MMC. university CAMPuS. for Excellent Nurses

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1 news for the University of Maryland Medical Center community MMC U university CAMPuS fall 2014 CONNECTIONS a Magnet Knowing is not enough; we must apply. Willing is not enough; we must do. -johann WoLfgang von goethe and a Model for Excellent Nurses MeSSAge FRoM the Ceo it has been a busy summer and fall here at ummc. We strive to be more efficient and effective than ever in delivering high-value health care and improving the health of the communities we serve. We recently earned national recognition for our excellent nurses, and for programs When the American Nurses Credentialing Center (ANCC) redesignated UMMC a Magnet institution this spring, leaders in the national organization noted nursing practices and initiatives here that are models worthy of publishing and sharing nationally. >> read More on Page 2 in stroke care and other areas. you ll begin to hear more about hospitals in Maryland and elsewhere in the country taking on the responsibility of population health. ummc is a leader in time-sensitive critical care. however, we are also helping our patients to better manage after they are discharged. our new van (see Page 7) takes ummc community outreach staff on the road to provide screening, prevention and education programs in the community. a key to meeting the needs of our community is to provide the right care in the right setting, at the right featured inside the RigHt CARe, in the RigHt Setting, At ummc S two CAMPuSeS cost. one of the best examples of this is the initiative undertaken by the department of orthopaedics to begin scheduling more of their Patients who need follow-up surgery after a traumatic injury are among those reaping the benefits of UMMC s patients for follow-up surgery coordination across its two campuses. Orthopaedic trauma at ummc Midtown Campus. you surgeons operate on emergency and complex cases at can read in this issue how that has provided patients the best of the R Adams Cowley Shock Trauma Center at UMMC both words highly specialized University Campus, and schedule the follow-up surgeries trauma orthopaedic surgeons from our world-renowned shock at UMMC Midtown Campus. >> read More on Page 3 trauma Center, in a patient-friendly community-hospital setting at ummc Midtown Campus. Jason nascone, MD, associate professor of orthopaedics, and Jo-Ann Mittleman, CRnP When you need a more relaxed pace for minor emergencies, PAge 2 the excellent staff of the ummc Midtown Campus is there for you. specialized staff concentrated at the inside: university Campus of ummc, they re Back-to-School Bash at UM Children s Hospital page 2 and if you should ever need the ready for you, all the time. sincerely, PAge 7 PAge 8 Great Stories About Patients and Staff page 4-5 National Recognition for Environmental Sustainability page 6 UMMC Achieves Prestigious Stroke Designation page 7 Heart Attack Team Wins Award for Fast Intervention page 7 JeFFRey A. RiveSt President & Chief executive officer University of Maryland Medical Center People Spotlight page 8 Running Events Raise Awareness for Good Causes page 8 university CaMPus & MidtoWn CaMPus We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal

2 2 UMMC a Magnet and a Model for Excellent Nurses >>> continued from page 1 N In many areas, you truly are exemplary. UMMC is produced by the Office of Corporate Communications and Public Affairs for the UMMC community. 22 South Greene Street Baltimore, Maryland Jeffrey A. Rivest President and Chief Executive Officer Mary Lynn Carver Senior Vice President Communications and Public Affairs Anne Haddad Editor and Publications Manager Chris Lindsley Director, Communication Services Frank B. Moorman Director, Strategic Internal Communications Linda Praley Creative Director Linda J. Lynch Staff Assistant Michelle Bamburak Kate Hancock Kathryn Leiter Meghan Scalea Karen Warmkessel Contributors news and story ideas to urses at UMMC, working with their colleagues in other patient care and support areas, have developed innovative ways to improve patient safety and the quality of care through increasing participation by bedside nurses in identifying problems and potential solutions. When the American Nurses Credentialing Center (ANCC) redesignated UMMC a Magnet institution this spring, leaders in the national organization noted nursing practices and initiatives here that are models worthy of publishing and sharing nationally. In many areas, you truly are exemplary. [There are] two areas where you exemplify a model for all magnet organizations, said Deborah Zimmerman, DNP, RN, NEA-BC, FAAN, chair of the Commission on Magnet Recognition. UMMC is one of only 7 percent of