Archive for the ‘McLeod’ Category

“Exit Strategy”

Friday, February 3rd, 2012

While we plan for everyone on the team to remain until retirement, this is not always possible.  I found this instruction to be helpful with any responsibility to which we have been entrusted.  In his book, Created for Work, Bob Schultz asks an interesting question about our work – “Do you have an exit strategy?”

‘On commercial airlines, before you ever leave the ground, attendants provide an exit strategy. They tell you how to use your seat for a flotation device if the plane landed on water. In the unlikely event of the plane losing cabin pressure, they show you how to employ oxygen masks. Exit doors are clearly noted and you receive instructions on how to use the evacuation slide. Airline companies want their passengers to know how to get off their planes under all circumstances –  before the plane leaves the runway.

How does all this apply to our work or job? Do not wait until the last day of work to plan your exit strategy. To finish well, it is good to have the end in sight at the beginning. That vision will direct your actions to your desired goal. If we stopped to consider an exit strategy for our work, we would surely come up with some ideas like the following:

On the last day of my job,

1) I want to have a record for doing well and always being on time.

2) I want to have the reputation of owning a good attitude.

3) I want to give sufficient notice before I quit so my boss might find and train my replacement.

4) I want to finish all my business. That means returning all equipment and owing no debts.

5) I want to be able to look everyone in the eye, knowing I did as much as possible to be at peace with them.

6) I want a heart desire to see my boss prosper. I want to hear my boss say as I leave, “Well done. If you ever need a job in the future, call me back. We can always use a person like you.”

7) When I leave my position, I want to leave all my affairs in order so that I might enter my new course with a full heart, a clear conscience, and no regrets.

I have given only seven off-the-cuff ideas for ending a job well. I am sure that we could think of better ones, with a little effort, that would make our departure admirable. It’s worth our time to consider how we want to finish our current commitments and then keep to the plan. By practicing first-class exit strategies from jobs and other commitments, we will develop the wisdom to complete valuable responsibilities in life.

Knowing my exit strategy gives me practical wisdom for how I should act today.’

Do you have an exit strategy?

Thanks,
Rob

Switch: How To Change Things When Change Is Hard

Tuesday, January 31st, 2012

In preparation for an upgrade of our organization’s computer system from McLeod Invision to McLeod Soarian, the leadership team is reading a book entitled: Switch: How To Change Things When Change Is Hard, by Chip and Dan Heath. By March 31, 2012, each leader, director and vice president is required to read and prepare a one-page summary of what they gleaned from this best-selling book.

The entire healthcare system is changing rapidly and we need to find new ways to serve others.

Switch concisely approaches change with a visual model that includes “the Rider,” “the Elephant,” and “the Path.” These elements are well illustrated through numbers of real-life examples in business, education and healthcare settings. Every difficult challenge or problem has an often overlooked or obscure “Bright Spot.” By gleaning and focusing upon small, but successful Bright Spots, larger solutions can be framed for future improvement. In other words, ask, “What is working?” and “How can we do more of it?” Bringing obscure, but successful Bright Spots into the spotlight is key to change. Positive change is possible. Bright Spots not only need to be drawn out of obscurity but also emphasized and rewarded.

It has been said: “If we open an argument with the past … we will neglect the future.” This book brings to light the counter intuitive approach of focusing on Bright Spots within our workplace rather than an unhealthy obsession over what is not working.

Whatever change you were attempting to initiate, I hope that you will join our team in reading this helpful book. If you would like to borrow my copy, please let me know.

Thanks,
Rob

Here are a few practical excerpts from page 263:

Problem: I’ll change tomorrow.

Advice:
1. Shrink the change so you can start today.
2. If you can’t start today, set an action trigger for tomorrow.
3. Make yourself accountable to someone. Let your colleagues or loved one’s know what you’re trying to change, so their peer pressure will help you.

Problem:  People keep saying, “It will never work.”

Advice:
1. Find a Bright Spot that shows IT can work. There’s no situation that is 100 percent failure. Like a solutions-focused  therapist, look for the flashes of success.
2. Think of Bill Parcells and the way he prods players for small victories in practice. Can you engineer a success that could change your team’s attitude?
3. Some people probably do think it will work. Carve out a free space for them where they can catalyze the change without facing direct opposition.

Problem: I know what I should be doing, but I am not doing it.

Advice:
1. Knowing isn’t enough. You’ve got an Elephant problem.
2. Think of the five minute room rescue. Starting small can help you overcome dread. What is the most trivial thing that you can do – right at this moment – that would represent a small step toward the goal?
3. Look for path solutions. How can you change your environment so that you’re forced to change?
4. Behavior is contagious. Get someone else involved with you so that you can reinforce each other.

