Our continuous journey to excellence

Care ConnectionSeptember2014

2 CareConnection

As Kristin Vondrak, DNP, ARNP, BC, NE,

CPHQ, vice president, chief quality officer, is

quick to point out: we’ve made tremendous

improvements in quality outcomes in the five

years since phase one of our Quality & Safety

Plan was implemented.

With oversight from the Board Clinical Quality &

Technology Committee, our physicians and team

members have worked diligently to provide the

very best care for patients and families, while

achieving measurable improvements including: n 68 percent reduction in bloodstream

infections n 63 percent reduction in hospital-acquired

pressure ulcers n 24 percent reduction in overall patient falls n Heart attack readmission rates below the

national rate

Driving to top performance in Quality & Patient Safety Our goal is to provide extraordinary care

and quality outcomes in an environment of

safety, both inside and outside the walls of our

hospitals. With this in mind, our Baptist Health

Board and Hugh Greene, our CEO, challenged

the leadership team to develop the next phase

of our Quality & Safety Plan with the intent to

impact outcomes over the next 12 to 18 months.

As Baptist Health Board Chair, Robert Hill,

stated, “The Board is passionate about this;

we feel accountable to the community for our

hospital safety and quality. We know that this

journey takes a truly integrated effort between

all the people who provide care – and our role

is to support our physicians and staff by

continuing to invest and provide the resources

required to always ensure our care is

consistently exceptional.”

Jack Groover, MD, added his perspective as a

Board member with a lifelong commitment to

quality, leading to the formation of our Clinical

Quality & Technology Committee, “I’ve never

been more enthusiastic about what is occurring

with this newest phase of our quality plan,

including the level of additional human and

financial resources we’re committing.”

Measuring our successWhile we expect sustained improvements

in our publicly reported hospital quality and

safety measures as a result of this plan, the

true measure of our quality commitment is

far-reaching, not only impacting our patients’

outcomes but also contributing to our culture

of changing health care for good.

“We couldn’t be more energized and focused on maximizing this opportunity to raise the bar in quality and safety, and consistently excel at the great care we already provide.”

- A. Hugh Greene, CEO

Advancing our Quality & Safety PlanIntroducing the next phase of our continuous journey to excellence

September2014 3

UV disinfection is one of the new tools which will be added. This technology is proven effective against C. diff, MRSA and more than 22 other pathogens.

Elements of the Quality PlanPhase two of the Quality & Safety Plan will focus on using enhanced

processes and real-time data to make improvements in care.

1 New Quality Team Members

Clinical Quality Nurse Abstractors (investigators

and interventionists) will use various tools to

identify the high-risk patients who need some type

of intervention and will actively contact physicians

and nurses when a best practice is needed while

the patient is still in our care.

3Care Coordination/Case

Management Newly established Care Coordinators in our

emergency departments will: a) work with

physicians to evaluate appropriateness for hospital

admission; b) provide alternative treatment

options for managing care in non-acute settings

and c) help ensure follow-up with primary care

(beginning at Baptist Jacksonville and Baptist

South in 2015 and expanding in 2016). There will

be a Care Coordination Steering Committee

and Tammy Daniel, DNP, MHA, RN, NEA-BC,

Vice President, Patient Care Services, South,

will assume system-wide responsibility for

coordinating inpatient care efforts.

2Clinical Information Technology

& Data AnalyticsWe will use enhanced technology to develop

real-time automated reports that will be delivered

to front-line team members to impact care at

the bedside. For example, we know that urinary

catheters and IV catheters can be a source of

infection, so a reminder along with a daily report

listing patients with these devices will be sent to

infection control staff and practitioners, allowing

them to proactively assess each patient for

continued need for the device.

4Physician Engagement/Quality &

Safety ChampionsPhysicians are key partners in improving and

sustaining quality, safety and performance, so

we will be establishing formal roles for physician

champions at the local facility level. The roles

will include implementing evidence-based best

practices and influencing practice patterns, while

ensuring practice consistency, reducing variability,

improving documentation and enhancing

efficiency of care while driving quality and safety

outcomes across each campus.

5Culture of Safety/ Infection

Reduction We will strengthen our culture of safety by

adopting a more proactive approach to safety in

which near misses/good catches are evaluated

so that we may look for opportunities to improve

our systems and processes. Infection reduction is

linked to safety and has been a major emphasis

in 2014 with the adoption of the Vestex® staff

uniforms and patient garments. To augment

current infection reduction strategies, we will

leverage UV technology to assist in cleaning

and disinfecting rooms in high-risk areas, such

as ICUs or ORs.

4 CareConnection

One of the most common indignities patients endure while in the hospital is the traditional gown

made of flimsy material that leaves them feeling vulnerable and exposed at a time when are already

feeling a loss of control. Soon, Baptist Health will begin rolling out our new patient garments that

have been designed to restore that lost dignity by providing better coverage and comfort. The

garments will also feature the same anti-microbial fabric as our Vestex uniforms.

Where patients will wear them Patients in all pre- and post-operative areas will

wear gowns only, while both the gown and the

shirt-and-shorts combination will be available

for patients in the cath labs, observation areas,

procedural areas, day-stay units and inpatient

units. The first phase includes adult patients

only. Children’s garments will be adopted at a

later date.

Where patients will not wear them Traditional gowns will continue to be used for

patients in the Emergency Centers, outpatient

and MRI areas, and for children who are under

age 1.

Our new patient apparel provides greater coverage, dignity and protection

Diane Raines, DNP, RN, NEA-BC, senior vice president and chief nursing officer, explains, “When we decided to adopt Vestex® technology for our inpatient apparel, we sought input from Baptist Health team members, as well as patients and families, to design a garment that would provide better coverage, comfort and dignity during their stay with us.”

September2014 5

TimelineIn early October, Baptist Health and

Vestagen will conduct day-long trunk

shows at each campus to give team

members the opportunity to preview

the new patient apparel and become

familiar with the styles and sizes. This

will be followed by week-long roll-outs

to each hospital beginning with Baptist

Nassau. More information about the

trunk shows and timeline for roll-out

to each hospital will be coming your

way soon.

