Scope. Berkshire Medical Center had. MAKO Arthroplasty on Display for Community at BMC Latest Joint Replacement Technology for Hip & Knee

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December 3 2015 Volume 37 Issue 21 Helth Systems Employee Newsletter MAKO Arthroplsty on Disply for Community t Ltest Joint Replcement Technology for Hip Knee Over 100 people ttended the event to show off the new MAKO-Arthroplsty technology t held in the min lobby on November 17th. Medicl Center hd the opportunity on November 17th to show the community its ltest investment in providing stte-of-the-rt Joint Replcement Surgery the MAKO-Arthroplsty system robotic pltform tht helps the surgeon to implnt new knee or hip more precisely. The system is used for prtil knee totl hip replcement surgeries surgeons t both Orthopedic Assocites Orthopedic Assocites of Northern were on h to meet with the public show off the new technology. Well over 100 people ttended the specil event held in the min lobby of where the robotic technology ws on disply demonstrtions were held to show how it works. MAKO-Assisted Arthroplsty cn: Provide the surgeon with comprehensive dt bout the ptient s ntomy which my result in more exct plcement of the joint replcement Allows the surgeon to more ccurtely pln for surgery with prtil 3-dimensionl model of the ptient s hip or knee Allows for better visuliztion of ntomy which is prticulrly importnt when minimlly invsive techniques re used more photos pge 2

2 Dlton Rotry Whconh Students Support Women s Imging Center Members of the Dlton Rotry Interct Club t Whconh Regionl High School who over the pst eight yers hve rised over $2500 for the Women s Imging Center. For the pst severl yers the Dlton Rotry Interct Club t Whconh High School hs helped the Women s Imging Center to serve our ptients through significnt dontions ech yer. In ll over the pst eight yers the group which consists of more thn 70 Whconh students hs donted over $2500 to the Ptient Cre Fund t the Women s Imging Center. The fund helps to ssist ptients who cnnot fford services including mmmogrphy wigs other brest cncer tretment survivorship needs. The Women s Imging Center thnks the Dlton Rotry Interct Club for its generosity its commitment to community service loclly interntionlly. MAKO Arthroplsty on Disply continued from pge 1 Above: Dr. Kevin Mitts right surgeon with Orthopedic Assocites discusses the new technology with one of the mny from the community who ttended the event. At left: Demonstrtions were held to show the technology s use close-up. MAKO cn help the surgeon to plce the prtil knee or totl hip replcement more precisely.

3 Medicl Center Firview Hospitl Ern Top Performer on Key Qulity Mesures Recognition from The Joint Commission Fourth Yer in Row for Both Hospitls Medicl Center Firview Hospitl hve been recognized s 2014 Top Performers on Key Qulity Mesures by The Joint Commission the leding ccreditor of helthcre orgniztions in the United Sttes. Firview were recognized s prt of The Joint Commission s 2015 nnul report Americ s Hospitls: Improving Qulity which uses dt from 2014. ws cited for ttining sustining excellence in ccountbility mesure performnce for hert ttck hert filure pneumoni surgicl cre venous thromboembolism stroke cre Firview ws recognized for surgicl cre. Firview re mong 1043 hospitls in the United Sttes to chieve the 2014 Top Performer distinction. This is the fourth stright yer Firview hve been recognized s Joint Commission Top Performers which plces them mong only 221 hospitls to hve chieved tht record of performnce recognition. Helth Systems hs continul commitment to chieving the highest qulity in the delivery of cre to our community sid Dvid Phelps President CEO of Helth Systems. Over the pst severl yers Firview hve implemented evidence-bsed clinicl processes tht hve been shown to improve cre the positive outcomes our ptients re experiencing re the most importnt mesure of the success of these inititives. Our results re why independent ntionl orgniztions such s The Joint Commission mny others recognize the level of cre tht BHS our physicins nurses stff provide in criticl res of cre. Our community cn be confident tht the cre they receive here right t home is the best vilble. The Top Performer progrm recognizes hospitls for improving performnce on evidence-bsed interventions tht increse the chnces of helthy outcomes for ptients with certin conditions including hert ttck hert filure pneumoni surgicl cre children s sthm stroke venous thromboembolism perintl cre s well s for inptient psychitric services immuniztions. This yer s Top Performer cute cre hospitls chieved distinction by meeting performnce criteri in t lest six mesure sets n increse from the four required lst yer. To be Top Performer hospitl must: chieve cumultive performnce of 95 percent or bove cross ll reported ccountbility mesures; chieve performnce of 95 percent or bove on ech every reported ccountbility mesure with t lest 30 denomintor cses; hve t lest one core mesure set with composite rte of 95 percent or bove within tht mesure set chieve performnce rte of 95 percent or bove on ll pplicble individul ccountbility mesures. We underst wht mtters most to ptients t Firview is the qulity sfety of the cre they receive tht is why we hve mde it top priority to continully improve positive ptient outcomes through evidence-bsed cre processes sid Dine Kelly Chief Operting Officer Eugene Delle Firview President.

