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                                       Nash Health Care’s Quarterly News Magazine   Vol.21, Number 1, 2010




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                Nash Health Care Obtains
                New Medical Software




                Central Sterile Processing: a Portraitof Teamwork pg. 8
         Nash Health Care Obtains
        New Medical Software




“The Nash Clinical Implemen-
tation project represents the
most significant investment in
clinical information technology
at Nash Health Care in the last
10 years. Once implemented,
this new software and hard-
ware will fundamentally
change the way we deliver
patient care.The list of patient
safety enhancements is very         New CERNER system will integrate processes, improve patient safety
long. In the end, our decision
to invest $12 million in the
                                   Nash Health Care embarked on a 15-month,         way we deliver patient care. In the end, our decision to invest in the Cerner
Cerner system was driven by        multi-million dollar Cerner clinical imple-      system was driven by the desire to improve the way we deliver patient care,
making our patient care deliv-     mentation project called “On Track for ePa-      making it more efficient and safer.”
ery better, and safer, for all of  tient Safety.” The project will dramatically        Nash Health Care is working with Gap Consulting and Cerner employees
our patients.”                     enhance the way patient care is delivered. On    to help with the transition. Leading the process is Michelle Cosimeno of
— Larry Chewning, CEO
                                   Track for ePatient Safety will improve patient   Nash Health Care, Barb Cox with Gap Consulting and Jason Holland of
                                   safety, streamline the electronic medical        Cerner. To ensure Nash Health Care employees are in the loop on the latest
                                   record documentation process, and save the       developments with the project, Ginny Vick, of the NHCS Information
hospital system millions of dollars over the next seven years.                      Systems Department, produces a regular newsletter that is available on the
   "We are designing new tools and processes that will serve us and our pa-         intranet, and she also creates informational flyers that are on display through-
tients for the next 10 to 15 years," said David Hinkle, senior vice president       out the hospital.
and chief information officer at Nash Health Care. "We will be able to design           Leslie Hall, senior vice president and chief nursing officer, emphasized that
patient safety into the fabric of our electronic communications with each           having a single information system and integrated medical record throughout
other...the team spirit that has characterized how we have worked to get to         the hospital system is a vital part of Nash Health Care’s mission to provide
this point has been wonderful. "                                                    superior quality health care services to the community.
   Essentially, the system will bring all electronic medical records, documenta-       “The implementation of a new clinical information system is a huge step
tions and reports under a single, standardized and streamlined clinical infor-      forward for Nash Health Care,” she said. “The role of a single information
mation system. As a result, the more user-friendly interface will allow             system and an integrated medical record throughout the organization is criti-
physicians, nurses, and other health care providers to improve communica-           cal to supporting both our clinical and business strategic initiatives.”
tion, to run reports easily, and to integrate information that will help contin-       Working together with more than 8,000 clients worldwide, Cerner is solv-
ually improve the safety and care of patients. The project is scheduled to be       ing health care’s many challenges by making sure the right people have the
completed and "go live" in March 2011.                                              right information at the right time. Implementation of the Cerner system at
   Larry Chewning, president and CEO of Nash Health Care, said, "Once               Nash Health Care will ultimately result in around $8 million in benefits over
implemented, this new software and hardware will fundamentally change the           the next seven years.

2◆    Vol.21, Number 1, 2010
 Some of the advan-                                                                              INFOBYTES
 tages of the Cerner                                                                                 by Guyla Evans
 system include:
 A built-in medication
 alert system – This sys-
 tem serves as an addi-
 tional patient safeguard        David Hinkle, CIO, em-
                                                                   Get “On Track
 and notifies a doctor or
 health care worker if
 there is a problem with
 medication compatibility.
                                 phasizes the benefits of the
                                 Cerner system at a kickoff
                                 meeting.                        for ePatient Safety”!
                                                                  Have you noticed
 Falls risk assessment –                                          the fliers on the
 The system also has an                                           communication
 evidence-based built-in
                                                                  boards, elevators,
 risk assessment to help
 flag those patients who
                                                                  and on the Nash
 are at high risk for falling.                                    Intranet? These
 This allows early interven-                                      documents are your
 tions to be taken to pre-       Mike Lamonds leads a            “ticket” to staying
 vent a patient from falling.    group discussion.               “in the know” for
                                                                  the Nash Health
 Data streamlining –                                              Care Cerner imple-
 The same computer                                                mentation. Our
 system will be utilized                                          theme for the project reflects Rocky Mount’s heritage as a railroading center,
                                 “The team spirit that has
 throughout the system.                                           and focuses on the future as we implement modern electronic tools to make
 This will allow the pa-         characterized how we
                                 have worked to get to this       patient care even safer and more efficient.
 tient’s medical history to
 be readily available, sav-      point has been wonderful.
                                                                     The “On Track” project is an ambitious 14-month project that began in
 ing time for all involved.                                       January with a project kickoff week. During that time, leaders of over 20 teams
                                 We are designing new
                                                                  representing all of the clinical services were oriented to the major project activi-
                                 tools and processes that
 For the latest information                                       ties and milestones. The teams, made up of over 200 Nash Health Care em-
                                 will serve us and our pa-        ployees, have been meeting to document our current patient care practices and
 on the Cerner system,
 go to the nhcsi intranet        tients for the next 10 to 15     workflows and identify opportunities for improvement, as well as learning
 page and click on the           years. We will be able to        about the many Cerner system components through a variety of online learn-
“thumbtack” link under           design patient safety into       ing modules. A delegation from Nash Health Care traveled to Cerner head-
 News Items.                     the fabric of our electronic     quarters in mid-March to meet with our Cerner Solution Architects and began
                                 communication with each          making design decisions. The group returned to Nash Health Care with
                                 other.” — David Hinkle, CIO     “homework assignments” that the teams will complete and return to Cerner for
                                                                  inclusion into our final product.
                                                                     Keep an eye out for the monthly newsletters and fliers…they’ll keep you
                                 “It [Cerner system] will
                                                                  up-to-date on how the project is moving along, as well as let you know key
                                                                 “milestone” dates…the “next stops”
                                 bring us significant im-
                                                                  on our journey to
                                 provements in patient
                                                                 “ePatient Safety”!
Mike Sohn demonstrates           safety, documentation ,
that he is on track for          communication and pro-
ePatient Safety.                 ductivity.”— Leslie Hall, CNO



                                 “I am excited about the
                                 features found in the Clini-
                                 cal Implementation Project
                                 that promise to enhance
                                 patient safety and physi-
Nancy LeHardy uses an il-        cian efficiency.”
lustration to make her           — Dr. Rick Guarino, CMO
point.