Garment features Rather than being open in the

back, the new gowns feature

full fabric panels that wrap

for complete coverage, as

well as snaps along the tops

of both shoulders for quick

and easy access. Each gown

has a snap at the back of the

neck; improved ties at the

waist and two center pockets.

They are also reversible for

breastfeeding mothers.

Executive Vice President and Chief Operating Officer John Wilbanks says, “Providing our patients with these innovative garments that combine unparalleled protection with a greater sense of dignity is just one of many ways we are demonstrating our commitment to changing health care for good.”

A new shorts-and-shirt option In addition to the new gown, patients in many

areas of the hospital will be able to wear a

unique, new shirt-and-shorts set that offers the

snap closures and full coverage design. The

shorts-and-shirt set is expected to be a very

popular option that many patients will choose.

6 CareConnection

With and in our hearts, we are to help those in needOur 2014 United Way campaign is outta sight“Community advocacy is one of our core

values and our team members support the

United Way to an incredible extent. Last year,

we raised $875,000 for United Way, which is

more than any other health care system in

Florida, and this year, we plan to blow away

our fund-raising goal of $905,000,” said Jarret

Dreicer, director of Operational Performance

Improvement and chair of Baptist Health’s 2014

United Way Campaign.

Nicole Thomas, vice president of operations and

specialty services, serves as co-chair. She added,

“The need in our community is great, so this

year, we are asking current donors to increase

their pledge by at least 5 percent; offering a $1

per-pay-period match to new donors who give

$1 per pay period; and working to increase our

number of leadership givers.”

September2014 7

Cool incentivesn Everyone who contributes to the campaign will have their names added to a

display at their facility. n Team members who donate at least $6 per pay period will receive a hip pair of

tie-dye-style sunglasses and a badge reel that sports a peace symbol.n Team members who donate $10 per pay period will also receive a really cool

tie-dye-style insulated tumbler with the “Peace. Love. United.” logo on it.n Leadership givers, who pledge at least $27 per pay period, will receive the

sunglasses, badge reel, and insulated tumbler, plus a mini-Volkswagon

bus toy that features the “Peace. Love. United.” theme.

Far-out prizesWhen you make a pledge online, or turn in your pledge or prize entry form, your name is

entered into weekly drawings for the rest of the campaign. The earlier you act, the more

chances you have to win some far-out prizes, like primo seats at Jacksonville Jaguars games,

iPads, printers and $100 gift certificates to places like Ruth’s Chris Steakhouse, Amazon

and American Express.

Groovy ways to give n Payroll deduction – Sign up once and you won’t have to think about it again.n Donate PTOs – See information below. n One-time gifts via cash, check or money order.

To make your pledgen Pledge online by using the eWay link on the intranet, or go directly to

https://donor.united-e-way.org .

Campaign Code: Baptist2014

Username: Employee identification number, located on your badge (e.g., 12345)

Password: First two letters of last name (lowercase) + last four SSN (e.g., de0123)n Complete a pledge form and return it to the United Way Cabinet, HR Office, Baptist

Jacksonville. You can find pledge forms on the intranet.

PTO giving examples Give a few days to United Way to reach your desired giving level. To customize using

your own salary or wages, visit the United Way section of the intranet

and use the online PTO calculator.

1 PTO day = 8 hours

Annual Salary

$6 per pay period ($156 a year)

$10 per pay period ($260 a year)

$27 per pay period ($700 a year)

$39 per pay period ($1,000 a year)

$20,000 2.0 days* 3.4 days* 9.1 days* 13 days*

$25,000 1.6 2.7 7.3 10.4$50,000 0.8 1.4 3.6 5.2$75,000 0.5 0.9 2.4 3.5

$100,000 0.4 0.7 1.8 2.6

*PTO hours will be deducted in March 2015. Taxes will be withheld. See team member pledge form for more information.

United Way Days of CaringIn August, 371 team members supported United Way by participating

in Baptist Health’s “Day of Caring” events at nine different locations.

These events gave team members the opportunity to stop by a location

near their workplace and help with a United Way project for whatever

amount of time they were able to give. Team members engaged in a

wide variety of activities including:n Assembling mini-garden kits for children in the Reading

Pals programn Creating winter scarves for the Clara White Missionn Stuffing bears and creating certificates for children in the Success by

Six programn Making bookmark giveaways for the Full Service Schools programn Decorating laminated paper-bear awards for children who meet

reading goals at Methodist Children’s Villagen Writing letters of encouragement to at-risk youth in the Achievers

for Life program

“I am very honored to be a part of the Days of Caring events this year,”

said Anixa Carmona, director of Behavioral Health and coordinator of

the Baptist Health Days of Caring. “Our volunteers were so engaged

and eager to participate that our United Way partners ran out of

activities. More than 2,000 children and their families will be positively

impacted, thanks to the efforts of our team members.”

More Days of Caring events are being planned for several Baptist

Primary Care and Behavioral Health outpatient offices.

Baptist JacksonvilleBaptist Beaches

Information Services

Home Health Care

Aetna building

8 CareConnection

September2014 9

Baptist Jacksonville

COMING SOON!

Your annual opportunity to make your 2015 benefit electionsOpen Enrollment is Oct. 31 – Nov. 17Here’s some important information to keep in mind during Open Enrollment:

n Make sure to go online to make any new 2015 benefit elections or changes to

your benefits.n If you do not go online to make your 2015 elections, all benefits will roll over

with the exception of Health Care and Daycare Flexible Spending Accounts.n Make sure all dependent information is correct, including dates of birth and

Social Security numbers. Social Security numbers are mandatory.n Check the cost of each benefit so you know what will be deducted from

your paycheck.n Take this opportunity to change or add beneficiaries to your core life

insurance and any additional life insurance you may enroll in.n Visit one of the Benefit Fairs to chat with vendors,

ask questions and get enrollment assistance.nLook for information in the October edition

of Care Connection regarding upcoming

Benefit Challenges that will allow you the

opportunity to win great prizes.

