is here! mammography ESU places simulation lab at hospital Pg. 3 Staff training schedule for 2019 Pg attend 2nd Annual Baby Shower February 2019

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THE INSIDER February 2019 Employeenews newsfor forcoffey CoffeyHealth HealthSystem System Employee l l a It s n i s e l i m s! o m m a m 3D mammography ESU places simulation lab at hospital Pg. 3 is here! Staff training schedule for 2019 Pg. 4 35 attend 2nd Annual Baby Shower Pg. 2 The strength of the team is each individual member.the strength of each member is the team. ~ Phil Jackson Pg. 5

A few words from Leonard On behalf of the CHS family, I want to welcome Jim Dale to the board of trustees. Jim begins his first term at our upcoming February board meeting. I would also like to welcome Jodi Thomas as our new board chair. At this time of year, we all owe a debt of gratitude to Vic Blaufuss and the maintenance crew for keeping our sidewalks and driveways as safe as possible during predicted and unpredicted ice and snowstorms. You all do a great job and are sincerely appreciated! I am sure that many of you have seen articles about several rural Kansas hospitals that are struggling financially and operationally. It is very important to remember that the status of rural healthcare also places many other Kansas facilities at just as much risk we just don t see those headlines. This is why I say often and loudly! that giving up local control of your hospital is not a good option. We, as Coffey Health System, are so grateful for the support of the Coffey County Commissioners, the board of trustees, our physicians, all of our staff, and, of course, all of the patients that we serve every day. This wealth of support gives us the ability to have the facilities, equipment, and positive outlook that we have going forward. Speaking of our positive outlook, a huge source of pride for CHS arrived last week. As you see on the cover of this issue, our new 3D mammography unit is here! The radiology team is busy training to take our already-stellar mammography program to the next level. What a blessing this is to our community. Thank you to everyone who has helped with the process. Let s work together and have a great February. Valentine s Day is right around the corner. Don t forget to make the person or people in your life feel extra special that day! Leonard R. Hernandez Chief Executive Officer The Insider is a monthly publication for the employees, volunteers, and friends of Coffey Health System, Burlington, Kansas. Coffey Health System. Reproduction is prohibited. Leonard Hernandez Tracy Campbell Chief Executive Officer Director of Marketing Submit ideas or items for consideration in The Insider by contacting the marketing office at (620) 364-4507 or tcampbell@coffeyhealth.org. Coffey Health System does not discriminate against any person on the basis of race, color, national origin, disability or age in admission, treatment or participation in its programs, services and activities or in employment. For further information about this policy, contact: Leonard Hernandez at 620-364-2121 Ext. 4140; TDD/State Relay 711 Kansas Relay. 2 What you should know about 3D mammography At Coffey County, we re proud to now offer the Genius 3D Mammography exam that provides better, earlier breast cancer detection for our patients. The new system was delivered on Feb. 7. Training and inspections occur this week and exams are expected to begin on Feb. 18. The Genius 3D Mammography exam results are more accurate than 2D alone. Genius exams are more accurate than conventional 2D mammograms, detecting 20-65% more invasive breast cancers. The Genius exam also provides greater peace of mind by reducing the chance of unnecessary callbacks. In fact, the Genius exam reduces callbacks by up to 40% compared to 2D. The Genius Exam and Breast Density Dense breast tissue can make it difficult for doctors to detect breast cancer during annual screenings, which is concerning since women with dense breasts are more likely to develop breast cancer. Studies show that the Genius 3D Mammography exam has greater accuracy than 2D mammography for women across a variety of ages and breast densities. It is the only mammogram that is FDA approved as superior for women with dense breasts compared to 2D alone. This is good news for patients, as nearly fifty percent of women ages 40 to 74 have dense breasts. How a 3D Mammogram Works Women will see little difference between a conventional 2D mammogram and a 3D mammogram. The exam takes about the same amount of time a 3.7 second scan time - and the positioning is the same. The real difference is in the information available to the doctor. A good analogy for 3D Mammography is like thinking of the pages in a book. If you look down at the cover you cannot see all of the pages but when you open it up, you can go through the entire book page-by-page to see everything between the covers.

