Archive for June, 2009

Angel Food Network at McLeod

Monday, June 29th, 2009

I spent Saturday morning with the team from the McLeod Operating Room, Procurement Services and the Laundry helping to distribute boxes of food for the Angel Food Network at McLeod.  The volunteerism among those helping to support this monthly effort is greatly appreciated.

I also encourage those who have not considered this Angel Food Program as an opportunity for household cost savings, to learn more about it.  

What is Angel Food Network?  It is a food co-op program designed to help one another stretch our food budget.  Founded by Angel Food Ministries in 1994, the Angel Food program now is helping provide food relief to more than 500,000 families each month nationwide.

On Saturday morning we helped to unload, load, and prepare 250 boxes of food for those who ordered this month from McLeod Darlington, Dillon and Florence.  In addition to stretching our food budgets, it is a great opportunity to volunteer to help others for a few hours on Saturday Morning.  You can see from a few of these pictures some of the team who served this Saturday.


The next Angel Food Network distribution day at McLeod will be July 25, 2009.  You may order a box of food for $30.  The retail value of the food is approximately $60.  To see the menu and/or order for July, you may visit this website …  If you would like to volunteer on Saturday, July 27th, please contact Sarah Williams. or 777-2475.


More on Angel Food at McLeod:
With prices seeming to go up every week, buying groceries for yourself or your family can be more and more difficult. But buying food together through a food cooperative is one way to reduce food costs.

Through the Angel Food Network, McLeod Health is helping employees save on their food bills each month. Angel Food uses group purchasing and volunteers to make high-quality, name-brand food available at discounted prices.

The Angel Food Network keeps its overhead costs low by simplifying its distribution and relying on volunteers to distribute the orders.

At McLeod, staff members will be able to help their fellow employees by staffing the Saturday-morning distribution sites.

The Angel Food program is open to any employee, medical staff members, or volunteer. A Regular Box currently costs $30, and other boxes can be added to an order.

The $30 box feeds a family of four for about a week and has a retail value of about $60. A Senior Box of heat-and-serve cooked meals can be bought for $28, and add-on boxes of meat or vegetable and fruit can be added to an order of a Regular or Senior box.

To pick up an order, be sure to bring your receipt and a box or cooler for each box of food you ordered. If you are unable to pick up your order during the allotted time, give your receipt to a trusted family member or friend to pick up for you.

Help will be available from volunteers to process the food and to carry it to your car. Orders for the next month can be placed on distribution day — by cash, money order, or payroll deduction only.

To volunteer to help on distribution days or for more information about those times, date and locations, call the Angel Food Network hotline at 777-6009 or click on the Angel Food Network Link on the Intranet.

How to place an order:
You can order Angel Food boxes at the locations below using payroll deduction, cash, money order, credit/debit card, or EBT card. With Florence delivery only, online orders can be placed with a debit or credit card at The Florence cafeteria can accept only cash and payroll deduction. Those wanting to payroll deduct ($65 limit) must be signed up with McLeod Advantage.

Locations for Sign-Up at McLeod:
McLeod Regional – McLeod Cafeteria and Business Services
McLeod Darlington – Business Office
McLeod Dillon- Business Office

Patient Safety Checklist – RIE

Wednesday, June 24th, 2009

Last Friday I had a chance to hear the results of some work by several Operational Effectiveness Teams.  Effective and impressive quality improvement work continues at McLeod to provide more efficient delivery of health care for our patients physicians, and staff.

Based on the work of those involved at the operating room table, notable achievements were made to improve the flow in the Operating Rooms through a Rapid Improvement Event (RIE) targeting Surgical Safety.  I wanted to take this time to highlight the team’s activities and thank our physicians and staff for their industriousness and dedication.

The Institute of Healthcare Improvement (IHI) introduced the Surgical Safety Checklist at its 2008 National Forum in December. The Surgical Safety Checklist is a tool, sponsored by the World Health Organization, designed to standardize and improve the safety of patients by fostering clear communication and behavior between members of the surgical team. The New England Journal of Medicine published a study in January on 2008 outlining the benefits to patients as a result of implementing a similar checklist. This specific study found an overall 36% reduction in postoperative complication rates in the testing hospitals throughout the world. During the National Forum all hospitals were encouraged to implement the Surgical Safety Checklist in at least one Operating Room.  Operating Rooms in Darlington, Dillon and Florence are beginning to pilot the use of this safety checklist.