What you need to know about flu shots this yearFree flu shots are available to all team members and volunteers during the Healthy For Life insurance

discount screenings and other designated times and locations across the system. Check the Employee

Health intranet page or your Employee Health office for more information.

n ALL team members, volunteers,

students and contractors are

required to have a flu shot or a valid

medical contraindication or religious

exemption on file. Declining the

flu shot for personal reasons is not

acceptable this year.

n Those with an exemption on file

are required to wear a mask while

in patient care areas during the

designated flu season.n Flu shots and exemptions need to be

completed by Nov. 30 or you will not

be permitted to work.

Benefit Fairs(All fairs are from 8 am – 4 pm)

Baptist South

Monday, Nov. 3

Azalea, Begonia and Camelia

Rooms

Baptist Beaches

Tuesday, Nov. 4

Conference Rooms A, B and C

Metro Square

Wednesday, Nov. 5

Building A, Conference Center

Baptist Jacksonville

Thursday, Nov. 6

Tower Cafeteria, North Side

Baptist Nassau

Friday, Nov. 7

Boardroom

Healthy For Life

10 CareConnection

Healthy For Life discount screenings are underwayTake these steps to save $650 on your health

insurance premium. This is a voluntary opportunity

for benefits-eligible employees.

1. Complete the confidential online personal

health survey. It can be found on the

intranet and completed from your home

or work computer.

2. Complete a biometric screening consisting

of blood pressure, cholesterol, glucose and

weight. Screenings continue until Oct. 18

and appointments are required. For the most

accurate results, please fast for at least two

hours before your screening and continue to

take all prescribed medicines as scheduled.

3. Be a non-tobacco user or attempting to

quit. During the personal health survey,

you will complete an attestation portion to

declare if you are a nonsmoker or attempting

to quit smoking. If attempting to quit, you

must complete a six-week tobacco cessation

program by Dec. 12, 2014, to receive the

discount. Free tobacco cessation programs

are available.

First Coast Games

This summer, 100 Baptist Health team members

participated in the YMCA First Coast Games,

competing against local corporations in basketball,

flag football, kickball, softball, bowling and

dodge ball. Each participant received a free two-

month membership at the YMCA, and nearly half

competed in the Healthy Living Challenge, in which

they worked on fitness goals to lower their weight,

BMI and body fat percentages.

We would like to congratulate team captains Jackie

Penn, Tony Camarce, Mike Ibarra, Janeen Walker,

Latrice Kempt, Annie Lovett, Waheed Baqai, Katie

Walters and Pam Nicoli for their phenomenal

leadership. To view photos, visit Healthy For Life on

the intranet.

Congratulations Down to Size class!Congratulations to our Down to Size class for completing

the second phase of the program and moving into the

maintenance stage. Down to Size is a year-long diabetes

prevention program designed to lower the risk of type 2

diabetes and teach participants how to lead a healthier

lifestyle through weight management and physical

activity. Special kudos to the following participants who

met their 7 percent weight loss goal during phase 2:

Top row: Tasha Hunt, Nora Williams and Valerie Sadler.

Bottom row: Rachel Flores, John Wilcox and Natalie Clay.

Baptist Health won first runner-up in the banner ceremony and our bowling team placed fifth out of 37 teams.

September2014 11

Coastal Community Health update

As you are aware, Baptist Health has been working with

Southeast Georgia Health System in Glynn and Camden

counties and Flagler Hospital in St. Augustine to examine

the possibility of creating a highly integrated affiliation to be

known as Coastal Community Health.

Since August, we have been in the “opportunity planning”

phase of these discussions. Groups of subject matter experts

from the three organizations have been meeting to analyze

areas where we can do things more effectively as affiliates

than as individual organizations.

These groups are focused in several key areas we believe can

provide the greatest benefit to the communities and patients

we serve:

n Sharing best practices in quality, clinical outcomes and

patient safetyn Increasing access to the best pediatric care in the regionn Exploring possibilities for best use of telemedicinen Enhancing our quality, care and efficiency through

information technology n Integrating selected physician services, such

as educationn Developing a mutual aid agreement in case of

natural disaster n Improving our managed care contractsn Reducing costs in purchasing and vendor contractsn Finding ways to enhance team-member education

and engagement

As a reminder, this is not a merger and nobody is buying

anybody. We’re looking for the most significant things we

can do together to achieve the highest quality of health care

for the people of our communities, and we have a focus on

what could be accomplished within 12 to 18 months after

we affiliate.

We’ll have more to report in October and November. Until

then, thanks to all who are helping with this important work!

Baptist Health and the Y introduce a new PATH to better health to area employers

Baptist Health and the

YMCA of Florida’s First

Coast are partnering

to bring a new

employee health

program called PATH

to area businesses

and organizations.

PATH, Personalized

Approach to Health, will

provide area companies

with services for their

employees that encourage

healthy living, with a focus on

helping those who are at greatest risk

for issues such as obesity, heart disease,

cancer, diabetes and stress. PATH includes:n Health risk assessment and biometric

screeningsn Health coaching and care coordinationn Evidence-based analyticsn Targeted solutions delivered at the

individual level

PATH can be customized to an employer’s goals

and budget, allowing them to choose which

components to include.

Erin McLees, our new

director of corporate

health, is managing

PATH for Baptist Health.

McLees worked at

Baptist Jacksonville as

an exercise specialist

from 1999 until 2010 before joining

McKesson as a manager for product

branding, marketing and sales. She

has extensive experience in health care

relationship management and segment

marketing focused on Community Health

Centers. In the coming weeks, McLees will

be connecting with colleagues across the

organization to identify key Baptist Health

services to include in the PATH program.

She can be reached at 202.5378 or

erin.mclees@bmcjax.com .

Team members donate scrubsWe appreciate our Baptist Health team members who recently donated

approximately 800 pounds of gently used scrubs to Global Links, an

international humanitarian-aid organization dedicated to improving

health in resource-poor communities, primarily in Latin America and the

Caribbean. The first shipment, shown here, amounted to two pallets.

The donation drive began when team members received their new

Vestex uniforms that repel fluids and minimize the risk of transmission of

organisms. Special thanks go to our Caring Council for coordinating the

donation drive.

