musc catalyst

December 23, 2011 MEDICAL UNIVERSITY of SOUTH CAROLINA Vol. 30, No. 19

READ THE CATALYST ONLINE - http://www.musc.edu/catalyst

42 Lifetime Achievement AwArdreducing infections

Honor reveals Dr. Charles DarbyJr.’s passion for children.

3

8

5Pediatric Intensive Care Unit staff arecommitted to preventing infections.

Applause Program

Meet Brandon

Year in Review

Just days before Florida native NickBattles was to graduate from boot

camp, an accident transformed him frombeing an athletic to being a spinal cordinjury victim.

Battles, 19, was on track to fulfillinga dream to become a Marine. On Nov.9 he suffered a severe spinal cord injuryduring a training exercise. Battles wasquickly transported from Beaufort toCharleston and treated at MUSC’sNeurosciences Intensive Care Unit(NSICU).

During the next five weeks, Battlesgot the support of nurses, physicians,pharmacists, patient aides, respiratorytherapists and other specialists whorallied around him and his family.

Upon hearing news of Battles’ injury,his family came to Charleston to givehim their support. His mother, Wendy,was relieved to find out about MUSC’sreputation as the Lowcountry’s onlyLevel 1 trauma center and that theNSICU provides the highest level of carefor the most critically injured patients.

“The care at MUSC has been amazingfor both Nick and our family. This isNick’s first experience in a hospital.We’re so grateful to so many peoplewho’ve been involved with his care orhave shown support to him in somecapacity. It’s a tragic situation, but wefeel truly blessed.”

First, the NSICU team worked inmanaging Battles’ pain, swelling andbruising from his injury. Later, he

By Cindy ABole

Public Relations

Recruit thankful for excellent patient care

Wendy Battles gives her son, Nick, a donated Christmas tree created bymembers of the Council of Garden Clubs of Greater Charleston. WithNick is nurse Megan Withers and visitors from his boot camp trainingbattalion.

underwent successful spine surgerywhere surgeons realigned and fused acervical fracture in his neck. Next, Battlesbegan physical therapy to increase hisrange-of-motion and to do strengtheningexercises and other therapies.

NSICU nurse Danielle Prox wasBattles’ primary nurse in the unit. Toher, he was an ideal patient. “He has themost amazing positive attitude that I’veseen in anyone. It’s been a pleasure tocare for someone who’s that appreciativeand sincere about the care they receivewhether it's from me, a colleague oranyone on his care team.”

Battles’ Marine Corps family alsoremained by his side. Just a week afterBattles was supposed to graduate, he gota visit from Marine Corps leaders andhis battalion senior drill instructor. Theypresented him with the Corps’ eagle,globe and anchor pin and promotion tothe rank of private first class.

NSICU’s Cheryl Holderfield hasserved as the unit’s nurse manager since2007 and considers herself a Battles“fan.” For the five weeks that he hasbeen on the unit, she’s taken a back seatrole as a quiet supporter to her talented41-member staff. Holderfield was

credited in 2009 to leading her staff inreceiving the Beacon Award, a nationalrecognition for achieving critical careexcellence for best patient care practicesand outcomes.

“There’s something about Nick thatdraws people to him. He’s respectful,polite and sincere. He possesses allthe qualities that are taught in theMarine Corps — honor, respect, dutyand discipline — and it shows. Nick’spresence has brought out the best in eachof us, and it’s heartwarming to see.”

As the days drew closer for Battles’transfer, his mother worried that hemay not receive the same level of careat his new location, the James A. HaleyVeteran’s Hospital in Tampa. She wasassured that the University of SouthFlorida-affiliated hospital was among thebest in the area and it’s located near hisfather’s fire station.

NSICU medical director and Battles’physician Julio Chalela, M.D., is asenior Army reservist and surgeon.Battles’ youth and presence on the unitreminded Chalela of the fit Marine andArmy recruits he’d care for during hisdeployments to Iraq. “I was impressedwith their sense of duty, courage andcommitment to country even in thetoughest of situations. Nick’s presenceon the unit reminded me of that, and itwas inspiring to all of us.”

On Dec. 14, Battles said goodbye tohis MUSC friends as he turned anothercorner in his journey to recovery. For2012, his wish is simply to get better.“I hope to push myself more in everychallenge that comes my way.”

2 The CATAlysT, December 23, 2011

The Catalyst is published once a week.Paid adver tisements, which do notrepresent an endorsement by MUSCor the State of South Carolina, arehandled by Island Publications Inc. ,Moultrie News, 134 Columbus St. ,Charleston, S.C., 843-849-1778 or843-958-7490. E-mail: [email protected].

Editorial of ficeMUSC Office of Public Relations135 Cannon Street, Suite 403C,Charleston, SC 29425.843-792-4107Fax: 843-792-6723

Editor: Kim [email protected]

Catalyst staff:Cindy Abole, [email protected] Brazell, [email protected]

By Cindy ABole

Public RelationsIt is Pediatric Intensive Care Unit

(PICU) nurse manager Melinda Billerand her team’s goal to reduce infectionsand save lives, especially for theChildren’s Hospital’s littlest patients.

For the last few years, unitnurses, technicians, physicians andmultidisciplinary staff have committedto creating and sharing best practices aspart of a 24-month national collaborativefocused on infection prevention inthe hospital. Its results yielded theestablishment of a unit-based patientsafety program infrastructure to preventinfections related to the use of centralline catheters while improving qualitypatient care.

In October, PICU was recognized bythe S.C. Hospital Association (SCHA)for their efforts in reducing blood streaminfection (BSI) rates with a Stop BSIAward. Since the end of October, PICUhas no reported central line-associatedbloodstream infections (CLABSI).

Biller is pleased of thisaccomplishment within her 11-bedspecialty care unit.

“I’m extremely proud of our stafffor this achievement. Everyone’s beenproactive and invested with this effortsince we committed to it back in 2009.”

In the United States, about 99,000people die from health-acquiredinfections with CLABSI and catheter-associated urinary tract infections

being the most common. To reduceits prevalence, SCHA, the Agency forHealthcare Research and Quality andother group’s statewide organizationslike MUSC have committed to reducingCLABSI in hospital ICUs throughoutthe state through staff and patienteducation, communications and bestpractices.

