Preparing For the Unexpected by dfgh4bnmu


									                         AUG/SEPT 2006                                                                                NEWS FOR EMPLOYEES OF
                                                                                                                  WASHINGTON HOSPITAL CENTER

                        Preparing For the Unexpected
                         Continuous Improvements                chairman, Emergency
Inside this              Enhance Emergency                      Medicine. “But the
issue…                   Readiness                              scope of events that
                                                                could occur requires us

                                     ater, bandages, genera-
                                                                to have a degree of
• New Chief                          tors and chemical and
                                                                planning, training and
  Operating                          biological antidotes are
                                                                stockpiling of key
  Officer                being stockpiled and the deconta-
                                                                equipment and supplies
                         mination room is ready. But
                                                                that we didn’t have
• Surgical Care          materials and infrastructure are
                         not enough to handle mass casual-
                         ties; everyone must know exactly       Whatever the disaster –
  Project                what to do — just in case.             whether a failure of                     materials on hand for every
• 20-Year Club                                                  infrastructure or natural, biological,   imaginable emergency. Combined,
                         “Washington Hospital Center has
                                                                chemical or radiological event –         these plans comprise the hospital’s
                         always been a ready hospital; we
                                                                the Hospital Center has more than        Emergency Management Plan,
                         performed magnificently during
                                                                100 response plans and reference         accessible on Lotus Notes and
                         9/11,” said Mark Smith, MD,

                                                                                                         Overseeing the Emergency Man-
              Your Opinion Takes Us Further                                                              agement Plan is the Emergency
                                                                                                         Preparedness Committee, made up
                                                                                                         of representatives from trauma,
              Complete Your Employee Survey                                                              public affairs, infection control,
              Share your opinions about the Hospital Center by completing                                facilities, nursing, radiation safety
              your 2006 Employee Survey during September. “This is your                                  and other hospital departments.
              opportunity to tell us what kind of a job we are doing,” said                              Its goal is to make the hospital the
              President Jim Caldas. The employee survey provides an effec-                               nation’s most prepared in manag-
              tive way to share your comments about how satisfied you are with the                       ing high consequence events, said
              organization and the work environment.                                                     Susan Eckert, committee chairman
              The Hospital Center conducts the survey every two years. This year, the                    and director of innovations in
              Hospital Center’s goal is to reach or exceed the previous record response of               nursing readiness in the ER One
              85 percent in 2004.                                                                        Institute, a center of excellence
                                                                                                         founded in 2001 by Drs. Smith
              Every employee who completes a survey will be entered into raffles and will                and Craig Feied, director, Institute
              be eligible for prizes. Rita Owens, clinical manager, 4NE, won a cruise after              for Medical Informatics.
              the last survey and says she and her husband had a “fantastic” trip aboard
              Carnival’s fun ship Fantasy this year.                                                     ER One provides expertise, leader-
                                                                                                         ship and support to the committee,
              To ensure everyone has time to complete their survey, a representative from
              Human Resources will administer the survey in each department on all                                     (continued on page 10)
              shifts at meetings in September. Survey results are gathered and analyzed
              by an outside consulting firm, Watson Wyatt Worldwide. No one at
              Washington Hospital Center will see your individual responses.

              The purpose of the survey is to move us closer to making Washington
              Hospital Center a patient’s first choice for health care, a leading employer
              in the region and a great place for employees to work.
      PRESIDENT’S                  Message
      Exceptional People
      Providing Exceptional Service
      Succeeding in Moments
      of Truth

                 hat are your moments of           On the other hand, suppose the dental
                 truth?                            receptionist greets you by name and the
                                                   dentist takes a few minutes to chat with
                                                   you before starting your procedure. Or,
      When an organization provides you            the grocery store cashier noting that you
      with a service, the impression you have      have many bags asks a colleague to help
      of that service is based on individual       you get them to your car. You may be so
      moments that add up to your total            impressed with this great service that
      experience. In some cases, you may           not only will you keep going to the den-
      encounter only a few of these moments.       tist or the grocery store, you’ll tell all of
      In others, there will be many. And most      your friends to go there, too.             James Caldas, President Photo by Keith Weller
      of them will be related to the interac-
      tions you have with people from that         Over a year ago, we asked every depart-   wait. As a result, patient satisfaction in
      organization. You could say that these       ment to develop touch point maps that     this area has reached the 60th percentile.
      moments, or “touch points,” are              define those moments of truth that can
      moments of truth—moments                                                                      Valet Services also has an excellent
      that define whether your                  “Remember that great customer                       touch point map that is designed
      experience will be good, bad,
      or average.
                                                                                                                that patients’ and visi-
                                           service is not the result of one thing, it to ensure and last contact with our
                                                                                                    tors’ first
                                            is not even the result of great clinical hospital is exceptional. Parking
      When you buy something at
      a grocery store, for example,
                                               care, it is the result of many little                attendants are taught to greet cus-

      there may only be one point         moments of truth done extremely well.” tomers by saying, “Welcome toAt
                                                                                                    Washington Hospital Center.”
      of contact—your interaction                        – James Caldas, President                  the end of a guest’s stay, attendants
      with the cashier when you                                                                     hustle to get the car, hold open all
      pay for your items. When you go to the       enhance or detract from the patient,      doors, help with personal items, offer
      dentist, there may be several contact        family, or visitor experience at Washing- directions and say, “thank you; have a
      points that include the interaction you      ton Hospital Center. By breaking down     great day.” They are also coached on
      have with the front desk receptionist, the the patient experience into these indi-     personal appearance and hygiene.
      appointment clerk, the hygienist and the vidual steps, how to build towards a
      dentist. These touch points define the       great experience becomes more appar-      Touch point mapping is but one of the
      experience you will have with the gro-       ent. It is also easier to recognize the   many tools that we use to create an
      cery store or dentist. In most cases, you    stumbling blocks that can create a nega-  exceptional experience for the patient. If
      will have an average experience. The         tive experience despite flawless clinical it’s been awhile since you’ve thought
      service is what you expected, no better      care.                                     about yours, I encourage you to review
      and no worse.                                                                          your touch point map or even make sug-
                                                   Many departments are continuing to use gestions for refining and enhancing it.
      But, supposing the service is poor. The      and refine these touch point maps. In     Remember that great customer service is
      receptionist at the dentist is short-tem-    the Cancer Institute’s Ambulatory Treat- not the result of one thing, it is not even
      pered…the dentist doesn’t say hello          ment Area, staff saw the time that        the result of great clinical care, it is the
      before starting to work on your              patients were waiting in the reception    result of many little moments of truth
      teeth…the cashier at the grocery store       area as a moment of truth—an opportu-     done extremely well. N
      spends the entire transaction talking to     nity to improve the patient experience.
      the cashier next to him. You might           Since May, staff are making sure to keep
      shrug it off or you might decide that you patients informed of delays in service
      are changing dentists or grocery stores.     and offer juice and puzzles while they
Microsoft Selects Azyxxi for First Foray
into Industry Applications

      oftware giant Microsoft Corporation       physicians are exceptionally
      has chosen MedStar Health’s               skilled in information tech-
      AzyxxiTM health information system        nology, with a deep, on-the-
as the cornerstone of a new health strategy     job understanding of how
and its first-ever venture into industry-spe-   technology can enhance clin-
cific applications. Historically, Microsoft     ical practice. Fidrik Iskander,
has avoided providing industry-specific         who came to the Hospital
software, instead supplying the operat-         Center along with Drs. Smith
ing system and development tools, and           and Feied, also has been a
encouraging outside developers and end          key member of the develop-
users to develop their own applications.        ment team.
The strategic alliance between Microsoft
and MedStar Health was announced July           The result is Azyxxi, which         From Left to Right: Ken Samet, MedStar president and COO,