12 CareConnection

Baptist Health and the YMCA of Florida’s First Coast opened a

second Y Healthy Living Center earlier this month at the Ponte

Vedra YMCA, located 170 Landrum Lane in Ponte Vedra Beach.

The Y Healthy Living Centers bring medically integrated

programs from Baptist Health into the Y, making these programs

more accessible to the community. Weekly offerings include

health screenings, health risk assessments, Talk with a Doc

opportunities, workshops and classes. Topics cover a wide range,

including nutrition, healthy aging, heart health, coping with

cancer, medication safety and navigating the complex realm of

health care today. Many of these opportunities are free and you

do not have to be a member of the Y to participate.

The first Y Healthy Living Center opened in March at the Williams

Family YMCA in Mandarin, and more Y Healthy Living Centers are

planned, including the flagship Healthy Living Center, which will

open in Riverside in 2015. For more information, visit

baptistjax.com/ymca or call 202.6452.

September2014 13

Baptist opens Healthy Living Center at the Ponte Vedra Y

Julie Schafer,

MPH, CPH,

MCHES,

has been

promoted to

manager of

the Y Healthy

Living Centers. Schafer also

coordinated the opening of the Y

Healthy Living Center in Mandarin

in March and has successfully

established well-received

programs that are bringing

important health care information,

education and services into the

community.

Speaking of Women’s Health Nearly 900 people attended the Speaking of

Women’s Health annual conference on Aug. 23

at the Hyatt Regency, Jacksonville Riverfront.

Attendees learned from dynamic speakers,

participated in free health screenings, enjoyed

fellowship and a fabulous lunch, and were

the first in the community to be introduced to

Baptist Health’s new online community called

Good for You.

A big thank you goes to Cynthia Anderson, MD,

who served as chair of this year’s event, as well

as the following Baptist Health presenters: Ellen

A. Williams, PhD; Eric Savageau, MD; Martin

Garcia, MD; Mona Shah, MD; Erin Doty, MD;

Mary Ellen Wechter, MD, and Kym Dunton, RN.

A special round of

applause also goes to

the 29 Baptist Health

team members who

served in clinical and

nonclinical roles to help

us complete 198 heart

health screenings and

174 bone density scans.

Baptist Health Calendar

14 CareConnection

Baptist Jacksonville is Florida’s first to implant world’s smallest, wireless pacemaker

Baptist Heart Specialists

were featured nationally

in health care and news

publications, as well as

local newspaper and

television, for being the

first in Florida to place

the world’s smallest,

wireless pacemaker in

a patient.

One-tenth the size of a

conventional pacemaker

and comparable in

size to a large vitamin, the Micra™ Transcatheter Pacing System,

by Medtronic, is placed directly into the right ventricle of the heart

through a catheter inserted in the femoral vein.

Baptist Jacksonville is one of 35 hospitals in the U.S. using the new

leadless pacemaker as part of a clinical trial, which is still enrolling

patients during the next six months. The other site in Florida is in

Miami. The cardiac electrophysiologists at Baptist Heart Specialists

involved in the trial are Scott Lee, MD, director of electrophysiology,

Venkata Sagi, MD, and Chris Ruisi, MD.

Scott Lee, MD, cardiac electrophysiologist with Baptist Heart Specialists and director of Electrophysiology, shows the new pacemaker on the left and the traditional pacemaker on the right.

David Bussey, the first Baptist Health patient to receive the new pacemaker, with cardiac electrophysiologist Venkata Sagi, MD

FrIDAy, OCT. 2410th Annual ArtscApAde7 pm, The Museum,

4160 Boulevard Center Drive

An evening of art, music, fun and

love for children, benefitting Patrons

of the Hearts. For more information,

visit www.patronsofthehearts.com

FrIDAy, NOv. 7pediatric Bioethics conferenceJacksonville Marriott

4670 Salisbury Road

Free for Baptist Health team

members (Use promotion code of:

EMPLOYEE)

For more information, visit

2014pedsbioethics.eventbrite.com

SATUrDAy, NOv. 2222nd Annual step Out: Walk to stop diabetesFidelity National Financial Campus

601 Riverside Avenue, Jacksonville

Benefits the American Diabetes

Association. For more information,

visit Healthy for Life on the intranet .

September2014 15

Meet this month’s Star: Dina Cuppett-Ross, MSN, RN, PCCN, CCRN, Baptist Nassau

What is the reason you initially became involved in ExCEL?My initial reason for involvement with

ExCEL was to enhance my professional

practice. Also, the program gave

both recognition and incentives for

professional nurses on the clinical unit.

How have you benefitted from the ExCEL program?I have benefitted from the recognition of my peers,

encouragement of administration and personal satisfaction

of career enhancement and professional development. The

recognition from peers and management has afforded me

opportunities that may not have been available without my

participation in ExCEL.

What advice would you give nurses that are interested in joining ExCEL?The ExCEL program at Baptist Health celebrates and

elevates the practice of nursing science. Also, the

program is a benefit extended to all professional nurses

by our leadership, and every nurse should capitalize on

the professional opportunities for participation

and advancement.

Resuming a nursing career that began in 1977,

Cuppett-Ross started working in the ICU at

Baptist Nassau in 2004. She has seized many

opportunities for professional development.

She has served as chair of the Shared

Governance Committee, Clinical Performance

and Practice Committee, Education and

Research Committee, Unit Council chair, PEER

Review Committee and has cross-trained as

assistant director of Nursing. Cuppett-Ross is the

new nurse navigator for the Surgical Unit and ICU

at Baptist Nassau.

ExCEL for nursesExCEL (Excellence in

Clinical Education and

Leadership) is a self-

managed, professional

development program

for qualified registered

nurses. It enables

nurses to select and

pursue opportunities

that enhance

their professional

development and help

meet their educational

and professional

aspirations. Learn

more about ExCEL on

the intranet. Select

the Education Station

tab at the top and the

ExCEL topic listed

under Professional

Development Initiatives.

16 CareConnection

Baptist Health’s Women in Medicine program works to increase the ranks of female physicians in leadershipFemale physicians represent 28 percent of the medical staff at

Baptist Health, yet the percentage of women in leadership positions

lags behind. To address this disparity, Baptist Health established

the Women in Medicine program in 2012 to provide leadership

development, mentoring and education opportunities for our

female physicians.