hospitals nationwide that hold the prestigious Magnet designation of excellence. Zimmerman s words were piped into the UMMC Auditorium in a phone call to Lisa Rowen, DNSc, RN, FAAN, senior vice president for patient care services and chief nursing officer, along with dozens of nurses and colleagues. Zimmerman said the appraisers described UMMC as a national model in two areas in particular: a governance structure that allows nurses to contribute to improvements in patient care and safety, and a culture that encourages and supports nurses seeking advanced degrees and training. The appraisers found a highly effective and fully developed, integrated, shared governance structure that enabled your entire team to gather input and make great decisions that have resulted in improvements in the work environment and patient care, she said. We heard how nurses are encouraged and supported to share their concerns with leaders. For example, Zimmerman particularly praised a process by which some bedside nurses compared notes about trouble with a particular infusion pump, then worked with Clinical Engineering staff to find the cause and the solution. Your Behavioral Emergency Response Team [BERT] is an exemplar for the entire nation, Zimmerman said of the pilot project available to many units in UMMC. A nurse in Emergency Psychiatric Services leads the response team, which include other disciplines such as pastoral care. Zimmerman encouraged UMMC nurses to collect data and publish a peer-reviewed report on its effectiveness. Bedside nurses can request a BERT team consultation when a patient s behavior is becoming an obstacle to his or her care. Often, the team can help to de-escalate a situation and support the unit staff so they can provide the care the patient needs. Zimmerman said other ways UMMC s nurses have used the shared governance structure to improve patient care and their professional environment include: Numerous avenues for direct-care staff and senior leaders to work together. Improvements in delirium assessment for elderly patients. Formation of a new Patient and Family Advisory Council to better improve patient satisfaction. Availability of integrative therapy for both patients and employees to reduce stress. Adaptation of the novel ways to enhance the care of stroke patients. Reduction of hospital-acquired infections and patient falls. SuPPoRting ADvAnCeD PRoFeSSionAL education Your second area where you truly are exemplary is [supporting] nurses at all levels to seek additional formal education, and here you are fabulous, Zimmerman said. You have embraced the Institute of Medicine challenge to achieve an 80 percent baccalaureate-prepared workforce by In fact, you want to do it before 2020, and your work has already resulted in enhancements and you already achieved great results. BaCK-to-sChooL Bash at the um ChiLdren s hospital Provides a Carnival Atmosphere in a Hospital Setting T he third biannual Back-toSchool Carnival at the University of Maryland Children s Hospital transported visitors and patients to a festival complete with games, prizes, treats, face painting and an educational component. The event was designed to give pediatric patients the chance to just be kids a freedom that can be difficult to achieve when they are hospital-bound. Sandra Dean, child life assistant and the main coordinator of this event, wanted to bring the carnival to children who couldn t visit such events in their own communities this summer. Over the past two years, Dean has raised money for this event by selling ID badge holders and Christmas wreaths. With help from other organizations and individuals, including former Baltimore Orioles second baseman Brian Roberts and his wife, Diana Roberts, both avid supporters of the UMMS Foundation, the hospital provided an afternoon of games and prizes. Outpatient eli Holmes loved ricocheting off the walls of the moon bounce with his friends and relatives. Though eli had a dose of chemotherapy two days prior to the carnival, he was as energetic as he s ever been so soon after a treatment. Meanwhile, inpatient Lainey Hall opted to get her face painted with leopard spots. Despite having to stay in the hospital for an extended period, she could still express her love of cats like any other 10 year old. Staff members added an educational component by handing out about 50 backpacks filled with school supplies, though the kids seemed more interested in the dunk tank and cotton candy machine. Through playful programs like this, hosted by the Child Life team, and through the generous volunteer efforts of Children s Hospital board members and staff, kids and their families enjoy having the fun brought to them and forget about being sick for a while.

