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www.wakemed.org NEWS FOR EMPLOYEES AND FRIENDS OF WAKEMED APRIL 2015 WakeMed North Women’s Hospital Opens May 11 – see inside for details! This spring, WakeMed became the first hospital in the United States to correct a rare medical condition called esophageal atresia without surgery. Affecting approximately one out of 80,000 newborns, esophageal atresia occurs when the upper part of the esophagus does not connect with the lower esophagus and stomach. Babies with this condition traditionally undergo difficult surgeries, requiring lengthy hospitalization and an extensive recovery process. When an ultrasound revealed that Suzanne and Evan Dapo’s daughter would be born with this condition, the Wake Forest couple immediately began investigating treatment options. Their search for answers led them to the office of David Hoover, MD, (WPP – Pediatric Surgery) who told them about a non-invasive procedure developed by Dr. Mario Zaritzky, a pediatric interventional radiologist at the University of Chicago Medicine. The procedure utilizes magnets placed in the esophagus, with the aid of a catheter, to lengthen the shortened ends until they naturally fuse together. Dr. Zaritzky’s breakthrough method had been used on patients after corrective surgery, but had never been the first course of treatment. It could mean less pain, shorter hospitalization, better outcomes and lower medical costs. The Dapos immediately agreed: If their daughter was a candidate for this procedure, that was the route they would take. Annalise Dapo was born at WakeMed in February with 3.6 centimeters of her esophagus missing. She spent the first several weeks of her life in the NICU being fed through a tube in her stomach. Then, when she was just seven weeks old, a team including Dr. Hoover, Carroll Overton, MD, (Wake Radiology) and other pediatric surgeons, interventional radiologists and neonatologists placed two small magnets by catheter in Annalise’s esophagus. Within 36 hours, the magnets had come together and tissue was starting to form the missing part of her esophagus. The magnets were removed five days later, and Annalise was able to swallow for the first time in her life. Soon she was nursing and drinking from a bottle. “The benefits of this procedure are far reaching, and we don’t even know all of them yet. By avoiding surgery, Annalise spent significantly less time on a ventilator and was released from the hospital months earlier than other infants with this condition,” said Dr. Hoover. “Thanks to Annalise’s brave parents and the fantastic WakeMed team who cared for the entire Dapo family, Annalise is now at home and doing incredibly well.” Less than a week after the magnets were removed, Annalise was discharged home and her long-term diagnosis is positive. “After the first consultation with Dr. Hoover, I knew that WakeMed was the right choice for our family,” says Suzanne. “I can’t say enough good things about Dr. Hoover and the entire team here. The staff has been incredible in helping us through this journey.” The Wake Way 2 Excellence is a major organizational focus for WakeMed today and into the future as we work to fulfill our mission of improving the health and well-being of our community. It is the culture and methodology that will help WakeMed become one of the top 10 health systems in the country, which is one of our 10 aspirational goals. A Two-Part Approach The Wake Way 2 Excellence is the combination of behaviors and tenets that we will use as we work to achieve our Strategic Plan goals. BEHAVIORS: The Wake Way 2 Excellence behaviors are the every- time behaviors that all staff will be expected to exhibit. They will relate to communication, accountability, team work and the attitude commonly known as the Wake Way. Defining these behaviors is a major undertaking, and focus groups are being held to get feedback on what they should be. The behaviors will help ensure all patients have an exceptional experience no matter where they are in the WakeMed system. TENETS: The Wake Way 2 Excellence tenets describe the processes we use to achieve our goals. A tenet is a principle that is very important to a group. While this might be an unfamiliar term, we chose it so we can all learn what it means together. The Wake Way 2 Excellence tenets are based on Lean principles and other proven performance improvement techniques. A Magnetic, Medical First Tiny Patient Receives Groundbreaking Treatment at WakeMed A SIMPLE EQUATION FOR SUCCESS They are: • Create standard work • Create efficient flow • Create just-in-time processes • Eliminate waste More information on what these tenets mean and how they can be applied will be shared in the coming months. What happens next? As we begin putting the WW2E methodology in action, we will initially focus on two areas, which we will call “value streams.” A value stream refers to the combination of the “path” that a patient takes as they move through the WakeMed system and to the “value” of the treatment and experience from the patient’s perspective. Our first two value streams are WakeMed Physician Practices and Surgical Services at Raleigh Campus, Cary Hospital and WakeMed North. Starting with two value streams allows us to focus on learning and applying our Wake Way 2 Excellence methodology and generate results in a few key areas before we begin rolling out the process system-wide. Regular progress updates will be provided as this work gets underway.

