Archive for February, 2010

Journey to Culture of Health Continues

Tuesday, February 23rd, 2010

First, I would like to say thanks to all those who participated in the Health Resource Expo during annual enrollment this year. This is a first step in our journey towards becoming a culture of health. I certainly hope that our 2,900+ employees who attended found this to be informative and maybe even motivating to begin to take steps on your personal journey towards better wellness.

Tim Hess greets participants at the Health Resource Expo.

I was excited at how well received the screenings were for those who attended the Health Resource Expo. I hope you find the results and information provided there to be informative. For those who participated in the biometric screenings and completed the Member Health Questionnaire, your overall wellness score and personalized reports are available by logging in to: www.myviverae.com. If you have questions, need help logging back in, or would like to speak with a member health technician, you may contact Viverae’s Member Support at, 1-888-VIVERAE (848-3723).

McLeod Health’s summary data from the Health Screenings is just coming in. We are working with our wellness partner, Viverae, to make sure we understand the data and to identify opportunities we have as an organization to help improve the overall well-being of our employees.

This process will take some time, but we hope to be sharing with you soon more details about these results as well as new opportunities, support, resources and programs that will help us all Live Well. Further, I would like to thank Tim Hess, Associate Vice President of Human Resources, Jeannette Glenn of Human Resources, Dr. Peter Johnson of Occupational Health, Dr. Charles Jordan, of McLeod Physician Associates and the rest of the Culture of Health Action Team for helping review our opportunities and chart a course for our efforts to help McLeod and our employees lead by example in carrying out our mission of improving the overall health of the citizens in our region.

With your support, we’ve taken the first steps towards becoming a culture of health, and I hope more and more of you will join us on this journey. In the mean time, we currently offer several programs specifically designed to help you build health and wholeness. Here are highlights of a few of those programs:

McLeod Health & Fitness Center – A state-of the-art Health & Fitness Facility with equipment, gymnasium, swimming pool, aerobics pool, a variety of classes, racquetball, running/walking tracks, and full locker room facilities. Discounts are offered to employees with convenient payroll deduction. For more information, contact the Membership Desk at 777-3925.

QuitSmart Tobacco Cessation Class – Complete all three sessions of the program and the course is FREE to employees to McLeod Health employees. It is also offered at a reduced rate of $50 for spouses and dependant family members. For more information, contact 777-STOP (7867).

Weight Watchers at Work – Stop Dieting. Start Living. Weight Watchers isn’t a diet because it helps you eat right and live healthy: Convenient times and locations. For more information, contact Reservations and Scheduling at 777-2005

Employee/Occupational Health - Employees can receive flu shots, immunizations, and health screenings including tobacco cessation counseling. For more information, contact at 777-2031.

McLeod Employee Assistance (EAP) – Up to 5 free and confidential visits for you and/or your immediate family members for help in dealing with work, family or personal issues. If you have the McLeod Employee Medical Insurance, and coordinate your behavioral health care needs through the McLeod Health EAP, you will receive the highest level of benefits and ensure you or your family member gets to the right provider to best help address your needs. For more information, contact: Dallas Stephens at 317-4949.

McLeod Health Physician Associates – Schedule your annual checkup with your primary care physician and discuss your Health Expo Results. Together, you and your physician can chart a course to better health. If you need help finding a McLeod Physician, contact 777-7000 or visit McLeod Health’s Website at www.mcleodhealth.org.

McLeod Diabetes Center – Resources for employees or their family who have been diagnosed with diabetes including medical education, counseling, and nutritional support. For more information, contact Marilyn Henderson at 777-6750.

McLeod Resource Center – Information about maternity education, breastfeeding, pregnancy, women’s health and community and Web resources for finding reliable health information at any stage in your life. For more information, contact the Resource Center Manger at 777-5493.

Congratulations Jeannette Glenn!

Wednesday, February 10th, 2010

On Tuesday evening in Columbia I had the opportunity to attend the annual meeting of the South Carolina Chamber of Commerce.  A team from McLeod was present to support Jeannette Glenn, Senior Vice President of Human Resources, Education and Training for McLeod Health. Jeannette was one of thirty-eight human resources leaders from a variety of industries who were being recognized for their leadership and service. From the thirty-eight leaders, seventeen were selected as nominees for this award. Of those seventeen, one was selected as Human Resources Leader of the Year. Congratulations to Jeannette on being recognized by the South Carolina Chamber as the Human Resources Professional of the Year, awarded the 2010 Award for Professional Excellence in Human Resources Management.

This highly prestigious award recognizes creative approaches and consistently high performance that benefits the nominee’s company as well as the business and professional community. It is sponsored by the South Carolina Chamber of Commerce and the State Council of the Society for Human Resource Management.