3 fall 2014 Cover story continued 3 The Right Care, in the Right Setting at UMMC s Two Campuses T hroughout the day, helicopters and ambulances bring the region s most critically ill and injured patients to the R Adams Cowley Shock Trauma Center at UMMC s University Campus. In the past, it wasn t unusual for such cases to take precedence over a much more stable patient returning for follow-up orthopaedic surgery, such as removing hardware from a healed bone. Even if the patient was understanding of the situation, it was at the very least a large inconvenience that might have affected the patient s support network, family and job. We started looking for a solution to better serve our returning patients but still make sure that our operating rooms at Shock Trauma were available to those who needed them urgently after a car crash or other traumatic injury, said Andrew N. Pollak, MD, professor and chair of the Department of Orthopaedics at the UM School of Medicine and chief of orthopaedics for UMMS. They found a solution one mile away at UMMC Midtown Campus, which has newly renovated operating rooms nearly identical to those at University Campus in terms of technical capabilities, as well as an experienced perioperative and rehabilitation staff that could devote themselves to patients needing more routine surgeries. The upside for patients is small to zero chance of having a scheduled surgery bumped to another date or significantly delayed because of a crowded OR schedule. The ORs at UMMC Midtown Campus have a more predictable schedule because emergency trauma cases and other major surgery cases go to the University Campus. Pollak and his staff decided that most of the attending physicians would rotate to UMMC Midtown Campus for their patients, rather than selecting only a few of the doctors to operate there. The patient has continuity of care the team that cared for the patient at the Shock Trauma Center follows that same patient and performs the follow-up surgery at UMMC Midtown Campus, said Jo-Ann Mittelman, CRNP, the nurse practitioner who coordinates the cases that start at Shock Trauma and continue for follow up at UMMC Midtown Campus. I coordinate the transition of the patients care from Shock Trauma to UMMC Midtown Campus to make sure the right types of cases are brought to our hospital, Mittelman said. To decide which cases can go to UMMC Midtown Campus, Mittelman reviews them with the orthopaedic surgery and anesthesiology teams. Other specialty areas, including the Department of Ophthalmology, have adopted or are looking to that successful model as they offer more services at UMMC Midtown Campus. UM ophthalmologists perform 80 percent of their surgeries at UMMC Midtown Campus. The advantages of the University Campus are obvious for patients who are very sick or severely injured: large multidisciplinary teams that are trained to care for these patients needing complex care. But UMMC Midtown Campus is a community hospital that can efficiently focus resources on the less severe cases because that s what it specializes in. It brings together the best-case scenario for all patients: the right care, in the right setting, at the right time, and at a lower cost. A Renovation Full of Heart B ricks and mortar will form the walls, but it is the staff and NICU families who are providing the shape of the new neonatal intensive care unit (NICU), slated to open in the University of Maryland Children s Hospital (UMCH) in May The intent of the new NICU has always been to better serve Maryland s families with infants born prematurely or with complex medical issues. The existing NICU has done its job well, helping babies that fit in the palm of a hand to thrive; but there was room for improvement in the patient and family experience. Linda Whitmore, director of project development, explained how architects and a team of around 30 people, including project managers, pharmacists, lab staff, nutritionists and NICU nurses and doctors, conducted a yearlong design process before beginning construction on the actual NICU space. The planning process included an extensive tour of other hospital NICUs and vision sessions with the NICU team, to help identify the crucial elements that UMCH staff and families said would improve their experiences when caring for a sick newborn. Christine Byerly, BSN, RNC-NIC, senior clinical nurse II, tapped into the NICU Advisory Council a four-year-old volunteer council of multidisciplinary staff and former NICU families to gather input on what matters in a new NICU. Byerly recognized that a new clinical space is about more than a fresh coat of paint and plush chairs; it s about an environment that puts families at ease and provides them with maximum comfort and safety to care for their child. Byerly and co-council leader, Jane Munoz, RN, IBCLC, senior clinical nurse I, made families feel like part of the process by bringing the architects to a council meeting to review the plans with members. We took them to the mock-up of a new NICU patient room, said Byerly. One of the moms sat in the recliners and pretended to do kangaroo care. We looked at the family room. We incorporate their feedback about education and communication. The parents candid and heartfelt comments about family communication directly contributed to the design. They shared that they preferred not to receive negative news about their baby in front of the child. This feedback prompted the design of a private family meeting room to meet with physicians outside the baby s room. One mom said if she was having a bad day, she would leave the baby s bedside, go cry somewhere, and then come back so that negative energy wasn t around her child, said ByerCynthia Bearer, MD, PhD ly. It was important that we create a new private space that allowed us to keep the baby protected from heavy emotions and give parents a place for solitude if they need to be alone for a bit. When my twin sons were in the NICU, I worried about the negative energy from other families in our shared room who were having a rough day, said Brooke Herbert, mother and NICU Advisory Council member. The private rooms in the new NICU will ensure that each family can control the atmosphere in their child s room and keep the positive energy flowing. Parents on the council welcomed the move to all private rooms, yet pointed out one advantage of the current NICU s arrangement of up to 10 babies in one room: families bonded with each other and formed informal support networks. So in the new NICU, staff will help families meet one another outside of their rooms and foster the same sense of community that currently exists. We continue to be grateful to the current and former NICU families who have provided input on the new space and to the NICU clinical teams whose hearts are the true foundation of the NICU, said Cynthia Bearer, MD, PhD, professor of pediatrics and medical director of the NICU.

