WakeMed Receives American College of Surgeons Level I Trauma Center Verification

WakeMed has achieved verification as a Level ITrauma Center from the American College ofSurgeons (ACS), the highest national trauma centerrecognition. The new ACS verification is in addition toWakeMed’s designation as a Level I Trauma Center bythe North Carolina Office of Emergency MedicalServices.

ACS is a scientific and educational association ofsurgeons that works to improve the quality of care forsurgical patients. There are currently 400 ACS-verified trauma programs in the United States. “Ourtrauma program functions at a very high level, and wedecided to pursue verification for several reasons,including the ability to benchmark our patient careand processes against other quality programs in theUnited States,” said Elaine Rohlik, PhD, executivedirector, WakeMed Trauma and RehabilitationServices.

During their on-site visit earlier this year, surveyorsfrom the American College of Surgeons’ Committeeon Trauma (ACS-COT) noted WakeMed’s strengths astrauma care leader and the continuum of careWakeMed provides to trauma patients – from pre-hospital care all the way through discharge fromWakeMed’s Rehabilitation Hospital. “We take greatpride in the care that we deliver here at WakeMed. Weare patient-centric and community-focused, and weare continually working to improve our programs,processes, procedures and care for the benefit of thepatients we serve,” added Osi Udekwu, MD,executive medical director, WakeMed TraumaServices.

New LEAPFROG Scores Announced

Cary Hospital Receives A; Raleigh Campus Receives B

Cary Hospital again received a Hospital Safety Score of ‘A’ and Raleigh Campus a ‘B’ from TheLeapfrog Group – mirroring the scores we received in April. The Leapfrog Group is a nationalnonprofit organization that works to initiate improvements in the safety, quality andaffordability of health care for all citizens by promoting transparency and value-based hospitalincentives.

While our letter grades stayed the same, the overall score for Raleigh Campus improved, thanks in part to enhancementsin physician communications, which was an area of opportunity in the spring. Cary Hospital did well on measures relatedto CLABSI, MRSA and overall safety. Both hospitals continued to excel in ICU physician staffing and CPOE medicationsystems. As in past years, the area of greatest opportunity for both hospitals remains catheter associated urinary tractinfection (CAUTI) rates and, for Raleigh Campus, safety problems. While the benchmarks change each time scores arereleased, current data suggests that if we want to improve our scores, we will need to work particularly hard on reducinginfection rates.

“While these scores take a lot of data into account, it’s important to remember that individuals can really make adifference and bring our scores up – or down. Every interaction with every patient has the potential to increase ordecrease our Leapfrog scores. It takes all of us working together to ensure we follow evidence-based processes at all timesand ensure our patients receive the highest quality of care,” commented West Paul, MD, PhD, senior vice president, chiefquality & medical staff officer.

WakeMed uses The Leapfrog Group’s Hospital Safety Score as one of the metrics for our aspirational goal related toQuality. We have also incorporated the scores into our WakeShare formula, which states that 50 percent of our PotentialWakeShare Payout Pool will be funded only if both Raleigh Campus and Cary Hospital earn an ‘A’ Hospital Safety Score.Since we did not earn two A’s, we will not qualify for a Payout related to Quality – though the Board could approve aPayout related to Financial Health if that goal is met.

WakeMed Tops List of Best Hospitals For Nurses

Raleigh Campus was ranked the #1 N.C. hospital for nurses and Cary Hospital wasranked #8 in a recent report by the professional nursing website Nurse.org. Thewebsite analyzed nearly 1,600 surveys of nurses from 109 hospitals across the stateand ranked them based on the average rating and the percent of nurses who wouldrecommend the hospital. Raleigh Campus had a star rating of 4.4 (out of 5) and 98percent of respondents would recommend the hospital. Cary Hospital had a star ratingof 4.1 and 100 percent recommendation rate. North Hospital has no ratings on the siteand therefore was not included in the survey.

NEWS FOR EMPLOYEES AND FRIENDS OF WAKEMED OCTOBER/NOVEMBER 2017w

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Raleigh Campus Ranked #1 and

Cary Hospital Ranked #8 in N.C. for Nursesby nurse.org

WakeMed Recognized as Healthy Employer

WakeMed has once again been recognized as part ofthe Triangle Business Journal’s annual HealthiestEmployers of the Triangle awards, which recognizescompanies that commit to making wellness apriority while working to proactively improve thehealth of their employees. This year, WakeMedranked fifth of the 23 businesses were chosen – andwas the only health system in the group.

Some of the benefits available to WakeMedemployees include WakeWell rewards, our annual employee wellness incentive program, and numerous wellnessfeatures within our benefits plan including 3D mammogram coverage, no co-pay for dietitian counseling and steptherapy tobacco cessation medications. Employees can also enjoy walking routes at all three hospitals, reducedmembership fees at Healthworks, WakeWell meals in the cafeterias and healthy options in vending machines. Haveideas about how we can improve our wellness offerings? Send them to wellness@wakemed.org.

Right: Staff from Corporate & Community Health and Human Resources accepted the award on behalf of WakeMed.

