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Within Special Issue! May 2008 The News MagaziNe of saiNT Mary’s healTh Care Amazing Associates = Something More National Health Multicultural affairs Care Week excellence in action May 11-17 Phenomenal Physicians letter from the ceo Within May 2008 Editor Jeanne DeBruyn, PhD contents amazing. Staff WritErS Katherine halloran Faith Shovein 4 Quick reads This word refers to a feeling of “sudden wonder or astonishment.” It’s a strong term, and frankly, one that’s overused in our culture. But when I learned that “Amazing Associates dESigNEr 5 associate Classes = Something More” was the theme of this year’s National Health Care Week, I found myself nodding in agreement, because our associates often amaze me: they do create Stevens advertising 6 foundation News » Kicking off this year’s Associate Giving Campaign. “sudden wonder” every day throughout our system. 9 PHoto CoNtributorS The nurse at the bedside; the physician who has only a few moments to answer living healthy » How does laughter improve your health and the workplace? questions but takes as much time as the patient needs to feel reassured; the dedication Melissa Cunningham and hard work of ancillary service staff, the incredible skill of our physicists, surgeons 9 Rodney Robinson amy Piwowar oTe News and technicians; and our state-of-the-art technology — these are all amazing. Wayne Mounts I’m proud to be a part of National Health Care Week, not only because of our profession, Within is the news magazine of Saint Mary’s health Care and is 10 National health Care week » May 11–17, “Amazing Associates = Something More.” Throughout this issue, see the photos and names of some which is dedicated to curing and healing, but mostly because at Saint Mary’s, we do amazing work every day in hundreds of ways. amazing associates from Saint Mary’s Health Care, Advantage Health Physician published monthly. Submissions, Network and other affiliates. Is your picture or name in here? Although a week is too short a time to tell our associates how much we appreciate questions and comments are encouraged. them and their efforts, the National Health Care Week task force (also made up of Mission statement Pages 10-11: Amazing Associates = Something More amazing associates) has planned six days of special events, award ceremonies and gifts We serve together in Trinity Health, Pages 12-13: We support each other. for all. It’s a week planned just for you. You are amazing. in the spirit of the Gospel, to heal body, Pages 14-15: We communicate openly, honestly. mind and spirit, to improve the health Pages 16-17: We are fully present. of our communities and to steward Questions or comments? Pages 18-19: We are all accountable. the resources entrusted to us. E-mail: firstname.lastname@example.org Pages 20-21: National Health Care Week Events Calendar » Pull out this Phone: 616.913.1897 calendar as a reminder of this week’s special events. Fax: 616.913.1899 Pages 22-23: We trust and assume good intentions. Core Values interoffice Mail: Jeanne DeBruyn, Pages 24-25: We are continuous learners. Respect Pages 26-28: Continuous Learners » See who has been recognized for advancing Philip H. McCorkle, Jr. Social Justice PhD, Fund Development their learning at Saint Mary’s. President and CEO Compassion Page 29: Providing Something More » Read how these associates provide Saint Mary’s Health Care Care of the Poor and Underserved got news? everyone with something more. Excellence Please send via e-mail or interoffice mail to the editor. Pages 30-31: Our Amazing Associates » Look for your name and other Submissions must be received amazing associates. by the first of the month before publication. include your name, department, and a way for us to contact you. 33 a letter to our Nurses » Read what Liz Murphy, VP, Chief Nursing Officer, says to honor our nurses for National Nurses Week. 34 Nursing excellence awards » Learn how last year’s award winners used their scholarship funds to improve patient care. 36 Phenomenal Physicians » Read why associates love working with the medical staff at Saint Mary’s. 38 letters of appreciation 100% post-consumer content 40 Coming events recycled paper, manufactured by windpower. May 2008 » Within » 3 quick reads quick reads August 2007 best and brightest Special May discount at the Hauenstein Center Within Within March 2008 For the fifth consecutive year, Saint Mary’s the Wege institute Progress Checklist THE NEWS MAGA ZINE OF SAINT MARY’ S HEALT H CARE THE NEWS MAGA ZINE OF SAIN T MARY ’S HEAL TH CARE National award Winner: Within Health Care has been named one of Spring into health and well-being by Construction of The Hauenstein Center the League of american Communication Professionals (LaCP) “West Michigan’s 101 Best and Brightest rewarding yourself, associates, family and progresses each day, coming closer to Letters from designated Within as a Silver winner for 2007. LaCP awarded perfect Companies to Work for.” scores on Within’s relevance, focus, variety of features and message Our Patients friends with a gift certificate to The Wege completion. Starting strategically at the Stars of Saint Mary’s Institute: Mind, Body and Spirit. Purchase bottom, completing the interior of Level Excellence in Action clarity. Within received near perfect scores on all the other categories. The Michigan five gift certificates and receive one of One is the current focus. All the drywall Health Care Ethics More than 550 publications competed in this year’s awards, and Within Business and equal value free! Give the perfect Mother’s for the first floor is hung, and the primer was noted to be number 52 out of all entries, and number three in our Professional Day gift this year by purchasing massage paint for much of the first level has been Brains & Brawn enstein Center competition class. thanks for your readership and your contributions to Association awards or acupuncture services. applied. Other structures for the first floor Building The Hau Brainpower on Saint Mary’s health Care’s award-winning magazine! Excellence in Acti this designation are being added, such as the supports Letters from Our Patients at Its Best Health Care Ethics Results to “companies Special Visit from u.S. for the exam lights in all the Emergency Giving Campaign that recognize employees as deputy Secretary rooms, the installation of the sprinkler system on this floor and the metal studs their greatest U.S. Deputy Secretary of Health and for the rated walls. Sister Myra bergman’s Jubilarians was Sister Myra Bergman who While Sister Myra’s contributions are Human Services Tevi Troy, PhD, came to has now served for 50 years as a Sister of too numerous to mention, if one took assets and work Saint Mary’s on March 18 to announce Jubilee—Fifty years of service Mercy. We want to take this opportunity to the time to look, it’s highly likely that with imagination “Two architects are currently designing and conviction the implementation of electronic medical On Sunday, May 4, thank Sister Myra for her faithful dedication Sister Myra’s hand can be found in even the connector from the parking The Religious Order to the values and mission of her Order and the smallest details of the Saint Mary’s to create records and to thank local hospitals for structure to the other three buildings,” of the Sisters of Mercy to recognize the significant role Sister Myra experience. Thank you, Sister Myra, for organizational value and business results consumer health care. As chief operating said Jim Miller, vice president of major gathered in Farmington has played at Saint Mary’s, from her work your extraordinary service. Be sure to through their people.” officer of the largest civilian department, construction projects. “You can also see Hills to recognize with ethical issues to the critical role she congratulate Sister Myra when you see her. Troy handles all operations for Medicaid, where the construction workers are milestones of service. played in the development of Saint Mary’s Saint Mary’s Health Care has also received Medicare, public health and medical placing the metal panels on the exterior One of the HealthLink—Heartside. two elite awards in areas where we have research, as well as many other health of The Hauenstein Center.” been the strongest. Saint Mary’s received issues. WZZM 13 noted on its Web site an elite award for communication in 2007 that Saint Mary’s is almost ready to go A patient-friendly and tech-savvy benefit and an elite award for the area of diversity paperless and mentioned Greg Forzley, in The Hauenstein Center will be jacks for associate perks and inclusion in 2005. MD, medical director of Informatics, who headphones on all inpatient beds. These helped to bring Troy to Saint Mary’s for his will enable patients to listen to their MP3 spanish Classes The wege institute The lacks Cancer Center Published and Presented announcement. players or to satellite radio while sitting in Spanish I classes are free for associates. special Partner Massage Mid-morning Meditation at Meets Wednesdays, from 4–6 p.m., from Timothy Fitzgerald, MD, Director of their beds. Enjoy this opportunity for you and another The lacks Cancer Center May 7 through June 25. This eight-week Surgical Oncology at The Lacks Cancer person to experience and learn the Learn how meditation enhances relaxation, course is taught by Daniela Boppel and Center, and Stanley Sherman, MD of West Keep following the latest updates to techniques used for an effective massage. wellness and wholeness through these meets in Wege 14. You may register on Michigan Surgical Services, presented see how this phenomenal building is This class will combine techniques of hot sessions offered the first and third HealthStream for this class. their research regarding mammographic progressing toward completion. stone therapy, traditional Thai massage, Wednesdays of each month, from findings of breast cancer and its reflexology and basic massage. Massage 10:30–11:30 a.m. Mid-morning meditation Computer Classes relationship to the surgical findings at Shopping List for Enhance your computer savvy reduces tension and eases chronic pain, is specifically designed for those living the Midwest Surgical Association in The Hauenstein Center through these software classes, FREE leaving the recipient with a heightened with cancer and other chronic or life- August 2007. These two Grand Rapids sense of health and well-being. Cost is threatening diseases, their caregivers and physicians and their team were invited 3 All the audio/visual equipment ordered for all associates. $45 per couple and the class meets on health care associates. Held in the fifth floor to do a poster presentation. The study’s 3 The headwall units for inpatient introduction to Excel 2000 Thursday, May 22, from 6–8 p.m. in The of The Lacks Cancer Center. Free to all, but results were published additionally in the rooms ordered Wednesday, May 14, 9 a.m.