The group hosts about three events each year, designed to engage

female physicians and increase their representation on committees and

in medical staff governance.

They are having success. A few examples of female physicians

assuming new leadership positions in 2014 are: n Jennifer Fulton, MD, is vice chair of the board of managers for

Baptist Physician Partners, and was elected secretary of the

medical staff of Baptist Jacksonville. n Bettina Kohaut, MD, was elected chair of the Department

of Obstetrics and Gynecology by the medical staff at

Baptist Jacksonville. n Pamela Rama, MD, is medical director for cardio-pulmonary

rehabilitation at Baptist Beaches, president of the board

of directors for the First Coast chapter of the American

Heart Association and a member of the Baptist Health

Foundation Board.

Audrey Moran, senior vice president, social responsibility and

community advocacy, said, “Baptist Health is now a stronger

organization with a diverse leadership team. We want and need our

female physicians at the table when we are making decisions about the

future.” And that is a great example of changing health care for good.

September is National Women in Medicine Month

Pamela Rama, MD Chair

Linda Di Teodoro, MD

Manisha Bansal, MD

Laura Grippa, MD Vice Chair

Kerry Maher, MD

Graciela Diez-Hoeck, MD

The Women in Medicine group is

steered by an executive committee of

six physicians, chaired by Dr. Rama, and

managed by Danielle Palmer Stein,

director of Women’s Health.

Executive Committee

September2014 17

Coordinating care with follow-up physiciansNew Transition of Care document now being used at all Baptist hospitals

To enhance care coordination with the physicians who follow up with our patients after a hospital

stay, changes have been made during the last two months to the information that is given to

all inpatients when they are discharged from the hospital.

The new Transition of Care (TOC) summary has replaced the Clinical Summary document that we

previously provided to patients. It includes some new elements required by the Centers of

Medicare & Medicaid Services and is intended for physicians both inside and outside of the

Baptist Health system.

What does this change mean?Although the TOC document has replaced one of the two copies of the discharge instructions,

the overall process has not changed. When nurses provide discharge instructions to patients, they

now provide the TOC in a labeled envelope at the same time. Nurses emphasize to the patient the

importance of giving the TOC to their physician at their first follow-up appointment. As always, it is

important to reinforce the security of this personal health information being given to the patient.

Patient Portal Patients can also view the information on these printed documents and much more on our secure

patient portal. Baptist Health is working toward being able to share the TOC document electronically

with physicians both inside and outside of the Baptist Health system.

18 CareConnection

InFormatIon ServICeS

Citrix 6.5 upgrade coming soon

Baptist Health’s Citrix 4.5 system, which provides

you with many software products on your PC,

is ready for an upgrade to version 6.5. The new

version will support newer and faster PCs with

newer versions of Windows. Citrix allows your

PC to be leaner and more responsive while

much of the heavy work is done by powerful

Citrix servers.

With Citrix, software upgrades and maintenance are done on a few centralized servers instead of on hundreds of individual PCs. This practice offers greater security, more stability and major cost savings.

Information Services (IS) anticipates that

upgrades will be handled in phases over the

next three months. The schedule of applications

and upgrade dates is being finalized for release

soon and will be posted on the IS department’s

intranet page under Support Departments.

Will I notice any changes?The application software you use each day

will not change, but you can expect to see

slightly different color schemes and slightly

modified icons.

More news is coming in the next few weeks.

Please contact the Service Desk with any

questions at 202.7565 or send an email to

servicedesk@bmcjax.com .

Does this image look familiar to you?If you use internal Remote

Desktop Web Connection

(BHTSWEB), please call the

Service Desk at 202.7565 to

receive the upgrade. The

upgrade is more secure and

has enhanced features.

One of the ways Baptist Health is making

significant improvements in patient safety is by

reaching a 90 percent user rate for Bar Code

Medication Administration (BCMA), which is

above the industry standard.

Our goal as an organization is to “Strive for

95” percent by scanning all medications

during point of care, and to utilize BCMA to

prevent medication errors during medication

administration. BCMA creates an alert to

the clinician when incorrect medications are

scanned that could result in potential errors in

administering medications.

“Two things will improve BCMA. First, continue reporting medications that are not scanning properly to the Pharmacy department so they can be fixed. Second, continue to use BCMA to improve patient safety and to reduce opportunities for medication variances.”

- Kelly Biastre, PharmD Senior consultant for medication safety

A round of applause goes to our Pharmacy

departments that implemented numerous

process changes to ensure that medications

were ready for scanning. The Pharmacy team

created a complete inventory and overhaul of

the system and the IS Pharmacy team made

sure that all medications were scanned. Sean

Park, PharmD, IS pharmacist, and the IS

Pharmacy team used their unique combination

of medication and information technology

expertise to design a clinical workflow with the

least disruption and maximum impact for

patient safety.

He said, “The IS Pharmacy team reviewed more

than 4,000 medications in the EMR, stacked

barcodes for more than 12,000 line items, and

scanned the entire pharmacy inventory twice

at each campus to prepare for the launch.

The build took more than a year to develop

and many months for dedicated Clinical

Information Services and Clinical Informatics

personnel to optimize pharmacy, nursing and

medication processes.”

In addition, Baptist Health purchased a high-

speed packager to repackage medications with

bar codes. Daily pharmacy deliveries arrive at

each campus via courier. The cost savings has

been worth the expense and the effort as each

location can now purchase based on Just In

Time production strategy, which greatly reduces

the costs of inventory and unused medications.

Nicole Blackwelder, director of Pharmacy at

Baptist Jacksonville, explains how maintaining

BCMA is a daily process for each pharmacy:

“All medication products are scanned upon

receipt from manufacturers to ensure that the bar

code is readable in both Cerner and our AcuDose

system. Manufacturers will often change codes

and these must be updated in both systems. All

of this happens in the background daily to make

the process as seamless as possible for our nurses

and patients.“

September2014 19

InFormatIon ServICeS

Bar Code Medication Administration: Strive for 95

InFormatIon ServICeS

Citrix 6.5 upgrade coming soon

20 CareConnection

IntegrationP h y s i c i a n I n t e g r a t i o n

Welcome new physicians Anneline Kingsley, MD

Baptist Behavioral Health, Beaches

Dr. Kingsley earned her medical degree

from Pontificia Universidad Catolica

Madre y Maestra, Dominican Republic.