ESU places simulation lab at hospital The Coffey Health System Board of Trustees elected Jodi Thomas, Waverly, as chairman during the board s January 28 meeting. Steve Hopkins, New Strawn, is vice chairman; Jo Ann Osburn, Gridley, is treasurer; and Rosemary Rich, Waverly, is secretary. The slate received unanimous approval. Chief Nursing Officer Melissa Hall reported that a renewed partnership with the Emporia State University School of Nursing will result in a simulation lab at Coffey County. The lab will benefit not only ESU nursing students who are training at the hospital, but it will also be available for ongoing staff training. Realizing that in rural healthcare sometimes you have low census (patient volumes) which makes it hard for ESU to assure that their students are getting good clinical hours, so they actually offered to put a simulation lab in our facility, Hall said. We will not only be able to truly do mock codes, but they will also put in a Noel doll which will simulate live birth The other great part is that we will be able to use the lab ourselves, even when students are not here. Chief of Staff John Shell, M.D. elaborated on the importance of working with medical and nursing students. It s really important that we Jodi Thomas Jim Dale participate in these educational programs and have these students coming in because we hire a lot of people from those programs not just nurses, but also nurse practitioners, physician assistants, and even physicians. Shell also reported that Speech Pathologist Jessica Jones is now doing inhouse video swallow screenings. These tests were previously outsourced to a third-party. In the consent agenda, the board approved medical staff reappointments for Advance Practice Registered Nurse Ashley Beying; Cardiologist John Joliff, M.D.; Pathologist Ambreen Khan, M.D.; Tele-Radiologist Earl Maes, M.D.; Urologist J. Jason Robinson, M.D.; and Anesthetist Brian Tackitt, C.R.N.A. The board also approved actions of various boards and individually signed an annual letter accepting governance over Coffey County Home Health Agency. Trustees also completed their annual Conflict of Interest statements. Year-end financials for 2018 registered a small profit of $2,500, a significant turn-around from 2017 s net loss of $1.2 million. December s monthly finances show a net revenue of $1.96 million with expenses at $1.93 million. The 340B pharmacy program continues to build momentum, bringing $569,000 in net revenue over its first seven months. Effective January 1, all U.S. hospitals are required to publicly post their pricing systems. Chief Compliance Officer Stacy Augustyn has been educating hospital staff about price transparency. She reiterated that each patient s charges will vary based on factors including insurance, medication, and length of stay. The CHS webpage offers a phone number to call for help when comparing healthcare costs. In other business, Director of Marketing Tracy Campbell presented information about her recently completed Content Marketing Certification from the See Board on 5 4.0 Revenue & Expense Report for past 12 months GROSS REVENUE NET REVENUE (AFTER CONTRACTUALS) EXPENSES $ MILLION 3.5 3.0 2.5 2.0 1.5 1.0 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 2018 3

Job Openings Retirement Roadblocks It s a new year and a great time to review your retirement account! DPI Benefits would like to invite you to take a few minutes to meet personally at the upcoming retirement education meetings on Tuesday, Feb 19th. Learn about Retirement Roadblocks : common barriers that could keep you from reaching your retirement goals. We ll also discusstips for avoiding them. DPI Benefits will host 20-minute group meetings designed specifically for your life stage. Group meetings will be held in the AW2 Conference Room on Tuesday, Feb 19th at the following times: Age 18-35 Age 36-55 11:30 a.m. & 3:30 p.m. 10:30 a.m. & 2:30 p.m. Age 56+ 9:30 a.m. & 1:30 p.m. All age groups Clinical Positions Registered Nurses (multiple shifts, med-surg, OB, LTCU) Clinic Nurse or Med Assitant LPN Ortho Mid-level Practitioner CMA (days) CMA/CNA (all shifts) Paramedic Phlebotomist Radiology/CT Tech Non-Clinical Positions Patient Access Coordinator General Maintenance Technician Cook DIetary Aide Housekeeper Visit coffeyhealth.org/careers for detailed information and requirements. For more information, call Ext. 4254. 12:30 p.m. If you are interested in a one-on-one meeting, call HR at 4678 and we ll get you scheduled. Whether you are nearing retirement or have 30+ years to go, NOW is the time to prepare for your future! Continuing Education CHS staff can register by going to the hospital intranet/portal. Click on the Education tab along the top bar and scroll down to class registration. Enter information to register for selected class. ACLS Location Date/Time Instructor 4 Room 210 5/16/19 8-10 a.m. David Rector Room 210 9/18/19 8-10 a.m. David Rector Room 210 11/6/19 8-10 a.m. David Rector BLS Location Date/Time Instructor Recertification Allen Woods 2 2/14/19 8-10 a.m. David Rector New Allen Woods 2 2/20/19 4-5 p.m. Melissa Hall Recertification Allen Woods 3 4/10/19 8-10 a.m. David Rector Recertification Allen Woods 2 6/12/19 8-10 a.m. David Rector Recertification Allen Woods 2 8/14/19 8-10 a.m. David Rector Recertification Allen Woods 2 10/09/19 8-10 a.m. David Rector Recertification Allen Woods 2 12/11/19 8-10 a.m. David Rector CNA Skills Fair Location Date/Time Instructor Room 210 2/26/19 4-6 a.m. Donneta Karmann Room 210 4/29/19 4-6 a.m. Donneta Karmann Room 210 8/26/19 4-6 a.m. Donneta Karmann Room 210 10/28/19 4-6 a.m. Donneta Karmann NRP Location Date/Time Instructor Basic Rhythm Interpretation ACLS Advanced Cardiovascular Life Support BLS Basic Life Support CNA Certified Nursing Assistant Skills NRP Neonatal Resuscitation Program Room 109 3 /05/19 8-10 a.m. & 3-5 p.m. Room 109 11/19/19 8-10 a.m. & 3-5 p.m. Michelle McVey Michelle McVey Location Date/Time Instructor Allen Woods 2 3/18/19 10 a.m.-12 pm. Vernon Peters

