NEWS FOR EMPLOYEES AND FRIENDS OF WAKEMED MARCH/APRIL 2018w

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Cary Hospital to Pursue Level III Trauma DesignationCary Hospital has begun the process of pursuingdesignation as a Level III Trauma Center from the StateOffice of Emergency Medical Services (NCOEMS).Receiving this designation is a comprehensive processthat includes an accreditation survey, data registry ofpatient injuries and outcomes, policies and workflows,performance improvement processes, peer review andcontinuing education requirements.

As work gets underway, Elaine Rohlik, executivedirector (Rehab and Trauma Services); MatthewAlleman, MD, medical director, Trauma – CaryHospital; along with Osi Udekwu, MD, medicaldirector, Trauma – Raleigh Campus; and PJ Hamilton,MD, associate director, Trauma – Raleigh Campus, willwork with Cary Hospital administration anddepartments as well as members of the Cary HospitalMedical Staff to assemble a trauma team in Cary.

“This is an exciting initiative for WakeMed CaryHospital and for the residents of greater western andsouthern Wake County who will benefit from thisadded service,” said Tom Gough, senior vice president& administrator, Cary Hospital. “We have a lot ofpreparation to do now until the time we submit ourproposal to NCOEMS and I have no doubt the CaryHospital Medical Staff and our employees are up to thetask.”

Raleigh Campus has had a Trauma I program in placesince 2006 and prior to that was a Trauma II Center.

Cindy Boily Receives Women in Business Award

Cindy Boily, MSN, RN, seniorvice president & chief nursingofficer, is a recipient of theTriangle Business Journal’sannual Women in BusinessAward, which honors womenwho have a history of businessor community serviceaccomplishments. Boily wasrecognized for her workempowering nurses to advance

their careers and to provide the highest level of qualitycare to WakeMed patients.

Since joining WakeMed in 2011, Boily has made it hermission to engage and empower nurses, improvecommunication and strengthen patient care throughinter-disciplinary collaboration. She has played aninstrumental role in many system-wide initiatives,including the creation of a shared decision-makingstructure, establishing a robust new NursingProfessional Development Program and earningMagnet designation. Thanks to her efforts, WakeMednurses now have a stronger voice at the decision-making table and are leading inter-professional effortsto improve outcomes for patients.

In addition to her contributions to WakeMed, Boilyserves as the current president of the North CarolinaOrganization of Nurse Leaders (NCONL) and is afamiliar face at the annual “Nurses Night at theLegislature” event in Raleigh.

In some rare instances, patients who undergo cardiothoracic surgery need to have their chest emergently re-opened. Toprepare for these cases, the CTICU team has spent the last year working on a plan for “Code Open” – or Cardiac Advanced LifeSupport. A team of nurses, advanced practice providers, intensivists and surgeons evaluated every aspect of preparations –from organizing the surgical tools to deciding who would stand where during the procedure – before utilizing WakeMed’s SIMLab to conduct training involving a simulated patient. These simulations helped the team identify ways to save time, simplifytheir materials and perform efficiently.

This hard work and detailed preparation paid off in January for a patient who came to the Raleigh Campus EmergencyDepartment complaining of abdominal pain. The patient had recently had a valve procedure performed at another hospitaland was recovering at home when the pain began. The patient was seen by Henry Myles, MD (WEPPA), who obtained a CTscan, initiated resuscitation, and called cardiothoracic surgeon Judson Williams, MD, MHS (WakeMed Heart & VascularPhysicians). Dr. Williams quickly recognized the patient was in cardiac tamponade (a condition where fluid collects around

the heart and prevents it frompumping) and initiated the CodeOpen.

While the CTICU team broughtsupplies, emergency departmentstaff cleared the Trauma Room.Following the steps they hadrehearsed, the team stayed calmand quickly reopened the patient’schest. Within minutes, the bloodclots were removed and the patientregained a pulse. “Our efforts toreview and standardize care alongwith simulated practice enabled us

to act very quickly for the patient’s sake,” said GinaMcConnell, RN, (CTICU) who assisted with the case. “Whatwas just as amazing for the CTICU team was how the EDteam rapidly facilitated a life-saving process that had neverbefore been performed in their ED.”

Following this life-saving procedure, the patient recoveredin CTICU and 3B before returning home. “During the openchest procedure, our team was spectacular,” commented Dr.Williams. “Because of the simulation, preparation, anddedication of our staff, including Gina McConnell, RN,Michael Modrow, PA-C, Toby Beliveau, RN, and manyothers, this patient is alive today and is already getting backto coaching youth football.”

In today’s wired world, keeping information safe and secureis critically important – and more difficult than ever. Healthcare organizations have the difficult task of protectingpatients’ personal health information (PHI) while making iteasy for clinical staff to access the information they need toprovide care. It’s a difficult balance and hackers are gettingbetter at finding ways to crack through security systems. Hereare some quick facts about cyber security and health care:

• Between 2009 and 2018, 177 million medical records werebreached nationwide.