The effort was lead by Biller and PICUnurses Natalie Bell, Patricia Prause andRose Augustus. The team proposed newbest practices that focused on a personalapproach to care with improvementsto patient and family communications,scheduled dressing changes, practiceaudits, establishment of a unit safetyboard and other measures.

Other interventions adopted by the45-member staff for decreasing CLABSIrisk include hand hygiene (in October,the unit was 99 percent in compliance),skin preparation using an antiseptic prepprior to central line insertions and linecare maintenance. Working with MUSCInfection Control and the hospital’s ZeroBSI Group, the unit possesses one of themedical center’s best infection rates byreducing CLABSI by 91 percent.

“We knew what each of us shouldbe doing both individually and as ateam. We recognized that embracing aculture of safety change within our staffextends past BSI. Bottom line is that weare the last line of defense as it relatesto preventing health care associated

infections with our patients,” said Biller.South Carolina and MUSC’s effort

follows a national initiative led byinfection prevention advocate PeterPronovost, M.D., the Johns HopkinsQuality and Safety Research Group andother national hospitals and medicalfacilities to reduce the incidence of BSIs.

Deb Browning, R.N., Children’sHospital nursing director, couldn’t bemore proud of the PICU team’s progress.

“Melinda is a strong PICU managerand leader who is energetic andenthusiastic about her cause. She isalways challenging the PICU staff inproviding the best care possible to thehospital’s pediatric patients each day.She fosters an atmosphere that leadseveryone to want to do their best todecrease BSI and other health care-acquired infections. She is a true mentorand patient advocate.”

Beth Rhoton is an infection controlpreventionist assigned to work with thePICU team. PICU was among 16 MUSCunits and departments involved in theNational Stop BSI Initiative.

“It’s been incredible of the PICU’steamwork and commitment withthis effort. This is an outstandingaccomplishment for them and otherMUSC inpatient areas that’ve madeimprovements in this area.”

In the coming months, the PICUteam will take lessons learned fromreducing BSI to apply to lowering ratesfor ventilator-associated pneumoniainfections.

PICU recognized for infection prevention practices

To prepare future health careprofessionals, assessment of a student’slearning performance is a valuablepart of the educational experience. Toaccomplish this, MUSC uses a web-basedevaluation system called E*Value as away to measure a student’s performance.E*Value allows students, trainees,supervisors to share feedback about theirclassroom and clinical experiences.

Starting Feb. 1, the E*Value loginwill be upgraded. Using an individual’s

NetId and password, users will be able toaccess a new internal-to-MUSC E*Valuehomepage linking them not only toE*Value but also other evaluation tools,resources and support services that arespecific to MUSC. Although go-live forNetID-integrated login officially will beFeb. 1, users can begin using it now athttp://evalue.musc.edu.

Users who have questions shouldcontact their college E*Valuecoordinator.

New system to measure, share feedback onstudent’s clinical, classroom experience

PICU staff receive the South Carolina Hospital Association’s mostimproved award for reducing blood stream infections in patients.

The CATAlysT, December 23, 2011 3

As you know, the medical university has undertaken a branding effort: ChangingWhat’s Possible. This past year, a communications campaign reached acrossthe state and beyond, spreading this message and helping to shape the way thepublic thinks about the university. Equally important, Changing What’s Possiblechallenges all of our internal constituents to focus their energies around building abrighter tomorrow for our state.

The power of our message comes from its adoption in all aspects of what we do –from research, to education, to patient care – and from its constant repetition andreinforcement in all of our messages. I have asked the MUSC CommunicationsCouncil to assure that our approved communications standards are followed.The Communications Standards website serves as a resource offering examplesof appropriate use of the MUSC brand, sub-brands, associated logos, letterhead,positioning statement and more. These guidelines apply to all advertising,collateral, and web-based initiatives, and I ask your assistance in assuring their usein your areas of responsibility.

The web link for the standards is http://www.musc.edu/communicationstandards

For information, contact Business Development and Marketing Services at792-6409, email [email protected] or the Print Shop at 792-8866, [email protected].

Thank you for all you do to build our reputation and for giving expression to ourmission of Changing What’s Possible.

With best regards,

Applause ProgramMcGarrigle, Respiratory Therapy; Vir-ginia O’Connell, 9PCU; Diana Evans,9PCU; Crystal Lindler, CTICU; KristenHottel, CTICU; Todd Dantzler, Gastro-enterology & Hepatology; Mary Morgan,SEI; David Marcum, 6W; Sally Key, 6W;Ashley Sevier, 6W; Nancy Austin, 6E;Misty Kahmke, 6W; Melissa Parker, 6W;Terrie Hopkins, 6E; Edward Litwin, 6E;Terri Dunbar, 6W; Laura Droege, Oto-laryngology; Melvena Nelson, Environ-mental Srvs; Barbara Kniceley, 8W; andPaul Herndon, Transplant Center.

The following employees received recog-nition through the Applause Program forgoing the extra mile:

Medical CenterGeorge Magrath, Ophthalmology; AnnPeterson, Safety & Security/Volunteer& Guest Srvs; Doris Thomas, MedicalRecords; Tawana Gadsden, Medical Re-cords; John Carson, 10W; Bonnie Trea-do, Oncology & Medical/Surgical Srvs;Amanda Jolly, Radiology; Melissa Mar-tin, Oncology & Medical/Surgical Srvs;Clarice Dorsey, Radiology; Kelly Lewis,Radiology; Jenny Keeter, 3W; Suzy Da-vis, Clinical Neurophysiology Srvs; Ran-dall Smalls, Charleston Memorial Hospi-tal; Vanessa Stewart, Safety & Security/Volunteer & Guest Srvs; Melissa Leslie,GI Clinic; Melissa Youngblood, GI Clin-ic; Shaunisha Hampton, Meduflex Team;Suzanne Ramage, Safety & Security/ Vol-unteer & Guest Srvs; Dennis White, Safe-ty & Security/Volunteer & Guest Srvs;Katie Johnson, Med/Surg ICU; JohnIkonomidis, Surgery; Sam Jacks, Sur-gery; Adam Franklin, Residents Surgery;Gladney Brooks, CT Surgery; Amanda

Valerie Assey, Infectious Diseases; Per-cilla Coaxum, University Press; MichelleCunningham, Psychiatry; Joyce Free-man, Cardiology; Carly Freilich, Neu-rosciences, Monica Gardner, Neurosci-ences; Linda Hammill, OrthopaedicSurgery; Amber Houston, College ofDental Medicine; Emily Lynn, Surgery;Christopher Merrell, Orthopaedic Sur-gery; Steve McLawhorn, Engineering &Facilities; Allison Nissen, OB-GYN; Glo-ria Rivera, Purchasing; and Ollie Ross,University Press.

