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NEWS FOR EMPLOYEES AND FRIENDS OF WAKEMED DECEMBER 2018 www.wakemed.org WakeMedU is Coming! In January 2019, WakeMed will transition to a new online learning management system called WakeMedU. WakeMedU will replace Learning Link for all learning and development opportunities at WakeMed. This transition has been underway for several months and all employees should be aware of a few key dates as we get closer to launch: January 18: Access to Learning Link will be disabled so data can be migrated to WakeMedU. >Employees should complete all mandatory training before this date. > Leaders should print any transcripts required for performance evaluations before this date. January 24: WakeMedU goes live. Your training history and any upcoming class registrations will be transferred to the new system. Additional information about WakeMedU features and functionality will be shared in the coming weeks – stay tuned to the WakeMed Weekly and MyWakeMed for details. With questions, email Karyn Aberts at [email protected]. Terms to Know Some of the terminology in WakeMedU is a little different than what we are used to in Learning Link. Here are some of the terms you will see in the system, along with their definitions: Learning Object (LO): In Learning Link, we referred to this as a “Learning Activity.” This could be an online course, in-person class, webinar, video, PDF document, acknowledgement, or other type of learning. Transcript: In WakeMedU, “Transcript” refers to your historical training record (“Completed”) as well as a listing of items to be completed (“Active”). Request: In WakeMedU, “Request” means “Register.” When you see the word “Request” it is actually a prompt to register for a Learning Object. Launch: When you want to start a course, click “Launch.” All of us at WakeMed wish you a happy and healthy holiday season and a very happy New Year! Share your holiday photos! If you have photos of your department or unit celebrating the holidays, send them to microscope@ wakemed.org to be considered for the January issue! Reaching Out & Making a Difference Among many other community outreach activities this fall, WakeMed provided flu vaccines to homeless and under- served individuals at area shelters as part of the ongoing Homeless Grand Rounds Lecture Series. Through this series, WakeMed providers offer health education to hundreds of our community's homeless residents in area shelters. “People experiencing homelessness face daily threats to their health and heightened exposure to illness. In the evolving world of population health, there is nothing as important as working with high-risk, vulnerable populations to empower them to improve their health, especially in the context of what might be overwhelming social barriers,” explains Brian Klausner, MD, medical director of Community Population Health, who helped start the series three years ago. As part of the winter health lecture, participants were also offered flu vaccines free of charge – and around 150 individuals took advantage of the opportunity. Providing the flu vaccines is a team effort involving Corporate & Community Health as well as WakeMed employees who volunteer their time to administer the vaccinations. This year, for the first time, WakeMed was also able to offer flu vaccines for children, thanks to support and help from WakeMed Physician Practices – Pediatrics staff, under the leadership of Luan Cox. Offering the flu vaccines is especially important because individuals who are homeless or living in shelters are at higher risk of contracting the flu and seven times more likely to die from the illness than individuals who are not homeless. This population is also more likely to seek care in the emergency department. Based on historic data around influenza in homeless populations, vaccinating 150 people likely helped avoid at least 17 cases of flu – thereby avoiding numerous ED visits, hospitalizations and possibly saving at least one life. “This program is a great example of WakeMed departments coming together and doing what’s best for the community we serve,” commented Linda Barrett, director (Corporate & Community Health). “We have seen an increase in participation every year, and are so grateful to everyone who helps make this program possible.” WakeMed Pathology Receives CAP Certification WakeMed’s pathology services were recently surveyed by the College of American Pathologists (CAP), an organization dedicated to fostering and advocating excellence in pathology and laboratory medicine. The survey, which evaluates the full spectrum of laboratory test disciplines, included nearly 3,000 standards. We are pleased to report WakeMed completed the survey with fewer than 10 deficiencies systemwide – Raleigh Campus was 99.84 percent compliant and Cary Hospital was 99.82 percent compliant. Congratulations to the WakeMed Pathology team and Raleigh Pathology Laboratory Associates on this outstanding result! Celebrating Our Chasing Zero Heroes! We are proud to recognize two teams that recently received the Chasing Zero Hero trophy for their outstanding work in eliminating patient harm! 5B Neuro Intermediate Care received the Chasing Zero Hero trophy for achieving 20 months (and counting!) with ZERO central line associated blood stream infections (CLABSIs). To help reach this milestone, the team has rallied around the standard central line protocols – charge nurses advocate to remove them as soon as possible and those that remain are checked daily. 5B’s nurse techs have been trained on CLABSI prevention so they can help ensure central lines are cared for properly. To keep skills sharp, the unit also keeps training and reference materials easily accessible for staff who want to review and practice. “Our team has really come together around this effort and it’s empowering for everyone to be a part of this success. All of our nurses and nurse techs understand they play an important role and can help advocate for our patients,” commented Tory Cairns, RN, manager (5B NIC). Cary Hospital Surgical Services was recognized for 30 months with ZERO wrong-site surgeries and ZERO near- misses in the OR. Director Nell Panten, DNP, MSN, RN, attributes this success to the perioperative team’s dedication to putting the patient first. The team uses safety measures including pre-admission testing by visit or phone call, anesthesia huddle 72 hours before surgery, surgical classes for orthopaedics and bariatrics patients and a pre- surgical time-out. “All the pre-surgical huddles address any issues prior to starting the day and highlights are shared by the clinical coordinator and anesthesiologist immediately prior to starting the day’s cases. The circulating nurses re- check consents and verify procedures with patients and participate in the anesthesia time-out in the OR. The surgeons are also an integral part of this because they verify and mark the site prior to transport to the OR, along with participating in the surgical time-out before surgery,” commented Panten. Congratulations to both of these teams (see photos inside) and thank you for your commitment to Chasing Zero! Have a success story to share? Send it to [email protected]. Raleigh Campus, Cary Hospital Receive Chest Pain Certification Raleigh Campus and Cary Hospital were both recently re-certified as Chest Pain Centers by the American College of Cardiology. Both accreditations involved rigorous on-site evaluation of the staff’s ability to evaluate, diagnose and treat patients who may be experiencing a heart attack. Hospitals that have earned ACC Chest Pain Center Accreditation have proven exceptional competency in treating patients with heart attack symptoms. They have streamlined their systems from admission to evaluation to diagnosis and treatment all the way through to appropriate post- discharge care and recommendations and assistance in patient lifestyle changes. Thank you to everyone who participated in both of these surveys – we applaud your hard work!