26 at a joint press conference.                 was built from the ground up Peter Neupert, corporate vice president, health solutions group,
                                                                                    Microsoft, Craig Feied, MD, director, Institute for Medical
                                                using Microsoft development Informatics, Mark Smith, MD, chair, emergency medicine.
“In acquiring Azyxxi, we believe in the         tools. Designed by doctors for
vision of its founders,” said Peter Neu-        doctors, it incorporates many different          Dr. Feied has lived and breathed Azyxxi
pert, Microsoft’s corporate vice presi-         types of patient data elements from a            for the past 10 years. “Clinicians histori-
dent, health solutions group. When it           wide variety of different sources, making        cally spend 60% of their time looking for
comes to the deployment of information          all the data instantly available through a       information,” he notes. “Azyxxi helps
technology, “Health care is behind other        single interface. Putting information into solve that problem. This is like an air
industry segments,” Neupert noted, cit-         the appropriate context improves clinical traffic control system for hospitals. It’s
ing the anticipated benefits of increased       decision-making and enables physicians           an easy to use, fast and comprehensive
productivity, improved outcomes and             to fine-tune treatment choices. Azyxxi           system that incorporates 12,000 data ele-
enhanced patient safety. “Azyxii can            also improves patient flow through hos-          ments and makes them all available in
deliver these benefits today.”                  pital departments, helps nurses coordi-          real time. It makes finding a needle in a
                                                nate care in patient care units, and tracks haystack routine.”
Azyxxi (rhymes with “Trixie”) represents        infection patterns and trends in medica-
a quantum leap in health intelligence soft-     tion usage. The Azyxii team now consists The strategic alliance aims to take
ware, bringing a patient’s current and past     of some 40 professionals who are dedi-           Azyxxi to the next level of functionality,
medical information to the clinician’s fin-     cated to enhancing and deploying Azyxxi with the goal to make it widely available
gertips at the click of a mouse. It captures,   applications throughout MedStar.                 to health care institutions across the
integrates and displays patient care data                                                        country and around the world. Dr.
from wherever it is generated. What start-      “It’s an honor for all those throughout          Feied, Iskander and the development
ed in the Hospital Center’s Emergency           MedStar who have worked to develop,              team will be employed by Microsoft, but
Department a decade ago is now used             support and improve Azyxii that                  most will remain based at Washington
throughout all MedStar hospitals.               Microsoft has chosen our product,”               Hospital Center. Although the financial
                                                Samet notes. “I am very proud of what            terms of the alliance were not
In 1995, leadership at Washington Hos-          we were able to accomplish internally            announced, Samet commented that it
pital Center had a vision for a future in       over these last 10 years. However, mov-          allows MedStar to recoup its financial
which information technology could              ing Azyxii’s development to a more sig-          investment in the software development
transform the practice of medicine. Of          nificant and lasting platform requires a         and reduce its operating expenses, and
equal importance at the time, new lead-         major development partner, and that is           provides seed money for a new Patient
ership was required for the Hospital            certainly a role for Microsoft.”                 Care Tower as part of the Hospital Cen-
Center’s Emergency Department (ED).                                                              ter’s campus development initiative.
Accordingly, Ken Samet and Joy Drass,           For Dr. Smith, the alliance is a dream
MD — the Hospital Center’s president            come true. “Azyxxi helps our clinicians          But all agree that the greatest benefit to
and senior vice president for clinical          save lives by enabling them to deliver           the alliance is that it enables Azyxxi to
services at the time — recruited Mark           care better, faster and safer,” he says.         realize its full potential. “Our hospital is
Smith, MD, to the Hospital Center as            “When we showed Azyxxi to Gov. Tom- contributing to the advancement of
chair of emergency medicine, a position         my Thompson (former U.S. Secretary of patient care everywhere,” concludes
he still holds today. Craig Feied, MD,          Health and Human Services), he asked,            James Caldas, Washington Hospital
joined the Hospital Center at the same          ‘Why can’t this system be in every hospi- Center president. N
time as an ED physician and to serve as         tal in the country?’ I am delighted to be
director of medical informatics. Both           able to answer him, ‘Well, now it can.’”
      New Order Sets Help Prevent Surgical
      Nurses and Physicians Affected                Shoemaker, clinical specialist and team       glucose control, the new process is not
      by National Quality                           member. The hospital team developed           difficult,” said Shoemaker.
      Improvement Project                           pre-printed order sets that reinforce best
                                                    practices, customized for each specialty,     Many unit in-services have been held

               s part of a national effort to                                                     to review the new order sets found in
               reduce complication rates from       before surgery and post-surgery. Some
                                                    of the specific areas targeted include        particular patient charts. “Once nurses
               surgery, the Hospital Center is                                                    understand the concept and that they
      participating in a major nationwide           reducing the following: cardiac events,
                                                    post-op pneumonia, surgical infections        can reduce post-op complications by
      quality initiative called the Surgical Care                                                 as much as 30 percent, they will quickly
      Improvement Project, (SCIP – pro-             and deep vein thrombosis. “The new
                                                    order sets are very daunting at first         adapt to the changes,” said Karen Carlitti,
      nounced “skip”.) The goal is simple:                                                        clinical specialist. She admits no one
      reduce surgical complications 25 percent      because they’re long and appear com-
                                                    plex, but in reality, with the exception of   likes change – the old
      by 2010. Project participants aim to
      improve patient safety in a number of
      targeted clinical areas, and also help
      reduce costs through the use of
      evidence-based medicine.

      “This program puts a level of
      discipline on the practices that we
      know we should follow,” said Kent
      Haythorn, assistant vice president,
      Perioperative Services. “The evi-
      dence-based literature has proven
      that these practices lead to improved
      patient outcomes.”

      Last year, the Hospital Center formed
      its own SCIP Performance Improve-
      ment Team, comprised of an interdis-
      ciplinary team of surgeons from
      multiple specialties, pharmacists and
      clinical specialists. “Our purpose is to
      reduce morbidity and mortality and to
      track outcomes on multiple measures,”
      said Enrique Daza, MD, general surgeon
      and team leader. Surgeons perform
      more than 25,000 inpatient and outpa-
      tient surgical procedures each year.

      The SCIP Performance Improvement
      Team has established a system that adds
      particular checks and balances to reduce
      surgical complications in several special-
      ties targeted by the national project.
      These areas include cardiac, vascular,
      gynecologic, orthopedic and colorectal
      surgeries. The Hospital Center plans to
      implement the standard order sets by
      the end of the summer, including a new
      approach to glycemic control which will
      be expanded house-wide.

      “It’s going to affect every nurse that
      deals with a surgical patient,” said Ann

New Order Sets                       (continued from page 4)

orders were 2 pages and now the new           procedures when it comes to timing,          SCIP represents a collaborative effort
ones are 7 pages. But the forms are sim-      drug selection and patient selection for     between Perioperative Services and
plified, use check boxes for options and      certain therapies.”                          Quality Resources. The Hospital Center
have very little room for free text.                                                       hopes to hire a staff member to collect
                                              The Passports do not change convention-      the data, track performance and ensure
“Practicing evidence-based medicine           al pre- and post-surgery practices. “All     adherence.
leads to better outcomes,” says Peter         good surgeons already do these things.
Hill, MD, an internist who manages            We’re just making it more objective so       “This is a great program,” said Dr. Hill.
patients recovering from cardiac sur-         we can track outcomes,” said Dr. Daza.       “When it’s fully instituted, we hope to
gery, and a team member.                                                                   see a significant decrease in operative
                                              The Passport to Recovery is filled out as    complications. CMS will monitor our
Called the Passport to OR and the Passport    the patient leaves the OR and goes to the    process and our outcomes. CMS has
to Recovery, the order sets provide written   recovery room. Orders are initiated in       made it clear that, in the future, hospital
prompts in key areas where evidence has       the recovery room and are continued on       reimbursement will be based partially on
been shown to decrease complications.         the nursing units. The order set lists       whether evidence-based practice such as
                                              general orders, including diet and hydra-    SCIP is followed.”
“The Passport to OR addresses issues          tion. It then outlines administration of
such as use of beta blockers, glycemic        deep vein thrombosis prophylaxis, beta-      Haythorn expects that the data generat-
control, and standard antibiotic prophy-      blocker use, glucose control and peptic      ed will form the basis for a Surgical
laxis,” said Shoemaker. “It standardizes      ulcer prophylaxis. Antibiotic therapy is     Report Card. “This will give us good
                                              reviewed based on renal function, and        data so we can show the quality of care
                                              based on surgery type.                       we deliver here,” he concludes.N