University

Dear Colleagues:

Ray Greenberg, M.D., Ph.D., MUSC president

Diversity office seekingnominations for awards

MUSC’s Office of Student Diversity is acceptingnominations for the Earl B. Higgins Awards 2012.

Established to honor a former director of minorityaffairs, the award acknowledges persistence anddedication to positive contributions to diversityenhancement on campus.

Submissions must be received by 5 p.m.,Feb. 3. The form may be downloaded from http://academicdepartments.musc.edu/diversity/earlbhiggins.html/.

Electronic submissions to [email protected] arerecommended. However, packets may also be submittedvia fax and mail. Winners will be announced March 2.For information, call Willette Burnham at 792-2146 oremail [email protected].

Holiday BreakThe Catalyst will not be published Dec. 30

or Jan. 6 and will resume publication Jan. 13.For information, call The Catalyst at 792-4107or e-mail [email protected].

For advertising information, call IslandPublications at 849-1778 or email [email protected].

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Award reveals Darby’s passion for childrenA plaque with the saying ‘You can’t

build a reputation on what you’regoing to do,’ hangs outside the office ofCharles Darby Jr., M.D.

Building a reputation is somethingDarby doesn’t have to worry about.Armed with a charming Southernmanner and an impassioned drive toimprove children’s health, Darby smilesuncomfortably about being the recentrecipient of the Jerry Zucker LifetimeAchievement Award.

“I feel a little awkward about it. Thepleasure and satisfaction one derivesfrom community service is enough of anaward. Besides this lifetime aspect has asort of terminal ring — like it’s all over.”

Darby did try retiring when he steppeddown as chair of MUSC’s Departmentof Pediatrics in 2001 — the year hereceived the Order of the Palmetto, thestate’s highest award. He took up golfbut it wasn’t long before boredom setin. He was missing purpose in his life.He knew too much about the needs ofchildren and had too much experiencein administrative, legislative andphilanthropic circles to sit idly by.

After all, this is the pediatrician whofounded MUSC’s Children’s Hospitalin 1987 and the man who has helpedgenerate more than $101 million inphilanthropic funding for pediatricsprograms in the past 30 years. Herecently helped secure a $1 milliondonation for The Boeing Center forPromotion of Healthy Lifestyles inChildren and Families. He has beeninstrumental in ensuring that theCharles P. Darby Jr. Children’s ResearchInstitute, one of only 15 of its kind inthe nation, moves forward in generatinglife-saving research to benefit children.

Darby now serves as the executivedirector of the Center for ChildAdvocacy that provides a variety ofgovernment relations, advocacy, anddevelopment services in support ofthe MUSC Children’s Hospital. Thecenter also provides management servicesto the South Carolina Children’sHospital Collaborative, a nonprofit

association consisting of the state’s fourchildren’s hospitals.

Advocacy work isn’t as satisfying tohim as working one-on-one with childrenand families, but he knows it’s where he

can do the most good.“It is not the most exciting, nor

is it what I was trained to do, but itis rewarding when you can help getfunds like the cigarette tax passed anddedicated to health. It is very importantto work with public leaders, especiallythose at Medicaid, to ensure thatchildren’s health services are adequatelyfunded. Without advocates, childrenhave no voice in public decisions.”

Currently, his No. 1 priority is thebuilding of a new children’s hospital.Today, the Children’s Hospital has morethan 180 physicians and surgeons whoare specially trained to care for children– a stark contrast from the five physiciansproviding services 50 years ago. “Weneed a new children’s hospital and thesooner we get it the better. Right now wehave great staff, and the new chair is topnotch. We have fantastic pediatric andthoracic surgeons. We want to remaincompetitive in recruiting pediatricspecialists. If you don’t have a good

facility, they’re not going to take a secondlook.”

Darby is not about to let that happen.Dena Hughes, program manager for theadvocacy center, has worked directly forhim since 1999 and describes Darby asan applied visionary. “Usually visionariescan’t bring it down to the real worldlevel, but he doesn’t have that problem.He is just as capable and committedto implementing a dream as he is ofdreaming the dream.”

He knows how to cross ideology,party lines, and agendas to always keephis focus on what’s best for children’shealth, which enables him to succeedwhere others fail, she said. His goal hasalways been to recruit the best and thebrightest and he is particularly excitedabout the leadership of Rita Ryan, M.D.,who became chair of the Department ofPediatrics in July.

Hughes said his philosophy has always

“He isn’t afraid ofthe best in others. Hetruly is a first classSouthern gentlemanwith a great deal ofintegrity and one whois kind, generous anddeeply committed tochildren.”

Known as a visionary, Dr. Charles Darby Jr. looks forward to planning for MUSC’s new children’s hospital.