4 Storıes 4 UMMC Great E very day, patients and their families express gratitude to Medical Center staff members for the care and service they provide. Staff members notice when one of their own does something extraordinary, too. Three times a year, the Great Stories program selects from among the many s and letters about staff members or teams that exceed standards and expectations to enhance a patient s experience. Patients, patients families and staff are encouraged to submit examples to Great Response excerpts from dana simmons Letter Great Heart excerpts from david fisher s Letter as one of Dr. Dawood s former patients, I want to thank him for saving my life. He performed quadruple bypass surgery on my heart on January 26, Just a few days ago, I celebrated the one-year anniversary of my surgery. I completed 14 weeks of cardiac rehab therapy per his advice. I went back to work full-time for one year, and upon the urging of my wife, I recently retired. I miss my job, but am enjoying my freedom. after completing my cardiac rehab work, I went back to my normal life, but made some needed adjustments. I am once again weightlifting four days a week, but I now also run five days a week. I have been given a clean bill of health by my general practitioner and cardiologist. I am very grateful to Dr. Dawood for giving me my life back. I feel great, and I have a new appreciation for each and every day. I am 71 years old and can do anything I want. I have more energy than I have had in years. There is no way that I can completely thank Dr. Dawood for what he has done for me, but his skills, energy, conscientious behavior and patient-doctor interaction have put me back on track to a full life, and I want him to know how much I appreciate that. Murtaza Dawood, MD I want to put in writing my gratitude to your staff during a very stressful event. The Rapid Response Team was called to 10E to assist a patient in respiratory distress. Your staff worked quickly and collaboratively to make sure all essential items were in the room before calling a code blue. In my fourteen years of nursing, this was the smoothest code I have ever been involved in. all staff involved contributed to the positive outcome of the event, but I want to specifically mention Saymah, Yemi, and Theresa. Saymah made sure everyone was in the room that needed to be, and made sure that everyone had appropriate supplies. Yemi was instrumental in gathering everyone s names and roles for the resuscitation record. Theresa provided excellent crowd control, as well as assistance in safely removing the bariatric bed from the room. Between your staff, the Rapid Response Team, the Code Blue Team and the physician team, we were able to provide a very controlled environment during this stressful situation. Please thank your staff for their living Excellence. We truly appreciate them. Great Customer Service excerpts from josephine BruMit s Letter Shawn Hendricks, MSN, RN, Ed-BC; Gregory Harris, PCT; Saymah Worjloh-Brooks, RN; Ogunyemi Oluyemisi, RN; Dana Simmons, BSN, RN, CCRN I am very grateful to Dr. Dawood for giving me my life back. I feel great, and I have a new appreciation for each and every day. david fisher I am writing to commend Officer Doris Officer Doris Smith, Josephine Brumit, DNP, RN, NE-BC Smith of the University of Maryland Medical Center security force. The reason for recommending this stellar employee for praise and recognition is not due to one specific outstanding act or service, but rather her consistent provision of exemplary customer service to everyone entering the facility, day in and day out. Officer Smith always greets everyone who enters the building with a radiant smile, along with positive and personalized words of greeting, and, if needed, expert assistance that is eagerly anticipated and readily given. She is unfailingly proactive in assisting patients, visitors and staff, and protecting the safety of all who enter the hospital by consistently maintaining appropriate security procedures. Officer Smith serves as an outstanding ambassador of the University of Maryland Medical Center at a critical moment of service to customers right when they enter the facility, when first (and lasting) impressions are often made. Put simply, she exemplifies the ideals of customer service valued by the organization. as a UMMC employee, I am always impressed with the outstanding customer service I see Officer Doris Smith provide to patients, visitors and staff every day. I believe she is most deserving of recognition in a Great Story. Check out the ummc blog for more great stories at medcenterblog.org