Referendum for Healthcare Services Passes

Wednesday, November 2nd, 2011

McLeod Health and Loris Community Healthcare System are extremely pleased with the public vote of confidence and outpouring of support from the community on the Healthcare Services Referendum on Tuesday, November 1.  An overwhelming 85 percent of voters passed the Referendum for Healthcare Services.

We are most appreciative of the dedication and hard work on behalf of the Citizens’ for Better Healthcare Services Committee to promote this effort.  Composed of residents from the Loris, North Myrtle Beach, Green Sea, Little River and Nichols communities, the Committee worked diligently for several months to communicate the issues involved in the referendum.  Working together for patients and families, we are stronger.

Loris has over a decade-long relationship with McLeod Health.  These hospitals share the same philosophy of quality patient care and are inspired by beloved local physicians.  Over and over again at fall festivals, in community groups and meetings, patients and families spoke of their personal experience with McLeod Health physicians and staff and of your commitment to the patients we serve.

These positive relationships created the opportunity to merge both organizations. These positive relationships, based on your service to others, created this opportunity to receive such a mandate in this referendum vote.  Working together, we are stronger.

McLeod Health, Loris and Seacoast continue to share a not-for-profit mission and focus on providing the best possible health care services to patients.  Loris and Seacoast will retain a local governing board and local foundation, with continued involvement and leadership.  The McLeod Health Board will expand to include three additional Board members from Horry county.

Loris Community Healthcare System provides care for residents of northern Horry and southern Brunswick and Columbus counties.  Founded in 1950, Loris Community Hospital is a fully-accredited acute care facility with 105 licensed beds.  Seacoast Medical Center opened in 2000 as an outpatient facility.  In July 2011, Seacoast Medical Center began providing inpatient care as a 50-bed hospital.  Other facilities affiliated with Loris Healthcare System are Family Health Centers in Loris and Green Sea, Loris Extended Care Center and the Center for Health and Fitness.  Loris Healthcare System also operates a network of physician practices and has more than 120 physicians on active and affiliate medical staff. Loris Healthcare System has nearly 750 employees.

With the passing of the referendum Tuesday, we will continue to work together for better healthcare services and better value in the communities we serve.  Both organizations and their staffs will benefit from working together. Our patients deserve the best healthcare services and the appropriate timing is now. Our communities are growing and this partnership is a way to provide these services to all patients in the area.

We have some challenges ahead, as with any new opportunity for growth and service. Thank you for your service and continued dedication to improve the quality of life for others.

Thanks,
Rob

See Myrtle Beach Sun News article below: http://www.thesunnews.com/2011/11/01/v-print/2476934/hospital-referendum-gets-early.html

Recognition offers encouragement

Monday, October 31st, 2011

Please take the opportunity to read the following editorial which appeared in the Myrtle Beach Sun News on Wednesday, October 26, 2011.

I was grateful for this publication’s vote of confidence and endorsement of the effort to formalize a more permanent relationship between McLeod Health and Loris Community Healthcare System. I was encouraged by the recognition of the McLeod reputation for quality and excellence.

The positive words are indeed a reflection of your passion, your work these many years to improve care and service for patients and families.
Because of you and the McLeod team, the community in the Loris area positively received the news of a merger between McLeod and Loris. Over and over we have come across patient after patient, family after family who could relate a positive experience with McLeod.

While we don’t know the outcome of the vote on Tuesday, November 1 … and we will have a great deal of work ahead of us in this merger during health reform …  I am proud of you and your service to others.  Thank you for the daily sacrifice you make for patients and families.

Thanks,
Rob

Here’s the link:
http://www.thesunnews.com/2011/10/25/v-print/2463771/editorial-healthcare.html

…Then Keep Asking A Small Question

Tuesday, August 9th, 2011

 In his book, “Drive: The Surprising Truth About What Motivates Us,” Daniel Pink talks about motivation and mastery.  He says,

“Real achievement doesn’t happen overnight.  As anyone who has trained for a marathon, learned a new language, or run a successful division can attest, you spend a lot more time grinding through tough tasks than you do basking in applause.

Here’s something you can do to keep yourself motivated.  At the end of each day, ask yourself whether you were better today than you were yesterday.  Did you do more?  Did you do it well? Or to get specific, did you learn your ten vocabulary words, make your eight sales calls, eat your five servings of fruits and vegetables, write your four pages?  You don’t have to be flawless each day.  Instead, look for small measures of improvement such as how long you practiced your saxophone or whether you held off checking email until you finished that report you needed to write.  Reminding yourself that you don’t need to be a master by day three is the best way of ensuring you will be one by day three thousand.

So before you go to sleep each night, ask yourself the small question: Was I a little better today than yesterday?”