A Season of Community OutreachThis fall, WakeMed has been out and about in the community – making an impact on thehealth and well-being of hundreds of community members! In September, we hostedLadies Day at North Hospital and Men’s Health Night at Cary Hospital. These annualevents provided an opportunity for the community to hear from our medical experts,participate in health screenings and browse health education tables.

In October, WakeMed continued our presence at the annual SAS Championship golftournament by providing First Aid support and providing blood pressure checks, flu shotsand games and activities in the Health Zone.

Thanks to all of our staff volunteers who made these outreach efforts so successful!

Sue Hollowell, RN, (Mobile Critical Care) was recently cited as a contributor in thenew edition of the Critical Care Transport Certification Examination ReviewManual. She also has been selected as a member of the education committee for theAir, Surface Transport Nursing Association.

Shannon Holt, PharmD, Mollie Grant, PharmD, (both of Pharmacy) and KellyThompson-Brazill, NP, (Heart & Vascular Physicians) published an article titled“Reducing Carbapenem Exposure: Extended-Spectrum Beta-Lactamase Catheter-Associated Urinary Tract Infection Management” in Critical Care Nurse.

Rob Altenbaugh, BSN, RN, and Danica Stancil, RN, (both of Revenue Integrity)presented at the North Carolina Health Information Management Association(NCHIMA) Mid-Year Workshop.

Frances Wood, MD, (WakeMed Heart & Vascular Physicians) is a presenter at thenational Transcatheter Cardiovascular Therapeutics (TCT) conference.

Paula Carter-Scott, RN, (Staffing Resources) earned a master’s degree in nursing(MSN) from the University of North Carolina at Chapel Hill (UNC).

Diana Rhyne (Clinical Research Institute) earned her master’s in businessadministration (MBA) from the UNC Kenan-Flagler Business School.

Rebecca Schober, RN, (Emergency Department – Raleigh Campus) and UlandaStallworth, RN, (Staffing Resources) both earned bachelor’s degrees in nursing(BSN).

Chris Barnes, RN, (Emergency Department – Raleigh Campus) earned a master’sdegree in religion.

Shan Henry, RN, and Jenifer Sawyer, RN, (Surgical Services – Cary Hospital)successfully completed the 2017 Periop 101 Internship Program.

Bridgit Caulder, RN, (Patient Case Management – Raleigh Campus) became acertified case manager.

Jessica Shore, BSN, RN, (Mother/Baby – Raleigh Campus) passed the maternalnewborn nursing certification exam.

1D Clinical Evaluation Area congratulates Stephanie O’Neal, RN, on earning HACPcertification.

Amina Bousaidan, RN, (2 West ICU/MSIC) became a certified med/surg nurse(CMSRN)

Morgan Smith, RN (Emergency Department – Raleigh Campus), Jenny Morris, RN(STICU); Julia Efird, RN, BSN, and Michele Brake, RN, BSN, (2 West ICU/MSIC);Jessica Baker, RN, and Crystal Wilson, RN, (both of Neuro ICU); Tiffany Rogala,BSN, RN, Megan Shipp, BSN, RN, and Kristie Gitto, BSN, RN, (all of StaffingResources) earned critical care nursing certification (CCRN).

Tiffany Rogala, BSN, RN,(Staffing Resources) earned cardiac surgery certification.

Information Services congratulates Lori Mason, Christine Stein, Deborah Jones-Combs and Bobbie Watson on their promotions to team lead.

Wendi Taylor, RN, and Sarah Kistner, RN, (both of the Emergency Department –Raleigh Campus) became certified emergency nurses (CEN).

Marcus Moore (Pathology Labs) was promoted to team lead for the Raleigh Campus.

Julla Panneh, RN, (1D Clinical Evaluation Area) and Bindu Mason, RN, (StaffingResources) earned certification in psych-mental health nursing.

WOW, WHAT AN EMPLOYEE!

LEADERSHIP UPDATES WakeMed + Dukewhere are we now?Earlier this year, WakeMed and Duke Health signedagreements to establish clinical collaborations in the areasof cardiology and oncology. Since these innovativecollaborations were announced, leadership teams withrepresentatives from both organizations have worked hard

to establish priorities and initiatives that will help improve access and quality of care for WakeCounty patients.

“While you can’t see it, some of the most important work with any collaborative happens inthe early stages by building relationships, setting priorities, understanding one another’soperations, challenges and opportunities,” explains Georgia Harrington, vice president,Strategic Ventures. “Every discussion – whether clinical or operational – is patient-focused.Hearing IT and financial professionals asking ‘What can be done to ensure our patients havethe best possible experience and outcomes?’ is incredibly inspiring and has helped us set astrategy we look forward to executing together.”

The initial areas of focus for Heart Care Plus+ include heart failure, cardiac dysrhythmia andadvanced electrophysiology, structural heart and heart surgery. Building on WakeMed’s 50year strength in cardiovascular services, werecently welcomed Duke Health cardiologists toour medical staffs. Included in those joining usare Stuart Russell, MD, nationally known in thefield of advanced heart failure and the formerchief of Heart Failure and Transplantation atJohns Hopkins Hospital, and Priyesh Patel, MD,who recently completed a fellowship inAdvanced Heart Failure and TransplantCardiology at Duke. Dr. Russell and Dr. Patel willpractice in WakeMed Heart & VascularPhysicians’ new Advanced Heart Failure office –see below for more details.