5 fall j u ne employee of the month Laura Haines, BSN, RN, CPAN Clinical Nurse II Adult Post-Anesthesia Care Unit (PACU) Beth R. Sherfy, MS, RN Quality Improvement Coordinator The Children s Heart Program In addition to providing excellent bedside Beth R. Sherfy, MS, RN, coordinates the o f care, Laura Haines, BSN, RN, CPAN, has efforts of the Children s Heart Program to helped shape clinical policy and nursing continuously improve quality and safety. practice that has improved care for all And through it all, she makes sure to keep patients who undergo anesthesia and the big picture in focus for each individual surgery at UMMC. patient to have a good experience. t h e febr u ary employee of the month Empl o y e e m o n t h UMMC In my fourteen years of nursing, this was the smoothest code I have ever been involved in. DANA SIMMONS, BSN, RN, CCRN Her excellent critical care skills have Beth goes out of her way to make made her our key preceptor for the unit. certain that safety and quality are at the She not only orients new staff but continues forefront of our clinical and professional to mentor younger nurses on a daily basis. practices, said Eveena Felder, MS, RN, She is a strong role model to the newer nurse manager. staff encouraging others to pursue school, continuing education and certification, said Beatrice Hazzard, MS, RN, CPAN, nurse manager. march employee of the month j u l y employee of the month Peggy Pardoe, BSN Senior Contract Manager Payer Relations and Contracting Peggy Pardoe, BSN, paves the way for Kristin Wojtowycz, BSN, RN Clinical Nurse II Trauma Post-Anesthesia Care Unit (PACU) the patients who need UMMC s highly Kristin Wojtowycz, BSN, RN, began work- that must satisfy the stringent criteria ing in the Trauma PACU during the height developed by payers and other national of construction of the Shock Trauma Critical networks. Her work has helped increase Care Tower, when tensions were high and patient access to UMMC s outstanding resources were limited. She jumped in with physicians and services, said Michael both feet, bringing a positive attitude and Wertz, senior director of payer relations open mind to work each day, said Beatrice and contracting. specialized care. Pardoe s emphasis is on obtaining and submitting quality surveys Hazzard, MS, RN, CPAN, nurse manager. a u g u s t employee of the month april employee of the month Visitacion Bing Casal-Calingacion, BSN, RN Senior Clinical Nurse I Vascular Surgery Progressive Care Unit Visitacion Bing Casal-Calingacion, Officer Smith serves as an outstanding ambassador of the University of Maryland Medical Center at a critical moment of service to customers. Josephine Brumit, DNP, RN, NE-BC BSN, RN, is known as a leader who holds herself and her peers to a very high standard. She is always willing to go the extra mile to ensure patient care is being done efficiently and effectively, said Simone Odwin-Jenkins, MBA, BSN, RN, the nurse manager of the Vascular Surgery Progressive Care Unit. Faresha Sims, DNAP, CRNA Certified Registered Nurse Anesthetist Department of Nurse Anesthesia Faresha Sims, DNAP, CRNA, is a standout team member and rising star in the operating rooms at UMMC, where she provides anesthesia care to patients during surgery. As a certified registered nurse anesthetist (CRNA), she works in collaboration with anesthesiologists and other physicians, as well as with other perioperative staff. In addition to her national certification, Sims also earned the degree of doctor of nurse anesthesia practice (DNAP) from Virginia Commonwealth University. ma y employee of the month Towanda Jackson, CMA Transplant Assistant Division of Transplantation s e p te mbe r employee of the month Towanda Jackson, CMA, has developed the George Morgan, RRT Clinical Informatics Analyst Department of Clinical Informatics knowledge and relationships that make her George Morgan, RRT, has a clinical very effective at taking patients through all background that now serves him well on the medical workups and other preparations the Portfolio team that is implementing a required before they can be listed for system for electronic medical records at the transplant surgery. Medical Center and other hospitals in the She is organized, friendly and always University of Maryland Medical System. willing to help both patients and staff, It s a massive effort that involves IT, said Tina Stern, BSN, RN, senior transplant communications and training of staff, coordinator. including physicians, nurses, respiratory therapists (such as him) and others who care for and interact with patients.

6 6 UMMC ummc receives national recognition FOR environmental SUSTAINABILITY S ustainability efforts at UMMC especially in the operating rooms earned the hospital national recognition as a leader among hospitals looking for innovative and efficient ways to reduce their impact on the environment. UMMC was recognized by two different organizations on both the state and national levels for its commitment to environmental excellence and sustainability. Practice Greenhealth, a national membership organization for health care facilities committed to environmentally responsible operations, presented UMMC with three awards in June at the CleanMed Conference and Exhibition in Cleveland, Ohio. The Greenhealth Emerald Award recognizes health care facilities that have achieved improvements in their mercury elimination, waste reduction, recycling and source reduction programs above and beyond the criteria for the Partner for Change Award. According to Practice Greenhealth, winning hospitals show leadership in the local community and in the