• In the United States, the average cost of a health care databreach is $380 per record.

• In 2015, Anthem Inc., in Indiana had a hacking incidentthat impacted 78,800,000 people.

Who is behind these attacks?“It’s a common thought that hackers are isolated and workalone – but in fact they are often part of organized criminalgroups. They make their money by accessing personalinformation and then either sell it or use it for identity theftsor other scams,” commented Robert Pierce, manager(Information Security). Many cybercriminals are locatedoutside of the United States and use sophisticated computerprograms to find weak spots in computer networks andsecurity systems. WakeMed has investigated a number ofcyberattack attempts in recent months, which have comefrom as far away as China, Brazil and Nigeria.

What is WakeMed doing to protect us?WakeMed’s information security, legal and corporatecompliance teams are working together to protect ourrecords, as well as our overall network and computersystems. In addition to staying current on security trends andthreats, they are monitoring activity on WakeMed’s networksand taking proactive steps – such as implementing two-factorauthentication – to help our systems stay safe. “Thesechanges may seem like added hoops to jump through, but it’simportant to remember that these processes are in place toprotect WakeMed – and, most importantly, our patients,”commented Kelly Farrell, chief information security officer.

What can I do?We all have a role in protecting WakeMed’s sensitiveinformation. Here are a few things you can do:

• Be Email Smart – More than 90 percent of cyberattacksbegin with a phishing email. If you receive an email askingyou to enter your username and password, that should be ared flag. Send all suspicious emails tophishing@wakemed.org so that Information Services caninvestigate them.

• Protect Your Passwords – A weak password is a hacker’sbest hope for accessing our network. Change yourpassword regularly and avoid using any word that could beeasily guessed, such as your name, “password”, the season,a pet’s name, etc. One simple way is to create a passphrase,words that go together in your head, but no one else couldguess. An example would be instead of using your pet’sname “Felix”, use a passphrase like “FurryCyberC@t!”.

Cybersecurity101To test and improve their processes, CTICU staff workedwith the SIM Lab to conduct a mock Code Open using asimulated patient.

CODEOPEN

Dr. Williams

PREPARATION, TEAMWORKSAVE A PATIENT’S LIFE

Wa�Wellrewards

Jess Simpson, RN, (2ECVICU) passed away onFebruary 28. Ourthoughts go out to herfamily and friendsduring this difficult time.

IN MEMORIAM

NEWS FROM WAKEMED PHYSICIAN PRACTICES

www.wakemedphysicians.com

Welcome New Advanced Practice ProvidersAlison Brancato, NPPulmonary & Critical Care Medicine

Kathryn Leidecker, NPOB-GYN

Daniel Taylor, PAWake Orthopaedics

Opening April 17!OB-GYN – Sunnybrook RoadRaleigh Medical Park, Suite 300

Appointments: 919-235-6559

The practice accepts all forms ofinsurance and welcomes employeesas patients.

WakeMed Expands Breast ServicesWakeMed Physician Practices – General Surgery is pleased to offer expanded,comprehensive management of breast health issues – from early diagnosis to surgicalintervention and long-term treatment planning. The program is led by Lori Lilley,MD, (General Surgery), a board-certified surgeon with more than 20 years ofexperience. Services available include:

• 3D mammography at Cary Hospital and North Hospital

• Minimally invasive breast biopsy

• Ultrasound and stereotactic procedures

• Sentinel lymph-node mapping and biopsy

• Mastectomy with concurrent breast reconstruction

• Second opinions for breast disease treatment and involved breast conditions

The breast services team works collaboratively with anexpert team of radiologists at Raleigh Radiology andWakeMed Imaging Services to provide comprehensiveand coordinated care to patients from diagnosis throughtreatment. To support these efforts, a dedicated NurseNavigator works to align patients with follow-up care.

WAKEMED PHYSICIAN PRACTICES – GENERAL SURGERYDedicated Breast Services Program919-350-PINK (7465)

Complete the Online Member Health AssessmentWakeMed employees participating in WakeWell Rewards should take the online Member Health Assessment through the Viverae Health wellness portal by September 30. Visitwakewell.wakemed.org to get started. Instructions on how to register are available on the WakeMedWeb under Human Resources. Contact Bob Nelson (Human Resources) at 06903or bonelson@wakemed.org with questions.

STEP AHEAD CHALLENGEWalking is one of the easiest and most effective exercises you can do. It is lowimpact, and low maintenance, and it can improve your health by lowering yourrisk of heart disease, diabetes, and some forms of cancer. The Step AheadChallenge is open to all employees on the WakeMed Medical Plan. Simply walk100,000 steps in four weeks (maximum of 12,000 per day) and you will beentered to win a FitBit Charge 2 or an insulated WakeMed water bottle.

The challenge runs from April 2 through 29; register on theViverae portal: wakewell.wakemed.org.