On February 9, members of the Coffey County Area Breastfeeding Coalition in collaboration with the Kansas Infant Death and SIDS (KIDS) Network hosted their second annual community baby shower for expectant and new parents and caregivers. The free event offered parents and caregivers the opportunity to learn about Safe Sleep, SIDS prevention, and choking first aid for infants and toddlers. Other topics covered were period of purple crying, car seat safety, baby blues and post-partum depression, smoking cessation, and breastfeeding. The twenty-one mothers in attendance each went home with a new pack-nplay portable crib and a halo sleep sack for the promotion of safe sleep practices, among other infant care items. Parents and caregivers had the opportunity to visit with representatives from several area organizations that offer services to infants, children and parents. Thesse organizations included: Parents as Teachers, Coffey County MOPS, Coffey County Library, Coffey County Area Breastfeeding Coalition, Coffey County Health Department, Kansas Masonic Literacy Center, Lyon County WIC, Coffey Health System Social Services, Coffey County Obstetrics Department, Coffey Second Annual Community Baby Shower County Nursing, Sunflower Health Plan, and Childcare Licensing. The Coffey County Area Breastfeeding Coalition would like to express their thanks to the generous sponsors who made the event possible: Wolf Creek Security Local #52; Coffey County Museum; Medicine Shoppe of Burlington; Hollee Bea of Kirchner Chiropractic; Rotary Club of Burlington; Julie Augustyn; Tracy Campbell in loving memory of Pacey Marie; Rocktop Cattle Company; Coffey County MOPS; Tupperware with Gennifer Birk, Lulabelle s - Grace Krueger; Janelle Stukey - Juice Plus; Parents as Teachers; Kansas Masonic Literacy Center; Jessica s Reading Corner; Sunflower Health Plan; Sassy Owls; and Coffey County nursing; Obstetrics and marketing Departments. Through the extraordinary effort of this organizing committee, infants in Coffey County can get off to a healhtier, safer start in life. The event was coordinated by a committee consisting of Katie Rich, Tina Withers, Lindsay Payer, Coffey County Health Department; Clarissa Sents, K-State Extension Office; Stacy Augustyn, Michelle McVey, Melissa Hall, Coffey County ; and Bevin Neely, Lyon County WIC. Obstetrics High Five designation renewed Congratulations to obstetrics on their High 5 for Mom & Baby Recognition renewal. Their ongoing commitment to excellence in maternity care as a recognized High 5 hospital reassures parents planning to breastfeed that they will be in the best possible hands and, most importantly, provides moms and babies in our community with numerous health benefits which will last a lifetime. Of the 62 Kansas hospitals and birth centers that made a commitment to the High 5 program, Coffey County is the 36th to officially qualify for the recognition. The process, guided by Obstetrics Supervisor Michelle McVey, R.N., began in February 2016 when the educator for the High 5 program, Libby Rosen, PhD, RN, IBCLC, conducted onsite education classes at the hospital. The High 5 program reaffirms its commitment to support hospital staff through technical assistance and learning opportunities, including webinars and education classes, to ensure skills continue to improve while safeguarding the best outcomes for the moms and babies in each hospital s care. Our obstetrics team is constantly finding ways to improve successful breastfeeding, said Chief Nursing Officer Melissa Hall. Ensuring that our community mothers have the support to be successful at breastfeeding is a vital component of raising our standard of care. 5 Board Continued from 3 Public Relations Society of America. She reviewed highlights of the transition from traditional to digital marketing. Rosemary Rich reported that the Quality, Compliance and Risk Management Committee formally approved the compliance plan. She also highlighted several quality initiatives throughout the organization, including a fall prevention program that has reduced the number of falls, especially in long-term care. Eight trustees attended the meeting; Thomas (via internet), Hopkins, Osburn, Rich, Peter Allegre, Jeff Clark, Judy Reese, and Dennis Young. Vanessa Dauber did not reapply for appointment to the board. The Coffey County Commission appointed Jim Dale, Burlington, to fill Dauber s position. He was sworn in on February 4. The meeting concluded with no executive sessions. The board will meet next on February 25 at 6:30 p.m. in the Coffey County conference room.