                                                                                                                                     Vol.21, Number 1, 2010   ◆3
Envisioning the future…
                                                                                                                  Town Hall Meetings Outline Future
Nash Health Care announces University Health                                                                      Projects Hospital leaders recently held several
Systems Partnership, service expansions                                                                                                      Town Hall informa-
                                                                                                                                             tional sessions to keep
   Nash Health Care has paved the way for im- services in Rocky Mount that we previously                                                     employees abreast of
provements in heart care, emergency treatment, had to perform at other medical centers,” Pa-                                                 the many projects
and obstetric services for Nash and the sur-             trone said. “We are pleased to be collaborating                                     under way at Nash
rounding areas through its comprehensive                 with UHS to make it happen.”                                                        Health Care. The
strategic plan. This plan is the result of exten-           The new agreement will expand existing in-                                       sessions focused on
sive research, consultant meetings, discussion,          terventional cardiology (such as angioplasty)                                       Nash Health Care’s
and data-gathering concerning the needs of a             and add new services, such as electrophysiology.                                    clinical affiliations
growing community… similar to the discus-                Interventional cardiology is a branch of medi-                                       and construction of
sions that paved the way for the groundbreak-            cine that deals specifically with the catheter-           Nash Health Care CEO Larry the new medical of-
ing of Nash General Hospital 38 years ago.               based treatment of structural heart diseases.            Chewning leads the recent   fice building on the
This plan will ensure                                                                The practice often in-       Town Hall meeting series.
                                                                                                                                              hospital’s campus.
that Nash Health Care
will be at the cutting
                                    “How do we                                       volves angioplasty, also
                                                                                     know as percutaneous         Clinical Affiliations Nash Health Care has formed
                                                                                                                  several strategic clinical affiliations with teaching medical
edge of community
health care for the next
                                 measure success?                                    coronary intervention
                                                                                     or PCI. It is a proce-       centers in order to expand its services, enabling more resi-
                                                                                                                  dents to receive care locally. Affiliations have been formed
38 years…and beyond.
   A key element of
                                 It is not all about                                 dure in which a
                                                                                     catheter-guided balloon
                                                                                                                  with UNC, University Health Systems, and Duke Medicine.
                                                                                                                  Nash Health Care CEO Larry Chewning emphasized that
this plan is the selection
of University Health
                                    money—it is                                      is used to open a nar-
                                                                                     rowed coronary artery.
                                                                                                                  NHCS has not been sold and that the control and gover-
                                                                                                                  nance of Nash Health Care has not changed. These clinical
Systems (UHS) in                 about improving                                     Doctors place a stent (a     affiliations with larger teaching hospitals are components of
Greenville as the terti-                                                             wire-mesh tube that ex-      a strategic partnership necessary in order to provide supe-
ary partner to explore                the quality                                    pands to hold the artery     rior quality health care to the needs of a diverse and grow-
improvements in the                                                                  open) at the narrowed        ing community.
delivery of specialized              of care that                                    section during angio-            An affiliation with the University of North Carolina will
heart care services. To-                                                             plasty. An electrophysi-     not only expand clinical radiation oncology programs, but
gether, Nash Health               patients receive.”                                 ology study is a test that   will also enable NHCS to include clinical research protocols
Care and UHS will ex-                        —Larry Chewning, CEO                    records the electrical ac-   and obtain the designation of Comprehensive Community
pand the scope of car-                                                               tivity and the electrical    Cancer Center. UNC Hospitals will assist in the recruitment
diovascular services offered locally through a           pathways of the heart. Doctors use this test to          and training of an oncology clinical research nurse specialist,
new heart center—The Nash Heart Center—                  determine the cause of an irregular heart beat           serve as the Institutional Review Board for NHCS in estab-
in Rocky Mount, funded by both parties.                  and the best treatment for the disorder.                 lishing appropriate clinical trial protocols, and promote
   Larry Chewning, chief executive officer                   These and other specialized heart treatments          NHCS physicians and clinical staff participation in tumor
(CEO) of Nash Health Care, and Dave                      will be among those performed by cardiologists           conferences and other educational activities.
McRae, UHS CEO, explained that the devel-                in the Nash Heart Center, scheduled to open                  In order to expand newborn nursery services, the
oping partnership will dramatically improve              in 2012. The new facility will contain:                  Women’s Center at Nash General Hospital will partner with
cardiovascular services in the region and will                                                                    Duke University Medical Center. This proposed plan will en-
                                                                                                                  able the Nash Women’s Center to add more Level II neona-
likely save untold numbers of lives in the                   • An 8-bed cardiac intensive care unit
                                                                                                                  tal beds, and eventually, a Level III neonatal bed. As a part
process.                                                     • 2 cath labs with angiography capabilities
                                                                                                                  of this partnership, Duke University Medical Center will re-
   “The focus here is to offer high-quality heart            • A 12-bed chest pain observation unit
                                                                                                                  cruit and hire a neonatal program director, refer infants for
services in our four-county service area that                • Cardiac stress lab                                 care to our neonatal intensive care unit and assist in the de-
Nash Health Care has traditionally served,”                  • Nuclear cardiology lab                             velopment of the new Nash Women’s Center.
Chewning said. “Along with our gifted physi-                 • Echocardiography lab
cian partners, our goal is to provide a seamless             • Outpatient congestive heart failure clinic
                                                                                                                  Medical Office Building               Architect’s rendering
pattern of cardiology care, maximizing delivery
close to home.”                                              This will enable patients to receive more
   UHS’ McRae said, “This partnership                    comprehensive heart care locally—an impor-
demonstrates a joint commitment to increas-              tant endeavor because heart disease is not only
ing the delivery of cardiovascular care in east-         the number one killer in America, but the
ern North Carolina. The combined forces of               number one killer in Nash County as well.
UHS, Nash Health Care and the Boice-Willis               Chewning emphasized that this strategic plan             Construction continues at the site for the Nash Medical Of-
Clinic will mean greater access to new cardio-           represents a commitment to the health of the             fice Building, scheduled to be completed in the fall of 2010.
vascular services in this area to rival the best         local and surrounding communities.                       Currently, the tenants of the facility will include: Nash
care across the nation.”                                    “How do we measure success? It is not all             OB/GYN Associates, Rocky Mount Orthopaedics and Sports
   Dr. Nick Patrone, president of Boice-Willis           about money—it is about improving the qual-              Medicine, Boice-Willis Clinic General Surgery, Nash Sleep
                                                                                                                  Disorders Center, and Nash Women’s Breast Center.
Clinic, said the expanded cardiology program             ity of care that patients receive,” Chewning
at Nash Health Care will provide a new level of said. “Patients want to have the health care                      Additional Town Hall meetings will be scheduled throughout
cardiology service in Rocky Mount.                       services they need close to their homes.”                the year to keep employees up-to-date concerning these
   “We’re excited about being able to provide                                                                     strategic plans.

4◆    Vol.21, Number 1, 2010
    Nash Health Care Foundation staff and volunteers are organizing a                Nash employees on the event’s Steering Committee include Cam
 special golf tournament on Friday, May 21, at Benvenue Country Club               Blalock, senior vice president, support services; Stephanie Collins,
 to benefit the proposed Pediatric Emergency Department at Nash Gen-               purchasing technician; John Congelli, director of finance; Brenning
 eral Hospital. Shotgun starts are set for 8:30 a.m. and 1:30 p.m.                 Daughtridge, Sterling Grimes, director of wound care center; Noel
    The event’s fundraising goal is                                                                                       Rhodes, director of imaging
 $30,000. Roger G. Taylor Asso-                                                                                           services; and Bob Skelton, vice
 ciates, a Rocky Mount financial
 services firm, is the Presenting
 Sponsor ($10,000) of the Foun-
                                                     Foundation’s                                                         president and chief development
                                                                                                                          officer of the Foundation.
                                                                                                                             Judy Woelke, director of volun-
 dation’s first annual golf classic.
 Other sponsorships, ranging from                     Golf Event                                                          teer services, and Allison Manning
                                                                                                                          -Williams, manager of emergency
 $500 to $5,000, are available.
    The entry fee is $150 for each
 golfer in the Texas Scramble for-
                                                       to Benefit                                                         services, are assisting with volun-
                                                                                                                          teer recruitment for the event.
                                                                                                                          Individuals interested in volun-
 mat tournament. Registration
 forms and sponsorship packets                          Pediatric                                                         teering at the event are encouraged
                                                                                                                          to contact Woelke at extension
 may be obtained from Brenning
 Daughtridge, the Foundation’s
 special events, grants and annual
                                                      Emergency                                                           8118 or Manning-Williams at
                                                                                                                          extension 8712.
                                                                                                                             Community volunteers include
 gifts coordinator, by calling
 extension 8583 or e-mailing her
 at bjdaughtridge@nhcs.org.
                                                     Department                                                           Wes Ballance, Construction Imag-
                                                                                                                          ing Inc.; David Broyles, Battle,
                                                                                                                          Winslow, Scott & Wiley; Norman
    Non-golfers wanting to sup-                                                                                           Chambliss, Chambliss & Rabil
 port the Foundation’s first                                                                                              Commercial Realty/Construction
 fundraising and friend-making                                                                                            and Foundation board director;
 event of 2010 are encouraged to                                                                                          Lisa Holland, Benvenue Country
 make a tax-deductible contribu-                                                                                          Club; Anne Kinnaird, Don Mucci,
 tion by sending a check to Nash                                                                                          Nancy Nelson and Rich Parker,
 Health Care Foundation, 2416                                                                                             Benvenue Country Club.
 Professional Drive, Rocky                                                                                                   In support of the mission of
 Mount, NC 27804-2253.                                                                                                    Nash Health Care, the Founda-
    The Foundation is located                                                                                             tion helps to provide superior
 adjacent to Dr. Kim Koo’s office                                                                                         quality health care services and
 at Nash Neurosurgery in the                                                                                              helps to improve the health of the
 former ReMax Realty building                                                                                             community in a caring, efficient
 now occupied by Southern                                                                                                 and financially sound manner.
 Credit Adjusters and Nash                                                                                                The Foundation advances health-
 Health Care.                                                                                                             care in Nash County through
    All income from the event will                                                                                        advocacy, education, fundraising,
 benefit the proposed Pediatric                                                                                           relationships and stewardship.
 Emergency Department. Chil-                                                                                                 Current members of the Foun-
 dren make up about 20 percent                                                                                            dation’s Board of Directors are
 of the 65,000 patients who use                                                                                           Edward D. Bissette, Bissette
 Nash General’s Emergency Care                                                                                            Farms, Spring Hope; Norman Y.
 Center (ECC) annually. The                                                                                               Chambliss, III, Chambliss &
 current ECC, built in 1993, was                                                                                          Rabil Commercial Realty;
 designed to serve about 38,000                                                                                           Lawrence H. Chewning, III, pres-
 patients yearly. A new ECC is                                                                                            ident and chief executive officer,
 being planned for construction                                                                                           Nash Health Care; J. Wayne Deal,
 in 2011.                                                                                                                 Retired – Nash County manager
    John S. Derbyshire, MD,                                                                                               (1993-2001); John S. Derbyshire,
 Foundation board director, is the                                                                                        MD; E. Wayne Gibson, president,
                                            John S. Derbyshire, MD Roger G. Taylor             Robert “Ziggy” Zalzneck
 event’s general chairman and                                                                                             The Tuscarora Corporation; C.
 Roger G. Taylor, Foundation                                                                                              Allen Hooks, senior vice president
 board director, and Robert                                                                                               and chief financial officer, Nash
“Ziggy” Zalzneck, immediate past hospital board chairman, are co-vice              Health Care; Samuel W. Johnson, Poyner & Spruill, LLP; Roger G.
 chairmen. Dr. Derbyshire currently serves as case manager physician               Taylor and Norma B. Turnage. Mrs. Turnage is chairman of the Foun-
 advisor and director of the recovery audit contractor readiness program           dation board.
 for Nash Health Care.



                                                                                                                                  Vol.21, Number 1, 2010   ◆5
       T       H       E              P      U        R       S     U   I   T   o   f   E   X   C     E     L     L     E      N     C      E



     Pursuit of Excellence recognizes board keepers                                             Kudos!
                                                                                                Fourth floor employees were treated to surprises
                                                                                                and balloons from the rewards and recognitions
         One of the goals of the Pursuit of Excellence is to keep all employees abreast         team in honor of their patient satisfaction scores.
         of the latest information of what’s happening at Nash Health Care. To facili-          The employee reward and recognition program is
         tate this process, the Pursuit of Excellence communications team created               a vital component of Nash Health Care’s Pursuit
boards that are available throughout the hospital and present valuable information              of Excellence.
ranging from the latest patient satisfaction scores to the pillars of excellence. This is
only possible through the dedication of the board keepers. Throughout the
next editions of the Newsline, the communications team will fea-
ture some facts about these outstanding employees whose
pursuit of excellence keeps everyone “in the loop.”