Did You Know? WakeMed has FitWalk walking routes at RaleighCampus, Cary Hospital and WakeMed North. Check the Benefits

site on the WakeMedWeb for maps of all three routes.

With biometric screenings completed, it’s time to start thinking about whetheryou’ll need an Alternate Standard to qualify for WakeWell Rewards. If you fallshort of 120 points, you can use an Alternate Standard (worth 40 points) to makeup the difference. Alternate Standards must be completed before September 30,2018.

Dietitian VisitWakeMed medical plan members can see any registered dietitian in the AetnaNetwork with no co pay and no referral. To schedule a visit with a WakeMeddietitian, call ext. 07000. This alternate standard is quite popular, so it is stronglyencouraged to make your appointment early!

Care AdvisingCare Advising services are designed to help individuals who need additionalsupport managing their health. A referral is required. If you qualify, you will becontacted by your primary care doctor or a care advisor.

Diabetes EducationParticipants with a diagnosis of diabetes may complete a diabetic educationprogram to meet their Alternate Standard. There is no copay for diabeteseducation; however, a physician referral is needed. For information aboutWakeMed’s Diabetes Education Program call ext. 07292.

Stress Management Education WakeWell Rewards participants can earn 40 points by completing a one-on-oneStress Management Education program with our employee assistance program(EAP). To qualify, the employee must complete an initial counseling session, atleast one follow-up session and upload the signed Alternate Standard Verificationform to Viverae by September 30.

LiveWellThis popular 12-week group fitness and healthy lifestyle education program is offered byHealthworks. The next series will run from May 1 to July 19. To set up a consult, call HaileeWingfield at ext. 07043. Consults are required for participation and must be completed by April 13.

Tobacco UsersTobacco and e-cigarette users have two options available:

• WakeMed Tobacco Cessation Coaching: Complete four telephone sessions with a certifiedtobacco cessation coach and take a positive step towards being tobacco free. To register, call ext.06737 or email wellness@wakemed.org.

• Viverae Health Online Tobacco Module: Watch four, five-minute online videos and completea short quiz at the end of each. To get started, visit wellness.wakemed.org.

Pregnant EmployeesEmployees who are pregnant have three alternate standard options this year:

• Maternity Care Advising: Call 855-220-7955 to get started and receive support from a nursethroughout your pregnancy. To receive credit, care advising must begin by September 30.

• Viverae Health Education Module: Watch four, five-minute online videos and complete a shortquiz at the end of each.

• Pregnancy Physician Statement: Have your doctor complete the form and return it to ViveraeHealth by September 30. Maternity Physician Statements are available at Occupational Healthand on the Human Resources intranet page.

Additional information about alternate standards and the process for appealing your results canbe found in the WakeWell FAQ document, located on the WakeMedWeb. Questions? Contact BobNelson at ext. 06903.

DO YOU NEED ANALTERNATE STANDARD?

Raleigh Campus Farmers MarketReturns May 1!Tuesdays, May 1 – August 2810 am to 2 pm, WakeMed Raleigh Campus

Shop a great selection of local, affordableproduce in the Raleigh Campus Courtyard or 1E lobby.

The market accepts EBT cards and offers 2-for-1Market Match vouchers for those who receiveSupplemental Nutrition Assistance Program(SNAP) benefits.

Interested in being a vendor? Complete theonline application form atwakemed.org/farmers-market.

WOW, WHAT AN EMPLOYEE!

MPDC – Cary Hospital sends heartfelt thanks to Eula Murphy for her 34 years of dedicatedservice. Eula retired on March 2. Her friendly smile and pleasant demeanor will be greatly missed.

3A CVIC welcomes Amanda Brown, RN, Juanita Bryant, RN, Danielle Hatfield, Brittany Bird,Kristi Conley, Lucy Gicovi, as well as nurse fellows Sarah Tubia, RN, Susan DeCarlo, RN,Daphne Davis, BSN, RN, and Nicole Gooch, BSN, RN.

CICU welcomes Nahkia Echols, RN, and Bry Cauthen, RN.

1 East CEA would like to welcome Christina Murphy, RN.

Food & Nutrition – Cary Hospital welcomes Thea McNeill, Natasha Morris, Ragini Patel andShanice Stancil.

Home Health welcomes Katrina Whitney, RN, Amy Cathey and Sarah Bowen, MSW.

Bridgit Caulder, RN, transitioned from Case Management – Raleigh Campus to North Hospital asthe Orthopaedic Navigator.

Corporate Planning welcomes Justin Rushford.

6A CVIC welcomes Hayley Dickens, Jessica Smith, Madison Gould, Emily Aldridge, RN, andnurse fellows Meagan Coffman, RN, Jennifer Shaw, RN, and Alexis Tant, RN.

The Emergency Department at Raleigh Campus welcomes new nurse fellows Mark Schellhorn,RN, Will McPhatter, RN, Samantha Abreu, RN, Toni Shook, RN, Brandi Gardner, RN, MaryBeth Gerow, RN, Michelle Sina, RN, Jesse Wallace, RN, and Leslie Beam, RN.