4 The Qulity Zone Accountble Cre Units t - Resilient Prepred Proctive Relible Sfe By Mri Vidoli MHA Performnce Improvement ist II Willim DeMrco DO FACOI SFHM Division Chief Hospitl Medicine Deprtment of Internl Medicine The Accountble Cre Unit (ACU) model developed by Dr. Json Stein his 1Unit collegues of Emory Helthcre is tem-focused pproch to ptient cre. At Medicl Center our cre tem is geogrphiclly bsed which mens tht ech unit hs dedicted physicins nurses cse mngers. Some hospitls still hve physicins with ptients on multiple floors. This cuses the delyed vilbility of physicins seprtion of the physicin both physiclly conceptully from the rest of those cring for the ptient. An ACU llows for the cre tem to be cohesive group with improved communiction collbortion. While the geogrphic loction of the cre tem is impertive n ACU goes further to help provide the cre tem with processes tools to support this communiction collbortion. Through Structured Interdisciplinry Bedside Rounds (SIBR) the cre tem prticiptes in ptient-centered cre model. SIBR rounds re for ptients requiring follow-up from the tem. Newly dmitted ptients those scheduled to be dischrged re rounded on by the tem but not within the SIBR formt. SIBR rounds re brief structured checklist-bsed with clerly defined roles for ll tem members. Rther thn trditionl rounds in which residents present to ttending physicins the tem communictes with ech other by speking to the ptient. Medicl jrgon is minimized ptients fmilies re encourged to sk questions clrify history. Dy. This could be s simple s You were dmitted for pneumoni but re responding well to tretment. Tody we will continue ntibiotics discontinue your oxygen get you up wlking. You cnnot do this lone so we will ssist you. Why do we need ACU s? Look t the imge of the Slippery Slope prdigm. The better our cre tems function s tem with effective open collbortion communiction the sfer our ptients will be. The next steps in our quest for ctive ACUs will be to hve unit specific dshbord dt on flls pressure ulcers CAUTIs other qulity/sfety metrics tht will be t the fingertips of frontline stff. The cre tem fces multiple tsks deliverbles throughout the dy from resident eduction ptient eduction medicl plnning urgent clinicl issues trnsition plnning. However by embedding 60-90 minutes of efficient structured cre tem rounds within the dy we cn ddress wht our ptients wnt to know bout their cre - Am I ok? Wht is the pln? Wht do I need to do to dischrge from the hospitl? SIBR llows for the entire cre tem ( the ptient) to hve Shred Mentl Model which fcilittes true Collbortive Cross Checking. On ech ptient SIBR ends by clerly stting the Pln for the

5 El Nino Winter Forecsted by Ntionl Wether Service t Firview Community Event This winter will be n El Nino winter predicted John Quinln of the Ntionl Wether Service (NWS) in Albny who spoke with locl citizens public helth sfety officils recently t Firview Hospitl. The long-rnge winter forecst indictes % chnce of wrmer thn usul tempertures n verge precipittion. The strong El Nino pttern is very similr to the winter of 1998-1999 the yer of the mssive ice storm cross the Northest Cnd. Quinln ws t Firview Hospitl to present the Ntionl Wether Service s SKYWARN Progrm clss tht covered different types of winter storms precipittion types how to ccurtely mesure snow ice how to clculte the wind chill temperture wht when how to report wether dt to the NWS. The NWS Albny serves popultion of 2.1 million people