N E W S F R O M T H E R E G I O N ’ S P R E M I E R A C A D E M I C M E D I C A L C E N T E R

ADVANCES MARCH 13, 2014

Neonatal Medical Home Spotlight

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MyChart: More online tools benefit patient careSecure site allows patients to interact more with their medical team

The University of Kansas Hospital last month launched several new features for MyChart, the patient version of the electronic medical record.

Patients now have access to more information from their online health records and can engage more actively in their healthcare. You can:• View a summary of your clinic

or hospital visit and review follow-up instructions.

• Send a secure message to your care team via “Get Medical Advice.” Ask about prescriptions, test results, referrals and other non-urgent medical issues.

• Request a prescription refill by choosing “Rx Refill.”

• See preventive care recommen-dations and link to educational materials.

• View MyChart on a smartphone with “MyChart Mobile.”

All interactions via the MyChart system are private and secure. Only the patient – and those the patient authorizes – can see and interact with his or her private medical information.

“These changes provide patients with new tools that assist with managing their well-being,” said Greg Ator, MD, the hos-pital’s chief medical informatics officer. “Every increase in patient

engagement has the potential to prevent illness and bring faster healing – which benefits us all.”

Increasing the use of online health records and encouraging more on-line interaction with patients is part of the broader healthcare reform initiative. It is influenced by both the Health Information Technology for Economic and Clinical Health Act and the Patient Protection and Affordable Care Act.

At the hospital’s Westwood Campus, Internal Medicine’s Rita Hyde, MD (left), encourages many of her patients, including Kerry Doan, to access their health records on MyChart.

By the Numbers: Magnetizing KC To suggest a By the Numbers, email Advances@kumc.edu.

Magnet designation is the nursing industry’s highest honor. As a Magnet hospital, The University of Kansas Hospital each year hosts Magnetizing KC, where local nurses share best practices to provide better care for patients throughout our community.

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How to sign up MyChart is available to many of

The University of Kansas Hospital patients and clinic patients today, and it will continue rolling out to all patients in the hospital system over the next year.

To see a list of the providers currently included, visit kumed.com and type MyChart into the search bar. If your provider is included, you have three options for signing up:

• Ask your care team for help at your next visit.

• Call the MyChart support team at 913-588-4040.

• Email the MyChart support team at mychart@kumc.edu.

If you are already using MyChart, log in at MyChart.kumed.com.

Events Manage neurological pain

through diet – Learn the dietary “do’s and don’ts” to manage neurological pain such as chronic headaches, neuromuscular diseases, back and neck pain and types of neuropathy. The pro-gram is 4-6 p.m. Friday, March 14, at Turning Point: The Center for Hope and Healing in Leawood. Call 913-383-8700 to register.

Guided imagery – Guide your imagination toward a relaxed state. Use guided imagery to man-age stress, pain, nausea and other symptoms. There are two sessions Monday, March 24: 11 a.m.- noon at The University of Kansas Clinical Research Center in Fairway; and 5:30-6:30 p.m. at The University of Kansas Cancer Center-Overland Park. Call 913-383-8700 to register.

Blood drive – Give the gift of life at the monthly blood drive at our main campus. The drive is 9 a.m.-4 p.m. Tuesday, March 25, at the Student Center. To reserve a time, go to esavealifenow.org, click “Find a Drive” and use uofkansas as the code. Walk-ins also are welcome. The Community Blood Center is the primary blood supplier to patients at The University of Kansas Hospital.

Introduction to Qigong – The Chinese practice can lessen fatigue, improve sleep and help with emotional well-being. The class is 1-2 p.m. Tuesday, March 25, at The University of Kansas Cancer Center-North. It will include a series of movements that are appropriate for any level.

Reduce cancer side effects with exercise – Research increas-ingly shows significant benefits of exercise for cancer survivors at any stage of treatment and survivorship. The class is 11 a.m.-noon Thursday, March 27, at The University of Kansas Cancer Center-Lee’s Summit. Call 913-383-8700 to register.

Details and more events are at kumed.com/event-detail.

PROGRAM SPOTLIGHT

Continuous care for our ‘NICU grads’In January, the Neonatal Medical

Home at The University of Kansas Hospital marked its first year in its own home.

The clinic is unique among the nation’s hospitals. While most neonatal ICUs provide follow-up care, those services usually target specific treatments, such as the child’s growth or lung health.

Our hospital’s Neonatal Medical Home takes a broader approach. In addition to those specialties, neonatologists in the medical home provide primary care, such as immunizations, lab draws and other well-child ser-vices. The clinic sees about 700 patients through age 5, most of them ‘graduates’ from our NICU.

The clinic is a single point of contact for these medically complex children, which parents appreciate. Their “visit compliance rate” at the clinic was 93 percent over the past year, and the clinic’s immunization rates neared 98 percent. Both are remarkably high levels among pediatric clinics nationwide and key measures of performance.

Debbie Pennington, RN, the Neonatal Medical Home’s clinical program coordinator, believes the impressive results reflect the

relationships parents developed with physicians and others on the healthcare team during their babies’ first days in our NICU.