                                              “It will actually make things easier for
                                              nursing staff because when a patient
                                              arrives on their unit, you’ll know exactly      Preventing Surgical
                                              what needs to be done for each patient,”        Complications
                                              said Michael Kingan, clinical specialist.         Select appropriate antibiotics
                                              Rebecca Wilkins, clinical specialist,
                                              agrees. “It helps floor nurses because            Administer antibiotics within one
                                              they won’t have to spend time getting             hour of surgery
                                              new orders or clarifying orders.”                 Discontinue prophylactic antibi-
                                                                                                otics within 24 hours after surgery
                                              When a patient is post-op, nurses will
                                              consult two order sets – the new overall          Control perioperative serum
                                              order set for general prevention of surgi-        glucose
                                              cal complications and then the order set
                                                                                                Administer beta-blockers to
                                              for the particular procedure itself,
                                                                                                patients at risk for cardiac events
                                              according to Shoemaker.
                                                                                                Administer anticoagulation or
                                              The Centers for Medicare and Medicaid             use compression devices for
                                              Services (CMS), a member of the SCIP              patients at risk for venous
                                              consortium, estimates that about 42 mil-          thromboembolism
                                              lion patients undergo surgery each year
                                              in the United States and some 40 percent          Elevate head of bed 30 degrees
                                              experience complications. The most com-           for patients on ventilator to
                                              mon complications are surgical site infec-        prevent postoperative pneumonia
                                              tions, adverse cardiac events, deep vein
                                              thrombosis and post-surgical pneumonia.
                                              A 2003 study in the Journal of the Ameri-
                                              can Medical Association reported that
                                              postoperative complications accounted
                                              for 22 percent of preventable deaths.

                                              New pre-printed order sets that reinforce
                                              best practices for patient safety.

      New Chief Operating Officer To Focus On
      Improving Patient Satisfaction

            he hospital’s new chief operating officer, Dennis W.
            Pullin, is a seasoned health care executive who brings
            25 years of operational and business development
      experience to the Hospital Center. A native of San Antonio,
      Texas, he has held numerous senior level positions at large
      hospitals, academic medical centers, physician group
      practices and private industry.

      Pullin said he was drawn to the Hospital Center because of its
      national reputation. “After meeting and spending time with
      President Caldas and looking at the hospital’s mission and
      values, I felt the organization was something I could embrace
      and make a contribution to,” said Pullin. “It’s exciting to be in
      a position to influence an organization that measures success
      one patient at a time.”

      He comes to the Hospital Center from St. Luke’s Episcopal
      Health System in Houston, TX where he served for 5 years
      as vice president of Operations and Business Development.
      During his tenure at St. Luke’s, Pullin identified and
      developed numerous physician joint ventures, restructured
      support services and secured grants for the facility.

      Prior to that, Pullin was vice president, acquisitions and
      development, for Symbion Ambulatory Resource Centres, Inc.
      in Nashville, Tennessee. From 1994 to 1998, he was executive
      director of the Baylor Sports Medicine Institute and the
      Department of Orthopedic Surgery at Baylor College of
      Medicine in Houston.

      Pullin notes the Hospital Center is well run and that the chal-
                                                                           Dennis W. Pullin, chief operating officer. Photo by Keith Weller
      lenge will be for him to make it better. He wants to improve
      patient satisfaction by moving the organization to the next level.
      “We’re not where any of us would like to be and patient              After moving his family from Houston to the Washington, DC
      satisfaction is an area where I can contribute and make              metro, Pullin said they are “excited to be part of the nation’s
      improvements,” said Pullin.                                          capital.” Pullin is also eager to become involved in the com-
                                                                           munity and “be a good ambassador” for the hospital and Med-
      “What drives patient satisfaction is employee and physician
                                                                           Star. He sits on several community and civic boards of
      satisfaction,” according to Pullin. “Treating our employees and
                                                                           directors in Texas.
      physicians well and meeting their needs transcends into
      improved patient care.”                                              He earned his Master’s degree from Texas A & M University
                                                                           and his undergraduate degree from Texas Lutheran University.
      “I am excited to have Dennis join our executive team,” said
                                                                           Pullin has authored numerous articles and publications and
      President Jim Caldas. “His experience, expertise and energy
                                                                           served as editor of several sports medicine magazines. He is a
      will be a great asset to our organizational leadership.”
                                                                           member of the American College of Health Care Executives. N
      Pullin was selected for the COO position after a one year
      nationwide search. In his new role at the Hospital Center, Pullin
      will oversee heart, cancer, professional and support services.

Nurses Focus On Patients And
Relationship-Based Practice At Fourth
Annual Nurses Conference

          ore than 200 nurses from Washington Hospital                 and related it from the patient’s point of view, and also focused
          Center, National Rehabilitation Hospital, Franklin           on the importance of relationships with self and peers. She
          Square Hospital and Good Samaritan Hospital                  emphasized the importance of taking time for ourselves and
attended the Fourth Annual Professional Nursing Leadership             engaging in positive reflection as a means to enhance satisfying
Conference: “Passion and Purpose in Nursing: What Makes                relationships with patients, peers and significant others.
Us So Special?” The conference, held in June, focused on
enhancing nursing care using the concepts of relationship-             Dr. McKenna told participants that there’s no substitute for
based practice and emotional intelligence.                             the importance of collaboration and relationship building with
                                                                       peers. To reinforce the power of teamwork and collaboration,
Senior Vice President of Nursing, Sandy Marshall, RN, opened           nurses engaged in an interactive earthquake survival exercise
the conference and addressed the critical role professional            which demonstrated their talent and skills as well as prepara-
nurses play in creating a caring and healing environment for           tion for handling a crisis.
patients and developing a therapeutic relationship with them
and their significant others. Marshall called upon nurses to           Another key topic of discussion at the conference involved
become transformational caring leaders. “It starts with recog-         emotional intelligence. Tim Keogh, PhD, clinical associate
nizing and accepting the reality of where you are today and            professor, Department of Health Systems Management and
then having the courage to lead with purpose to achieve your           director of the Master of Health Administration Program at
mission and vision. It also requires that you create an aware-         Tulane University’s School of Public Health and Tropical
ness of new ways of thinking and being…of identifying oppor-           Medicine, addressed the impact of emotional intelligence on a
tunities for change,” she said.                                        leader’s success.

Marshall explained that caring leaders create momentum for             Dr. Keogh asked each participant to complete an emotional
change by aligning their energy with people who can see the pos-       intelligence self-assessment. He defined the dimensions and
sibilities and take ownership for making change happen. “These         fundamental principles of emotional intelligence using a three-
activities will inspire a shared vision and give us the courage to     step process: being assertive, caring, and creative. He empha-
overcome our fear of failure, take risks and learn from our expe-      sized that an emotional intelligence communication style is
riences,” she said. “Every day provides a caring leader with a new     effective because it affirms relationships, shows caring, involves
opportunity to lead with intention, hope and possibility.”             other people in finding solutions and gets things done.

Toni McKenna, RN, DNSc, senior director of clinical leadership         The conference survey showed nurses rated the day of learning
at VHA, outlined the concepts of relationship-based care focus-        and collaboration very highly. “This is my fourth Leadership
ing on nursing actions that enhance relationships. She described       Conference and I always learn something new,” said Minette
what was involved in creating a caring and healing environment         Blandon RN, 2NW. “I especially enjoyed the presentation on
                                                                       emotional intelligence. Through self-understanding of emo-
                                                                                  tional intelligence, we can achieve better patient
                                                                                  outcomes and enhance our working relationships.”
                                                                                  Patricia Beckham, RN, 3NW was pleased with the
                                                                                  support for the annual conference. “I was
                                                                                  impressed at the level of involvement of Sandra
                                                                                  Marshall because her support is critical. I felt like
                                                                                  the conference was relevant, timely and spoke to
                                                                                  what nursing leadership is about,” said Beckham.