including counties in New York Vermont Msschusetts Connecticut. John Quinln of the Ntionl Wether Service in Albny presents discussion on the upcoming winter seson. The community progrm ws held t Firview Hospitl. The progrm ws offered s prt of Firview Hospitl s Emergency Prepredness progrms. For more informtion contct Hether Brbieri Director of Emergency Plnning t (413) 854-9635. Chplin s Corner: Working on Solution By By Sister Colette Hnlon SC SC Chplin number of yers go populr question ws Are you working on the solution or re you prt of the problem? I hve A been pondering this lot recently s I her myself or others criticizing something whether it s helthcre the economy politics religion or sports. Perhps the critique is bout someone; fmily member dministrtors world ntionl leders our fith community leders even God. From now on I m trying to discipline myself to stop mid-criticism sk Are you working on solution or re you prt of the problem? It is surprising ( humbling) to hve to cknowledge tht sometimes I m not only not trying to be cretive in my response but my indeed be prt of the problem. Willim Blke uniquely cretive poet wrote To see World in Grin of S/ Heven in Wild Flower/ Hold Infinity in the plm of your h/ And Eternity in n hour Tht s working on solution. Wouldn t tht mode of cretivity mke us our world more peceful home for ll of God s cretures? Let s t lest commit to stop complining begin using our energies in trying to find solutions.

6 WellnessWorks (413) 447-3100 Visit the WellnessWorks pge of the employee portl for more informtion to register for ny of our progrms. https://www.bhswellnessworks.org Get Fit Sty Fit in the New Yer! Join one of these 12 week exercise clsses do something good for yourself in the New Yer! Sign up on the Wellness website: https://www.bhswellnessworks.org Strts Mondy Jnury 4 Strts Tuesdy Jnury 5 ALL OVER FITNESS An intervl clss tht focuses on crdio strengthening exercises using weights bs followed by stretch cool down. Mondys Thursdys 4:30 pm t Community Center Auditorium Gret Brrington. METABOLIC MADNESS A high energy circuit style clss tht will kick your metbolism into high ger! Using your own body weight resistnce bs ech clss will be designed to engge every body prt s well s include crdio chllenges. 4 pm t 5 pm t Hillcrest Cmpus of Mondy/ Wednesdy/ Fridy. Cost $5/clss (Fridys re ½ price). WORK-IT CIRCUIT This clss will incorporte crdio strength core work using vriety of trining methods from circuit trining tbt boot cmp intervls more to give you true totl body workout. Designed for ll fitness levels. Tuesdy Thursdy 5 pm t. CORE N MORE A 30-minute clss tht fetures fusion of fitness core exercises Piltes principls strengthening lengthening moves designed to crete lener stronger body! Tuesdy Thursdy 4:30 pm Privte Dining Rooms. YOGA AT NORTH ADAMS CAMPUS OF This is n pprochble clss for ll levels. Clsses will progress weekly to sfely intelligently move the body: stretch tone in new fun wys! Tuesdys 4:45 pm in the Clrk House. YOGA AT BERKSHIRE YOGA DANCE FITNESS This clss is open to ll levels. Yog helps improve physicl flexibility blnce strength while bringing sense of pece well-being to prticipnts. Tuesdys 4 pm t Yog Dnce Fitness. Crnwell Sp Dy for BHS Employees Spouses: Jnury 14 th The Sp t Crnwell is gin offering BHS Employees their spouses specil dy to use their beutiful fcilities. The Sp fetures 60 ft. heted indoor pool complete fitness center suns stem rooms therpeutic whirlpool bths.