“It’s all about continuity,” she said. “As their children age, parents like knowing they can continue to see the same providers and specialists. Our goal always is to provide as much service as possible within one clinic visit.”

Located on the hospital’s first floor, the medical home features five exam rooms. On any given day approximately 10 caregivers are here, including physicians

who rotate between the clinic and NICU, as well as a pediatric nurse practitioner, nurses, medi-cal assistants and ancillary care, such as a social worker, dietitians and therapists.

The new clinic is a “hit” with the Kansas City Royals, too. For the second consecutive year the team’s Diamond of Dreams will benefit the medical home. Staff continue to collect ideas, but they plan to use some of the proceeds to purchase children’s activity centers for the exam rooms – because a little fun at the doctor’s never hurts.

EXPOSURE

A new turn for heart careTurning Point: The Center for Hope and Healing is expanding into programs specifically designed for heart patients and their families. The programs include classes on manag-ing stress and nutrition. Bill Douglas teaches one of the new classes, “Tai Chi for the Heart.” Based in Leawood, Turning Point (turningpointkc.org) became part of The University of Kansas Hospital in November 2012.

The Neonatal Medical Home includes (from left) Pediatrics’ Mitzi Go, MD; nurse coordinator Brittany Glynn, RN; clinical program coordinator Debbie Pennington, RN; and Robert Fenton, APRN.

Tales from the heart at Girls’ Night InThe University of Kansas Hospital’s ninth annual Girls’ Night In (girlsnightinkc.com), held Feb. 26 at the Nelson-Atkins Museum of Art, promised a “heartfelt eve-ning of storytelling,” and for the more than 450 attendees, the event played

out exactly as intended. Guests laughed, cried a little and learned about heart screening and heart health. Event digni-taries (from left) included Rhea Pimentel, MD; host committee chair Darby Brender (Fusion Fitness founder); Marina Hannen, MD; and Ashley Simmons, MD.

New center planned for MS patientsThe University of Kansas Medical Center will use an $800,000

grant from the Conrad N. Hilton Foundation to create a new center to help patients with multiple sclerosis (MS) improve their emotional health, physical function and lifestyle habits.

The medical center will renovate a building north of its main campus that previously housed a day care facility at 3503 Rainbow Blvd. The building will serve as the new home for the center.

KU Endowment also will raise money for the center, which could be completed next year. It will be one of only a handful of U.S. programs that addresses the varied symptoms throughout the continuum of MS, which strikes the central nervous system and has no known cure. It affects about 400,000 people in the United States.

Sharon Lynch, MD, neurology professor, will serve as direc-tor of the Comprehensive Center for Multiple Sclerosis Care, which will be a hub for research and integrated patient services.

“We know doctors’ visits alone do not always send these patients to the place where they need to be,” Lynch said. “By providing a range of opportunities for patients, we can help address more of their needs in one place.”

The center will include a multidisciplinary team incorporat-ing neurology, urology, neuropsychology, ophthalmology, physical and occupational therapy and family medicine.

The center will include the existing Mid America MS Achievement Center, located at the Rehabilitation Institute of Kansas City. The program now serves 34 participants each week. The new building and funding from the Hilton Foundation will allow the program to expand to 100-125 participants served weekly. Read more at kumc.edu.

College hoops backed by healthcare prosThe Big 12 Championship is in town, and you can bet staff from

The University of Kansas Hospital will be suited up and ready.

Ready to address any healthcare needs, that is. This is the fifth year the hospital is the Preferred Healthcare Provider for the Big 12 Championship. The hospital’s seven-person medical team at Sprint Center includes an orthopedic surgeon, athletic trainer, X-ray technician and dentist.

“Our main duties are to take care of the teams, cheerlead-ers, referees and anyone associated with the Big 12,” said Joe Noland, MD, medical director of the championship.

While all the teams travel with an athletic trainer, Noland estimates about half opt to not bring a physician to the tourna-ment. That’s due in part to our medical staff reputation.

Throughout the week, Noland and his staff are likely to see ankle sprains, knee and shoulder injuries and lacerations. Although he has the advantage of having the hospital nearby, Noland and his team do most of their work within the confines of Sprint Center. “Given that it’s not really a clinic,” he said, “it’s amazing what is available to us.”

In the NewsA recap of recent articles, TV segments and other media coverage of the region’s leading academic medical center

Retail clinics not good for pediatric care – KSHB-41 News, Feb. 24. A report by the American Academy of Pediatrics said retail-based pediatric clinics are an inappropriate source of primary care because they do not provide children with high-quality, regular and preventive healthcare. Stephen Lauer, MD, PhD, a pediatrician at The University of Kansas Physicians, noted retail-based clinics may overlook simple problems that could be related to a more serious condition. “These clinics don’t necessar-ily know their medical record or how they’ve been treated before,” he said.