Dena Hughes

See Darby on page 14

By dAwn BrAzell

Public Relations


Meet Brandon

Brandon HaganCollegeDental Medicine, third yearDream vacationTravel to Spain and participate in theRunning of the BullsFavorite colorOrangeFavorite sportTennisViceI am a big candy eater. Especially sour,gummy candies — I eat them all day long.A must-have in the pantryApple Jacks cerealGreatest momentFinishing the Louisville Derby FestivalMarathon in three hours and 36 minutesFavorite place in the worldOahu, HawaiiLast book read“Harry Potter and the Deathly Hallows”Nickname in high schoolB-RokUnique talentI sing classical music and operaFavorite college sports teamUniversity of Kentucky Wildcats

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To Medical Center Employees

W. Stuart SmithVice President for Clinical Operations and Executive Director,MUSC Medical Center

People – Fostering employeepride and loyaltyEmployee of the Month

Toni Mullins,ClinicalNeurophysiologyServices technologist,was recognizedfor her patientcare and teamsupport in ClinicalNeurophysiology Services. She serveson the department’s growth committee,manages bulletin board communicationsand other activities.

HR updateHelena Bastian, MUHA HR director,

presented the following:q PEER interview team members:Ensure that each member has attendedtraining; and allow time for members toprepare for interviews.q Mango: Managers are asked to reviewand update Mango info as necessary.q HSL Conversations are due by theend of February.q Payroll reminders — ESL Maximum:cut-off date, Dec. 31, plus accrual ESL;PTO Maximum: The 2011 yearly cut-offdate is the pay period ending date thatincludes the Dec. 31 workday; PTOCarryover: An employee having morethan 360 PTO hours at the pay periodending Dec. 31, plus the accrual forthat pay period will need to considertheir excess of 360 PTO hours that willbe deducted. The leave cut off will bereflected in the Jan. 11 pay date; ESLCarryover: Employees hired prior to July1, 2000, maximum ESL carryover into2012 is 1,440 hours; employees hiredon or after July 1, 2000, maximum ESLcarryover into 2012 is 720 hoursq SML Eligibility and accrual methodfor January: Eligible employees musthave 55 hours of accrued ESL by thelast pay of the calendar year. For thepurpose of this policy, the last pay periodis the pay period which includes Dec. 31which for 2011, the payroll ending datewould be Dec. 31 (includes ESL accrualfor payroll ending Dec. 31); Employeeswill automatically have up to 12 ESL

hours transferred to SML, which willbe reflected in the Jan. 11 pay date;SML balance may not exceed 24 hours(Employees with more than 24 hoursbalance as of Dec. 31 will not be eligibleto transfer additional hours. Balancesexceeding 24 hours will not be decreasedor cut off).q Holiday meal ticket: Available toemployees who work on an actualholiday receive a meal ticket. Beginningwith the Christmas Day holiday, mealtickets will be valid for 30 days from thedate of the holiday. Email [email protected].

Finance – Providing thehighest value to patients whileensuring financial stability

Steve Hargett,medical centercontroller, gave thefinancial reportfor the five monthperiod ending Nov.30 fiscal year (FY)2012 and FY 2011.The year to date netincome through November was $8.8million and cash is $37 million or 14.2days cash on hand. The numbers werereduced compared to October’s cashlevels, $58.9 million and 22.4 days cashon hand. Costs on a volume-adjustedbasis showed that costs were up by 1percent compared to November 2010. Allsigns show an upward trend in buildingcash through increased volume andcontrolling costs using the hospital’s 5 &5 cost savings plan and other strategies.It’s anticipated that December’sprojected profit will be positive and getthe enterprise closer to budget.

Service – Serving the publicwith compassion, respect andexcellence

Dave Neff,AmbulatoryCare Servicesadministrator,updated managerson the status ofimplementing the

At the Dec. 20 management communications meeting I gave an overview of theclinical enterprise strategic plan. Of significance, the process to develop this plan involvedleadership from throughout the MUSC clinical enterprise including the College ofMedicine, MUSC Physicians (formerly referred to as UMA), and MUHA. One of thefoundations of our strategic plan is the three clinical enterprise entities must be closelyaligned for decision-making as we move forward. The strategic intent set forth by the plan isto be among the top 25 academic medical centers for reputation, quality, service, efficiencyand financial performance by 2015.

We engaged the Beckham Company, a highly regarded healthcare strategy company, toassist us with the planning process which began about six months ago. Numerous groupsessions were held and personal interviews were conducted with nearly 100 key stakeholdersthroughout the clinical enterprise. The plan was presented to our Board of Trustees forapproval at their recent meeting.

The plan translates the conceptual to seven driving strategies. The strategies include:align the clinical enterprise; expand brand awareness and market leadership; increase accessand capacity; grow primary care and outpatient services; establish statewide partnerships oraffiliations; build human and financial capital to fuel growth; and intensify investment ininformation and communication systems. These strategies involve 44 action-oriented tactics.

The clinical enterprise strategic plan will not be put on a shelf. It will be a “living plan”and fine tuned as we move forward. Current goals and initiatives such as the 5 and 5 costreduction efforts, MUSC Excellence and the Magnet journey will serve to support the plan.

A steering team will provide oversight and a coordinating team will ensure sustainedprogress. Strategy leaders and tactical leaders will be accountable for implementation andreporting on progress. An update will be given at each Board of Trustees meeting.

As we move forward, the objectives of the strategic plan will be incorporated into ourgoals and performance evaluations. Strategic plan activities and results will be routinelycommunicated through management communications meetings, newsletters, town hallmeetings and other forums. A website will soon be established so all employees can keepabreast of progress.

We have much to be excited about as we wrap up this calendar year and look to thefuture. In recent years MUSC has achieved numerous distinctions for our quality andcompassionate care. We have a strong foundation to build upon as we work toward ourvision to be recognized as a premier academic medical center.

Have a happy and safe holiday season.

hospital’s new Patient Transport Servicesprogram. Neff reported that sincePatient Transport Services was activatedDec. 6, the program has provided morethan 3,400 patient transports. Servicesare available at Rutledge Tower, HCC,University Hospital, the Children’sHospital and ART.

Neff praised the work of TylerNance and Nancy Hendry, co-projectdirectors, dispatchers and patienttransporters, unit and clinical nursingstaff and many hospital departmentssupporting this project. Neff indicatedthat he and project leaders will beevaluating the service throughout thecoming weeks by soliciting suggestions

and recommendations from staff andimplementing improvements as needed.