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Page 1: NEWS FOR EMPLOYEES AND FRIENDS OF …...NEWS FOR EMPLOYEES AND FRIENDS OF WAKEMED DECEMBER 2018 w w w. w a k e m e d. o r g WakeMedU is Coming! In January 2019, WakeMed will transition

NEWS FOR EMPLOYEES AND FRIENDS OF WAKEMED DECEMBER 2018

www.wa

kemed.org

WakeMedU is Coming!In January 2019, WakeMed will transition to a newonline learning management system called WakeMedU.WakeMedU will replace Learning Link for all learningand development opportunities at WakeMed. Thistransition has been underway for several months and allemployees should be aware of a few key dates as we getcloser to launch:

• January 18: Access to Learning Link will be disabledso data can be migrated to WakeMedU.

>Employees should complete all mandatory trainingbefore this date.

>Leaders should print any transcripts required forperformance evaluations before this date.

• January 24: WakeMedU goes live. Your traininghistory and any upcoming class registrations will betransferred to the new system.

Additional information about WakeMedU features andfunctionality will be shared in the coming weeks – staytuned to the WakeMed Weekly and MyWakeMed fordetails. With questions, email Karyn Aberts [email protected].

Terms to KnowSome of the terminology in WakeMedU is a littledifferent than what we are used to in Learning Link.Here are some of the terms you will see in the system,along with their definitions:

• Learning Object (LO): In Learning Link, we referredto this as a “Learning Activity.” This could be an onlinecourse, in-person class, webinar, video, PDFdocument, acknowledgement, or other type oflearning.

• Transcript: In WakeMedU, “Transcript” refers to yourhistorical training record (“Completed”) as well as alisting of items to be completed (“Active”).

• Request: In WakeMedU, “Request” means “Register.”When you see the word “Request” it is actually aprompt to register for a Learning Object.

• Launch: When you want to start a course, click“Launch.”

All of us at WakeMed wish you a happy and healthy holiday season and a very happy New Year! Share your holiday photos! If you have photos of your department or unit celebrating the holidays, send them to microscope@ wakemed.org to be considered for the January issue!

Reaching Out & Making a Difference Among many other community outreach activities this fall,WakeMed provided flu vaccines to homeless and under-served individuals at area shelters as part of the ongoingHomeless Grand Rounds Lecture Series. Through thisseries, WakeMed providers offer health education tohundreds of our community's homeless residents in areashelters.

“People experiencing homelessness face daily threats totheir health and heightened exposure to illness. In theevolving world of population health, there is nothing asimportant as working with high-risk, vulnerablepopulations to empower them to improve their health,especially in the context of what might be overwhelmingsocial barriers,” explains Brian Klausner, MD, medicaldirector of Community Population Health, who helpedstart the series three years ago.

As part of the winter health lecture, participants were alsooffered flu vaccines free of charge – and around 150individuals took advantage of the opportunity. Providingthe flu vaccines is a team effort involving Corporate &Community Health as well as WakeMed employees whovolunteer their time to administer the vaccinations. Thisyear, for the first time, WakeMed was also able to offer fluvaccines for children, thanks to support and help fromWakeMed Physician Practices – Pediatrics staff, under theleadership of Luan Cox.

Offering the flu vaccines is especially important becauseindividuals who are homeless or living in shelters are athigher risk of contracting the flu and seven times morelikely to die from the illness than individuals who are nothomeless. This population is also more likely to seek care inthe emergency department. Based on historic data aroundinfluenza in homeless populations, vaccinating 150 peoplelikely helped avoid at least 17 cases of flu – therebyavoiding numerous ED visits, hospitalizations and possiblysaving at least one life. “This program is a great example ofWakeMed departments coming together and doing what’sbest for the community we serve,” commented LindaBarrett, director (Corporate & Community Health). “Wehave seen an increase in participation every year, and areso grateful to everyone who helps make this programpossible.”

WakeMed Pathology Receives CAP Certification WakeMed’s pathology services were recently surveyed by the College of AmericanPathologists (CAP), an organization dedicated to fostering and advocating excellence inpathology and laboratory medicine. The survey, which evaluates the full spectrum oflaboratory test disciplines, included nearly 3,000 standards. We are pleased to reportWakeMed completed the survey with fewer than 10 deficiencies systemwide – RaleighCampus was 99.84 percent compliant and Cary Hospital was 99.82 percent compliant.Congratulations to the WakeMed Pathology team and Raleigh Pathology LaboratoryAssociates on this outstanding result!

Celebrating Our Chasing Zero Heroes! We are proud to recognize two teams that recently receivedthe Chasing Zero Hero trophy for their outstanding work ineliminating patient harm!

5B Neuro Intermediate Care received the Chasing ZeroHero trophy for achieving 20 months (and counting!) withZERO central line associated blood stream infections(CLABSIs). To help reach this milestone, the team hasrallied around the standard central line protocols – chargenurses advocate to remove them as soon as possible andthose that remain are checked daily. 5B’s nurse techs havebeen trained on CLABSI prevention so they can help ensurecentral lines are cared for properly. To keep skills sharp, theunit also keeps training and reference materials easilyaccessible for staff who want to review and practice. “Ourteam has really come together around this effort and it’sempowering for everyone to be a part of this success. All ofour nurses and nurse techs understand they play animportant role and can help advocate for our patients,”commented Tory Cairns, RN, manager (5B NIC).