Thanks,
Rob

New Management Relationship with Loris

Wednesday, July 13th, 2011

McLeod Health has been working to formalize a healthcare partnership with Loris Healthcare System, and its affiliates, during the past year. We have good news regarding developments in this relationship, which will benefit patients in the communities we serve.

Loris Healthcare System has entered into a management agreement with McLeod. Through this relationship, McLeod will assume responsibility for managing Loris Community Hospital and Seacoast Medical Center, as well as other healthcare facilities owned by Loris Healthcare System.

Loris Healthcare System and McLeod will maintain local governance and management. A new administrator for Loris Healthcare System will be announced upon mutual agreement by our two organizations.

The five year  management agreement will focus on ways the two not-for-profit healthcare systems can work together to strengthen the availability of healthcare services in the northeastern region of South Carolina and southeastern North Carolina. In a manner which is consistent with the charitable mission of both organizations, the arrangement will serve patients and families in more than a dozen counties – from Horry County through the Pee Dee, to Sumter County.

Discussions between the organizations began last year following a thorough strategic planning process and a review of this potential alliance. Compatibility, similar charitable missions and values, and a commitment to deliver high quality patient care are the primary reasons for the affiliation.

This relationship with McLeod will strengthen healthcare in our region by advancing clinical programs and services, supporting physician recruitment, providing operational efficiencies and allowing future growth.

Additionally, this past week we announced that Dick Tinsley has been appointed the transition team leader to coordinate the management relationship between McLeod Health and Loris Healthcare System, which includes Seacoast Medical Center. He will support the work between both not for profit organizations as they continue working together strategically for the future. 

Dick is an experienced healthcare leader with a diversity of skills. The expertise and business acumen that he has demonstrated at McLeod and the experience he brings to Loris Healthcare System will strengthen the transition for our organizations and support the vision for future growth. He has also been a part of healthcare leadership for more than 25 years, providing organizational expertise in a variety of duties, including vendor relationships, strategic planning, managed care, joint ventures, physician engagement and service line development. He has served in a leadership position with McLeod Health since 1998 and as a Vice President of Planning since October of 2000. In his role, he has had administrative oversight of McLeod Orthopedics/Neurosurgery Services, Trauma Care and Emergency Services, McLeod Health and Fitness Center, McLeod Home Health Services, and McLeod Hospice. Dick has also had responsibility for CONs, DHEC matters, legislative and governmental relations.

The Loris and McLeod teams share a common mission and existing relationships, including the provision of high quality specialty care, such as Cancer, Orthopedic and Cardiac Services. We plan to bring the quality methodology as well as the valued clinical effectiveness initiatives and improvement processes to this agreement.

We will continue to work hard together to bring the best care possible to our patients. I wanted to recognize all of our teams of healthcare professionals for their efforts, commitment and support during these times of challenge and change.

Thanks,
Rob

Medicaid Announces Second Round of Budget Cuts

Wednesday, June 22nd, 2011

The state’s Medicaid Agency announced another series of payment reductions to providers for medical services provided to patients.  This link will take you directly to the memo from the agency: http://www.scha.org/tools/files/publicnoticejuly2011final-4dedf5b8.pdf. I have provided it as we received it from the South Carolina Hospital Association.  Hospitals received a 3% cut beginning in April of 2011 and these additional changes will be implemented in July 2011.

The recession continues to impact state and local governments as well as all business and organizations providing services.  We continue to look for ways to reduce costs in the face of these payment reductions for the services provided to patients.  Please see the link for “Bright Ideas” on the McLeod Health Compass (Intranet) homepage in order to submit your additional suggestions for improvement.

Thanks,
Rob

Learning and Mentoring

Friday, June 17th, 2011

“I look back on the old Masters highlights and I watched some things that I’ve done, and I’ve learned from those experiences. It’s taken me time and years of seeing what’s worked well and what hasn’t.”
Phil Mickelson, American Golfer

As health care professionals at McLeod, we have responded to the mission of caring for people. For most of us, it is not a job, but a vocation and a calling. Part of our responsibility in providing the very best experience to our patients and their families is by also mentoring and teaching others to render excellence in medical treatment. Teaching new generations to carry the torch of compassion and fostering the commitment to excellence is supported by sharing the lessons learned in our daily work.

For the past four years, McLeod has hosted an internship for medical students from May through July, a concept developed by Dr. Alva Whitehead. This fellowship for rising second year medical students is funded by the McLeod Foundation. It has been used as both a learning tool for physicians in training as well as recruitment for the future by McLeod.

Currently, five medical students are spending their summer vacation at McLeod Regional Medical Center receiving an insider’s view of how a hospital works. This six-week internship, which ends in July, is often the first experience in a hospital for many of these students.