MUSC Excellence websiteJulie Floyd, Institutional Relations,

reminded managers that a copy of allpresentations conducted at the bi-monthly hospital communicationsmeetings will be posted to the MUSCExcellence website via the MUHAintranet, http://mcintranet.musc.edu/muscexcellence/communications/comm_mtgs/index.htm.

Announcementsq The next meetings are Jan. 10 andJan. 24.

Currents deC. 20

The Catalyst, December 23, 2011 7

Artists and medical professionals prone todepression have reason to celebrate.

The issue will be an area of focus and researchfor the MUSC’s Department of Psychiatry andBehavioral Sciences. It recently joined the NationalNetwork of Depression Centers (NNDC), whichlinks together more than 20 leading medical centersacross the country working to improve the lives ofthose struggling with depression. The departmentreceived this designation given its national reputationas a leader in depression research and a commitmentto advancing knowledge and care of patients withdepression.

The network brings together leading depressioncenters and academic medical centers to transform thefield of mood disorders, thus making diagnosis andtreatment more affordable, accessible and acceptable.Creating similar networks in other disease specialties,such as the National Cancer Institute, has beentremendously successful in advancing understandingof disease as well as improving treatments andreducing stigma. By creating a similar nationalnetwork of leading depression centers, systematic datacan be shared with experts at those centers, while eachmultidisciplinary center will offer a unique area of

depression expertise and future research.MUSC’s unique contributions to the national

network includes the university’s ComprehensiveDepression Center (CDC), providing expertise in theareas of brain stimulation methods in the treatmentof mood disorders and pain, depression in medicaldisease, women’s reproductive bio-behavioral health,and brain and creativity, a novel concept in terms ofbetter understanding the artistic community and theirmental well-being.

“When you look across people with great creativity,there seems to be an increased prevalence of addictionand depression problems,” said Thomas Uhde,M.D., chairman of the Department of Psychiatry andBehavioral Services, executive director of the Instituteof Psychiatry, and interim CDC director. “It could bethat great creativity lives within a part of the brain thatoverlaps the brain regions responsible for mood andanxiety. Anecdotally, clinicians struggle to treat thesepeople because the trade-off for successful treatment issometimes what the patients complain about as a lossof their creative edge.”

He said that these creative patients seem to havehigher rates of relapse and suicide as a result. The ideabehind this approach is to bring together clinicians

with an interest in finding ways to treat artistic peoplewho suffer from depression or substance abusewithout damaging their creative inclinations. Oneinitiative of the brain and creativity area will be tointroduce the university’s dedication to understandingthese disorders into the arts community. The purposein forming a task force on the brain and creativity is todemonstrate a partnership between the providers andthose who struggle.

“The first step will be to establish baseline measures,but ultimately we want to see if we can find waysto treat talented and creative people in a way thatenhances that part of them, not take away from it.”

Uhde thinks the work could also translate intodepression research related to medical professionals,a group that is well known to have high rates ofdepression and suicide but is often reluctant to seekmental health treatment for a myriad of reasons.

“Who’s helping the helpers? I think MUSC inparticular is well poised to further this researchbecause we have several colleges that we could workwith right here on campus to implement communityoutreach education about depression amongst careproviders,” he said.

For information, visit http://www.nndc.org.

MUSC joins elite group of national depression centers

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events

New pharmacy deanPhilip D. Hall, PharmD, is the campusdean on the MUSC campus of the SouthCarolina College of Pharmacy. Jan. 28

Islet cell transplantThe 50th islet cell transplant took placeJan. 31. MUSC is the second busiestautologous islet cell transplant center inthe country. Feb. 4

VP for academic affairs, provostMark S. Sothmann, Ph.D., is MUSC’svice president of academic affairs andprovost. Feb. 25

Pharmacy rankingRankings by the American Associationof Colleges of Pharmacy show theS.C. College of Pharmacy to be No. 3nationally in percent of research facultywith National Institutes of Healthfunding. March 4

Melody valveMUSC becomes first center in the stateto be approved to have the Melodytranscatheter valve procedure that helpspatients with either damaged or absentvalves in the pulmonary position.March 4

Spin-off companySimTunes offers patient simulationeducational material developed atMUSC’s Health Care Simulation ofSouth Carolina through SimStore on theInternet. March 18

Lung transplant program

MUSC revives its lung transplantprogram. Above, Dr. William M.Yarbrough, checks on patient EvinEvans. The program completes the onemissing piece of a well-established, multi-organ transplant center and means thatorgans can remain in state for patientsawaiting transplants. March 25

Implant stent systemMUSC became one of the first centersto implant the MISAGO Self-expandingStent System, as part of a clinical trialevaluating the system’s ability to improve

blood flow to the lower extremities forpatients suffering from peripheral arterydisease. April 1

Best grad schoolEleven MUSC programs ranked in thetop 100 spots for the U.S. News MediaGroup’s 2012 edition of America’s BestGraduate Schools. April 1

VIR clinicThe Vascular Interventional Radiology(VIR) outpatient clinic is shared bycardiology, vascular and gastrointestinalsurgery. April 8

Explore MUSCExplore MUSC, an app to reachprospective students who embrace thetechnology of the iPhone and iPad, canbe downloaded for free. April 22

Gene therapy for Alzheimer ’sMUSC’s first patient to undergo brainsurgery March29 was partof a clinicaltrial to see theeffectiveness ofa new type ofgene therapytreatment forpatients withAlzheimer’s

disease. April 29

Rehabilitation centerMUSC’s Center for RehabilitationResearch in Neurological Conditionsis expected to reshape the wayrehabilitation therapy is done for avariety of neurological conditions,including stroke, spinal cord injury andcerebral palsy. May 13

Doctorate nursing programThe College of Nursing’s doctorate innursing practice program welcomes itsfirst graduating class. May 20

Boeing investmentMUSC Children’s Hospital will use a$1 million charitable investment fromThe Boeing Company to establisha community-based center aimed atpromoting better health among thestate’s children. May 27

Children’s heart programMUSC Children’s Hospital once againmade it into the top 20 hospitals forchildren’s heart programs in U.S. NewsMedia Group’s 2011 edition of America’sBest Children’s Hospitals, achieving arank of No. 17. June 7

