WakeMed Health & Hospitals

3000 New Bern AvenueRaleigh, NC 27610

Non profitOrganizationU.S. PostagePAIDRaleigh, NCPermit NO. 1307

ADDRESS SERVICE REQUESTED

Microscope is a monthly newsletter written by and for the employees of WakeMed. Our goal is to provide employees and friends of

WakeMed with the most up-to-date news on all of the hospital system’s activities. The

Public Relations department thanks all of theemployees who contributed to this publication.

We welcome comments and suggestions on thispublication and its content. Call (919) 350-8120,

e-mail microscope@wakemed.org, or writeMicroscope, Wake Med Public Relations

Department, 3000 New Bern Avenue, Raleigh, NC 27610.

Kate Wilkes, Editor

WakeMed Employees, Photos

©WakeMed Public Relations, September 2015

C ALENDAR OF EVENTSTo help you plan ahead, this calendar lists upcoming system-wide events, training classes and community events.For details and fee information, visit the WakeMedWeb. Send calendar submissions to Public Relations or emailmicroscope@wakemed.org.

NURSING EDUCATIONNursing Professional Development Book Series:Critical Care by Theresa Brown (LL Code: NE014-15026)

• Monday, Sept. 14, 2 to 3 pm, NED C

• Thursday, Sept. 24, 10 to 11 am, NED C

AWHONN

• Module 4 – Complications of Pregnancy- Part 1 –Sept. 24 & 25, Andrews Center (LL Code: NED87)

• Module 5 – Complications of Pregnancy-Part 2 –Oct. 13 & 14, Andrews Center (LL Code: NED88)

• Module 6 – Postpartum Assessment and NursingCare – Oct. 15, Andrews Center (LL Code:NED82)

• Module 8 – Neonatal Complications – Sept. 30,Andrews Center (LL Code: NED84)

Neuro Assessment 101 – Sept. 9, 8:30 to 10:30 am,NED C (LL Code: NE014-15038)

Professional Boundaries – Oct. 12, 8:30 to 10:15am, NED B (LL Code: NE014-14053)

Neuro Core – Oct. 20, 8:30 am to 4 pm, NED C (LLCode: NE014-15037)

ORGANIZATIONAL DEVELOPMENTEnroll via Learning Link or have yourmanager/supervisor emailODRegistration@wakemed.org with your name,employee number, course name, date(s) andtime(s). For more information, call ext. 08306.

Communicating Effectively – Sept. 30, 8:30 am to12:30 pm, MOB, Ground Floor Classrooms (LLCode: PDCOM)

Speed of Trust – Oct. 1, 8:30 am to 12:30 pm, MOB,Ground Floor Classrooms (LL Code: PDSOT)

Communicating Effectively – Oct. 13, 8:30 am to12:30 pm, MOB, Ground Floor Classrooms (LLCode: PDCOM)

SAHAStrategies for Achieving “Meaningful Use”–Current & Future Stages – Sept. 17, 10 am to 2 pm,Cary Hospital Conference Center; $35 per person,includes lunch & 0.4 CEU.

Cyber Threats & Risky Bytes: Sources of Attack –Sept. 30, 10 am to 2 pm, Cary Hospital ConferenceCenter; free, lunch provided.

For all sessions, register at www.sahalliance.org.Contact Marilee Johnson atmjohnson@sahalliance.org with any questions.

Wake AHEC SPICE: Infection Control in Dentistry – Sept. 16 &23, Andrews Center

The Veritas Collaborative Symposium on EatingDisorders 2015 – Sept. 18, Hilton Durham

Working with Parents with Mental HealthChallenges – Sept. 18, Cary Hospital, ConferenceCenter

The 25th Annual Art of Breastfeeding Pre-Conference/Conference – Oct. 12-14, Friday Center,Chapel Hill

Youth Mental Health First Aid – October 14-15,Andrews Center

Advances in Surgery – Oct. 17, Rex HealthcareThe Real Dope on Drug Abuse – Oct. 22, Jane S.McKimmon Center, NC State University, Raleigh,NC

Back in Motion SeriesTreating the Arthritic Knee – Wednesday, October7, 6:30 to 8 pm, Cary Hospital Conference Center

Deadline for vaccination or exemption is October 31To protect our patients, visitors and colleagues,WakeMed requires all employees and medical staffmembers to receive an influenza vaccination eachyear. Here are a few reminders to keep in mind as weget ready for flu season:

• Vaccines will be available at no cost to allWakeMed employees, contractors and volunteers in September and October. This year we will have Flu-mist along with vaccines that are egg free andpreservative free.