Dr. Bryon Frost in the Emergency Department demonstrates how to insert an airway tube to the medical students visiting McLeod this summer.

Members of the 2011 McLeod Medical Student Fellowship are:
Abigail Case, USC School of Medicine
David Giovannini, USC School of Medicine
Ashley Greeson, USC School of Medicine
Roopa Varadarjan, Medical University of South Carolina
Brian Williams, USC School of Medicine

The internship includes rotations through the Family Medicine Residency Program, Rapid Improvement Events, a two-week Surgery segment with Dr. Michael Rose, and visits to different areas in the hospital such as the Emergency Department, the Lab, Radiology, Critical Care Units, and Radiation Oncology. The students also round with physicians, administrators, hospitalists and nursing directors and attend meetings of the Cancer Conference Board, IRB, and Quality and Safety during their fellowship.

Summer Medical Student David Giovannini (center) observes Dr. Al Gilpin during surgery.

Thanks to all our teams who have supported this time of instruction and interaction. Good luck to these students as they continue on their educational journey.

Thanks,
Rob

Mercy In Me Free Medical Clinic

Friday, June 10th, 2011

On Monday, I was given the opportunity to speak at the Rotary Club in Cheraw, South Carolina.  Rotary is a service oriented group of community leaders.  McLeod Board Member Crawford Moore called me with the invitation to speak about McLeod Health. 

Prior to the Rotary meeting on Monday, Crawford wanted to show me the work of local citizens at the Mercy In Me Free Medical Clinic. I met Dr. Gabe Simpson who volunteers in the clinic when he is not working in the emergency room of the local hospital. At Mercy In Me Clinic, I also met with Kappie Griggs, RN and John Goodwin, who also volunteer their time and expertise for the clinic, which is staffed and supported by all volunteers. I was impressed with the spirit of caring I observed in those who volunteer to help others and serve the special needs in the clinic.

The Mercy In Me Free Medical clinic was established to offer relief to those who find themselves without heath insurance. By providing screening, medications, and a heathy dose of God’s love and compassion, Mercy In Me Free Medical Clinic will provide free, quality health care to the uninsured, while protecting each patient’s dignity and self-respect.

Click on this link to see the safety net service being provided to people in Cheraw, http://www.mercyinme.org/

N.B. Baroody Lecture Series

Tuesday, June 7th, 2011

A special McLeod Cardiology program will be held on Tuesday, June 7, from 5:30 p.m. to 7:30 p.m. in the McLeod Medical Plaza Auditorium, led and moderated by Dr. Conyers O’Bryan.  The  medical lectures will honor the late Dr. N.B. Baroody.

The evening program features a presentation by Michael L. Craig,, M.D., Assistant Professor of Medicine, Congestive Heart Failure and the Transplantation Division of Cardiology, at the Medical University of South Carolina. His topic, Refractory Congestive Heart Failure, targets the program objectives that participants should be able to successfully identify arrhythmias; institute a proper program from the anticoagulation aspect, as well as complete medical care; and understand pharmacologic instrumentation treatment of congestive heart failure, including the evaluation and etiology.

Also on the program are Physicians on the Medical Staff of McLeod Regional Medical Center.  Rajesh Malik, M.D., an Electrophysiologist with Pee Dee Cardiology Associates will focus on Atrial Fibrillation, and Ian D. Smith, M.D., an Interventional Cardiologist with Advanced Cardiology Consultants will present Successful Anticoagulation and Current Data. CME credit will be provided for this McLeod Health activity.

The late Dr. N.B. Baroody, Jr.

The event title honors Dr. N. B. Baroody, Jr. (1924-2010), a cardiologist and internal medicine physician who cared for patients for 55 years. He served on the McLeod Medical Staff in private practice during that time and later as a preceptor and physician with the McLeod Family Medicine Center from 1989 to 2010, providing leadership and educational support as a part of the teaching faculty for the McLeod Family Medicine Residency Program.  Dr. Baroody’s influence on residents, physicians, and hospital staff serves as a lasting legacy to the community.  

A co-founder of Mercy Medicine Clinic, Dr. Baroody is remembered as a skilled and compassionate caregiver, a dedicated medical missionary, and an experienced and gifted photographer, who published two books of artwork and spiritual reflections: In Search of His Image, a Photographic Journey in 2007, and The Unexpected Visitor in 2010. He was a great mentor and friend, explained Dr. O’Bryan.

Dr. Conyers O'Bryan, Jr.

I want to thank Dr. O’Bryan for his leadership in facilitating this program, as well as recognize his many years of dedication to the medical profession, medical education and commitment to excellence in patient care.  We also appreciate Drs. Craig, Malik and Smith for participating in the program.  The lecture series is open to the Medical Staff and interested clinicians.

Thanks,
Rob Colones