She completed a residency in general

psychiatry at New York Medical College

in Valhalla, and a fellowship in general psychiatry

at Albert Einstein College of Medicine in Bronx,

New York. Dr. Kingsley is fluent in Spanish. For

an appointment with Dr. Kingsley, call 376.3800.

Mona Iuliana Chiribau, MD

Hospitalist Team, Baptist Jacksonville

Dr. Chiribau earned her medical

degree from Grigore T. Popa University

of Medicine and Pharmacy in Lasi,

Romania. She completed her residency

in internal medicine at MetroHealth

Medical Center in Cleveland, Ohio.

Courtney Fahnhorst, MD

Baptist Primary Care, Reedy Branch

Dr. Fahnhorst earned her medical

degree from St. Louis University

School of Medicine in Missouri. She

recently completed her family medicine

residency at St. Vincent’s Medical

Center. For an appointment with Dr. Fahnhorst,

call 363.2733.

Vera Abaaba, MD

Hospitalist Team, Baptist Jacksonville

Dr. Abaaba earned her medical

degree from University of Yaounde in

Cameroon. She completed her internal

medicine residency at Morehouse

School of Medicine in Atlanta.

Brett Frykberg, MD

Jacksonville Orthopaedic

Institute, San Marco

Dr. Frykberg earned his

medical degree from

Virginia Commonwealth

University in Richmond. He

completed an orthopedic surgery residency at

the University of Florida College of Medicine in

Jacksonville and recently completed a fellowship

in adult reconstruction and joint replacement

at the Hospital for Special Surgery in New York

City. For an appointment with Dr. Frykberg, call

858.6400.

Colin Lacroix, MD

Baptist Primary Care,

Baymeadows

Dr. Lacroix earned his

medical degree from

Sackler School of Medicine

in New York City. He

completed his residency in family medicine from

Ellis Medicine in Schenectady, New York. For an

appointment with Dr. Lacroix, call 519.5338.

David Powell, MD

Baptist Primary Care,

Kingsland

Dr. Powell earned his

medical degree from

Howard University in

Washington, DC. He

completed his residency in family medicine at

Southwest Georgia Family Medicine Residency

in Albany. For an appointment with Dr. Powell,

call 912.882.3737.

September2014 21

Kudos to these physicians Kevin White, MD

Baptist Primary Care Yulee

Dr. White was voted the

“Best of the Best” for

Nassau County doctors by

readers of the Fernandina

Beach News Leader. For an

appointment with Dr. White, call 225.2311.

Samuel J. Fern, DO,

Baptist Primary Care

Beaches

Dr. Fern was voted “The

Beaches Favorite Doctor”

by readers of the Beaches

Leader. For an appointment

with Dr. Fern, call 249.0335.

School Supply Contest

The doctors and staff at Baptist Primary Care

Regency participated in a school supply contest

to help supply the teachers and students at

Seacoast Christian Academy, which is located

next door to the office. The office was divided

into three teams who collected almost

800 items.

Walk with a DocApproximately 35 people joined Sofija Rak, MD, on

Aug. 23 for Walk with a Doc at Baptist Primary Care

Mandarin South, including the office’s newest physician,

Tolulope Adeyemo, MD.

After the walk, some of the

team members took the

ALS Awareness Ice Bucket

Challenge. Dr. Adeyemo will

lead the next Walk with a

Doc for the Mandarin South

office on Sept. 27. Register at

baptisthealth.eventbrite.com .

22 CareConnection

Distinguished service award Kudos to Tom Burnakis, PharmD,

who was recognized by the House of

Delegates of the 2014 Florida Society

of Health-System Pharmacists with

the 2014 Distinguished Service to the

Society award. He is a past president

of the society and currently serves on

their Foundation Board and Past

President’s Council.

Infection control certification Congratulations to Robyn Kay, MPH,

clinical epidemiologist at Baptist

Jacksonville, who has earned the

Certified in Infection Control (CIC)

credential from the Certification Board

of Infection Control and Epidemiology,

Inc. She joins approximately 5,000

practitioners worldwide who have passed a

comprehensive exam that demonstrates mastery

of infection prevention and control knowledge.

Robyn graduated from Emory University in

Atlanta with a Master of Public Health in

epidemiology and has worked for Baptist Health

since July 2012.

Subway now open in reid Medical BuildingNew Subway restaurant

is open from 7 am – 5 pm, Monday – Friday

Call-ahead ordering is available at 479.9980 and

online ordering will be offered soon. Payroll

deduction is not available.

New procedure for aneurysmsA group of physicians from throughout the

U.S. attended a two-day training session

on a new procedure for small and medium-

sized aneurysms at Baptist Jacksonville with

neurovascular surgeons Ricardo Hanel, MD,

PhD, and Eric Sauvageau, MD, directors of the

Stroke & Cerebrovascular Center. Dr. Hanel

enrolled the first patient in the international

Pipeline™ Embolization Device study in July.

Visiting physicians also watched live cases and

got hands-on experience on a simulator during

the visit. Baptist Jacksonville is one of 20 sites

globally studying a device designed for large

and medium-sized aneurysms in the brain and

the first hospital in the world to enroll a patient

in the international study. They hope to enroll

20 – 25 people during the next six months, ages

22 to 80, and will continue to enroll patients for

two years.

Baptist Health is also part of another

international trial that is evaluating a new

treatment for both ruptured and unruptured

brain aneurysms.

JacksonvilleB a p t i s t J a c k s o n v i l l eC

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Visiting physicians discuss new aneurysm procedure.

September2014 23

BeachesB a p t i s t B e a c h e sC

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Distinguished Caregiver AwardMariebel Santos

Assistant Nurse Manager,

Medical Surgical Unit

Santos is always there

to lend a helping hand.

Patients have shared how

she listens to their concerns

and goes above and

beyond to make sure they

are responded to quickly.