• Employees who receive the vaccine elsewhere(physician’s office, pharmacy, etc.) must providedocumentation to Occupational Health by thedeadline.

• Limited exemptions will be granted for medicalreasons. Employees who receive an exemptionmust wear a surgical mask while at work during fluseason (as determined by Occupational Health). Torequest an exemption, submit a medical exemptionform (available on the Occupational HealthWakeMedWeb page) by October 1, 2015.

• Failure to comply with the flu vaccination policy isgrounds for termination.

Questions? Contact Occupational Health at ext. 07370(Raleigh Campus) or ext. 02631 (Cary Hospital).

FighttheFluFlu Season is Coming Soon!

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rgNEWS FOR EMPLOYEES AND FRIENDS OF WAKEMED SEPT 2015

New this year! 2016 Benefits Handbooks will be mailed to your home address. Books will arrive around Oct. 8.Important: To ensure your handbook reaches you on time, please log in to Lawson Employee Self Service bySept. 21 to verify your home address.

Look for much more information about benefits changes and opportunities for 2016 in the next issue, and refer toyour 2016 Benefits Handbook when it arrives at your home for details.

WakeMed Receives 9 PRC Five Star Awards Each year, Professional ResearchConsultants (PRC) recognizes healthcare organizations that have goneabove and beyond to achieveexcellence in their field with the PRCExcellence in Healthcare Awards.This year, WakeMed received ninefive-star awards, which recognizeservice lines in the top 10 percent (at

or above 90th percentile) of the PRC national client database. The awards are based on thepercentage of patients who rate the overall quality of care as “Excellent.”

“It is an honor to receive these nationally-recognized awards from PRC and even more rewarding toknow that our patients feel that the care they receive is exceptional. These accolades validate thatpatients and their families are first in all that we do and I’m proud to see the leaders and staff ofaward winning departments recognized for their efforts,” commented Terri Veneziale, executivedirector, Patient & Family Experience.

Five Star Award Winners

CV Testing Receives Echocardiography Re-Accreditation

Cardiovascular Testing at Raleigh Campus has receivedechocardiography re-accreditationthrough the IntersocietalAccreditation Commission (IAC).This three-year accreditationrecognizes WakeMed’s expertise inproviding adult transthoracic,adult transesophageal and adultstress echocardiography.

“Echocardioagraphy testing is akey component in early detectionof life-threatening heart disordersand providing quality patienttesting is essential to promptdiagnosis and treatment. This re-accreditation recognizes the effortsof the entire team to provide

outstanding care that reflects evidence-based practices,” commentedBetsy Gaskins-McClaine, BSN, RN, vice president, Heart & VascularServices.

IAC accreditation is nationally respected and signifies that WakeMedprovides quality patient care in compliance with national standards.Accreditation is granted following a comprehensive application processand thorough case study review.

Thank you to everyone who has made a contribution to the 2015 WakeMed Gives Employee Giving Campaign! Your generosity will make a positive impact on many individuals and organizations in our community. It’s not too late to make a donation and join us in this opportunity to make our mission not just what we say, but also what we do.

Participate! The WakeMed Gives committee, which is co-chaired by Donna Lane, RN,manager (Labor & Delivery) and Janis McLaughlin, manager (Outpatient Rehab), has lots of fun activities planned, including basket auctions, chili cook-offs and much more. Allemployees are invited to participate in these events, which will be held throughout the health system. Visit the WakeMedWeb for details.

Donate! Pledges to the 501(c)(3) organization of your choice can be made online or by fillingout a paper pledge form. No matter how large or small your gift, you can be sure 100 percent ofyour donation will go directly to the organization you choose and make a real difference in ourcommunity.

Donations can be made via:

• Cash, check or credit card

• PDO (online only)

• Payroll deduction – one-time payment or spread over 26 pay periods

Visit www.easymatch.com/wakemedgives to make your pledge today. All completed pledge forms (paper and online) will be entered in prize drawings!

With questions or for more information, contact the WakeMed Foundation atfoundation@wakemed.org or ext. 07656.