Thoughts and prayers extend to the family, friends, and colleagues of Margaret Baker. Margaret worked as a CNA on night shift since 2009 and was loved by many. She will be missed greatly. Margaret lived her life like there was no tomorrow, always giving her best through good times and sorrow. Remembering Margaret is easy to do, she d fight for her family, and Betty Boop, too. Grandkids were special, she gave them her all. Nieces and nephews too, grown or small. A person of beauty, a big heart of gold, but make her mad and she could be quite bold. Ready for a road trip at the drop of a hat, no matter how far, no matter where at. Easter, Christmas, or Thanksgiving day, every holiday special in her own giving way. Trusted with secrets, honest and kind, a better person than Margaret will be hard to find. Babies and big folks, family or friend, taking in strangers, who soon fit right in. As stubborn as a mule, in her own special way, and if she had a vendetta there was hell to pay. Keep your faith, never give up the fight, that was her motto, that was her light. Enjoy your new adventure to God on the throne, you never were afraid to travel alone. Rest your lead foot now, no need for speed, we ll see you in Heaven when our own souls are free. ~Written by Margaret s oldest sister, Floretta All f r One for one. all. All for one is a monthly feature in The Insider to share information about news in the lives of the CHS family. We will share life s happiest moments and feature ways that we are pulling together to help colleagues in times of need. Please call Virginia at Ext. 4174 or send information to vdubuke@coffeyhealth.org. Notes of thanks Thank you for the donation to the cancer society in memory of Pete and for all that the staff has done. The family of Pete Cox Alexander Gregory Congratulations to Director of Marketing Tracy Campbell and her husband James, who welcomed their first grandson, Alexander Gregory, into the world on January 16. Alex weighed 5 pounds, 15 ounces. Grammy is beyond thrilled! Alexander also has another special connection at CHS. His great-aunt is Board Treasurer Jo Ann Osburn. 6

Kudos to you! Kudos Kudos to you! to Kudos you... to you! Kudos to you! Dyane Christiansen, Stacey Buckridge, Jolleen Palmer, and Alberta Andrick deserve a pat on the back for working extra hours in dietary. Toby Paige writes: During the last snow, I was down mopping the floor in the hallway of the clinic. It was first thing of the morning as people were tracking in snow and ice, making the floor wet and slippery. Stephanie Garland asked if I would leave a mop with her and she would keep the floor mopped, decreasing the chances of someone slipping and falling. Thank you, Stephanie, for going above and beyond. We should all try and follow this example. Kudos to Krista Cubit and all the staff at Sunset Manor. As soon as you walk in the door it is evident that Krista and her staff genuinely care for each resident as if they were family. They go above and beyond to get to know their residents and their stories. It is truly a wonderful place. Big thank you to Michelle Rickel for always looking for ways to improve our daily work flow and putting patient care and satisfaction at the top of her list! Michelle McVey is always the positive light in the day. We can always count on her to find the silver lining! Billing department, thank you for all the work you do behind the scenes to improve our patients billing experience. We appreciate you! Tori Mussulman, Suzanne Garcia, Michelle Johnston, Lacy McManus, Angel Lankton, Stephanie Redding, and Belinda Link thank you ALL so much all the extra shifts you picked up in February! Your teamwork is greatly appreciated. Congratulations to Lacy McManus for passing her NCLEX-RN! Thank you Dave Rector and Rich Messerly for taking on and instructing our ACLS and BLS courses! We appreciate Cherie Gulick for always being so positive, even during high volume times. Thank you, Virginia DuBuke, for all your help with the community baby shower. We know we can always count on you! Kudos to Melanie Yokum Bucheit for being flexible with job duties and covering as a patient care coordinator so a team member could take vacation. She always has a positive attitude and a smile on her face even during stressful busy days. Director of Marketing Tracy Campbell earned Content Marketing Certification from the Public Relations Society of America. Kudos to Tori Batten for being a quick learner and helping build the referral/prior