THE HEALTHCARE INDUSTRY WASHING YOUR HANDS
IS CHANGING CAN SAVE YOUR LIFE
LEARN WHAT YOU AND THE LIVES OF THOSE
NEED TO KNOW AROUND YOU
CAPE FEAR VALLEY LAUNCHES
MINORITY HEALTH BLADEN COUNTY HOSPITAL
JOINS CAPE FEAR VALLEY
INITIATIVE HEALTH SYSTEM
LEARN THE WARNING SIGNS OF A HEART ATTACK TODAY
The Ofﬁcial Magazine of Cape Fear Valley Health System
Cape Fear Valley has earned
The Joint Commission’s
Gold Seal of Approval TM
Editor Donnie Byers
Public Relations Coordinator
Contributing Sandy Ammons
Writers Cape Fear Valley Health Foundation
Don’t write it off. Don’t wait it out. Ginny Deffendall
Marketing Communications Coordinator
New techniques can effectively treat a heart attack, email@example.com
but they must be given quickly.
Marketing & Outreach Director
Call 9-1-1 if you suspect you could be having a heart
Photography Richard Elder
attack due to any or all of these warning signs:
• Chest discomfort that recurs or lasts more firstname.lastname@example.org
than a few minutes Design Donnie Byers
Public Relations Coordinator
• Arm, upper back, neck, jaw or stomach
Making Rounds is published by the
• Lingering, unusual shortness of breath Marketing & Outreach Department of
Cape Fear Valley Health System.
• Lightheadedness, cold sweat and/or nausea
Please direct all correspondence to the
Marketing & Outreach Department
For more information on heart health visit Cape Fear Valley
P.O. Box 2000
capefearvalley.com/heart or call 609-LINK (5465). Fayetteville, NC 28302-2000.
If your address is incorrect or you would like
to be removed from our mailing list, please
call 609-6725 or send an email to
2 MAKING ROUNDS SPRING 2008
Caring For One Another
Cape Fear Valley Health System is supporting a erate
that it will generate positive cash ﬂow for the health
neighboring hospital in need. system. Those additional dollars can be used to
Thirty minutes to our south, Bladen County purchase additional equipment and pay for facilities
Hospital requested our help last year when it issued to beneﬁt our patients right here at home.
a public Request for Proposals to manage the 58-bed In addition, we hope to attract more patients
facility. from Bladen County to come to Fayetteville for
Cape Fear Valley was the only not-for-proﬁt services not available locally. Those patients will
health system to respond, and the only health system bring their families and friends with them, helping
in North Carolina. We saw an opportunity to help our city grow as a regional healthcare hub, which
Bladen County and to help strengthen Cumberland beneﬁts our economy.
County’s healthcare system in the process. As we already know, healthcare doesn’t stop
Now, nearly a year later, we are poised to enter at the county line. Cape Fear Valley gets nearly 25
into a ﬁve-year lease of the facility starting in June. percent of its patients from beyond Cumberland
If we were in the same predicament as Bladen County’s borders. This lease represents another
County Hospital, we would want a neighbor to offer a step in our continuing development as a regional
helping hand to us. That’s why we are so thankful for healthcare system.
the opportunity to help Bladen County keep its local We are glad to help a neighboring community
hospital open. keep its hospital open. As the saying goes, “A friend in
Healthcare is still ultimately a local decision. need is a friend indeed.” Through our good deed, we
People usually want to go to the facility that’s closest hope to build an enduring friendship with the people
to their home, keeping friends and family nearby. of Bladen County – while also helping Cumberland
Our offer to help Bladen County Hospital keeps a County build a stronger healthcare system right here
hospital open close to home for the 32,000 residents at home.
of Bladen County. It’s an important part of the
identity and fabric of a community, and part of caring
for one another. It’s an important part of who we are.
At the same time, our offer of assistance has Michael Nagowski, CEO
beneﬁts for Cape Fear Valley and for our community. Chief Executive Ofﬁcer
We have analyzed the proposed lease and determined
SPRING 2008 MAKING ROUNDS 3
WARNING SIGNS OF A
WILL YOU KNOW WHAT
TO LOOK FOR IF THE
BY DONNIE BYERS
Knowledge is power
Ray Owens, 56, knew the
symptoms of a heart attack,
which helped save his life last
Last December, Ray Owens was in a tree on his St. Pauls property
changing a deer stand when he became nauseated and sweaty. So he
sat down, hoping it would pass. But it didn’t.
So the 56-year-old Goodyear Tire Plant employee quickly climbed down
and struggled to drive back home. When he arrived, his chest felt like it was
being stepped on and his arms ached badly. He realized he was having a
heart attack and called 911.
4 MAKING ROUNDS SPRING 2008
EMS rushed Owens to the Emergency Department. Heart disease is the number one killer in America.
Less than an hour later, Owens had already begun the According to the U.S. Centers for Disease Control (CDC),
recovery process after having life-saving angioplasty more than 900,000 Americans suffer a heart attack
surgery. An hour after that, Owens was sitting up in each year. More than 150,000 of those attacks are fatal.
bed talking with friends and family. Of those who die, roughly half die within an hour of
The speed in which Owens was admitted and the ﬁrst symptoms and before reaching a hospital. So
operated on in Cape Fear Valley Medical Center’s timing truly is critical.
Cardiac Catheterization Laboratory played a big part A recent CDC study of 13 states and the District of
in his survival. Owens’ ability to understand he was Columbia shows that only one in four people know
having a heart attack was just as important. the warning signs of a heart [continued on next page]
SPRING 2008 MAKING ROUNDS 5
“IT LITERALLY FEELS LIKE AN ELEPHANT IS SITTING ON YOUR CHEST.“
[continued from previous page] attack or what to do next. Experts say Braxton Strickland is the Administrative
you should call 911 immediately if you exhibit any sign of a heart Director of Non-invasive and Invasive
attack, because it just may save your life. Cardiac Diagnostics at Cape Fear Valley
Different people experience different symptoms, however, so Heart & Vascular Center. He says most people
it’s important to know all of the warning signs of a heart attack. associate heart attacks with unbearable
They can include one or more of the following ﬁve symptoms: chest pain, because it’s a classic symptom.
- Chest pain or discomfort “It literally feels like an elephant is
- Pain in the arms or shoulders sitting on your chest,” Strickland says.
- Shortness of breath “There’s tremendous pressure and squeezing
- Nausea or lightheadedness in the chest area.”
- Discomfort in the jaw, neck or back. Strickland says women are more likely
6 MAKING ROUNDS SPRING 2008
than men to experience the other symptoms, however. balloon angioplasty procedure.
This can be more dangerous, he says, because women Cape Fear Valley is currently hitting the 90-minute
may fail to realize they are having a heart attack. target more than 80 percent of the time. The D2B
“The primary issue is that time is muscle,” Strickland program’s goal for hospitals is 75 percent.
says. “You’ve got to re-establish good blood ﬂow in order Cape Fear Valley’s success is a result of several
to minimize long-term damage to the heart muscle.” evidenced-based changes the health system made after
No one understands this better than Michael joining the alliance. They include implementing a single
Hodges, M.D., a cardiologist with Cape Fear Cardiology phone call system that mobilizes the catheterization
Associates. Dr. Hodges was Owens’ attending physician lab and ED response team simultaneously, and allowing
in the ED and quickly diagnosed him with a blocked ED physicians to mobilize the teams instead of just
artery. An angiogram veriﬁed there was a complete cardiologists.
blockage in the artery. John Reed, M.D., is the Medical Director of
Dr. Hodges immediately notiﬁed his partner, Thor Cape Fear Valley’s Emergency Services. He said Cape
Klang, M.D., an interventional cardiologist, to prepare Fear Valley recently spent $750,000 to outﬁt every
for surgery. Dr. Klang then took over and quickly opened county EMS vehicle with
up Owens’ blocked artery with two tiny balloons. Stents electrocardiograms, or
or small metal cages were then used to keep the artery EKGs. The devices can
open. perform simple tests to
Owens vividly remembers the procedure, because check if a patient has had a
he watched it on an overhead screen. heart attack while en route
“The doctor came by and said, ‘I know you’re hurting to the hospital. Another
real bad, but as soon as we open the up the artery, the $75,000 was used to buy
pain will ease,’” he says. “Sure enough, as soon as they receiving station equipment
put the surgical stent in, the pain was completely gone.” John Reed, M.D. to receive the EKG readouts
Emergency Services Medical
over the airwaves.