Paula Viverette, administrative secretary, BTAR
Viverette has worked at Nash Health Care for almost 13
years, starting as a shift unit secretary and then a floor unit
coordinator. In her spare time, she loves to read, quilt, sew,
play computer games and work in the garden. She enjoys
craft projects, such as making wreaths, painting ceramics,
and making cards. She likes word games such as Scrabble,
seek and find, and crossword puzzles. She has two wonder-
ful cats that she says are “the light of my life,” Fred and Earl.                               The Art of Volunteering
                                                                                                If you need information about the latest Pursuit of
                                                                                                Excellence values, all you need to do is check out
                                                                                                the latest artwork by volunteer Amelia Johnson.
Mary Wells, RN, BSN, magnet coordinator                                                         Johnson provided this piece of artwork outlining
Wells has worked at Nash Health Care for 27 years. She is                                       the principles of the Pursuit of Excellence for
married and has three children. Her hobbies include stained                                     the Wall of Fame in the Nash General Hospital
glass, photography and making porcelain dolls.                                                  Cafeteria.



Sheilla Gonzalez, ECC
Gonzalez is a part of the Pursuit of Excellence standards
committee. In her spare time, she enjoys singing, dancing,
listening to music and ice skating. “I enjoy exploring the
Scriptures for rewarding answers that bring hope and joy,”
Gonzalez says. “I also enjoy working with the Nash General
Hospital ECC family.”



Takiya Hedgepeth, NDH Rehabilitation
Hedgepeth has worked with Nash Health Care since 2004,
and has worked in various departments including the pain
clinic, Coastal Plain Hospital, Nash Urgent Care and med-
ical records. She is a physical therapy technician and is
working toward her associate’s of arts degree in health
care administration through the University of Phoenix.




6◆     Vol.21, Number 1, 2010
 Chewning Congratulates
 Central Sterile Services
 Employees Whenever an employee
 achieves a certification, it is cause for con-
 gratulations. Any certification requires
 months—and in some cases, maybe even
 years—of study and experience. So, when
 every employee in your area achieves certi-
 fication, it is cause for celebration.
     Larry Chewning, CEO of Nash Health
 Care (center), congratulates employees in
 the Central Sterile Services Department,
 who all passed certification examinations.
     “To have every eligible central sterile
 services employee certified is really a huge
 achievement,” said Tanya Tant, manager.
“It is very rare for a central sterile services
 department to have all employees pass this
 rigorous and demanding examination.”             Nash Health Care CEO Larry Chewning (center) and Pursuit of Excellence Team member Nikki Hanson (far right) con-
                                                  gratulate Central Steril Services employees Nora Jones, Tanya Tant, Marry Arrington, Theresa Nelms, Dora Boddie, San-
                                                  dra Warren, Barbara Chapman and Julie Woodfin.




                                                                                        Everyday Heroes




                                                                                   Honoring our BTAR heroes are( from left) Larry Chewning, CEO; Teresa Cherry,
                                                                                   CNAII; Joan Colbert, CNAII; Leslie Hall, CNO; and Karen Vick, director of rehab
                                                                                   nursing.
                                                                                       On November 30, 2009, during the lunch meal at BTAR in the dining
                                                                                    hall, Joan Colbert, CNAII, noticed a patient "patting her chest." Joan
                                                                                    quickly got to the patient and determined that she could not speak as the pa-
                                                                                    tient clutched her throat.
                                                                                       As Joan began to move the patient's wheelchair to get her to a more pri-
                                      Allison Manning-Williams (far left)           vate area and away from the group of diners, Teresa Cherry, CNAII, noticed
        congratulates Richard Rivera (holding cake) an Emergency Care               what was occurring.
 Center nurse who had to deliver a baby in an emergency. Due to Rivera’s               They got the patient into the restroom and attempted the Heimlich ma-
 quick thinking and compassionate care, both baby and parents are fine.              neuver with her sitting in the wheelchair. When this was unsuccessful, they
   Also pictured are Joddy Amerson (second from left), Brenda Davis (sec-           promptly stood the patient up and continued the Heimlich maneuver. With
 ond from right) and Gina Champion (far right).                                     a single abdominal thrust, a large piece of meat was dislodged from the pa-
                                                                                    tient's airway. No additional treatment was required thanks to the rapid re-
                                                                                    sponse of these two ladies—two of our everyday heroes at BTAR.
                                                                                    Submitted by Paula Viverette


                                                                                                                                         Vol.21, Number 1, 2010    ◆7
                Several staff members of Central Sterile Processing passed an extensive certification exam. Certified staff members are ( pictured, left to right)
                Tanya Tant (manager), Dora Boddie, Christina Taylor, Sandra Warren, Theresa Nelms, Julie Woodfin, Mary Arrington and Barbara Chapman.


 Central Sterile Processing :


 A Portrait of Teamwork
         The operating room of a hospital is a complex symphony of subtleties. Each move, each inci-
                                                                                                                             Did you know

                                                                                                                             Between Nash General Hospital and Nash
                                                                                                                             Day Hospital Central Sterile Departments,
     sion, each plan is one that has been carefully orchestrated to ensure patient safety and medical ex-
     cellence. But not all members of this symphony are present in the operating room. If the surgeon                        there are a total of seven surgical services
     is the conductor, carefully choreographing the operation with precision, then some of the be-                           assistants who earned certification.
     hind-the-scenes team members who supply the music and the instruments are members of the
     Central Sterile Processing Department.                                                                                  The department sterilizes an average of
         Recently, the Central Sterile Processing Department was honored by the Pursuit of Excellence
     personal recognition team—all of its eligible surgical services assistants received certification by                    6,600 instruments/trays a month. The dif-
     the Certification Board for Sterile Processing and Distribution, making them Certified Sterile                          ferent departments serviced are: Labor &
     Processing and Distribution Technicians. It symbolizes the dedication and service of a depart-                          Delivery, Nursery, ECC, Special Medicine,
     ment that must consistently provide the highest levels of customer service, excellence and patient                      CCU/ICU, Central Supply, Dialysis, Wound
     safety in order to ensure that all areas of the hospital are working with equipment that has been
     prepared perfectly.                                                                                                     Care Center, Endoscopy, Nash Day Radiol-
         “For everyone to receive this certification truly is exceptional,” said Tanya Tant, central sterile                 ogy, Nash Day Oncology, Hardees Heart
     processing manager. “It is incredibly rare to have an entire department with this level of expertise.                   Center, BTAR, Nash Day O.R., Nash Gen-
     Many of our employees have worked at the hospital for more than 20 years.”
                                                                                                                             eral O.R and the 2nd-3rd-4th & 5th floors.
         The purpose of the Central Sterile Processing Department is to centralize the decontamina-
     tion, sterilization, assembly, distribution and control of sterile items, non-sterile items and equip-
     ment used in all areas of the hospital.                                                                                 The department’s vision statement is:
         “By centralizing these activities, it is possible to provide more effective and efficient service.                 “Building bridges flowing with positive
     The overall objective of CSP is to have the right item at the right place at the right time in the
     right condition,” Tant said.                                                                                            thoughts, words and actions creating
         The department is located on the ground floor of the Surgery Pavilion and may be reached by                         a united front based on dedication,
     dialing extension 6710.                                                                                                 patience and integrity.”
8◆    Vol.21, Number 1, 2010
 M E E T I N G             T H E       C H A L L E N G E
one




 N A S H   H E A L T H   C A R E   A N N U A L   R E P O R T   2 0 0 9
                                         1
                         O n e
                         It is almost deceptive in its simplicity—one word, one number, one goal, one person—yet it represents a concept that car-
                         ries immense weight. It speaks to us as individuals, it unifies us as a community, it reminds us that even in a cynical world,
                         one person can make a difference.
                              We no longer need to argue whether it is possible for one person to transform our world. That debate has been settled
                         time and time again throughout the ages. History is decorated—determined even—by those individuals who realized that
                         they could make a difference. We need look no further than Rosa Parks, who decided to make a stand by sitting down, and
                         Wilma Rudolph, the first American woman to win three gold medals in track and field during a single Olympic Games—de-
                         spite running on a sprained ankle. We cannot forget the contributions of individuals such as Martin Luther, who risked his
                         very life to proclaim a vision of God’s grace.
                              But for all of the talented, historical, and monumental Lincolns, Washingtons, and Mozarts, there are millions more who
                         toil away silently in obscurity, still motivated by the dream, effort and belief in the power of one, the power of transforma-
                         tion, even if the pages of history and the story of the world will push forward without giving these individuals any tangible
                         recognition.
                              Still, these individuals push forward, motivated not by fame or fortune or accolades, but by the simple desire to make the
                         world a better place, even if just for one person. We see this principle reflected in the classroom, where one teacher with
                         priceless motivation sees potential and promise in pupils that society may have deemed unreachable. We see this principle
                         lived every day through men and women—firefighters, police officers, soldiers—who guard and protect us, each one of
                         them standing as a sentinel, safeguarding individuals and ideals.
                              In a health care system, the philosophy of the individual making a difference—saving lives, rehabilitating spirits—is an
                         everyday occurrence. When each individual focuses upon his or her task of providing the best patient care tailored to each
                         individual, the world is transformed…one person at a time.
                              There’s a story of the young boy walking along the beach, picking up starfish and throwing them gently into the ocean in
                         an attempt to save them. When a passerby noted that one boy could not make such a difference with miles of beach and
                         hundreds of dying starfish, the boy responded by throwing another starfish into the ocean and replying, “I made a difference
                         to that one.”
                              While some may dismiss this story as overtly sentimental, overused, and an analogy that only works as an e-mail for-
                         warded ad infinitum, this still makes the story, or its message, no less true.
                              Nash Health Care realizes that there are thousands of patients—individuals—who entrust their care to us each year.
                         As a family of health care professionals, we realize that each individual is someone’s parent, husband, wife, child, friend,
                         sister or brother. No patient is a number, and each one deserves the highest standard of care. That’s one reason why we
                         changed our mission statement. We changed it only by one word—but that one word makes all the difference.
                              Our mission statement now reads: “To provide superior quality health care services and to help improve the health of
                         the community in a caring, efficient, and financially sound manner.”
                              Just one word, but a world of difference.
                              In 2009, Nash Health Care was faced with some of its greatest challenges in its 38-year history. On the national stage,
                         a stumbling economy and failing financial institutions promised a tumultuous end to one of the most volatile decades in
                         American history. At Nash Health Care, the organization made strides to position itself for success in 2010…and through-
                         out it all, members of our team never forgot that their purpose was centerd around just one goal: serving the patient, the
                         neighbor, the friend, the husband, the wife, the individual…


                         …in other words, you.