A Magnetic, Medical First - WakeMed · Regional Medical Center in Portsmouth, Va. Matthew Zerden, MD Dr. Zerden studied medicine and public health at Harvard Medical School in Boston,

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NEWS FOR EMPLOYEES AND FRIENDS OF WAKEMED APRIL 2015

WakeMed North Women’s Hospital Opens May 11 – see inside for details!

This spring, WakeMed became the first hospital in the United Statesto correct a rare medical condition called esophageal atresia withoutsurgery. Affecting approximately one out of 80,000 newborns,esophageal atresia occurs when the upper part of the esophagus doesnot connect with the lower esophagus and stomach. Babies with thiscondition traditionally undergo difficult surgeries, requiring lengthyhospitalization and an extensive recovery process.

When an ultrasound revealed that Suzanne and Evan Dapo’s daughterwould be born with this condition, the Wake Forest coupleimmediately began investigating treatment options. Their search foranswers led them to the office of David Hoover, MD, (WPP – PediatricSurgery) who told them about a non-invasive procedure developed byDr. Mario Zaritzky, a pediatric interventional radiologist at theUniversity of Chicago Medicine. The procedure utilizes magnetsplaced in the esophagus, with the aid of a catheter, to lengthen theshortened ends until they naturally fuse together. Dr. Zaritzky’sbreakthrough method had been used on patients after correctivesurgery, but had never been the first course of treatment. It could meanless pain, shorter hospitalization, better outcomes and lower medicalcosts. The Dapos immediately agreed: If their daughter was acandidate for this procedure, that was the route they would take.

Annalise Dapo was born at WakeMed in February with 3.6centimeters of her esophagus missing. She spent the first severalweeks of her life in the NICU being fed through a tube in her stomach.Then, when she was just seven weeks old, a team including

Dr. Hoover, CarrollOverton, MD, (WakeRadiology) and otherpediatric surgeons,interventionalradiologists andneonatologists placedtwo small magnets bycatheter in Annalise’sesophagus. Within 36

hours, the magnets had come together and tissue was starting to formthe missing part of her esophagus. The magnets were removed fivedays later, and Annalise was able to swallow for the first time in herlife. Soon she was nursing and drinking from a bottle. “The benefits ofthis procedure are far reaching, and we don’t even know all of themyet. By avoiding surgery, Annalise spent significantly less time on aventilator and was released from the hospital months earlier than otherinfants with this condition,” said Dr. Hoover. “Thanks to Annalise’sbrave parents and the fantastic WakeMed team who cared for the entireDapo family, Annalise is now at home and doing incredibly well.”

Less than a week after the magnets were removed, Annalise wasdischarged home and her long-term diagnosis is positive. “After thefirst consultation with Dr. Hoover, I knew that WakeMed was the rightchoice for our family,” says Suzanne. “I can’t say enough good thingsabout Dr. Hoover and the entire team here. The staff has beenincredible in helping us through this journey.”

The Wake Way 2 Excellence is a major organizational focus forWakeMed today and into the future as we work to fulfill our missionof improving the health and well-being of our community. It is theculture and methodology that will help WakeMed become one of thetop 10 health systems in the country, which is one of our 10aspirational goals.

A Two-Part Approach

The Wake Way 2 Excellence is the combination of behaviors andtenets that we will use as we work to achieve our Strategic Plan goals.

BEHAVIORS: The Wake Way 2 Excellence behaviors are the every-time behaviors that all staff will be expected to exhibit. They willrelate to communication, accountability, team work and the attitudecommonly known as the Wake Way. Defining these behaviors is amajor undertaking, and focus groups are being held to get feedbackon what they should be. The behaviors will help ensure all patientshave an exceptional experience no matter where they are in theWakeMed system.

TENETS: The Wake Way 2 Excellence tenets describe the processeswe use to achieve our goals. A tenet is a principle that is veryimportant to a group. While this might be an unfamiliar term, wechose it so we can all learn what it means together. The Wake Way 2Excellence tenets are based on Lean principles and other provenperformance improvement techniques.

A Magnetic, Medical FirstTiny Patient Receives Groundbreaking

Treatment at WakeMed

A SIMPLE EQUATION FOR SUCCESS

They are:

• Create standard work

• Create efficient flow

• Create just-in-time processes

• Eliminate waste

More information on what these tenets mean and how they can beapplied will be shared in the coming months.

What happens next?

As we begin putting the WW2E methodology in action, we willinitially focus on two areas, which we will call “value streams.” Avalue stream refers to the combination of the “path” that a patienttakes as they move through the WakeMed system and to the “value”of the treatment and experience from the patient’s perspective.