                                                                                  Marlyn Evans RN, 4NE felt that the presentation on
                                                                                  relationship-based care was outstanding. “Toni
                                                                                  McKenna kept the audience involved, which really
                                                                                  enhanced my learning,” said Evans. “When I left
                                                                                  the conference, I felt re-energized. The conference
                                                                                  will help my colleagues and I to deliver truly
                                                                                  patient first care. This is a great time to be a nurse
                                                                                  at Washington Hospital Center.” N
Toni McKenna, RN, DNSc, discusses the concept of relationship-based care during
nursing conference.

      Employees Travel To Grenada, Bringing
      Medical Care And Hope To Women
      Nurse Returns Home To Help                 receive the test,” said Bowen-Ross, a       nosed with cervical cancer in Grenada, it
      Women In Need of                           native of the Caribbean country where       is often their first Pap smear. From can-
      Gynecological Care and Cancer              she attended nursing school and gradu-      cer diagnosis to death is a matter of
      Prevention                                 ated as valedictorian in 1979. Grenada is   months.”
                                                 about twice the size of Washington, DC
      “   T
                 here are no oncologists in                                             Inspired by the need to give back to her
                                                 and has one quarter of the population.
                 Grenada,” said Susan Bowen-                                            native country, Bowen-Ross spoke to
                 Ross, RN, clinical                                                               Jonathan Cosin, MD, section
      manager, gynecologic oncolo-           “Pap tests to detect cervical cancer                 director, gynecologic oncology,
      gy, Washington Cancer Insti-
      tute. “There are a lot of
                                            are not conducted on a regular basis                  Washington Cancer Institute,
                                                                                                  about the dire medical situation
      gynecologists, but no oncolo-            in Grenada, and some women                         in Grenada and the possibility
      gists. There is a cultural belief          never even receive the test.”                    of a medical mission. He quick-
      that surgical treatment of can-                                                             ly agreed and together they
      cer spreads the disease.”
                                               – Susan Bowen-Ross, RN, clinical manager
                                                                                                  recruited ob-gyn resident Shana
      Women must travel to the                                                                    P. Adams, MD to travel with
      nearby island of Trinidad to undergo      The rate of gynecological cancers in    them. The team purchased their own
      radiation and chemotherapy.               Grenada is two-and-a-half times that of airline tickets and provided the basic
                                                 the District. “It’s heart-wrenching and     supplies needed for screenings.
      “Pap tests to detect cervical cancer are
                                                 sad to see young people dying of cancer
      not conducted on a regular basis in                                                    They spent a week based at St. George’s
                                                 that is preventable and treatable,” said
      Grenada, and some women never even                                                     General Hospital where they held five
                                                 Bowen-Ross. “When women are diag-

      Port of St. George, Grenada

Employees Travel To Grenada
(continued from page 8)

Side street in St. George’s, Grenada

clinics, saw close to 300 patients and
performed 11 surgeries in May. Dr.
Cosin performed four radical hysterec-
tomies, a trachelectomy (surgical
removal of the cervix), several cone
biopsies to remove pre-cancerous             St. George’s Hospital in Grenada
lesions, and a colostomy reversal for
a woman whose physicians could not
                                             According to Bowen-Ross, many
put her bowels back together. Now
                                             patients in Grenada feel intimidated by
the patient is free from wearing a
                                             physicians so she took her cause to the
colostomy bag.
                                             local airwaves to raise awareness about
“Grenada has limited resources and           women’s health. On television, radio
patients do not have access to care,” said   and in print, she urged women not to be
Cosin. “We treated women who saw a           shy and to ask doctors for annual Pap
gynecologist regularly, but never had a      smears and mammograms.
                                                                                            Above: From Left to Right: Phronie Jackson,
Pap test or a mamogram.” As a result, he                                                    reflexologist, Jonathan Cosin, MD, Shana P.
                                             “I want to do the best I can for others,
said, the incidence of gynecological dis-                                                   Adams, MD, Loris Pascal, Grenada liaison,
                                             willingly, cheerfully, and with all my         and Susan Bowen-Ross, RN.
orders and cervical cancer is high.
                                             heart,” said Bowen-Ross who has
“We saw a number of patients who had         personally seen the anguish and suffer-
been diagnosed with cervical cancer sev-     ing wrought by cancer. The disease has         appreciate the wonderful care we have
eral years ago and were never able to get    affected many members of her family,           in the US.”
treatment, so they just slowly die.”         including both parents. “Cancer has
Patients with cervical cancer have only      touched my family deeply. We have              Drs. Cosin and Adams were the heart
one option for radiation therapy: travel-    to help those in need. The whole quest         and soul of the mission, said Bowen-
ing to another country which many peo-       of human existence is to help others,”         Ross. “They were shining examples of
ple cannot afford, he said. Cosin is         she said.                                      the quality care provided at the Hospital
awaiting pathology reports to determine                                                     Center. The mission could not have
                                             At nursing school, Bowen-Ross told stu-        happened without them.” She and Drs.
whether some patients will need follow-
                                             dents that while some will move on, they       Cosin and Adams plan to return to
up treatments.
                                             must remember to come back. She is             Grenada in NovemberN
During the trip, Bowen-Ross triaged          pleased and grateful to have returned by
all of the patients who needed to see        arranging a trip through the Ministry of
Dr. Cosin. She counseled women about         Health. Grenada officials called it the best
the need for annual Pap smears and           Christmas gift the country has received.
monthly breast self-exams, and provided
                                             “It was a humbling experience,” said
referrals for mammograms and repeat
                                             Bowen-Ross. “I wanted to give back
Pap smears.
                                             and it has helped me to help others

    Preparing for the Unexpected
    (continued from page 1)