The Clock Is Ticking Director
Emergency physicians or
Experts say clot-busting medications and artery- cardiologists waiting in the Emergency Department can
opening procedures can stop a heart attack if given read the EKGs long before seeing the actual patient.
within an hour of the ﬁrst heart attack symptom. “It’s a great way to minimize time because you’re
Primary angioplasty or the opening of an artery with a doing all this in parallel,” Dr. Reed says. “Ideally, we have
balloon is the preferred method due to complications zero time to waste in the Emergency Department. Once
associated with medications. Wait any longer and your heart muscle dies, it doesn’t regenerate. It’s gone
chances for survival are greatly reduced. About half the forever.”
people who die from heart attacks do so within the ﬁrst It just so happens that the EMS vehicle that
hour after heart attack symptoms begin. transported Ray Owens was equipped with one of
Cape Fear Valley ofﬁcials recently joined the D2B the new EKGs. Owens says he doesn’t remember
(Door To Balloon) Alliance TM
started by the American having his EKG test performed, because he kept losing
College of Cardiology. The Alliance’s goal is to reduce consciousness, but he’s glad it was available.
patient D2B times to 90 minutes or less. “Door to “It was an experience that you think real long and
Balloon” stands for the time between a heart attack hard about,” Owens says. “I guess it helped save my life.”
patient’s arrival at a hospital and the time they receive a
SPRING 2008 MAKING ROUNDS 7
ARE IN BY DONNIE BYERS
ON THE UPSWING
Preliminary data shows Cape Fear Valley’s
decision to afﬁliate with Cleveland Clinic
was a good one
Patient mortality decreased from 2.9%
on a predicted rate of 3.1% to .81% on a
predicted rate of 2.31% since Cape Fear
Valley afﬁliated with Cleveland Clinic
0% Deep sternal wound infection rate
during the same period
Cross Clamp times, or the time a heart is
stopped, decreased from 63 minutes to
Post-operative length of stay for patients
decreased from 6.9 days to 6.1 days
THE HEART & VASCULAR CENTER
Cape Fear Valley’s decision to afﬁliate with Cleveland Operative mortality for patients who underwent
Clinic’s top-rated heart surgery program last year is open-heart surgery fell to 0.81 percent for the period
starting to pay off. July to December 2007. The mortality rate averaged
Preliminary data shows Cape Fear Valley’s Heart & 2.9 percent the six months prior. The 0.81 percent was
Vascular Center has made noticeable gains in several almost three times less than what was predicted for the
key areas, since the afﬁliation began in June. The most Heart & Vascular Center for the period.
signiﬁcant gain has been in patient survival rates. The center’s cross-clamp times also improved,
8 MAKING ROUNDS SPRING 2008
POSTS GAINS IN HEART SURGERY
dropping from 63 minutes to 55.5 minutes. Cross-clamp The numbers were just as good on the recovery side.
time is the amount of time the heart is stopped. Shorter Post-operative patient length of stay dropped from 6.9
cross-clamp times minimize stress to the heart and lead days to 6.1 days, and none of the patients suffered a deep
to fewer complications and higher survival rates. In sternal wound infection following surgery.
comparison, other hospitals with a similar-sized cardiac The improved numbers show Cape Fear Valley made
surgery program averaged 65.8 minutes, or more than 10 the right choice afﬁliating with Cleveland Clinic, which
minutes more per patient for cross-clamp times. has built a reputation for heart [continued on next page]
SPRING 2008 MAKING ROUNDS 9
[continued from previous page] surgery excellence. West Chester, Pa.; and McLeod Regional Medical Center in
Founded in 1921 as a not-for-proﬁt group practice, Florence, S.C.
Cleveland Clinic has grown into one of America’s premiere Cleveland Clinic ofﬁcials have said that they agreed
health systems and has been a pioneer in the heart to Cape Fear Valley’s afﬁliation for a number of reasons,
surgery ﬁeld. Its Heart Center has been ranked number including the similarity in hospital cultures and the local
one in America for the past 13 years in a row, according to health system’s potential for growth in heart surgery.
U.S. News & World Report’s annual guide to “America’s Best
Quality Control and Credentialing
The afﬁliation allowed Cape Fear Valley to join an Much of Cleveland Clinic’s heart surgery success comes
exclusive club. Cleveland Clinic’s national heart surgery through strict quality control. Those same quality control
afﬁliation program is so exclusive that you can count all of techniques are now being implemented at the Heart &
its members on one hand. The others are Rochester General Vascular Center. They include following standardized
Hospital in Rochester, N.Y.; The Chester County Hospital in Cleveland Clinic procedures to minimize errors, and
How To Build A Winning Heart Surgery Program
Credential heart surgeons through Cleveland Clinic Hold monthly quality meetings with Cleveland Clinic
Send Nurses, Scrub Techs, CSICU Nurses, CVSU Nurses Review high-risk surgeries with Cleveland Clinic
and Perfusionists to Cleveland Clinic for training surgeon prior to surgery
Revamp presurgical and operating protocols Have strategy sessions with cardiac surgeons and
Develop CRNA teams for Cardiac Surgery Cleveland Clinic representatives
Review entire heart surgery throughput
Robert Maughan, M.D. Ali Husain, M.D.
10 MAKING ROUNDS SPRING 2008
having heart surgeons and staff members go to clinical time if they have a surgery-related question.
conference and training programs in Ohio. The process is The afﬁliation also tracks heart surgery outcomes at
called learning the “Cleveland Clinic way.” Cape Fear Valley. The data is sent each month to Ohio so
Anesia Deal is the Patient Care Manager for Cape physicians there can make additional recommendations
Fear Valley Medical Center’s Cardiac Surgery ICU, Cardiac to Cape Fear Valley to continually improve its heart
ICU and Cardiovascular Step-down Unit. She is among program.
the various nurses and medical staff who have trained As patient volume grows, Cape Fear Valley’s heart
at Cleveland Clinic. She says the staff there repeatedly program will be able to implement some of the more
emphasized quality patient care, while making several cutting-edge procedures Cleveland Clinic surgeons
recommendations to reinforce nurse training at the Heart currently use. They include minimally invasive heart valve
& Vascular Center. replacements and robotic surgery, which is growing in
“Cardiac surgery nursing is a specialty,” Deal says. popularity.
“We’re at the bedside doing the most critical part of Dr. Husain has already begun using his new
a patient’s recovery when patients come out of the training on patients like James Cashwell. The 66-year-
operating room.” old Fayetteville retiree had coronary bypass surgery last
The recommendations include changing pre- summer to correct a blocked artery after a heart attack.
operative patient planning and intake, implementing Cashwell initially sought treatment for chest pain
cardiac surgery orientation programs for new nurses, and and shortness of breath at Highsmith-Rainey ExpressCare
rotating work shifts so even nurses who work at night but was quickly transferred to Cape Fear Valley Medical
get “prime time” cardiac surgery experience that normally Center’s Emergency Department after being diagnosed
comes during the day. with heart attack symptoms.
Cape Fear Valley’s heart surgeons must be Physicians tried angioplasty twice to open up the
credentialed by Cleveland Clinic to operate under the blocked artery that caused Cashwell’s heart attack. But Dr.
afﬁliation. Ali Husain, M.D., and Robert Maughan, M.D., Husain was eventually called in to perform a bypass when
both of Cape Fear Cardiovascular and Thoracic Surgery, the blocked artery closed back up.
were credentialed last summer. Cashwell says the speed in which he received
Dr. Husain has been performing heart surgery for treatment and surgery helped prevent permanent muscle
eight years but says he still learned quite a bit from his damage to his heart.
colleagues in Ohio. What amazed him most was how “I was walking around in a couple of days, and I
Cleveland Clinic has heart surgery almost down to a was playing golf again within 10 weeks,” Cashwell says.
science. From patient prep to determining when to “Everything went pretty great.”
discharge patients, the surgeons there follow Hearing such success stories make Dr. Husain and
meticulous procedures for every surgery. everyone else involved with the Heart & Vascular Center
“They take care of patients very even more conﬁdent that Cape Fear Valley made the
efﬁciently,” Dr. Husain says, “and you learn right choice in partnering with Cleveland Clinic.
from that.” “If we’re going to partner with any organization,
And what he didn’t learn, he can I would certainly want to partner with them,”
always ask about later. Cape Fear Dr. Husain says. “They’re the best in the world
Valley heart surgeons can call at what they do, not just here in America.”