Further building on the collaborative goal ofexpanding access, WakeMed was selected as amember of The Cardiothoracic Surgical TrialsNetwork, which will bring the latest advances incardiovascular surgery to our patients.WakeMed’s team of investigators – led by JudsonWilliams, MD – will work closely with Duke toprovide access to research trials not previouslyavailable in Wake County.

While still in its early stages, the Cancer CarePlus+ team is laying the groundwork for anextended network of comprehensive, high-quality, well-coordinated, value-based cancercare that is easily accessed throughout WakeCounty. The collaborative offers an excitingopportunity for us to meet the growing demandfor oncology services – and deliver them to ourpatients here in our own community.

Experts from both organizations have formedworkgroups focused on surgery, radiationoncology, patient navigation, quality metrics, ITinfrastructure and service access. The Board ofManagers is establishing quality metrics to helpus measure performance and finalizing thecollaborative plan so that operational work andrecruitment for exceptional providers can begin.

WakeMed & SouthLight AnnounceCommunity Collaboration We are pleased to announce a collaboration with SouthLight Healthcare, a premierprovider of substance use treatment and mental health services for the Triangle, tobetter serve individuals with behavioral health and substance use disorders. Thecollaboration aims to expedite and streamline a care process to help patients accessthe appropriate services to stay well after leaving a WakeMed hospital.

“Our emergency departments are often the first place people who are experiencing a behavioral health or substance use crisis go for help,” explains Rick Shrum, vice president & chief strategy officer. “We have always been there for our community in times of crisis. However, these individuals and families need ongoing specialized care that WakeMed does not provide.”

Transitional care specialists fromSouthLight Healthcare will join WakeMed in its efforts to ensure patients with mental health and substance use disorders receive the care they need and deserve. The integrated effort will allow WakeMed, SouthLight and provider partners improve patient care and outcomes collaboratively to improve the health and well-being of our community.

NOW OPEN!

Advanced Heart Failure Services

Located in the WakeMed Heart Center,this new specialty practice bringsadvanced care and capabilities in thetreatment of congestive heart failure toWake County patients. As part of theHeart Care Plus+ collaboration, wewere able to recruit Stuart Russell,MD, to the Triangle and he joinsPriyesh Patel, MD, who will workclosely with all of our cardiologists andthe WakeMed Heart Failure Programteam to offer same-day access for thosepatients needing immediate follow-upcare after a hospital stay.

“This collaborative is such atremendous opportunity for bothWakeMed and Duke Health to do greatthings together for heart patients,” saidPriyesh Patel, MD. “Our greatercommunity should have access to thebest cardiovascular care. Both of ourorganizations offer exciting resourcesand knowledge that can be sharedtogether as we build on our strengths ofproviding the best heart care forpatients.”

Ted Lotchin Joins WakeMed as Vice President & ChiefCompliance and Privacy Officer

We are pleased to welcome Ted Lotchin, JD, MPH, who is nowresponsible for all privacy (HIPAA), compliance, internal auditand information system security. He brings more than 10 years ofexperience and holds a master’s of public health degree fromBoston University and a law degree from the College of Williamand Mary in Williamsburg, Va.

Stephanie Sessoms Promoted to Vice President, Finance

In this new role, Stephanie Sessoms is now responsible forfinancial and business planning as well as financial data integrity.Sessoms joined WakeMed in 2007 as a manager of accounting, arole she held until 2010 when she was promoted to controller.She is a certified public accountant with a bachelor’s degree inbusiness administration, accounting and marketing from theUniversity of Virginia as well as a master’s in healthadministration from Pfeiffer University in Charlotte, N.C.

Dr. Tariq Named Director, Cary Hospitalists

Muhammad Fawad Tariq, MD, is now director of the hospitalistprogram at Cary Hospital where he oversees all administrativeand leadership duties and serves as the communication linkbetween the WakeMed administration and the Cary HospitalMedical Staff. Dr. Tariq comes to WakeMed from ApogeePhysicians Group North Carolina at the Cape Fear Valley MedicalCenter in Fayetteville.

Dr. Julie Czech Named Director, North Hospitalists

Julie Czech, MD, is the new director of the hospitalist program atNorth Hospital. In this role, she oversees all administrative andleadership duties and will serve as the communication linkbetween the WakeMed North administration and the hospital’sMedical Staff members. Dr. Czech comes to WakeMed fromUNC/Rex Healthcare where she has worked as a hospitalist since2007.

SPOTLIGHT ON PATIENT SAFETY

CULTURE OF SAFETYSURVEY RESULTS

This summer, WakeMed conducted our annual Hospital Survey on PatientSafety Culture, which is administered by the Agency for HealthcareResearch and Quality. The survey, which was open to all employees andmedical staff members, measures hospital staff and provider perspectiveson patient safety.