7 New Wellness Librry t! Rdiology Technology Fir WINNERS Wellness Fll couldwho winwon Vis Orgnics or Dick s Sporting Goods Gift Crd CongrtultionsYou to stff prizes in the drwings Join us Rdiology to celebrte offered t the recent Technology Fir: S c o p e 7 Rdiologic Technology Week! Mondy Nov 9 o Printer mlis 11:30 1:30Soule pm PDRs A B o Ski Pss Pt Glofre o Orgnics Peg Sime th Job Opportunities 08/22/08 Just Complete the following 31 2015 Sby c o December pe Stop by check out the new Wellness Librry t. A $5.00 cfeteri 4 West Telemetry 24 certifictes: 1. On-line Helth Assessment vriety of books DVDs re vilble covering severl o Nor 4 West Telemetry Mher 24 topics including nutrition exercise mindfulness life 2. Coching Appointment o Mrk 4 West Telemetry Trembly blnce. All selections re recommended by our Wellness o Pt 03/09/07 Krutik 2 Est Observtion 36 Hr E/N temnme re to borrow. Other cmpuses cn Your willvilble be entered Mternl Helth/ ochild Mike Wlsh 2 Est Observtion 36 Hr E/NCre Nursery Hr D/E list of selections S c o prequest e 7 vi Goitems green into specil drwing. we will deliver Hr D/E 2 Est Rehb 36 o Jenine Slocum interoffice mil. CHECK IT OUT! crete 36 Hr E/N You could win Orgnics gift crd! 3 Est Blue 16 Job You could win Vis or Dick s Sporting Goods Gift Crd Opportunities yer-round retret 7 Mternl Child Helth/Mother Bby Unit 24 Hr D/N 08/22/08 t home. 5 Mternl Child Helth/Mother Bby Unit ight Ern 2 entries into the drwing when Job Opportunities Home Equity Lons Wellness Are Fll you redy for Spring? Home Equity Lons Sve fuel Job Fll Opportunities Wellness Wellness Fll 4 West 24 Telemetry ight 4 West Telemetry 24 Temp. Mternl Child Helth/Peditrics Just your spouse completes 1 Credit 2!Complete Let Federl Union the following 4 West Telemetry Renl 36 Hr D/E 5You you with theyou!) finncing! by December 31 2015 2 Est Observtion 36 HrSporting E/N Goods Gift Crd 03/09/07 (Nohelp Spouse? Lucky win Vis Orgnics or Dick s Women scould Helth/Men smternl Helth Cre Coordintion 30 could win 2 Est Vis Orgnics orcre Dick s Sporting Child Helth/ Nursery Goods Hr D/E Gift Crd 5 You Observtion 36 Hr E/N Go green 36 Hr D/E Endoscopy or2 Certified Surgicl * New Drivewy Est Rehb LPN 1. On-line Helth crete Assessment 5 36 Hr E/N Just Complete the following 3 Est Blue 16 Stroke Unit * Replcement Siding /or Windows yer-round retret 5 2. Coching Appointment by December 31 2015 Mternl Child Helth/Mother Bby Unit 24 Hr the D/N following Just Complete * Pools Decks Porches Sunrooms Lscping OR Stroke Periopertive Temp. Unit t home. Remodeling of the Kitchen or Bth Mternl Child Helth/Mother Bby Unit ight 1. On-line Helth Assessment ight more! by December 8 Renl Hemodilysis 30 Mternl Child Helth/Peditrics Temp. 31 2015 Your nme will be entered Let Federl Credit Union 2. Coching Appointment 8ist Renl 36 Hr D/E Rdiology Imging Support Non-Scheduled Sve fuel drwing. you with thestrting finncing! All 1. Wellness Visits Assessment since 10/01/2015 rehelp eligible On-line Helth Rtes t into specil Women s Helth/Men s Helth Cre Coordintion Your nme will be 24 entered 30 Rdiology Imging Support ist Non-Scheduled APR Sve money! for the drwing. 2. Coching Appointment Endoscopy LPN or Certified Surgicl into specil drwing. * New Drivewy You could win gift crd! 24 BFS Neurology Medicl Assistnt II %*APR You could win gift crd! Stroke Unit * Replcement Siding /or Windows * Pools Decks Porches Sunrooms or Lscping Food Services Dietry OR Stroke Periopertive Temp. Unit Your nme will be entered for 10 yers Remodeling of the Kitchen Bth into the drwing when Ern 2 entries into the drwing when Ern 2 entries more! 8 Renl Hemodilysis 30 into specil drwing. Min OR Preference Crd Coordintor your spouse completes 1 2! 