Marcia Bush, manager of the Medical Surgical

and Surgical Telemetry units, shared, “Mariebel

is a hard worker. She comes in and handles

whatever comes throughout the shift with a

smile on her face. She always treats patients and

her staff with respect and compassion, and she

is never too busy to lend a hand to help patients

or staff with any task.”

Deck the Chairs Baptist Beaches is excited to

participate in this year’s

Deck the Chairs, a

Beaches winter light

festival in downtown

Jacksonville Beach. This year’s exhibit will

feature 40 decorated lifeguard chairs

on display between Latham Plaza and

the Sea Walk Pavilion. The Baptist

Beaches display will be featured

in the Seaville Lights section and

is currently being designed. We

are looking for volunteers to help

decorate the display on Friday,

Nov. 28, and Saturday, Nov. 29.

To get involved, call Jill Lortz at

627.1960.

metroM e t r o C e n t e r

In remembrance of Monique DuncanPatient Access Services (PAS)

mourns the loss of Gustarva

Monique Duncan of the

Scheduling Team, who passed

away Aug. 10. Duncan, who was

a resident of Fernandina Beach,

joined Baptist Health in May 2013 and worked

on the Mammography Scheduling team at the

Metro Center. At the time of her death, she was

near completion of her bachelor’s degree in

Healthcare Information from Florida

Career College.

“Monique was a hard-working team member,

with a friendly, humorous and unique

personality,” said Patient Access Representative

Antionette Taylor. “She pitched in to help

wherever she was needed. She presented a

go-getter attitude and smile that spread across

the Scheduling Team. She is missed.”

24 CareConnection

Distinguished CaregiverAmber Crossley, RN

Medical Surgical Unit

The daughter of a former

patient wrote to express

her gratitude for the care

Crossley provided her

father on his final day. The

daughter wrote that she

was not able to be by his

side during this time and

that Amber, with kindness and comfort, was able

to keep her updated by phone on her father’s

condition, expressing to him her love and

praying with her upon his passing.

Blood DriveMark your calendar and plan to give the gift of

life at our next blood drive on Tuesday, Oct. 21,

from noon to 2:30 pm. The bloodmobile will

be parked outside the main hospital entrance.

Advance registration is recommended, but not

required. Contact Kristin Collins at 271.6081 or

email kristin.collins@bmcjax.com .

World Breastfeeding Week In honor

of World

Breastfeeding

Week, lactation

consultants with

Baptist Health

were busy at

work attending

events and raising awareness throughout the

hospital. On Aug. 5 they participated in the “Ask

the Lactation Consultant” event at the Williams

Family YMCA in Mandarin.

At Baptist South, education was provided to

nurses by the Lactation Team with a tasty treat

– Skinny Cow ice cream. Patients also got to be

part of the fun by receiving a bag of goodies

including a cookie recipe, bra pads, chocolate

kisses, mints and Milky Ways bars. Goodies were

also placed in the pump rooms for our team

members. Pictured are: Lisa Hays, RN, IBCLC,

and Kay O’Brien, RNC, IBCLC, MSN.

SouthB a p t i s t S o u t h

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September2014 25

nassauB a p t i s t N a s s a u

Baptist Nassau recognized for quality and patient safety Congratulations to Baptist Nassau, one of

three hospitals in the state to be recognized

by the Florida Hospital Association (FHA) for

meeting their improvement goals in all 10 of the

Partnership for Patients (PfP) initiatives. The PfP

goals, established by the Centers for Medicare

and Medicaid Services in 2012, are aimed

at reducing patient harm by 40 percent and

readmissions by 20 percent over three years.

The 10 key focus areas of PfP goals include: n Adverse drug eventsn Central line-associated bloodstream

infectionn Catheter-associated urinary tract infectionn Injury from falls and immobilityn Pressure ulcersn Obstetrical adverse eventsn Surgical site infectionn Venous thromboembolismn Ventilator-associated pneumonian Readmissions

Baptist Nassau is one of 76 hospitals from

across the state participating in the FHA PfP

Hospital Engagement Network Collaborative

that was formed in partnership with the

American Hospital Association and the

Healthcare Research Educational Trust. All

Baptist Health facilities are participating in

this collaborative.

In remembrance of Janice PauleyBaptist Nassau mourns

the loss of Janice Pauley,

director of Surgical

Services, who passed

away Aug. 13. Pauley

joined Baptist Nassau in

2007. “Her leadership and

management saved hundreds if not thousands

of lives and brought health and happiness to an

equal number of patients,” said James Tippins,

senior chaplain. “She coordinated the team of

professionals who, along with surgeons and

other doctors, performed delicate and dynamic

surgeries. And she did this with compassion.”

Teresa Cruz, community relations coordinator

and administrative assistant, Nursing

Administration, said, “Janice was always very

upbeat and had a great personality. She called

me every day to ask how my day was going.”

Ginger Andrews, nurse manager, shared

“Janice was a quiet but effective leader who

often did special things for staff. For example,

she crocheted a beautiful baby layette for one

of her team members, and according to Janice,

it was the first time she had made something

that intricate. It was beautiful! Janice and her

unassuming presence will be missed not just by

her staff but by all who had the pleasure to know

her.” A memorial service remembering Pauley

was held at Baptist Nassau on Aug. 19.

26 CareConnection26 CareConnection

ClayB a p t i s t C l a y

Wolfson Warriors award Kudos to the Wolfson Children’s Emergency

Center team at Baptist Clay, named Wolfson

Warriors of the Month for September by the

Hospital Employee Advisory Team (HEAT) of

Wolfson Children’s Hospital. They received

this honor because their Press Ganey patient

satisfaction scores ranked in the 99th percentile.

They were presented with a trophy and a

Wolfson Warriors banner by Veronica

Scott-Fulton, DNP, vice president of Operations

and Patient Care Services, and Jerry Bridgham,

MD, chief medical officer of Wolfson

Children’s Hospital.

