CEO s MESSAGE THE WORK IN MY SHOES EXPERIENCE

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1 October 10, 2011 CEO s MESSAGE Lou s monthly message and the September Press Ganey reports are attached. Please review and post the attachments under the CEO s Message label on your Communications Board. THE WORK IN MY SHOES EXPERIENCE Work in My Shoes is a term derived from the belief that until we try to walk in someone s shoes, we can t know or judge their experience fairly. Work in My Shoes is an innovative way to promote empathy and understanding among the MVHR Team and ultimately, see improvement in our processes as well as customer satisfaction, both internal and external. Annually, members of the Leadership Group senior managers, department heads, managers, etc. are asked to choose a department where they will shadow a front-line staff person. Suggestions made during this experience are reviewed and, whenever possible, implemented. The following is just one of many processes that has changed as a result of the Work in My Shoes experience. Keep your eyes open for more experiences that will be shared over the next few months through At The Helm. You asked How can we improve the communication regarding those patients who are out of compliance with the timing of antibiotics just prior to surgery? We listened Each quarter, as the core measures are reviewed, information regarding patients who exceed the parameters of the Surgical Care Improvement Project (SCIP), Inf-1, which is Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision, is provided to the Chief CRNA for follow up. She reviews each patient s anesthesia record and EMAR to drill down on the root cause of why the patient did not meet the core measure s requirements. The information is forwarded to the Case Mix Analyst and along with the help of the Nurse Abstractors it is then analyzed and trended. Noted trends have led to process improvements such as a recent update to the Anesthesia Record. The continued open communication between these two departments is vital to our continued improvement in our Core Measure results and ultimately will help us retain Medicare reimbursement. - J2E Leadership Development Team FLU SHOTS OFFERED Today, Employee Health begins offering flu shots to employees during specific hours. The flu shot is not mandatory, but the Hospital Association of Pennsylvania is striving for 90 percent compliance for healthcare workers. Nurse Managers will administer the flu shots to their staff members and all other department staff should report to the Employee Health Department during the hours listed below. Note: this week flu shots will only be given Monday through Thursday. There is no cost to employees. At off-campus, box-store pharmacies and clinics, we ve spotted prices ranging from $20 to $29. Needle-free flu vaccinations are available for the first time this year. The numbers of employees receiving the voluntary shots increases each year and the needle-free system may encourage even higher numbers. Hours for receiving flu shots this week are: Oct. 10: 7:30 a.m a.m. Oct. 12: 8 a.m a.m. 1 p.m. - 3 p.m. 1 p.m. - 6 p.m. Oct. 11: 8:30 a.m a.m. Oct. 13: 8 a.m a.m. 1 p.m. - 6 p.m. 1 p.m. - 4 p.m. Beginning next Monday, Oct. 17, flu shots will be administered Monday through Friday, 8 a.m. to 11 a.m. and 1 p.m. to 3 p.m. If you are unable to get your shot during these hours, please contact the Employee Health Department at ext.1224 to make arrangements. -- Georgina Koslosky

2 October 10, 2011 EARNED INCOME TAX FORMS DUE Page 2 Employees are reminded to return the 2012 Earned Income Tax Form (local wage tax form) to the Payroll Office by Thursday, Oct. 13. Most employees have already done so. If you are in need of another form, please stop in the Payroll Department to obtain a copy. Pennsylvania ACT 32 requires withholding of all employees, effective January The Carroll Township earned income tax of 1 percent will be withheld from those employees who have not returned the tax form. Please contact the Payroll Office at ext or 1194 with any questions. - Phil Franceschelli INNOVATIONS IN MEDICINE Continuing with our Innovations In Medicine series, Board Certified ENT Howard Goldberg, M.D., one of the newest members of our medical staff, will present Innovations in Ear, Nose and Throat Diseases on Thursday, Oct. 13, at 6 p.m. in the AML ECC. The program is free to all participants but registration is required by calling ext Please post the attached flier on Communication Boards. -- Donna Hatalowich CENTRAL STERILE: A VITAL ROLE IN QUALITY HEALTH CARE Central Sterile plays a vital role in the quality of care at MVH because all sterilization and decontamination take place in this area. With 13 full-time and two part-time employees, Central Sterile is also responsible for equipment rentals, daily patient charges, supply inventories, procedure trays, linens and restocking nursing units when necessary. It's important for all hospital staff to be familiar with what happens in the Central Sterile Department. You might be surprised at all the services we perform behind the scenes. Central Service Week begins on Oct. 9. Please take the time this week to drop by and let the Central Sterile staff know how important they are to MVH, our patients, and you. - Bill Filipponi WE ARE MOVING FORWARD: STROKE CERTIFICATION Monongahela Valley Hospital is working to comply with the Joint Commission and American Heart Association Stroke Care guidelines. Just as a reminder, all Acute Stroke and TIA patients will be admitted to 4-PCU, which is our designated Stroke Unit. We extend a thank you to the Emergency Department, 4-PCU, Laboratory and CT for the team effort made to help us move forward with our stroke certification. - Christine Snyder TOPIC OF DISCUSSION MVHR SERVICES During rounding, some of our leaders have found that not all MVH team members are aware of the many services we provide. From time to time in At The Helm, we will highlight these services to enable you to provide this information to our patients, families and neighbors. MVHR SERVICES: WHAT IS MMSC? Monongahela Medical Supply Company (MMSC) is a subsidiary of Mon-Vale Health Resources, Inc. The office is located in the MPOB, Suite 104. MMSC rents and sells durable medical equipment, IV therapy and oxygen services for patients at home and in extended care facilities. MMSC works closely with our staff to coordinate the delivery and set up of equipment for patients and their family members to ease the transition from inpatient to home care. MMSC is open Monday through Friday, 8 a.m. to 5 p.m., and emergency services are available 24 hours a day. Free delivery is provided on all equipment. For more information, please contact MMSC directly at or Discussion Question: What percentage of your staff was familiar with MMSC prior to this At The Helm?