“Having non-clinical staff participate in the survey is extremely importantbecause they draw on their own health care experiences when thinkingthrough how we perform as an organization,” commented West Paul, MD,PhD, senior vice president & chief quality and medical staff officer. “Thisyear, 25 percent of the responses on the survey were from non-clinical staff,and we’d like to see that increase next year.”

Highlights of this year’s survey results include:

• Above benchmark on every single measure as compared to 650hospitals and more than 400,000 responses

• Overall in the 90th percentile

• 48 percent participation rate among staff and physicians

• Strong improvement in non-punitive response to error, which reflectsour ongoing efforts to create an open culture of safety byencouraging and recognizing Good Catches and the adoption of aFair & Just Culture.

• Physicians overall perception of patient safety is higher than anyother group

In addition to providing data on where we stand today, this survey helps ustrack trends over time. “Our goal is to be a top 10 organization – and top 10organizations are driven by data. We are working to provide actionabledata to our physicians and care team so they can improve the quality of carewe provide,” continued Dr. Paul.

The results from this survey will be used to guide patient safety initiativesfor the next year, which will include hospital hand offs and transitions,improving communication between departments and infection preventionbasics (hand hygiene, personal protection equipment, etc.) among others.

NEWS FROM WAKEMED PHYSICIAN PRACTICES

Muhammad Tariq, MD

Hospitalists – CaryHospital

BlairRobinson, MD

Pediatric Cardiology

JenniferWhitham, MD

Pediatric Cardiology

JessicaTomasula, PhDPediatric Weight

Management

SamiMardam-Bey, MDWake Orthopaedics

JennaBeckham, MD

OB-GYN – Raleigh

UreenaManandhar, MD

Hospitalists – Raleigh Campus

Peter Lee, MDNocturnist –

Cary Hospital

Welcome New Physicians

www.wakemedphysicians.com

Welcome New Advanced Practice Providers

Stephanie Gray, CNM, OB-GYN – Holly Springs

Sarah Rullo, NP, Neonatology

Sara Dusel, PA, Hospitalist – Raleigh Campus

Elissa Henderson, NP, Pulmonary Critical Care Medicine – Raleigh Campus

Natalie Small, PA, Cardiology

Cary Hospital Unveils New Labor & Delivery RoomsAfter nine months of anticipation and construction, the newly-renovatedLabor & Delivery rooms at Cary Hospital have been completed and theybegan welcoming patients in early October. The work, which was funded inpart by the WakeMed Foundation, included renovating 13 patient roomswith a fresh, contemporary feel, along with updates to the common areasand nursing stations.

Physicians, staff and former patients were all involved in the planning of therooms to ensure everyone’s needs were met and to provide the safest andmost comfortable labor and delivery experience possible. The renovatedlabor & delivery rooms increased from 350 square feet to 450 square feet

and are decorated in a bright and welcoming look. The new rooms include three ‘zones’ – one for mom, onefor the clinical team and one for family/support person – which provide ample space for several people to bein the room and work together. Among the amenities offered include a separate TV in the family/supportzone, large soaker tubs for mom-to-be and tinted windows along with privacy blinds. Upgrades were alsomade to the nurses’ station for our staff and physicians to do their work and be easily accessible to patients.We are also pleased to off in-room spa services, including facials and massages to patients in the post-partum areas.

“Nearly 2,500 babies are born at Cary Hospital each year, and we are pleased to provide a beautiful newenvironment for our patients and their families,” commented Seth Brody, MD, chief medical officer, Cary Hospital. “In addition to how they look, the new rooms have integrated state-of-the-art technology to ensure the highest quality of care.”

Great Job, GOLDENSCANNERS!Every quarter, MPDC recognizes the topperformers when it comes to scanningcompliance – which means our nursingunits stay stocked with the items neededto care for patients. In addition, it meanswe are capturing charges for items used.Remember – the more compliant we arewith scanning, the more it helps ourbottom line, so scan all you can!

• Cary Hospital: Surgical Services – Pre-Op won with 96 percent compliance.

• Raleigh Campus: CTICU won for thesecond and third quarters of FY2017with 99 percent compliance.

Above: Cary Hospital Surgical Services and MPD staff posewith the coveted golden scanner (left to right): ColleenCarter, RN, Debra Elder, RN, Tyrone Winston, KatrinaJones, Tiffiny Hunter, Erinn Moore, RN, MeenakshiKhullar, RN, Carol Weichel, RN, and Patricia Barnes, RN.

Right: CTICU staff pictured, from left to right Teena Chavis,RN, June Oburu, RN, Kevin Schmidt, director (SupplyChain), Helen McAdams, RN, Sarah Schmitz, RN, LaurenParker, RN, Elizabeth Foster, RN, and George Jones(MPDC).

PA Profession!

Jennifer (Wheeler) DiMilia, LPN, (WakeMed Physician Practices –Pediatrics) got married on April 21 and welcomed daughter CharlieGrace on June 24.

Megan Coffey (Imaging Services – Brier Creek Healthplex) andhusband Brandon welcomed son Luke Alexander on June 19.

Heather Smith, BSN, RN, (Staffing Resources) and husband Traviswelcomed son Alexander Bailey on August 26.