–2 p.m. Wege Center. Call 616.752.6923 to register. please call 752.5233 to reserve your place. March 2008 edition of American Journal 3 Nurse Call System ordered, with introduction to Word 2000, Part 1 feldenkrais Nutrition and Cancer: Before, During of Surgery. Also in March, the Archives of installation to begin soon Thursday, May 15, 9 a.m.–noon Movement exploration is performed and after Treatment Internal Medicine published Fitzgerald’s research findings about colon cancer 3 Flat screen televisions for patient Call 752.6144 or visit http://islearning. in a slow, gentle manner that results in Learn about the nutritional support rooms, nursing lounges and trinity-health.org/ISLearning to register. All relaxation, improved posture and easier needed to manage cancer treatment and treatment. Fitzgerald, along with a team mobility. Awareness Through Movement its side effects, free of charge. The class Emergency rooms ordered classes are held in the TIS Training Room, from Michigan State University, studied classes increase your ability to sense meets in Lacks Conference Room 1A on lower level of The Wege Center. whether Medicaid enrollment influenced differences in how you move and to the first Tuesday of each month at 10 a.m. the treatment plan for elderly patients learn which movements work better and and on the third Tuesday of each month with stage III colon cancer across the with greater ease. at 2 p.m. Upcoming classes are May 6 at state of Michigan. The study concluded When: Every Thursday, 4–5 p.m. 2 p.m. and May 20 at 10 a.m. For more that Medicaid enrollment is associated Cost: $15 per person per class or $50/mo. information, call 752.5237. with disparate colon cancer treatment. Call: 616.233.3499 4 » Within » May 2008 May 2008 » Within » 5 Build Something More Larry Wells, Environmental Services “It feels good to give back to the community; it beautifies the community and I am investing in my job.” by giving to the service or program that 2008 Associate Giving Campaign means something more to you. “i Wish …” Please complete the following steps so we may acknowledge your gift. All gift amounts will be confidential. Mail to: Saint Mary’s Doran Foundation, More than half of our 200 Jefferson SE, Grand Rapids, MI 49503. You may also fax your completed form to 913.1899 or send via interoffice mail. associate donors are part of the President’s Circle. 1. PLEaSE CoMPLEtE tHiS iNforMatioN 3. tELL uS about your gift Saint Mary’s Doran Foundation is pleased to offer this Wish List as an opportunity for you to provide Check out these giving Full name: ______________________________________________________ q yes, i would like to grant, or help to grant, the following wish: funds to purchase one or more of the items listed. Each item directly benefits the patients and opportunities and benefits families served by Saint Mary’s by adding something more to their experience. of becoming a President’s Dept/Site of Employment: __________________________________________ ____________________________________________________________ If you would like to make a gift to purchase one of the wish list items, please indicate your selected Circle member: home address: ___________________________________________________ item on the giving form. q yes, i would like my gift to benefit (name of service or program optional): SPoNSor LEVEL City/State/Zip:____________________________________________________ Donation equivalent of ____________________________________________________________ eight hours of pay or more home Phone: ____________________________________________________ Saint Mary’s HealthLink— ortho/Neuro iiu Benefits: Name on Annual *If you do not indicate your preference, your gift will be used where it is browning Claytor Laptop computer for patient use 21 Portable CD Players/Radios for 2. SELECt PayMENt oPtioN u u Donor Wall and invited to needed most. u Personal care items ($250) ($1,000) Patients ($30 each) Associate Reception in The Lacks u Children’s activity table and u Projector for patient and family u Laptop computer for patient use Cancer Center Join other associates and make a gift to the associate Giving Campaign. My totaL aNNuaL gift = $__________________________________________ chairs ($250) education ($2,000) ($1,000) it’s easy to do and it feels good to be a part of building something more. (Please enter gross amount. If donating time, your actual gift will be less income u Transportation vouchers for u Prepaid phone cards for PartNEr LEVEL q EaSy PayroLL dEduCtioN each pay period for 26 pay periods (one year) taxes in accordance with the IRS.) patients ($500) Psychiatric Medical families to call home – various Donation equivalent of 16 hours amount of each payroll deduction: department increments ($150) of pay or more q this gift is in memory of/honor of (circle one; optional): Saint Mary’s HealthLink— u Music system for community Benefits: Name with special q $5 q $7 q $10 q $15 q $20 q Other ________________ Clinica Santa Maria areas ($1,600) Labor & delivery recognition on Annual Donor ____________________________________________________________ q i authorize the Saint Mary’s Doran Foundation to deduct the equivalency of u Educational materials/videos for u CD players with external speakers Wall, invited to Associate one hour of my pay each pay period for 26 pay periods. expectant mothers ($500) the Personal Care area for the nursery ($75 each) Reception in The Lacks Cancer 4. SigN to CoNfirM your CoMMitMENt (Example: $5 per pay period x 26 pay periods = $130 total annual gift) u Laptop computer for patient (The Lacks Cancer Center) u Nature Sounds CDs (heart, Center, invited to Distinguished education ($1,000) u Wigs and other personal care ocean, wind) ($20 each) Friends event, along with items ($100-$500) u Bouncy seats – for education and q oNE-tiME PayroLL dEduCtioN of $ ______________________________ Thank you for your gift! Your signature confirms your commitment to building community friends of diabetes Center u Personal care item sets care ($100) something more at Saint Mary’s. Saint Mary’s u Medication vouchers for patients u Infant swings – for education q ______ HourS of Paid tiME off (Pto) to be deducted according to the ($100 each) Sleep Lab and care ($150) following schedule: aMbaSSador LEVEL SigNaturE: ________________________________________________________ u DVDs for patient library Donation of the equivalency of _______ hours deducted in ____________________(enter month, year). Emergency / trauma ($200) think first Program one hour of pay per pay period PtO can be deducted in any full hour amount quarterly, biannually, or annually. q My gift qualifies me as a President’s Circle member. u Portable DVD players ($100 each) u Ten TV/DVD ($250 each) u 30 Children’s bicycle helmets Staff only. if no schedule is specified, the deduction will occur the first pay i am a member at the… Example: pay rate of $10 per u Portable video games for ($40 each) hour with 26 pay periods per period in July 2008. children ($100 each) Warren reynolds Library q Sponsor level (one day of PtO or equivalent) year = an annual gift of $260 (The Lacks Cancer Center) Mcauley/advanced q CHECk made payable to Saint Mary’s Doran Foundation q Partner level (two days of PtO or equivalent) Epilepsy Monitoring unit u Relaxation CDs for patients and Speciality Care Benefits: Same as Partner Level, u DVDs for patient library ($200) families ($200) u Video equipment for Patient with distinguished recognition q CrEdit Card (circle one) Visa Mastercard AmEx Discover q ambassador level (one hour of pay per pay period) u Gift certificates for craft supplies u 25 Videos/DVDs for cancer Education Room ($4,700) on a dedicated portion of the Credit Card number: _______________________________________________ q i have included Saint Mary’s in my will or other estate plans. ($50 each) patients ($75 each) u Furniture for Patient Education Annual Donor Wall Exp. Date:________________________________________________________ q i prefer to make this gift anonymously. Room ($1,200) Ambassadors receive a lapel pin Saint Mary’s HealthLink— asthma recognizing their commitment Signature: _______________________________________________________ q i have a question about giving, please contact me. Heartside u llergy Proof Mattress & Pillow A NiCu Associates are recognized at u Transportation vouchers for Covers ($50 to $250 each) u Hospital grade rockers ($500) Phone: __________________________________________________________ Distinguished Friends event you can make a secure credit card gift online at www.smhealthcare.org. patients ($500) u 50 Parent memory books along with special community Just click the doNatE NoW button and follow the instructions. E-mail: __________________________________________________________ u TV/DVD for education ($250) ($10 each) friends of Saint Mary’s the Lacks Cancer Center u Transportation vouchers for Wishes granted! return your giving form to: Within patients ($100) Saint Mary’s HealthLink— Heritage Pediatrics u DVDs for patients receiving browning Claytor and Sparta u Children’s books for Reach Out and Saint Mary’s Doran Foundation Kristine Pratt, Advantage Health Health Center Read Program ($1,500) chemotherapy ($100) u Car seats ($1,000) 200 Jefferson SE “I believe in Saint Mary’s and the work that they do for our community. When I give to NiCu Grand Rapids, Mi 49503 Mcauley/advanced Specialty Care u 1 hospital grade rocking chair the Foundation, I’m giving back a little bit to an organization that has given me a lot.” u Bus tickets/cab vouchers ($500) ($500) May 2008 » Within » 7 living healthy living healthy otE reminders When Laughter Helps senior health and fitness Day Keep looking Professional As warmer weather approaches, our wardrobes tend to change with the in the Workplace temperature. Now might be an excellent time to review the Saint Mary’s Be a continuous learner into your Professional Image Policy (Institutional Policy #3-108) to make sure our image is senior years. positive and exceeds the standards set by the organization. This policy can be • Wednesday, May 28, 9 a.m.