     and training and education to hospitals           Installing radiation detectors at the      Laboratory. SITEL provides more than
     and health care workers across the                hospital’s emergency entrances in case     100 Web-based education modules on
     region. Long-range plans include build-           of a radiological event. Hand-held         emergency preparedness for conventional,
     ing a state-of-the-art emergency room             detectors and personnel protective         chemical, nuclear and biological events.
     capable of handling mass casualties and           equipment also are on hand for health
     serving as a national model in emer-              care workers.                              Front-line responders are required to
     gency preparedness.                                                                          attend a two-day, hands-on training
                                                       Creating a “ready room” for up to 100      with moulaged victims that is offered 10
     After the September 11, 2001 terrorist            victims of any sort of disaster with the   times a year. The course includes practi-
     attacks, the hospital’s emergency pre-            ability to decontaminate up to 20 vic-     cal didactics and then gives participants
     paredness efforts took on greater promi-          tims at a time. “With the ready room       (nurses, physicians, security, and hospi-
     nence, with particular attention given to         outside the hospital, on the ground        tal administrators) a chance to respond
     the possibility of a biological, chemical         floor of the Northwest Addition in an      to simulated events.
     or radiological event, Eckert said.               area completely separate from the rest
     “We’ve since done a lot of development            of the hospital, with its own ventila-     Employees’ knowledge of where they
     and work on specific plans to address             tion system, we avoid contaminating        fit in the hospital’s chain of command
     and be prepared for those types of                the main facility, and we don’t have       during an emergency will be more easily
     events,” she said.                                to close down the hospital,” said          accessible once the hospital completes its
                                                       Christine Shamloo, director, Emer-         conversion to the Hospital Emergency
     Also underway is a two-year revision              gency Preparedness Initiative, ER One      Incident Command System (HEICS),
     of the Emergency Management Plan                  Institute. Four 5,000-watt portable        expected within the next six months.
     launched in 2005. “We have made sub-              generators, 41 lanterns, 1,530 gallons     With HEICS, Shamloo explained, “you’ll
     stantive progress over the past year,” said       of water and 234 dry toilets are among     know your roles and responsibilities,
     Eckert, describing the review as “robust.”        supplies already on hand.                  who you report to.” The Command Sys-
     Every plan is being evaluated, and sub-                                                      tem also will fulfill the hospital’s require-
     committees have been formed to address          Training for an emergency is mandatory       ment to become compliant with the
     areas that have needed additional atten-        for all hospital employees. Education is     federal government’s national incident
     tion, such as evacuation of the entire          provided continually at the Safety Fair      management system, developed by the
     hospital, recovering from an event and          and at general orientation for new hires.    Department of Homeland Security.
     returning to normal hospital operations.        For nurses, executive and administrative
                                                     staffs, “nursing updates” and “table top”    The medical campus of Washington
     Specific emergency preparedness plans           exercises are held throughout the year.      Hospital Center, National Rehabilitation
     and progress to date include:                   “They are educated and then drilled on       Hospital, Veterans Affairs Medical Cen-
                                                     that information,” Shamloo said. “We         ter and Children’s Hospital is one of the
         Preparing both an evacuation plan                                                        largest concentrations of hospitals on
                                                     give them a scenario and talk about how
         and restoration plan in the event of a                                                   the east coast. Through the Campus
                                                     they would respond.”
         natural disaster, such as flooding or a                                                  Wide Emergency Operations Commit-
         conventional explosion. Dressings and       A recent night drill involved a truck        tee, with representatives from all four
         bandages for burn victims, portable         explosion. “This experience provided us      hospitals, emergency response efforts are
         ventilators and IV supplies, and carts      with a wealth of information that we         coordinated to ensure the campus is
         stocked with critical care equipment.       needed in order to make necessary            secure during an event.
                                                     improvements to the hospital at large,”
         Stockpiling antidotes for a chemical                                                     Since employees will not be able to leave
                                                     said Shamloo. “We have a focused plan
         or biological event, and preparing a                                                     the hospital in the event of an emergency,
                                                     for further training and education of key
         decontamination plan that is con-                                                        everyone is encouraged to develop per-
         stantly under revision. The biological                                                   sonal emergency response plans for their
         plan, prepared by Infection Control,        For front-line responders — including        homes. Shamloo cited several resources
         involves collaboration with public          Emergency Room personnel, MedSTAR            available to help develop those plans,
         health agencies and offers guidelines       trauma workers, surgeons and critical        including N
         for handling all aspects of an outbreak,    care physicians, the executive adminis-
         including epidemic respiratory diseases,    trative staff and protective services —
         infection control, clinical evaluation of   training is more comprehensive and
         patients and patient isolation.             includes participation in SITEL, the
                                                     Simulation and Training Environment

– 10 –
Annual Tuberculosis Screenings
Help Protect Employees

        ealth care workers at Washington     about lax compliance to the Perfor-          the lungs. Anyone who has tested posi-
        Hospital Center are less likely to   mance Improvement (PI) Committee.            tive but has clear lungs must undergo an
        contract tuberculosis (TB) as a                                                   annual questionnaire to check for the
result of an aggressive campaign that        “The PI committee supported [our con-        presence of symptoms, which include a
includes annual screenings required of       tention] that this was an extremely          persistent cough, night sweats and fever.
all employees, according to Karin Myer-      important program, and it gave the man-      Employees are required to notify Infec-
son, director, Occupational Health.          agers the administrative support they        tion Control anytime they suspect they
                                             needed to explain to the employees that      may have contracted TB.
“Our compliance [with screenings] is at      if they did not get screened, they would
93 percent, which is very, very good,”       be taken off the schedule,” Myerson said.    New hires must either present proof of a
Myerson said. “It allows us to have con-                                                  negative PPD within the past 12 months
fidence that when we have an exposure,       By January 2005, compliance was up to        and undergo one additional PPD, or
we know each employee’s TB status            91 percent and quickly jumped to 93          take both PPDs within three weeks at
before the exposure.”                        percent, where it has remained ever          the onset of their employment.
                                             since. As a result, fewer employees have
Since TB germs are transmitted by air,       been exposed to TB, Myerson said, cred-      Infection Control provides managers
the screenings are essential in protecting   iting “support we’ve received from the       with a monthly list of employees due for
employees from this disease, Myerson         managers” for the program’s success.         a TB screening.
said. “It’s not like we can just put up a
barrier in your office,” she said. Annual    The screenings – also called a PPD           Additional measures that have helped
screenings are required by the Centers for   (purified protein derivative) test – are     protect employees from TB include iso-
Disease Control and Prevention for all       offered to all employees at the Occupa-      lating anyone suspected of having TB,
hospital health care workers. Additional-    tional Health office in the East Building.   and fitting all employees for the N-95
ly, JCAHO evaluates hospital screening       They involve a subcutaneous injection of     Mask. The mask contains a special fabric
procedures for infectious diseases.          a serum, which creates a “bleb” or bub-      that prevents TB germs from passing
                                             ble under the skin. If the bubble disap-     through to the wearer.
Myerson was not so boastful of the hos-      pears after two or three days, the test is
pital’s compliance rate two years ago,       considered negative. New employees           “You can’t just use a surgical mask,”
when only 78 to 85 percent of all            receive a second PPD two to three weeks      Myerson said, adding that the N-95
employees were showing up for their          later to confirm the negative result.        Mask is only effective if it fits properly.
annual screenings. In August 2004,                                                        Health care workers who need to be fit-
Infection Control took its concerns          If the bubble remains, a chest X-ray is      ted for the N-95 Mask should contact
                                             ordered to rule out the presence of TB in    Occupational Health at x7-6781. N

Washington Hospital Center Ranks Among Nation’s
Best in Survey by U.S. News & World Report
Heart and Kidney Disease                     recognized. This is the highest rating of    gories examined
Programs Cited                               any hospital in the immediate Washing-       by surveyors. It

            ashington Hospital Center        ton metropolitan area.                       represents the top
            has been named one of                                                         three percent of
                                             U.S. News also selected the Hospital         hospitals evaluated
            “America’s Top Hospitals”
                                             Center’s kidney disease program as one       nationwide.
for its world renown cardiology and
                                             of the nation’s 50 best for the treatment
cardiac surgery programs and its kidney
                                             of kidney disease.                           All hospitals were judged on three equally
disease program in the annual survey of
                                                                                          weighted factors - reputation, mortality
best hospitals by U.S. News & World          Of the more than 5,100 hospitals evalu-      rate, and patient care-related factors
Report.                                      ated nationwide by U.S. News & World         including nursing and patient services.
                                             Report, the Hospital Center is one of        The 50 hospitals with the highest scores
The Hospital Center ranked number 18
                                             only 176 hospitals to be ranked in more      in each specialty are listed.N
on the list of 50 leading hospital-based
                                             than one of the16 medical specialty cate-
cardiology and cardiac surgery programs

                                                                                                                                        – 11 –
     The 20-Year Club: New Inductees for 2006

                 ashington Hospital Centered honored 89 employees
                 this year who have worked for the organization
                 twenty years or more. The employees were recog-
     nized at a special dinner and ceremony in which they were
     inducted into the 20-Year Club, bringing the total member-
     ship close to 900 employees.

     President James Caldas applauded the newest members. “The
     commitment, caring and experience of all of these employees
     is remarkable. Their dedication to providing patient first
     health care is an inspirational example of exceptional people          Robert Alston,              Belinda P. Amador,
     providing exceptional service.” N                                     Protective Services                 3DH

     To see the list of
     new members of the
     20-Year Club not
     pictured, please go
     to page 15.