WakeMed Physician Practices – Primary Care – North Raleigh welcomes Johanna Agosto Torres.

Patient Access welcomes new manager Renna Johnson.

WakeMed Physician Practices – General Surgery & Trauma welcomes Brenda Clatworthy, RN,and LaRon Vest-Williams, RN.

WakeMed OneCall welcomes Martina Watkins, RN, Nicole Foster and Jessica Colon; the teamalso sends best wishes to Bonnie Chisholm who recently departed WakeMed.

Respiratory Care Services – Cary Hospital welcomes new manager Ken Goss.

Construction & Design welcomes Lee Robeson.

WakeMed Physician Practices – Urology welcomes Monneshia Sanders.

5A MIC welcomes Angela Almengor, RN, Ana Maria Santos, Deepa Thapa, RN, BridgetFreudeman, RN, nurse fellow.

Patient Case Management welcomes Eileen Keighley, RN.

Wake AHEC welcomes Sharri Oxendine as a new project coordinator.

COMINGS & GOINGS

Eleanor Rawls, RN, (AMI/Chest Pain Program) earned a master’s degree in nursing (MSN) fromEast Carolina University in December 2017.

Supply Chain is pleased to announce that Satrinya Pompey has been promoted to manager ofthe MPDC department at Cary Hospital. Pompey has been with WakeMed for 12 years and wasmost recently a contract specialist.

Cristina Kaifer, PharmD, (Pharmacy) was selected to present research at the annual Society ofCritical Care Medicine meeting in San Antonio, Tex. Her presentation was titled,“Implementation and Impact of a Pharmacist-Driven Stress Ulcer Prophylaxis DiscontinuationProtocol in the ICU.”

Congratulations to Chantal Howard, RN, vice president, Nursing (Raleigh Campus); VickiWhitley, RN, executive director, Nursing (Cary Hospital), Janice Neff, RN, (NursingAdministration) and Sabrina Tyndall, RN, director (Clinical Informatics & Nursing) on earningNurse Executive Advanced-Board Certified (NEA-BC) certification by the American Organizationof Nurse Executives.

Judson Williams, MD, (WakeMed Heart & Vascular Physicians) is presenting at two conferenceson cardiothoracic surgery. On March 15, he presented at the 6th Annual Congress of EnhancedRecovery and Perioperative Medicine on Enhanced Recovery Across the Surgical Spectrum inCardiothoracic Surgery. On April 28, he will present at the American Association for ThoracicSurgery in San Diego, Calif. Dr. Williams’ presentation will cover enhanced recovery protocols incardiac surgery.

The American College of Cardiology Patient Navigator Program has highlighted a poster createdby WakeMed for reducing AMI readmissions with a team approach. The poster is being shared asan example of best practices with all new hospitals who are participating in the NCDR ACC FocusMI national campaign. WakeMed has been a member of this program since it began in 2014.

MORE EFFICIENT CHARGE RECONCILIATION Sending a bill for a medical procedure may seem straightforward,but a lot of work takes place behind the scenes before thathappens. One important step is double checking that allprocedures and surgeries a physician performs are coded andcharged appropriately. Until recently, this reconciliation processregularly took longer than two weeks – delaying bills and creatinga burden for staff.

Maria Jayoussi, executive director (Finance – Physician Services)took on the challenge of reducing the reconciliation time to lessthan two weeks. Guided by the phrase, “Go see; Ask why; Showrespect,” Jayoussi spent time with the coding team thatperformed this task. After learning about the process, she foundthat every person had a slightly different way of performingreconciliation. “The process was time consuming and not clearlydefined. There were no policies or standard work in place, whichled to a lot of duplication and errors,” she explains. She alsodiscovered that each person spent between 8 and 20 hours amonth doing reconciliation. With eight people on the team, thatequaled about 16 days a month dedicated solely to this task.

Using the “Plan, Do, Study, Act” approach, Jayoussi and the teamset out to make improvements. They realized that movingreconciliation from coding to Finance would improve efficiencybecause Finance already performs reconciliation for other things.To standardize and improve the process, Information Services wasengaged to create automated reports, develop an easy-to-usedashboard and improve access to information. With these changesin place, reconciliation is now completed within two days andthe entire process takes about 4 hours a month – a huge decreaseover the original 16 days! “Thanks to this team approach andinter-disciplinary collaboration, we saw tremendous improvementin a very short amount of time,” commented Jayoussi. “Thecoders now have more time to spend on charge review and thecharges are being adjusted much faster – which is a benefit to ourpatients.”