–3 p.m., found on the intranet or can be provided by your manager. • Forest Hills Fine Arts Center. H a H a! HEE! • Free admission and refreshments One impressive research study estimate stated that a 15 percent increase in morale could account for as much as a provided. you’ve got Mail! 40 percent increase in productivity. this annual event provides you with Check it out on GroupWise. Associates may use our new computer kiosks to nearly everything that you need access their e-mail, the MyBenefits site, HealthStream modules, Rewards to know to be healthy, happy and and Recognition, or to apply for a Saint Mary’s By integrating humor into your workday, sensitive,” but it’s about respecting the In the workplace, there are many ways successful in your senior years. position. Two kiosks are available in the Wege you can be more productive while people around you. Nobody wants to be to make associates laugh or smile. Center (located on Wege 1 and 2 in the phone remaining serious about your goals, made the butt of jokes, and it’s best to Sending an encouraging e-card from the Get knowledgeable through the banks by the elevators) and there is an responsibilities and values. However, it is joke about a neutral topic. Rewards and Recognition Web site to a Lecture Series, sponsored by Saint additional kiosk on the second floor of the important to know your audience and fellow associate, leaving a cookie on an Mary’s health Care. the Lecture Series main hospital near the Copy Center. You make sure that your humor won’t be seen • Emulate Seinfeld, not The Office: associate’s desk and giving an unexpected focuses on health and fitness issues may also use the computers in the Main as offensive. Check out the following Reruns of Seinfeld, or any of his stand- compliment are all acts that leave people affecting today’s senior citizens. Café, the Health Sciences Library and Web site for more information: www. up routines, provide perfect examples with a smile. the Warren Reynolds humormatters.com. of (mostly) inoffensive but hilarious Join in on the excitement of short, Library to check comedy. Everyone can relate to these complimentary fitness classes. Learn your e-mail. here are guidelines to remember when jokes because they generally target tips about hairstyle, color and makeup human nature and the quirks of society. work environments that or get a relaxing massage. you’re telling jokes around the office: Seinfeld makes us laugh at ourselves, encourage humor tend to • Think of the Message: Ask yourself what and not at the expense of others. Steve Get freebies at this event! Giveaways Carell’s character on The Office, however, be happier, less stressed and and samples will be handed out by the point of your joke is. • Know Your Audience: If you’re teasing gives perfect examples of what not to more productive, so challenge local companies. Door prizes worth Prepare your will for free do. From belittling people, to singling yourself to incorporate laughter up to $250 will be given out through someone about a physical feature, a scar, out people based on weight, sex, race a random drawing. into your daily regimen. If you participate in the MetLife Supplemental Life insurance plan, you have access for example, do you know them well and other features, “Michael” tickles our — at no additional charge — to Will Preparation. Having an up-to-date will is one enough to know if they are comfortable funny bone because he’s so outrageous For more information on this event, of the most important things you can do for your family. Without a will, your assets enough with that feature, or would and constantly does exactly what you please visit www.enjoylearning.com may be distributed according to state law and not in accordance with your wishes. mentioning it be hurtful? shouldn’t do! or www.fhfineartscenter.com. Work environments that encourage An up-to-date will establishes important decisions about the distribution of your • Leave Serious Topics Alone: Don’t joke humor tend to be happier, less stressed assets. That’s why Will Preparation is such an important benefit for Trinity Health about topics that are controversial or and more productive, so challenge associates. With this service, you have access to an important financial planning painful to someone else, such as death, Humor and yourself to incorporate laughter into your service that helps you ensure your family’s future. daily regimen. The benefits of laughter physical disabilities, sexual harassment or laughter are too numerous to ignore. Besides, it Trinity Health associates who participate in MetLife’s Supplemental Life Insurance racial inequalities (or race in general). Just don’t do it. are proven to: takes 16 muscles to frown and only three plan can access the service by calling Hyatt Legal Plans toll-free, Monday through • Reduce stress, anxiety muscles to smile. Which would you prefer? Friday, 8 a.m.–6 p.m. Eastern Time. • Be Careful of Politics: While a number and tension of people make political jokes, it’s very • Promote psychological well-being hyatt legal Plans’ Toll-free Number: 1.800.821.6400 important to know your audience, and • Elevate your mood avoid making political jokes that would • increase pain tolerance Trinity health group Number: 105068 offend someone of a different ideology. • improve cardiovascular function • When In Doubt, Leave It Out: If you’re • improve immune function not sure how a joke will be received, • Exercise the internal organs it’s best not to tell it. Some people say society is too “politically correct” or that people offended by certain jokes are “too 8 » Within » May 2008 May 2008 » Within » 9 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 Amazing Associates National Health Care Week 2008 Special Events = Something More Nursing excellence awards interdepartmental Thank you Cards Departmental Potlucks To honor our nurses this year, the annual Share your favorite dish with your Nursing Excellence Awards will be given Take a moment to show another department’s associates on any given to seven nurses, including a new award department how much you appreciate day this week. You decide when to this special issue of Within celebrates national hospital Week and national for this year. This new award will be and support them in providing their best celebrate with your associates during this nurses Week, which Saint Mary’s combines into national health Care Week. granted to one non-bedside nurse. Come to our patients, guests and each other. By week. Bring a dish that means something join the fun and excitement of the Nursing building and strengthening collaborative to you. Take pictures of your potluck, this month’s issue is dedicated to our amazing associates, volunteers and Excellence Awards on Wednesday, May 14, relationships across boundaries, we make then share them with each other and from 1–3 p.m. on 5 Lacks. Learn to juggle Within for future publication. physicians who provide our promised excellent experience to patients and from Laurie Young, world-renowned Saint Mary’s a better place for everyone. We’ll supply the cards along with this guests. Experiencing excellence in every interaction with every person is presenter and “joggler” and see who this issue of Within; all you have to do is pass For special fun, have everyone in your year’s deserving nurses are. them around in your department, as department bring in a baby picture, then what differentiates Saint Mary’s from other health care providers. you do for birthdays and other special try to match the baby picture to the Meetings with Phil McCorkle events, so everyone can sign and/or associate. It’s sure to bring some laughs. Talk in person with your president add a personal note. After the card is T his year’s National Health Care Week theme, “Amazing Associates = Something More,” focuses on you: the associate. Saint Mary’s wants to show appreciation and time to get your hands blessed, walk the labyrinth or get a massage. Go to a movie with a friend, learn how to juggle and have Phil McCorkle, our President and CEO, tell you personally and CEO about what concerns you. Listen to Phil McCorkle as he shares his signed, designate someone to personally deliver it to the recognized department or departments. A nice touch may be to Plasma screen slide show Watch the slide show daily for appreciation for all that you do. Attend schedules of special events, raffle gratitude for our amazing associates throughout this entire how much he appreciates you as an associate of Saint Mary’s one of these meetings to catch up on bring treats along with the appreciation winners and your picture! On the week and this entire issue of Within by providing you with Health Care. Send someone an e-card or send a whole the latest information about the Master card. If your department needs more plasma screens, the slide show will Something More. We are celebrating and honoring you not department a card of appreciation to show you really care. Campus Plan and The Hauenstein Center. cards, they may be picked up in the front feature you, our amazing associates. only as an amazing associate, but also for the amazing person office of OTE. that you are. Some of the names