                                          Lisa W. Braswell,               Kenneth D. Butler,            Julian M. Careaga,
                                          Arrhythmia Center                Material Services         Cost Accounting/Budgeting

           Seung S. Cho,                    Rafina Chotoo,                 Kathleen Collins,                Ina Devine,
          Operating Room                 Professional Fee Billing          Clinical Support               Lab Coagulation

                                             Wanda Elane,
          Evelyn J. Egizi,                Clinical Laboratory              Denise J. Galbo,                Lalit K. Gulati,
          Anesthesiology                  Technical Chemistry        Business And Provider Affairs   Cost Accounting/Budgeting

– 12 –
20-Year Club (continued from page 12)

Valeria O. Habershon,
  Production Control          Sylvia Hester,        Cecil A. Johnson,
 Information Systems          Anesthesiology        Protective Services       Yvonne J. Joyner, 5D

 Bernadette P. Nicolas,       Beth S. Orrell,        Ellen S. Putla,       Miriam L. Ratner, Cancer
  Periop Patient Care        Nurse Practitioner     5D Nursing Unit        Institute Patient Services

    Cecilia K. Sanniez,      Arlene H. Sheets,      Silvester Stokes,           Sitadai Tiwari,
     Operating Room         Occupational Health   Administrative Support    Department of Medicine

   Julie A. Trollinger,      Diane L. Waak,         Phyllis A. Walker,          Bonita J. White,
Transplant Administration   Periop Patient Care             4D             Cardiac Catheterization Lab

                                                                                                        – 13 –
    Employee Giving Campaign
    Patient First: Employees Making the Difference

           ettye Carnathan has been an employee for 33 years, with
           all of her service in Respiratory Therapy. During that
           time, she’s come to view Washington Hospital Center as
     her community.

     “Just like the community where I live, this is the community
     where I work,” Carnathan says. “Most employees are here for
     more than a paycheck, so giving back to this community is
     easy. Sometimes when you donate to charity, you aren’t sure
     where it goes. Here at the Hospital Center, you know where the
     money goes, and every day, we see some of the people who are
     helped by our donations.”

     Carnathan, manager, Pulmonary Services, adds that the hospital
     has made it easy for employees to give. “Besides the annual
     three week campaign, you can do a contribution at any time of
     the year, and if you’re a manager, you can donate PTO hours.
     You’ve given to help the hospital, and you get a tax deduction
     as well.”

     Carnathan’s take on employee giving isn’t a surprise. “Bettye is
     a great clinician and manager,” says Joseph Lynott, director,
     Respiratory Therapy, “and she is a special human being. She
     has a deep compassion for others, and you can tell she is always
                                                                        Bettye Carnathan Photo by Keith Weller
     caring about our patients and those in our community.” N

     DID YOU KNOW?                                                      funds, real estate, retirement plans, life insurance, tangible
                                                                        personal property or will-bequest. And, your donation can
     Employee giving takes place all year, not just during the
                                                                        go back to your own department.
     Employee Giving Campaign. The Foundation can accept
     donations of cash, checks or gifts through credit cards. You       To donate or for more information, contact the Foundation
     may receive tax benefits through donations of stock, mutual        at x7-6558.

     Bowie Baysox Baseball

               ver 300 employees, their fami-
               lies and friends attended Hospi-
               tal Center night at the Bowie
     Baysox on Saturday, June 10. Folks who
     attended were treated to a picnic and
     music in the tailgate tent, received a free
     baseball cap and enjoyed the ball game
     and fireworks display afterward. The
     free ball caps were given away in honor
     of the Kansas City Monarchs, the Negro
     League team that Jackie Robinson and
     Satchel Paige played for before joining                                                     Above: Angela Gandy, financial counselor,
     the Major Leagues. N                                                                        Central Financial Clearance, pitches the ball
                                                                                                 across home plate.

                                                                                                 Left: Bowie Baysox pitcher Matt Bruback,
                                                                                                 dressed to honor the Kansas City Monarchs,
                                                                                                 poses with the entertainers.

– 14 –
New Furniture Arrives

                                                                                       he first delivery of brand new patient room
                                                                                       furniture arrived in June for Hospital Center
                                                                                       patients. The updated furniture is being
                                                                                delivered to all hospital units and includes new
                                                                                over-bed tables, bedside tables and chairs. In addi-
                                                                                tion to the patient room furniture, we will receive
                                                                                our first shipment of 155 new beds. Also this
                                                                                summer, the furniture in the lobby is being replaced
                                                                                thanks to the generous donation of a board member.
                                                                                Changes are also being made to improve the waiting
                                                                                area near the main operating room. Pending fund-
                                                                                ing approvals, these changes should be seen later
                                                                                in the year.N

From Left to Right: Charlene Faku, RN; Taneeria Miller, Student Nurse; Derek
Abbott, Jr. PSA II; and Alexandra Alosh, Physical Therapist

20-Year Club                     (continued from page 13)

New members of the 20-Year Club not               Joanne Fitterer, 4NE                        Peter M. Levit, MD, Pulmonary
pictured include:                                 Iris L. Fordham, Linen Distribution         Diseases
                                                  Elizabeth E. Gardner, Infection Control     Clarence Lewis, 2G
  Derek E. Abbott, Endoscopy
                                                  Kay Garrett, 3NW                            Kecia D. Mack, Customer Service
  Rebekah R. Allely, Burn Rehabilitation
                                                  Mary George, Operating Room                 Mary E. May, Transplant Clinical
  Jeffery T. Allen, Sterile Processing                                                        and Surgical
                                                  Margaret George-Morgan,
  Inga P. Atchison, Emergency Depart-                                                         Eileen M. Mccormack, 3NE
                                                  Sterile Processing
                                                  John C. Graham, Accounting                  Daniela D. Milstein, Delivery Room
  Karen F. Barber, 3E
                                                  Paulette L. Gray, Delivery Room             Alice Moore, Respiratory Therapy
  Sonia A. Blackwood, Telemetry
                                                  Bertha D. Grigsby, Central Financial        Patricia Novak, Radiology
  Valerie Braden, Operating Room
                                                  Clearance                                   Alice M. Nunemaker, Operating Room
  Lillian S. Brown, Nursing Float Pool
                                                  Evelyn Hayden, Non-Invasive                 Michelle Ordone, 2NE
  Nancy N. Bruce, Clinical Support                Cardiology                                  Sylvester Parker, Operating Room
  Eugene D. Burch, Radiation Safety               Karen A. Hogan, Clinical Supervisor         Johnsie Petite, Professional Fee Billing
                                                  Cheryl Holder, Clinical Laboratory          Edward V. Platia, MD, Arrhythmia
  Yolanda Burkley, Respiratory Therapy            Technical Blood Bank                        Center
  Perlita S. Constantino,                         Kevin C. Homewood, 2G                       Carmen Portillo, Sterile Processing
  Clinical Resource Management
                                                  Wanda L. Jackson, Periop Patient Care       Dina L. Rosenthal, 3H
  Paula M. Coppedge, 5E
                                                  Rodney M. Jones, Patient And                Martha Scheulen, MedSTAR 1G
  Rachel M. Cross, 3DH                            Guest Services
                                                                                              Ira F. Smith, Nursing Ward
  Deborah Davis, 2NW                              Susan O. Kennedy, Trauma                    Management
  Kristin E. Delauney, 3rd Floor                  Administration
                                                                                              Myra D. Sumpter, 3rd Floor
  Operating Room                                  Anil K. Kishore, Pharmacy                   Operating Room
  Richard E. Ellis,                               Lois R. Lamich, 4H                          Shirley West, CT Scan
  Main Recovery Room PACU
                                                  Millicent Lawrence, 2C                      Douglas G. Windley-Frey, 3NE
  Victoria C. Elmore, 2G
                                                  Patricia A. Levesque, 2G                    Sharon E. White, MedSTAR 1G
  Eunice A. Finney, Endoscopy
                                                                                            Photos by Keith Weller
                                                                                                                                         – 15 –
     MedStar Health President/COO Delivers
     “State of the System” Update