The Operating Room chose to use the Operational Effectiveness model of the Rapid Improvement Event (RIE) to Plan, Test & Implement this tool in the OR.  OR Management Council decided to set the first phase to include the surgeons and OR staff on the Orthopedic Service Line. The week-long RIE began on Monday June 15th and ended with a report out to the Leadership Council on Friday June 19th. The team was composed of members from the OR including Jill Caulder RN, Ann Moore RN, Richard Hobbs CST & Erin Ivey CST. The team also included ‘Fresh Eyes’ in the form of Jean Broughton from Human Resources and Zach Coward a Summer Medical Student Intern.

The RIE team began by analyzing the current conditions of the “As Is” state and brainstorming characteristics of the “future state”. The map below identifies the “As Is” steps in Yellow and the “Future State” in green. This exercise allowed the team to identify any gaps or additions to the proposed Patient Safety Checklist.


Future State Characteristics
Good Communication:
- Respectful and Unthreatening between surgeon and entire team
- Interactions with Patient and Patient’s family are professional
- Individuals who have a need to know, KNOW!
Fosters Teamwork:
- Shows respect for all individuals
- Team is all working towards a common (stated) goal
- Everyone gives full support (goes the extra mile for the team)
- Brief
- Timely
- Cover the right amount of information (not too much/not too little)
Ownership of Key Functions:
- Known owners for processes are held accountable to the team
- Visual evaluation of success
- 2 way feedback including surgeons

The Team then added three additional areas for discussion to the Checklist:

- PRIOR TO ROOM – Is the room ready to receive the patient?
- PRIOR TO PROCEDURE – Team Validated Patient Identify, Side & Site marked, Procedure, Consent
   and Position!
- END OF PROCEDURE – Are there special concerns and needs for the next patient?

Next, the team conducted Rapid Experiments by testing the Checklist in the OR with Dr. Denton and Dr. Clark. These test included discussion with the surgeons and team members regarding specific items contained in checklist, benefits of the checklist to the patient / team and gathering their feedback. These test allowed the group to refine the form and discuss issues such as Follow-up and communication.

More on Rapid Improvement Events
Operational Effectiveness at McLeod began by working on two value streams.  The selected streams are “Patient Flow” and “Revenue Cycle.”  The process is designed so that these areas are divided into smaller segments called Rapid Improvement Events (RIE). A RIE is a multidisciplinary team that meets for a week to analyze a particular area within the Value Stream. These teams plan small test of changes, implement or test these changes, study the results, and make final the changes. People directly engaged in the specific work and “fresh eyes” from other departments work hand-in-hand to create these changes. 

Clinical Effectiveness
In 1998, McLeod Regional Medical Center embarked on an initiative called Clinical Effectiveness. This initiative focuses on “doing the right thing, for the right patient, at the right time, by the right health care provider, using the right resources.” In essence, it furthers the McLeod mission by ensuring medical excellence.

Clinical Effectiveness is a physician-led, data-driven process that takes the best information and practices that the medical literature has to offer and applies that information to the local health care setting.

Clinical Effectiveness is achieved through a process that applies specific components. Those components include physician leadership, quality care – both technically and clinically, best practice, evidence-based medicine, and measurable outcomes and results.

Clinical Effectiveness is a quality improvement process for medicine. It is unique because it’s led by physicians with strong administrative support, nursing personnel, analysis and data collection. Clinical Effectiveness is unlike anything else in medicine because we’re actually taking business models and applying them to a clinical setting.


Celebrating Victories

Friday, June 5th, 2009

Broadcast Raises $825,236 for McLeod Children’s Hospital

I wanted to take this opportunity to thank the physicians, staff, families and area supporters who once again have made substantial contributions to provide lifesaving support to children.

The 2009 Children’s Miracle Network Celebration Broadcast, held May 30, raised $825,236 for McLeod Children’s Hospital. The Celebration Broadcast is a culmination of year-round efforts dedicated to helping hospitalized children. Businesses and individuals including McLeod employees support the Children’s Hospital through the McLeod Health Foundation.

The McLeod Children’s Hospital is the local partner for Children’s Miracle Network providing the highest level of pediatric care and technology in the region.

The Broadcast took place Saturday, May 30, on WBTW News 13. Three children treated at McLeod Children’s Hospital were featured during this year’s celebration. These miracle children were Kenyeon Lloyd of Effingham, Nasir Montgomery of Lake City, and Jamiey Teal of Cheraw.