of Amazing Associates were sent to Within by amazing Saint Mary’s leaders. So, check out this Throughout this week, look for special giveaways, prizes, cards special Within to see if your name or picture is listed as an and ceremonies that celebrate and honor you. Take some amazing associate! NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 We Support Each Other Supporting one another and our patients is second nature for us at Saint Mary’s. We demonstrate support through our relationships both inside and outside of our departments and by focusing on what unites us, rather than what divides us. How has someone shown his or her support for you recently, or how have you shown your support for someone else? Julia Winter and Kristy Perez, Urgent Care Elizabeth Howard, Chantelle Malone and Lori Carlson, executive assistant and Joyce Tammy Dickman, Phlebotomists Reeves, Reimbursement, Shared Services Kalile Bergmans and Yolanda Torres, Vicki Venema, Annamarie Gibbons, Julie Harriet Burrsma and Toni Alcocer, Lab Leslie Ventura, Marie Lloyd and Anne Illene Vanbrouggen, Environmental Left to right: Marta Acevedo, Sophie Patient Access Quist, Kim Hines and Valerie Dubose, Services Radiology Karas, Customer Service Morrill, Chris Haner and Pedro Gonzalez Front: Linda Hollis, Daphne Patterson and Georgeanne Cargill. Left to right: Melissa Longnecker and Ruth Courtade, medical Outpatient Surgery Team. From left to right: Back row: Thom Back row, left to right: Mark Swan, Michelle Lalick, Vicky Back: Amber VanDenBerg, Marie Boese, Tami McCulligh, Jan technologists, Ashly Rhadigan Brown, Christine Spencer. Front row: Dr. Susan Estrada, Denise Ferguson, Mary Harnish, Karen Pohly and Stacha Draper. Front Schmidt and Crystal Ensing, Accounts Payable Overbeek, RN, Lin Harvard, Joni Hallberg and Barbie Soper.) row: Ann Wiebenga, Rosemary Bundy and Emilie Collins.) 12 » Within » May 2008 May 2008 » Within » 13 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 We Communicate Openly, Honestly, Respectfully and Directly We work together to create an environment that values openness and diverse points of view and experiences. At Saint Mary’s, we value others’ contributions and listen respectfully, even when their opinion differs from our own. Who is someone that you can trust to communicate openly and honestly with? Wendy Breuring, Recovery Room. From left to right: Julie Jackson, Hope Overway, Mark Morrill and Robin Intverventional Anna Nagel, Bob Bagby, Jan Malaszenko and Kim DeVries.) Stone, Clinical Pathology Radiology and Cyndie Maack, RN, Cardiology From left to right: Heidi Lynema, Amy Bragagnini, Pam Schemper, Back row, from left to right: Fran Timmermans, Gary Detweiler, RN, Sara Jewett, Brenda Dobson and Diane Kreslins.) Margarita Medina, Lori Wright, Dr. Jack Schneider and Sandie Carol Bremer, Medical Staff Office Pent. Front row: JoAnn Gorby, Catherine Dailey, Melisa Magana, Ginny Masik and James Standley Anne West, Shari McCord and Angie Cynthia Jaimes and Leticia Gallarzo.) McJones, Emergency Amy Lane, MA, and Courtney Paquette, Deb Perry, RN, Center for Diabetes and Beth Goeman, pharmacy technician, Tom Karel and Judy Herrick Chris Ross, operating room assistant Karene Hughes, Sue Clemens and from The Wege Institute. Endocrinology and Lisa Mulder, pharmacist, Wege Roma Monachini Family Pharmacy 14 » Within » May 2008 May 2008 » Within » 15 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 We Are Fully Present By setting aside distractions, we can contribute to the positive, optimistic and fun environment that we have created at Saint Mary’s Health Care. How have you been fully present? How does it feel when someone else is fully present? Share your experiences at your potluck. Share some of the fun, fully present experiences you’ve had at Saint Mary’s or elsewhere. Front row, left to right: Ellen Bruinooge, Deb Kooienga Virginia Left to right: Stefani Larson, Shantae Evans, Deb Buckingham, Rogers, Kathy Klooster, Judy Mullinex. Back row: Darci Tracey, Stanley Frye and Heather Curtis, 9 South Stacy Gerken, Carrie Mull, Cheri Marsh, Karla Eerkes, Kathy Campbell, Scott Kemp and Kaleb Klotz, Psych-Med Unit. Meagan Carey and Lindsey Lindsy Ubbink and Michael Ploeg Josh Miron and Marcus Thompson, Radiology Reghan Knight. Chmiel, Contractors Kim Bolitho and Carol Steve Palmreuter Left to right: Joy Vanlier, Mark Iverson, Lorna Spiekerman, Kathy Dirkse, Administration Velianoff and Carleen Dane. Back row: Heather Mol and Jan Grassmid. Front row: Kari Ippel, Left to right: Shannon Mengyan, RN, Gail Baas, Susan Feikema Terrence Ankrum, Plant Operations Margie Martin, Andrea Mihelsic and From left to right: Ivor Gillard, Tony Atlas, Chris Denise Cate, Wendi Davidson and Joyce Petersen, NICU team and Tricia Kragt Michelle Morgan, Purchasing VanKampen, Bernadette Amador, Johnny members. Townsend, Renee Bushman and Bill Read. 16 » Within » May 2008 May 2008 » Within » 17 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 We Are Accountable At Saint Mary’s, our amazing associates focus on finding solutions and leading by positive example. We follow through on our commitments and want our organization to be successful in every way possible. Can you think of when you Christina Lafata and Hannah Boyd, RN, Liz Vader, EEG Tech and Blair Boehmer, MD Charlene Mamis, 4 Lacks and Jill Sharda, RN Debbie Duke, RN, EMU have led others by being a positive example? Here’s your chance to brag a little. Tricia DeGroot Maggie Hanson and Sheila Lukens, Pediatrics and Janet Demmink From left to right: Anil Suwal, MD, Tim Bedell, Tiffany Lewis, Dena Marrison, Kristi Lewallen, Jo Wilcox, Sherry Klunder and Sarah Megan O’Hara, Becky DeLano Meginley, 9S Monika Suwal, RN, and and Jenn Lauters, Orthopedics June Sobie, RN Mike Bilski, PCA, Leslie Hahn, RN, and David Thomas, HUC Left to right: Ruth Vachon, Julie Robinson and Tracy Quist Fernando Rivas, Left to right: Kevin Williams, Lori Baldwin, Carol Johnson and Lindsey Uplinger, PCA Left to right: Trisha Millan, MD and Ellen Geiken, EEG Technician, Crystal Roets Interpreter Sarah Graf and Laura Matthews, Vonnie Engelsma, Kristen Hall and 7 South Dena Wright, 9 N Linnelle Veldhouse, medical student, OB and Carol Walters 18 » Within » May 2008 May 2008 » Within » 19 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 Calendar of Events Sunday, May 11 Monday, May 12 Tuesday, May 13 Wednesday, May 14 Thursday, May 15 Friday, May 16 Kickoff welcome. Look in your Meetings with the Ceo. Talk openly special gift. Managers will distribute a accomplishments. We all contribute Blessing of the hands. Chaplains raffle for Continuous learning Tools. GroupWise e-mail account for a special and directly with Phil McCorkle, Saint special gift to all Saint Mary’s, Advantage in one way or another to Saint Mary’s will be available to perform this special Win gift certificates to bookstores or a welcoming message to kick off National Mary’s President and CEO, about Health Physician Network and Shared accomplishments. Take a moment ceremony throughout the week. Ask learning module from TIS. Health Care Week! upcoming changes to our campus and Services associates. The special gift helps to read a sampling of what you’ve your manager when you are scheduled to hear how much he appreciates you. encourage a healthy work/life balance. helped accomplish over the past year. to get your hands blessed, or look to Blessing of the hands. Chaplains special Treat. Delivered directly to our Times: 7 a.m., 11 a.m. and 4 p.m. in the Amazing and awesome. the plasma screens and eWithin for will be available to perform this special associates who work weekends. Grand Conference Room of The Lacks Blessing of the hands. Chaplains will a schedule. ceremony throughout the week. Ask Cancer Center. be available to perform this special Nursing excellence awards. your manager when you are scheduled interdepartmental appreciation Cards. ceremony throughout the week. Ask Honor this year’s seven winners Daily Drawing for great Prizes. to get your hands blessed, or look to Departments can begin sending out their leadership rounding. Our COO, vice your manager when you are scheduled of the Nursing Excellence Awards, Winners will be announced daily in the plasma screens and eWithin for interdepartmental appreciation cards to presidents and directors will visit as many to get your hands blessed, or look to today from 1–3 p.m. on 5 Lacks. eWithin and on plasma screens. Prizes a schedule. other departments. If your department departments/services as possible to the plasma screens and eWithin for This year’s awards ceremony will can be picked up in OTE. really wants to say “Thanks,” bring a special personally thank you for your work at Saint a schedule. feature a presentation and hands-on Daily Drawing for great Prizes. treat to that other department. Mary’s. They might even have treats! demonstration by world-renowned Department Potluck. Time’s running Winners will be announced daily in Department Potluck. Is yours today? Laurie Young, from Laughter Works. out. Is yours today? eWithin and on the plasma screens. Blessing of the hands. Chaplains will be Plasma screen slide show begins Share your special dish with others in Prizes can be picked up in OTE. available to perform this special ceremony today! Watch the plasma screens for your department today to contribute to Blessing of the hands. Chaplains will Massages. Watch the plasma screen throughout the week. Ask your manager pictures of yourself and your fellow the positive and fun environment in your be available to perform this special slide show and eWithin to find out Department Potluck. Have a TGIF when you are scheduled to get your hands associates throughout the week. department. Take pictures. ceremony throughout the week. where you can receive a relaxing potluck party with your specialty blessed, or look to the plasma screens and Also watch the screens for daily Ask your manager when you are massage today! appetizers. Share recipes and pictures eWithin for a schedule. announcements and events. Massages. Watch the plasma screen scheduled