. Thompson Mann, MD (not in attendance).
Governor Charlie Baker’s Administration has formed a 23-member Special Commission to Review Variation in Prices among Providers which is charged with reviewing the various factors contributing to price variation in physician, hospital, diagnostic testing and ancillary services. This commission is comprised of health and human service leaders, Attorney General Maura Healey, legislative appointees, insurers, health economists, lawmakers, state officials and hospital representatives including AJH President & CEO Mark Goldstein.
The commission, created as part of a law passed this summer to avoid a ballot question fight over pricing, has until March 2017 to file its recommendations and any draft legislation, which members described as a tight timeline to reach consensus on a complex issue of Health Care Price Variation Measure.
“I am honored to be nominated by the Governor and be part of the Price Variation Commission representing community hospitals. The commission’s mission and purpose is to make recommendations to the legislature to address price variation. I’m hopeful the commission members will put a realistic plan together that will help stabilize commercial rates that all hospitals get paid. If this is done properly it will help balance the playing field and stabilize the community hospital network across the Commonwealth,” said Mark Goldstein.
The commission is scheduled to recommend steps to reduce price variations and issue a report by March 2017.
4 NEWSBREAK SEPTEMBER 2016
Following a comprehensive review of the Anna Jaques Laboratory, the hospital has once again received accreditation by the College of American Pathologists (CAP) Laboratory Accreditation Program which surveys the entire spectrum of laboratory test disciplines with the most scientifically rigorous customized checklist requirements.
The Laboratory Accreditation Program inspects a variety of laboratory settings from complex university medical centers to physician office laboratories, and covers a complete array of disciplines and testing procedures. The surveyors were impressed with the hospital’s program. The few findings identified by the team were not critical in nature and fixable. The surveyors also shared kudos with senior management, noting the exceptional personnel records and manual documentation control system.
Congratulations and thank you to all Laboratory staff. To host a successful survey requires organization, comprehensive policies and procedures, and a commitment to providing a quality product and exceptional customer service. A special thank you to Barbara Fernald, Jennifer Castle, and Marianne Green for their help in providing the CAP survey team with whatever they needed relative to Microbiology, Blood Bank, and the Donor Room.
LABORATORY RECEIVES ACCREDITATION FROM THE COLLEGE OF AMERICAN PATHOLOGISTS
OncoEMR, an electronic health record specifically tailored to the needs of oncology clinicians and patients, went live on September 20th at the Anna Jaques Cancer Center affiliated with Beth Israel Deaconess Medical Center (BIDMC). OncoEMR implementation will benefit the Oncology department and other hospital departments in several ways, including:•Improvedefficiencyforclinicalandadministrativeteammembers•Electronicallyaccessiblearchiveofpatienthealthinformationversus the current paper state•Automatedbillingprocessesforbothourfacilityandourproviders
Oncology department leadership and several key stakeholders within the hospital conducted an in-depth software selection process over the course of several months to determine that OncoEMR was the best fit for our hospital and clinic.
This project, which started in March and has been led by Information Technology (IT), was a full Electronic Medical Record implementation that involved a hospital-wide effort from: Nursing, the medical staff, Laboratory, Pharmacy, Health Information Management (HIM), Diagnostic Imaging, Registration, and Patient Access. Congratulations to all involved on a successful and uneventful launch!
OncoEMR WENT LIVE SEPTEMBER 20TH
Anna Jaques welcomed board-certified family medicine physician Hayley Moak-Blest, DO, to the medical staff as she joined Newburyport Family Practice led by Kevin Lanphear, DO. Dr. Moak-Blest practices full-spectrum family medicine and enjoys taking care of multigenerational families. Her special interests include: pediatrics, women’s health, office procedures, and Osteopathic Manipulation. Dr. Moak-Blest received her Bachelor of Science at the University of Massachusetts Amherst Commonwealth Honors College. She obtained her medical degree from Nova Southeastern University College of Osteopathic Medicine in Fort Lauderdale, FL, and completed her residency at University of Massachusetts Memorial Medical Center in Worcester.
Born and raised in Newburyport, she is excited to be living and working in her hometown.
To schedule an appointment with Dr. Moak-Blest at Newburyport Family Practice, call (978) 465-7322.