About the WakeMed Gives FundThe WakeMed Gives Fund provides support for the areas of greatest need within the WakeMed system, including programs not covered by our operating budget. By designatingyour donation to the WakeMed Gives Fund, you will help support the following initiatives:

• Employee Emergency Fund – provides financial assistance to employees who face personaltragedy or hardship.

• Foundation Scholarships – offers financial assistance to employees who want to advancetheir knowledge and clinical skills.

• Raleigh Campus Labor & Delivery Renovation – funds will be used to help offset the cost of this renovation and reconfiguration.

Allison Stewart, RN; Julie Lovick,and Jonathan Defoto (all of CVTesting) with the IACEchocardiography Certificate ofAccreditation.

WAKEMED EMPLOYEE GIVING CAMPAIGN

EXTENDED THROUGH SEPT. 18!

OPEN ENROLLMENT COMING SOON!

October 12 – November 2, 2015

• WakeMed Physician Practices – ParkwayPrimary Care

• WakeMed Physician Practices – RaleighCardiology – Cary

• WakeMed Physician Practices – RaleighCardiology – Clayton

• Brier Creek Healthplex – EmergencyDepartment

• Apex Healthplex – Emergency Department

• Cary Hospital – Outpatient LaboratoryServices

• Cary Hospital – Outpatient MRI

• Cary Hospital – Outpatient RadiologyImaging

• Cary Hospital – Day Surgery, Outpatient Lab, Outpatient Imaging

OPEN ENROLLMENT COMING SOON!See bottom of page.

Accounting welcomes Isabella Lou.

Nursing Education welcomes Shelia Veeder, BSN, RN,who transitioned from 5C Medicine.

6C Surgery & Trauma welcomes Austin Dinglasan,NAII.

WPP – Garner Primary Care welcomes Anaira Knightto the team.

Guest Services welcomes Karla Balourdos.

1D Clinical Evaluation Area welcomes GeorgeRobinson, RN; Rebecca Mitchell, RN; Shani Clark-Gaffney, RN; Heriberto Sierra, RN; Tiffaney Wheeler,RN; Sheminski Jones, Eva Ocharo, RN: Julla Pannehand Mandy Brigman, RN.

CTICU welcomes Melissa Thayer, RN.

WPP – Urology – Garner welcomes Lindsey Price, RN.

WPP – ENT – Head & Neck Surgery – Garner welcomesAishah Ubaydah.

Medical Staff Services welcomes Kathy Whitfield andTiara Smith.

Emergency Department – Cary Hospital welcomesKimberly Brown, NAII; Laura Franklin, RN; AmandaPastore, NAII; Dana Pellack, RN.

Neuro ICU welcomes Morgan Springer, BSN, RN;Jenna Privette, BSN, RN; and Jennifer Dixon, BSN, RN.

Infection Prevention sends best wishes to StephanieBeach, RN, BSN, who transitioned to the NICU, andVicki Riddle, RN, BSN, who transitioned to a part-timerole at WakeMed North. The department also welcomesSydney Gaskins, RN, BSN; and Angela Clark, MSN, RN.

CICU welcomes Kayla Jones, RN, and Laura Bonham,RN.

5A MIC welcomes Kandra Anderson, RN; Tae Bradley,NAII; Candace Daughtridge, NAII; Ariel Hardy, RN;Humeka Knolton, RN; Natasha Lucky, NAI; MariaPeralta, NAII; and Kimberly Sparks, RN.

WOW, WHAT AN EMPLOYEE!Sheri De Shazo, RN, vice president & administrator,WakeMed North, has been elected to serve on the AmericanHospital Association Section for Maternal and Child Healthgoverning council. De Shazo will serve a three-year term,beginning January 1, 2016.

Christie Hatch, RN, and Cheri Cranmer, RN, (both of theEmergency Department) received master’s degrees in nursing(MSN).

Lindsey Haydt, BSN, RN (Neuro ICU); Mini Chacko, RN(CICU); Constance Turlington, RN (CTICU); Nicole Hicks, RN,and Danika Davis, RN, (both of the Emergency Department)earned critical care nursing certification (CCRN).

Tara Jaworski, RN, (Community Case Management) andMaxine Williams, RN, (1D Clinical Evaluation Area) earnedbachelor’s degrees in nursing (BSN).

Amy Barnes, RN, (Emergency Department) earnedcertification in emergency nursing (CEN).