Endowed chairOne of the nation’s leading cancer drug

chAnging whAt’s PossibLe


researchers, Patrick Woster, Ph.D., joinsthe S.C. College of Pharmacy wherehe helps lead the Center of EconomicExcellence in Cancer Drug Discoveryas the SmartState Endowed Chair inMedicinal Chemistry. June 3

Popular medical schoolMUSC College of Medicine was amongthe 10 most popular medical schoolsin the country according to a May U.S.News & World Report. June 10

Green campusMUSC wins community and nationalawards for its recycling and sustainabilityefforts. June 24

Fitts-Raja endowed chairPrabhakar Baliga, M.D., is the Fitts-RajaEndowed Chair in Transplant Surgery.July 1

Chandler ’s LawMUSC employees work with the S.C.legislature to pass Chandler’s Law. Thelaw marks new safety rules for childrenon all-terrain vehicles. July 1

Translational cancer chairIgor Roninson, Ph.D., is the newSouth Carolina Centers for EconomicExcellence Endowed Chair inTranslational Therapeutics at the SouthCarolina College of Pharmacy. July 8

Global healthMichael Sweat, Ph.D., helps MUSCmeet its strategic global plans withhis eight-year HIV study that waspublished in Online First “TheLancet Infectious Diseases.” July 15

National rankingMUSC was named by U.S. News&World Report as one of the country’sbest hospitals in the treatment ofgastrointestinal disorders and ear, noseand throat disorders. July 29

Philanthropic giftsMUSC received a record $82.8 million

in philanthropic gifts and pledges. Aug. 5

CARES clinic expansion

The physical and occupational therapyafter-hours clinic is the latest additionto the CARES clinic, a non-profitorganization managed by medical andhealth profession students providingfree medical care to the underserved,uninsured population. Aug. 5

After-hours pediatric clinicMUSC’s Children’s Hospital opened anafter-hours clinic in North CharlestonJuly 22. The clinic is open seven days aweek. Aug.12

Endowed chair in proteomicsRichard Drake, Ph.D., is the newSmartState Endowed Chair inProteomics. Aug. 12

New pediatrics chairRita Ryan, M.D., brings her extensiveresearch background to the Departmentof Pediatrics chair. Aug. 12

Upstate classThe South Carolina College ofPharmacy’s new Upstate campus inGreenville welcomed the inaugural classAug. 26

Biomedical research growsMUSC achieved a record amount ofresearch funding from outside sourcestopping $238 million. Aug. 26

JC diabetes certificationThe Joint Commission AdvancedImpatient Diabetes Certification isawarded to the university hospital,Ashley River Tower, Institute ofPsychiatry and the Children’s Hospital.Sept. 9

Peds surgery endowed chairAndre Hebra, M.D., is the H. BiemannOthersen Jr., M.D., Endowed Chair inPediatric Surgery. Oct. 14

Clyburn Research CenterThe James E. Clyburn Research Centerconsists of the Bioengineering and DrugDiscovery buildings. Oct. 28

Heinz Award winnerLouis Guillette, Ph.D., receiveda $100,000 Heinz Award for hispioneering research into toxic chemicals’impact. Sept. 30

2011 YeAr in review

PHOTOS from left: MUSC staffoversees the infusion of isletcells into a patient’s liver. Astented valve is expanded intoposition under fluoroscopy. Dr.Michael Sweat gets water usinga hand pump during his researchin Africa. Dr. Cameron Nottgives a demonstration in a labat the Center for RehabilitationResearch. The Clyburn centerheld its grand opening Oct.28. Dr. Louis Guillette uses hisphotography skills to augment hiswork in the field.


Transplant nurse manager Cindy Hough wasunaware that the best clinical practices that her 6Eteam established would allow her to share it with aninternational group of nurses and colleagues.

In mid-September Hough was able to share her team’ssuccesses halfway across the world with other transplantnurses at the International Transplant Nurses Society’s(ITNS) 20th Annual International Transplant NursesSociety Symposium and General Assembly held inSweden. Hough won a best poster abstract for qualityimprovement award for 6E’s best practice strategies. Thepractices resulted in reducing central-line associatedbloodstream infections within a transplant andnephrology unit.

The effort achieved two goals. One was thepromotion of transplant nursing through establishinga local chapter of the society and the other was tosupport MUSC’s commitment to the S.C. HospitalAssociation’s effort to reduce blood stream infection(BSI) rates throughout the state.

Hough, who has been the inpatient transplant unit’s

Transplant team reduces blood stream infection rateBy Cindy ABole

Public Relations

nurse manager since 2007, was introduced to thesociety by Transplant Service Line administrator KimPhillips, who has been a member for more than 20years.

“The primary focus for ITNS is education fortransplant professionals. I have utilized it as a resourcefor transplant-specific patient education resources thatare available through this organization and ongoingtraining that’s unavailable locally,” said Hough.

In 2009, Hough approached transplant nurseeducator Debra Cassidy, staff nurse Mary Shearer andInfection Control practitioner Mary Allen to form theunit’s Stop BSI group with a plan to reduce the highprevalence of central-line infection rates.

The group invited a multidisciplinary team,which included transplant surgeon Ken Chavin,M.D., respiratory therapists and pharmacists, tohelp champion their goals. For example the teamincorporated daily goals into their bedside shiftreport. Each day the team would write the patient’sdaily goal for care on a board in the patient’s room tocommunicate infection prevention needs to all clinicalstaff. The effort also allowed for patient educationand involvement. Patients were educated to evaluate

themselves for weepy wounds, which is an indicator fora dressing change.

Allen praised Hough and the staff for their efforts.“Unit staff embraced a dynamic culture change thatincreased teamwork and improved communicationsthat led to best practices and overall results. I’m proudof their efforts and where they are today.”

To date, 6E has reported no infections since 2009.Phillips also praised the unit’s achievements.

“The 6East team has achieved significant outcomesrelated to patient satisfaction (they received two bannerawards) and clinical outcomes related to significantreductions in BSI. These achievements have beenaccomplished while constructing a new unit, relocatingand transferring back to its current location within ashort time period.”