Cleveland Clinic specialists at any
Heart Bypass Patient
SPRING 2008 MAKING ROUNDS 11
CAPE FEAR VALLEY PARTNERS WITH A CRITICAL CARE ACCESS HOSPITAL
TO ENSURE RESIDENTS CONTINUE TO RECEIVE QUALITY HEALTHCARE
BY CLINTON WEAVER
A partnership between Cape Fear Valley Health System County residents.
and Bladen County Hospital has been given the green light. Last year, Bladen County Hospital requested proposals
Cape Fear Valley’s Board of Trustees voted March 26 to partner with the Elizabethtown facility. Cape Fear Valley
to approve a ﬁve-year lease of Bladen County Hospital was one three organizations to submit bids, and it was the
effective Sunday, June 1. The Bladen County Commissioners only not-for-proﬁt organization to respond.
gave their legal counsel authority to conclude negotiations Under the lease agreement, Cape Fear Valley will
a day before the Cape Fear Valley board vote. manage Bladen County Hospital’s daily operations. In
The lease will help support a neighboring county return, Cape Fear Valley will make annual lease payments
and keep a valuable community resource open for Bladen of $1 million. That money will be used by Bladen County
12 MAKING ROUNDS SPRING 2008
ICU unit and
to make much-needed capital improvements to the and urology, as well as general surgery and pediatrics, to
hospital, including repairing the hospital’s roof. Bladen County Hospital.
Cape Fear Valley will also invest $500,000 a year “This is an exciting opportunity for us to partner
in new equipment for the facility. The equipment will with Bladen County Hospital and help keep a local
belong to Cape Fear Valley. hospital open,” said Mike Nagowski, Chief Executive
At the end of the initial ﬁve-year term, the lease can Ofﬁcer for Cape Fear Valley. “This is an important
be renewed for up to four additional ﬁve-year terms, or strategic partnership for us as we continue our growth as
either party can end the agreement with six months’ a regional healthcare delivery system.”
notice. With 619 licensed beds, Cape Fear Valley is the 10th
Cape Fear Valley also has the option to request to largest health system in the state. A private, not-for-
purchase the hospital starting at the end of the third year proﬁt organization, Cape Fear Valley is Cumberland
of the lease. However, Bladen County will have the option County’s largest non-governmental employer with more
to instead choose to terminate the agreement and not than 4,000 employees. The health system has an annual
sell the hospital. No reduction in hospital services can budget of $574 million in net revenue and more than
occur during the lease without the approval of Bladen 875,000 patient visits annually.
County. Bladen County Hospital is a public, not-for-proﬁt
Financial analysis of the lease arrangement shows 58-bed facility that includes a 24-hour Emergency
positive cash ﬂow over ﬁve years for Cape Fear Valley Department, 40-bed Medical/Surgical Unit, an Intensive
– not including revenue from any additional patient Care Unit and an up-to-date Birthing Center.
volumes that might result. Cape Fear Valley already treats It is one of just 20 federally designated Critical
approximately 350 patients annually from Bladen County. Access Hospitals in the state, and one of only two in
Most Bladen County patients will continue to Southeastern North Carolina. The Critical Access Hospital
be served locally. However, they may be referred (CAH) Program was created in 1998 as a safety net to
to Fayetteville for tertiary services not available in ensure healthcare services to rural areas of the U.S. Under
Elizabethtown. Cape Fear Valley will help recruit the lease, the hospital will retain its CAH designation.
specialists in select areas, such as orthopedics, pediatrics
SPRING 2008 MAKING ROUNDS 13
14 MAKING ROUNDS SPRING 2008
The Future of Healthcare
Hospitals will be more accountable for the care BY DONNIE BYERS & GINNY DEFFENDALL
they provide, which ultimately beneﬁts
You may not know it, but there’s a movement underway performance” coming years ago and has steadily
in the healthcare industry that will directly affect costs implemented quality initiative programs since. The
for years to come. But this time hospitals, not patients, programs include the use of “best practices” and
are likely to feel the pinch. evidence-based procedures to minimize errors and
Little by little, the federal government is changing improve patient outcomes.
the way it reimburses hospitals for Medicare claims The procedures can be as simple as ensuring medical
based on the care patients receive. The premise is staff wash their hands to prevent spreading germs, to
simple: hospitals that provide high-quality care will be providing life-saving angioplasty procedures to heart
reimbursed at a higher rate. Low-performing hospitals attack patients within 90 minutes of arrival at a hospital.
will be penalized with a lower rate. To mark its progress, Cape Fear Valley participates in
The payout is based on the theory of “pay for surveys to internally measure patient care quality, such
performance,” which is fast becoming a buzzword in the as the Hospital Quality Initiative (HQI) and the Surgical
healthcare industry. Gone are the days when hospitals Care Improvement Project (SCIP).
could simply admit patients and expect automatic HQI was created in 2003 by the Centers for Medicare
payment from insurers. Now hospitals must provide and Medicaid Services (CMS) as a test project to increase
adequate care, if not better, to get paid. healthcare quality standards. The project tracks 34
And it’s not just the federal government demanding nationally standardized and widely accepted quality
better oversight. Private insurers, like Aetna and indicators and pays annual incentives to top performers
WellPoint, are also moving to end payments for care that among participating hospitals.
causes serious medical errors, such as operating on the SCIP, launched in 2005, is a national organizational
wrong limb or giving patients the wrong blood type. partnership committed to improving surgical care safety
Cape Fear Valley Health System saw “pay for by reducing post-operative [continued on next page]
SPRING 2008 MAKING ROUNDS 15
[continued from previous page] complications. The project’s sample of discharged patients age 18 and older who stay
goal is to reduce the number of complications nationally by overnight.
25 percent by 2010. The questions will cover a variety of topics, including
These federally implemented test projects regularly communication between the patient and care providers,
release collected data to the public through websites responsiveness of staff and pain management. Overall
such as www.hospitalcompare.hhs.gov to better educate ratings, such as a patient’s willingness to recommend the
consumers. hospital, will also be included.
Cape Fear Valley Health System goes a step further and The survey’s goal is to provide transparency so
releases its data directly to the public for transparency. The customers can be better educated, while also giving
data can be found at www.capefearvalley.com/scores and hospitals a reason to improve quality.
is updated quarterly. Once again, the health system didn’t have to
Cape Fear Valley has also taken on a self-imposed participate in the survey, but all hospitals will have to
quality initiative that involves connecting the three “Big begin participating this fall. And just like the other surveys,
Dots.” The dots cover the rate of patient mortality, infection star performers will receive larger reimbursements while
and harm within the health system. low performers are penalized. Cape Fear Valley’s goal is
Elaine Smith-Grubb is the Director of Performance to be in the top 10 percent in the nation on the HCAHPS
Improvement. She says the program is still in the ﬁne- survey.
tuning stage but will regularly report things like infections Results from the survey will be available at www.
acquired in the hospital and harm to patients such as falls. hosptialcompare.hhs.gov. You can compare up to three
“We wanted to look at the overriding quality hospitals to each other, as well as to state and national
measures,” Smith-Grubb says, “to know if we are truly averages.
improving the quality of care for our patients.” The proverbial shoe drops Oct. 1 when Medicare will no
Smith-Grubb has the unenviable job of tracking Cape longer pay for extra costs associated with eight preventable
Fear Valley’s growing amount of performance data. She hospital errors. They include injuries from falls, bedsores,
says Cape Fear Valley doesn’t have to participate in these and infections following open-heart surgery. Three more
types of reporting programs but does so to see where it errors will be added to the list next year, including blood
stands quality-wise. clots in legs and lungs, and drug-resistant staff infections.