Julia Glass, BSN, RN, (5C Medicine) was promoted to clinicaleducator/supervisor.

Sherry Kite-Porter, RN, (3A CVIC) earned CV certification.

June Oburu, BSN, RN, (3A CVIC) passed the progressive carecertification exam.

Cyndi Jacobson, RN, and Sylvetta Bryant-Washington, RN,(both of Surgical Services Day Surgery) received healthcareaccreditation certification.

Doreen Milhouse, RN, and Ashley Martin, RN, (both of 6BOrthopaedics & Oncology), Mary Margaret Callehan, RN;Desiree Ferguson, RN; Teretha Moore, BSN, RN; and KarenYork, RN, (all of 5A MIC) received medical/surgicalcertification.

Congratulations to April Turner, RN, and Patricia Thomas,RN, (both of 6B Orthopaedics & Oncology) who will representWakeMed with a poster presentation at the national Academyof Medical-Surgical Nurses AMSN) Conference.

Terri McDowell, MSN, RN, (3A CVIC) earned a nursepractitioner degree from Duke University.

Shanell Lovette Woodley, RN, (3C Rehab Nursing) receivedan MSN from Duke University.

Sarah Conte, RN, (Labor & Delivery) received a doctorate innursing practice (DNP) from Loyola University in Chicago.She will also be presenting her DNP research at the 22ndAnnual Perinatal Conference and the 3rd Annual Nursing &Allied Health Conference at Sea.

Crystal Stephenson, RN, (3C Rehab Nursing) became acertified nurse.

Amanda Patterson, RN, (PICU) became ANCC pediatricboard-certified.

ADDITIONS & ATTACHMENTSApril Parker (Imaging Services – Apex Healthplex) and herhusband Daniel welcomed their fourth child, Daniel, Jr., onJune 6.

Kaylin Strickland (WPP – Garner Primary Care) welcomedson Camden James Strickland on July 13.

Richard Dorman (Construction & Design), his wife and twochildren recently welcomed a baby girl, Sparrow, who wasadopted from China.

Melanie (Deutscher) Bien (Imaging Services) married MikeBien on July 26.

Amy Karam, RN (Staffing Resources) welcomed ParkerHolden Karam on May 5.

COMINGS & GOINGS After almost 40 years, Ross Vaughan, MD, (WPP –Neonatology) is retiring from WakeMed in September. Dr.Vaughn is a board-certified neonatologist who has worked atWakeMed since 1977 and has held a number of leadershiproles during his tenure.

6B Orthopaedics & Oncology welcomes Meagan Stout, RN;Jennifer Best, NAI; Sarah Beth Johnson, RN; and MorganO'Neal, RN.

WakeMed Rehab welcomes Mike Urton, MSN, RN.

Home Health sends best wishes to Deborah Parker, BSN, RN,as she transitions to Labor & Delivery.

The NICU welcomes Amanda Wells, RN, and the NewbornNursery welcomes Haley Porn, RN.

Case Management welcomes Wanda Goodwyn, RN, to a full-time role after transitioning from the supplemental pool.The department also welcomes Amy Fullen, RN, back toWakeMed.

As part of our efforts torecruit, retain and developan extraordinary team,WakeMed regularly asksemployees to evaluate ourwork environment,leadership, patient focusand more. This year’semployee survey saw aslight dip in our responserate (72 percent), but weare proud to report thatscores improved in allareas. Our raw score was75.39, which is up fromlast year’s 73.5 and wellabove the industry averageof 68. This puts us at the90.4 percentile (top 10percent) when comparedto other organizations – our highest ranking since the survey began in 2005!

“We use the employee survey to guide improvements and we count on employees letting us know what we cando to provide a satisfying and rewarding work environment. The increase in scores we saw on this year’s surveyis something we can all be proud of, but there is always more to be done,” commented Jeanene Martin, seniorvice president, Human Resources.

As in past years, the employee survey was administered by a third-party survey administrator (Success Profiles)to guarantee anonymity. Success Profiles compared our results to 387 other health care organizations to providecontext for our scores. Two separatesurveys were conducted – one foremployed physicians and midlevelsand one for all other employees. Theemployee survey results are sharedbelow; the physician/midlevelresults will be shared next month.