                edStar President and Chief                                                        consumer assessment survey will “go
                Operating Officer Kenneth A.                                                      live,” and hospitals will collect patient
                Samet presented his semi-                                                         satisfaction data and submit their
     annual “State of the System” update to                                                       results to CMS. Such scores will impact
     Hospital Center managers in June. The                                                        Medicare reimbursement and will
     forum provided Samet the opportunity                                                         include public reporting of patient satis-
     to share current information about                                                           faction data. The first public reporting of
     MedStar’s financial performance in the                                                       hospital performance will be available
     current fiscal year, patient satisfaction                                                    online in late 2007 or early 2008.
     scores and the details of several system-
     wide initiatives.                                                                            System-wide, MedStar currently has
                                                                                                  underway several initiatives including
     Samet shared that MedStar stands in an                                                       an upcoming Emergency Preparedness
     overall positive position as it closes out                                                   Planning Workgroup that will be com-
     FY06. The positive position includes                                                         prised of leadership members from
     some variables including a decrease in                                                       across the system. These leaders will
     overall admissions despite an increase in                                                    be tasked to develop a corporate crisis
     Emergency Department volume system-                                                          management plan that collaborates and
                                                    Kenneth Samet, Medstar President and Chief
     wide. The system is 0.7 percent behind         Operating Officer Photo by Keith Weller       supports individual site disaster plans.
     budget for the fiscal year and, for the                                                      The workgroup will facilitate a tabletop
     first time in three years, there was no        around $125 million each year on strate-      exercise for all hospitals this fall.
     statistically-demonstrated “market             gically-planned, routine capital expenses
     growth.” Still, overall, MedStar expects                                                     “We have to make certain that we are
                                                    in order to continue to build and main-
     to finish FY06 ended June 30 with net                                                        sharing best practices so we can know
                                                    tain the healthcare system.
     revenue of about $2.7 billion, and                                                           how to bring the leverages of the system
     employees can take pride in a system           Mentioning how important it is that           to make sure sister hospitals can help [in
     that has achieved a $200 million, four-        MedStar employees work to gain the            the event of an emergency],” said Samet.
     year turn-around in a difficult market.        public’s trust, Samet outlined the sys-
                                                                                                  Additionally, the MedStar leadership
                                                    tem’s plan for working with insurers and
     Samet attributes the decline in admis-                                                       team has developed a council and five
                                                    third party payers who reimburse the
     sions and the resulting behind-budget                                                        task forces focused on moving the system
                                                    organization for care provided. Yet he
     status, in part, to a decrease in cardiology                                                 from “Good to Great,” by further creating
                                                    stressed the importance of noting that
     and surgical patients at some MedStar                                                        a culture and organization that is deeply
                                                    while MedStar does try and collect legiti-
     hospitals. He said the system must seek                                                      committed to clinical excellence, world-
                                                    mate bills within charity care/discount
     the right mix of activity across the sys-                                                    class service and being an employer of
                                                    policies, MedStar hospitals never deny
     tem, including focusing on outpatient                                                        choice. This effort was formally launched
                                                    anyone life-sustaining care based on
     treatment and continuing to build public                                                     with the system’s senior managers in
                                                    their ability to pay.
     trust in the MedStar name and to seek to                                                     June. Already this year, MedStar has
     capture all revenue owed to the hospitals.     Samet then reviewed current patient satis-    proven its workforce excellence by being
     While all MedStar hospitals continue to        faction survey data from all MedStar          named to the list of Best Places to Work
     be successful, Washington Hospital Cen-        hospitals, proudly noting the trend line      in both the Washington Business Journal
     ter and Georgetown University Hospital         for three-year mean scores shows that         and Baltimore Business Journal.
     have achieved the progress necessary to        patients receiving care within the system
                                                                                                  By pointing out that MedStar hospital
     make them the system’s two most suc-           are more satisfied than ever. The trend
                                                                                                  departments contributed almost 1,700
     cessful hospitals during FY 06.                lines were especially gratifying when com-
                                                                                                  action plans after the 2004 Employee
                                                    pared to hospitals in other urban settings.
     When it comes to capital spending,                                                           Satisfaction Survey, Samet emphasized
     MedStar this year expects to spend over        Managers also received an overview of         the importance the system places on
     $125 million on its hospitals, an increase     the upcoming Hospital Consumer Assess-        employee feedback. He then enthusias-
     from the $115 million spent on capital         ment of Health Providers and Systems          tically shared that he and other system
     expenses in FY 05. Samet confirmed that        survey being implemented by the Centers       leaders look forward to September’s
     MedStar will need to continue to spend         for Medicare and Medicaid Services            Employee Satisfaction Survey.N
                                                    (CMS.) Beginning in October, the

– 16 –
Traffic Safety Officers Ease Traffic
Congestion On Weekday Mornings

       reventive safety measures are
       essential to managing a hectic traffic
       environment, and heavy traffic
times at the Hospital Center are no
exception to this rule. The Department
of Protective Services assigns an officer
to direct traffic from 6:30 to 8 a.m. every
weekday morning to help vehicular and
pedestrian traffic move efficiently
through congested areas, especially at
the intersection of First Street, NW and
Hospital Center Way. In keeping with
the patient first mission of the hospital,
Sgt. Daniel Smith of Protective Services
urges employees to slow down, obey
traffic officers and show officers the
same level of respect as they would like
shown to them. Respecting the com-
mands of the traffic officer benefits
everyone by ensuring traffic flows
smoothly, safely and without incident.N         Security officer Dwayne Kelley directs morning traffic.

Hospital Center and Washington Cancer Institute Set
Record at Komen Race for the Cure

      mployees and family members who
      participated in the Komen National
      Race for the Cure in June set a
record for the event. More than 1,470
participants represented Washington
Hospital Center as Team MED. The
team was recognized at the event for
recruiting the largest group for the race.
Lorna DeLancy, outreach coordinator,
Washington Cancer Institute, lead the
record recruitment effort. Carol Ander-
son, billing and reimbursement coordi-
nator, Washington Cancer Institute, and
a breast cancer survivor, also helped sign
up employees for the annual event.N

                                                                                                          – 17 –
    Pump Up Your Iron To Donate Blood

             he Donor Center is receiving interest from eager super-         As you may know,
             hero employees want to donate blood - but are turned            summer is a slow
             down because of a hemoglobin deficiency.                        time for blood
                                                                             donations because
     Don’t let this happen to you. To boost your iron levels to at           many employees
     least 12.5 d/gl or higher, eat more foods with a high iron              take vacations and
     content. Here are just a few of the foods you can choose from           may be busy with
     to increase your iron strength:                                         family and friends.
                                                                             In addition, there
         Meats – hamburger, roast beef, pork, ham and beef liver
                                                                             is a greater need
         Fish – tuna, scallops                                               for donations
                                                                             because outdoor
         Poultry – roast turkey, fried chicken                               activity is greater and
                                                                             there are more vehicles
         Fruits and vegetables – bananas, cantaloupe, watermelon,            on the roadways. This
         tomatoes, raisins, strawberries, orange juice, apple juice, and     translates to more accidents,
         tomato juice                                                        more injuries and more blood transfusions.
         Whole grains – bran flakes, cream of wheat, and oatmeal             Our present supply isn’t keeping up with demand so your help
                                                                             is needed. Discover your inner superhero strength and find the
                                                                             will to donate. Your precious gift can save up to three lives.

                                                                             Remember throughout the year, all donors receive two free
                                                                             movie passes accepted by Loews, AMC theatres, or Cineplex
                                                                             Odeon, and are entered into the year-end grand prize trip for
                                                                             two to Las Vegas.

                                                                             To donate, call the Blood Donor Center at x7-5250 or walk-in.
                                                                             The Center is located in the main lobby at 110 Irving Street, NW
                                                                             and is open Monday, Wednesday and Friday from 8 a.m. to
                                                                             4 p.m.; and from 8 a.m. to 6 p.m. on Tuesday and Thursday. N

                                                                                     Patient Safety Fair

                                                                                                ore than 600 Hospital Center employees
                                                                                                participated in the Patient Safety Fair held
                                                                                                in the hospital courtyard in June. The
                                                                                     beach-themed fair provided employees with a bright,
                                                                                     festive and educational atmosphere. Participants
                                                                                     enjoyed beach music, a variety of healthy summer
                                                                                     foods, and even a chance to win an I-pod while tak-
                                                                                     ing part in a range of instructive activities focused on
                                                                                     reinforcing and improving patient safety. According
                                                                                     to Edwina Fowler, Quality Resources, there was
                                                                                     “overwhelmingly positive feedback” to the fair, which
                                                                                     will be held again next year in the spring. N

     Kyung S. Han, RN, and Bridget Schall, RN, (seated), head nurse, Operating
     Room, at the Universal Protocol table.