Cary Hospital Surgical Services was recognized for 30months with ZERO wrong-site surgeries and ZERO near-misses in the OR. Director Nell Panten, DNP, MSN, RN,attributes this success to the perioperative team’sdedication to putting the patient first. The team uses safetymeasures including pre-admission testing by visit or phonecall, anesthesia huddle 72 hours before surgery, surgicalclasses for orthopaedics and bariatrics patients and a pre-surgical time-out. “All the pre-surgical huddles address anyissues prior to starting the day and highlights are shared bythe clinical coordinator and anesthesiologist immediatelyprior to starting the day’s cases. The circulating nurses re-check consents and verify procedures with patients andparticipate in the anesthesia time-out in the OR. Thesurgeons are also an integral part of this because theyverify and mark the site prior to transport to the OR, alongwith participating in the surgical time-out before surgery,”commented Panten.

Congratulations to both of these teams (see photos inside)and thank you for your commitment to Chasing Zero! Havea success story to share? Send it [email protected].

Raleigh Campus, Cary Hospital Receive Chest Pain Certification

Raleigh Campus and Cary Hospital were both recently re-certified as Chest Pain Centers by theAmerican College of Cardiology. Both accreditations involved rigorous on-site evaluation of thestaff’s ability to evaluate, diagnose and treat patients who may be experiencing a heart attack.Hospitals that have earned ACC Chest Pain Center Accreditation have proven exceptionalcompetency in treating patients with heart attack symptoms. They have streamlined their systemsfrom admission to evaluation to diagnosis and treatment all the way through to appropriate post-discharge care and recommendations and assistance in patient lifestyle changes.

Thank you to everyone who participated in both of these surveys – we applaud your hard work!

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Benefit Changes Ahead!There are several big changes to our benefits plans for 2019. Here are some things you should know to beprepared for the transition:

• Keep an eye on your mailbox:New ID cards for medical insurance, prescription drug coverage anddental insurance will be mailed to employee home addresses (as listed in Lawson) in mid-December.Please watch for your ID cards and remember that the medical plan (BCBSNC) ID card will be separatefrom the prescription drug (OptumRx). Also, if you have a ConnectYourCare debit card for the FSA orHRA benefit that expires in 2018, be on the lookout for a new debit card.

• Know who to call: BCBSNC has provided WakeMed with a dedicated customer support phone line. Ifyou have questions about your coverage or need assistance determining which network a provider is in,call 1-855-244-9944.

• Get online: BCBSNC’s online portal – MyHealthToolkit – offers access to your ID cards, claiminformation, where you are in meeting your deductible, etc. More information about the online portalwill be available prior to January 1.

Changes at A GlanceMedical Plan

• New Plan Administrator: Effective January 1, 2019, Blue Cross Blue Shield of NC (BCBSNC) will beour medical plan administrator.

• Select Plan Network Changes: New for 2019! All Duke Health services and providers are consideredother in-network, with the exception of specific covered services not available at WakeMed, which areavailable as part of the WakeMed Network PLUS network.

• Pharmacy Benefit Changes: New in 2019, maintenance drugs (those taken regularly for conditionssuch as high blood pressure, diabetes or asthma) and specialty medication prescriptions will no longerbe covered at retail pharmacies. These prescriptions must be filled at the WakeMed OutpatientPharmacy. Employees with existing maintenance medications will receive a two-month grace period totransition their medication to the WakeMed Pharmacy. To transfer a prescription to the WakeMedPharmacy, complete the transfer form on the Pharmacy page on MyWakeMed. With questions, contactmember services at 1-800-334-8134.

New Dental Plan Administrator: Effective January 1, 2019, United Concordia Dental will be WakeMed’snew claims administrator. Dental premiums will decrease slightly for 2019. In addition, plan participantscan anticipate a number of benefit enhancements.

Vision Plan Enhancements: The EyeMed vision plan will offer two benefit plan enhancements:

• Freedom Pass allows members to receive additional savings on eyeglasses and contact lens.

• Contact Booster offers an additional $20 towards lens allowances for contact lens purchases.

The new smell of cleanAs part of our commitment to patient safety and our Chasing Zero efforts toreduce hospital-acquired infections, in January, WakeMed will betransitioning to a new daily disinfectant product called Oxycide. Oxycide isa hydrogen peroxide and peroxyacetic acid solution that is designed to killviruses, pathogens and C. difficile spores. The solution has a vinegar scentthat is noticeable when in use, but dissipates quickly. Some of the benefitsof Oxycide include:

• Our current primary disinfectant is not effective on C. difficile ortuberculosis. Currently, bleach is used when patients have C. diff or TB,which is very corrosive and results in opportunity for bacteria to bemissed if a patient has not yet been diagnosed.

• Our current primary disinfectant has to be wet for 10 minutes; Oxycideonly has to be wet for three. This allows our Environmental Services staffto use less product and will improve efficiency.

Oxycide will be used in all patient rooms and bathrooms across WakeMed’shospitals and hospital-based clinics starting in mid-January.

WakeMed Honors VeteransWakeMed hosted Veterans Day recognition ceremonies on Friday, November 9, to honor all WakeMedemployees, physicians and volunteers who are veterans or currently serving in the U.S. Armed Forces.The Raleigh Campus ceremony included a keynote address from PeteMarks, PhD, vice president &Chief Information Officer and a retired Lieutenant Colonel in the Army. The WakeMed Color Guardpresented the colors and the WakeMed Chorus sang the National Anthem. Lil Galphin (Spiritual CareServices) offered an invocation and Jack Dellostritto (Clinical Engineering) read the President’sProclamation. Sheri DeShazo, RN, senior vice president and administrator (North Hospital), and VickiWhitley, RN, executive director, Nursing (Cary Hospital) spoke at the services at their respectivefacilities, which also included invocations by Spiritual Care’s Monica Young (North) and Diane Cox(Cary), a song and the reading of the President’s Proclamation.

Pictured left, on Monday, November 12, WakeMed President & CEO Donald Gintzig, a retired RearAdmiral in the Navy, and Pat O'Brien, MD, enjoyed a special Veteran's Day visit with patient, HerbertKeeler. Keeler, 96, is a twice decorated WWII Veteran. Gintzig presented him with his personalChallenge Coin in recognition of outstanding service to our country.