Success StoriesAccording to employees whocompleted the survey, some ofWakeMed’s strengths include:

• Staff receive sufficient feedbackabout performance (97thpercentile)

• There are opportunities forpersonal and professionaldevelopment (96th percentile)

• Employees receive fair treatment(92nd percentile)

• WakeMed emphasizes delivering the best care (90thpercentile)

• Staff can make decisions to solve problems for customers(88th percentile)

• Pride in our organization (86th percentile)

Other strengths mentioned in the comments include satisfaction with our CEO, strong community involvement,belief in the Wake Way, pride in our marketing/advertising and the value of cultural diversity.

Some areas that saw great improvement over the past year include keeping staff well informed; providingadequate resources; and making employees feel valued, appreciated and supported. All three of those areas wereidentified as weaknesses last year, but thanks to work done over the past 12 months; those same themes wererecognized as organizational strengths this year!

Opportunities for ImprovementThe survey also revealed areas where we can continue to make improvement, including the following:

• Staff retention is recognized as important by department leadership (50th percentile)

• Staff have access to information necessary to do their best work (67th percentile)

• Staff are expected to demonstrate personal accountability (69th percentile)

• Department changes are made with staff input (70th percentile)

Some themes for improvement that arose in the comments include more competitive pay and WakeShare,lowered benefit premiums and costs, increased staffing, opportunities to share input and improved staffappreciation efforts. Departments will once again be using individual results to develop action plans addressingthree to five areas of improvement and we hope to see continual improvement in the future.

Results

In the 2015 employee survey, employeesexpressed great pride in WakeMed and felt

valued and appreciated for the work they do!

Inspired by his parents, John Finley knew from an early age that he wanted towork in health care, serve others and go to law school. Finley, whose father is adoctor and mother is a nurse, credits his parents for helping him find a way tounite these dreams. “I really admire what my parents do and the way they workto save and improve lives. I wanted to continue that service tradition and make

them proud. Working in health care compliance, I can do that and use my legalbackground at the same time. Plus,” he adds jokingly, “I still get invited home for theholidays and it’s not every day that clinicians warmly invite lawyers into their homes.”

Finley attended the University of Tulsa, earning a dual bachelor’s degree in English andeducation before going on to the University of Oklahoma for graduate school where heearned dual degrees in public health and law. Finley started his service career in thefederal government as a presidential fellow at the U.S. Food & Drug Administration andthe White House. Since completing his two-year fellowship, he has held seniorcompliance and legal roles at a large university academic medical center, a multi-nationalhealth system and two Fortune 500 health insurance companies.

Since joining WakeMed this June, Finley has put his commitment to service first. He hasmade getting to know people from across the organization his first goal. “It’s important forme to understand the different needs people have so that Corporate Compliance canmatch our services and resources to help them achieve their goals.” To do that effectively,Finley makes it a priority to listen and understand all sides before offering suggestions or

solutions. He maintains an open door policy and takes aproactive approach to tackling compliance concerns. “I want ourdepartment to be a resource for the entire organization, a toolthat can help staff navigate increasingly complex regulations. Weare very customer-oriented; we are here to support you, notcreate red tape.”

Finley is also working hard to help the WakeMed familyunderstand how compliance ties to our mission and strategicplan. In addition to contributing to our aspirational goal ofhaving the highest ethics and standards in all we do,understanding regulations and compliance can help improvecare. “It’s rewarding to work with clinicians to make theregulations work in favor of their patients. Whether that’sopening doors to new treatments through clinical trials or

evaluating how we can expand services to underserved populations, there’s a lot ofopportunity to support our mission.”

WakeMed’s commitment to mission and strong roots in the community are two things thatdrew Finley to WakeMed. “When I tell people I moved here to work for WakeMed, theresponse is overwhelmingly positive. The community trust and faith in this organizationis really unique, and I’m proud to be part of it.” After working in several multi-nationalorganizations, Finley enjoys that at WakeMed he has the opportunity to spend time in thehospitals where he can witness exceptional health care happening on a daily basis.

Another thing Finley is enjoying about his new role is not traveling as frequently as hedid in some of his previous positions. This frees up a lot of time to spend with his wifeJennifer and their three daughters: four-year-old Isabella and 18-month-old twins Emmyand Gabriella. In addition to his family, Finley’s interests include church, Americanhistory, Crossfit and sporting clays. Since settling in Raleigh in June, the Finleys havebeen enjoying getting to know their new state and city, and have found it to be a greatplace to live. “I’ve always loved Raleigh and so far living here has been everything weexpected – it really is a big city with a great small town feel and we love that about it.”