Our first two value streams are WakeMed Physician Practices andSurgical Services at Raleigh Campus, Cary Hospital and WakeMedNorth. Starting with two value streams allows us to focus on learningand applying our Wake Way 2 Excellence methodology and generate results in a few key areas before we begin rolling out the process system-wide. Regular progress updates will be provided as this work gets underway.

Karen Bash, MD

A member of the WPP – OB/GYNteam since 1992, Dr. Bash is thedirector of the OB hospitalist team.She has held many leadership rolesat WakeMed and is an adjunctclinical professor in obstetrics &gynecology at the UNC School ofMedicine.

Stacy Boulton, MD

A member of WPP – Women’s Centersince 2012, Dr. Boulton attendedmedical school at the University ofTennessee in Memphis. She thencompleted residencies in Cincinnati,Denver and Dayton, Ohio.

Lindsey Deschamps, MD

Dr. Deschamps attended CaseWestern Reserve University School ofMedicine in Cleveland andcompleted her residency at ThomasJefferson University Hospital inPhiladelphia. She and her family arerelocating to Raleigh this summerfrom Ogden, Utah.

Elizabeth Kim, MD

Dr. Kim joined WPP – Women’s Center in2013 after moving to the area from Pell City,Ala. She studied medicine at the University ofMinnesota Medical School in Minneapolisand completed her residency at The OhioState University in Columbus, Ohio.

Gary Wilson, DO

Dr. Wilson, who is relocating from Leominster,Mass., brings more than 25 years of OB/GYNexperience. He attended the New JerseySchool of Osteopathic Medicine in Stratford,N.J., and completed his residency at the NavalRegional Medical Center in Portsmouth, Va.

Matthew Zerden, MD

Dr. Zerden studied medicine and publichealth at Harvard Medical School in Boston,and completed his residency and fellowship atthe UNC School of Medicine. Though new toWakeMed North, he spent a year on theRaleigh Campus during his residency.

When WakeMed North Women’s Hospital opensnext month, it will be the first facility in our area touse an OB hospitalist model. The team includesseven board-certified OB/GYNs who will cover thehospital for labor & delivery, L&D triage andOB/GYN emergency visits 24 hours a day. The OBhospitalists do not replace a patient’s primaryOB/GYN but work closely with them to ensureoutstanding quality and safe care. “The hospitalistteam concept is built upon having a dedicatedOB/GYN doctor in the labor and delivery area ofthe hospital at all times. For patients, this meansthat any time, day or night, one of our doctors is onsite to provide exceptional care,” says Seth Brody,MD, executive medical director, WakeMed NorthWomen’s Hospital.

The OB hospitalist model has been around formany years and – while not previously called thisby name – has provided a strong foundation forhow WakeMed provides obstetrical care to mothersin our community. At WakeMed North, we areextending this concept as we prepare to delivermore babies, support more mothers and offer thehighest level of care possible to entire families.

Grand Opening EventsEmployee Open House Wednesday, May 611 am to 1 pm and 3:30 to 6:30 pm

Community Open HouseSaturday, May 9, 10 am to 2 pmDedication & butterfly release at noon

We’re opening our doors and rolling out the redcarpet for you and your family. There’s a lot to seeand do at this family-friendly event including livemusic, family portraits, kids crafts and activitieswith Twinkle, tours of the facility and much more.

WakeMed Named ACR Diagnostic ImagingCenter of Excellence WakeMed recently became the first health system inNorth Carolina to receive Diagnostic Imaging Centerof Excellence™ (DICOE) designation by the AmericanCollege of Radiology (ACR). This designationrecognizes superior patient care and excellence atmultiple levels, including staff, technology andpolicies and procedures. “Becoming the first hospitalin North Carolina to be designated as a DiagnosticImaging Center of Excellence is a significant honor forthe Imaging team and the entire WakeMed system,”said Georgia Harrington, vice president, Operations.“This certification is a result of hard work,commitment and engagement of Imaging staffmembers at all levels.”

To receive DICOE recognition, an organization musthave ACR accreditation in all available modalities,meet registry participation guidelines and undergo acomprehensive assessment of quality, safety,procedures and personnel. The survey,which was conducted in March,resulted in praise for WakeMed andour efforts to provide the bestimaging experience for thepatient.

Donna Lane Named Healthcare HeroThe Triangle Business Journal (TBJ) honored 24 localprofessionals this year with Healthcare Hero Awards,

including Donna Lane, RNC-OB, BSN, nurse manager,(Women’s Pavilion &Birthplace).

Lane joined WakeMed as anurse tech in 1981 and hasspent all but five years of hercareer here. She has worked inthe Raleigh Campus Labor &Delivery unit since 1991,becoming manager in 2008.