authorization from the ground up. She shows passion and eagerness to learn new items daily and is always ready to help a fellow team member. Pat Johnson does a wonderful job sprucing up all the clinics. She makes sure not a spot of paint or touch up is missed. The following employees attended an all-day seminar on Jan 25 by Linda Farrar and became certified in dementia capable care. Kudos to Krista Cubit, Diana Thomsen, Tracy Williams, Lynn McCurdy, Janet Edgecomb, Gloria Scarberry, Terri Swartz, Teri McAvoy, Madeline Burkdoll, and Jessica Jones. A patient called in to sing the praises of the radiology department. She said the staff were very gentle and tried extremely hard to not cause her pain. She broke her arm and originally went to Wesley in Wichita but said that she will never go back there because of how rough she was treated. She wanted to say thank you and let others know how pleased she is with our service. Stacy Augustyn went the extra mile to get the ECQMs to work in Healthland so that we are able to complete the Meaningful Use attestation. Every single check that is processed by accounts payable must be double-stamped, and Terri Tweedy does every single one with a smile. Thank you for all you do, Terri! Mike Collins RN Welcome! Jordan Janzen Radiology/CT Technologist Tomasa Rangel Housekeeping Technician Sunset Manor Jordan Reeves Radiology Tech. Student Abbigail Thorson Patient Access $241 was collected for the Honor Flight Jeanerosity day! Thank you so much for continuing to support the program. The lab staff put in extra effort getting the laboratory ready for their CLIA inspection. The inspectors had a lot of compliments and only one defeciency. Great work! Ginger Blades CNA, CMA Sunset Manor Jordan Trego CNA 7

February Anniversaries Our employees are our greatest resource. Each month, we include a list of employees who will celebrate their anniversary with Coffey Health System. Here s to each of you, and thank you for your service to our patients! Kelly Davidson 40 years Sam Murrow 18 years Garold Johnson 14 years Melissa Hall, Annah Newkirk 7 years Gail Johnson 6 years Stacey Blair, Cindy Joy 3 years Cherie Gulick 2 years Allie Blaufuss, Myra Johnson, Philip Ngunjiri, Danielle Oliver 1 year February Clinics Domains & Questions Here is what our hospital patients are saying. HCAHPS Scores Previous QTR Oct.- Dec. Current QTR Jan.-to date Rate hospital 0-10 74% 100% *Would recommend the hospital 84% 100% Communication with Nurses 87% 100% Response of Staff 68% 83% Communication with doctors 95% 89% Environment 77% 92% Communication about medicines 68% 50% Discharge information 90% 92% Care Transitions 61% 44% *Survey items in the top 10 priority index Based from 6 returned surveys When I knew... Cardiology Dermatology Ear, Nose & Throat Endocrinology Gastroenterology Gynecology Oncology Orthopedics Pain Podiatry Urology Feb. 11, 15, 18, 25 Feb. 8, 27 Feb. 1 Feb. 7, 21 Feb. 19 Mon, Wed. & Fri. Feb. 4, 11, 18, 25 Feb. 1, 5 Feb. 13, 22 Take actions every day to help stop the spread of germs. Cover your nose and mouth with a tissue when you cough or sneeze. Clean and disinfect areas that may be contaminated. More germs are transferred shaking hands than kissing. I was working at a hospital in housekeeping and the lab was one of my assigned areas. The time spent in that department made me very interested in the work that was going on there. I saw medical technologists as the detectives of the medical field. I wanted to be able to work with the physicians and help them make their patients feel better. When I first started working at CHS, all the techs were cross-trained in several areas including laboratory, radiology, ultrasound, EKG, and even radiology transcription...three part reports on a typewriter!! My mom and dad were my role models. Compassion and loyalty were their main goals when dealing with customers, coworkers, and others. Coffey County has always felt like home to me. I married a hometown boy and we raised our family in Burlington. My friends have become coworkers and my coworkers have become my friends and extended family. This extended family has stood by me and my family through thick and thin, celebrations and tragedies, and through life and death. I came to Coffey County at the age of 21 as a registered and certified medical assistant. I have been a medical technologist since 1987. I hope to continue working in the lab until I retire and hang up my tourniquet. Tena Hawkins, Lab Technician Coffey County 8