GET TING TO KNOW

John Finley, JD, MPHVice President & Chief Compliance

and Privacy Officer

WakeMed Welcomes Thomas Gough, Senior Vice President and Administrator, Cary HospitalThomas J. Gough joined WakeMed in late August as senior vice president and administrator for Cary Hospital. Gough came to us from Care NewEngland in Providence, R.I., where he was senior vice president of site operations for Memorial Hospital, a 296-bed non-profit communityteaching and research hospital. “Tom’s background, leadership skills and experience developing working relationships with physicians will be anexcellent fit for Cary Hospital. I believe he will contribute greatly to Cary Hospital’s growth and development, which is critical to WakeMed’scontinued success and the communities we serve,” explains Donald Gintzig, president and CEO.

Gough has 25 years of experience in hospital leadership and has a strong history fostering partnerships with physicians and communityorganizations, service line development, and experience in performance improvement. In his new role, Gough will work in dyad partnership withan executive medical director to lead, define and execute the enterprise’s strategic direction and overall operations. Gough holds a bachelor’sdegree in health planning and administration from Pennsylvania State University and a master’s degree in health care administration from theUniversity of Minnesota.

MANAGEMENT UPDATES

Volunteer With Read & FeedRead & Feed is an after school literacy program that providestutoring and a freshly prepared meal to elementary childrenfrom low-income families in a nurturing, neighborhoodenvironment. WakeMed sponsors the Powell Elementary site,which is very close to Raleigh Campus. Volunteers (employeesand their family members) are needed to help make the programa success. The program meets on Tuesdays from 5:30 to 6:30 pmfrom Sept. 29 through April 26. To learn more or to volunteer,contact Melody Wallace at mewallace@wakemed.org.

WakeMed’s Good Catch Program encourages staff to positivelyimpact patient safety by speaking up, reporting good catchesand sharing their experiences. If you have made a good catch,share it by clicking the “Report a Good Catch” link on theWakeMedWeb (it will take you to the online reporting site).

Premature newborns are very sensitive to fluctuations inoxygen and strict monitoring of oxygen levels can potentiallysave a newborn's eyesight. While performing safety checksduring bedside report in the NICU, Jewell Booth, RN, (StaffingResources) found that one of her patient's oxygen alarm settingsdid not meet unit protocols. Booth adjusted the oxygen alarmand the patient continued to receive safe care. Thanks, Jewell,for your attention to bedside report and patient safety!

Jodi Strickland, RN, (1 East Clinical Evaluation Area – CaryHospital) and Amy Li (Pharmacy – Cary Hospital) workedtogether to make their good catch. When Strickland noticed thatSalsalate had been ordered for a patient who didn’t have arheumatoid disorder, she called the Pharmacy to clarify themedication’s use. Li confirmed that Salsalate was not used totreat the patient’s condition, so Strickland called the physicianto double check the order. It turns out that the order wasintended to be sodium chloride, not Salsalate. Great job, Jodiand Amy!

Jewell Booth Jodi Strickland Amy Li

NEWS FROM WAKEMED PHYSICIAN PRACTICES

Michael Brown, MDWPP – Pediatric

Hospitalist

Michael Hill, MDWPP – Hospitalist

Miren SchincoSchaffer, MD

WPP – Surgery &Trauma

Frances Wood, MDWPP – Raleigh

Cardiology

Ian Udell, MD WPP – Urology www.wakemedphysicians.com

Welcome New Physicians

Welcome New MidlevelsJulie Brugger, PAWPP – Midlevel Program

Janet Karanja, NPWPP – Hospitalists

Quarter Two Golden Scanner Awards It’s a repeat award-winning performance for Cary Hospital Day Surgery and RaleighCampus’s CTICU! During the past quarter, Day Surgery had a 95 percent scanningcompliance rate and CTICU had a 98 percent compliance rate, making them – once again –Golden Scanner award winners. Honorable mentions go to 5C Medicine with a 95 percentcompliance rate, 5A MIC an 8 percent improvement and Cary Hospital’s Medical DayTreatment with a 90 percentcompliance rate – a 10 percentimprovement over the previousquarter.