He also praised Hough for her leadership, selfmotivation dedication and accomplishments forestablishing a patient-centered environment.

“Cindy and the 6East team have made vastimprovements to patient care especially with the stopBSI and CLABSI infection rate improvements throughthe use of bedside shift reports and incorporated bestpractices. Their efforts have been outstanding.”

Santa Claus gets some help in fitting a new red hat by HollingsCancer Center's Rachel Feinberg with HCC’s Integrated CancerCare. Santa and his present elves, Linda Mehann and MeaghanMcNamara, were touring the Hollings facility after participating inthe Dec. 9 MUSC Angel Tree Parade.

Santa comes to town

As the first black woman to graduatefrom the College of Medicine, DelorisGibbs, M.D., is used to blazing trails.

She shared some of her insights as thekeynote speaker at the Student NationalMedical Association (SNMA) 2011Region IV Conference held locally.

After getting her doctorate, Gibbswent on to join the faculty of theMorehouse School of Medicine and toserve as the chief of medical operationswith the Peace Corps of Washington,D.C.

Gibbs was just one of the speakers toaddress the more than 150 premedicaland medical students who attended theconference, sponsored by SNMA and theCollege of Medicine, Nov. 18 - 20.

The conference rotates each yearamong different SNMA chapters.The purpose of the annual regionalconference is to facilitate networking andthe formation of relationships withinSNMA. Another goal of the conferenceis to promote one of the fundamentalideas of SNMA — community service.

The theme was titled, "Empoweringthe Community through Educationand Service." Speakers, workshops, andforums were selected to focus on theattributes of community service andeducation. Stuart Hamilton, M.D.,founder of the Eau Claire CooperativeHealth Center in Columbia, was thefeatured speaker for the luncheon.

Two MUSC third-year students servedas conference co-chairs, JacquelineSavage and Rahim Wooley. Wooley saidthe event facilitates networking andcommunity service.

“It brings together all of the schoolsof the region to strengthen ties tounderstand how to better serve thecommunity.”

The SNMA Region IV conference alsogave MUSC an opportunity to recruitprospective students and residents, saidEtta Pisano, M.D., dean of the Collegeof Medicine.

During the welcome reception, Pisanoencouraged the attendees to considerMUSC's excellent medical education andresidency programs as they reflect on thenext steps in their educational endeavorsand career goals.

Student conference promotesdiversity in health care communityBy dede BeArden

Public Relations


IP02-646397 1


Here we are, just a few days untilChristmas, and it’s my last columnfor 2011. As I reflect back on this pastyear, I am amazed at what we haveaccomplished.

The mission of MUSC EmployeeWellness is to create a culture of

wellness by integratingactivities, resourcesand policies thatsupport health andwellness at work.We attempt to fulfillthis mission throughstrategies related toeducation, awareness,policy, environmentand behavior in allareas of wellness. Wehave implementedmany programs andinitiatives in each

area. The following features some of thehighlights.q Physical Activity and Fitness — Thefitness series offers employees theopportunity to visit the wellness centerfour times each month to take a varietyof free classes. We also hosted severalfitness related events, including a FitnessFair, ZumbaFest, START! Walking Dayand Bike to Work Day.q Nutrition — MUSC’s farmers marketand Community Supported Agricultureprogram provides employees witha convenient way to purchase freshproduce. We help employees with weightmanagement through the promotion of

MUSC programs such as the HealthyCharleston Challenge, Lunchtime Losersand Healthy Happy Hour. Special eventsinclude National Nutrition Month,START! Eating Healthy Day, MUSCEats!, Healthy Holiday Live!, and anew project — the MUSC CommunityGarden.q Tobacco Cessation — MUSCEmployee Wellness is focused on helpingemployees who use tobacco find ways toquit, on increasing knowledge of lungheath, and on raising awareness aboutthe importance of establishing a tobacco-free workplace. To support employeeswho would like to quit smoking, we areplanning many classes and clinics free ofcharge at MUSC.q Preventative Screenings andAssessments — We provide screeningsto MUSC employees, many free ofcharge to help them identify health risksand take steps to prevent illness anddisease. A new event, Holistic WellnessFair, provided employees with theopportunity to interact with businessesand practitioners who offer naturalapproaches to health and specialize ina array of complementary health andwellness disciplines.q S.C. Working Well — Probably themost exciting project is our involvementin South Carolina Working Well. It isa three-year, $1.2 million grant fundedby The Duke Endowment aimed athelping hospitals in S.C. reduce chronicdisease associated with tobacco use, poornutrition, physical inactivity and obesity.

Healthat workSusan Johnson

Children'sHospital patient

La'Corea Watkins,9, reacts withsurprise after

opening up a newpair of hot pink

sneakers fromSanta and his elves

from the BoeingMotorcycle Club.

The group broughtpackages of toysfor 10 sickle cell

clinic patients.

Loaded with surprises

MUSC was among eighthospitals from across thestate named as Centers ofExcellence. These facilitieswere chosen as Centers ofExcellence because of theinnovative leadership andcommitment to wellness.

Wellness eventsq Tobacco Free Tuesdays:One-session classes createdto provide employees and

students the opportunityto learn about cessationoptions during theirlunch break. Classes are atnoon every other Tuesdaybeginning Jan. 3. [email protected] The Institute ofPsychiatry is offeringa free, one-hour QuitSmoking class fromnoon to 1 p.m. Jan. 5at the Center for Drug

and Alcohol Programs4-North.q Smoking CessationClinics: Monthly three-session cessation clinicsfacilitated by rained staffthat is free of chargefor MUSC employees,students and familymembers. Classes beginJan. 9. Email [email protected] toregister.

Employee wellness marks year’s accomplishments

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Imagine a day when doctors can use apatient’s own skin cells to make old heartsyoung again, grow a new heart valve orrestore an irregular heartbeat without apacemaker. That day is closer than youthink.