Lane was also an instrumental part of the team whobrought the ‘gold standard’ AWHONN fetalmonitoring program to WakeMed eight years ago.

In addition to helping welcome new lives into theworld every day, Lane is devoted to being a positiveinfluence and supporting children of all ages. Shevolunteers with the Cub Scouts and as a nurse for asummer camp in Oxford, N.C. “I just love kids andbeing an influence in their lives – giving them thelove and attention they need to support theiremotional and mental development is critical toyoung children,” says Lane. “I feel like I am helpingshape this community.”

WakeMed Honored with VHA PerformanceExcellence AwardsWakeMed has been recognized for excellence inclinical quality and supply chain performance byVHA Inc., a national network of not-for-profit healthsystems. This year, WakeMed received recognition inthree areas:

• Supply Chain Performance Improvement in theJoint Implant category, which recognizes VHACentral Atlantic members with the highest level ofimprovement in pricing for joint implants from2013 to 2014.

• Commitment Recognition in the supply networkcategory as part of our participation in the CentralAtlantic Health Network (CAHN), a multi-hospitalpartnership aimed at reducing operational andsupply costs. CAHN’s trocar initiative was honoredfor achieving $1.79 million in annualized savings.

• Cary Hospital received an outstanding achievementaward for reducing preventable heart failurereadmissions. Recipients were honored for being ator above the 75th percentile in performance andimprovement rate for 30-day all-cause heart failurereadmission rate from January through October2014 compared to calendar year 2013.

VHA Central Atlantic is one of 11 regions withinVHA Inc., a national member network of not-for-profithealth systems.

Meet the OB Hospitalists

NEWS FROM WAKEMED NORTH FAMILY HEALTH & WOMEN’S HOSPITAL

COMINGS & GOINGSMedical Staff Services welcomes Christina Bunch.

OneCall welcomes Jessica Salvatierra and LucilaMorales.

WPP – Pediatrics welcomes Jennifer Harrison, RN;Michele Florence, RN; and Dee Hawkins.

Chest Pain Unit welcomes Jennifer Alaluna, RN, back toWakeMed.

WPP – ENT – Head & Neck Surgery welcomes NinaCastillo.

CICU welcomes Tonya Greene, NAI.

6C Surgery & Trauma welcomes Kelly Finch, NAI; CarterGruber, RN; April Parker, RN; and Wendy Creel, NAI.

Heart Center Administration welcomes Kathy Wray andNicole Ware.

6B Orthopaedics and Oncology welcomes ChuckAndrews, RN; Ashley King, RN; Shauntella Edwards,RN; Kenisha Hudson, RN; Becky Delarosa, RN; andKristin Griffin, RN.

Case Management welcomes Valerie Pickett, MSW; andKara Gerko, MSW.

Conference Services wishes Diane Lovejoy luck as shetransitions to her new role as supervisor of Food &Nutrition Services – WakeMed North. The department

also congratulates Dan Sanford on his promotion to teamleader.

Food & Nutrition Services welcomes Randy Townes andDeanna Coleman.

IN MEMORIAM Elena Caro, RN, a staff nurse on 2 East Medicine – CaryHospital passed away on February 24, 2015. Caro joinedWakeMed in 2005, and we send our sympathies to herfriends and loved ones during this time.

NEWS FROM WAKEMED PHYSICIAN PRACTICES

Welcome New PhysiciansAlexandra Bentley, MD WPP – Special Infant Care Clinic

JB Lykes, MD WPP – Pediatric Hospitalists

Welcome New Mid-levelsJulie Fry, PAWPP – Hospitalists – Cary Hospital

Kristin Harbaugh, NPWPP – Neonatology

WPP Names Two New Executive Medical DirectorsWakeMed Physician Practices has named two newexecutive medical directors. Seth Brody, MD, hasbeen named executive medical director, Women’sservice line. Stephen Leinenweber, MD, has beennamed executive medical director of the newly-established Children’s service line. The Children’sservice line will continue to work closely with theWomen’s service line, but will operate under anindependent structure for daily management.

www.wakemedphysicians.com

250,000 Steps for Good Health!On April 1, WakeMed took to the sidewalks, greenways and hallways as part of theAmerican Heart Association’s National Walking Day. Group walks were held at

several facilities andmany employeesgathered withcolleagues for a bit offresh air and a briskwalk. Employees wereencouraged to tracktheir steps and sharethem via a poll on the

WakeMedWeb. According to the poll, we took over a quarter of a million steps onNational Walking Day – but the true number is doubtlessly much higher!