Scanning compliance meansour nursing units stay stockedwith the items you need to carefor patients. In addition, itmeans we are capturing chargesfor items used. Cary HospitalDay Surgery’s compliancetranslated into $274,000 incharges, while CTICU’scompliance rate generated$217,000 in charges. The morecompliant we are withscanning, the more it helps ourbottom line.

Will yours be the unit thatknocks Cary Hospital DaySurgery or CTICU off thecoveted Golden Scanner awardpodium next quarter? Scan allyou can!

Right: MPD’s Bobby Holloway,manager, (far left) and GeorgeJones (middle) present theGolden Scanner to CTICUnurses (left to right) CissyJohnson, RN; Lillie Lodge, RN;Justin Murphy, RN; and HelenMcAdams, RN.

Surgical Services Value Stream Work BeginsTwenty-four surgeons and hospital leaders gathered on August 19 to beginthe Surgical Services Value Stream work with an all-day Visioning & KaizenPlanning Session. The Surgical Services Value Stream – which includesRaleigh, Cary and North – is the second to begin the WW2E work, followingWakeMed Physician Practices, which held a similar session in June (see thesidebar for an update on their progress).

“WPP and Surgical Services were selected as the first two value streamsbecause we believed that they would have the greatest impact with patients,

and with the organizationas a whole, to achieve ouraspirational goals,”commented Tom Gettinger,executive vice presidentand chief operating officer.

The group, which includeda diverse group of surgeons,clinical and administrativeleaders, spent some timereviewing the current stateof the Surgical ServicesValue Stream, which laidthe groundwork for thesession. Much of the daywas spent identifyingopportunities and creating avision for how this valuestream should look in thenext 12 to 24 months.Along the way, facilitators

from Virginia Mason Instituteand our own KaizenPromotion Office challengedthe teams to think about “howwe create value for the patientin order to become the valueleader.”

During the course of the day,the team learned more aboutthe difference between theWW2E approach to improvingthe value stream compared towhat we’ve done in the past.Donald Gintzig, president andCEO, shared: “What’s differentwith this process is theamount of engagement, thecommitment and the true‘infection’ for the processthroughout the system. If wewant to be a top 10 hospital

and we want different results, we have to look at things differently.”

The day ended with the team deciding to initially focus their work on patientand family preparation, with a special focus on the Pre-Admission Testingprocess to ensure all patients are fully prepared for surgery. Future focusareas will include having correct the instrumentation and supplies in the ORand room turnaround time. They will hold their first Rapid ProcessImprovement Workshop (RPIW) – a week-long event to evaluate, test, andimplement improvement ideas – later this fall.

WakeMed Physician PracticesPrepares for RPIWBuilding on their Kaizen Planning &Visioning Session in June, muchwork has been done behind thescenes to prepare for WPP’s firstRPIW, which will be held in Garnerin mid-September. The focus of theRPIW is the flow of a patient visit. A group of eight staff members –including two physicians – willspend a full week evaluating currentprocesses and developing a plan formaking changes to enhance thepatient experience and the efficiencyof the office. Look for an updateabout what they accomplish in theOctober issue!

WPP Adds New Pediatric Services in Cary WakeMed Physician Practices recently expanded their pediatricspecialist services in Cary by adding endocrinology andgastroenterology services. These specialists join the existing WPP –Pediatric Surgery practice in Cary as WakeMed continues to meet theneeds of families in western Wake County.

WPP – Pediatric Endocrinology offers state-of-the-art diagnosis,treatment and management of of children with diabetes and endocrineissues. In addition to board-certified pediatric endocrinologists BillLagarde, MD, and Hillary Lockemer, MD, the team includes a certifieddiabetes educator, a social worker and clinical support staff.

Led by Sachin Kunde, MD, MPH, WPP – Pediatric Gastroenterologyprovides care and treatment for all aspects of digestive issues impactingchildren from birth to 18 years – from gluten allergies and lactoseintolerance to inflammatory bowel disease (IBD) and other GI disorders.

WakeMed’s pediatric specialists are dedicated to providing personal,family-centered care to each child and invites family members to be partof the health care team. For more information, visitwww.wakemedphysicians.com.

WakeMed Physician PracticesCary Medical Park

208 Ashville Avenue, Suite 10Cary, NC 27518

A Family Affair If you work at WakeMed, you’re part of the WakeMed family– but some of our employees really are family! If you have relatives that work here atWakeMed (no matter where in the system), we want to hear about it! Send your story tomicroscope@wakemed.org and we’ll choose a few family connections to highlight in afuture issue of Microscope.