to get your hands blessed, of each other. slideshow and eWithin to find out where or look to the plasma screens and Daily Drawing for great Prizes. Winners Daily Drawing for great Prizes. Winners you can receive a relaxing massage today! eWithin for a schedule. Massages. Watch the plasma screen will be announced daily in eWithin and will be announced daily in eWithin and slide show and eWithin to find out on the plasma screens. Prizes can be on the plasma screens. Prizes can be Blessing of the hands. Chaplains will be Daily Drawing for great Prizes. where you can receive a relaxing picked up in OTE. picked up from OTE. available to perform this special ceremony Winners will be announced daily in massage today! throughout the week. Ask your manager eWithin and on the plasma screens. Massages. Watch the plasma screen slide Department Potluck. Pick a day during when you are scheduled to get your hands Prizes can be picked up in OTE. show and eWithin to find out where you this week to share your special dish with blessed, or look to the plasma screens and can receive a relaxing massage today! your department. What’s your potluck eWithin for a schedule. Department Potluck. Is yours today? theme? Take pictures to share your experience Daily Drawing for great Prizes. Winners with each other and Within. Massages. Watch the plasma screen slide will be announced daily in eWithin and show and eWithin to find out where you on the plasma screens. Prizes can be Massages. Watch the plasma screen can receive a relaxing massage today! picked up in OTE. slide show and eWithin to find out where you can receive a relaxing Blessing of the hands. Chaplains massage today! will be available to perform this special ceremony throughout the week. Ask your manager when you are scheduled to get your hands blessed, or look to the plasma screens and eWithin for a schedule. 20 » Within » May 2008 May 2008 » Within » 21 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 We Trust and Assume Good Intentions Saint Mary’s associates are known for our good intentions, whether they are directed toward fellow associates, patients or patients’ families. What have you done for someone today? Dan Sherman, Cancer Resource Specialist Laura Eilar and Nichole Barton, Pathology Bethany Dangler, Ben Sheridan and Jon Johnston Vicki Emrich, NICU Glenn VanOtteren, MD, and Wayne Lynette Payne, PTA, and Laurie Brown, Brittanie Bond and Jamie Hernandez, Jean Hamilton, Switchboard Operator Left to right: Vanessa Christopher, Lisa Haase, RN COTA, Occupational Therapy Mora, Maria Perez, Diane Strauss, PA, and Radiology Angie Minaya Our amazing affiliates, West Michigan Surgical Specialists. Back row: Bill VanDoornik, Dorothy Gerulis, Midge Birdsall, Linda Front: Deb Rausch. Back row: Phi To, Deborah Gelinas, MD, Julie Lorena Rodriguez, Brenda Torrez, Maria Botma, Virginia Moralez, Back: Melodie Johnson and Brenda Schuller. Front: Bridget Harrison, Bruce Tamulis, Emiliano Ibarra. Front row: DeAnna Sager, RN, and Judy Overmeyer, physical therapist Carolina Minaya and Mary Talamantz. Front: Marisela Bennett McGuire and Rob Gaston Pierce, Donna O’Keefe and Randy Boss. 22 » Within » May 2008 May 2008 » Within » 23 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 We Are Continuous Learners As the old adage goes, we never stop learning — especially at Saint Mary’s! Not only do we have programs and classes that encourage and promote learning and teaching, our interactions with one another teach us valuable lessons every day. What have you learned from an associate, patient or program at Saint Mary’s that has helped you at work and in your personal life? Sharing your story helps motivate and encourage others. Do it today! Jurline DeGraaf, Front row, left to right: Julie Jones, Lorrie Oldham, MD, Melissa Kathleen Anderson, Environmentalist Scholtens. Back row: Carol Adams and Karri Kellogg, RN Nutrition Services Left to right: Shirley Rapier, Megan Davis, Wendy Powell, Kelly From left to right: Jamie Bray, PA, Mary Jo Zarzecki, Sue DeVries, Tonesa LaGrone, Antonio Pina and Eugene Vortia, MD Neureuther, Jan Themm, RN, Mary Beth Adyniec, NP, and Dee Tony Logan, Marlene Hawkins and Heather Titmus, Emergency department Amyre Grady and Michael Bufkin, Security Bowen, RN Nicole Jones Tammie Elmore and Roni Van Buren Back: Suzy Jubb and Cindy Mouthaan. Ivan Young, Pam Persons and Meghan Julie Fick, RN, and Sheila Troup, RN, Kristyn Read and Cheryl Arreola, Zachery Zhang, MD Front: Becky Boarts and Sybrena Callier, Homrich, 5S Nutrition Services Intermediate Care Unit Sleep Disorders Center 24 » Within » May 2008 May 2008 » Within » 25 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 Reaching for Something More Upward Mobility through Continuous Learning Saint Mary’s is a hotbed for continuous learning and advancement. What follows are examples of by David Luna, Vice President of Multicultural Affairs associates who have achieved significant milestones. We apologize in advance for any accomplishments we may have missed. Please notify Within of any oversights and we’ll include them in future issues. The call to deliver culturally competent care is solidly rooted in the core values, mission and vision that Within contact information is located in the beginning of each issue. we at Saint Mary’s hold as part of Trinity Health — including our value for respect and our vision of creating excellence in care experience. And Hawley is not through advancing her Fourteen years ago, Jaimes started Nicole studies or her skills. “I would love to take working as a lay health worker within the Culture can be defined as patterns of • learn about, and work to stay aware of, hawley, advantage of the University of Detroit migrant community, where she received learned beliefs and behaviors that are the impact of cultural factors as they Mercy program at Saint Mary’s to become stipends to further her education. “They PCA, Scrub a registered nurse.” trained me to talk to people about shared to some degree by many, but relate to health beliefs and behaviors; Technician not necessarily all, members of a group. diabetes and prenatal and infant care,” said for Labor and It includes patterns of thought, styles • acquire skills and tools to respond Delivery Thanks to her experience as an environmentalist, Hawley helps to Jaimes. “As migrant workers, my family struggled, because we never had a place of communicating, ways of interacting, appropriately to differences in beliefs views on roles and relationships, values, and behaviors, and thereafter keep maintain patient flow by occasionally to live when we came back to Michigan.” practices and customs. Groups with adding to and maintaining our cleaning a room herself. “Sometimes Jaimes received her first job offer ten Hawley has literally worked her way situations arise when it is more years ago, when the Sparta Office had an distinct cultures can include racial and toolboxes; up to the ninth floor. Hawley began expedient to clean a room myself, if I’m opening with the WIC program. working at Saint Mary’s in January 2006 available,” said Hawley. “We all need to in Environmental Services. “I had been similarly, even though we more and more hear the phrase trying to get a job in a hospital for two or focus on the patient and the bottom Jaimes accepted the job, which altered line and work together to keep Saint her life forever. “It’s such a transition from “culturally competent health care,” many of us are unclear as three years, and as soon as I was accepted Mary’s operating smoothly.” being on Medicaid to having insurance. to what it means and requires. into nursing school, Saint Mary’s called You never really know how hard the me to work for them,” said Hawley. Her migrant life is until you have been there, experience as an environmentalist was both enjoyable and educational. “Working Cynthia and the best part of my job is that I help ethnic groups, different nationalities, • use our knowledge and skills to in Environmental Services was the best Jaimes, CLC others who are in the same situation I used to be.” Jaimes especially loves Saint women and men, and people with unwaveringly support the rights of thing that I could have done. I learned the different levels of economic resources. our patients to be active partners in Mary’s because of its high quality of care layout, policies and people of Saint Mary’s.” for everyone. David Luna, Vice President of Multicultural Affairs treatment; and among other things, cultural When she was advanced enough in competence in health care • participate in and support her CPN (Certified Practical Nurse) Teresa Vanderberg, CPC But to what are we called? Although organizational efforts to uncover and program, Hawley moved up to the (Certified Professional Coder) “culture” is a common word, many of means providing care to correct disparities in health care that sixth floor to work in the Medical Renal us would struggle to define it with are related to culture, race, gender, Cynthia Jaimes, CLC (Certified Lactation confidence. Similarly, even though we patients with different values, Unit. She worked on the floor for a year Consultant), has worked as a business language and other such differences, as a PCA (patient care assistant). She more and more hear the phrase “culturally beliefs and behaviors in ways and that can have serious consequences office representative at Saint Mary’s Vanderberg has also continued then continued her upward journey to HealthLink—Sparta Office for nearly ten improving her skill sets, as she competent health care,” many of us are that acknowledge and respect for large numbers of people. the ninth floor, where the opportunity unclear as to what it means and requires. years. However, Jaimes’ first encounter transferred to the Advantage Health Once we begin to explore the meanings those differences, including came for her to assist surgeons in births. with the office was not her first day on Professional Billing Office from the Later this year, Saint Mary’s will be “Although I enjoyed working in the of these words and phrases, we realize tailoring our delivery of care. launching a pilot project in cultural the job, but rather as a patient. “My family downtown office in October 2006. She Medical Renal Unit, it was such a great and I were migrant workers. We lived in sat for her formal coding test with AAPC that we are stepping onto a road that to do this, we must: competence as another tool for opportunity to work in surgery while requires us to be continuous learners. continuous learning. More details the Sparta area during the summer and in and was awarded her certification in continuing my work as a PCA on the Florida during the winter.” October 2007. Vanderberg is highly to follow. ninth floor.” involved with Advantage Health and is continuously learning. 