“Performance data is very important,” she says, These errors are called “Never Events,” because they
“because we can actually compare ourselves with other should never happen, nor will reimbursement be paid for
hospitals in the state and throughout the nation.” them. And hospitals will not be able to bill injured patients
Smith-Grubb tracks the progress of 16 quality to recoup the costs.
initiatives throughout the health system, ranging from The lost revenue will add up quickly. Medicare, which
heart procedures and joint replacement outcomes to the insures almost 45 million senior and disabled Americans,
previously mentioned SCIP program. She says Cape Fear projects the move will save almost $200 million over the
Valley is currently showing improvement in 12 of the 16 next ﬁve years. Those numbers don’t include any money
indicators over the past two years. that could also be held back from private insurers.
In addition, CMS has just launched its ﬁrst national So the onus will be on hospitals to provide
patient satisfaction survey program called the Hospital substantially better quality from now on – and prove it
Consumer Assessment of Healthcare Providers and Systems through hard data.
(HCAHPS). “It’s a lot of information to absorb,” Smith-Grubb says,
The 27-question survey pertains to all patients, not “but the most important thing is that we know that we are
just Medicare and Medicaid, and will be given to a random providing quality care to our patients.”
16 MAKING ROUNDS SPRING 2008
Winning The Fight
ED performance numbers continue to shine despite rapid increase in patient volumes
Cape Fear Valley’s Emergency Department is one of currently operating the best he has ever seen during his ﬁve
the busiest in the state, with patient volumes growing years with the health system.
tremendously year over year. He points out that in February, the ED treated more
What’s really impressive, however, is how the than 10,000 patients – an all-time high – despite only
Emergency Department has continually improved quality having 29 days in the month. Yet, patient wait times for
while handling the growth. From January 2007 to January patients discharged from the ED were not signiﬁcantly
2008, the ED has seen a 15.4 percent increase in patient affected during that time.
volume. That equals 300 to 350 patients a day. Dr. Reed attributes much of the performance
Despite the upsurge, the time it took to discharge improvement to Cape Fear Valley’s ongoing Hospital
patients not requiring overnight stays fell from an average Innovation Project (HIP) and employees working with
of 250 minutes to 185 minutes. And the average time for EMPATH consultants to streamline patient throughput. The
patients who did require an overnight stay fell from 566 goal was to have all departments work as one cohesive unit.
minutes to 329 minutes. “If we have beds open upstairs, patients needing
The numbers are signiﬁcant because faster patient admission spend much less time in the emergency room,”
turnover in the ED means the entire health system is Dr. Reed says. “That means patients aren’t having to wait for
operating more efﬁciently. That’s because ED patients who a room to open up, and they’re a lot happier for it.
require overnight stays cannot be moved “upstairs” to other “This efﬁcient ﬂow of patients through the ED means
hospital units until patient beds become available. that there are beds available for the next patient, reducing
Satisfaction numbers are also on the rise. In March, time spent in the waiting room.”
estimated ED patient satisfaction scores reached the 83rd And less wait times have a dramatic effect on patient
percentile nationally – an all-time high. satisfaction, which is becoming another key performance
John Reed, M.D., is the Chairman and Medical Director measure to insurance providers.
of Emergency Services. He says Cape Fear Valley’s ED is
ER Trends: A Growing Business
INDICATOR JANUARY 2007 JANUARY 2008
Number of Patients Seen 8,240 9,506 (+15.4%)
Discharged Patients’ Time 250 Minutes 185 Minutes
Admitted Patients’ Time 566 Minutes 329 Minutes
Percentage of Discharged 42.2% 78%
Patients Seen in Under 4 Hours
Director of Performance
SPRING 2008 MAKING ROUNDS 17
MINORITY HEALTH INITIATIVE
An outreach campaign is planned to raise awareness about the growing
health disparity faced by the African-American community
BY DONNIE BYERS
It’s no secret that America’s health system is one of the event May 31 at Fayetteville State University, replete
best in the world. What you may not know is that medical with health screenings, informational exhibits and brief
outcomes between whites and minorities are far from seminars by medical professionals. The initiative’s goal is to
equal. spread the word about various healthcare options available
Numerous studies over the years have documented and why it’s important to maintain good health.
a growing racial and ethnic disparity when it comes to Clinton Weaver, Cape Fear Valley’s Director of
health access, treatment and outcomes. Yet, healthcare Marketing & Outreach, proposed the health initiative
providers have raised little awareness of the problem. after reading about a similar campaign in South Carolina
But Cape Fear Valley wants to change that. called “Closing the Gap in Healthcare.” That program was
The health system is launching started by Thaddeus Bell, M.D., a
a minority health initiative called professional colleague of Dr. Wright.
“Take Charge of Your Health” to Weaver says this is the ﬁrst
address the health disparities time Cape Fear Valley has directly
faced by African Americans in addressed minority health issues,
Cumberland County and beyond. as a whole, during his 20 years with
African Americans represent by the health system. He said he hopes
far the largest minority group in the program will empower more
Cumberland County, equaling African Americans to actively seek
almost 40 percent of the population. out healthcare before problems arise.
Eugene Wright, Jr., M.D., is the Interim Chief Medical “There’s no quick ﬁx for these
Ofﬁcer and Medical Director of Primary Care Services at types of long-standing health issues
Cape Fear Valley. He says these health disparities have in our community,” he says, “but you
several causes and many are related to socioeconomic have to start somewhere, and this is a
factors like health insurance, access to care and cultural step in the right direction.”
barriers on the part of patients and practitioners. Johnnie L. Moultrie, M.D., a
The disconnection has ultimately led to a family medicine specialist with
disproportionate rate of illness for diseases like heart Hope Mills Family Care, will be one
disease, hypertension, stroke and diabetes. Family Medicine of the featured speakers during the
“Some of it’s related to access to care; some of it’s upcoming campaign.
related to your environment,” Dr. Wright says. “If you have Dr. Moultrie says he is excited about talking about
one of these diseases, you need to become knowledgeable minority health issues with the community, because he is
about the resources available to you to assist with your both African American and a Fayetteville native.
treatment and management.” “I see this as an opportunity,” Dr. Moultrie says, “to give
Take Charge of Your Health launches with a kickoff back to the community that helped mold me and made me
18 MAKING ROUNDS SPRING 2008
the person that I am today,” Darvin Jones, lead coordinator for “Take Charge of
The initiative will offer more screenings over the next Your Health,” says Cape Fear Valley is using a multimedia
12 months and begin airing public service announcements approach with the campaign to try and reach as many
to keep it in the public eye. Local media outlets have people as possible.
signed on to help get the message out. Churches and “We just want to raise awareness about the gap
minority-owned businesses will also be approached. in healthcare,” Jones says. “I’m pleased that local radio
Omega Jones, a radio personality, and Shanessa broadcasters can come together and help for such an
Fenner, a local writer and radio personality, will be the important matter.”
public face of the campaign and do regular question- To learn more about Take Charge of Your Health,
and-answer sessions with local physicians and medical please call 609-6725.
African Americans are the second largest minority population in the U.S. but have disproportionately
poorer medical outcomes. Here is a quick snapshot:
In 2003, African-American men were twice as likely to have new cases of lung and prostate cancer,
compared to non-Hispanic white men.
African-American men were 2.4 times more likely to die from prostate cancer.
African-American adults were almost twice as likely as non-Hispanic White
adults to have been diagnosed with diabetes.
African Americans were 2.2 times more likely than non-Hispanic Whites
to die from diabetes.
In 2004, African-American men were 30 percent more likely to die
from heart disease than non-Hispanic White men.
African Americans were 1.5 times more likely than non-Hispanic
whites to have high blood pressure.
African American women were 1.7 times more likely than non-
Hispanic white women to be obese.
Africa- American adults were 50 percent more likely
than their White adult counterparts to have a stroke.
African-American males were 60 percent more likely to
die from a stroke than their White adult counterparts.