INTRODUCING HAYLEY MOAK-BLEST, DO
Hayley Moak-Blest, DO
NEWSBREAK SEPTEMBER 2016 5
SPOTLIGHT ON BREAST HEALTH DURING OCTOBER
• We are once again calling on local businesses to incorporate pink and the spirit of raising awareness with Pink Up the Port – a friendly photo contest with the winning submission (as voted on by the GBCC) featured on the front page of the Newburyport Daily News.• Anna Jaques will feature pink ribbon coffee sleeves in local coffee shops, bakeries and our own Cafeteria to spread the word about the importance of early detection and to schedule your annual 3D Mammogram.• Hospital employees are encouraged to participate in “Pink Tie Tuesdays” and “Pink Frill Fridays” throughout the month of October. Pink-up your outfit with ties, accessories, pink blouses, and more. • Newburyport Daily News will publish a special Breast Cancer Awareness Month insert featuring articles on the Gerrish Breast Care Center and its patients to hit stands in mid-October.• AJH, the Institution for Savings, and the Greater Newburyport Chamber of Commerce have teamed up to host a luncheon on October 28th featuring Kelley Tuthill, former WCVB reporter and breast cancer survivor, to share her story of survival and life after cancer with the community. Visit www.ajh.org for more details.
Look out for more details on each of these events and more throughout the month!
This October, Pulmonary Rehabilitation will celebrate its one-year anniversary of treating patients who suffer from a variety of chronic lung diseases. Since starting the program last October, close to 90 patients have graduated from the individualized exercise program to improve their quality of life through educational sessions, continued treatment and tools to better their health. Pulmonary Rehabilitation has also seen nearly 300 patients in the hospital for consults with many joining the program or counseling at the Pulmonary Rehabilitation Clinic.
The program has witnessed many success stories in the past year. One of the program’s first patients suffered from chronic illness and was admitted to the hospital six times in six months before joining Pulmonary Rehabilitation. Since graduating from the program in January 2016, she has only been to the hospital once in nine months and counting. She goes to the gym regularly with a friend she made in the program.
To learn more about Pulmonary Rehabilitation, contact Sarah Melville at 978-463-1289.
PULMONARY REHABILITATION CELEBRATES ITS ONE-YEAR ANNIVERSARY
A graduating class of Pulmonary Rehabilitation in February 2016.
Women’s Health Care in October 2015. Share photos of your department/colleagues going “pink” to [email protected].
Throughout the month of October, Anna Jaques and the Gerrish Breast Care Center (GBCC) will be celebrating Breast Cancer Awareness Month with a variety of community-centric activities.
6 NEWSBREAK SEPTEMBER 2016
Driving reminDerRecently, a hospital neighbor voiced concern over the dangerous speeding that she witnesses on One Wallace Bashaw Jr. Way on a regular basis. The neighbor noted that the most common times for speeding occur at 7:00am, 3:00pm, and 11:00pm (right around shift changes). Please be a mindful driver and slow down – this is a busy road with patients from the hospital, Newburyport Medical Center, Avita, as well as neighbors walking on the road.
The hospital has successfully completed the Joint Commission (JC) review but our dedication to quality, patient safety and improvement is ongoing. An area of improvement that the JC surveyors highlighted was the use of “Do Not Use Abbreviations” in medical records. “Do Not Use Abbreviations” should never be used in medication orders because they can easily be mistaken for other abbreviations which could result in medication errors that may cause harm to the patient.
Reminders:• “DoNotUse”listappliestotheentiremedicalrecord,includingpaperandelectronicdocumentationforms, paper and electronic nursing, respiratory, and other provider notes, progress notes and test reports. This is to prevent communication errors between providers and departments.• Ifemployeescomeacrossunapprovedabbreviationsinamedicationorder,pleaseseekoutclarificationfromthe provider or colleague and document the clarification before processing the order.
JOINT COMMISSION REVIEW IS OVER…NOW WHAT?
Amesbury High School golf team members James Tagliente and Lowell Deschenes recently accepted the 2016 “Byron Bowl” from Former Mayor Byron Matthews, along with a check for $500 to the Amesbury High School Athletic Department. Tagliente and Deschenes won the “High School Challenge” sponsored by SPS New England, Inc. during the 26th annual Anna Jaques Hospital “Fore Your Health” Golf Tournament on August 15th at Renaissance Golf Club.
Amesbury competed against players from Ipswich, Hamilton-Wenham, Masconomet, Newburyport, and Triton.
AMESBURY HIGH SCHOOL WINS 2016 BYRON BOWL
Mark Goldstein, President & CEO; James Tagliente and Lowell Deschenes of Amesbury High School; and Golf Chair Byron Matthews.