These funds are used to purchase highly specialized equipment for the McLeod Children’s Hospital Pediatric Intensive Care Unit (PICU) and Neonatal Intensive Care Unit (NICU) which help advance the treatment of critically ill and injured children and infants.

Current projects and equipment that funds raised for the Children’s Hospital will be utilized for include the new McLeod Pediatric Rehabilitation Services center on Second Loop Road and Alaris Infusion Pumps that help to ensure the right medication dosage is delivered to infants in the NICU. Funds are also utilized to fund Camp Health, a summer camp for children with asthma, diabetes and sickle cell, and support programs such as injury prevention and community health education programs.

Funds generated nationally by Children’s Miracle Network are used to benefit children treated at 170 hospitals throughout North America. One hundred percent of locally-generated donations stay right here at McLeod Children’s Hospital.

More than 100 beds at McLeod are dedicated to serve the needs of children in McLeod Children’s Hospital, the NICU and PICU, and McLeod Day Hospital. Each year approximately 26,000 children are treated at McLeod either as an inpatient, outpatient, or rehabilitation patient. At McLeod Children’s Hospital, doctors, nurses, technicians, and volunteers strive for medical excellence in treating critically ill and injured children and to provide the very best healthcare resources for the region’s children for generations to come.

Thanks again to all who participated in the Celebration weekend or provided financial support to the McLeod Children’s Hospital.

The McLeod Children's Hospital staff, miracle children and their families, and WBTW TV13 celebrate the conclusion of a sucessful 2009 broadcast.

The McLeod Children's Hospital staff, miracle children and their families, and WBTW TV13 celebrate the conclusion of a sucessful 2009 broadcast.

Here’s more information about other Pediatric Services at McLeod:

McLeod Pediatric Intensive Care Unit and Pediatric:

Since 1992, a specially designated Children’s Hospital Ambulance has transported children and newborns from community hospitals throughout the region to high-tech, lifesaving specialists at the Children’s Hospital. In 1994, McLeod opened the region’s only five-bed Pediatric Intensive Care Unit (PICU) — designed, staffed and equipped, especially for children. In 1997, the PICU was upgraded from a five-bed unit to a six-bed unit and is currently under the direction of two board-certified pediatric intensivists. The McLeod Pediatric Intensivists offer critical care services for life threatening illnesses, diseases, and injuries in both the McLeod Children’s Hospital and the Pediatric Intensive Care Unit. They also provide outpatient sedation services for MRI’s and painful procedures where sedation is required.

McLeod Neonatal Intensive Care Unit:

Since 1980, McLeod has been providing the highest level of lifesaving care available to critically ill newborn infants through our Neonatal Intensive Care Unit (NICU). McLeod is the designated Regional Prenatal Center for northeastern South Carolina, one of only five in the state, and is one of only seven Level III NICU’s in the state. The 40-bed unit provides care to around 400 infant patients per year. Three Board-certified Neonatologists staff the unit, along with the region’s most comprehensive nursing, respiratory therapy and occupational therapy staff, trained and experienced in the management of high-risk newborns and their families.

McLeod provides transport services for high-risk or critical babies from community hospitals within the Pee Dee to the McLeod NICU. Nurses and respiratory therapists respond immediately to assure high quality care for the newborn during transport, often making the difference between life and death for some newborns.

McLeod Pediatric Subspecialists:

McLeod currently has five pediatric subspecialists encompassing the subspecialties of pediatric cardiology, pediatric critical care, pediatric endocrinology and pediatric orthopedic surgery. In addition, McLeod is joined by satellite clinics from the Medical University of South Carolina in the fields of pediatric hematology, oncology, and nephrology. Pediatric neurology and pediatric allergy/immunology are also available. Before this group formed, patients and their families had to travel out of the area to receive the specialized pediatric care that is now provided locally. Patients are referred to McLeod Pediatric Critical Care Group by their family doctors or pediatricians.

McLeod Child Life Program:

Hospital experiences can be extremely stressful to children and their families. Interruption of normal life, physical limitations, medical procedures, and family separation all have the potential to interfere with a child’s response to medical treatment. Hospitalized children are often fearful and do not understand what may be required for their treatment. The Child Life Program at McLeod Children’s Hospital provides children with a positive, informative healthcare experience, and seeks to establish trust and provide comfort for a child and their family during hospitalization. This is done through many services – - including the Child Life Specialist, the Volunteer Coordinator, and the McLeod Child Life Activity Center.