WW2E IN ACTION

Providing a comfortable, clean and welcoming patient care environment is a critical partof the patient and family experience. At Raleigh Campus, work is underway to create amore consistent and orderly look and feel in our patient care areas. Operation Tidy, as theinitiative is called, is a team effort involving Nursing and clinical staff, EnvironmentalServices and Facilities, among others. To assess needs and get the project off the ground,Denise Warren, executive vice president & chief operating officer, Cindy Boily, RN,senior vice president & chief nursing officer, and Oral Wise, executive director,Ambulatory & Support Services, have been conducting rounds of units, hallways andpublic spaces.

“We are taking a close look at our patient care environment from the perspective of thepatient. We are looking at everything they see – from the ceiling tiles, to windowcoverings, to what is written on white boards, and more,” commented Boily. “This has ledto wonderful discussions with staff about what they take pride in and where we can makeimprovements.” Based on what the team learned, work is now underway to standardizeprocesses, including the location of hand gel stations, how white boards and clinicalsignage is managed, and more. These changes will streamline the workflow for staff andensure a consistent experience for patients.

To create a positive first impression for patients upon admission, Environmental Servicesstaff will be trained on new, standardized ways to set up patient rooms – includingarranging patient information, how linens are folded, furniture layout, etc. John Horton,manager (Facility Services) is working with EVS and clinical staff to address roomupgrades and repairs like wall protectors, chipped paint and stained ceiling tiles. “Wewant our patient rooms to have the best possible influence on the patient and familyexperience. Most of our work needs to be done when rooms are empty, so we are oftenworking against the clock to accomplish these tasks and meet our shared goals,”commented Horton. For efficiency, and to give Facilities time to get needed work done,rooms should be audited and work orders entered as soon as a patient is discharged.

“This is an excellent example of staff from different areas coming together for the benefitof our patients,” added Wise. “Our goal is to create a better process so that our teams canwork together to take a proactive approach moving forward.”

OPERATION TIDYFocuses on ImprovingPatient Experience

Every day, our patients put their health and well-being, trust andconfidence and lives in the hands of our physicians. And, everyday, those hands deliver compassionate care, treat the sick andinjured, perform advanced procedures and restore quality of life.On National Doctors’ Day and every day, we appreciate you andthe skilled work your heart and hands do for our patients.

This year, in honor of Doctors Day, leaders from across WakeMedcreated handmade notes, cards and posters to thank ouroutstanding physicians for the care they provide. Physicians alsoenjoyed handmade treats and snacks throughout the week as atoken of our appreciation.

Guadalupe Arguip (Environmental Services)

WakeMed patients will soon have a new resource to help them stay informed and engaged during a hospital stay. MyChartBedside is a tablet-based app that is linked to Epic and provides educational resources and information about their

medical care. MyChart Bedside is different from the MyChart patient portal – but thereare some ways the two tools work together.

To use MyChart bedside, patients are provided with an internet-enabled tablet to useduring their stay. The tablet is linked to the patient’s Epic record (by barcode scan) andpatients are assigned educational materials, videos and questionnaires to review attheir convenience. When patients review the materials, it is documented in Epic andcan be made available on their personal MyChart account for future reference.MyChart Bedside also helps patients stay engaged in their care by providing vitalsigns, medication schedules and a list of their care team members. To protect patient privacy, as soon as the patient’s discharge is recorded inEpic, the tablet is automatically wiped clean and returned to default settings. “Our goal for MyChart Bedside is to engage our patients andimprove workflows for our care team. We are working closely with nurses and other clinical staff to make this tool even more useful for ourpatients and staff,” commented Chad Sickle, RN, (Information Services) who is leading our MyChart Bedside implementation.

While MyChart Bedside is still relatively new to us, WakeMed has quickly become a leader in the region for finding innovative ways to usethe app. One early success story was the transition of the post-partum depression scale, which nurses previously completed by hand andmanually transferred into Epic. “With MyChart Bedside, it’s much easier. You assign the scale with one click, the patient fills it out on thetablet, and their answers are recorded in Epic,” explains Kimberly Harper, RN, (Labor & Delivery). “In addition to saving nurses time, nowpatients have a more private way to answer questions that can be uncomfortable.”

The tablets are also pre-loaded with cafeteria menus, the TV channel guide, facility maps and other useful information. Soon, they will alsohave the In Demand app for video remote interpretation (VRI) services, WakeMed’s preferred method of providing medical interpretive

services. As a theft deterrent, the tablets have tracking software installed and will only work on WakeMed’s wifi signal.

Currently, MyChart Bedside is in use in the Mother/Baby units at North Hospital and Cary Hospital. This spring it will be rolled out at Raleigh Campus. IS is working closely withclinical teams before, during and after implementation to make decisions based on existing workflows and maximize efficiency.

THERAPEUTICBefore he was discharged from the Rehab Hospital inFebruary, patient – and retired art teacher – Jim Hunt led anart class for fellow rehab patients. Participants worked withtherapists to create an inspirational painted canvas in acreative – and therapeutic – environment. The class also gaveMr. Hunt an opportunity to share an activity he loves withothers as part of his “Independence Day.”