8 ENTER TO WIN A Rdiology Imging Support 8ist Non-Scheduled your spouse completes 1 2! You could win gift crd! Rtes Strting t (No Spouse? Lucky You!) 700 North Non-Scheduled $150 GIFT CARD Rdiology Imging Support 24 ist 8 Come G r ostreet w WPittsfield i t h U sma! APR (No Spouse? Lucky You!) (413) 447-7772 24 BHS 08/22/08 BFS Neurology Assistnt II 2 entries into the drwing when %*APR 24 Medicl Ern *Rtes subject tofor chnge. 80% LTV. Mx. lon mt. $150000. No pre-pyment penlty. FoodClinicl Services Dietry 10 yers Informtion Systems Phrmcy 24Anlyst or your spouse completes 1 2! Cll 413-447-3100 emil wellnessworks2@bhs1.org Property insurnce required. No pprisl fees. $175 recording fee. MA residents only. Drwing: Min OR Preference Crd Coordintor Jnury 5 2016 8 ENTER TO WIN A Informtion Systems BFS Applictions ist Temp. (No Spouse? Lucky You!) *Gi crd vlues re s follows $150 GIFT CARD All 8 C o700 m enorth G r ostreet w WPittsfield i t h U sma! coching ppointments since 10/01/2015 re eligible for the drwing. (413) 447-7772 BHS 08/22/08 24 Cll 413-447-3100 or emil wellnessworks2@bhs1.org Vis: $100 *Rtes subject to chnge. 80% LTV. Mx. lon mt. $150000. No pre-pyment penlty. Stroke Unit Unit Secretry 12 Informtion Systems Clinicl 08/29/08 24Anlyst Phrmcy Property insurnce required. No pprisl fees. $175 recording fee. MA residents only. Dick s Spor ng Goods: $50 Informtion Systems BFS Applictions ist Temp. Led 16 3 Est Surgicl ight Orgnics: $50wellnessworks2@bhs1.org Cll 413-447-3100 or emil *Gi crd vlues re s follows Clinicl 16 Leder Stroke Unit Unit Secretry 12 08/29/08 Drwing: Jnury 5 2016 16 Unit 16 *Gi crd re s follows Behviorl Sciences/McGee 3 Est Surgicl vlues Led ight Vis: $100 413 447 3100 All coching ppointments since 10/01/2015 re eligible for the drwing. 24 Hr E/N 16 5 Clinicl Leder h ps://www.bhswellnessworks.org Dick s Spor ng Goods: $50 Sciences/McGee Vis: $100 16 Hr Behviorl Unit E/N Plese direct ny comments questions or suggestions for ight 24 Hr E/N Dick s Spor ng Goods: $50 Orgnics: $50Reltionsfort 16 Hr E/N to Development Community 447-2060. 413 447 3100 Plese direct ny comments questions or suggestions ight h ps://www.bhswellnessworks.org ight Orgnics: $50 16 16 to Development Community Reltions t 447-2060. ight Editor: Ruth Blodgett 3 Est Surgicl Entry 16 Hillcrest Helth Chrge Drwing: Jnury 5 2016 Editor: Ruth Blodgett 3 Est Surgicl 2016 Hillcrest Helth Chrge Entry 5 Luren Smith Drwing: Jnury Writers: Mike Lery Elzbiet Al Trzepcz Smoking Cesstion Tobcco Tretment Counselor Hr D/E Writers: Mike Lery Elzbiet Luren Smith Al Trzepcz Smoking Cesstion Tobcco Tretment Counselor All Hr D/E coching ppointments since 10/01/2015 re eligible for the drwing. Lyout Printing: Deirdre McKenn Mterils Mngement All coching ppointments since 10/01/2015 re eligible for the drwing. Lyout Printing: Deirdre McKenn Mterils Mngement Anesthesi Lyout Printing: Deirdre McKenn Mterils Mngement Mngement Anesthesi Lyout Printing: Deirdre McKenn Mterils Anesthesi Anesthesi Women Dignostic 8 Technologist s Imging Dignostic Women 8 s Imging Technologist s Imging Mmmogrphy Tech. Non-Scheduled Women Mmmogrphy 8Tech. Non-Scheduled s Imging Women 8 isisprinted on on 30%pper post-consumer recycled pper. Rdiology 25 Rdiology withpost-consumer post-consumer recycled printed is printed on 30% recycledcontent. pper. Rdiology 25 413 447 3100 Rdiology Dietitin Nutrition 413 447 3100 Nutrition Dietitin Food Services Dietry 03/16/07 (continued) h ps://www.bhswellnessworks.org h ps://www.bhswellnessworks.org CseTelemetry Mngement Secretry Access Services Access