Corby Dominguez (ED Registration – Brier Creek Healthplex)welcomed son Marcos Dominguez on September 9.

Heather Brobson (WakeMed Physician Practices – Pulmonology)married Troy Ragland on October 14.

Kaitlin Goldston, RN, (STICU) got married on October 14.

ADDITIONS & ATTACHMENTS

On October 6, the physician assistant (PA)profession celebrated its 50th birthday. What isnow a well-established, 120,000-person strongmedical profession originally began as a pilotprogram at Duke University with just fourstudents, who graduated on October 6, 1967.The original goal of the program was toexpand a physician’s capacity to see morepatients, especially in rural America.

WakeMed has been a leading employer of PAsfor many years. Our first physician assistantwas Steve Oschutti, PA-C, who was

hired in the early 1980s by Charles Helton, MD, (Heart & Vascular Physicians). Today, we employ over100 physician assistants in all specialty areas – from hospital medicine to cardiac surgery to primary care.“WakeMed fosters an environment where physicians, physician assistants and nurse practitioners workhand-in-hand with the rest of the care team to support our patients and provide the most appropriate,highest quality care,” commented Jeff Lamphere, PA, executive director, Advanced Practice Providers.

WakeMed has also played an important role in the development and training of physician assistantsthrough our medical education partnership with area PA programs and Wake AHEC. This work willcontinue to expand over the next year as we welcome 10 Campbell PA students to WakeMed for their fullone-year of clinical rotations. “WakeMed is proud to offer extensive clinical training and education tophysician assistants, who represent part of the next generation of providers for our community. Thestudents who come to WakeMed have the opportunity to train in a busy, high-quality hospital and wehave the benefit of hosting exceptional clinicians who are dedicated to patient care,” commented JohnPerry, MD, vice president, Medical Education.

Caring for patients with compassion and expertise is at the heart of who we are and who we’ve been for more than 50 years. Patients, their family members and care team often build strong, nurturing relationships throughout the care experience. “It’s this special bond that often leads patients and families to want to show their appreciation with a gift in honor of acaregiver or a care team – and sometimes they feel like a simple‘thank you’ isn’t enough,” says Abby Johnston, director, major gifts &planned giving, WakeMed Foundation.

Because WakeMed employees cannot accept gifts from patients andfamilies, the Gifts of Gratitude Program, administered by theWakeMed Foundation, provides patients and families with theopportunity to recognize the people and quality of care they received.Below are three examples of how this program is making a positiveimpact – on our patients, our staff and our community.

To learn more about this program, contact the WakeMed Foundationat foundation@wakemed.org.

A Simple Gift; A World of GoodA yo-yo is a simple activity that can serve as a great distraction from pain and discomfort. Brian Stearns (6BOrthopaedics & Oncology), pictured right, frequently offers yo-yos to patients to help keep their minds offtheir current situation. “I find that if the patient can focus on something else for a while, it helps in painmanagement and recovery,” he says. “Just like a good book, magazine, or puzzle, a yo-yo is a great way toget rid of nervous energy.” One patient Stearns gave a yo-yo to was particularly impacted by it – the giftbrought back positive memories from his childhood and helped his healing process. Upon discharge, thepatient donated $100 to purchase yo-yo’s for Stearns to give to other patients.

The Gift of Time for Grieving FamiliesWhen Jennifer and Haywood Alexander’s son Griffin was delivered stillborn, the grieving family longed fora way to honor their son. “When we first heard of Cuddle Cots, we immediately saw how much they would

help families who experience loss,” explains Jennifer.Cuddle Cots, pictured left, are bassinets designed tokeep babies who have passed away stay cool. They canbe placed at the mother’s bedside and help relieve somefear and anxiety for families who have lost a child byproviding them more time to create memories. TheAlexanders donated funds for a Cuddle Cot as well asadditional bereavement training for our RaleighCampus Women’s Pavilion staff. “For parentsexperiencing a stillborn birth, the first step in a long

and difficult grieving process is saying hello and good bye in a matter of days. Since the donation of theCuddle Cot, it has been used by parents with positive responses,” commented Donna Lane, RN, manager,Women’s Pavilion & Birthplace.

Saying Thanks, Giving BackMike Kelmel was on vacation in San Diego when he awoke from a napand realized something was wrong. “It was like my brain was notconnected to my body,” is how he describes the feeling – which turnedout to be a stroke. After five days in a California hospital, Mike returnedhome to Raleigh and began a four-month stint of outpatient rehab atWakeMed. Unable to work or drive, a highlight of his week wasspending time at the Rehab Health Park – surrounded by others whowere overcoming their own personal hurdles. When he completed histreatment, he made a donation to WakeMed in honor of his speechtherapist, Jill. “She is such a genuinely kind and nice person, and I justwanted to thank her in some way,” he says. Mike also decided to giveback to WakeMed through his time and now volunteers in the 1D gym and by staffing the Health Parkwelcome desk – providing a welcoming smile to others seeking care. Right: A year after his stroke, Mikereturned to San Diego and thanked the staff at the fire department where he had gone in search ofassistance and medical care.

Nursing Education wishes a happy retirement to Ava Krier, BSN, RN, whois retiring after 43 years at WakeMed.