WakeMed’s annual mandatory package in Learning Link (WM-MAN) as well as required Integrity & Compliance training wasassigned to all WakeMed employees on Monday, April 2. WM-MAN must be completed by June 30 and the Integrity & Compliancetraining is due December 1. As a reminder, to be eligible for any potential WakeShare Payout this year, all required education must becompleted by the original due date. New this year! This year’s WM-MAN package will offer a new test out option, allowing employeesto take two comprehensive tests covering all WM-MAN topics. A study guide will be available online. Questions? Emaillearninglink@wakemed.org.

BEDSIDEIMPROVING ENGAGEMENT, EDUCATION WITH MYCHART BEDSIDE

WakeMed Heart & Vascular Services and Wake AHEC, withsupport from the WakeMed Foundation, held theCardiovascular Care Symposium 2018 on Saturday, March 3,at the Raleigh Convention Center in downtown Raleigh.Attendance at the symposium was nearly 300 participants –all there to learn the latest on advancing cardiovascular carewith technology, techniques and collaboration. Presentersincluded physicians from WakeMed Heart & VascularPhysicians, Duke Health, Cary Cardiology, WakeMedPhysician Practices – Primary Care; Dr. Brent Myers from ESOSolutions and Betsy Gaskins-McClaine (Patient Navigationand Transitions).

Above: Advanced heart failure physicians Priyesh Patel, MD,and Stuart Russell, MD, pose after presenting withsymposium Course Director Islam Othman, MD, (WakeMedHeart & Vascular Physicians) and Joseph Rogers, MD, of DukeHealth’s Advanced Heart and Lung Failure Clinic and DukeCardiac Transplant Clinic.

CardiovascularCare Symposium

COMPLETE YOUR ANNUALTRAINING!

Ted Lotchin, JD, grew up in Chapel Hill, where his father taught history at UNC-Chapel Hill andhis mother taught English at N.C. Central University. He stayed close to home for college,studying psychology at UNC, and then headed north to New Hampshire, where he worked at aresidential school for children with social and emotional challenges. Two years later, Lotchinreturned to school himself, earning a master’s in public health from Boston University followedshortly by a law degree from The College of William and Mary. “My early work experienceinstilled in me a strong desire to help others. I went to law school with the goal of becoming ahealth care attorney and I enjoy having the opportunity to see how the work we do on a daily basishelps people in the community,” he says.

Since graduating law school, Lotchin has spent most of his careerpracticing with law firms in Washington, D.C., always specializing inhealth care law. He also spent two years as an assistant universitycounsel at UNC – Chapel Hill, specifically working with the School ofMedicine and faculty practice plan. Drawing on his expertise in healthcare law and regulatory requirements, he joined WakeMed as vicepresident of Corporate Integrity & Compliance in October of last year.In this role, Lotchin is responsible for developing and implementing thehealth system’s privacy (HIPAA), compliance, and internal auditprograms. Lotchin believes that extraordinary teamwork and support byall departments and employees across the entire system will be criticalfor ensuring the continued success of WakeMed’s compliance programs.“My goal is for people to see the compliance and audit teams as

resources and feel comfortable reaching out to ask questions and get advice before small problemsbecome big issues.”

While he is still fairly new to WakeMed, Lotchin says that his transition has been remarkably easy. Hehas made it a priority to spend time getting to know people across the organization and becomefamiliar with WakeMed’s processes and procedures. “The WakeMed team is tremendous andeveryone has been great to work with. It’s a very open and collaborative environment where peopledon’t shy away from having difficult discussions and striving to better help our patients and theirfamilies.” This commitment to those we serve is one of the things that Lotchin loves about WakeMed.“From the first meeting I had with Donald, I could tell that the focus on patients and their families wasone thing that made WakeMed unique. I’m excited to be part of an organization that is so intentionalabout making them the priority.”

Working in corporate compliance isn’t without challenges, however, and WakeMed’s compliance andaudit teams are working to meet those challenges head on. “Health care laws and regulations haven’tkept up with the new ways we provide care. Caring for a community through population healthinitiatives is very different – and we are working to help people understand how those rules apply innew care environments.” As a leader, Lotchin feels that his role is to put people in a position to besuccessful. “I want to spend time setting people up to be successful – not micromanaging the work thatthey do. You can’t be effective if your team doesn’t believe you care about their success.” He valueshaving a team that is professional, proactive, responsive, and accountable.

Outside of work, Lotchin enjoys playing and coaching basketball, and spending time with his family. Heand his wife Sarah, who is a social worker, will celebrate their 18th anniversary this year. They havethree children – two boys, age 11 and 10, and a daughter, age 6.