*Statistics from The Oﬃce of Minority Health
SPRING 2008 MAKING ROUNDS 19
Washing your hands
is one of the most
important – and
easiest – ways to
prevent the spread of
germs and infection.
Yet people, including
doctors and nurses,
forget to do it every
has become such
an issue that The
which accredits U.S.
hospitals for patient
safety, has named it a National Patient
As a result, hospitals nationwide
have begun implementing awareness
campaigns to show the importance of good
handwashing hygiene, while simultaneously
tracking hand-washing practices among staff.
Cape Fear Valley launched its ﬁrst large-
scale awareness campaign this past December.
Anonymous monitors quietly logged observations
of handwashing practices for all healthcare workers
in their area for two weeks. The health system’s goal
is a 100 percent compliance rate.
Kathy Lockamy is the Director of Infection Control
at Cape Fear Valley. She said there has been steady
improvement in compliance from June through December
as a result of steady campaigning throughout Cape Fear
Valley Medical Center and Highsmith-Rainey Specialty Hospital.
“We asked managers,” says Lockamy, “to go and talk about
handwashing and say positive things, while also giving out
20 MAKING ROUNDS SPRING 2008
HANDS SAVE LIVES BY DONNIE BYERS
Some departments, such as IV Therapy at both the The CDC recommends people wash their hands for 20
medical center and Highsmith-Rainey, had excellent seconds with soap and water if their hands are visibly dirty.
compliance scores of 92 percent and 100 percent If you need a timer, sing “Happy Birthday” twice through.
respectively. Then dry your hands with a paper towel or air dryer. If
If they can do it, why can’t all employees do it then? possible, turn off the faucet with the paper towel.
Employees often cite not having enough time, giving If hands are not visibly soiled, use an alcohol-based gel
patients priority over handwashing, or having concerns to clean hands instead. Apply the product to one hand and
about dry or irritated skin from handwashing agents then rub both hands together until hands and ﬁngers
as the main reasons. But handwashing is often the are dry.
single most important thing healthcare workers The recommendations were repeated
can do for patient safety. throughout March, when Infection Control
The Centers for Disease Control (CDC) rolled out another system-wide handwashing
estimates that almost 2 million patients a awareness campaign using mobile displays
year acquire an infection from hospitals. and extra alcohol-based hand rub
Almost 90,000 of those patients die dispensers. The dispensers were labeled
as a result. Despite these ﬁgures, with a highly visible sticker, so that
recent studies show hand hygiene hospital visitors were also reminded
is practiced in hospitals at to wash their hands.
between 29 and 48 percent, according to the CDC. Cape The goal, once again, was a 100 percent compliance
Fear Valley is currently far above the national average. rate, which is above the national 90 percent target rate set
Hard Numbers by The Joint Commission. Ofﬁcials say Cape Fear Valley’s
Lockamy says Cape Fear Valley’s Neonatal Intensive patients and visitors help the campaign by regularly
Care Unit (NICU) has promoted good handwashing hygiene washing their hands as
for years. As a result, the unit regularly scores among the well to reduce the spread
highest compliance rates in the health system. of germs.
Diana Harris, R.N., NICU Patient Care Manager, says “We just want
the handwashing campaign originally started out as a everyone to wash their
performance improvement project to protect the often- hands,” Lockamy says.
weaker immune systems of the young patients who come
through NICU. The program continued, however, until the
unit culture changed.
“We set the stage for calling out individuals on the spot Diana Harris, R.N.,
NICU Patient Care
if they didn’t perform appropriate hand hygiene,” Harris
says. “We didn’t do it in a degrading or punitive way. We “We just simply asked:
just simply asked: ‘Did you forget to wash your hands?’” ‘Did you forget to wash
If they said no, they were gently reminded that not
washing hands put themselves and their patients at risk.
SPRING 2008 MAKING ROUNDS 21
CAPE FEAR VALLEY JOINS FORCES WITH THE COUNTY
TO HELP THOSE IN NEED BY DONNIE BYERS
Patrick Hogue is in a situation that’s become all too common.
The 42-year-old Fayetteville resident is unemployed, uninsured and in failing
health. What’s worse is that medication he needs to stay alive is beyond his means.
But a charitable program offered through Cape Fear Valley Health System and
the Cumberland County Health Department has proven to be a lifesaver for him
and thousands of others.
The Cumberland County Medication Access Program (CCMAP) gets little
fanfare but has made an impact, helping low-income residents of Cumberland
CCMAP Participant County obtain lifesaving medications to better manage chronic, long-term
In Hogue’s case, the diseases are diabetes and high cholesterol – a common,
but often deadly, duo. Hogue was once athletic and the picture of health before
diabetes started to ravage his body. He has since lost his left leg and most of his
eyesight due to complications from the disease. Doctors say he could still lose his
22 MAKING ROUNDS SPRING 2008
cholesterol-lowering medication and
The daily insulin, cholestero Approximately $400,000 annually is needed to continue to
diabetic supplies he needs costs well over $500 a month. provide CCMAP services for those in need. Funding for the
He lost the ability to pay for med
medicine after having to quit program comes through grants, donations from individuals
his job and go on disability. But h caregivers helped enroll
his and corporations, and support from Cape Fear Valley and
him in CCMAP, which provides a
almost all of his needed the county Health Department through staff and housing.
medication now. Cape Fear Valley Health Foundation accepts contributions
“CCMAP has really been helpful,” Hogue says. “I love for the CCMAP program on an ongoing basis and submits
them to death.” grant proposals on behalf of the program.
h di i i
The medication assistance program began in August Smith oversees a staff of nine, including two
2002. Lynda Clark, Vice President of Professional Services, pharmacists, one receptionist and six pharmacy
said the health system’s Board of Trustees approved the technicians, who help enroll applicants and help them
program and hired Catherine Roach, Pharm.D., as its ﬁrst ﬁll their prescriptions. Local physicians and clinics help
program manager. provide free drug samples.
The program’s staff then collaborated with Better Smith says the drug companies could technically
Health of Cumberland County, The CARE Clinic, the Mental provide free drug samples on their own, but there’s plenty
Health Center, Department of Social Services and the of red tape. She said CCMAP speeds up the process by doing
Health Department to launch the program. An initial the paperwork and getting donated medication to the
grant of $250,000 over ﬁve years from the Cumberland patient more quickly.
Community Foundation helped launch the program and The process is simple. Applicants can go online at
leverage support from The Duke Endowment, the Kate B. www.ccmap.org and download a one-page application
Reynolds Charitable Trust, and the North Carolina Health requesting prescription needs and medical provider
and Wellness Trust Fund, among others. information. The applicant then goes in for a consultation a
In the years since, CCMAP has ﬁlled more than few days later. If an applicant qualiﬁes, they will leave with
120,000 prescriptions worth $23 million to the program’s the necessary paperwork to order the medication. All they
participants, which is currently averaging 2,000 people need to do is have their physician sign it.
a month. Many of them are unemployed or work for For its efforts, the medication access program recently
employers who do not provide affordable health insurance. received the “Care Provider of the Year Award” from Better
Cumberland County has about 40,000 uninsured Health of Cumberland County. Hogue believes the program
residents. deserves even more recognition for the impact it’s made
Amanda Smith, the program’s supervisor, says people upon his life, and the lives of thousands of others in the
who can’t afford to pay for medication won’t take them, or community.
they go to the Emergency Department or an urgent care “They’ve certainly helped me turn things around,” says
facility like ExpressCare instead, hoping to get a supply Hogue.
of the medicine. However, at CCMAP they are able to To donate to CCMAP, please send a check to the Cape
receive continuous assistance and a 30- to 90-day supply Fear Valley Health Foundation, designating the check
of medication, avoiding a need to frequent the ED or an to “CCMAP.” Checks can be mailed to P.O. Box 87526,
ExpressCare facility. Fayetteville, NC 28304.For more information, please call
“With CCMAP we can get these people on a stabilized 609-1285.
dose of medication,” she says, “so they won’t have to go to
the Emergency Department.”
The program is open to qualiﬁed residents
of Cumberland, Harnett and Sampson counties.