                                                                                                          Larry Chewning CEO Nash Health Care




10 ◆   Vol.21, Number 1, 2010
 When each
   individual
focuses upon
   his or her
      task of
providing the
 best patient             Wayne Deal is just
 care tailored            one of many cancer
                          survivors grateful for
     to each              the excellent care and
   individual,            treatment they received
                          at Nash Health Care.
 the world is
                             Deal received the
 transformed              benefits of IMRT
                          (intensity-modulated
 one person
                          radiation therapy)
    at a time.            from the Nash Cancer
                          Treatment Center.
                          IMRT is a new version
                          of three-dimensional
                          radiation therapy, which
                          aims radiation beams from
                          several directions
                          to match the size and
                          shape of the tumor.


                          One year later, he is still
                          cancer-free.
             one




                   Vol.21, Number 1, 2010          ◆ 11
                                    O n e                     g o a l
                                        Teamwork is a vital component of goal-setting. It is only when all members of an organization are functioning together
                                    as one team that the company’s fullest potential may be realized. This is never more evident than in health care. Hospitals
                                    are small cities, able to be self-sufficient in the event of disasters and incorporating the best employees from a variety of
                                    different areas — nursing, housekeeping, medicine, physical therapy, dietary—to work together as a single unit to provide
                                    the environment that will help nurture and heal our patients.
 What our patients are
 saying...                              This year, Nash Health Care realigned its vision to focus on a single goal embodied by the Pursuit of Excellence. In 2009,
                                    Nash Health Care employees participated in extensive customer training sessions, led by professionals from the Baptist              The North Carolina Hos-
“I can’t thank you enough for
                                    Leadership Group (BLG). More than 1,600 employees completed the sessions. There were 17 sessions conducted over two              pital Association (NCHA)
 your making my mom’s stay
                                    and a half days. The goal? Nash Health Care wants to raise patient satisfaction scores to 97 percent. Naming this effort         presented the Trustee Serv-
 so comfortable during her sur-
                                    the Pursuit of Excellence, NHC leaders worked closely with BLG facilitators to begin the process, which involved creating        ice Award to Robert “Ziggy”
 gery of a total knee replace-
                                    special teams to target certain areas of improvement, including physician satisfaction, communication, leadership, stan-         Zalzneck, chairman of the
 ment. She is doing very well.
                                    dards and measurement.                                                                                                                               Nash
 Your kindness to us will last
                                       As a part of this process, Nash Health Care launched the KUDOS! Program. KUDOS! is a reward and recognition pro-                                  Health
 a lifetime.”
                                    gram that is for all members of the Nash Health Care family. Best of all , anyone can receive or give a KUDOS! Shortly after                         Care
                                    the launch of the KUDOS! program, two employees went above and beyond the call of duty to provide superior quality care.                             Board of
“A special thank you to the staff
                                        Area Tech Roger Knight was at the bus stop across from the Emergency Care Center when a man started to have a                                   Commis-
 who made my stay comfort-
                                    seizure. Not only did Knight call for help and stay with the patient until Emergency Care Center employees arrived, but he                          sioners.
 able and special. Each one
                                    continued to remain with the patient during his time in the Emergency Care Center.                                                  Achievements such as
 treated me like a VIP. There
                                        Evidently “it’s not my job” is a phrase that has never passed through Roger Knight’s lips.                                   these exemplify what can
 was nothing I needed that they
                                        Lab employee Tiffany Harper was working one night when a man—who had walked to the hospital campus from                      happen when leaders and
 did not give. They went above
                                    the hotel complex across the street—was having difficulties after a stroke. She went the extra mile to get him the care          employees focus on a sin-
 and beyond to make sure I had
                                    he needed.                                                                                                                       gle goal— placing the
 my needs met. Especially my
                                        The Pursuit of Excellence will serve as the framework for Nash Health Care’s philosophy, renewing its dedication to          well-being of patients as
 nurse (Kristen, RN); she took
                                    patient satisfaction. We are already seeing results of our efforts.                                                              the top priority.
 the time to take my prescrip-
 tions to the pharmacy and also
 picked them up for me, saving
                                    O n e                     p e r s o n
 me the extra wait.”                    We will not debate whether or not one person can make the difference. Every one who has seen a firefighter rush
                                    into a burning building, anyone who has been cared for by a nurse, anyone who has had an inspirational high school
“I was a patient at Nash Gen-       teacher, knows that one person can make a difference in the lives of others. At Nash Health Care, we took that a step
 eral Hospital when Dr. Chris-      further in 2009. Instead of just emphasizing that one person can make a difference, we emphasized that each of our
 tian Mann performed gastric        1,900 employees should actively go about making a difference in the lives of our patients through the Pursuit of Excel-
 bypass surgery on me. …                                   lence. To reflect this principle, several employees were moved into leadership positions.
 I wish to thank all of the won-                              Dr. David R. Gorby was promoted to Vice President for Quality and Patient Safety at Nash Health
 derful staff of the Nash Surgi-                           Care. Dr. Gorby had previously served Nash Health Care in the roles of Assistant Medical Director
 cal Weight Loss Center that                               for Clinical Informatics and Patient Safety Officer.
 have supported me throughout                                 “The goal of providing superior quality health care services to our community is the Mission of
 and during this life-changing                             Nash Health Care. Nash Health Care recognizes that quality is more than a
                                    Dr. David Gorby       department and patient safety is more than a program … these are everyday
 process at Nash General Hos-
 pital. …also, a special thanks     responsibilities for all staff members,” Gorby said.
 to the wonderful nursing staff         Bob Skelton was named Vice President of Development and Executive Director of the Nash
 at Nash General Hospital on        Health Care Foundation, where he will continue to develop and promote a philanthropic culture
 the Fourth Floor.”                 within our health care system and the community to support the capital needs associated with
                                    Nash Health Care's strategic plan.                                                                    Bob Skelton
                                        Chris Wood, manager of the Nash Cancer Treatment Center, was selected to represent Nash Health Care in a 16-
                                    month intensive leadership development course held at Area L AHEC. The program, “Ladder to Leadership: Developing
                                    the Next Generation of Community Health Leaders” is conducted through the Robert Wood Johnson Foundation. The
                                    Robert Wood Johnson Foundation strives to improve health care for all Americans and help them lead healthier lives.




 12 ◆     Vol.21, Number 1, 2010
   “The goal
  of providing
     superior
 quality health
  care services                       Area Tech Roger Knight was at
                                      the bus stop across from the
       to our                         Emergency Care Center when
   community                          a man started to have a
                                      seizure. Not only did Knight
 is the Mission                       call for help and stay with the
of Nash Health                        patient until Emergency Care
                                      Center employees arrived, but
   Care. Nash                         he continued to remain with
  Health Care                         the patient during his time in
                                      the Emergency Care Center.
   recognizes
                                      Heather Sullivan, (left) a nurse
 that quality is                      in the ECC, presents a KUDOS!
                                      award tp Knight.
  more than a
   department
   and patient
 safety is more
than a program
   ...these are
    everyday
responsibilities
   for all staff
    members.”
                                     Tiffany Harper went above
                         one



    —Dr. David Gorby                 and beyond the call of duty
 Vice President for Quality          when she assisted a man who
    and Patient Safety
                                     was injured after he had a
                                     stroke. Harper's dedication
                                     represents the gold standard
                                     in the Pursuit of Excellence.
                                     Congratulations!




                               Vol.21, Number 1, 2010        ◆ 13
                               O n e                    C h a l l e n g e
                                    It doesn’t matter how many times you pass a trial, it only takes one failure to ruin plans, to dash hopes and dreams.
                                    While it would be easier to take the safe route of conserving energies and supporting the status quo, without challenges,
                               it is impossible to to attain greatness…or even reach beyond the stars. As President John Kennedy said about the Apollo 11
                               mission to the moon: “We choose to go...not because [it is] easy, but because [it is] hard, because that goal will serve to
                               measure and organize the best of our energies and skills, because that challenge is one that we are willing to accept, one
                               we are unwilling to postpone, and one which we intend to win.”
                                    In the health care arena, it is abundantly clear that we must continually push forward toward providing even better care
                               for our community…and we do so not because it is easy, but because it is hard. In the health care arena, we are keenly
                               aware that each action—no matter how seemingly “insignificant”—can have an exponentially large affect on patients
                               and, ultimately, the health of the community.
                                    Although accreditation from the Joint Commission is voluntary, Nash Health Care regularly submits itself to the rigorous
                               Joint Commission accreditation survey every three years. Through this process, every aspect of the hospital is scrutinized,
                               from patient care and documentation to office organization and fire exits. Joint Commission surveyors literally have unlim-
                               ited access to every corner of the hospital, and every corner must pass the examination to the surveyor’s satisfaction in
                               order to achieve the coveted Joint Commission accreditation seal. Nash Health Care has had an unbroken string of accredi-
                               tations since its opening in 1971.
                                   Of course, the Joint Commission survey is just one of several exacting tests to which NHCS submits. In 2009, the Bryant
                               T. Aldridge Rehabilitation Center passed an intense peer review process to receive three-year CARF accreditation, making
                               it one of 19 CARF-accredited facilities in North Carolina. CARF—the Commission on Accreditation of Rehabilitation Facili-
                               ties—is an independent, nonprofit organization that represents the highest level of rehabilitation accreditation that can
                               be awarded.
                                    Oncology services at Nash Health Care not only passed its accreditation from the American College of Surgeon’s Com-
                               mission on Cancer, but it was honored with an Outstanding Achievement Award by the Commission on Cancer (CoC), mak-
                                                                  ing it one of only 93 programs in the country—and one of only three in North Carolina—to
                                                                  earn such an honor. Oncology services at Nash Health Care encompasses every aspect of
                                                                  cancer treatment, including the Nash Cancer Treatment Center, the Nash General Hospital on-
                                                                  cology unit, the tumor registry, and Hospice and Palliative Care. The Outstanding Achieve-
                                                                  ment Award is designed to recognize cancer programs that demonstrate excellence in
                                                                  providing quality care to cancer patients.
                                                                          The achievement award came on the heels of a three-year accreditation with nine com-
                                                                  mendations from the American College of Surgeons, ranking the cancer services at Nash
                                                                  Health Care among the top 5 percent in the nation.
                                                                          The digital mammography services at Nash Day Hospital recently earned a three-year
                                                                  accreditation from the American College of Radiology (ACR), and the respiratory care services
                                                                  at Nash Health Care recently received Quality Respiratory Care Recognition from the Ameri-
                                                                  can Association of Respiratory Care. About 700 hospitals—or roughly 15 percent of the hos-
                                                                  pitals in the United States—have received this award.




