Common Ground: pressure ulcers cut to zero; breakfast with the CEO; strategic planning event
July 13, 2014
IN THIS ISSUE
FROM THE CIC
practicalPRACTICAL MATTERS
TOP READS
stratStrategic planning: Summer is the perfect time to play "Catch Ball"

 

Catch Ball is a Lean process of frank dialogue that provides staff and providers an opportunity for review and input into Salem Health's strategies and plans for 2015.

 

Salem Health has scheduled two open Catch Ball sessions for anyone to attend--medical staff, employees and volunteers can drop in to review, ask questions and provide feedback on organizational strategies.

 

Sessions are scheduled to encourage attendance by day and night shift teams:  

  • Thursday, July 24, 3 to 5 p.m.
  • Friday, July 25, 6:30 to 8 a.m.

Both sessions will be held in the Kaizen Classroom, 2nd floor of Building B.   

 

For more information, contact Lori James-Nielsen, Vice President for Strategy and Business Integration.  

 

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pressureSuccess story: New team zaps pressure ulcers

  • Hospital-wide committee created

  • Followed Lean process
  • HAPU rate drops to zero for third quarter 

HAPU--hospital acquired pressure ulcers--impact patient safety and satisfaction, along with hospital reimbursement and reputation. Salem Hospital's multi-disciplinary Skin Care Team zapped the problem down to a whopping zero percent.

 

How they did it

  • Salem Hospital updated the Skin/Wound Care policy to reflect best practice with an addition of a new algorithm for types of dressings and preventive measures.
  • Created auditing tools to guide improvements, charting algorithms and guidance on product use and patient care, and Standards of Care to prevent ulcers.

  • Skin care champions performed deep dives, education and implemented unit-specific TOC (test of change)

Top left to right: Kelly Honyak, Sandra Pickle, Susan Bearden, Wesley Grant, Penelope Lutz, Shannon Jolley, Middle left to right: Ellie Barnhart, Alicia Hurliman, Mary Bedell, Ruth Campbell, Hannah Pratt, Pauline Klemin, Michael Iaquinta. Front left to right: Marty Enriquez, Zoe Rain, Zennia Ceniza, Cassie Cooper, Sarah Wolfe.

 

Amazing results 

The last NDNQI audit on May 7 of 283 patients was the culmination of the team's hard work. Results: ZERO stage II HAPUs and ZERO unit-acquired HAPUs. They received the Team Star Award on July 8 from Salem Health. 

 

Deeper dive into process

The team used Lean problem-solving (4SPS) to create an action plan that included:

  • Revision of our skin policy and protocol to reflect current evidence-based practice.
  • Conducted education and reeducation.
  • Created an electronic reporting and tracking of skin champion audit.
  • Empowered skin champions to routinely survey, publish and share findings.
  • Leadership oversight included review each PSA report of HAPU.
  • Introduced new products for ulcer prevention, patient turning and treatment.
  • Increased staff awareness and documentation of pressure ulcers "present on admission (POA)." 

Contact Zennia Ceniza, Director of Critical Care, for more information.  

 

Look at the results 

 

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CEOBreakfast with the CEO
Read the latest give and take with Salem Health CEO Norm Gruber. Topics include affiliation,  the Public Employees Benefit Board insurance offerings, pharmacy access and psychiatric care.

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FROM THE CICCIC
CIC Update
  • Increasing e-news readership
  • Problem solving
  • Changes in leadership 
Read the CIC Update for a summary of key decisions and messages from the July 6, 2014, Compact Implementation Committee meeting. 
 

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PRACTICAL MATTERS
Here's where you find changes to Epic order sets, best practice advisories and reports from the Physician Leadership Council.
parkingConstruction to affect parking behind Building B

Salem Health is preparing for construction on the Church St. property.

 

A fence around the site will signal that only only physician parking will be available behind Building B. 

 

As Salem Health prepares for construction of the new rehabilitation center, the first step is the installation of a fence around the entire site. As a result, the parking lot behind physician parking will close. 