3 Vercamen, Suzi From: Sent: To: Subject: Attachments: Panza, Lou Monday, October 03, :44 AM Management Forum Press ganey september press ganey sept 2011 discharged.ppt; press ganey sept 2011 rec'd.ppt Hi Team, Attached are the reports for September. They are what they are! I don t think anyone should be happy with the trend. I also included scores based on discharge by week. That continues to show the inconsistent scores we are having. We need to redouble our efforts as we celebrate our 5 th anniversary of J2E. I should also note that other hospitals have realized that future payments will be tied to Press Ganey scores and are beginning to work on their own patient satisfaction scores. As such to stay number one we must actually improve from our previous scores. I know we can do it and so do you! Let all grab an oar and remember what we would want for our own mothers. lou Louis J Panza Jr President/CEO Monongahela Valley Hospital, Inc Country Club Rd. Monongahela PA (O) (fax) 1

4 Mean Trends Inpatient Monongahela Valley Hospital Inc. Overall Monongahela Valley Hospital Inc. Displayed by Discharged Date

5 Mean Trends Inpatient Monongahela Valley Hospital Inc. Overall Monongahela Valley Hospital Inc. Displayed by Received Date

6 MEMORANDUM October 6, 2011 To: SUBJECT: Department Leaders Nurse Manager Medical Staff Auxiliary INFLUENZA VACCINE It is that time of year again. It is time to get (your) shot! An important aspect of patient and employee satisfaction is prevention. Annual Influenza Vaccination is an important part of prevention. On Monday, October 10, 2011 we will begin giving the seasonal flu shot. Again this year, the nurse managers will be giving the flu shots to their staff. A list of departments and the manager who is responsible is as follows: Charge Nurse Amie Matyas Nancy Williamson Mary Ann Fonzi Nicole Polinski Kim Fagioletti Andrea Russo Sherry Watkins Amy Norfleet John Bogdan ED Coordinators Diane Hester Michelle Monte Donna Kemp Deb Frantz Denise Thorn Michelle Haftman 7 West 7 East 6 West 6 East Rehab 5 East Wound Center 4 PCU / 3 PCU CCU / ICU / IV Team Behavioral Health Emergency Department Cardiology & Radiology SDS/ Recovery/ GI Lab Operation Room Anesthesia Outpatient Oncology Radiation Oncology All other departments will be given their flu shots by the Employee Health Department. Employee Health will have extended hours during the month of October. Our goal this year is to vaccinate 90% of our employees. Please help us reach the goal. The hours which Employee Health will be administering the flu shots are listed on the attached flyer. Employee Health will be available to all shifts. if you have any questions, please call extension: Remember, protect your loved ones, your patients and most importantly...yourself. Get your flu shot!! David E. Clark Vice President for Human Resources Georgina Koslosky, R.N. Employee Health Department

7 INFLUENZA VACCINE SCHEDULE The Employee Health Department will be administering the vaccine starting the week of October 10, October 10: October 11: October 12: October 13: 7:30 a.m. to 11 a.m. 1 p.m. to 3 p.m. 8:30 a.m. to 11 a.m. 1 p.m. to 6 p.m. 8 a.m. to 11 a.m. 1 p.m. to 6 p.m. 8 a.m. to 11 a.m. 1 p.m. to 4 p.m. We will be giving the flu shots after the first week as follows: Monday thru Friday from 8 a.m. to 11 a.m. and 1 p.m. to 3 p.m. Afraid of needles? You should try the new needleless vaccine! If you have any questions, please call the Employee Health Department at ext: 1224.

8 I N N O VAT I O N S Do you have problems affecting your ears, nose, throat or head and neck? Join Howard Goldberg, M.D., an ear nose and throat surgeon from Monongahela Valley Hospital, to learn about innovations in treating common medical problems affecting the ears, upper respiratory system and head and neck. Thursday, Oct 13, 2011 at MVH Anthony M. Lombardi Education Conference Center Program begins at 6 p.m. Refreshments will be served This is the newest program in MVH's Innovations series that features physician guest speakers who provide medical information to the community. CALL FOR RESERVATIONS

9 Department of Education and Planning Attendance / Competency Record Course ID: AT THE HELM Location: Class Date/Time: 10/10/11 Cascade Learning: Instructor: Video/Film: Date Sent to Education: Dept.Specific: Department: Magazine Article: Curriculum: J2E Course Group (Oar): Posted By: Date Posted: Attendees must sign in to receive proper credit for this course! Competency PLEASE PRINT LEGIBLY Last Name First Name Signature Department Job Title Method Status