Mother’s Milk Bank welcomes new pasteurization technician, Cathy Joyce.

Clinical Dietitians – Cary Hospital welcomes Heather Davies, RD, LDN.

Infection Prevention welcomes Caitlin Underhill, BSN, RN.

Klarissa Barnes, MHA, BSN, RN, bids a fond farewell to Surgical Servicesas she transitions to Imaging Nursing.

Patient & Family Experience welcomes Irina Gomez, who transitionedfrom Patient Financial Services.

Risk Management welcomes Jessica Schmidlin, RN, who transitionedfrom the Emergency Department – Raleigh Campus.

WakeMed OneCall welcomes Shannon Richardson, Victoria Tine andHeather Maloch.

Clinical Administrators welcome Sandra Terry, BSN, RN, as asupplemental CA.

Pharmacy welcomes new administrative assistant Kelli Worsley.

5C Medicine welcomes Kachi Amadi, RN.

WakeMed Physician Practices – Primary Care – Garner welcomes AshleyHemphill, RN.

Revenue Integrity welcomes Alexandria Scott-Walker.

WakeMed Physician Practices – Primary Care welcomes Ashlee Wilson andDana Jackson.

WakeMed Urgent Care – Cary welcomes Mle Stone and Elaine Frasher.

3A CVIC welcomes Shyla Middleton, RN, Cecely Tucker-Akarolo, RN, andMelanie Young.

6A CVIC welcomes Stephanie Sampson and new manager LynnAckerman, BSN, RN.

The NICU and newborn nursery welcome Theresa Abraham, RN, ElviaSchroeder, RN, Renee Collum, RN, Briana Hamilton, RN, KarenSlingluff, RN, Nicole Caruso, RN, and Jennifer Maynard, MD.

CICU welcomes Georgette Becerra, Marlene Torralba, RN, UdoraCherry, RN, Kelsey Fowlkes, RN, and Anna Johnson, RN.

The Department of Spiritual Care welcomes resident chaplains who will beserving at WakeMed until August 2018: Jonathan Blackburn, TaraWorkman, Leigh Ross, Jordan Tripp, Johnsie Peele and Elijah Fulcher.The department also welcomes new chaplain interns: Lindsay Baggett,Renee Bethea, Jaqueline Boyer, Alice Evans, Marie Fox, Kathy Galde,Aime Kidimbu, Tina Morris-Anderson, and LaShonda Van Hook.

COMINGS & GOINGS

WakeMed’s Good Catch Program encourages staff to positively impact patientsafety by speaking up, reporting good catches and sharing their experiences. Ifyou have made a good catch, share it by clicking the “Report a Good Catch” linkon the WakeMedWeb.

Peggy Richardson (Pathology Labs – Cary Hospital) made her good catchwhen she identified that a patient who had just beenadmitted to the floor was wearing another patient’sidentification band. Peggy did not perform any labtest on that patient and reported the information tothe nurse so the error could be fixed. Thank you,Peggy, for your dedication to patient safety!

A patient on 3B CVSIC had been prescribedAmiodarone – but the order was written to beginafter the patient was discharged from the hospital.Autumn Vick, RN, realized that the patient was notcurrently on that medication and alerted theproviders, who were under the impression that hewas taking it already. Autumn’s attention to detailhelped make this Good Catch possible and protectedthe patient – if he had begun taking the medicationat home, he could have developed a heart block.

R E C O G N I Z E | R E V I E W | R E P O R T

Happy

FOCUS ON PHARMACY VALUE STREAM

An important part of our Wake Way 2 Excellence efforts thusfar has been the work of our value streams. A value streamincludes every department that touches the patient — eitherdirectly or indirectly – therefore, each value stream includesmultiple departments, clinical areas and enterprises. Thismonth we are going to take a look at the Pharmacy Servicesvalue stream to see how their ongoing work has been diffusedthroughout the organization.

The Pharmacy value stream has been in place a year and hasheld two Rapid Process Improvement Workshops (RPIW), withmore planned in the coming months. The goal of an RPIW is tocreate, test and implement improvements and standard workon a small scale before they are rolled out broadly.

The first Pharmacy RPIW, which focused on medicationdelivery to 3A, 3B and 3E, is a great example of how thishappens. The team piloted numerous ideas during the week –three of which turned out to be so successful that they wererolled out system-wide a few months later:

• Nurses were allowed to return unopened, unusedmedications (non-controlled medications only) to theoriginal pocket in the Pyxis machine. Previously, thesemedications were put in an internal Pyxis bin, unloaded bypharmacy technicians and returned to the pharmacy forsorting before eventually being returned to the unit for re-stocking – an inefficient, time consuming process.

• Charge nurses have always been allowed to adjust Pyxisinventory of non-controlled medications when needed – andthe RPIW team extended this ability to all nurses. Thiscreated standard work, improved communication withPharmacy and ensures a more accurate inventory formedication administration.

• Pharmacy used to deliver patient medications all together –which nursing staff would then sort and distribute. Thanks totime saved with the two changes listed above, Pharmacy nowdelivers patient medications to individual patient bins,improving efficiency and giving nurses more time to spendwith their patients.