Get the Most out of Your Medical PlanDid you know that many preventive and diagnostic services arecovered under our medical plan at 100 percent – that meansyou pay no out-of-pocket costs (when seeing an in-networkprovider). We encourage employees to be proactive and accessthese services as a way of keeping you and your family healthy.

• Annual physical with a primary care provider

• Prenatal care

• Registered dietitian appointment

• 2D and 3D mammogram

• Colonoscopy (preventive and diagnostic)

To learn more, consult the 2019 Benefits Handbook or contact the Benefits team at ext. 08143.

Time is Running Out to SpendFlexible Spending Account (FSA) FundsThe end of the year is just around the corner, which means time is running out to use your Flexible Spending Account (FSA) funds for 2018. Unused money in your Health Care FSA between $5 and $500 will roll over to 2019, but any unused funds less than $5 or over $500 will be forfeited. If you have an FSA, please take a few minutes to check your account balance online at www.connectyourcare.com. If you have over $500 remaining, here are some things to keep in mind:

• The deadline for eligible services is December 31, 2018.

• Provide any requested substantiation documentation so it will beresolved promptly.

• File any outstanding reimbursement requests you may have.

• You will have until March 31, 2019 to file any claims incurred in 2018.

• Funds up to $500 remaining in your Healthcare FSA will roll-over intoyour 2019 Healthcare FSA account by mid-April for use in 2019.

• Dependent Care FSAs are only for child or adult day care relatedexpenses.

In addition to copays, coinsurance and deductibles, you can use your FSAfor a number of out-of-pocket costs for yourself or any immediate familymembers (even if they are not covered by our health plan).

You can also use your FSA to pay for select over-the-counter medicalsupplies and equipment, such as crutches, bandages, blood sugar test kitsand more, when you have a valid order from your physician. A detailed listis available on the Human Resources page on MyWakeMed. If you have anyquestions, call ConnectYourCare at 1-877-559-1143.

COMING SOON!Employees who wish to participate in the WakeWell Rewards program for2019 can schedule their biometric screening and take the online memberhealth assessment starting on January 10. Look for full details about theprogram in the next issue of Microscope!

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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 MyWakeMed.

Jill Lancaster, RN, (Surgical Services – Cary Hospital) was reviewingconsent forms for a patient scheduled for surgery when she noticed someerrors. The patient’s surgical consent had the correct patient label on it, butthe incorrect patient name was written in as the person authorizing surgery.Additionally, the anesthesia consent had the wrong patient label and wrongpatient name on it. Jill ensured that both consents were immediatelyrewritten and verified with the patient. The surgeon and anesthesiologist

were also called to the bedside to review consents with the patient for reassurance.

Medical Assistant Amanda Haseley (Primary Care – Brier Creek) was doingpre-work for the following weeks' patients and noticed a patient wasscheduled for "tingling and numbness of the left arm." Amanda recognizedthat these could be signs of something serious, so she called the patient andasked more about the symptoms. Turns out, the patient was having activechest pain and needed nurse triage over the phone. Thanks to Amanda’sknowledge and prompt response, the patient got medical attention quickly –

rather than having to wait until the following week.

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

LeADeRSHiP UPDATe GOOD CATCH

WakeMed Board Chair Recognized for PhilanthropyLong-time WakeMed advocate and current chair of theWakeMed Board of Directors, Brenda Gibson, receivedthe Excellence in Philanthropy Award from the TriangleChapter of the Association of Fundraising Professionals inNovember. The award is one of five that were given out bythe organization as part of their annual NationalPhilanthropy Day recognition.

Winners were chosen by the Triangle Chapter’s PastPresidents and Community Selection Committee and

recognized at a National Philanthropy Day celebration and awards ceremony in November. Gibson was also recognized by the NC Black Women’sEmpowerment Network this fall, when she was named their Humanitarian of the Year.

WakeMed Board of Directors Welcomes new MemberThis fall, WakeMed appointed ThadMcDonald, MD, as anew member of the 14-person WakeMed Board ofDirectors. Dr. McDonald replaces Jerry Bernstein, MD,who rotated off the Board after serving two terms. Dr.McDonald retired from WakeMed in 2015 after 23 yearson the medical staff. He held numerous leadership roleswithin the organization including director of WPPWomen’s Services, OB department chair and president ofthe Raleigh Campus medical staff. Dr. McDonald willserve a five-year term as a volunteer member of the

WakeMed Board of Directors.

A huge thank you to ALL the employees who participated in this year’s WakeMed Gives Campaign!Collectively, 1,620 employees gave over $767,000 to WakeMed programs, services, ourcommunity and our WakeMed family! The dollars we raised break down into the followingfunding and impact areas:

• WakeMed Gives Projects & Programs (area of greatest need): $282,260

• WakeMed Patient Assistance Programs (area of greatest need): $88,150

• WakeMed Employee Emergency Assistance: $267,987* (includes Donald’s $25,000 match!)

• WakeMed Education Program: $74,865

• Outside Community Charities: $54,747

Once again this year, WakeMed President & CEO Donald Gintzig pledged to match donations tothe WakeMed Employee Emergency Assistance Fund dollar for dollar up to $25,000. The fund isentirely funded by employee contributions through WakeMed Gives and administered by HumanResources to provide assistance to members of the WakeMed family in times of need.

Kudos & Congratulations The ever-popular Piggy Parade had 96 creative entries submitted this year – congratulations to ourwinners:

• Best Represents Funding Received or Aspirational Goals: Scholarship Award Piggy –Collections Department

• Most Creative:Happy Pig-O-Ween Piggy - WakeMed Physician Practices - Urology

• Best Represents Department Services:HAIPI Piggys - Pharmacy

Silent auctions were held at all three hospitals, raising over $25,000 – many thanks to SusanMcFarland (Employee Relations); Marcy van Schagen, RN, (Clinical Administrators); TinaSchwebach (Food & Nutrition Services – Cary Hospital); Derak Dillahunt (Facilities – CaryHospital) and Cheryl Kilbourne (Nursing Services - North Hospital) for coordinating theauctions.