– 18 –
Discount Tickets                             by contacting Cynthia Garrett, customer     from Trinity, complete a hospital tuition
at Six Flags                                 service, Suite 320, at 301-209-5500,        application and begin work to take that
America                                      Monday through Friday, 9 a.m.-1 p.m.        Associate Degree to a Bachelors Degree.
Hospital Center                                                                          For more information, please contact
                                             For additional information about            Bret Cameron, benefits manager, at
employees can now
                                             discount tickets, contact Cheraisse Ward    x7-7450 or call Trinity University
take advantage of
                                             at x7-3192. For more information about      admissions at 202-884-9400.
purchasing discount
                                             Six Flags America, call 301-249-1500
Six Flags America
                                             or visit them online at
tickets. Prices are listed below and offer                                               Reduce Stress
significant savings off the regular gate
                                                                                         and Tension:
price of $54.99.
                                                                                         Get a Massage
                                             Washington Hospital Center
To purchase tickets, please make a                                                       Relaxation On-Site,
                                             Partners with Trinity University             a well respected
personal check or money order payable
to Washington Hospital Center. Cost of       Washington Hospital Center has part-        professional massage
tickets (including tax), for ages 4 and      nered with Trinity University to offer an   at-work company,
older are:                                   R.N. to B.S.N. program. Trinity Univer-     is taking employees’
                                             sity is located on Michigan Ave., just a    reservations for
General Admission           $26.00           few minutes from the hospital campus.       on-campus seated massages offered the
Meal Voucher                $8.39            This program offers registered nurses       second and fourth Fridays of the month.
(meal voucher may be used to purchase        with an Associate Degree the opportuni-     Hours are between 11 a.m. and 2 p.m.
food in several eateries)                    ty to earn their B.S.N. and work full-      The cost is $15 for 15 minutes. To make
                                             time. Trinity will even consider work       an appointment, call 202-276-7159.
Employees may purchase discount tickets
                                             experience as a way of earning credits
in the Benefits Office located in the
                                             toward your degree. Hospital Center
Human Resources suite in the East
                                             RNs who are interested would need to
Building Monday through Friday from
                                             meet with the admission representative
7:30-9 a.m. and 2-4 p.m., or at P.G. Plaza

                                                                           “Prince Ganey”
                                                                           Contest Winners

                                                                                  ongratulations to Sherri Peterson, head nurse,
                                                                                  2NE, and her team for being the winners of the
                                                                                  “Prince Ganey” contest for June. The contest
                                                                           honors one unit each month that has the highest com-
                                                                           bined patient satisfaction nursing score and overall
                                                                           nutrition score. The winners receive cake and have the
                                                                           honor of displaying “Prince Ganey,” a large stuffed
                                                                           green frog, for the month. The unit with the highest
                                                                           combined quarterly score will receive a pizza party. N

                                                                                                                                     – 19 –
     Bulletin Board
     President of MedStar Research                           is sponsoring the fundraiser for cancer
     Institute To Retire                                     research. There will be a non-competitive     August is...
                            Barbara V. Howard,               Kid’s Dash is at 8 a.m., with all partici-
                            PhD, has decided to              pants winning a prize. At 8:15 a.m., the      I   Cataract Awareness Month
                            retire as president              5K Fun Run or Walk takes place. A hot         I   Children’s Eye and Safety Month
                            of MedStar                       breakfast buffet and awards ceremony
                                                                                                           I   Immunization Awareness Month
                            Research Institute               will take place at 9 a.m. followed by door
                            after leading the                prizes and a silent auction of goods and
                            organization for 15              services from Georgetown merchants,                1-7 Breastfeeding Week
                            years. Dr. Howard                airlines and other groups. For details,
                            will continue her                call 202-944-9163 or visit
                                                                                                                  4 Dental Awareness Day
     research at the Institute as a senior scien-  
     tist. A search process is being developed                                                                    6 Kids Day
     to find her successor and she will con-                 Cardiologist Receives White
                                                             House Honor                                         23 Health Unit Coordinator Day
     tinue to serve as president until a new
     one is appointed. Dr. Howard has over-                                        The White House
     seen the growth and development of the                                        has named George
     MedStar Research Institute for almost its                                     Ruiz, MD, cardiol-      September is...
     entire history, including the period                                          ogist, assistant pro-
     before MedStar was formed in 1998. She                                        fessor of medicine,     I   Baby Safety Month
     has led the organization as it has grown                                      as one of 14 White
                                                                                                           I   Cholesterol Education Month
     in size and complexity, and as expecta-                                       House fellows for
     tions for excellence in all facets of                                         the 2006-2007 class.    I   5-A-Day “Colorful Fruits &
     research have progressively risen.                                            Dr. currently is an         Vegetables” Month
                                                             attending physician in the Washington
                                                                                                           I   Gynecologic Cancer Awareness Month
     Walk For Cancer Research                                Adult Congenital Heart Center based at
     The Annual 5K Terry Fox Fun Run/Walk                    Children’s National Medical Center/           I   Head Lice Prevention Month
     for Cancer Research will be held along                  Washington Hospital Center. He is a           I   Healthy Aging® Month
     the historic C & O Canal in Georgetown                  graduate of Brown University and the
                                                                                                           I   Thyroid Cancer Awareness Month
     on Saturday, Sept. 16. No registration fee              Albert Einstein College of Medicine. The
     is required, but contributions are request-             White House Fellows Program offers
     ed. Registration begins at 7 a.m. on the                exceptional individuals first-hand experi-         1-7 Childhood Injury
     day of the event. The Four Seasons Hotel                ence working at the highest levels of the              Prevention Week
                                                             federal government.
                                                                                                           10-16 Assisted Living Week

     Washington Hospital Center                                                                            James F. Caldas           Lisa Wolfington
     110 Irving Street, NW, Washington, DC 20010                                                           President, Washington     Acting Managing                                                                                      Hospital Center           Editor
     Washington Hospital Center, a not-for-profit, acute care hospital, does not discriminate on           Richard A. Weiss          Contributing
     grounds of race, religion, color, gender, physical handicap, national origin or sexual orientation.   Chairman of the           Writers
                                                                                                           Board, Washington         Jennifer Anderson
     Mission                                                                                               Hospital Center           Catherine Avery
     Washington Hospital Center, a valued member of MedStar Health, is dedicated to delivering                                       Rachel Christoferson
     exceptional patient first health care. We provide the region with the highest quality and latest      John P. McDaniel          Annamarie DeCarlo
     medical advances through excellence in patient care, education and research.                          CEO, MedStar Health       Melanie Howard
                                                                                                                                     Caitlin Thomas
     CenterLine is produced by the Public Affairs department for employees of                              Lisa Wyatt                Andrea Valenta, RN
     Washington Hospital Center.                                                                           Senior Vice President,    Lisa Wolfington
                                                                                                           Public Affairs            Carol Yeh
     Please send comments and suggestions to: or
                                                                                                           Diane Meyers              Photos
                                                                                                           Director, Internal        Keith Weller
     This newsletter is printed by Washington Hospital Center Printing Services                            Communication

                                                                                                           Jenny Steffens            Graphic Design
                                                                                                           Managing Editor           Caroline Cruz

                                                                                                           Editorial Board: Bret Cameron, Elizabeth Darnell,
                                                                                                           Edwina Fowler, Kimberly Krakowski, Mark Lewis,
– 20 –
                                                                                                           Brian Miller, LaChelle Robinson, Lynn Taylor

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