health care sector. UMMC also received two Circle of Excellence Awards one for Greening the OR [Operating Room], and another for reduction and appropriate disposal of hazardous chemicals, an integrative pest management plan and use of green-certified cleaning products. Jill Ciota, Rn, BSn, Marnie Hoffman, Rn, BS, and Justin graves, Rn, MS, accepted the awards on behalf of ummc. Also this summer, Maryland Hospitals for a Healthy Environment (MD H2E), recognized UMMC with a Trailblazer Award at the Maryland Hospital Association annual meeting in Baltimore. UMMC is the only hospital to receive a Trailblazer Award from MD H2E five years in a row. The award this year recognized UMMC s sustainable food efforts, which include increasing the health value of the food it prepares and serves to patients, visitors and staff, and hosting a weekly farmers market in partnership with the University of Maryland, Baltimore. Healthy and sustainable food has been a focus of UMMC s sustainability program since In 2013, the Medical Center: Increased overall healthy food purchasing by 23 percent. Reduced meat purchases by 8 percent by focusing on more balanced meals and vegetarian options. Decreased the number of unhealthy beverages by 11 percent and increased healthy beverage purchasing by 14 percent by providing healthier beverage options. Launched a price-incentive pilot program in the hospital s cafeteria, the Courtyard Café, cutting the price of select healthy items and increasing the price of some unhealthy items. Converted an ivy bed into a productive herb garden for use in the UMMC kitchen. from the headlines Funding Allows Round-the-Clock Aid to victims of Domestic violence T he announcement of a new program at UMMC to help patients Photo credit: Executive Office of the Governor who are victims of domestic violence brought state and federal government officials to the Medical Center in August. Maryland Lt. Gov. Anthony g. Brown was joined by US Sen. Barbara Mikulski, US Sen. Ben Cardin, US Rep. Dutch Ruppersberger, and other public officials and advocates for domestic violence victims. He announced funding for a hospital-based domestic violence program at UMMC called the Bridge Project. The Bridge Project will serve incom- END THE SILENCE ing patients at both the R Adams Cowley Shock Trauma Center and the UMMC emergency Department. Funding comes, in part, from a $50,000 grant from the Governor s Office of Crime Control & Prevention (GOCCP), made possible by federal Victims of Crime Act (VOCA) nd of PP). to and d its funding. Additionally, UMMC has received a grant from Verizon to support the program. With the opening of the Bridge Project at the University of Maryland Lt. gov. Anthony Brown (second from left) speaks with Karen Doyle, MBA, MS, Rn, nea-bc, vice president for nursing and operations at Shock trauma; Jeffrey Rivest, president and Ceo of ummc; and Brian Browne, MD, professor and chairman of emergency medicine. Medical Center, our state s 10th hospital-based domestic violence m oor screening program, we re taking another important step towards end- r STOP THE VIOLENCE A brochure produced to support the Bridge Project We are grateful to the State of Maryland and Verizon for their sup- ing domestic violence in Baltimore and in neighborhoods throughout port, which enhances our ability to help victims of domestic violence Maryland, said Brown. Although we ve driven down violent crime who come through our doors not only by attending to their medical to the lowest levels in three decades, domestic violence continues to needs but also by making counseling, referrals and other assistance impact thousands of families throughout our state, and we will not rest available to them around the clock, every day of the year, said Jeffrey until every Marylander is safe in their home and in their community. A. Rivest, president and chief executive officer of the Medical Center. The Bridge Project was founded this year under UMMC s broader, At UMMC, we are not only committed to treatment and healing, but nationally recognized Violence Intervention Program with the mission of also to prevention. Initiatives such as the Bridge Project offer people breaking the cycle of intimate partner and sexual violence in Baltimore immediate assistance and meaningful alternatives that are crucial to City and its contiguous counties. The Bridge Project provides hospital- helping break the cycle of violence. based crisis counseling, safety planning, referrals and follow-up services The Verizon grant, which began in January 2014, is being used to domestic violence victims identified at the Shock Trauma Center and for emergency housing, client needs, transportation, and some staff the emergency Department. The program assists victims with shelter training. Both grants complement each other, allowing UMMC to run placement, locating legal assistance and identifying follow-up counsel- a comprehensive program such as the Bridge Project. ing and other services. One of the primary objectives of the program is to establish round-the-clock coverage from on-call domestic violence intervention specialists.