Kudos to this year’s Spirit Award Winner: Operations Center! Ambassadors include: TabathaBarbour, Lynn Bailey, Toni Chapman, Eileen Ramos, Judy Embree, Kevin Schmidt, RobinBrannan, LisaWade and Bhavesh Patel.   

Congratulations to our Rock Star Ambassadors Winners who had the highest rates ofparticipation: Debbie Hostetter, Amy Burney and Eileen Ramos.

We also want to congratulate our WakeMed physicians for meeting and exceeding their campaigngoals of raising more than $198,000 with 60 percent participation of employed physicians. This isa significant increase over previous years – and the participation rate doubled this year. Thank youto John Sinden, MD, chair of the physician component of the campaign, and his team of physicianambassadors.

Check out photos of all of our winners – and lots more from throughout the campaign – onMyWakeMed! Be sure to stay connected to the WakeMed Foundation throughout the year to applyfor grants or scholarships and to learn how YOUR gift impacts patient care and our WakeMedfamily.

* Many employees contributed to this fund via payroll deduction, and as a result, the funds availablemay be limited in any given pay period.

Thank yousow much!

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WOW, WHAT An eMPLOYee!

COMinGS & GOinGS

ADDiTiOnS & ATTACHMenTS

Facility Services wishes a happy retirement to Stephen Brown,who will be leaving WakeMed this month after 37 years of service.

After 28 years with WakeMed, Patty Sauls, supervisor (MPDC –Cary Hospital) retired in December. The team sends best wishesfor a happy retirement and will miss her knowledge, loyalty andwillingness to jump in to get the job done.

5C Medicine welcomes Coral Mendoza Lopez and MoniqueMessick.

Emergency Department – North Hospital welcomes DanellePerry, Towanda Wood, DebbieAnn Talancha, RN; MirandaBradley, BSN, RN; Stephanie King, RN, AmyDelaney, BSN, RN;and KimGrubb, RN.

Primary Care – Brier Creek welcomes Mona Davis, JasmineMason, Asia Ward-Clark, and Jennifer Fayed.

6C Surgery & Trauma welcomes Sierra Evans and Tracey Powe.

Pathology welcomes Tanner Bryan and Alma Patino.

3B CVSIC welcomes Juan Alcantar, RN, and sends best wishes toCody Grabowski, RN, on his new role with Transitions LifeCare.

WakeMed Heart & Vascular Physicians welcomes Linda Taylor.

Revenue Integrity welcomes Michele Bohley and Kelly Askins,BSN, RN.

WakeMed Physician Practices – Urology welcomes KamellaWestmoreland, RN, and Brooke Rivers, RN.

Guest Services welcomes new employee Jan Lewis and returningemployee Maticka Frederick.

1D Clinical Evaluation Area welcomes Derrick Sutton and BuchiOnyebuchi.

Home Health welcomes Jennifer Kitchen, RN, and ToniWebster,RN.

6A CVIC welcomes CarmenObregon, Matilda Konadu, FatimaDia and Amber Knowles-Harwood.

CICU welcomes Tommy Pelletier, RN and MicheleWhiteNA2 toour team.

Marketing & Communications welcomes Paul Saleska, digitaldesign specialist.

The Benefits department welcomes new manager Paul Dickensand Adam Zirulnik as a retirement specialist.

Karina Jordan Meza, MHS, PA, (WakeMed Physician Practices –Urology) married James Meza, MD, MSc, on July 7.

Margaret Marsden, MSN, CNM, (WakeMed Physician Practices– OB-GYN – Cary) married Jeffery Fryer on September 8.

Jessica Todd, (Wake AHEC), and her husband Casey welcomedson, Atticus Lochlann, on October 28.

Sheri De Shazo, MBA, MHA, RN, FACHE, senior vice president &Administrator, North Hospital, passed the Board of GovernorsExam, which was the last step in earning the distinction of Fellowof the American College of Healthcare Executives (FACHE).

The Pharmacy and Therapeutics Committee thanks Eric Raasch,MD, (North Carolina Nephrology) for his six years of service asthe Committee Chair. Sanjay Patel, MD, (Critical Care andPulmonology) will serve as the chair and Michael Hill, MD,(Hospital Medicine – Raleigh Campus) as vice chair starting inJanuary 2019.

WendyMoghadam, RN, and Vashti Bascombe, RN, (both ofHome Health) received Outcome and Assessment Information Set(OASIS) certification.

Brigit Piercy, RN, manager (5C Medicine) earned boardcertification as a nurse executive.

FranHuerte, BSN, RN, (3A CVIC) passed the cardiac-vascularcertification exam.

PamCowan, RN, (Surgical Services – Cary Hospital) earned abachelor’s degree in nursing (BSN) from Winston-Salem StateUniversity.

JenniferWard, RN, (WakeMed Heart & Vascular Physicians)earned a BSN from UNC-Wilmington.

HarryWiggins, RN, (Clinical Administrators) earned a master’sdegree in nursing (MSN) with a focus on nursing leadership andmanagement.

Meredith Sharp, BSN, RN, (Wound Ostomy Nursing – RaleighCampus) earned certification in both wound care and ostomycare.

The Business Center congratulates the first-place winner in thisyear’s building-wide chili cook off – Altovise Harrilson (Claims &Billing).

Kelly Radford, RN; Lisa Vo, RN; and Julia Efird, RN, (all of theRapid Response/Code Blue Team – Cary Hospital) earnedTrauma Nursing Core Course (TNCC) certification.

3B CVIC congratulates Christi Innocent and JenWorner ontheir graduation from nursing school and also JazmineMiddleton on completing her NT2 listing.

Changes Coming to MyChart Proxy AccessOne of the many valuable features of WakeMed MyChart is proxyaccess, which allows patients to grant access to a family memberor friend to help manage health care appointments and needs.Proxy access is available for children and adults, allowing familymembers and friends to be engaged partners in their loved ones’care.