Walking is a great way to improve your health. It can help lower blood pressure,reduce stress, increase energy, promote restful sleep, reduce bone density loss,improve posture and flexibility – just to namea few! Here are a few walking words ofwisdom:

• Walking an extra 20 minutes each day willburn off 7 pounds of body fat per year.

• Longer, moderately-paced daily walks (40minutes at 60% to 65% maximum heartrate) are best for losing weight.

• Shorter, faster walks (20-25 minutes at 75%to 85% maximum heart rate) are best forconditioning your heart and lungs.

• Remember toproperly warm upbefore and cool downafter every walkingsession...yourmuscles will loveyou for it!

Thanks to everyone who participated in the WakeWell biometric screeningsthis year! Participating employees, please look for upcoming informationabout completing the Blue Cross Blue Shield of North Carolina (BCBSNC)online health assessment between May 18 and June 30.

Remember, if you fall short of 120 points, you can make up the differenceby participating in an alternate standard. This year, there are four options:

• Dietitian Consultation (40 points): WakeMed health plan participants can visit aregistered dietitian in the BCBSNC network with no co-pay and no physicianorder. See www.bcbsnc.com for a list, or to schedule with a WakeMed registereddietitian, call ext. 07000.

• Physician-signed Alternate Standard Form (10 points per category, up to 40points): Visit your physician and have them complete a BCBSNC alternatestandard form. They simply indicate which items they are working with you onand fax the form to BCBSNC. You receive 10 points for each area they check off.

• Care Advising (40 Points): If you have a chronic health condition, a recenthospital visit or a complex medical case, you may be contacted by a CareAdvisor who can help you take greater control of your health and well-being.

Care Advising is available to WakeMed health plan members at no cost as part ofWakeMed Key Community Care, our Accountable Care Organization.

• Maternity Care Advising (40 Points): Maternity Care Advisors connect regularlythroughout the pregnancy and postpartum period to discuss health, habits andmore. The program is available at no cost to members of the WakeMed healthplan as part of WakeMed Key Community Care. You or your obstetrician canmake a referral by calling 1-855-220-7955.

Alternate standards must be completed by August 31, but it’s a good idea to startthinking about them now. Questions? Contact Bob Nelson (Wellness) at ext. 06903or [email protected].

Dr. Bentley Dr. Lykes

Wa�Wellrewards

Cary Hospital

WakeMed North

Operations Center

Ready for Anything24/7 REGULATORY PREPAREDNESS UPDATE

Like all health care organizations, WakeMed is responsible for meeting a number of stateand federal standards and regulations at all times. Here are some ways we are working oncontinual readiness:

• VHA conducted a mock accreditation survey in March to identify opportunities forimprovement prior to our Joint Commission survey this fall. Numerous key findingswere identified and action plans are being put into place to address them.

• A weekly education series is being held for all managers and supervisors to learn aboutcurrent regulations and ensure their units are following appropriate policies andprocedures.

• An accreditation readiness oversight committee is being established to ensurecompliance plans are in place and to monitor compliance moving forward.

• Departments will be checked regularly over the coming months to ensure compliancewith all regulations. These checks – also called tracers – will include infectionprevention, environment of care, medication management, waived testing, medicalrecords and more.

This year’s Joint Commission survey is one opportunity for WakeMed to show that wefollow all necessary standards – but it is everyone’s responsibility to be compliant at alltimes, not just during a survey. If you have questions or don’t understand how continualreadiness impacts you, speak to your manager or supervisor.

Raleigh CampusConference DiningThursday, April 307:30 am to 7 pm

Cary HospitalConference CenterMonday, May 47:30 am to 1:30 pm

Sharing Clinical ExcellenceFourth Annual Poster Presentation

Come learn about the great work being done by yourcolleagues and view posters that have been presented

at local, state and national conferences.

As vice president of government affairs, Christine Craig spends a gooddeal of her time meeting with legislators and policy makers abouthealth care related bills and laws that could impact WakeMed. It canbe exciting, but it can also feel worlds away from what happens at ourfacilities. “If I ever feel too caught up in the politics, I spend some

time observing in the emergency room or another patient care area. It’s important toremain grounded in why we do this work, and for me, seeing our patients is the bestway to do that,” she says.

Craig grew up in Wilmington, N.C., and studied political science and history atMeredith College. She started her career working with lobbyists on behalf of CarolinaPower & Light (now Duke Energy Progress) and then spent several years with KidsVoting Wake County. When she joined WakeMed in 2004, the organization did nothave much of a government affairs presence, and Craig has been instrumental inbuilding the department from the ground up. “I really enjoy being engaged with thelegislature and elected officials and working together toward common goals,” she says.“Working for WakeMed, I get to see how decisions made in the government effect our

organization and our patients. For example, changes to Medicaidand Medicare directly impact our patients, so it’s important thatWakeMed has a voice in those decisions so we can advocate forthose we serve.”