GET TING TO KNOW

Ted LotchinVice President, Corporate Integrity & Compliance

WakeMed + Dukecollaboration in actionSince WakeMed and Duke Health announced formal clincialcollaborations last year, a tremendous amount of work hasgone on behind the scenes to create strategic andoperational plans that will meet the goals of these

collaborative efforts. While not a merger of any kind, Heart Care Plus+ and Cancer CarePlus+ were established to improve the care we provide to our patients by leveraging thestrengths of WakeMed and Duke and making it easier for Wake County patients to get the care they need, closer to home. Some milestones from the past year include:

• Heart Care Plus+ has recruited two outstanding advanced heart failure specialists andopened an advanced heart failure practice in the Heart Center.

• Duke Health’s Brett Atwater, MD, and Kevin Jackson, MD, became credentialed members ofthe Raleigh Campus Medical Staff and have standing lab time in the electrophysiology labs.

• Cancer Care Plus+ made great progress in the focus areas of thoracic surgery andgynecologic oncology – developing shared call coverage for thoracic surgeons, a joint tumor board and Duke is recruiting a gynecologic oncologist who will practice at bothorganizations.

Meet the Leadership TeamAs we build on this work and the focus shifts from strategic planning to implementation anddaily operations, Carolyn Knaup, senior vice president, Ambulatory & Physician Operations,is now serving as WakeMed’s principal representative and administrator for the collaboratives.In this role, Knaup will join the leadership committees of both collaboratives to help usachieve our vision of delivering a broader scope of services and greater value. She will alsopartner with the collaborative service line executives Lori Pickens, associate vice president,Duke Oncology Services, and Sean Sondej, associate vice president, Duke Heart and VascularServices.

In their roles as service line executives, Pickens and Sondej report to both Donald Gintzig,WakeMed’s CEO, and William Fulkerson, MD, executive vice president of Duke UniversityHealth System, and to the Boards of their respective collaboratives. They are tasked withoverseeing the performance of the service lines, which includes quality, patient satisfaction,physician & staff satisfaction, improvement efforts and financial results. Working together,Knaup, Pickens and Sondej will ensure that stakeholders from both organizations are engagedand that the teams are supported as we move forward in our efforts to streamline and enhancethe care available to the patients we serve.

The Power of the Plus As we look back on the past year, we are excited to share some of ways that this collaborativehas made a real difference – demonstrating the power of the plus:

• While being transferred from the cath lab to the operating room, a WakeMed patient wentinto arrest with cardiogenic shock. WakeMed’s cardiothoracic surgeon Bill Killinger, MD,reached out to Duke’s Carmelo Milano, MD, to discuss the best options. The patient wasplaced on ECMO, which provides cardiac and respiratory support, and transferred to Duke.Within three days, the patient was taken off ECMO and had a left ventricular assist device(LVAD) implanted.

• In February, a WakeMed patient who was critically ill and declining due to cardiogenicshock received an axially implemented Impella LVAD. This was the first time this procedurewas performed at WakeMed, and was possible thanks to collaboration between WakeMedand Duke.

• Also in February, an endomyocardial biopsy was performed in the WakeMed cath lab for thefirst time in more than 20 years. The procedure, which takes about 20 minutes, is a non-invasive way to look for amyloids, which are a form of protein deposits.

Look for more examples of the power of the plus in future updates!

Carolyn Knaup Lori Pickens Sean Sondej

April Is Diversity & Inclusion Month WakeMed recognizes Diversity & Inclusion Awareness Month every April to encouragerespect and appreciation for the many aspects of culture, belief and heritage that makeus each unique. This year we will be offering diverse meals in the cafeterias, educationalopportunities and the chance to share family recipes in our cultural heritage recipecollection. Plus, mark your calendars for the food truck fair, featuring fun activities anddiverse food trucks with food available for purchase.

Stay tuned to the WakeMed Weekly and WakeMedWeb for details about these and otheractivities taking place in April. If you want to learn more or get involved, contact YleniaSharif at diversity@wakemed.org.

FOOD TRUCK FAIR

Raleigh CampusApril 26

Courtyard

Cary HospitalApril 27

Points West Café

North HospitalApril 27

Falls Café Patio

WakeMed is partnering with several organizations to bring a series of financialwellness workshops to Raleigh Campus this April. Workshops are open to allWakeMed employees. All sessions will be held in Conference Dining at RaleighCampus. Registration is not required – space is limited, so come early.

Conquering Student Loan Debt Presented by VALIC Thursday, April 12, 11:30 am

• Qualifications for student loan forgiveness programs

• Choosing a repayment payment that makes sense for you

• Responsibility for loan repayments when borrower dies

Beat the Bank Presented by Coastal Federal Credit UnionWednesday, April 18, 11:30 am

• Advantages of working with a credit union

• Ways to lower or refinance debt to increase savings

• How to sign up for a free one-on-one financial review

Let’s Talk Credit Presented by Wells FargoThursday, April 19, 11:30 am

• Credit basics

• Establishing and improving your credit

• Managing debt and find out if you are ready for a major purchase

529 College Savings PlanPresented by the College Foundation of North CarolinaTuesday, April 24, 11:30 am

• How a 529 College Savings Plan can help you save for your children’s education

• Strategies for savings and using these funds to lower taxable income

FINANCIAL WELLNESS

WORKSHOPS

WakeMed’s Good Catch Program encourages staff to positively impact patient safety by speaking up,reporting good catches and sharing their experiences. If you have made a good catch, share it byclicking the “Report a Good Catch” link on the WakeMedWeb.