7 fall innovation Innovative Lung Rescue Unit Opens UMMC Achieves Comprehensive Stroke Center Designation UMMC is among an elite group of medical institutions to achieve The Joint Commission s advanced certification as a Comprehensive Stroke Center (CSC). Fewer than 70 stroke centers nationwide have achieved the designation. To become a CSC, a hospital must demonstrate state-of-the-art technology (including advanced imaging capabilities), 24/7 availability of specialized treatments and staff with the unique education and competencies to care for complex stroke patients. Our integrated teams of specialized doctors, nurses, therapists and other health professionals work tirelessly to ensure our patients receive the best possible care, said Barney Stern, MD, professor and interim chair of neurology at the University of Maryland School of Medicine and director of the UMMC Comprehensive Stroke Center. The Joint Commission has set a high bar for the standards in comprehensive stroke care. We are proud of our stroke care team who exemplify UMMC s leadership in timesensitive critical-care medicine, said Jeffrey A. Rivest, president and chief executive officer of UMMC. Nurse Manager Vanzetta James, MS, RN, CCRN (second from left), is joined by physician leaders Thomas Scalea, MD; Si Pham, MD; James in the community O Connor, MD; and Jay Menaker, MD, at the ribbon-cutting for the new Lung Rescue Unit (LRU) in August. The LRU is designed for patients who need innovative therapies and access to the latest clinical trials and technology to manage their conditions. The unit is staffed by a multidisciplinary team of lung-failure experts who provide care in an organized, integrated way through clinical leadership from Shock Trauma, Pulmonology, Critical Care and Cardiac Surgery. The unit is on the sixth floor of the Shock Trauma Critical Care Tower. Get On Board for Health! University of Maryland Medical Center has turned a used recreational vehicle into its new community outreach van to take health screenings and education to the community. Read more about it at umm.edu. congratulations Heart Attack Team Brings Home Platinum Award for Fast Intervention T he University of Maryland Comprehensive Bridge Team are in place at UMMC to help meet this Heart Center earned a Platinum Performance 90-minute door-to-balloon goal. The Bridge Team is Achievement Award, the highest level a group of clinicians from the CCU who work during attainable, from the American College of non-traditional business hours to prepare the Cath Lab Cardiology for achieving greater than 90 percent of when a patient is en route to the hospital for treatment the recommended guidelines for treating patients with of a heart attack. EMS providers in the community are heart attacks. often first on the scene for patients complaining of heart The award was earned as a result of collabora- attack symptoms; they also play a critical role in helping tion across many teams at the University of Maryland patients get treated within that 90-minute window. Medical Center (UMMC) and in the community, includ- Once a patient gets an EKG reading from the first ing emergency medical services (EMS) first responders responders out in the community, we get notified that across the state and UMMC s Emergency Department, they are on their way to the hospital, said Dailey. Our Cardiac Catheterization Lab, Cardiac Care Unit (CCU) team gets the Cardiac Cath Lab ready so we are pre- and Progressive Care Unit. pared to put in a balloon and open that blocked artery Time is muscle when you re dealing with patients as soon as the ambulance reaches our doors. These are experiencing heart attacks, said Jeanne Dailey, BS, RN. the time-saving steps that make a significant difference The longer the blocked artery exists, the more damage to someone having a heart attack. is done to a heart. Once an EKG [electrocardiogram] Clinicians in the Comprehensive Heart Center encour- confirms a patient is experiencing a heart attack, we age patients to seek help earlier in the onset of their have a limited amount of time to act so that the damage heart attack symptoms. The Emergency Department heart muscle than simply calling 911 at the onset of is as minimal as possible. frequently treats patients who have had symptoms symptoms. The goal is to have a patient in the Cath Lab ready of heart attacks for hours sometimes even days For the time being, the team retrospectively analyzes to have the blocked blood vessel ballooned open but who have delayed calling 911 for help. This lag in each heart attack emergency to constantly improve the within 90 minutes of that first EKG reading that identi- response time causes more long-term damage to the organized chaos of saving a life in 90 minutes or less. The Cardiac Catheterization Lab strives to treat patients within 90 minutes of a heart attack. fies a heart attack. Groups such as ExpressCare and the

8 8 UMMC PeoPLe spotlight involved new LeADeRSHiP RoLeS Roxanna Del Barco, MA, CMI, has been appointed the chair of the Maryland State Chapter of the International Medical Interpreters Association (IMIA). Del Barco has worked at UMMC for six years, serving as the medical interpretation coordinator, Spanish language medical interpreter and a translator and editor. She is a certified medical interpreter (CMI), one of only 12 in Maryland. Dana Farrakhan, FACHE, has been promoted to senior vice president for strategy, community and business development at UMMC. Farrakhan has worked at the hospital for 20 years and has served as vice president, planning and marketing, since She is a fellow of the American College of Healthcare Executives. Farrakhan received a bachelor s degree in health administration from Morgan State and a master s degree in health policy and financial management from the Johns Hopkins Bloomberg School of Public Health. Karen E. Doyle, MBA, MS, RN, NEA-BC, has been appointed to the board of directors of Susan G. Komen Maryland, the state s affiliate of the national foundation dedicated to finding a cure for