26 » Within » May 2008 May 2008 » Within » 27 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 Providing Something More previously an inpatient coder within the Judy Mingerink, CPC Professional Billing Office and has recently ronda ake, RN (Certified Professional Coder) accepted a new position as an internal auditor. Bonnell has now taken on the Ake works in the East Beltline Advantage Mingerink transferred to the Advantage challenge of instituting a new internal Health Office, full time as the lead Health Professional Billing Office in auditing program for Advantage Health. nurse, while taking business classes at All our associates provide something more at Saint Mary’s, and we wanted to share a few of our stories October 2006. Mingerink worked at the Cornerstone University. on what makes us all so amazing! RiverTown Office in a business office Beth Cosmos, PhD, ThD role coding and entering charges. She applied for a coding position within our sarah Paulson, PharmD, BCPS department and transferred to CBO. She Cosmos, a massage therapist at The Vickie Nance and Lynn Berry of her work life, as she is choir director who are bedridden, just to keep them sat for her formal coding test with AAPC Wege Institute, graduated in April from The Purchasing of a local Catholic parish and volunteers moving,” said Argentina Brooks. and was awarded her certification in Holos University with a PhD and ThD. Paulson recently passed the department has for the migrant program of Region III, in December 2007. Her doctoral research compared the Pharmacotherapy Certification Exam the pleasure of the Diocese of Grand Rapids. Through Mulu Ghebreyesus likes to make her effects of Ama Deus energy healing through the American College of employing these her aptitude for sharing her talents with patients feel comfortable however she with regular relaxation interventions on Clinical Pharmacists. Paulson proudly two outstanding others, Hoover is an amazing associate can, whether it’s backrubs or bathing. anna Barber, CPC-EMA both at work and in the community. “Patients love to feel good and clean depression and anxiety for women with joined the select ranks of board certified associates, Vickie andrea Bonnell, CPC-EMA again,” said Ghebreyesus. “It’s a powerful Stage III ovarian cancer. With dogged pharmacotherapy specialists. Nance and Lynn determination, Cosmos did her course Berry. Nance has Chris Sweedyk, Nutrition Services experience to comfort and relax people Barber and Bonnell sat for their Evaluating work, took her oral exams and wrote a worked in Purchasing Chris Sweedyk like we do.” Together this team of PCAs and Management Auditing tests in the fall dissertation while continuing her work for more than 30 years, beginning as a has been in many provides something more to patients. of 2007 and were both awarded CPC-EMA at The Wege Institute. Her research with receptionist and advancing to her current different positions. certification in October 2007. Barber was ovarian cancer patients continues. duties as Lawson system administrator. He started in the dish Pat Metz, Nutrition Services “I’ve also worked as a buyer, and now room at the age of 16 Pat Metz has worked as Lawson system administrator. I love and worked his way at Saint Mary’s for 40 working with so many different people.” through the entire years. Her dedication Leaders Through Learning Berry has been with Saint Mary’s in this department for nearly ten years. “Although nutrition operations. For the last few to her job is not only evident in how my title has stayed the same, my job duties months, Sweedyk has been working as long she has been Seventeen of Saint Mary’s and one have increased. I love this department, night supervisor on a full-time basis. He in Nutrition Services, of Pine Rest Christian Mental Health because everything changes from hour also covers the diet office, truck driving, but also in how Services’ most outstanding nurses have to hour, making flexibility a necessary tray line, Café and everything in between. she handles her been selected to participate in a pilot characteristic to work here.” In addition to Sweedyk is almost always available if we duties and others around her. She is our master’s degree program that epitomizes possessing flexibility, these associates are need him. He is probably the most loyal administrative assistant, but she does so continuous learning. Conducted by the efficient, reliable and positive thinkers. associate that Saint Mary’s has ever seen, much more. She is a supervisor in disguise, University of Detroit Mercy, the Clinical and all the associates in Nutrition Services helping Nutrition Services from one task Nurse Leader program started in January Flor Hoover, PCA, really appreciate him. to another every day. When there is a 2008 and involves seven semesters of Medical Renal Unit question, she always has the answer and is learning over the course of two and a Originally from Mulu Ghebreyesus, PCA, Jackie very reliable whenever you seek her help. half years. Trinity Health has also added a Panama, Flor Hoover Clifford, PCA. and Argentina She helps Nutrition Services run smoothly diversity component and Lean education uses her bilingual Brooks, PCA, 5 North and seamlessly, and it wouldn’t be the to further enrich this program. After their and musical skills As patient care same without her. completion of this program, each of at Saint Mary’s to assistants (PCA), these nurses will carry the title of Clinical give back to Saint this team of special Nurse Leader. Mary’s patients in a individuals is always special way. Hoover willing to help meet shares her talents by patients’ needs. Mary harnish Dawn Borrenson Kevin hengeveld Laurie Sayer Rebecca Valko providing music therapy at Saint Mary’s They provide the Clinical Nurse Laurie Schwartz Susan Coons Carolyn Johnson Lauran Beth Van Dam and by assisting Reverend Ayub Nasar with extra hand to ensure Leader Program anne Marie Bridget Graham Rebecca Parker Stuive-Bittenger Kristin VanZweden Catholic services on campus. Her musical patient comfort. Participants armock Linda harrison Rose Rice Beth triezenberg Roberta Wilkes talents and giving nature also flow outside “Sometimes we will even walk patients 28 » Within » May 2008 May 2008 » Within » 29 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 More Amazing Mary Lou Gooding, Medical Jenny garia — continuous learner Brett Pfeiffer — everyone loves Brett Verkangeline Minaya Technician, Pathology who co-leads our unit council; assumes because of his ability to handle the goodness in others. toughest moments and remain calm, he lisa Mora Mary Lou Gooding’s Associates! voice is soft and has been a great teacher and mentor to amy garrison — continuous learner, co- new nurses. lupe segovia gentle, filled with sincerity and caring leads our unit council, builds relationships. lorena gallarzo about what happens laura rewa — passion for learning to her colleagues, her allison hollemans — always interested and teaching, assumes the best in Megan Nguyen lab and Saint Mary’s. in learning, believes the best of her everyone, looks to make the unit better She is not afraid to co-workers, builds relationships, for our patients. Diane Vandyk talk to management compassionate, fun! and bring forward problems that need Christie sal — has a heart for others sam Tower resolution. Her colleagues know they Katie halloran — Katie exemplifies an who are suffering or in need, a passion for Pamela Bentley, advantage health Karen smith — Karen is awesome! extraordinarily engaged associate, is a learning and teaching. amy ostapowicz can trust her and know that she will help Physician Network — As a strong Very helpful and friendly. I like that them solve problems. She has volunteered pleasure to work with, has boundless mentor for our customer service she is so approachable and always alexis howard to help on many lab projects, and most representatives, she is a patient teacher attentive to every guest without any energy and overall demonstrates the best Kiyomi Tebben — loves to learn, kind, recently, she has become the person who of Saint Mary’s. compassionate, assumes the best in and her customers always come first. bias or impatience. has worked with our medical technician others, terrific listener. students. She makes everyone feel erin hughes — a passion for learning, Mary Cisler and Kristine Pratt, alison Bakker — supports her unit and welcome and included. advantage health administration her co-workers in learning, a good leader. a passion for teaching, compassionate, Kristy Vogel — great listener, Edna Estrella, Nurse Practitioner, — compassionate and always willing to share their ideas and time, going above Jodi Buikema — fully present in her gentle, believes the best of others. teacher, compassionate, very patient, tender-hearted. Nominators Saint Mary’s Specialty Care and beyond. work, very passionate. Karolyn Kaylor — open to learning, very compassionate, reaches out to others to Carmen waldron — great listener, of Amazing Edna Estrella has worked at McAuley amy Piwowar — Amy is always willing rhonda Bultman — compassionate be inclusive, assumes the best of her co- workers, has a heart of gold. listens with her heart, touches others’ spirits, compassionate, assumes the best Associates Health Center to help you, no matter what the task and gentle with patients