Nash Heath Care’s Rapid
Response Team is called
when a patient’s health is
in crisis and urgent medical
attention is needed.




14 ◆     Vol.21, Number 1, 2010
  “We choose
        to go...
  not because
     [it is] easy,
  but because
                                   Nash Health Care performs
     [it is] hard,                 9, 639 surgeries each year,

  because that                     and admits more than 15,000
                                   patients annually.
goal will serve
   to measure
  and organize
the best of our
  energies and
skills, because
 that challenge
    is one that
we are willing
      to accept,
   one we are
   unwilling to
postpone, and
one which we
 intend to win.”
   — John F. Kennedy
                       one




                             Vol.21, Number 1, 2010      ◆ 15
                               O n e                      V i s i o n
                                   You don’t have to be from Nash County to appreciate the vision our health care system has for the future. More than
                               40 years ago, pioneers broke ground on the promise of a brighter, healthier future for local citizens. They understood that
                               vision without action is merely a fantasy, and it is only when the two components combine as one in a seamless stream
                               of harmony that the realization of a brighter future can be brought to fruition.
                                   Remembering the words of Ted Kennedy Jr. who was the keynote speaker at the opening of the Bryant T. Aldridge Re-
                               habilitation Center ten years ago:
This photo was taken at
                                   “I admire your commitment. You have created a world-class rehabilitation center right here in Nash County. There are
the BTAR Open House on No-
                               so many places in this country where people have to travel for hours and hours for rehabilitation while being separated
vember 8, 1999. Pictured are
                               from their families. This new facility is equal to any medical facility in the world. It’s not a luxury. It’s a necessity. It is truly
Mr. and Mrs. Bryant T.
                               visionary.”
Aldridge and Ted Kennedy Jr.
                                   Since then, thousands of patients have walked through the doors of the Bryant T. Aldridge Rehabilitation Center (BTAR),
                               located on the campus of Nash Health Care. The center—which places patients on the road to recovery from a stroke,
                               neurological disorder, joint replacement, brain injury, spinal cord injury, accident or illness—celebrated its first decade of
                               serving the community.
                                   Earnest Collier was one of those who took that journey on the road to recovery through the doors of BTAR. An accident
                               required him to have extensive surgery to repair torn ligaments in his leg. For his recovery, Collier’s physician and neigh-
                               bors had only one recommendation: the Bryant T. Aldridge Rehabilitation Center.                                                          The open MRI is wider than

                                   “I have no doubt I could not have come home from the hospital without the Bryant T. Aldridge Rehabilitation Center. I                a ‘traditional’ MRI, giving

                               had heard about it from a lot of friends…it is the best place that I could conceive of anybody going for rehab or if you’re              patients more room.

                               recovering from having knee surgery or back surgery,” he said.
                                   Although we celebrated the accomplishments of this world-class center, we were not content to rest on our laurels. Vi-
                               sion is only useful when it is progressive…and when it is moving forward. In 2009, Nash Health Care provided the com-
                               munity with medical technology equivalent to that found at larger medical centers: an open MRI, new digital
                               mammography equipment and a permanently housed PET / CT HD scanner.
                                   There are only two hospital systems in North Carolina that have a permanently housed PET scanner featuring highly
                               sophisticated HD technology. One is in Chapel Hill. The other is at Nash Health Care. This new PET scanner—a Siemen’s
                               Biograph 6—has HD technology, meaning it can detect cancer lesions as small as 2 mm in diameter, as opposed to the
                               mobile PET scanner, which could detect lesions as small as 3.5 mm in diameter.
                                   Of course, the best way to turn cancer patients into cancer survivors is to spread the word about cancer education,
                               early detection and regular screenings. In addition to the yearly skin cancer and prostate cancer screenings, Nash Health
                               Care teamed with Crossworks, an organization that promotes breast cancer awareness and education, to offer several ed-
                               ucational activities throughout October. Events included a panel discussion featuring NHC medical staff members, exer-
                               cise and nutrition information, and a celebratory dinner for cancer survivors at Nash General Hospital’s Courtyard Café.
                                   When employees embrace the vision of transforming the future, they are always rewarded—either tangibly with a
                               plaque or certificate, or intangibly, with the confidence that they are making their corner of the world a better place.
                                   The food and nutrition services at Nash Health Care were honored with the Red Apple Award from NC Prevention Part-
                               ners. This recognition is given to hospitals that make healthier food more available, visible and affordable for employees
                               and visitors.
                                    Nash Health Care was one of 25 hospitals in the state that received the honor.
                                   “This represents so much more than just an award. This illustrates that we are going the extra mile to ensure that our               Dr. Jennifer Orr makes a
                               visitors and employees have the nutritional information they need to make healthy food selections,” said Mike Tamisiea,                  presentation on early detec-
                               director of food and nutrition services. “In addition, we strive to keep quality, healthy food affordable, because we believe            tion of breast cancer during
                               it is not just about having a good meal, it’s about doing our part to keep our community healthy.”                                       a local Crossworks event.




16 ◆    Vol.21, Number 1, 2010
   The Materials Manage-
ment Department of Nash
Health Care was honored
with the VHA “Participa-
tion Leader Award,” which
signifies that Nash Health
Care is a leader in supply
standardization programs.
These programs not only
ensure consistency with
                                                           Earnest Collier is just one of
items and supplies
                                                           many who have taken a jour-
throughout the hospital,
                                                           ney on the road to recovery
but they also are key to
                                                           through the doors of BTAR:
saving money. In 2008, the
                                                          “I have no doubt I could not
Materials Management
                                                           have come home from the
Department was able to
                                                           hospital without the Bryant T.
save almost $250,000. This
                                                           Aldridge Rehabilitation Cen-
award was presented to
                                                           ter. I had heard about it from
78 member systems in
                                                           a lot of friends…it is the
VHA. The Material Serv-
                                                           best place that I could con-
ices Department received
                                                           ceive of anybody going for
the award in 2007 as well.
                                                           rehab or if you’re recovering
                                                           from having knee surgery or
                                                           back surgery,” he said.
                      one




                             Earnest and Jean Collier




                                                    Vol.21, Number 1, 2010        ◆ 17
                                 O n e                    s m a l l                          s t e p
                                     While Neil Armstrong declared that his first walk on the moon was “one small step,” that small step will be remem-
                                 bered throughout history. That one small step was equal to one giant leap. But because the moon has no atmosphere,
                                 those pioneering footprints will not be erased by rain, wind or erosion, and scientists estimate that the astronaut’s every
                                 step on the lunar surface will be preserved for 10 million years.
                                     Each individual step has future ramifications. While they may not be etched onto the lunar surface, they are deeply etched
                                 in the hearts and minds of those we inspire, heal and educate, and they frame the direction for footprints of the future.
                                     Once again, Nash Health Care is embracing the challenges of the future and transforming its services to align with the
                                 needs of a growing community. CEO Larry Chewning has outlined a five-year strategic plan that includes a Nash Regional
                                 Heart Center, Women’s and Children’s Center, and an expansion of the Emergency Care Center.
                                     “How do we measure success? It is not all about money—it is about improving the quality of care that patients re-
                                 ceive,” Chewning said. “Patients want to have the health care services they need close to their homes.”
                                     This plan will ensure that Nash Health Care will be at the cutting edge of community health care for the next 38 years
                                 …and beyond.