 

The fence goes up July 28 and construction will last about a year.   

 

Common Ground will continue to provide updates as construction progresses.

 

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vialsJoint Commission issues alert on the misuse of vials  

  

Nationally, thousands of patients have been adversely affected by the misuse of single-dose/single-use and multiple-dose vials. Since 2001, at least 49 outbreaks have occurred due to the mishandling of injectable medical products, according to the CDC.

Salem Hospital and West Valley Hospital policy requires providers to use multiple dose vials only for single doses for a single patient. They must then discard the vials after use. Any exception to this procedure must be approved through the Pharmacy and the Pharmacy and Therapeutics Committee

  

For more information, contact Kristy Bond, Accreditation and Patient Safety Manager at 503-561-5221.

 

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rehabNew order panel for Inpatient Rehabilitation Admission Screening

 

Referrals to Inpatient Rehabilitation for patient admission consideration now have a new look. The hospital combined multiple actions into one convenient order panel to facilitate a more timely assessment of patients. The new order panel--the Consult to Rehab Admission Coordinator Panel--automatically sends a consult order to the rehabilitation services admissions coordinator to begin screening for potential admission to IPR. It also initiates the physical and occupational therapy assessments/treatments that are a part of the screening process.  

 

The panel offers the option of evaluation and treatment by a speech therapist to assess for swallowing dysfunction, speech impairments and cognitive impairments. Physical Medicine & Rehabilitation physicians are available through the switchboard. The on-call physiatrist is identified on the "Who's On Today?" link on the hospital's intranet home page.

 

For more information, contact Gina DiGiusto, MBA, BS, RN, Clinical Manager for Rehabilitation Services at 503-814-1201.

 

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autoPLC Problem List goes digital 

 

New enhancements through automation are coming to the Physician Leadership Council (PLC) Problem List:

  • Monthly automated email updates on the status of your item on the problem list
  • Automated email when your problem list item is resolved/closed
  • A Problem List Dashboard showing categories and status  
  • Automated email reminders to assigned leaders

Try out the new system, to start in June, by submitting your issues, concerns and questions to Kelli Fussell or contact one of your Medical Staff leaders with any items you would like to discuss.

 

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whpChanges at Willamette Health Partners Adult Hospitalist Group  

 

Vinitha Kumar, MD, Adult Hospitalist Medical Director, recently returned to Willamette Health Partners after a leave during which she welcomed twin daughters to her family.   

 

 

 

 

 

 

Dana Wehrli, BSN, RN, has joined the Adult Hospitalist Group as program manager. Dana joined  Salem Health in 2007.  Wehrli is a Physician Leadership Institute graduate and has served as a coach for the program. She comes to the adult hospitalist program with strong leadership skills and working knowledge of Lean management.

 

 

Jay Reddy, MD, will serve as Associate Medical Director for the Adult Hospitalist Group.  

 

Reddy had assumed the responsibilities of Acting Medical Director during Dr. Kumar's leave. He has been with Salem Health since 2011 and brings eight years of experience in hospitalist medicine.

 

 

   

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COMING EVENTScoming
CHECFor your patients, Community Health Education Center
  • Adult Weight Management Program

Information session and health screening about new six-month pilot program.

Led by experienced dietitians and exercise specialists through the CHEC.

Tuesday, Aug. 5

6:30 to 7:30 p.m. Free

Read more 

  • A Walk in the Park
    Jim Hennigan
    Walk in the Park instructor 

Walking and breathing exercises inspired by Eastern movement.  This progr

amcombines a walk in the park with exercises that promote strength, coordination, balance, flexibility, and heart and lung function. Classes meet at Bush Pasture Park, at the north entrance just west of the stadium by the Soap Box Derby Run.

Read more 

 

Option 1:  The Basic Breath Walk (Easy level).