Below: Gloria Brown (2D Rehab Nursing) and her daughter Latoya Lucas, RN, (3C RehabNursing) had some fun when the Big Green Couch visited WakeMed. They are just two ofmany family members who call WakeMed home!

Cary Hospital Day Surgery staff (left to right) Cathy Filippi,RN; Colleen Carter, RN; Robin White, RN; Patricia Barnes,RN; Karen Galpin, RN; Meena Khullar, RN; Tara Bruce,NAII; and Sharon McDonald, RN, show off their GoldenScanner award.

Holly Moore, RN, (Special Care Nursery – CaryHospital) reaches for a treat after meeting CaryHospital’s new administrator, Tom Gough.

3 West Medical/Surgery –Cary Hospital hosted asurprise celebration for Betty

Peck, right, a long-time volunteerwho recently celebrated her 90th

birthday. Betty is pictured withMary Ellsworth, NT (3 West).

United States SenatorThom Tillis visited

the WakeMedRehabilitation HospitalHealth Park in August toview a demonstration of theEkso, a highly specializedwalking technology forindividuals with spinalcord injuries. Patient LeeBayles demonstrated theequipment while BrendaYoung, NAII (OutpatientRehab) provided assistance.

What’sHappeningat

The fall round of employee forums with Donald Gintzig areunderway. Don’t miss this opportunity to hear directly fromour president & CEO about everything that’s going on atWakeMed and what the future holds. Grab a friend and joinDonald for an informal conversation – be sure to bring anyquestions you may have!

RALEIGH CAMPUSAndrews CenterThursday, September 173:30 pmTuesday, September 227:30 am

CARY HOSPITALConference CenterTuesday, September 83:30 pmThursday, September 107:30 am

CORPORATE CENTERSecond FloorMultipurpose RoomTuesday, October 1310 am

APEX HEALTHPLEXBreak RoomTuesday, September 292:30 pm

GARNER HEALTHPLEXConference RoomTuesday, September 222:30 pm

Countdown to ICD-10 ICD (International Classification of Diseases) codes are used to indicate diagnoses andprocedures for billing, audits, teaching, Joint Commission compliance, publicly reported dataand other reasons. After several delays, on October 1, 2015, the United States will stop using the30-year-old ICD-9 system and begin using ICD-10.

One of the major differences between ICD-9 and ICD-10 is that the new diagnosis and procedurecodes are much more specific and must be backed up by enhanced documentation – whichmeans big changes for physicians and midlevels. To help our providers prepare, WakeMed hasoffered online and in-person training for all members of our medical staff and, in August, weturned on a “diagnosis calculator” tool within Epic. This tool lets providers choose an ICD-10-compliant diagnosis and was introduced several months in advance so users could becomefamiliar with the process. “The diagnosis calculator is very unobtrusive in the workflow ofpatient care in Epic. It pops up when selecting the billing diagnosis or when managing theproblem list for patients and has effectively helped me learn the new level of specificity thatwill be needed for ICD -10,” commented William Pittman, MD, director (WPP – Hospitalists).

In addition to providers, non-clinical staff in many departments – including health informationmanagement, information services, billing and accounting, and compliance – will be impactedby the change to ICD-10. Affected employees have been assigned online training, which is dueby September 30. Additionally, clinical documentation improvement specialists are serving asour on-site experts and will provide help and assistance during the transition. “Over the pastfew months, our focus has really been to help our providers and staff prepare for ICD-10. Afterseveral years of delays, it is exciting that we’re finally making this change nationwide, and wewanted everyone to be ready,” commented ICD-10 project coordinator Sarah Hoffman (ClinicalResource Management).

As October 1 gets closer, WakeMed is tracking several metrics to measure the success of ourtransition to ICD-10. These include:

• Completion of training by medical staff and employees

• Successful testing of billing submissions with payers

• Chart audits and review at 95 percent or greater compliance for appropriate documentation

• Billing delays for ICD-10-related issues at or below similar metrics under ICD-9

Thanks to everyone who is helping us prepare for this important change!

Safe Kids Wake Countyhelped kids throughout

our region have a safer – andswimmier – summer withSwim Safe, a new programfunded in part by theAmerican Trauma Society.The team provided swimsafety education and handedout hundreds of life jackets atJordan Lake and Falls Lake.