On behalf of McLeod Health, we are proud of Jeannette for receiving this honor and for all of her contributions as a member of the leadership team. This recognition is well deserved and reflects her cheerful and compassionate service for the welfare of our people. This distinction is a tribute to her passion for our patients, her profession and the 4,700 women and men serving with McLeod.

Glenn began her career with McLeod in 1972 as a staff nurse working in the Surgical Unit, Critical Care Unit, and the Emergency Room as a charge nurse. She has since worked in many other capacities such as head nurse, surgical clinical coordinator, and director of staff development.

In her current role, Glenn leads the recruiting and retention efforts for McLeod Health, the largest employer in Florence County.  As a Senior Vice President, Glenn is a member of the Leadership Council at McLeod Health.  In this capacity, she leads the creation of the strategic management plan for the Human Resources division.

Jeannette Glenn leads a discussion during the Rapid Response Team RIE.

Glenn’s educational background includes a diploma in nursing from Kate Bitting Reynolds Memorial Hospital School of Nursing in Winston-Salem, NC; a bachelor of science degree in nursing from the University of South Carolina in Columbia; a master’s degree in nursing administration from the Medical University of South Carolina in Charleston; post-graduate studies at Francis Marion University, and management studies at Harvard University Graduate School of Business.

She was most recently honored as the 2009-2010 Executive of the Year by the Florence chapter of the International Association of Administrative Professionals and named as a participant in the Riley Diversity Leaders Initiative of the Riley Institute at Furman University in Greenville, South Carolina.

Glenn has received numerous awards for her community affiliations. These include the Pee Dee Council of Girl Scouts of America, the Elizabeth Pettigrew Durant Children’s Center, the United Way of Florence County, the South Carolina Hospital Association Society, Pee Dee AHEC, Alpha Xi chapter of Sigma Theta Tau, Health Facilities Federal Credit Union, the Florence Career and Technology Education Advisory Committee, Florence Education and Business Alliance, and many more.

Her professional memberships include the American Nurses Association, South Carolina Hospital Association Society of Health Educators, and the American College of Healthcare Executives.

Glenn is also a member of Florence alumnae chapter of Delta Sigma Theta sorority and the Florence chapter of Top Ladies of Distinction.

The South Carolina Human Resources Management Award for Professional Excellence was established in 1989 to recognize an individual for outstanding service and dedication to the human resources field.

The South Carolina Chamber of Commerce, the nation’s first state chamber Accredited with Distinction by the U.S. Chamber, is the state’s largest statewide broad-based business and industry trade association representing more than 6,500 member companies and more than 600,000 member employees, with 90 percent of membership comprised of small businesses. As the unified voice for business and industry, the Chamber is a catalyst for increasing per capita income and enhancing the state’s global competitiveness in order to improve the quality of life for all South Carolinians.

Read more at the South Carolina Chamber of Commerce’s website.

Haiti Relief at McLeod Health

Friday, February 5th, 2010

Many thanks for your ideas and offers to help with the Haitian relief effort.  An email was set up for the purpose of receiving and reviewing your ideas …  Haiti.Relief@McLeodHealth.org.

Prior to the devastating earthquake, several physicians in our community – Drs. Mark Reynolds and John Mattheis and Chamaine Brooks – were already scheduled for a February  medical missions trip to Haiti.  We also know that Dr. Steve Adams is completing  two weeks of medical service there.  Please pray for their safety.  Please give thanks for their willingness and availability to help the people of Haiti at this time.  

Unquestionably, there continues to be a critical need in Haiti for a broad range of supplies and medicines. McLeod Health and other member hospitals in the South Carolina Hospital Association (SCHA) are teaming up with the South Carolina-based Haiti Children Project (HCP) to get supplies directly to those in need, bypassing the congestion at the Port-au-Prince airport.  You may view the website of this organization (http://www.haitichildrenproject.org) to learn more about their work … pre- and post-earthquake.

The HCP flights are landing on dirt strips in rural areas of the country to place critically needed supplies directly into the hands of caregivers and emergency responders.  Earlier this week, two planes filled with approximately two tons of desperately-needed medical supplies and medications — donated by SCHA member hospitals, landed in Jérémie, Haiti.  Additional flights are planned to take life-saving supplies directly to earthquake victims and those trying to care for them.

Photo courtesy of the SC Hospital Association.

The port city of Jérémie, Haiti, is the capital city of the department of Grand’Anse, in Haiti, with a population of about 31,000 (2003 census). It is almost isolated from the rest of the country. Although Jérémie has been cut-off from food and supplies, it continues to receive a steady influx of severely injured Haitians from surrounding areas.