Value Stream: The combination of the "path" that apatient takes as they move through the WakeMedsystem and the “value” of the treatment andexperience from the patient’s perspective.

The goal of the second RPIW was to improve the medicationreconciliation process for patients in the EmergencyDepartment with a goal of expediting this process andimproving patient safety. Again, the team developed ideas thatcould be applied to all of our emergency departments,including defining the elements of a complete homemedication list, eliminating confusing and conflictinginformation from outside sources and providing education topatients and family members. The team also improved themedication reconciliation workflow for Pharmacy staff andclinicians and explored new ways to engage pharmacytechnicians earlier in the patient’s encounter. Work continueson testing and evaluating these changes – so stay tuned formore updates!

WakeMed WelcomesRaleigh Radiology

In late August, WakeMed welcomed Raleigh Radiology as the official provider ofprofessional and interpreting services for all WakeMed imaging studies. Changingradiology interpreters isn’t something hospitals do frequently – in fact, this is the firsttime we’ve done so in WakeMed’s 55-year history – and we want to thank everyone whohelped make the transition successful. “The Radiology Transition Steering Committeeworked tirelessly to ensure that the transition went so smoothly. Exceptional patientcare and quality were the priorities as the team worked to orient Raleigh Radiology toWakeMed, make sure credentialing requirements were met and integrate operationsand billing,” commented Holly Carpenter, executive director (Imaging Services).

Since the transition, we have been tracking numerous key performance indicators,including report quality and turn-around times, to ensure we continue deliveringexceptional quality, service and value for our patients and their families. Additionally,we are pleased to be able to offer a number of new services, including:

• Interventional radiology at Cary Hospital

• Brachytherapy (radioactive implants for cancer treatment)

• MRI-guided breast biopsy

• Microwave and cryoblation

Since the transition, theRaleigh Radiology providershave been fully integrated intothe WakeMed system and haveaccess to WakeMed email andRapidConnect. “We are excitedto be at WakeMed and aregrateful for the warm welcomewe have received from themedical staff, clinical team and

administration. WakeMed is truly a special place that placesthe patient first and we are delighted to be part of anorganization and culture that shares our values,” commentedSatish Mathan, MD, president, Raleigh Radiology. “We arelooking forward to the continued collaboration with WakeMedand growth of subspecialty imaging services that we can offerpatients here in Wake County.”

Treatments for Pregnancy & Pelvic Pain, Incontinence & Lymphedema

WakeMed Outpatient Rehab announces the introduction of new services to help relievepre- and post-pregnancy pain, pelvic pain from a variety of issues, and treatments forlymphedema as well as incontinence.

IncontinencePhysical therapists offer therapies to reduce the incidence of urinary leakage, urgency,frequency and difficulty emptying the bladder due to pregnancy, surgery, pelvic organprolapse and other conditions.

Pregnancy PainBack pain, joint pain, urinary incontinence, round ligament pain and discomfortsassociated with diastasis recti are all conditions pregnant and new moms mayexperience. Physical therapists offer treatments for these issues.

LymphedemaLymphedema is chronic, progressive swelling in a part of the body due to cancer, heartfailure, surgery, infection, venous insufficiency and other issues. WakeMed occupationaltherapists provide the Dr. Vodder method of manual lymph drainage – the gold standardtherapeutic treatment for lymphedema.

Pelvic PainPregnancy, endometriosis, pelvic organ prolapse, vestibulitis and many other issues cancause pelvic pain. Therapies are available to help people find relief.

These services are available by physician referral at a number of outpatient locations:

WakeMed Outpatient Rehab3701 Wake Forest Road, Suite 120-RaleighPhone: 919-350-4199Miriam Loughry, PT

WakeMed Physician Practices – Physical Therapy10010 Falls of Neuse Road, Suite 009 –North RaleighPhone: 919-350-1508Deidre Queen, PT(Lymphedema treatment is not available at this practice)

WakeMed Outpatient Specialty Rehab (inside Cary Hospital)1900 Kildaire Farm Road – CaryPhone: 919-350-1985Christi Springfield, PT, DPTStacy Patterson, OT

WakeMed Outpatient Rehab operates under thelicense of Raleigh Campus. WakeMed PhysicianPractices – Physical Therapy is an independentpractice. WakeMed Outpatient Specialty Rehaboperates under the license of Cary Hospital.

Dr. Andrew Moran,Radiation Safety

Officer

Dr. Satish Mathan,President

Raleigh Radiology

Dr. Kirk Peterson,Medical Chair –Raleigh Campus

Dr. Jason Harris,Medical Chair –Cary Hospital

Staff from Imaging,Information Services,Raleigh Radiologyand Administrationgathered for abriefing during theearly days of thetransition.

NEW!

CALENDAR OF EVENTS

Veterans Day ServicesFriday, November 1011 amRaleigh Campus, CaryHospital and North HospitalAll are welcome to join us aswe honor the veterans withinthe WakeMed family.