On January 1, 2019, WakeMed’ s proxy access policy foradolescent patients is changing to better align with other healthcare providers and North Carolina law. With these changes, wewill begin requiring in-person, written authorization for a parent,guardian or other individual to gain proxy access to anadolescent’s (between age 13 and 17) WakeMed MyChartaccount. On January 1, all current WakeMed MyChart proxyaccess for patients between the ages of 13 and 17 will be turnedoff until a consent form is signed.

Proxy access accounts for patients under the age of 13 will remainunchanged, and parents/guardians will have full proxy accesswithout a signed consent. Individuals who currently have proxyaccess for an adolescent will be informed of these changes inadvance. All questions and concerns can be referred to theadolescent’s health care provider or [email protected].

PROXY ACCESS AT A GLANCEProxy access allows authorized users to see:

• Appointments

• Care team contact information

• Medications

• Test results

• Health reminders

• And more

For Patients 12 & Under: Available from birththrough 12 years of age without consent. Proxyaccess will automatically be removed when thechild turns 13 years of age.

For Patients Ages 13 – 17: Effective January1, 2019, a signed consent form is required togrant proxy access; the patient can revokeproxy access at any time.

For Patients Ages 18+: When a patient turns18, proxy access is automatically turned offand the patient must sign up for their ownWakeMed MyChart account. The patient canthen grant proxy access to whomever theywish.

NEWS YOU NEEDOccupational Health Program Changes for 2019

The new year brings with it some changes to programs administered by Occupational Health & Safety Services. It isvery important that all staff are aware of these changes as they could impact your employment and WakeShareeligibility!

Random Drug Screening As part of our commitment to our patients and their families, and to ensure a safe and secure environment for all,WakeMed will implement a random drug screening program for all employees beginning in January 2019.

The program will apply to all employees across all levels of the organization, including clinical and non-clinical staff,leadership, employed physicians and supplemental employees. Employees will be chosen at random to undergo aurine test that will look for illegal/street drugs (including marijuana, methamphetamines, cocaine, etc.) andprescription medications that could impact an employee’s fitness for duty, such as opiates or other controlledsubstances.

Employees who test positive for street drugs will be discharged; those that test positive for a prescription medicationwill need to produce a current, valid prescription in their name for that medication. If a valid prescription cannot beproduced, the test will be ruled positive and the employee will be discharged. Additional information about thisprogram, including a comprehensive FAQ document, can be found on MyWakeMed.

Annual Screening Deadline Changes – it’s Your Birthday!Also in 2019, the deadline for annual Occupational Health screenings (TB tests, fit testing, vision and hearingscreenings etc.) will change from department-wide deadlines (assigned by month) to individual deadlines based onbirthdate. This change is being made to help reduce confusion for employees and to improve efficiency in tracking andrecord-keeping.

With this change, employees must complete all applicable health screenings for their assigned role by 4 pm on the dateof their birth or they will be ineligible to work or receive WakeShare. Employees will be notified by email 45 days inadvance of their birthdate and can begin completing their screenings 30 days prior to their birthdate. With thischange, the 30-day grace period currently in place for health screenings will be eliminated. Employees who missthe deadline will be ineligible to work until screenings have been completed and will be ineligible for any potentialWakeShare payout for that fiscal year. Note that this change in deadline does not apply to the annual influenza vaccineprogram.

Medical Surveillance for Hazardous Drug ProgramWakeMed cares about employees and strives to provide a safe and healthy working environment. As part of changesassociated with our new Hazardous Drug Policy, in 2019, WakeMed is expanding our medical surveillance program toinclude all staff involved in the receipt, storage, packaging, dispensing, administration and disposal of hazardousdrugs, as well as potential care-givers to these patients.

The program involves routine collection of general health information using a questionnaire, laboratory tests andadequate follow-up of eligible employees. The data collected will be used to determine the effectiveness of theenvironmental and work practice controls, training and PPE, and can assist in the development of action plans toprevent future worker exposure.

Eligible employees will be contacted by Occupational Health with additional details about the program. Whilelaboratory testing participation is currently optional, staff will be required to complete a questionnaire and sign adeclination form stating that they have been offered the opportunity to participate in laboratory surveillance.

If you have questions about any of these programs, speak to your manager or email Occupational Health at

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NEWS FROM WAKEMED PHYSICIAN PRACTICES

Welcome new Physicians Welcome new Advanced Practice ProvidersBritney Cherry, NPNeonatology

Raleigh Eckert, PAGastroenterology

CarolineMerwarth, PAUrology

Myra Nario, PAPulmonology/Critical Care Medicine

MeganO’Brien, PASurgery-Trauma

now Open!

Wake Orthopaedics – Apex 120 Healthplex Way, Suite 206Apex, NC 27502Appointments: 919-232-5020

WakeMed Bariatric Specialists of NC 10208 Cerny Street, Suite 202Raleigh, NC 27617Patrick Jensen, MD

PsychologyHumayunKadir, MDPrimary Care – Garner

On November 12, WakeMed was recognized by the Institute for Management Accountants foremploying best practices in accounting and finance operations. Rick Carrico, vice president & ChiefFinancial Officer, accepted the award on WakeMed’s behalf. Other honorees included BlueCrossBlueShield of North Carolina, LORD Corporation and Red Hat.

WakeMed employees got in the Halloween spirit in October. Trunk or Treat events were held atCary Hospital (left) and North Hospital while at Raleigh Campus, members of the executive teamdonned festive costumes and hosted ‘reverse trick or treating’ at the Children’s Hospital (middle) –bringing treats and goodies to young patients. WakeMed’s annual Operation Pumpkin event (right)at Marbles Kids Museum gave youngsters the chance to carve a pumpkin with a WakeMed surgeon.Thanks to the staff and providers from Pediatric Surgery and ENT – Head & Neck Surgery for makingthis such a fun event!