McLeod Health’s response to the Haitian disaster has been planned and deliberate — carefully coordinated with the help of the South Carolina Hospital Association. We realized that other organizations have responded quickly by moving masses of basic supplies to the disaster areas, which, according to news reports, in many instances has been slow to reach care givers in the field. We also recognized that as response teams were better able to more carefully assess specific needs, there would be significant demand for specific, crucial medical provisions, which were in short supply.  Reports indicate that there would be an on-going demand for these materials, particularly in remote areas.

By awaiting the return of the first HCP pilots from Haiti this week, we have identified very specific supplies, which are vitally important but are in short supply in the region. By planning a response to meet the needs of care-givers and emergency responders on the ground, we have been able to specifically match their need for vital medical supplies.  In response, McLeod has, at this time, donated $10,000 dollars of critically needed medical supplies:  topical antiseptics, orthopedic supplies, wound care supplies, IV fluids,  suture material and external staplers for secondary wound closure.  These items have been delivered from our warehouse supplies to Columbia, South Carolina and are being flown directly to emergency responders and care givers in Jérémie.  Thanks to the team in Procurement Services for preparing and transporting the supplies, as well as others who have been involved in this effort so far.

Lashawn Mumford and Entran Mack load the supplies from McLeod which are bound for Haiti.

Thank you for exhibiting the hearts of servants, exemplified by your prayers, acts of support and kindness, and your willingness to serve others.  We will continue to work on the ideas that you have for this relief effort.

Thanks,
Rob

Improving Rapid Response

Wednesday, February 3rd, 2010

Athletes compete against the clock.  Runners, skiers and swimmers strive endless hours to shave seconds off their race times.  Unquestioningly, the need for swiftness in a medical emergency is of paramount importance. Internal teams of nurses, physicians and professionals must constantly scrutinize their own response times to meet critical life and death emergencies.

For some time, a vital component of our patient care safety net has been our Rapid Response Team — known by some as METs or Medical Emergency Team. The heroic efforts of these teams are well known and are often forwarded to my attention.  However, in our desire to consistently strive for excellence, we sought to improve the process of the teams. Using the Operational Effectiveness approach, we targeted our response times for Code II’s and Rapid Response calls.

Recently, we held the first Rapid Response improvement event (RIE).  This was the first of six RIE’s on this improvement effort. The first RIE focus was on the flow of information and timely arrival of the first responder to a Code II or a Rapid Response call.

The team was led by Brenda Raynor, TSCU. The implementers were Kathy Sims, 10th floor and Trish Handley, CCU/Telemetry. The other team members included: Angela Marlowe, Respiratory Therapy; April Sheppard, 4East; Amy Edmund, CCU; Paula Hrobak, Anesthesia; Julie McKissick, Operating Room; and Kelly Lawson, Nursing. Larry Adams is the Process Manager for Operational Effectiveness facilitating this work.

Larry Adams and Brenda Raynor review flow chart on patient care

The RIE team spent all day on Monday and part of Tuesday understanding the “As Is” state or what is currently happening when we activate a Code II or a Rapid Response Team.  Next we developed the “Desired State” or what the ideal process should look like. By the end of Tuesday, the team developed several (PDCAs) Plan Do Check Act – - to test for improvement.

The RIE team began with a goal of having a ‘first responder’ for a Rapid Response Call or Code II Call arrive within five minutes of the request. The ‘As Is’ state was an average of twelve minutes for the first responder to arrive. By looking closely at each step, the RIE team standardized the process to call the Code II or Rapid Response through the Switchboard; thus, reducing the team’s arrival time by eight minutes.  We will now seek to educate and make responders aware of the new process so that this move toward ideal can be maintained.

As we improved response during the initial week, several Physicians provided positive confirmation. Notably, one physician stated “That was the best arrival time and rapid response I have ever witnessed.” This comment confirms that a change in process is better when it involves a team approach — including the people who ‘do the work.’ This is one of the design principles of Operational Effectiveness.

The next Rapid Improvement Event (RIE) is scheduled for the week of February 8th. This team will focus on “defining the role of each responder to a Code II or Rapid Response request by standard work and policy.”

In our use of Rapid Response Teams, we have found a team approach to nursing with subsequent improvements in patient care and outcomes: improvements in planning, which include:
- assessments, treatments and goals;
- improvements in communication – patient-to-staff, staff-to-staff and staff-to-physician; as well as
- improvements in recognizing subtle changes in a patient’s condition.

We greatly appreciate the work of this team and look forward to other breakthroughs during the next five months as they focus on each step in the process.

Thanks,
Rob