“The Clay Emergency Department team is

very focused on delivering on the promise of

superior service to the residents of Clay County,”

said Darin Roark, administrator of Emergency

Services and Baptist Clay. “Our recent survey

results demonstrate this commitment. The

recognition from the Wolfson Children’s HEAT

team members is very much appreciated,

and we are thrilled to be recognized by our

fellow teammates.”

Amazing Grace Crop Maze hosts Wolfson WeekendsThe Amazing Grace Crop Maze in Green Cove

Springs opens Oct. 3 and runs every weekend

through Nov. 8. Wolfson Weekends are Oct.

17-18 and Oct. 24-25, with a portion of the

proceeds benefiting the Wolfson Children’s

Emergency Center at Baptist Clay. Also, Baptist

Health team members will get $1 off the $11

admission price during Wolfson Weekends

by showing their employee ID badge at the

entrance. If you volunteer during the Crop Maze

at the Baptist Clay First Aid Tent, you’ll get

free admission for you and up to three family

members to the Crop Maze on another date.

Not only will this year’s event feature a special,

surprise design, but there will be more family-

friendly events than ever. They include a

petting zoo, hay ride, pumpkin patch, cow train,

duck races and more. To find out more, visit

agcropmaze.com . To volunteer for the first aid

tent, email darin.roark@bmcjax.com . You do not

need to be a clinician to volunteer.

Kylie was a patient of the Wolfson Children’s Emergency Center at Baptist Clay after a bad fall. In this photo, a Baptist Clay CT tech explains what will happen during Kylie’s scan. Fortunately, she didn’t sustain a skull fracture or brain bleed and went home with her family the same day.

September2014 27

WolfsonWo l f s o n C h i l d r e n ’s

Training at Southeast Georgia Health System

Nurses with the Wolfson Children’s Emergency

Center in Jacksonville and the Kids Kare Mobile

ICU Transport Team traveled to Brunswick on

Aug. 27 to provide an all-day training session in

pediatric critical care to Emergency Department

nurses with Southeast Georgia Health

System. Topics included, “Vitals in All Ages,”

“Respiratory Distress,” “Seizure Disorders,”

and more. The training is part of an affiliation

agreement established between Southeast

Georgia Health System and Wolfson Children’s

in October 2012.

Fun bath time for pediatric patient

This baby doesn’t get to play in water or sit and

take a true bath, due to a central line he has in

place for dialysis, so nurses from the Pediatric

Day Hospital made possible a fun bath time for

him, even giving him a chance to have a water

gun “syringe” fight.

robert Sefcik named FHSAA committee chair

Robert Sefcik, ATC, LAT,

executive director of

the Jacksonville Sports

Medicine Program (JSMP),

and a Baptist Health team

member, has been selected

as the Chairman of the

Sports Medicine Advisory Committee of the

Florida High School Athletic Association. The

JSMP is a local non-for-profit advocacy program

dedicated to youth sports injury prevention. It

is supported by Wolfson Children’s Hospital,

Nemours Children’s Clinic, Brooks Rehabilitation,

Mayo Clinic, the Duval County Public Schools

and the Duval County Medical Society.

Community, team members join Marrow registry to save livesNearly two years ago,

patient Tyler (pictured)

received a live-saving

bone marrow transplant

because someone joined

the Be the Match Registry

and was his 10-out-

of-10 match. Tyler and

his family were at the

United In Hope Marrow

Registry Drives hosted

by Wolfson Children’s,

Nemours Children’s

Clinic, Jacksonville, and

Mayo Clinic Sept. 10-13. More than 189 new

individuals joined the Be the Match Marrow

Registry at our drives, potentially saving the lives

of children and adults who need a match to have

a bone marrow transplant.

28 CareConnection

aUtomotIveMotor scooters. Brand new motor scooter, 2011 Subbeam motor scooter. 150 st. Only needs engine and battery. Excellent condition. Asking $500/$450. shezadashraff@yahoo.com

For rentArlington/Sea Brook Manor. 4 BR, 1-1/2 BA. Lg fenced yd, den, shed and 1 car garage , $900/mo. 904.509.6491

FUrnItUre3 black leather theater chairs for $900. Pictures available via email. Contact Pat or JJ, hammond-j@bellsouth.net or 904.635.7723

Baby grand piano. Made in Paris, 5’4”. Pictures on request. Asking $4,800. Call Diane 904.445.1110

Pecan DR set. Italian Provencial table with 3 leaves, table pads, 2 captain and 6 side chairs, china cabnet. $800 neg. Call Diana or Randy at 379.8900

mISCeLLaeoUSBrand new Dansko prof. nursing clogs. Size 40. Geometric Prism design. Worn 3 times, but too small. Pd. $135. Sell FOR $110. dolphinnurse@comcast.net

2010 club car. Garage kept, very clean, runs great, barely used. Asking $2,650. Call Eddie at 904.707.3289

WanteDBoy size 9-12 mo. clothing needed, willing to pay. Also needing a round gate and high chair. Text Alisha at 904.874.0659

Size 12-14 mo. boy clothing needed. Willing to pay. Text Alisha 904.874.0659

Co-ed softball. Looking for females who are interested in playing Sundays for the fall season. Contact Brandon at 904.321.1275 or Tim 904.482.8324

Used jogging stroller wanted. Text Vicki at 904.422.4475

Women’s scrubs size XS or S wanted. Text/call Anne at 727.808.7765

Classifieds

Digital Care Connection Care Connection is available online.

Issues can be found on the intranet by clicking on Life at Baptist.

Submit a Classified adNext Deadline: Sept. 29, 2014

On the intranet, go to Life at Baptist and select Submit Classifieds online.

Please do not include your work phone number or email in the text of your ad.

Goods advertised are sold by individual team members. Baptist Health claims no knowledge of goods advertised, offering no warranties or guarantees.

Beginning in the next issue of Care Connection,

the Classified ads will include a section for team

members who would like to buy, sell or swap

uniforms. To submit your ad, use the online form,

which can be found under the Life at Baptist tab

on the intranet. Be sure to include the following

information in the text of your ad:

n Size, style and color of uniforms you would like

to sell or swapn A personal phone number or email address

(Work phone numbers and emails cannot be

used in Classified ads.)

Buy, sell or swap your Vestex® uniforms via the Classified ads