Scientists and researchers fromacross the globe convened at MUSC’snew Bioengineering Building to markthe first international symposiumregarding cardiovascular regeneration.MUSC President Ray Greenberg, M.D.,Ph.D., and Dr. Rafael Beyar, chiefexecutive officer and director general ofRambam Health Care Campus, signeda memorandum of understanding forfurther collaboration among the medicaluniversity and the Technion-IsraelInstitute of Technology and the RambamHealth Care Campus, located in Haifa,Israel.

The symposium launches a broader,long-term research partnership between

scientists in Israel and Charleston inthe pursuit of scientific breakthroughsin stem cell research. Some of theinnovations the universities willcollaborate on include:q Create new skin, muscle and organsto replace failing ones;q Restore a regular heartbeat, without amechanical pacemaker;q Replace tissues damaged during aheart attack; andq Repair a weakened artery, therebypreventing a ruptured aneurysm.

By collaborating, American and Israeliscientists enhance the possibility forbilateral National Institutes of Healthfunding and accelerate development ofpatentable, therapeutic techniques thatcan be taken to market.

Under the terms of the partnership,two-way information sharing will takeplace through visiting professorships,working sabbaticals, joint grantapplications, shared educationalprograms, joint research projects andannual symposia where findings can beshared and further explored.

Charleston Mayor Joe Riley

proclaimed Nov. 17 -18 as “MUSC-Technion-Rambam CollaborationDays” in the City of Charleston, urging

all residents to join in recognizing thepotential this joint research effort bringsto the area.

Israeli partnership to promote stem cell researchFrontiers in CardiovascularRegeneration symposiummarks new age of discovery

Drs. Ray Greenberg and Rafael Beyar from Israel sign a memorandumof understanding for further collaboration among the medical universityand the Technion-Israel Institute of Technology and the Rambam HealthCare Campus.

The Nanjing Drum Tower Hospital,sister hospital to MUSC, sent adelegation of eight senior physicians,nurses and administrators to participatein the inaugural Academic, Clinical &Cultural Seminar.

The seminar, hosted by MUSCPresident Ray Greenberg, M.D., Ph.D.,and Thomas Hulsey, Sc.D., offered anopportunity for the institutions to re-establish their historical connections,and for participants to identify areas ofpossible collaboration between the twohospitals.

During this seminar, participantsengaged in an introduction toclinical trials at MUSC, interactedwith physicians, researchers andadministration from various areas ofthe university, toured the facilities andbecame acquainted with the history

and culture of Charleston.Lisa Frawley, program coordinator of

the Global Education Program, said it’san exciting step.

“This widespread exposure hasopened the door for collaborativeopportunities on many different levels,and we are looking forward to seeingour relationship blossom in the years tocome.”

Prior to this seminar, Hulsey andDaniel Lackland, DrPH, went toSuqian People’s Hospital Nov. 7.They visited the hospital to review thehistorical linkages between MUSC andthe Suqian municipality in the Jiangsuprovince of China to discuss currentand future academic and medicalcollaborations and exchange programs.They also visited the historical andscenic venues of Suqian.MUSC officials welcome Chinese delegation to campus.

MUSC offers academic, clinical seminar to Chinese delegation


been to recruit the very best, providethem with all the tools they need,and encourage their success. “He isn’tafraid of the best in others. He truly isa first class Southern gentleman with agreat deal of integrity and one who iskind, generous and deeply committed tochildren.”

Darby likes to surround himself withothers who also have children’s healthand welfare as their passion. He’s pleasedwith the board members who serve theChildren’s Hospital.

“We have a great, active board thatunderstand the need and enjoy serving.What better cause is there than thehealth of children?”

He looks forward to the next five yearsat the Darby institute, given the potentialin pediatric research. He’d like to seemore work done in pediatric cardiology.“We’ve done a great job in repairingchildren’s hearts, but I don’t think we’veeven made a start in preventing heartdisease in children.”

Other areas he’d like to see targetedare autism and the prevention of low

birth-weight babies — an area in whichit has been hard to improve outcomes.Child abuse, one of the leading causesof mortality and morbidity, is anotherproblem area. “We have some terribleoutcomes. We have too many shakenbabies with severe brain damage. Thereis tremendous opportunity to improve inthese and many other areas.”

In his free time, Darby likes to bewith family. He and his wife, Joyce, havefive children and 16 grandchildren. Hebalances his part-time work with makingtime for them.

Darby said he considered volunteerwork in Africa, but felt he could be moreeffective here at home — whether it’spushing for research, legislation, facilitiesor staff recruitment.

“I always think of children as beingour most precious gift and I believe thatsociety is judged by how well we take careof our children.”

For information on the Children’sHospital, visit http://www.musckids.com/index.htm.

For information on the advocacycenter, visit http://clinicaldepartments.musc.edu/pediatrics/advocacy/.

dArBy Continued from Page Fourgetting into the sPirit

Top photo: Pain Management’s LindaMcDonald, left, and Jayne Quinndecorate as part of the Rutledge TowerAnnex’s contest. Each year PharmacyServices decorates for the holidayseason. This year, the fifth floor of theannex got involved. The Christmasvillage scenes include reindeer stables(left photo), a toy shop and wrappingstation, Santa and the elves, andFrosty. Participating in the contest arePharmacy Business Office, PediatricBurn Service, Children’s HospitalAdministration and Pain ManagementResources.

Laura Mode Lail , a nurse coordinator, died Jan. 23. Feb. 4

Phanor Perot Jr. , Ph.D., served as chairman of MUSC’s Department ofNeurological Surgery from 1968 to 1997. He died Feb. 2. March 11

Glen Askins, M.D., College of Health Professions professor and clinical servicesdepartment chair, died May 2. May 27

Bill Rust, manager of technical services and a certified project managementprofessional in the Office of the OCIO-Information Services, died May 4. June 3

Renan P. Uflacker, M.D., professor of medicine and director of the Divisionof Vascular and Interventional Radiology, died June 12. June 17

Marvin Brown, an employee at MUSC’s STAR Ladson/Children’s DayTreatment Program, died July 9. July 22

Melvyn Berlinsky, whose 40-year tenure on the board of trustees spannedMUSC’s ascent from a state university hospital to a leading national academichealth sciences center, died Nov. 4. Nov. 11

in memorY

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