WHAT’S HAppening AT WAkeMeD

www.wakemedphysicians.com

Cary Hospital’s new, spacious robotic surgery operating room –featuring overhead monitors and an integrated robotic bed – is now in use.Frank Tortora, MD, Associated Urologists of North Carolina – Cary,performed a robotic prostatectomy in the new room on November 16.Pictured from left to right: Jessica Alston; Teri Rich; HaywoodWagner,RN; Frank Tortora, MD; and April McCarthy.

The WakeMed InpatientPalliative care teampresented BrendaWilcox,RN, with a Champion ofPalliative care award inNovember. As a patientnavigator through the Duke Cancer Care Plus+collaborative, Brenda worksto ensure that oncologypatients at WakeMed receive coordinated careboth inside and outside ofthe hospital.

The Heart Care Plus+collaborative put the powerof plus in action recentlywhen Duke Healthcardiovascular and thoracicsurgeon Andrew Lodge, MD,assisted JudsonWilliams,MD, (WakeMed Heart &Vascular Physicians) with avery complex sinus venousrepair at WakeMed. Thesekinds of collaborative effortsare bringing access to ever-higher levels of care topatients here in WakeCounty!

The WakeMed Zero Hero trophy was recently presented to two units for their efforts to eliminatepatient harm. In November, 5B NIC (top) received the trophy for achieving 20 months (and counting!)with ZERO CLABSIs. In December, Cary Hospital Surgical Services (above) was recognized for havingZERO wrong-site surgeries and ZERO near-misses in the operating rooms for the past 26 months.Congratulations to both teams and keep up the great work!

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This month, WakeMed hosted the 10th Annual Clinical Nurse Council (CNC) Poster Presentations – marking a full decade of sharing clinical excellence,innovation and collaboration! This year’s theme was Excellence in Healthcare Communication and 51 posters were presented highlighting examples ofnursing excellence throughout our organization. CNC representatives evaluated ‘best-in-show’ for the following categories: most innovative intervention,

Best Practices and Outcomes Shine at CNC Poster Presentation

Stephanie O’Neal, RN, (right) stands with MaxineWilliams, RN and Paula Bird, PhD, director (BehavioralHealth), left, in front of a display demonstrating how the 1C and 1D Clinical Evaluation Areas reduced patient falls.

Laura Grimes, RN, (pictured with supervisor KristenLegrand, RN) presented how 2 East – Cary Hospital workedto reduce call bell volume through proactive toileting atshift change.

Using bedside report to improve patient care was the topicof the poster presented by Monica Sleboda, RN, (3C RehabNursing).

3E CVIC nurses Meghan Stallings, RN, and Chelsey Smith,RN, pictured along with Donald Gintzig, president & CEO,shared how their unit worked to improve supply scanningcompliance.

Kelsey Bryant, RN, and Nicki Newsome, RN, (both ofLabor & Delivery – Raleigh Campus) stand with ChantalHoward, RN, vice president (Raleigh Campus Nursing) infront of their poster highlighting the Maternal Fetal TriageIndex.

Sarah Obenschain, RN, (right, pictured with managerTammy Baker, RN) shared how CICU improved theirmedication scanning compliance.

A NOTE FROM OUR CNO

Cindy Boily MSN, RN, NEA-BC

Senior Vice President & Chief Nursing Officer

As we look back upon another year, what stands out to me is thededication and commitment to excellence that is demonstrated byWakeMed nurses every day. Your devotion to our patients andtheir families, your constant drive to improve safety and quality,your support for each other, and the way you continually strive toachieve a higher level of clinical excellence is inspiring.

Along with many members of our management team, I had theopportunity to view the – incredibly creative! – posters presentedat our annual Clinical Nurse Council meeting. I was in awe of thepositive impact you all are making for our patients and theirfamilies. It is truly incredible to experience and learn from yourwork, and I am so proud to be part of such an exceptional team of nurses.

I encourage each of you to seek out these posters on your units andto read our Nursing Annual Report to learn about the excellentwork going on throughout WakeMed. Together, we are trulypursuing excellence – for our patients, for our organization and forthe profession of nursing. I am so thankful for each of you – andgrateful to you for sharing your skills, talents, compassion,creativity and expertise to further our mission. You make meproud to be a WakeMed Nurse!

2018 Nursing Annual Report Coming Soon!The WakeMed Nursing 2018 Annual Report will soon be availableonline. This year’s report highlights some of the ways WakeMednurses touch the lives of patients and families throughout ourcommunity. To view the report, visit the Nursing Administrationsite on MyWakeMed!

FocusOnNursingEXCELLENCE IN THE ART AND SCIENCE OF NURSING CARE AND CARING

DAISY Team AwardIn November,WakeMed awarded ourfirst-ever DAISY TeamAward, whichrecognizes that whileindividuals may bebehind many ideas toachieve a better patientand family experience,it often takes an entireteam to bring thoseideas to life. Thisinaugural award wasgiven to a team thatincluded staff from

Neuro ICU, 6C Surgery & Trauma, STICU, Mobile Critical Care Services and Case Management for their work inmaking a patient’s dream of attending her high school graduation come true. WakeMed will award one DAISY TeamAward annually during November to acknowledge our thankfulness for interprofessional excellence. The recipientswill be chosen by the Work-Life Council from nominations submitted throughout the year.

Nurse Leader RecognitionCongratulations toBrigit Piercy, MHA,BSN, RN, Manager (5C Medicine) whoreceived theprestigious WakeMedNursing LeadershipAward this fall. Thisaward is given tonurse leaders whodemonstrateoutstanding leadershipachievement. Piercywas recognized for herenergy, compassion

and leadership. As another WakeMed nurse put it, “The recipient is a true example of someone who manages theneeds of patients, families, peers and staff well…she can’t say no to a great idea that could improve outcomes forWakeMed. Her energy and passion for nursing set her apart!”