and family, an in others always. (now Saint Mary’s may be. excellent listener. laura lanser — a great teacher and accolades to those who Specialty Care) for nominated amazing sister rosita schiller — Sr. Rosita is an sheila Buys — a great team player and mentor, an excellent communicator, Kelly walker — has a heart for those seven and a half associates, both in and out inspiration and a role model. She’s bright, compassionate. who are hurting, excellent listener, years, enjoying the excellent listener. challenges of staying dedicated and amazing to work with. develops good relationships with her of their own departments: erin Macklin — has a passion for patients and family. current with the Therese Carroll-Caruso — learning and teaching, compassionate latest information regarding HIV and amy Moored — Amazing! When one compassionate, an excellent listener, heather Francis thinks of all the characteristics of an ideal assumes goodness in others. and empathetic. Camille VanDyk — Always very AIDS. Estrella is a standout not only for amna Seibold associate and a genuinely nice person, professional and courteous and has great her wide depth of knowledge in the field, but also for her open communication and Amy fits the description. Martha Coe — compassionate, Char Mamis — always kind, professional, follow-through. Camille is a pleasure to Micki Benz supports others in serving, a great work with. close relationships with her patients. “Our is accountable for the unit and Camille VanDyk Justin fales — Justin is always fully communicator. patients love it when we set aside their our equipment. tom Karel present, attentive, eager to learn Carleen Dane, rN — Her gifts include charts and look at them as people, not just as patients,” Estrella said. “Communication and willing to take on new tasks and Tara Cole — a great team player, Jamie Meyer — always looking for a organizational accountability and creating Cheryl Bjork challenge to learn and grow, takes on a balance between work and home. flows really well within our department, challenge old ideas. assumes goodness in others, builds MarKay Riippa activities that support the unit. Carleen’s abilities and her fine attention as we all have the same goals in mind relationships. Jeanne DeBruyn Cindy (Myra) Johnston — Cindy serves to detail are greatly appreciated in risk for our patients.” By simply listening to her patients, Estrella exemplifies others and helps out in any way she can. Judy Dekkinga — finds solutions and Teri holwerda — always ready to help management. Bill Read and is so easy to work with. Her positive communicating directly and respectfully follows through on her commitments. Virginia Moralez heather schultz — Heather is always attitude makes her shine. Mary Neuman, rN — She responds to to everyone. Carol himes available and helps to find solutions, not rodney robinson, shared services — situations with a “can do” attitude and create problems. He serves others and is a go-to person. If Kendra Moon — one of the most kind gets to the main issue. When there was a Joy Vanlier and gentle people, compassionate, full house in February, Mary immediately you ever ask Rodney for help, prepare to Wayne Mounts assumes the best of everyone. went into action, helping to open beds for be impressed! new admissions. 30 » Within » May 2008 May 2008 » Within » 31 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 Amazing Nurses: Making a A Letter from Liz Murphy, Affiliates RN, Vice President and Chief Difference Every Day Nursing Officer Take a minute to appreciate In my work, despite the hygiene, light and air in combination nurse. Renew your spirit, and renew your our hardworking affiliates, changes and advances with beauty and symmetry are essential personal commitment to your profession, Advantage Health Physician in nursing, one constant to healing.” While soldiers demonstrated to your patients, to your colleagues. Network (AHPN). This expansive has remained: the role courage on the battlefield, nurses became of the nurse in health known for their courage in caring for I thank each of you for the knowledge, network has experienced much care. Nurses are the the wounded of war. Nursing, which is skills, and caring you bring to your patients growth over the past year, front line of health care. sometimes described as “the science of and to their families every day. Today’s and these pictures are only They are the 24/7, 365 caring,” takes courage. The courage to environment continually challenges us. days a year constant for make a difference. Our answers to the challenges must be a snapshot of the numerous patients and families. We are the heart, and offices, locations and amazing we are the hope of health care. But that The work of saint Mary’s nearly 800 registered nurses supports associates of AHPN. Left to right: Kim Ryske, Theresa Simon, Mandi Phillips and Stacey Dudick, Standale Office. also means we have individual and group accountability for our outcomes. health and healing for our patients and their families. we make a difference through our knowledge and skills. The theme for National Nurses Week 2008 is “Nurses: Making a Difference Every Day.” The work of Saint Mary’s nearly 800 As the Talmud, the ancient book of Jewish delivered creatively, innovatively and registered nurses supports health and laws and traditions, states, “He who saved carefully. I feel confident that together healing for our patients and their families. a single life is as if he would have saved we can do all three, and that Saint Mary’s We make a difference through our the world.” This statement exemplifies a nurses will continue to make a difference. knowledge and skills. vision for all nurses. We must provide care in a respectful and courageous manner Finally, I want to end with a quote To really make a difference, our knowledge that values each life. We must uphold attributed to Dr. Howard Thurman, an and technical expertise must be the personal and spiritual connection to author, philosopher, theologian, educator supported by the compassion and passion prevent harm to all persons entrusted to and civil rights leader. we use to advocate for our patients. our care. Front: Connie Phillips. Back, left to right: Left to right: Jill VanderPloeg, Ana Frunza, Velma Brown, Mark Joseph, MD, and Kristen VanDyke, Janet Landino and Patients rely on us. Families entrust us. “Don’t ask yourself what the world needs. MD, and Sue DeVrou, RiverTown Office. Bonnie Bigler, 150 Jefferson We must demonstrate our willingness Nurses make a deep commitment to the Ask yourself what makes you come alive, Diane Woidan, Standale Office. to be compassionate advocates and to people in our care to keep them safe. It and then go and do that. Because what integrate our scientific knowledge with is our responsibility, our sacred trust to the world needs is people who have compassion and caring. That compassion assure safe care is provided. The research come alive.” and advocacy is what defines a nurse. We indicates that our environment is a are known for caring. complex system, and complex systems Do what makes you come alive and thank have the potential for errors. This is the you for making a difference for Saint Mary’s Throughout history, some of the finest time to pursue perfection. I believe this and for our community. hours of our nursing profession occurred covenant with patients should guide us in during times of war. We have all heard our practice. We should hold this covenant stories of courageous nurses during the in the highest regard. Civil War, both World War I and II, the Vietnam War and the Crimean War. In her To all of our Saint Mary’s Health Care Notes on Nursing, Florence Nightingale nurses, remind yourself of why you Left to right: Teri Rossman, Gina Flavia Gaines, Kelly Massa and Yomaira Maria Usuga and Melanie Dillon, from the wrote that “the healing nurse-patient became a nurse. Take time to reflect on Liz Murphy, RN Mindykowski and Denise Poortenga, Castro, 309 Jefferson Downtown Office relationship, hospital design for good what it means to truly be a Saint Mary’s Vice President and Chief Nursing Officer RiverTown Office. 32 » Within » May 2008 May 2008 » Within » 33 NATIONAL HEALTH CARE WEEK 2008 NATIONAL HEALTH CARE WEEK 2008 Nursing Excellence Awards Each year, Saint Mary’s Doran Foundation provides the funds for Nursing Excellence Awards in the form of educational scholarships. Each exceptional nurse who best represents a pillar of the nursing vision — advocacy, collaboration, compassionate care, knowledge and spirituality — wins an award. The nurse who exemplifies all five pillars receives the vision award. Each winner from 2007 shared her experience and gratitude with us. Maria Green, RN, CNS, Kim Greenwald, RN, Rose Rice, CNRN, Women’s and Children’s Infection Control Coordinator 7 North, Neurology Services Collaboration Nursing Vision Knowledge “I’ve always believed that collaboration was the easiest and best way to get “When i heard that i won, “This award demonstrates the high value Saint Mary’s Health Care things done. Winning this award i thought it was just one places on nursing and professional validated my belief in working of the pillars, but then development, and winning this award together. It was such an honor to win meant a lot to me, as I believe that this award, because every day, you i realized it was for the one should take every opportunity just do your job. It was really nice for whole nursing Vision, someone to recognize me and show to grow as an individual and their appreciation for what I do.” and i was elated. it’s a professional. Thank you to everyone who made the Nursing Excellence real honor to be valued in Awards possible and to the Saint “My goal for the such a way, and it makes Therese Carroll-Caruso, Judy Dekkinga, RN, 4 Lacks Barb Stuckey, RN, Mary’s Doran Foundation.” RN, Advocacy Intermediate Care Unit (ICU) scholarship money me feel like my efforts are 4 Lacks “I was so excited and honored to Compassionate Care “I was honored and overcome with is to attend an aPEC even more worthwhile.” Spirituality