SPRING 2008 MAKING ROUNDS 23
BOARD OF TRUSTEE
Don Porter is a big man
BY DONNIE BYERS
who has led a life equally
Standing 6 feet, 3 inches,
Porter has played professional
football in the NFL, fought
for his country as a Special
Forces soldier and now has
a successful third career as
Executive Director of the
Development Commission. It’s
the kind of life story you can
genuinely brag about, but he’s
far too modest. His parents
raised him to be a southern
gentleman, after all.
Growing up in
Portsmouth, Va., Donald Lee
Porter was one of 10 children
in his family. He had six
brothers and three sisters. His
father, a cook, and mother,
a domestic worker, worked
tirelessly to provide a good
home for the family while
teaching good values.
Porter says those values
included helping out a brother
or sister whenever possible.
Looking back, he jokes about
how easy it was to get a game
of basketball going even if his
friends weren’t around.
24 MAKING ROUNDS SPRING 2008
“With that many kids in the house, we always went to and he began his latest career with the Raeford-Hoke
the park with our own team,” Porter says. “My brothers and Economic Development Commission. The job seems
sisters were just as tall, and athletic too.” perfect for a go-getter like Porter. The duties include
The gam must have been a sight to see, because
games recruiting new business and industry to the area to help
kids crash th boards a little harder and box out more
the create new jobs.
aggressively when sibling rivalry is involved. He was The area almost sells itself because of a rapidly
equally at ho
home on the football ﬁeld, where his immense growing housing market in Western Cumberland and Hoke
size and deft pass-catching ability caught the eye of college counties. The new homes are simply cheaper there and land
recruiters. is abundant. Fort Bragg is just a few minutes away.
A Norfo State University football scholarship allowed
Norfolk “It’s a great market to be in,” Porter says. “It’s among
him to be th ﬁrst in his family to go to college. He made
the the fastest-growing counties in the state and in the U.S.
the most of the opportunity, eventually signing as a free The more jobs we create, the better the prosperity our
agent in the NFL and attaining an ROTC commission citizens are able to have.”
into the U.S. Army. Under normal circumstances, he If Porter isn’t at his day job, he’s probably running
would have had to go straight into the military off to one of several boards he volunteers on,
after graduating. But he was granted a including Cape Fear Valley’s Board of Trustees.
deferment, so he could pursue an NFL He’s the only Hoke County representative,
career ﬁrst. but his input is important. His county
Porter decided to lace up the cleats refers lots of patients to Cape Fear Valley
and shoulder pads for the Dallas Cowboys, Health System every year from Hoke Family
the reigning division champs, to play Medical Center in Raeford. That patient
split end under Hall-of-Fame Coach Tom trafﬁc is only expected to grow in coming
Landry. The young receiver’s passing mate was years, especially when new military families
another Don, albeit a bit more recognizable one: “Dandy begin moving into the area under the U.S. Military’s Base
Don” Meredith, who later became a famous commercial Realignment and Closure (BRAC) plan.
spokesman and television football analyst. Porter also serves on boards with the Airborne Special
The next year Porter signed with the Denver Broncos Operations Museum Foundation, UNC TV Public Television,
before calling it a brief, but memorable, pro football Cumberland County Community Foundation and the
career. He then accepted his commission and began a Carolina Horse Park Foundation. You can also ﬁnd him
distinguished 30-year military career, including a tour with doing public speaking on a variety of topics, ranging from
the Special Forces, the Army’s elite ﬁghting force. business leadership to high school ROTC programs. He even
His uniform may have changed, but it was no less manages to squeeze in a golf game or two and regularly
appealing. sings in the Lewis Chapel Missionary Baptist Church choir
“Very few people have a second career to fall back on,” in Fayetteville.
he says. “I went to Dallas and Denver looking for a long- Football workouts were seemingly a breeze compared
term contract, but it was the Army that provided me one.” to what his days (and nights) are like now, but you’ll never
Porter could have easily slowed down after retiring hear Porter complain.
from the military, but he still had that drive in him. He just “Where I come from, you understand this,” Porter says.
needed an avenue to pursue it. “I believe in helping people. A lot has been done for me, so I
So he and his family returned to Cumberland County, do a lot for the community.”
HE’S CAUGHT PASSES IN THE NFL, SERVED IN THE U.S. ARMY,
AND IS NOW TACKLING THE BUSINESS WORLD
SPRING 2008 MAKING ROUNDS 25
Cape Fear Valley Health Foundation Gala
More than $101,000 raised for a good cause
BY SANDY AMMONS
Cape Fear Valley Health Foundation’s 2nd annual gala was Rehabilitation, CFriends of Nursing and Friends of Stanton
held Jan. 25 at Highland Country Club. The black-tie event Hospitality House.
raised more than $101,000. The six Friends groups are part of the Health
Proceeds from the Gala will be shared among the Foundation. These groups and the volunteers who direct
six Friends groups: Friends of the Cancer Center, Friends them help develop programs to assist patients with needs
of Children, Friends of the Heart Center, Friends of that contribute to the healing process, but go beyond the
26 MAKING ROUNDS SPRING 2008
scope of Cape Fear Valley’s mission to provide medical care Highland Country Club and enjoyed a wonderful evening.
and treatment. The gala featured a diabetes-friendly menu, keepsake
“We were very pleased with the turnout for the gala,” photographic portraits of guests, a rafﬂe for more than
said Kelly Stout, event chair. “We got wonderful support $7,000 worth of diamond jewelry (generously donated
from the community!” by Rhudy’s Jewelry Showroom, Carlyle & Company, and
More than 300 guests attended the event held at Hinkamp Jewelers), live music, and dancing.
SPRING 2008 MAKING ROUNDS 27
Krishna P. Bhat, M.D., has been approved for the Associate Staff in Physical Medicine
and Rehabilitation and has joined RPK Center for Rehab, Spine & Pain Management in
Fayetteville. He received his medical degree from American University of the Caribbean in
St. Martin. He completed his residency at Rush University Medical Center in Chicago, Ill.
. Bhat certiﬁ
Dr. Bhat is board certi ed in Physical Medicine and Rehabilitation.
Uwadiogbu O. Ejindu, M.D., has been approved for the Associate Staff in Pediatrics
and has joined Northside Pediatrics in Fayetteville. She received her medical degree from
Nnamdi Azikiwe University School of Medicine in Nnewl, Nigeria. Dr. Ejindu completed her
residency at Lincoln Medical & Mental Health Center in the Bronx, NY.
Obinna C. Igwilo, M.D., been approved for the Associate Staff in General Surgery and has
opened Carolina Surgical Specialists, PA, in Fayetteville. He earned his medical degree at the
University of Nigeria in Enugu, Nigeria. He completed his residency at the University of Illinois
Metro Group in Chicago, Ill., and a fellowship at Royal College of Surgeons in Edinburgh,
S tl d Dr. Igwilo is board certiﬁed in Surgery.
Scotland. D I il i b
Sam F. Andrew Amita Shetty,
Fleishman, Morfesis, M.D., was
M.D., was M.D., was recently
recently guest lecturer certiﬁed in the
certiﬁed in at East Specialty of
the Specialty Carolina Sleep Medicine
of Sleep Medicine and is a Department of Biology on March and is a diplomate of the American
diplomate of the American Board 20. He spoke on the impact of Board of Internal Medicine.
of Psychiatry and Neurology. molecular genetics in clinical
28 MAKING ROUNDS SPRING 2008
The urge to marry can
occur at a moment’s
notice. For this
Fayetteville couple, the
moment was perfect.
MEDICAL WEDDING BELLS
Harry and Sue Cashwell had a wedding to remember in January.
The couple tied the knot at Cape Fear Valley Medical Center, while
the husband was recuperating from a bacterial infection.
Fearing for his health, the husband told his then-ﬁancee that he
didn’t want to wait any longer to marry. He then called for family
members and a preacher. The wife happily obliged his request.
“He’s just a loving, caring person,” said Ms. Cashwell, who works
as a crossing guard in Fayetteville. “He’s always been that way.”
The couple ofﬁcially wed during a small, private ceremony
among friends and family in an Intensive Care Unit patient room.
The couple met while the husband did neighborly work for the
bride’s family in Fayetteville. It is the second marriage for both.