WinterFest

Raleigh CampusThursday, November 308 am to 4 pm

WakeMed NorthTuesday, December 510 am to 2 pm

Cary HospitalThursday, December 79 am to 2 pm

$5 Jewelry Sale

Cary Hospital Monday, December 47 am to 4 pmConference Center

Raleigh Campus Monday, December 117 am to 4 pmAndrews Center

CapRAC Training OpportunitiesState Medical Assistance Team 800 Hazmat and Decon ReviewThursday, December 76 to 8:30 pmFor more information and how to register emailSHarrison@WakeMed.org

Capital Medical Reserve Corps OrientationWednesday, December 136 to 9 pm For more information and how to register emailNiThorpe@WakeMed.org

State Medical Assistance Team 800 Initial TrainingSaturday, December 16, and Sunday, December 178:30 am to 5 pmFor more information and how to register emailSHarrison@wakemed.org

Wake AHEC

6th Annual NCIMHA Conference and Annual MeetingPromises to Keep: Caring for Every Child’s Mental Health – Nov. 3, UNC Greensboro

Motivational Interviewing Techniques for Mental Health and Health Care Professionals, Part I – Nov. 3, Cary Hospital

Dr. Science 2017 Clinical Microbiology Update – Nov. 6,Andrews Center

17th Annual Mast Symposium: Impacting Senior Care – Nov. 9, The McKimmon Conference & Training Center

Clinical Supervision: Alliance and Adherence for Success,Part 2 – Nov. 10, Andrews Center

Twelfth Annual Time is Brain: Advances in Stroke Care – Nov. 11, Andrews Center

Introduction to NeuroAffective Relational Model (NARM) –Nov. 15, Andrews Center

Motivational Interviewing Techniques for Mental Health and Health Care Professionals, Part II – Nov. 17, Cary Hospital

Creating Successful Rehabilitation Outcomes for PeopleLiving with Dementia – Nov. 18, Andrews Center

New Drugs and Disease Management Strategies 2017 – Nov. 30, Cary Hospital

It Takes a Village: Understanding and Treating AdolescentSubstance Use Disorders Using a Systems Approach – Dec. 1, The McKimmon Conference & Training Center

Adult Physical Assessment for Nurses: The Basics – Dec. 14 & 15, Hyatt Place Raleigh-Durham Airport

Neuroplasticity, Rewiring Recovery, and Ethical Guidelinesfor Clinical Practice – Dec. 14, Training and Education Center,Morrisville

From Surviving to Thriving: Mind/Body Approaches forAddressing Trauma – Dec. 15, Training and Education Center,Morrisville

ORGANIZATIONAL DEVELOPMENT

Foundations of Leadership – Nov. 1, 8:30 am to 3:30 pm, MOB

Leading at the Speed of Trust – Nov. 2, 8:30 am to 3:30 pm,MOB; December 7, 8:30 am to 3:30 pm, MOB

Coaching for Success and Improvement – Dec. 13, 8:30 am to 12:30 pm, MOB

Non profitOrganizationU.S. PostagePAIDRaleigh, NCPermit NO. 1307

3000 New Bern AvenueRaleigh, NC 27610

ADDRESS SERVICE REQUESTED

© WakeMed Public Relations, October/November 2017

Microscope is a monthly newsletter written by and for the employees of WakeMed. Our goal is to provide

employees and friends of WakeMed with the most up-to-date news on all of the hospital system’s activities.

The Public Relations department thanks all of theemployees who contributed to this publication.

We welcome comments and suggestions on this publication and its content. Call (919) 350-8120,

e-mail microscope@wakemed.org, or write Microscope, Wake Med Public Relations Department,

3000 New Bern Avenue, Raleigh, NC 27610.

Kate Wilkes, EditorWakeMed Employees, Photos

To help you plan ahead, this calendar lists upcoming system-wide events, training classes and communityevents. For details and fee information, visit the WakeMedWeb. Send calendar submissions to PublicRelations or email microscope@wakemed.org.

FIGHTTHE FLUGET VACCINATED BY NOVEMBER 15! Flu vaccines are still available free of charge to allWakeMed employees, medical staff members andvolunteers. This year we are offering vaccines that areegg-free and preservative free. We will not be offeringflu-mist.

Any employee who fails to receive a flu vaccine, renew apreviously approved exemption, or obtain a newexemption from Occupational Health by 4 pm onNovember 15 will be ineligible to work at any WakeMedfacility and employment will be terminated. MedicalStaff members who do not comply will have privilegessuspended.

Remember, to qualify for any potential WakeSharePayout next year, you must meet all OccupationalHealth requirements by their original due date. Formore information, contact Occupational Health at ext.07370 (Raleigh Campus), ext. 02631 (Cary Hospital)or ext. 01685 (WakeMed North).

2018 is right around the corner and so is Live Well, thepopular 12-week group fitness and healthy lifestyleeducation program. Beginning in January, Healthworkswill offer a morning and evening class time. Live Well isfree and available to qualifying employees, who willreceive full alternate standard credit for the 2018WakeWell Reward. Call Hailee Wingfield at ext. 07043to set up a Live Well Consult, which must be completedby December 29. Don’t delay – let us help you improveyour health and make lasting lifestyle changes!

LIVE WELL IN