Reception(continued) ist Services 4Dietry West Unit Secretry 824 03/16/07 Food Ptient Reltions Ptient Services Coordintor BHS Posting 03/09/07 Behviorl Sciences Cse Mngement Secretry 8 Psych Non-Scheduled Access Services Access Reception ist you redy You could win Vis Are Orgnics or Dick s Sporting Goods Giftfor CrdSpring? Sve money! Cll 413-447-3100 or emil wellnessworks2@bhs1.org Drwing: Jnury 5 2016 *Gi crd vlues re s follows 7.75 Vis: $100 Dick s Spor ng Goods: $50 Orgnics: $50 7.75 Cll 413-447-3100 or emil wellnessworks2@bhs1.org BHS Job Opportunities To view job descriptions /or pply for position t Medicl Center Firview Hospitl or BVNA Hospice plese visit our website t: www.berkshirehelthsystems.org click on Employment. Americn Hert 7

8 Thnks Recognition It would be mistke not to sy thnk you to the gret stff t Medicl Center. My fther s recent sty t ws one of severl lsting one week. While his pssing ws difficult for my fmily the doctors nurses others who tended to his cre were nothing short of compssionte cring sympthetic to his needs s well s ours. I think I cn spek for him when I sy they were wonderful. I commend them for their service. Letter to the Editor ppering in the Egle signed by Mrie Greenlef of Svoy I delt with very lrge number of stff throughout my four to five dy sty. Becuse of this lrge number I've struggled to remember most of their nmes. My experience with stff from ll levels ws s good s I could hve sked for. All of the stff from the stroke unit deserve to be commended for their professionlism respect ptience knowledge kindness cre. Comment from Stroke Unit ptient This ws my first experience s hospitl ptient hving nothing to compre it to. I cn only sy tht I felt very comfortble well cred for sfe ws lmost reluctnt to leve. Comment from Telemetry Unit ptient Firview hs lwys been good to us helpful. We hve nothing except good things bout to sy bout Firview. Comment from Firview Hospitl ptient There I ws in excruciting pin clling 9-1-1 for help. Within minutes the mbulnce rrived crefully but quickly rushed me to Medicl Center s Emergency Room. After brief exm I ws moved to 3 Est Green surgicl with the cpble guidnce of surgeon Dr. (Christin) Glvez ll the nurses stff. Two dys lter the procedure ws complete I ws bck home to recuperte with no more horrible pin. These re my heroes! How fortunte we re to hve good hospitl like Medicl Center redy to serve cre for our community t moment s notice. Letter to the Editor ppering in the Egle signed by CW Green of Dlton This ws n excellent experience so welcome s opposed to trveling to the min cmpus during excruciting pin. Comment from ptient of the Stellite Emergency Fcility t the North Adms Cmpus of I hd n excellent experience I hve been recommending the Crne Center to nyone who will listen. Comment from Crne Center for Ambultory Surgery ptient In Memorim Jnice Ky dietry secretry t Firview Hospitl died on November 10th t the ge of 65. Susn M. Cutter former Registered Nurse t Medicl Center died on November 12th t the ge of 82. Mrie B. Russo former Licensed Prcticl Nurse t the former Hillcrest Hospitl died on November 12th t the ge of 91. Jon W. Corl Licensed Prcticl Nurse t for 20 yers died on November 17th t the ge of 86. She retired from in 1988. Glori J. Piner who worked s n ide t the former North Adms Regionl Hospitl now the North Adms Cmpus of died on November 21st t the ge of 87. Agnes M. Furey Registered Nurse t the former St. Luke s Hospitl now lter t Firview Hospitl died on November 21st t the ge of 88. She retired in 1990 fter working in Firview Mternity. The stff of Helth Systems offers its deepest condolences to their friends fmily.