One year after the doors of      Emergency Care Center Expansion
Nash General Hospital
opened, one young candy            Our Emergency Care Center (ECC) is one of the six busiest in the state, treating approximately 65,000 patients in
striper also opened her arms     2009—and its volume is continuing to grow at a rate of about 3 percent a year. Chewning said estimates indicate that by
to the spirit of volunteerism.   2015, ECC visits could exceed 80,000 per year. Plans are to expand the ECC from 36 to 57 treatment rooms by 2012.
Since then, Jackie Ward’s
cheerful smile and tireless      Nash Regional Heart Center
dedication have had a pro-
found impact not just on            In an effort to expand the cardiology services offered locally, Nash Health Care and local cardiologists announced plans
Nash Health Care, but on         to developed a strategic partnership with University Health Systems of Greenville, and plan to open the Nash Regional
the community.                   Heart Center in 2012. The new facility will contain an:
                                    8-bed cardiac intensive care unit
                                    2 cath labs with angiography capabilities
                                    12-bed chest pain observation unit
                                    Cardiac stress lab
                                    Nuclear cardiology lab
                                    Echocardiography lab
                                    Outpatient congestive heart failure clinic

                                 Nash Women’s Center
                                                                                                                                                                   Nash Health Care employees,
                                     Through expansion of OB-GYN services, the Nash Women’s Center—scheduled for completion in 2012—will be estab-                 through a variety of fund-
                                 lished as the unsurpassed leader for obstetrics in the region. The goal is to establish a 12-bed Level II Nursery, eventually
                                                                                                                                                                   raising events and activities,
                                 leading to a Level III Nursery. Nash Health Care is also planning to petition the state to expand its neonatology Level II beds
                                 from four to 12.                                                                                                                  raised a staggering $33,470
                                                                                                                                                                   for the American Heart Walk
                                     Some other aspects of Nash Health Care’s futuristic vision came to fruition this year, through establishment of a new         and earned special recogni-
                                 Emergency Care Center (ECC) satellite, where those with non-life threatening injuries may be treated, in order to free space
                                                                                                                                                                   tion as the top fund-raising
                                 in the main ECC for trauma patients.
                                     When footsteps are repeated over and over, they became a path, then a road. For employees who participated in one of          company for the event.
                                 the many fund-raising events, these trails were blazed to help raise funds and educational awareness. Employees once
                                 again participated in the American Heart Walk, the Relay for Life, the United Way campaign and the Lights of Love. The
                                 Nash Health Care Volunteer Auxiliary held many fund-raisers to help finance projects for the hospital.




18 ◆      Vol.21, Number 1, 2010
  “How do
 we measure
    success?
  It is not all
about money
 —it is about
  improving                         Amy Rowland went from
  the quality                       297 pounds (and a size 26)
                                    to 180 pounds (and a size
     of care                        12). While she has lost more
 that patients                      than 100 pounds since her
                                    weight loss surgery over 10
    receive.”                       months ago, there is one
  —Larry Chewning                   area of her life where she is
 CEO Nash Health Care               gaining—she’s gaining the
                                    ability to keep up with her
                                    12-year–old son.
                                      Rowland is not alone in
                                    her journey; a multitude of
                                    patients have found a new
                                    lease on life through the
                                    Nash Surgical Weight Loss
                                    Center, and you can read
                                    their testimonies throughout
                                    this article and on our web-
                                    site at nashhealthcare.com.
                        one




                              Vol.21, Number 1, 2010       ◆ 19
  We deliver             O n e                     p a t i e n t
care, tailored
 to the needs
     of each
   individual,
    delivered
  with empa-
  thy, dignity                                                                                                                                         Assets                     2009
                                                                                                                                                       Current assets      $84,010,858
 and respect.                                                                                                                                          Capital assets, net 108,732,629
                                                                                                                                                       Other assets        130,729,666
    Our goal,
                                                                                                                                                       Total assets        323,473,153
   our vision,
                                                                                                                                                       Current liabilities 31,948,165
is to improve                                                                                                                                          Other liabilities   49,998,702
                                                                                                                                                       Total liabilities   81,982,867
   the health                                                                                                                                          Total net assets 241,490,286

      of the                                                                                                                                           Total liabilities and
                                                                                                                                                       net assets            323,473,153
  community
                                                                                                                                                       Revenue and               2009
    one step,                                                                                                                                          Expenses
                                                                                                                                                       Total revenue $200,884,811
   one word,                                                                                                                                           Total operating
                                                                                                                                                       expenses         190,932,754
 one accom-                                                                                                                                            Income from
                                                                                                                                                       operations         9,952,057
 plishment—                                                                                                                                            Total nonoperat-
                                                                                                                                                       ing revenue, net 17, 201,766
  one patient                                                                                                                                          Increase in net
                  one


                                                                                                                                                       assets            27,153,823
    at a time.




                           It seems as though everyone is obsessed with numbers, and we confess, with the myriad of figures that surround the
                        complexity of delivering health care, it’s easy to find them overwhelming: We deliver an estimated 1,500 babies a year,
                        we treat more than 60,000 a year in our Emergency Care Center, we perform 9, 639 surgeries each year, and admit more
                        than 15,000 patients annually. While it’s always good to ground yourself in empirical evidence, there’s really just a single
                        number we are concerned with…one. Just one patient like Bob, who is now able to enjoy his favorite foods, thanks to
                        the Nash Heartburn Treatment Center. Like Earnest, whose joint replacement helped him get his independence back.
                        Just one patient...in other words, you.

                        Read more patient stories at www.nashhealthcare.com.

20 ◆   Vol.21, Number 1, 2010
 The Employee                                             Coastal Plain Hospital Celebrates Open House
   Pharmacy
  Is Just One
    Of Your
 Great Benefits.
      Use It



                                                                                                                  Vickie Ripley (far right), PharmD at Coastal Plain
                                                                                                                  Hospital, accompanies harpist Janine O’Dea at the
                                                                                                                  recent opn house.



   And $aveBig!                                           Coastal Plain Hospital recently held an
                                                          open house for employees and board
    If you are not using the Employee Pharmacy, you are   members to showcase recent renovations
losing money. Did you know the same generic drug you      that were completed to the outpatient
pay $30 for at Walgreens, CVS, or some other retail
pharmacy will only cost you $5 at the Employee            treatment area. Coastal Plain Hospital
Pharmacy? A preferred brand 30-day supply will cost       provides inpatient and outpatient treat-
you $45 at a retail pharmacy and only $15 at your Em-     ment for mental health and substance
ployee Pharmacy.
      On one generic drug filled every 30 days, your      abuse problems, providing thousands with
savings will be $300 during 2010! On one pre-             a new lease on life. Through treatment
ferred drug filled every 30 days your savings             programs that concentrate on healing                     Tracey Dickerson (center)
will be $360.
                                                          body, mind, and spirit, the CPH medical                  welcomes visiting board
    Just think what you could do with that extra money!                                                            members Betty Anne              Coastal Plain
 If you have more than one medication you take on a       and clinical staff is sensitive to the needs             Whisnant (left) and Kay         Hospital
regular basis or if your dependent(s) covered under our   and concerns of patients and families.                   Mitchell (right).
                                                                                                                                                   specializes
health plan are taking any medications, your savings                                                                                               in care for:
can really add up.
                                                                                                                                                   • Depression
    StartYour SavingToday!                                                                                                                         • Anxiety
                                                                                                                                                   • Other mood and
                                                                                                                                                     thought disorders
   Print the Prescription Transfer Form located on the
                                                                                                                                                   • Personality
Nash Intranet H.R. Tab, complete it and take it to the                                                                                               disorders
Employee Pharmacy. These forms can also be picked up                                                                                               • Thoughts of suicide
in Human Resources. Coastal Plain Hospital and BTAR                                                                                                • Chronic (long-term)
employees have these forms available in their Human                                                                                                  mental illness
                                                                                                                                                   • Substance abuse
Resources Forms tray located in the facility.
                                                                                                                                                     treatment
Prescriptions for controlled substances cannot be
transferred. You will need to have your physician's
office call a new prescription into the Employee          Dr. Celso Lobao (far left) and Toby Taubenheim, CPH director, welcome board mem-
Pharmacy at 962-3880.                                     bers Judge Robert Evans and Wayne Deal.

                                                                                                                                         Vol.21, Number 1, 2010    ◆ 21
NASH HEALTH CARE EM




                            ECC physician’s efforts lead to NBC Evening News segment
    For more than 38 years, Nash Health Care has proudly announced that           privileged and grateful to have a skill that was useful to the people there.”
one of its main goals is to build a healthier community. But what defines            Manly was just one of several Nash Health Care employees who went to
community? Is it defined by neighborhoods and county lines, or is it defined      Haiti to volunteer in the aftermath of the earthquake. Even non-clinical em-
only by the boundaries of the heart? It is a concept of radical generosity that   ployees and employees who were not physically able to go to Haiti donated
is difficult to understand at best, and may even prompt the same question         their time and skills to raise money to help Red Cross relief efforts.
the inquisitor of the Biblical Scriptures asked Jesus… just who exactly is           Manly said, at the hospital where she volunteered, it was not unusual to
my neighbor?                                                                      see 50 to 60 amputations a day in the overcrowded facility. In many cases,
    Many Nash Health Care employees define their neighbor as anyone who           lack of access to emergency care had caused infection to spread, making an
is in need. For Dr. Julie Manly, a physician in the Emergency Care Center,        amputation the only means of survival. But because only 2 percent of the
her neighbors were the Haitian people.                                            Haitian population has a high school education, many make their living
    “Every single Haitian, despite the physical and psychological suffering,      through manual labor, and an amputation—and lack of access to prosthetic
was very, very graceful and kind,” she said about the time she spent volun-       devices—means that many would be left unable to support themselves.
teering. “I felt helpless on one hand. People came in with horrendous             Under the circumstances, many Haitians declined the amputation, even
injuries…there was such mass devastation. On the other hand, I felt very          with the knowledge that they would die.
22 ◆   Vol.21, Number 1, 2010
MPLOYEES HELP HAITI
                                                                                                             Whenever there is need or a
                                                                                                             community in crisis, whether
                                                                                                             from the flood waters of the
                                                                                                             Tar River or the earthquake
                                                                                                             debris in Haiti, Nash Health
                                                                                                             Care employees do not ask
                                                                                                             ‘who is my neighbor?’

                                                          Dr. Nancy Snyderman,
                                                          NBC’s cheif medical                                They instead ask, ‘what can
                                                          reporter, interviews
                                                          Dr. Julie Manly of the
                                                          Emergency Care Center.                             I do to help?’