SPRING 2008 MAKING ROUNDS 29
Korean nursing students
recently toured Cape
Fear Valley’s Neonatal
Intensive Care Unit with
the help of Diana Harris,
R.N., the unit’s Patient
South Korean Nursing Exchange
Students Visit Cape Fear Valley
A group of nursing exchange students from South Korea at Pembroke and Kyung Hee University in Seoul, Korea.
toured Cape Fear Valley Medical Center on Jan. 24. The group The group agreed that American healthcare was more
toured the Neonatal Intensive Care Unit, the Intensive Care patient-focused than South Korean healthcare. At their
Unit, 5 South and the Rehabilitation Center. The tour is hospital one nurse can serve up to 18 patients during a shift,
part of a six-week English language and American culture compared with one nurse to approximately every ﬁve to six
exchange program between the University of North Carolina patients here at Cape Fear Valley.
30 MAKING ROUNDS SPRING 2008
R.N. Wins First DAISY Nursing Award Honor At Cape Fear Valley
Jason Sellers, RN, was recently honored as in honor of J. Patrick Barnes, who died at 33 of
Cape Fear Valley Health System’s ﬁrst DAISY Award complications from an immune system disorder.
Winner for Extraordinary Nurses. Each month, DAISY awards are presented
Sellers, 30, of Hope Mills, won the award for to nurses in hospitals around the country to
his compassionate work within Cape Fear Valley highlight nursing excellence. Winners receive
Medical Center’s 3 South Unit. a certiﬁcate, commemorative pin and a hand-
The Daisy Foundation was started in 2000 carved stone sculpture as a keepsake.
Karen Chandler Trust Fund Helps Friends of the Cancer Center
Friends of the Cancer Center was recently the benﬁciary of a check
for $5,000 from the 4th Annual Karen Chandler Trust Beach Music
Festival held Sept. 9.
The Karen Chandler Trust Fund was formed in loving memory
of Karen Chandler, who lost her battle with cancer in 1999. All of the
money received by the trust fund is used to assist cancer patients and
their families locally in Fayetteville.
Bank of America Beneﬁts Health Foundation’s Capital Campaign
Mike Bardone, Fayetteville Market President of Bank of America,
presents a $5o,ooo check to the Cape Fear Valley Diabetes & Endocrine
Center. The gift was the ﬁrst installment of a two-year $100,000 grant
from the corporation. The gift was provided under the Cape Fear Valley
Health Foundation’s ﬁrst Capital Campaign.
Dr. Eugene Wright, Jr., Interim Chief Medical Ofﬁcer and Medical
Director of Primary Care Services at Cape Fear Valley, accepted the gift
along with Oluyemisi M. Durodoye, M.D. and Bede I. Nnolim, M.D.
Asthma Carnival NICU Reunion Call For Art
Cape Fear Valley will hold its 2008 Cape Fear Valley’s annual NICU A call for art submissions has
Asthma Action Fair on Saturday, Reunion will be held Saturday, been issued for Fourth Friday
May 3, from 9 a.m. to 1 p.m. inside June 7, from 10 a.m. to 1 p.m. inside in July. Up to four submissions
the Cape Fear Valley Rehabilitation the Cape Fear Valley Rehabilitation are allowed. Entry fee is $20 for
Center Auditorium. It is open to Center Auditorium. It open to two submissions and $5 for each
children affected by asthma, and past NICU graduates and family additional entry. Deadline is June
their family members. members. 18. Visit www.theartscouncil.com
for more entry information.
SPRING 2008 MAKING ROUNDS 31
Just for KIDS BABY on the WAY
American Red Cross Swim Lessons Breastfeeding Classes
Mondays – Thursdays May 7, 21; June 4, 18
June 23 – July 3 (8 Lessons) 7 – 9 p.m.
Level III 10 – 10:45 a.m. Cape Fear Valley Medical Center
Level I 11 – 11:45 a.m. FREE! Fathers are welcome and encouraged to attend.
Level II 11 – 11:45 a.m. To register, please call 609-LINK (5465).
Preschool Noon – 12:30 p.m.
Preschool 3 – 3:30 pm. Saturday Accelerated Childbirth Classes
Level I 3:45 – 4:30 pm. May 3
Level II 5 – 5:45 pm. 9 a.m. – 5 p.m.
Level III 5 – 5:45 p.m. $30 per couple
Level I 5:45 – 6:30 p.m. To register, please call 609-LINK (5465).
Level IV 5:45 – 6:30 p.m.
Preschool 6:45 – 7:15 p.m. Prepared Childbirth Classes
May 12, 19, 26; June 9, 23, 30
Saturday Swim Lessons
6 – 9 p.m.
June 28 – July 19 (4 lessons, ½ price)
Cape Fear Valley Medical Center
Level III 9:15 – 10 a.m.
$30 per couple
Level II 10:15 – 11 a.m.
This series of three classes will help you and your birthing
Preschool 10:30 – 11 a.m.
partner prepare for your special delivery!
Parent & Tot 11 – 11:30 a.m.
To register, please call 609-LINK (5465).
Level IV 11:15 a.m. – noon
Level I 11:45 a.m. – 12:30 p.m.
Family Birth Center Tours
Adult 12:30 – 1:15 p.m.
May 7, 21; June 4, 18
Sign-ups for summer swim lessons begin May 19 in the pool
ofﬁce. Fees for HealthPlex members are $50 for the ﬁrst child,
Feb. 18, March 17, April 21
$40 per additional child. Non-members pay $65 for the ﬁrst
child, $55 per additional child. For more information, please
FREE! To register, please call 609-LINK (5465).
call the Aquatics Ofﬁce at 609-7640.
Infant Massage Therapy
May 1 & 15
10:30 a.m. – noon
Healthplex – Classroom A
Certiﬁed infant message instructor will teach parents and
caregivers how to massage children ages 3 weeks to one year.
$5 for members/month.
$10 for non-members/month.
To register, please call 609-7500.
32 MAKING ROUNDS SPRING 2008
Monday, Wednesday, Friday Senior Strength
1:15 – 2 p.m. or 2 – 2:45 p.m. Monday, Wednesday, Friday
HealthPlex 8 – 9:15 a.m. or 10 – 11:15 a.m.
Free to HealthPlex Members HealthPlex
$35 for non-members Free to HealthPlex members.
This is a cardiovascular and strength training class designed $25 for non-members.
for individuals who have osteoporosis or osteopenia, as well Includes cardiovascular & strength training.
as individuals who are at risk for osteoporosis. To register, please call 609-4041.
To register, please call 609-4041.
Chair Aerobics Monday, Wednesday, Friday
Monday, Wednesday, Friday 5:30 – 6:45 p.m.
10 – 10:45 a.m. Cape Fear Valley Rehabilitation Gymnasium
HealthPlex This is a cardiovascular and strength training class for all
Free to HealthPlex members ages and ﬁtness levels.
$25 for non-members $25 for non-members.
This is a class for anyone with limited mobility. The class To register, please call 609-4041.
features a warm-up, 20 minutes of large muscle group
movement to a jazzy beat, 10 minutes of strength exercise Warm Water Wellness
and ﬁve minutes of stretching and cool down. You can Mondays & Wednesdays
exercise in a chair or wheelchair. 4:30 – 5:30 p.m. or 5:30 – 6:30 p.m.
To register, please call 609-4041. Tuesdays & Thursdays
11 a.m. – noon or 4 – 5 p.m.
T’ai Chi Cape Fear Valley Rehabilitation Pool
Tuesdays & Thursdays This is low-intensity water aerobics for all ages and ﬁtness
9 – 10 a.m., 5 – 6 p.m. or 6 – 7 p.m. levels.
Saturdays $25 for non-members.
9 – 10 a.m. or 10 – 11 a.m. To register, please call 609-4041.
T’ai Chi is a Chinese martial art that uses slow, deliberate
movements and posture holding to strengthen and relax the
body. It improves balance and coordination. T’ai Chi is also
a great stress reducer. This is a fantastic program for all ages
and ﬁtness levels. Arthritis of the Hip & Knee
Free for HealthPlex members. May 5, June 12, July 10
$45 for non-members. 6:30 – 7:30 p.m.