breast cancer. Doyle is the vice president for nursing and operations at the R Adams Cowley Shock Trauma Center. UMMC has received several grants over the years from Komen Maryland to study breast cancer. Karen McQuillan, RN, MS, CNS-BC, CCRN, CNRN, FAAN, has been named president of the American Association of Critical-Care Nurses (AACN). McQuillan is a clinical nurse specialist at the R Adams Cowley Shock Trauma Center, where she has investigated and presented on a wide range of issues related to trauma and nursing. She earned her bachelor s and master s degrees from the University of Maryland, Baltimore, and has served as a member of AACN s Chesapeake Bay Chapter since Surbhu Leekha, MD, MPH, has been named medical director of Hospital Epidemiology and Infection Prevention. Since coming to UMMC in 2010, she used her leadership and expertise to improve the safety of the hospital s patients. Leekha serves as an assistant professor in the Division of Genomic Epidemiology and Clinical Outcomes within the Department of Epidemiology and Public Health at the University of Maryland School of Medicine. She graduated from medical school from the All India Institute of Medical Sciences, and then went on to obtain a master s degree in public health at the University of Massachusetts. Prior to coming to UMMC, Leekha completed her residency in internal medicine and a fellowship in infectious disease at the Mayo Clinic in Rochester, Minn. Keith Persinger, MBA, has been promoted to executive vice president and chief operating officer of UMMC. In his new role, Persinger will have responsibility for the University of Maryland Marlene and Stewart Greenebaum Cancer Center; operations and support services; and nursing and patient care services. He will also serve as UMMC s executive project director for the electronic medical record project. Persinger came to UMMS in 1993 and most recently served as senior vice president and chief financial officer for UMMC s two campuses. He received a bachelor s degree and an MBA from Loyola University Maryland. Marianne Rowan-Braun, MS, has been named vice president for patient experience. In her new role as part of the Patient Care Services team, Rowan-Braun will oversee the Patient Experience Program, C2X Program, Volunteer Services and the Patient Transportation Team. She came to UMMC in 2010 as a vice president and led the Campaign for the Shock Trauma Critical Care Tower. Rowan-Braun collaborates with teams across the Medical Center to implement strategies to transform the patient and family experience. Karen Yarbrough, MS, CRNP, was a finalist in the category of Advancing & Leading the Profession. Yarbrough is stroke programs director for the Maryland Stroke and Brain Attack Center. Karen Hardingham, BSN, RN, CPST, was a finalist in the category of Home/Community and Ambulatory Care. Hardingham is the pediatric outreach coordinator for the University of Maryland Children s Hospital and leader of the Baltimore Safe Kids coalition. BALtiMoRe Running FeStivAL University of Maryland Medical System is looking for Two different teams from UMMC will be taking part in this participants for the 2014 Greater Baltimore Heart Walk and year s Baltimore Running Festival Saturday, Oct. 18. aims to raise awareness and funds for the fight against heart disease. The event begins at 10 am November 2 at the Camden Yards B and C lots. Those interested in registering to walk or donating can do so online at greaterbaltimoreheartwalk.org. Running on behalf of the University of Maryland Children s Hospital is the Children s Heart Program Running Team, members receive a discounted registration fee, giveaways and prizes. To register for this team, sponsor a coworker or donate, go to For questions, please contact Alexandra Hoffman at or KoMen MARyLAnD RACe FoR the CuRe The UMMC community will be hitting the pavement to raise The University of Maryland Greenebaum Cancer Center awareness and funds for a few good causes during October: has once again put together a team to participate in the Every year, UMMC staff participate in the Greater Baltimore Komen Maryland Race for the Cure. Over the years, Komen Maryland has given several grants to UMMC to study Heart Walk, the Baltimore Running Festival and the Komen breast cancer and help treat patients with the disease. This Maryland Race for the Cure. Participating teams are hoping year s event will be held Sunday, Oct. 26, in Hunt Valley. that everyone can rise to the challenge, even after the event Anyone interested in joining the team can register online at donation pages will remain active for a while afterward to meet fundraising goals. Nancy Corbitt, BSN, RN, OCN, CRNI, was named the winner of the Nurse.com GEM (Giving Excellence Meaning) Award in the Clinical Nursing, Inpatient category for the District of Columbia, Maryland and Virginia region. Corbitt was recognized for her knowledge, expertise and skills as both a mentor and a patient advocate. Corbitt, a senior clinical nurse II within the University of Maryland Marlene and Stewart Greenebaum Cancer Center, was one of three regional finalists from the Medical Center. greater BALtiMoRe HeARt WALK donations to reach this year s goal of $35,000. The event Lace Up HonoReD ummc nurses HonoReD By nurse. CoM At gem AWARDS komenmd.org by searching for The University of Maryland Greenebaum Cancer Center Team. For more information, Also running is a team representing the R Adams Cowley Shock Trauma Center to support the Trauma Survivors Network. The team is made up of survivors, family members, community members and Shock Trauma staff. Members get a discounted registration and a Shock Trauma Center running team shirt. Prize packages go to the top three fundraisers. To register for this team or to donate, go to For questions, or call call Mariellen Synan at UMMC is available on the intranet and at The University of Maryland Medical Center is an equal opportunity employer and proud supporter of an environment of diversity.

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