                                                                                       Mastrodonato was
                                                                                    instrumental in or-
                                                                                    ganizing a bake sale
       While in Haiti, Manly was interviewed by NBC and appeared on a
                                                                                    by the Dietary Serv-
national news segment speaking about the disaster. After Manly returned to
                                                                                    ices Department. To
North Carolina, NBC’s chief medical reporter, Dr. Nancy Snyderman, con-
                                                                                    say it was successful
tacted her for a followup story. The national film crew traveled to Rocky
                                                                                    would be an under-
Mount to film facets of Manly’s work in the Emergency Care Center.
                                                                                    statement: they
Manly will be featured on a national segment of the NBC Nightly News.                                        Dietary Services employees raised more than $1,000 for the
                                                                                    raised $1,030 in just American Red Cross through a bake sale.
(As of press time, the air date for this segment was not determined.)
                                                                                    a little over three
   Other Nash Health Care employees may not have been featured on tele-
                                                                                    hours, with all proceeds going to the American Red Cross. In addition, op-
vision, but they were there on the front lines of providing patient care in the
                                                                                    erating room employees also held a bake sale, and NHCS employees were
most difficult—and dangerous—circumstances. Ryan Griffin of the Critical
                                                                                    able to help support the Haitian Hospital Sacre Coeur by donating PTO.
Care Unit and nurses Lorrie Pipkin and Cindy Taylor, of labor and delivery,
                                                                                       But the story doesn’t stop here. Nash Health Care is working with the
volunteered to help in Haiti. In addition, Dr. J. Bloem, a member of the Nash
                                                                                    American Red Cross to plan a bicycle ride fundraiser that will draw cyclists
Health Care medical staff, volunteered his skills as an orthopedic surgeon—
                                                                                    from all over the state.
skills that were in high demand. His wife, Kristie, a local nurse, went with him.
                                                                                       Whenever there is need or a community in crisis, whether from the flood
   But what about those who are not medically skilled? When Aaron
                                                                                    waters of the Tar River or the earthquake debris in Haiti, Nash Health Care
Mastrodonato saw the terrified faces of suffering Haitians on television, he
                                                                                    employees do not ask ‘who is my neighbor?’
thought of only one question—what can I do to help?
                                                                                       They instead ask, ‘what can I do to help?’

                                                                                                                                      Vol.21, Number 1, 2010    ◆ 23
                     a note from


                                                                                                      e
                                                                                           zandintor
                                                                                         SuFL Coor na
                                                                      ferac,hR
                                                                              N
                                                                    i
                                                               Jennealth Co
                                                                                           N



                                      Beetahh,Coach
                                               RN                 H

                                           t
                                       H l




                   N A S H                     F O R                   L I F E                  T E A M
                           Do you suffer from diabetes, high blood
                           pressure, high cholesterol or heart failure?

                           Do you take prescription medications?
                                                                                    Generic
                           Are you interested in saving money?                     medications
                           If you join Nash for Life, you can get                   $0 copay
                           your medications for:
                           $5 (30-day supply)
                           $10 (90-day supply)

                       For information, call Suzanne Buchanan at              962-3466
                                                      Nash Health Care
                                                       It’s all about how we treat you



24 ◆   Vol.21, Number 1, 2010
                                                                                                 Marion Sawyer and a frosty friend help with the annual Pediatric Christmas
                                                                                                 Party at Nash General Hospital.

  Equipment Donation

  Kay Ratchford, (far
  right) of Rocky Mount,
  generously donated a
  motorized wheelchair
  to be used at the
  Bryant T. Aldridge
  Rehabilitation
  Center (BTAR).
  Thanking Ratchford
  for her gift are Brain
  Agan, director of
  rehabilitation services
  (far left) and Karen
  Vick, director of rehab
  nursing.




                                                                                                                      olunteer Highlight
                                                                                                                    With more than 9,000 hours and 22 years of volunteer
                                                                                                                 experience, Marion Sawyer’s friendly smiles [and beautiful
                                                                                              gift shop bows] are familiar sights to Nash Health Care employees.
                                                                                                 Sawyer’s enthusiasm for Nash Health Care shines brightly, reflected not
                                                                                              only by her talented decorating skills that adorn gift shop flowers with bows,
                                                                                              angels, butterflies and birds, but also reflected by her unwavering recom-
                                                                                              mendation of Nash Health Care’s
                                                                                              superior services. And she should
                                                                                              know. Sawyer has had seven surger-
                                                                                              ies at Nash Health Care.                     “Volunteering
                                                                                                 “I would recommend Nash to
                                                                                              anyone,” she said, adding that she
                                                                                                                                           at Nash is such
                                                                                              was always “on the lookout for new
                                                                                              volunteers. Volunteering at Nash is
                                                                                                                                             a rewarding
                                                                                              such a rewarding experience. I have             experience.
                                                                                              made lifelong friends through my
                                                                                              volunteer work at the hospital.”               I have made
                                                                                                 Sawyer has worked in the ECC,
                                                                                              ICU waiting room, Mayo Surgery               lifelong friends
                                                                                              Pavilion, Nash Joint Replacement
                                                                                              Center and the Gift Shop. In addi-             through my
                                                                                              tion, she has held each office on the
                                                                                              Auxiliary board with the exception
                                                                                                                                           volunteer work
                                                                                              of publicity chairman.
                                                                                                 Sawyer attended Duke University
                                                                                                                                           at the hospital.”
Furniture Donation                                                                            as an economics major. She was
To complement the medical library’s extreme makeover, the Nash Health Care Volunteer          married to Floyd Sawyer Sr. and has
Auxiliary donated new furniture, utilizing some of the funds raised as a part of the Lights   four children and eight grandchildren. She was a Den Mother, a Pack
of Love annual event. Pictured are, from left, volunteer Doris Joyner, medical librarian      Mother and a District Girl Scout Cookie Mother. A member of the United
Debra Medlin, volunteer Jackie Ward and Van Holt, director of education.                      Methodist Women, she has been to Costa Rica twice on mission trips. She
                                                                                              worked for Home Security Life Insurance and for Peoples Bank.
                                                                                                 She sings in the choir at First United Methodist Church and the Rocky
                                                                                              Mount Christmas Chorus. She has taught third- and seventh-grade Sunday
                                                                                              School classes for 20 years. She is also a volunteer with the United Methodist
                                                                                              Retirement Home Auxiliary, and she is a member of the community advi-
                                                                                              sory council for Nursing Homes in Nash County.

                                                                                                                                                Vol.21, Number 1, 2010    ◆ 25
                                                                                 T   h   o   s   e    h    o    n   o   r   e   d      i   n      c     l    u      d       e   :


                                                                                 1-49 hours                    Volunteer Pin and               1000-1999 hours
                                                                                 Bonnie Bailey                 101-499 hours                   *Barbara Barnes – 1099
                                                                                 Carolyn Blue                  *Don Burrow – 300               Roy Barnes – 1512
                     banquet rewards selfless service                            Bill Cooper                   *Rossie Cherry – 140            Mavis Cash – 1521
  Smiles are not only free, but they also saved the hospital                     Viola Daoud                   *Kelly Davis – 142              Pat Grizer – 1585
more than $800,000.                                                              Mary Pell Foster              *Kathy Fly – 266                Marian Haney – 1636
                                                                                 Verline Harris                *Carol Lang – 152               Uteen Hargrove – 1746
  Each year, members of the Nash Health Care Volunteer                           Phyllis Jacobs                *Linda McKee - 120              Ann Hayes – 1620
Auxiliary provide valuable aid to various departments through-                   Kandi Phillips                *Helen Paszek – 158             Tina Jernigan – 1899
out the hospital, spreading smiles and                                           Condred Sanders               *Rochelle Peppers – 142         *Robert Jobe – 1222
compassion to              Renea Henderson                                                                     *Thomasina Pollard – 105        *Doris Joyner – 1030
patients. This             arranged entertain-                                   50-100 hours                  *Barbara Proctor – 208          Rena Rhodes – 1801
year, volunteers           ment for the event,                                   *Cheryl Ayers – 72            *Leona Stevenson – 387          Janice Rogers – 1414
logged 31,253              courtesy of Bertie                                    * Shirley Battle – 72         *Darcelia Sykes – 470           *Gail Salsgiver – 1027
                            the Bag Lady .
hours that saved                                                                 *JoAnn Brown – 72             *Grace Williams – 273           Bunny Varnell – 1752
the hospital more                                                                *Linda McKee - 72                                             *Bea Watson – 1066
than $800,000. They                                                              *Micah Faile – 67             500-999 hours                   *Thelma Wiggins – 1186
were recognized at the                                                           *Willis Hawkins – 69          Beverly Adcock – 677            Peggy Williams – 1475
                                                                                 *Randy Hull – 57              Mavis Armstrong – 906
annual Volunteer Awards
                                                                                 *Nancy Nelson – 71            *Carolyn Clay – 636             2000-2999 hours
Banquet.                                                                         *Leona Perry – 62             Sandra DeWolf – 729             *Helen Bronner – 2068
                                                                                 *Henry Roberson – 53          Ellen DiMaria – 662             Cindy Crowder – 2760
                                                                                 *Anthony Whitaker – 79        Connie Epps – 981               Wilma Dancy – 2678
        Bertie the Bag Lady (foreground) gives a shout out to Nash Health Care   *Charlotte Winslow – 66       Barry Goldstein – 815           Montre Phillips – 2572
        CEO Larry Chewning at the annual Volunteer Awards Banquet.               *Jean Walston - 91            Ann Hardy – 570                 Tommy White - 2331
                                                                                                               Sylvia Hull – 893
                                                                                 101-499 hours                 Allen Johnson – 705             3000-3999 hours
                                                                                 Carolyn Ashbrook – 298        Patty Kennedy – 873             *Retha Farmer – 3068
                                                                                 Mindy Baillieul – 290         Delores McRae – 787             *Maeta Joyner – 3066
                                                                                 Shirley Baker – 117           Cynthia Moss – 753              Gertrude Kennedy – 3171
                                                                                 Peggy Bass – 406              Dee Phelps – 786                Phyllis Ratcliff – 3934
                                                                                 Sharon Brantley – 393         Wyatt Phillips – 842            *Margie Turner - 3005
                                                                                 Marguerite Brewer – 341       Doug Powell – 864
                                                                                 Edward Brown – 309            Lenore Quinn – 728              4000-4999 hours
                                                                                 John Denton – 270             Terry Robidoux – 690            Jackie Chicoine – 4957
                                                                                 *Patsy Ezzell – 101           Jane Rosenbloom – 987           John Chicoine – 4745
                                                                                 John Feagans – 488            Mike Sherman – 915              Donna Smith - 4765
                                                                                 Arthur Fountain – 272         Dina Tang – 625
                                                                                 Betty Karshner – 253          Howard Tang – 926               5000-5999 hours
                                                                                 Linda Knight - 461            *Chuck Watson - 548             Marie Boone – 5370
                                                                                                                                               *Ollie Mae Briggs – 5095
                                                                                                                                               Patsy Ferebee – 5140
                                                                                                                                               *Leigh Johnson - 5023