To register, please call 609-4041. Cape Fear Valley Rehabilitation Center
Does arthritis cause you pain and limit your mobility? An
Water Arthritis orthopedic surgeon will discuss the signs and symptoms
Monday, Wednesday, Friday of arthritis and available treatments. To register, please call
11:30 – 12:15 p.m. or 12:15 – 1 p.m. 609-7996.
Tuesdays & Thursdays
12 – 1 p.m. or 5 – 6 p.m. Bariatric Surgery
Cape Fear Valley Rehabilitation Pool Considering bariatric surgery as a treatment option for
This is a range-of-motion and stretching class in the water obesity? Come listen to local bariatric surgeons discuss
for all ages and ﬁtness levels. the latest bariatric surgery techniques to help you decide
$25 for non-members. if bariatric surgery is right for you. For dates and locations,
To register, please call 609-4041. please call 609-7996.
SPRING 2008 MAKING ROUNDS 33
SUPPORT & INFORMATION
Groups led by Cape Fear Valley
Facing Forward, a support group for women living with A.W.A.K.E., a support group for those with sleep disorders
cancer, meets the second Tuesday of each month from 7 to and their family members, meets every third Tuesday
8:30 p.m. in the conference room at the Cape Fear Valley in January, March, May, July, September and November
Cancer Center. Facing Forward discusses cancer-related from 6 to 7 p.m. at Cape Fear Valley Rehabilitation Center,
topics and issues dealing with women’s wellness in a Auditorium Room A, located behind Cape Fear Valley
supportive group setting. For more information, please Medical Center. For more information, please call 609-
call 609-6337. 6389.
The Bereavement Support Group of Cape Fear Valley The Coming Together Children’s Support Group meets
Hospice meets the ﬁrst and third Thursdays of every on the third Thursday of every month (except June. July,
month from noon to 1:30 p.m in the Hospice Department August and September) from 6 to 7:30 p.m. in the Cape
on the second ﬂoor of the Cape Fear Valley Education Fear Valley Cancer Center conference room. The support
Center at 3418 Village Drive, Fayetteville. The group is for group helps children whose family members have been
those who are coping with the death of a loved one. For diagnosed with cancer and is open to children (ages
more information, please call 609-6740 or 609-6511. 5 through 18) and their family members. Parents can
learn how they can best assist their children during this
The Fayetteville Brain Injury Support Group meets on difﬁcult time coping with cancer. Dinner is provided.
the second Tuesday of each month at 6:30 p.m. in the Please call 609-6337 to register or for more information.
Patient Dining Room at Cape Fear Valley Rehabilitation
Center, located behind Cape Fear Valley Medical Center. Compassionate Friends, a support group for families
For more information, please call Ellen Morales at 486- who have experienced the death of a child, meets on the
1101. ﬁrst Tuesday of the month at 7:30 p.m. in the Cardinal
Room at the Cape Fear Valley Education Center at 3418
Taking Charge Of Your Care meets on the fourth Village Drive, Fayetteville. For more information, please
Thursday of every month from 11:30 a.m. to 12:30 p.m. call Martha Lynch at 609-4481.
in the Health Pavilion North conference room. It is
an educational group for cancer patients and their The Deﬁbrillator Support Group meets on the second
families or caregivers. A light lunch is provided. For more Thursday of January, April, July and October from 6:30
information, please call the Oncology Social Worker at to 8 p.m. in Room 101 of the Medical Arts Center at 101
609-3849. Robeson St., Fayetteville. For more information, please
contact Penny Hester at 609-6057.
Common Ground holds informative meetings for
prostate cancer patients and their families, and serves The Look Good, Feel Better program meets on the third
as a forum for discussion of problems associated with Monday of each month at 9 a.m. in the Cape Fear Valley
being a prostate cancer survivor. It meets on the second Cancer Center conference room. Licensed cosmetologists
Thursday of each month from 6 to 7 p.m. in the Cape teach cancer patients about skin care, how to apply
Fear Valley Cancer Center conference room. For more make-up to enhance their appearance during cancer
information, please call 609-6337. treatment, styling wigs and tying scarves. For more
information, please call 609-7618.
34 MAKING ROUNDS SPRING 2008
COMMUNITY SUPPORT Groups
Groups led by members of the community
The Alzheimer’s Caregiver Support Group, for those The SHARE Bereavement Support Group meets the second
caring for loved ones with Alzheimer’s disease, meets Tuesday of each month from 6 to 8 p.m. in the Dogwood
on the third Tuesday of each month at Better Health and Pine Rooms of the Cape Fear Valley Education Center
of Cumberland County at 1422 Bragg Blvd. For more at 3418 Village Drive, Fayetteville. SHARE is a self-help
information, please call 609-1633. support group for parents who have lost babies through
miscarriage, stillbirth, ectopic pregnancy or genetic
The Arthritis Support Group meets on the fourth Monday abnormality, as well as newborn or infant deaths up to
of every month (except December) at 7 p.m. at Cape age one. Lori S. Farmer, RN, ARNP, MS, APNG(c), a local
Fear Valley Rehabilitation Center, Auditorium Room A, nurse genetic counselor and perinatal bereavement
located behind Cape Fear Valley Medical Center. For more counselor, is the group’s coordinator. For more
information, please call 488-9352. information, please call CareLink at 609-LINK (5465).
The Hepatitis & Chronic Liver Disease Support and The Fibromyalgia and Chronic Fatigue Recovery and
Education Group meets on the third Wednesday of Support Group meets on the third Saturday of each month
January, March, May, July, September and November at (except December) at 1:30 p.m. in the Multipurpose Room
6:30 p.m. in Suite 102 of the Medical Arts Center at 101 at the Cape Fear Valley HealthPlex at 1930 Skibo Road,
Robeson St., Fayetteville. Those with hepatitis or liver Fayetteville. The group is open to those with ﬁbromyalgia
disease, and their family members and friends, are invited and chronic fatigue, as well as their families and friends.
to attend. The group is facilitated by a licensed RN. For For more information, please call Margaret Silman at 488-
more information, please contact Billie Kennedy at 864- 1228.
The Fayetteville Crohn’s Disease and Colitis Support
The Women’s Heart Bypass Support Group meets Group meets the third Tuesday of each month at 7 p.m.
on the third Thursday of every month at 4 p.m. in the inside the Cape Fear Valley Medical Center Skylight Cafe.
Multipurpose Room at the Cape Fear Valley HealthPlex The group is open to those with Chrohn’s Disease and
at 1930 Skibo Road, Fayetteville. For more information, Colitis, as well as their families and friends. For more
please contact Clara Wilson at 822-6824. information, please call Todd McManus at 425-5676 or Troy
McManus at 429-0556.
The Marfan Support Group meets the last Saturday
of every month from 2 o 5 p.m. at Cape Fear Valley
Rehabilitation Center, Auditorium Room B, located
behind Cape Fear Valley Medical Center. For more
information, please call Karen Moore at 583-5518.
The Parkinson’s Disease Support Group meets on the
ﬁrst Thursday of each month at 6:30 p.m. at Cape Fear
Valley Rehabilitation Center, Auditorium Room D, located
behind Cape Fear Valley Medical Center. Parkinson’s
patients and their loved ones are invited for support and
information about the disease. For more information and
location conﬁrmation, please call Paul Berghoff at 323-
SPRING 2008 MAKING ROUNDS 35
TAKE CHARGE OF YOUR HEALTH
African Americans are affected by serious diseases and hea
Afri cans affected
African Americans are affected by diseases
diseases and health disorders at a far greater rate than other Americans.
o ders reat
a t ther ca s
far greater rate than other Americans.
Take Charge of Your Health is an effort to close that gap. Come join us Saturday, May 31, as we kick off our
program at Fayetteville State University and learn how to achieve a healthier future.
Where: Fayetteville State University Capel Arena
When: Saturday, May 31 from 10 a.m. – 2 p.m.
Free Educational Seminars
Free Health Screenings
Free Informational Exhibits
For more information, please call 609-6725.
Permit No. 253
P.O. BOX 2000
FAYETTEVILLE, NC 28302-2000