PARKING LOT EXPANSIONConstruction has officially started on the hospital parking lot expansion. The project will expand the current parking lot in the area between the hospital lot and Avita for additional employee parking. This will free up 100+ spaces for patients and their family members closer to the hospital. The projected completion date is set for October 21st
The parking lot expansion project continues - a bird’s eye view from Avita facing the hospital.SLOW
DOWN!
NEWSBREAK SEPTEMBER 2016 7
Goodbye Hip & Knee Pain.Hello Life!
Introducing a new alternative for osteoarthritis of the hip or knee. Anna Jaques is one of the only area hospitals to offer you the advantages of Mako™ Partial Knee Resurfacing. Instead of replacing the knee, our trained surgeons use the special robotic arm to resurface damaged areas of the joint, sparing healthy bone and tissue. The potential benefits?
• Smaller incisions, less scarring, less pain
• Shorter hospital stay
• Faster recovery and return to daily activities
• More natural knee motion
Visit www.ajh.org/orthopedics for more information
25 Highland Avenue, Newburyport, MA 01950
Register NOW at www.ajh.org/register for an upcoming FREE SEMINAR to see if Mako is right for you.
Thursday, October 13 — Ben Schwartz, MD, Sports Medicine North
(Above seminar is from 6:30-7:30 pm at Anna Jaques Hospital in the Higgins Conference Room.)
Thursday, October 27 — Michael Wack, MD, Seacoast Orthopedics
Monday, November 14 — Steven Mattheos, MD, Sports Medicine North
Tuesday, December 13 — Michael Wack, MD, Seacoast Orthopedics
(Above seminars are from 6-7 pm at Anna Jaques Hospital in the Higgins Conference Room.)
C
A
L
E
N
D
A
R
ADvAnceD cArDiAc Life SUPPort (AcLS) 2-DAy initiAL coUrSe October 3rd & October 14th - 7:30am-4:00pm - Holy Family Hospital, Methuen
BASic Life SkiLLS (BLS) initiAL trAiningOctober 5th - 6:30pm-9:30pm - Higgins
BASic Life SkiLLS (BLS) retrAiningOctober 12th or 19th or 25th - 7:00pm-9:30pm - Higgins
ADvAnceD cArDiAc Life SUPPort (AcLS) retrAiningOctober 21st - Lowell General Hospital - Contact Nursing Ed. For details
PeDiAtric ADvAnceD Life SUPPort (PALS) retrAiningOctober 27th or November 10th - 8:00am -2:00pm - 3rd Floor Conference Room
ADvAnceD cArDiAc Life SUPPort (AcLS) retrAiningNovember 18th - 7:30am-3:30pm - Higgins
*Contact Nursing Education at ext. 1213 for more details.
8 NEWSBREAK is a publication of AJH.
fALL BAke & PLAnt SALe hoSteD By the AiD ASSociAtionOctober 6th - Anna Jaques Atrium - For more details visit ajh.org/aidassociation
mAko SeminAr with Dr. BenjAmin SchwArtz of SPortS meDicine northOctober 13th - 6:30pm-7:30pm - Higgins - RSVP to Kelley Sullivan at 978-463-1475
SLeeP APneA SUPPort groUPOctober 20th - 6:30pm-8:00pm - Higgins - RSVP to 978-463-1131
free vein Screening hoSteD By DAviD SwierzewSki, mD, of AtLAntic SUrgicAL ASSociAteSOctober 24th – 2:00pm - 5:00pm - Higgins - RSVP is encouraged, call 978-462-8006.
mAko SeminAr with Dr. michAeL wAck of SeAcoASt orthoPeDicSOctober 27th - 6:00pm-7:00pm - Higgins - RSVP to Kelley Sullivan at 978-463-1475
hALLoween At AjhOctober 31st - 4:30pm-7:00pm - Highland Avenue front lawn of Anna Jaques
SAve the DAte for SPeciAL event hoSteD By the AiD ASSociAtion: fALL froLicS!November 3rd - 6:00pm-9:00pm - Blue Ocean Event Center, Salisbury
mAko SeminAr with Dr. Steven mAttheoS of SPortS meDicine northNovember 14th - 6:00pm-7:00pm - Higgins - RSVP to Kelley Sullivan at 978-463-1475
• COMMUNITY EVENTS
• EDUCATIONAL OPPORTUNITIES
Trick–or–Treat at Anna Jaques!Make our front lawn your first trick–or–treat stop!
Enjoy hot dogs, candy, hot chocolate, apple cider, cotton candy & bouncy house with our clowns,
Ring Master, and other circus friends!�
October 31, 4:30–7pm
25 Highland Avenue, Newburyport, MA 01950