When the North Carolina legislature is in session, Craig spendsmuch of her time downtown keeping a pulse on day-to-daydevelopments. She also works closely with local governments andtravels to Washington, D.C., monthly to discuss federal issues. Tosupport this work and ensure that WakeMed has a strong voice,Craig has established working relationships with a team ofgovernment affairs strategists and professionals. She often plays therole of intermediary between policy makers and the experts at

WakeMed who can explain the long-term impact of potential decisions. “I’m not thecontent expert – the individuals doing the work every day are the experts. I always try tohave one or two people I can call and get immediate answers about how things work andhow different issues would impact WakeMed and our patients.”

To Craig, success is a team accomplishment, and she would like to have WakeMedemployees get involved and active in the political world. “I love to hear from WakeMedemployees who have questions or want to get involved. Individuals really can make adifference, and it’s important to speak up and let your voice be heard. Something assimple as writing a letter to your representative can make an impact.” Among her shortterm goals are supporting WakeMed as we transition from fee-for-service to a value-based model and ensuring WakeMed’s voice is heard in the ongoing efforts to reshapereimbursement policies. In the long term, she wants to pursue opportunities to serveWake County’s citizens while securing a financially sound future for WakeMed.

Outside of work, Craig values spending time with her husband Ryan and their 10-year-old son and five-year-old daughter. To relax and unwind, she likes to exercise, read andtravel. Wilmington and Atlantic Beach are family favorites for weekend getaways,though she also enjoys traveling farther afield – recent favorite vacations include CostaRica and the Dominican Republic.

Christine CraigVice President, Government Affairs

GET TING TO KNOW

What’sHappening

From top: WakeMed’s 2014 DAISY Award winners wererecognized with a luncheon and celebration.Congratulations to you all – you make us proud!

Kelly Lee, RN, (2 East Medicine – Cary Hospital) hosted“Wheel of Stroke” at the annual Stroke Carnival event.

WPP – Parkway Primary Care staff had a celebratorylunch after winning a friendly competition to improveWakeMed MyChart usage throughout WakeMedPhysician Practices.

Satrinya Pompey and Sheila Townsend (both of MPDC)had some fun on the giant green sofa when it visitedRaleigh Campus to promote the Families On! Challenge.

at

Ronald McDonald House Comes to WakeMedWakeMed has expanded our collaboration with Ronald McDonald House of Durhamto provide accommodations and additional services for families of pediatric andneonatal intensive care patients. Earlier this month, five rooms in the Heart CenterInn were designated a Ronald McDonald House facility and made available tofamilies whose children have extended stays in the hospital.

Eligible families are identified by WakeMed social workers in the NICU, PICU andChildren’s Hospital, and the Ronald McDonald House of Durham coordinates theapplication and placement process. Once they are placed, families have access to allHeart Center Inn services as well as Ronald McDonald House resources. “We are committed to providingthe highest level of care for our young patients as well as much-needed support for our families,” saidMark Piehl, MD, Children’s Hospital medical director. “Our collaboration with the Ronald McDonaldHouse of Durham is an amazing support system for our patients and their families, and this new houseprogram is a great next step in our expanded partnership.”

This month WakeMed celebrated our diverse workplace with a number of events andspecial activities. Café 3000 and Points West Café featured cuisines from around theworld while roundtable discussions gave an opportunity to explore how we can worktogether to maintain a culture of inclusion. Employees were also asked to contributeto our cultural heritage recipe collection, which will be posted for the wholeWakeMed family to enjoy. It’s not too late to contribute! Send a recipe that representsyour family’s cultural heritage – along with a sentence or two about the significanceof the dish – to [email protected]. Diversity & Inclusion Awareness Month ispresented by the WakeMed Diversity & Inclusion Council. To learn more about ourdiversity and inclusion initiatives, email [email protected].

Diversity & Inclusion Awareness Month at WakeMedAPRIL

WOW, WHAT AN EMPLOYEE!

Renee Calkins and Diana Foisy-Waddle (both of 2CRehab Nursing) earned rehabilitation registered nursecertification (CRRN).

Stan Yancey (Spiritual Care) became certified as anAssociation for Clinical Pastoral Education Supervisor.

Leighann Flanagan, RN, and Susan Harris, RN, (both ofthe Emergency Department) received bachelor’s degrees in nursing (BSN).

Katy Strohmeyer, NAI; Lydia Newberry, NAI; MandyEiseman, NAI; and Meredith Givens, NAI, (all from 3ACIVC) completed the basic arrhythmia class.