                                                                                                                                               9000-9999 hours
                                                                                                                                               *Marion Sawyer – 9160

                                                                                                                                               14,000-14,999 hours
                                                                                                                                               *Jackie Ward – 14,597
                                                                                                                                               * indicates volunteers who
                                                                                                                                                 earned an award pin




                                                                                                                                           Jackie and John Chicoine
                                                                                                                                           were two of the volunteers
                                                                                                                                           honored at the annual Vol-
                                                                                                                                           unteer Awards Banquet.
         Volunteers Dina and Howard Tang


26 ◆   Vol.21, Number 1, 2010
        HUMAN RESOURCES                                                                   FOCUS ON PEOPLE

                                                                       Wooten Named Manager                 Certifications, Recertifications
    The Employee                                                        Maribeth Wooten was recently
                                                                        named manager of NGH                Elizabeth Hays was granted recertification of
    Opinion Survey                                                      inpatient and NDH outpatient
                                                                        rehabilitation. In her new role,
                                                                                                            CRRN (Certified Registered Rehabilitation
                                                                                                            Nurse) status by the RNCB (Rehabilitation
     Is Coming!                                                         Wooten will oversee the reha-
                                                                        bilitation services at both Nash
                                                                                                            Nursing Certification Board). The mission of the
                                                                                                            RNCB is to promote excellence in care by vali-
                                                     General Hospital and Nash Day Hospital. In             dating qualifications and specialized knowledge
      The work of health care is changing, as        addition, she will work with the HealthFirst           in rehabilitation nursing. Hays has been certified
   well as the ways we offer our services here       Wellness Center.                                       since 2005 and has been a nurse at the Bryant T.
   at Nash Health Care. These changes af-               Wooten earned her bachelor’s degree from            Aldridge Rehabilitation Center since 2001.
   fect us all and our ability to work in an         Wake Forest University. She also received a bache-
   environment we find both satisfying and           lor’s degree in physical therapy from the Univer-      Three nurses on CPSU have successfully
   productive.                                       sity of North Carolina at Chapel Hill. She holds       passed the certification exam for progressive
      Between August 2 and August 27, all            a master’s degree in public health, also from          care. The American Association of Critical Care
   staff throughout our system will have an          UNC–Chapel Hill.                                       Nurses (AACN) added a new certification in
                                                        Her extensive clinical physical therapy experi-     2004--PCCN--for nurses working on telemetry
   opportunity to participate in a brief survey
                                                     ence includes work in multiple practice settings,      and step-down units. Congratulations to Nash
   to enable management to "hear" from em-           including hospitals, acute rehabilitation, nursing     Health Care’s progressive care certified nurses:
   ployees about the changes in our environ-         home, home health, and outpatient facilities. She      Kellie Glover, BSN, RN, PCCN; Tera Joyner,
   ment and your suggestions for improving           has also managed rehabilitation services in govern-    BSN, RN, PCCN; and Sarah Heenan, BA, RN,
   the hospital and your own job satisfaction.       ment, private practice and public health settings.     PCCN.
      As in the past, we will be working with
   The Jackson Group. You will not be asked          Rhodes Named Director
   to sign the survey, but you will be asked to
   identify the department in which you work.
                                                     of Imaging Services
                                                        Noel Rhodes has been
                                                                                                               Has someone in
   The Jackson Group will provide the web-
   based survey tool, and you can access the
                                                     named Director of Imaging
                                                     services at Nash Health Care,
                                                                                                               your department
   survey from any computer within Nash              bringing more than 25 years
                                                     of health care experience to the
                                                                                                             earned a recognition
   Health Care. Staff, managers, and execu-
   tives will be participating in the survey.
                                                     organization. Originally from Sheridan, AR,
                                                     Rhodes previously served as the director of imag-
                                                                                                                or certification?
      The Jackson Group ensures your pri-            ing and neurodiagnostic services at Spartanburg
   vacy in a number of ways. No names are
   to be used in the survey; no one at Nash
                                                     Regional Medical Center in South Carolina. His
                                                     extensive career in health care includes more than
                                                                                                               Would you like for
   Health Care can see the data you enter.
   Data results for small departments are re-
                                                     14 years in the role of imaging services director,        your department to
                                                     and he has worked in different facets of the radiol-
   ported in a group with other small depart-        ogy field since 1985.                                       be featured in our
   ments or as a modified report and any                 Rhodes earned his master’s degree in health
   written comments are summarized.                  physics from the University of Arkansas Medical            Spotlight section?
                                                     Sciences (UAMS) in 1990 and his bachelor's de-
                                                     gree in radiologic technology in 1986 from UAMS.           We want to hear from you.
                                                                                                             If you have some hospital-related information concern-
                                                                        New CPH Program                      ing people in your department (NHCS-related awards,
                                                                        Director Toby Taubenheim             recognitions, etc.), you may submit these items to the
                                                                          was named the program direc-       Public Relations office.
                                                                          tor for Coastal Plain Hospital.
                                                                          He previously served as the        You may submit your information in one of
                                                                          director of behavioral health      three ways:
                                                                          services for Rutherford, and
                                                                                                             1. Send an e-mail to Dawn Wilson in the Public
                                                     has extensive experience in both the clinical and
                                                                                                                Relations office at ddwilson@nhcs.org.
                                                     administrative facets of behavioral health care.
                                                                                                             2. Call Dawn Wilson at ext. 8766.
                                                     Taubenheim earned two master’s degrees, one in
                                                     marriage and family therapy and a second in             3. You can submit your information via the Nash
                                                     health care administration.                                Health Care intranet by clicking on ‘Submit a News
Watch for more details in the coming weeks. We                                                                  Item’, which is located on the first page at the
encourage your participation. We are interested in      “Taubenheim will be a great asset to Coastal
                                                     Plain Hospital as well as our whole health care            bottom of the news items.
what you think we are doing right and where we
can improve.                                         system,” said Larry Chewning, CEO. “He was
                                                     selected by the staff and leadership at Coastal
                                                     Plain Hospital in a very competitive process.”
                                                                                                                                  Vol.21, Number 1, 2010     ◆ 27
          NASH HEALTH CARE                                                                                                                           Nonprofit
           It’s all about how we treat you                                                                                                          Organization
2460 Curtis Ellis Drive, Rocky Mount, NC 27804                                                                                                      US Postage

www.nhcs.org                                                                                                                                         PAID
                                                                                                                                                    Rocky Mount,
Address Correction Requested                                                                                                                         NC 27804
                                                                                                                                                   Permit No. 297
NHCS NEWSLINE is published quarterly by the
Public Relations Department of Nash Health Care
Writer: Dawn Wilson
Editor: Jeff Hedgepeth
Comments and contributions are welcome.
Member of: VHA
           The North Carolina Hospital Association
           The American Hospital Association




Dr. Edward Kim, a member of the Nash Health Care Med-
ical Staff, recently performed “scarless surgery,” removing a
                                                                                 Q     What is the SILS procedure?



patient’s gallbladder through a single, small incision in the
patient’s belly button. Dr. Kim answers questions about the
                                                                                 A    During a SILS procedure, the surgeon uses one access point, through
                                                                                      the patient’s umbilicus, or belly button, ultimately resulting in the
                                                                                 potential for no visible scar. By comparison, traditional laparoscopic chole-
                                                                                                                 cystectomies involve four ½-inch or smaller in-
technique and the procedure:                                                                                     cisions that may leave scars.


Q      What is the gallbladder, and why would
       it have to be removed?
                                                                                                              Q      What are advantages of the SILS proce-
                                                                                                                     dure?

A     The gallbladder, located just underneath
      the liver, assists the digestion process by
storing bile, which helps break down food.                                                                    A     This method can be used for almost any
                                                                                                                    common type of abdominal surgery. It’s
When bile sits in the gallbladder, cholesterol                                                                 even been called ‘scarless surgery.’ Laparoscopic
can sometimes form gallstones, which are small,                                                                surgery results in less pain and quicker recovery.
hard material, almost like pebbles. Gallstones                                                                 Most patients can go home the same day of
can block the tube leading from the gallbladder                                                                surgery.
to the intestine. When that happens, the result
is pain, nausea and sometimes vomiting. As a
result, in some cases, the best option is to re-
move the gallbladder. Roughly 25 percent of
                                                                                                              Q      Who are candidates for this surgery?


Americans will develop gallstones, and 1 per-
cent of these people will develop gallbladder
problems.
                                                                                                              A        Those who have not had any previous
                                                                                                                       abdominal surgery, those who are not
                                                                                                               obese, and those who have no obvious signs
                                                                                                               of acute cholecystitis (inflammation of the
                                                                                 gallbladder). Signs of cholecystitis include unrelenting right upper abdomi-

Q      What triggers gallstone attacks?                                          nal pain, fever and vomiting.




A    Most gallstone attacks are directly related to eating greasy meals. Gall-
     bladder disease is very common. About 25 percent of Americans will
develop gallstones.
                                                                                 Q     What should someone do if he or she suspects a problem with the
                                                                                       gallbladder?



                                                                                 A    Make an appointment with your family doctor or general practitioner,
                                                                                      who may give you a referral for an ultrasound.

				
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