Mary Anne Tan, RN, (5C Medicine) made her good catch when she raisedconcerns about the warfarin dose one of her patients was given. MaryAnne had noticed that while the patient’s INR (which measures the time ittakes for blood to clot) was therapeutic (2.8), there had been a significantincrease in the previous 24 hours. She recognized that could be a problemand asked Pharmacy to look into it. Pharmacy agreed that the increase inINR was enough to warrant placing a hold on the warfarin. Thank you,Mary Anne for your vigilance and attention to detail!

R E C O G N I Z E | R E V I E W | R E P O R T

CALENDAR OF EVENTS

Volunteer SalesThe Volunteers are partnering with Dillards to hoston-site sales at Raleigh Campus and Cary Hospital.Payroll deduction will be available for employees (IDbadge required). Cash and credit cards are alsoaccepted for all shoppers.

Cary HospitalWednesday, April 47 am to 4 pmConference Center

Raleigh CampusTuesday, April 247 am to 4 pmAndrews Center

Nursing EducationOwnership, Empowerment & Accountability: ANew Model for Competency Assessment – May 14,1 to 4 pm, MOB Room 1 (LL Code: NE014-17106)

Looking at the Literature: Patient Education – April5, 3 to 3:45 pm, Cary Hospital, Points West 2&3; April12, 7:30 to 8:15 am, Conference Call; April 24, 11 to11:45 am, Raleigh Campus, NED C (LL Code: NE014-18058)

Guarding against Burnout – May 11, 8 to 11 am,NED B (LL Code: NE014-17055)

Organizational Development

Professional Development

You are the Difference – Tuesday, May 1, 8:30 am to3 pm, MOB 1; May 2, 8:30 am to 3 pm, MOB 1; May30, 8:30 am to 3 pm, MOB 1 (LL Code: SDYOU)

Impacting Others through Your Behavior – May 14,8:30 am to 12:30 pm, MOB 1 (LL Code: PPDISC)

People See things Differently – May 11, 8:30 am to12:30 pm, MOB 1 (LL Code: PDMBTI)

Effective Communication – May 10, 8:30 am to12:30 pm, MOB 1 (LL Code: PDCOM)

First Impressions – May 4, 8:30 am to 12:30 pm,MOB 1; May 15, 8:30 am to 12:30 pm, MOB 2; May17, 12:30 to 4:30 pm, MOB 2 (LL Code: PDFI)

WAKE AHEC Creatively Engaging Children and Adolescents inGroups – April 18, Andrews Center

Perinatal Mental Health: Postpartum SupportInternational Training – April 19 & 20, AndrewsCenter

16th Annual Triangle Breastfeeding AllianceConference: Optimizing Outcomes in ChallengingSituations – April 26, Andrews Center

Substance Abuse Series

• Women and HIV – May 1, 2018, William F. AndrewsCenter

• A Newer Problem in an Older Age: Substance UseDisorders in Older Adults – May 3, Andrews Center

• Substance Abuse and Family Systems – May 7,Andrews Center

• New Perspectives on Marijuana – May 10, CaryHospital

Health Disparities – May 15, Andrews Center

Exploring Evidence-Based TreatmentInterventions for Children and Adolescents – May18, The McKimmon Conference & Training Center,Raleigh

Non profitOrganizationU.S. PostagePAIDRaleigh, NCPermit NO. 1307

3000 New Bern AvenueRaleigh, NC 27610

ADDRESS SERVICE REQUESTED

© WakeMed Marketing & Communications, March/April 2018

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 Marketing & Communications department thanks all ofthe employees who contributed to this publication.

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

e-mail microscope@wakemed.org, or write Microscope, Wake Med Marketing & Communications,

3000 New Bern Avenue, Raleigh, NC 27610.

Kate Wilkes, EditorWakeMed Employees, Photos

To help you plan ahead, this calendar lists upcoming system-wide events, training classes andcommunity events. For details and fee information, visit the WakeMedWeb. Send calendarsubmissions to Public Relations or email microscope@wakemed.org.

@WakeMed WakeMedHospitals WakeMed WakeMed Children’s

Stop the BleedOffered by WakeMed Trauma Services

& CapRAC

Severe blood loss is one of the leading causes ofpreventable death. Rapid bleeding can occur frominjuries at home, at work and on the field.Knowing how to stop rapid bleeding untilemergency responders arrive can be life-saving. Inthis FREE, 1-hour course, participants will learnthe skills to provide immediate bleeding controlwhen faced with an emergency. All classes are ledby the experts from the WakeMed Trauma Center.

For more information and to register, visitwakemed.org.