JJ’s explosion: one year later – KCTV-5, Feb. 19. A year after a blast de-stroyed the famed Plaza restaurant, staff at The University of Kansas Hospital recounted the night, during which six of the 15 injured were treated at our hospital. Chief Medical Officer Lee Norman, MD, said the incident “was a good real-life experience” for staff, who practice such drills often.

Retiring Truman Medical Center CEO praised – Kansas City Business Journal, Feb. 28. Area hospital leaders are lauding John Bluford III, who announced his retirement as CEO at Truman Medical Centers. In 1999 he turned Kansas City’s hospital of last resort into an organization with visionary ideas. “John Bluford and Truman Medical Centers were founding members of the Midwest Cancer Alliance Partners Advisory Board in 2008,” said Jeffrey Reene, chief operating officer at The University of Kansas Cancer Center. “He has been a true champion for collaboration across the region and a strong voice for underserved and minority populations.”

Great Bend touts cancer center outreach – Great Bend Tribune, Feb. 20. Cancer patients in this central Kansas community are receiving a range of advanced treatments, thanks to the Midwest Cancer Alliance, the outreach arm of The University of Kansas Cancer Center. Patients have access to clinical trials at our cancer center, genetic testing, tumor boards, nurse navigator services and more. Mark Mingenback, director of busi-ness strategy at St. Rose, pointed to Roy Jensen, MD, our cancer center director. “We deeply appreciate his efforts to engage our community at the grassroots level,” Mingenback said. “He and his staff are genuinely committed to cancer patients and families here and throughout Kansas.”

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ADVANCES

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Our People Bringing better food to our

neighbors – Residents in Kansas City’s Argentine neighborhood are enjoying a healthy source of food again, thanks in part to two faculty members in the Family Medicine Research Division at the University of Kansas Medical Center.

Associate professor Kim Kimminau, PhD, and assistant professor Natty Mabachi, PhD, worked closely with Ann Murguia, executive director of the Argentine Neighborhood Development Association, to bring a Save-A-Lot food stores to the neighborhood.

The store opened in December, providing a much-needed source of fresh produce and other healthy food to the approximately 10,000 Argentine residents. Many of them live below the poverty line and do not have access to reliable transportation.

Kimminau and Mabachi have extensive experience in community health work. They recruited neigh-borhood captains – community members who went door to door giving surveys.

Countless hours were devoted to gathering data because, as Mabachi explains, there was a reason the neighborhood’s last grocery store closed in 2006, leaving the

neighborhood a virtual “food desert.” To make sure it did not happen

again, the researchers talked to community members about what they wanted in a grocery store, where it should be located, how much they typically spend on groceries and many more questions that were used to put together a business plan.

The detailed plan helped attract Save-A-Lot. And as fundraising be-gan, donors wanted to know their money would be going toward a stable, lasting and beneficial project. The extensive data convinced donors such as the Hall Family Foundation, Country Club Bank, and others that Argentine’s future gro-

cery store would be a success.

The Argentine project is on-going, but news of its success traveled fast. The Quindaro community, also a food desert, has reached out to Kimminau and Mabachi.

“Every neighbor-hood is different, but they’ve been

spurred on by this model,” Mabachi said. “If we can play a role in helping push that along, we’re all in.”

Daisy Award winners – Every quarter, several nurses at The University of Kansas Hospital receive the Daisy Award, a national program that honors extraordinary nurses for their clinical skills and compassion. The awards are based on comments by patients and colleagues.

Congratulations to our most recent winners (with information from their nomination forms).• Mollie Kirk, RN, Pediatric ICU – On

her day off, Kirk came to work at

the PICU to keep a young patient awake, which was needed for a test. “Mollie showed up at 3 a.m. with the same

smile and cheerful attitude,” the patient’s mother wrote. “She let this exhausted mom sleep for a few hours and kept a difficult 14-year-old awake and smiling.”

• Britton Streck, RN, Pediatrics – “He is kind and sweet,” wrote 9-year-old

Cristabel Juarez. “He plays with me. He is a good nurse. When he leaves, he gives me a hug. When I am brave, he gives me toys. If I had

not met him, I would not be happy every day. I love him as a nurse.”

• Kasey Morrison, RN, and Virginia Taylor, RN, Patient Placement – A mom was not able to see her newborn baby due to the mom’s complications. Taylor took her iPad to the mom while Morrison took her iPhone to the baby. “They arranged ‘face time’ for the two,” a colleague wrote. “These wonderful women knew what a precious moment seeing one’s child is.”

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A D V A N C I N G T H E P O W E R O F M E D I C I N E®

What if you could save two lives with one liver?

Complex surgeries are common here.Surgeons here performed the area’s first adult split-liver transplant, saving the lives of two women with one liver. These physicians are among many specialized surgery teams that routinely treat the most complex patients.

For an appointment, a second opinion or to speak to a nurse, call 913-588-1227. Or learn more at kumed.com.

The new store was backed by Kim Kimminau, PhD (from left); Ann Murguia; and Natty Mabachi, PhD.

Kirk

Streck

Taylor (left) and Morrison