Carolyn Nicholson, BSN, RN, (Heart Center Pre- & Post-Procedure Care) earned cardiac vascular boardcertification.

Tammy Collie (Mobile Critical Care Services) became ahealthcare accreditation certified professional.

John Harris, RN, BSN, (CTICU) earned critical carenursing certification (CCRN).

Kate Wilson, MD, (Neuropsychology) earned boardcertification in clinical neuropsychology through theAmerican Board of Professional Psychology.

Kevin Horne (Respiratory Care –Cary Hospital) was helpingprepare a young patient withbronchiolitis for transfer toRaleigh Campus when he madehis good catch. The ED physicianhad ordered a 3% saline nebulizertreatment; however, there wasconfusion about the route ofadministration. Kevin asked thenecessary questions to make sure

the patient received a nebulizer treatment and not an IVinfusion. Thanks, Kevin, for your commitment topatient safety.

Bernadette Webb, RN, (Chest PainUnit) was about to administerinsulin to a patient whose chartlisted a blood glucose of 252.When the patient explained thatno one had checked her bloodglucose for some time, Bernadettemade sure it was checkedimmediately. The test revealedthat her blood glucose was reallyonly 100 and the insulin was not

needed. Bernadette’s attention to patient safetyempowered the patient to be involved in her own careand stopped a potential medication error.

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

I A M WA K E M E D :

T H E PAT I E N T P E R S P E C T I V E

This month we are moving into the next phase of the I amWakeMed campaign as we begin to tell the stories of thosewe are here to serve: our patients. Every day, thousands oflives are touched throughout our system – from primary careto intensive care and from ENERGIZE! to emergencyservices. When our patients and their families leave our

facilities, they take a little bitof WakeMed with them. Thecare they receive – whetherit is a life-saving procedureor a routine checkup –allows them to pursue theirpassions and give back to thecommunity in ways we maynever know.

Two new commercials areairing now and feature

WakeMed patients whose lives were changed thanks to thecare and caring they and their families received atWakeMed. Through their stories, we get just a glimpse ofhow the work we do every day helps improve ourcommunity – one life and onefamily at a time. Their storieswill also be shared on thefeature walls at RaleighCampus and Cary Hospitaland online.

By first telling the stories ofour employees, physiciansand volunteers, and now ofour patients, I am WakeMedoffers a chance to see themany ways WakeMed impacts this community and howeach of us embodies the Wake Way, no matter where we go.

From top: Frank – Cardiac Arrest; Intensive Care; Christian –Pediatric Inpatient; Physical Rehabilitation; Virginia – High-Risk Obstetrics

WakeMed’s 2015 Circle of Excellence

Awards – make your nomination today!

The WakeMed Circle of Excellence programrecognizes employees who go above and beyondtheir daily responsibilities. Employees arenominated by their peers and represent the topone percent of WakeMed staff.

Access the nomination form on theWakeMedWeb.

Help us find the best of the best for 2015!

Nomination deadline is May 17.

Looking for a way to use your talents to makea difference? Join the Friends of WakeMed!

Visit www.wakemedfoundation.org/Friends-of-WakeMed to learn more!

Documenting Your FSA & HRA ClaimsIf you have a health care flexible spending account (FSA) or healthy rewards account (HRA)and pay for eligible services with your ConnectYourCare debit card, be sure to get an itemizedreceipt as you may need to provide additional information to complete the claim. This process– called substantiation – is regulated by the IRS and helps ensure that your FSA/HRA funds areused appropriately.

ConnectYourCare often completes substantiation automatically, including when:

• Charges exactly match the copay outlined in the WakeMed health plans.

• Repeated charges for the same amount and provider were already substantiated.

• Charges can be verified by the provider, pharmacy or merchant when the card is used; this ismost common at a retail pharmacy.

In other cases – such as services covered by a deductible and coinsurance – ConnectYourCaremay need additional information. This year, our health plans use deductibles and coinsurancemore than they have in the past, so you may get requests for substantiation more frequently.Documentation must include:

• Name of the person who receivedthe service

• Name and address of the provideror merchant

• Date of service or expense

• Detailed description of the serviceor expense

• Amount charged for the service orexpense

This information is usuallyincluded in itemized receipts or theexplanation of benefits (EOBs),both of which are acceptable formsof documentation; credit cardreceipts and canceled checks are not.

There are several ways to provide documentation:

• Use the ConnectYourCare mobile app to take a photo of your receipt and upload it

• Log in to your online account and upload an image of your receipt

• Fax to 866-879-0812 using your email from ConnectYourCare as the cover sheet

• Mail documentation and a copy of your email from ConnectYourCare to: CYC Claims Dept.,PO Box 622337, Orlando, FL, 32862.