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representation of the Quality Improvement Process, utilization of pre- and post- supporting data, application of evidence-based practice, example of patient-and family-centered care, example of interprofessional teamwork, example of best practice, most likely to implement on your unit, overall favorite and mostlikely to recommend to state or national conference. The posters are now on display in their respective units and will be available to all WakeMed staff laterthis year during Nursing Education’s annual poster presentations. Dates will be shared this spring.

Erinn Moore, RN, (Surgical Services – Cary Hospital),pictured with Vicki Whitley, RN, executive director ofNursing at Cary Hospital, (right) shared how Day Surgeryreduced time between when surgical patients checked inuntil their arrival in pre-op.

Becky Delarosa, RN, (PICU) stands with Cindy Boily,MSN, RN, senior vice president & chief nursing officer, infront of her poster titled “Positive Mind = Positive Life.”

Improving communication among teammates was the topicof the football-themed poster presented by JoannaSmitherman, RN, (Surgical Services – North Hospital).

Special RecognitionAt the December CNC Meeting, WakeMed Board

Member Tina Shanahan (pictured, left, center) waspresented with a special coin in appreciation of work

that saves lives and words that bring comfort. Shanahanrecently retired after serving 30 years in the Navy andthe coin was given by Nursing Administration as a wayto commemorate and honor her many years of service.Additionally, Sabrina Tyndall, RN, director (Clinical

Informatics & Adult Acute Care Nursing) was presentedwith the ‘Red Shoe’ Award in recognition of all her work

with the CNC this year. The Red Shoe Award is givenannually to someone the CNC representatives admire

and in whose footsteps they want to follow.

Another Fabulous Magnet ConferenceA group of WakeMed nurses joined over 10,000 colleagues from all over the world in Denver, Colo., this October for the 2018ANCC National Magnet Conference. The annual conference, which is the largest nursing conference in the country, is anopportunity to share and learn about best nursing practices from other Magnet-designated hospitals.

Two of the conference objectives for this year were to leverage Magnet nursing culture to optimize quality, safety, patient-centered care and efficiency as well as employing tools and strategies that promote professional nursing practice. In support ofthese objectives, WakeMed was proud to be the only hospital in North Carolina to have one podium presentation and twoposter presentations at the conference! Many thanks to our presenters – you make us proud to be WakeMed nurses:

• Podium presenters Brigit Piercy, MHA, BSN, RN, manager, and Jaime Penninger, RN, (both of 5C Medicine): From Paperto Practice: Getting Your Team on the Same Page

• Chantal Howard, RN, vice president (Nursing – Raleigh Campus): Nurse Community Partnership to Improve DomesticViolence Outcomes

• Sheila Veeder, RN (Nursing Education): Get on Board! Creating an All-Access Pass to Certification

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CALENDAR OF EVENTS

First Uniform SalesBrought to you by WakeMed Volunteersand First Uniform

Raleigh CampusTuesday, February 127 am to 4 pmAndrews Center

Cary HospitalTuesday, February 267 am to 4 pmConference Center

CapRAC Training OpportunitiesCapital MRC Until Help Arrives –Wednesday, January 23, 6 to 9 pm, 900Management Way, Garner; [email protected] to register

Capital MRC Orientation – Thursday,February 7, 6 to 9 pm, 900 ManagementWay, Garner; [email protected] to register

MGT-439 Pediatric Disaster Responseand Emergency Preparedness –Monday, March 18, 8 am to 5 pm, 900Management Way, Garner; [email protected] to register

nursing educationSave the Date! SHINE ConferenceMarch 28 & 29Learn more and register online:www.wakemed.org/shine-conference

Evidence-Based Practice Basics –January 14, 8:30 to 11:30 am, NED C(LL Code: NE014-18092)

Guarding Against Burnout – January14, 9 to 11 am, Cary Conference Center(LL Code: NE014-17055)

Looking at the Literature: PatientEducation – January 24, 1 to 1:45 pm,NED C (LL Code: NE014-18058)

Education Essentials – Part I –February 1, 8:30 am to 12:30 pm, NEDC (LL Code: NE014-11022)

Searching the Medical Literature –February 5, 10 to 11:30 am, (LL Code:NE014-19035)

Wake AHeCAdult Physical Assessment for Nurses:The Basics – Dec. 13 & 14, Hyatt PlaceRaleigh-Durham Airport

Advanced Skills RehabilitationOutcomes for People Living withDementia – Dec. 15, Andrews Center

Mental Health First Aid forPharmacists – Dec. 17, Cary Hospital

March of Dimes: Building HealthEquity: Creating Change for ImprovedMaternal and Birth Outcomes – Jan.16, Live Webinar

Assessing and Treating Substance UseDisorders Among Millennials – Jan.22, Andrews Center

Nitrous Oxide Sedation – Jan. 25, TheMcKimmon Conference & TrainingCenter

Military Counseling: The ClinicalMilitary Counseling CertificateProgram – Feb. 1, Andrews Center

SUPERvision: Strategies forSuccessfully Navigating All Phases ofthe Supervisory Role – Feb. 7,Andrews Center

Clinical Supervision: A RelationalApproach – Feb. 8, Andrews Center

March of Dimes: PreconceptionHealth Messaging in a Digital MediaEra – Feb. 13, Live Webinar

Non profitOrganizationU.S. PostagePAIDRaleigh, NCPermit NO. 1307

3000 New Bern AvenueRaleigh, NC 27610

ADDRESS SERVICE REQUESTED

© WakeMed Marketing & Communications, December 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 [email protected], 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 [email protected].

@WakeMed WakeMedHospitals WakeMed WakeMed Children’s

Want to learn more about what’s happening at WakeMed?Follow us on social media!

In 2018, 42 employees graduated from Live Well,a 12-week group fitness and healthy lifestyleeducation program offered by Healthworks. LiveWell is available at no cost for qualifyingemployees on WakeMed’s medical plan. Aftersuccessful completion, employees will receive fullalternate standard credit for the WakeWellRewards program. Registration is now underwayfor 2019. To set up a Live Well consultation, callext. 07043.

Don’t delay – let Healthworks help you improveyour health and make lasting lifestyle changes!

Live WeLL in