Mondays, Wednesdays and Fridays,  

July 28 to Aug 22

10 to 10:50 a.m.  $24
Option 2:  The Bone and Joint Longevity Walk (Moderate level+). R

Mondays, Wednesdays and Fridays,  

July 28 to Aug 22

11:10 a.m. to noon.  $24 
  • Celebrate Diversity

Explore the cuisine of Israel for some Middle Eastern delights featured by acclaimed Creekside Chef Robert Palomo.

 

Tuesday, July 29

6 to 7:30 p.m.  $15

Register here 

 

  • NEWS (Neuropathy, Education and Wellness Support Group)

This is a support group for those who have or care about someone with neuropathy. You may benefit by receiving support from others and by learning how to manage life with neuropathy more effectively.

Third Monday of every month

6:30 to 8 p.m.  Free

Read more 

 

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KUDOSkudos
Moffitt and Stader receive excellence awards

Melissa Moffitt, MD
Leader in Practice and Teaching
Darcy Blanchard, DO, nominated Dr. Moffitt for the way she handled a referral for a patient with advanced cervical cancer. "She had me send her right over that day and worked her in to her busy schedule," said Blanchard.

"I appreciate how Dr. Moffitt always goes the extra mile for our patients. She is a great teacher in the operating room and she is always positive and encouraging. I feel fortunate to have her working in our community."


Donald Stader, MD
Excellence Above and Beyond

Christina Oman, RN, has had the opportunity to watch Dr. Stader in action in the Emergency Department.

In her nomination, she recounted two stories to document his "above and beyond"  efforts for patients: writing a letter to a patient's landlord to address the patient's anxiety about bothersome neighbors; and, loaning his iPad to a child so he could keep still during treatment. "Dr. Stader is an exceptional leader and sets an example for the rest of us in compassionate, quality patient care." 
 
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Physicians recognized for achieving excellent outcomes  

 

Healthgrades recently gave the hospital five-star ratings for treatment of bowel obstruction, colorectal surgeries, bariatric surgery, total hip replacement, total knee replacement, treatment of sepsis, treatment of respiratory failure, treatment of pulmonary embolism and treatment of pneumonia.  

 

Patients treated at hospitals receiving five stars in a particular area are 72 percent less likely to experience in-hospital complications than patients treated at one-star hospitals.  

 

In the first of a series of presentations to physicians who have helped Salem Hospital attain five-star status, Marty Enriquez presented Emergency Department physicians with certificates of appreciation. This team was recognized for their contributions to earning the following five-star ratings:

      • Treatment of Sepsis - 5 years in a row
      • Treatment of Pneumonia - 2 years in a row
      • Treatment of Respiratory Failure - 2014
      • Treatment of Pulmonary Embolism - 2014
Back left to right: Brian Orth, DO; Donald Stader, MD; Brian Clothier, MD; Judy Carroll, CMPE; Paul Gramenz, MD; Front left to right: Kenneth Pak, MD; Kyran Colbry, MD; Joseph Kenoyer, MD; Lazeni Koulibali, DO    
IN THE NEWS...NEWS 
codeSalem Hospital back to normal operations
The Statesman Journal reported on the events that led to a Code Black on July 8. 
Read more

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aaronOregon's Healthcare Financial Management Association honored
Salem Health CFO Aaron Crane is also president of Oregon's Chapter of the Healthcare Financial Management Association. The national organization recently recognized the Oregon Chapter for five years of sustained excellence.
Read more

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foundationSalem Hospital Foundation Awards scholarships
More than 100 students received scholarships from the foundation. The awards totalled $191,000.
Read the Statesman Journal's story

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"Guardian Angels" save woman's life
A former West Valley Hospital dietitian praised Salem Hospital's cardiac team, plus her coworkers, for saving her life.
 

Read more

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Common Ground Newsletter Editorial Board 
Email us anytime with feedback, suggestions, or something for the next issue!  Dr. Ian Loewen-Thomas, Chair, Compact Implementation Committee

Salem Health

503-561-5200