WakeMed Health & Hospitals

3000 New Bern AvenueRaleigh, NC 27610

Non profitOrganizationU.S. PostagePAIDRaleigh, NCPermit NO. 1307

ADDRESS SERVICE REQUESTED

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

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

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

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

e-mail [email protected], or writeMicroscope, Wake Med Public Relations

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

Kate Wilkes, Editor

WakeMed Employees, Photos

©WakeMed Public Relations, April 2015

C ALENDAR OF EVENTSC ALENDAR OF EVENTSTo help you plan ahead, this calendar lists upcoming system-wide events, training classes and community events.For details and fee information, visit the WakeMedWeb. Send calendar submissions to Public Relations or [email protected].

Cline Jewelry SaleRaleigh CampusWednesday, April 29 7 am to 4 pmAndrews Center

Cary HospitalThursday, April 307 am to 4 pmConference Center

Nursing EducationCPR Blitz – Thursday, May 7 – “Check-off only”any time between 8:30 am and 8 pm. Classes heldfrom 9:30 am to 12:30 pm; 1:30 to 4:30 pm; and7:30 to 10:30 pm. See Learning Link (NEAHA20 &NEAHA24). Location: NED Classroom

CRRT: Advanced User Class – Friday, April 24, 8am to noon, NED-C (NED70)

CRRT: Troubleshooting and Alarm Management –Friday, April 24, 1 to 3 pm, NED-C (NED71)

Compassion in Action – Monday, April 27, 8:30 to10:30 am, NED-C (NE014-12009)

Children’s ED Core – Thursday, April 30, 7:45 amto 5 pm, Andrews Center (NE014-12091)

Chest X-ray Assessment – Tuesday, May 12, 8 to9:50 am, NED-C (NE014-7020)

Medicine of Compassion – Tuesday, May 12, 1 to 4pm, NED-C (NE014-9073)

Nursing Professional Development Book SeriesNew Book! Critical Care by Theresa Brown(NE014-15026)

Cary Hospital, Conference CenterWednesday, May 6, 8:30 to 9:30 am Monday, May 18, 10 to 11 am

Raleigh Campus, NED - CThursday, May 14, 2 to 3 pm Friday, May 22, 8:30 to 9:30 am

Wake AHEC The Ethics of Cultural Competence: TranscendingVisible and Invisible Barriers in Psychotherapy –April 24, McKimmon Center, N.C. State University

Lost in Translation: New Directions inCommunication – May 1, Andrews Center

Medicolegal Seminar – May 2, McKimmon Center,N.C. State University

Intraoral Radiography for the Office TrainedDental Assistant – May 5 through June 27,WakeMed

The Fifth Annual Resident Spring Symposium:Enhancing Patient Care Through ClinicalResearch – May 19, Andrews Center

The Role of Coordinated Team Care in Improvingthe Health of Children and Adults withIntellectual and Developmental Disabilities – May20, N.C. Community Health Center Association,Raleigh

HIPAA Compliance Update – May 20, LiveWebinar

Comprehensive Coding using ICD-10-CM for thePhysician’s Office – May 21, Andrews Center

When Survivors Give Birth: A Trauma-InformedTraining for Nurses – May 26, The Jordan Childand Family Enrichment Center, Raleigh

Understanding and Managing Challenging andAggressive Behaviors in Young Children – May 29,N.C. Childrens Developmental Services Agency,Raleigh

Farmers Markets Coming Soon!WakeMed will once again host a communityfarmers market in the Raleigh Campus courtyardon Tuesdays from 10 am to 2 pm. To takeadvantage of strawberry season, the market willbe open May 5 and 19 and then weekly in June,July and August. Cary Hospital’s market beginsMay 27. If you have a special talent or skill you’dlike to share at the Raleigh Campus farmersmarket, email [email protected].

Shape Up for the Scrub Run Free 5K Training Program for Employees!April 27 – June 20

The 2015 WakeMed Scrub Run is scheduled for Saturday, June 20. Race day will be here before we know it, andHealthworks is helping employees get ready by offering a free, 8-week 5K training program. The program meets twicea week and will give you the confidence and athletic training you need to safely complete this 5K race.

• Raleigh Campus: Healthworks, Tuesdays & Thursdays, 5:15 pm

• WakeMed North: WPP – Physical Therapy, Mondays & Wednesdays, 5 pm

To register for the training program, call ext. 07043 or email [email protected]. To register for the Scrub Run, visit www.scrubrun.wakemed.org.

Saturday6.2O.15