have won on the pillar of Advocacy. gratitude to be chosen, because there “I was very surprised and honored to It was such a surprise to me. I always “I was so honored to have received are many others who also deserve this (association for “Having Saint Mary’s recognize us for have received this award, because make sure that I go a little further, this award from my peers, especially distinction. With the scholarship money, Professionals in infection our motivation and caring is an added go that extra degree, to make sure for the pillar of Compassionate Care. it meant that someone else saw that my patients get what they need. I treat all my patients with respect I was able to attend several conferences Control and Epidemiology) perk. I used my scholarship money something good in my work. Winning within the state: the AWHONN to attend the AMA of Neuroscience this award definitely made me more Receiving recognition for this attribute and compassion, without exception. (Association of Women’s Health, Conference in Denver Nursing Conference in Nashville this aware of my spirituality. makes it that much more important I expect myself and my fellow Obstetric and Neonatal Nurses) Fetal in June, but i’ve already past March. From the conference I to me.” associates to always treat everyone in Monitoring Course, the 14th Annual learned about all aspects of neurology this manner, and it’s so nice to bring Obstetrical Conference in Cadillac learned to value yourself nursing, such as stroke, epilepsy and My spirituality helps make “i will advance my skills some attention to this aspect of great and the Maternal and Perinatal Health and what you do a spine care; all the things that will help me a better nurse.” overall care.” by attending the OnS Conference in Plymouth. I am also little more through this us even more after we move into The planning on attending the upcoming Hauenstein Center next year.” “I will use my scholarship money to (Oncology nursing “I plan on attending the National AWHONN MI Section Conference in experience.” Teaching Institute’s Seminar for Critical attend a ONS (Oncology Nursing Society) conference in Care Nurses this month in Chicago.” Frankenmuth and the ACNM (American Society) conference in Philadelphia College of Nurse Midwives) Conference this month.” Philadelphia this month.” at the end of May.” 34 » Within » May 2008 May 2008 » Within » 35 phenomenal physicians excellence in action Letters of Thanks Recognizing submit your Bright ideas Winners of to Our Medical Staff recent drawings Since 2006, hundreds of Excellence Bright Ideas have been submitted into the program for AwardperQs: by associates just like you. Our physicians and medical staff are also amazing. Read these firsthand accounts More than 100 of these of how much associates from Saint Mary’s and Advantage Health Physician ideas demonstrated great February potential to impact the Network enjoy working with such stellar and compassionate physicians. Saint Mary’s Core Strategies, Winners and have been approved Bruce Bacon and implemented. Do you Kenda Klotz Dear Dr. Nnaemeka Egwuatu, Dear Dr. Jürgen Lüders, genuinely want your staff to enjoy have a Bright Idea that We love working with you because You have more energy than what we are doing. Thanks so could help improve patient Philip Marsh you are very accommodating almost anyone I know. You much for everything. safety, enhance your work Rosalina alvarez to your patients. We hear their tirelessly help patients in the environment, or reduce time and fiduciary waste? Stacy Barbee feedback, and your patients say clinic and the operating room. Dear Dr. Mark Boelkins, that you are outstanding. You are As a wonderful patient advocate, As a transplant nephrologist, Read a few examples of amanda Byczek phenomenal because you are so we have known you to work with you are an amazing physician to implemented Bright Ideas tricia DeGroot knowledgeable and you relate hospital administration on behalf work with. Your wholehearted so far. Submit your Idea so well with your patients, being of uninsured patients who need compassion for your patients today, and it could be april Myles that you are from Africa yourself surgical procedures. By keeping is evident in each action and added to the list of hope Overway and that you have a wide scope patients’ needs foremost, you have decision you make for their Bright Ideas! Gladys Rodriguez of knowledge about anything in helped us keep that in mind. treatment. Whether you are the health care field. Thanks so seeing patients on the floor, in • Chargeable Patient Items agnieszka Skiba You are so supportive of the All associates can now receive and recognize much, Dr. Egwuatu. It’s awesome transplant clinic, or evaluating a • Advair Inhalation working with you! multidisciplinary approach new candidate to be on the kidney excellence or submit Bright Ideas more easily, Products to patient care, and you also waiting list, you give your full now that we all have e-mail access at our March respect the spiritual aspects of • KCI Wound VAC Supplies Dear Dr. Minerva Galang, your patients. A young patient attention to the unique individual workplace. In the form of e-cards, we can tell • Watermark Paper Winners You are awesome to work with, in his care. You are an inspiration thanks to your consistent and fair with a family and a brain tumor every day! other associates how much we appreciate them • Approval of Indirect Rhonda Bultman diagnosis was struggling with the David Gaarde treatment of everyone. Because and their contributions to our departments, Cost on Federal Grants you expect so much from your news and prognosis. The morning Dear Zhiqun Zhou, of his surgery, with his wife at his organization and to our patients. Deb Grewats patients, they know that you care Your bright smile and quiet Submitting Bright Ideas about them in so many ways. It’s bedside, the patient asked you, Dr. manner calm down so many and sending and receiving Susan Groover Lüders, to pray with him before of your patients who are Recognizing Excellence so easy to respect you because of they went in to surgery. And you Access to recognizing excellence is easy. Under the Novell- Julie Walters your high standards for everyone, experiencing traditional Chinese login applications, just click on the yellow star icon, “Rewarding e-cards can both result in and we cannot thank you enough prayed with him. It was such a medicine for the first time. The AwardperQs. Saint Mary’s Kim Kibby Excellence.” With this one Web site, you can access three items: for holding accountability to a powerful moment. The patient kind and professional manner associates have used aubrey Guin Recognizing Excellence, Bright Ideas submission and your high standard. We love working was calmed and reassured. with which you treat everyone AwardperQs to purchase AwardperQs account. amy nelson with you. You have a great sense of humor does not go unnoticed. Thanks, these hot ticket items: and love to have fun and Dr. Zhou! • Clutch purse recognizing excellence Quick facts • Airline tickets To every physician who practices at Saint Mary’s, you are all amazing in the fact • An average of 955 cards are sent out each month • Diamond earrings • Vacuum cleaner that you all have the whole package: intelligence, impressive credentials as well • A significant number of cards were sent with as wonderful collaboration with others in the health care team, and of course awardperQs for associates Visit the site today to submit your Bright Ideas and your the outstanding compassion for the patients and families. Many nurses who • The most popular facets of Excellence in Action Recognizing Excellence e-cards. All givers and receivers are come to work at Saint Mary’s comment on that difference! Thanks for all that entered automatically into a drawing, where they could win ten recognized in these cards were positive attitude, AwardperQs just for sending or receiving e-cards! you do for us at Saint Mary’s! teamwork and quality of work. 36 » Within » May 2008 May 2008 » Within » 37 letters of appreciation last look This month’s letters detail exactly how much patients and fellow associates appreciate our amazing associates and physicians. t, cy Departmen Maureen Patin and Kathy Bailey, Orthopedics Charlie Todd, RN, 6 S Dear Emergen ith your serv ices, and Kathy Myers, 9 N We were ve ry pleased w ion. ghter’s condit han dled my dau the way you e care that ev eryone I was com forted with th n was very ter. The surgeo provi ded my daugh nal nurses and the perso Dear Mr. McCor kle, thorough and friendly, joyed and I both en Thank you so m e. My daughter uch for the grea t care that were awesom u. you and your ho spital provided fo the food as well. Thank yo friend througho r our Julie Dierkshelde, MD, ut her several st and Matt Reynolds, MD Mary’s. We were ays at Saint very pleased an for the care that d grateful she received ther e. Dear Phil, anks to the surgical We would like to especially thank Please pass on my th a ry nice, helpful and few standouts th at were so carin staff. They were all ve g and e my experience thoughtful to ou r friend. She held polite. They really mad her again. primary care ph ysician, Dr. Nassi comfortable! Thanks in the highest re r Khan, gard. Dr. LaBine, Renea Anastor, Leah Riemersma, Ted Russell, performed her su who rgery with such Nutrition Services Respiratory Therapist Environmental Services then spent time skill, with all of us ex Anne Marie Armock, the surgery. Dr. Pa plaining Dear 6 North, Endosc RN, Transplant Nurse ul Harris and Dr. opy, David Baumgart I would like to give a ner who saw he round of Intermediate Ca r in the applause to all the sta re Unit. Dr. Suza ff of 6 North, Howard and Dr. nne Endoscopy. Recently, Colleen Tallen an I went up to Palliative Care te d the the floor for a meetin am were extrao g. The person both our friend rdinary to at the nurses’ station, and her support though busy, needed to speak team. We greeted me warmly, es with them often corted me were always easy and they to a comfortable waitin to reach, inform g area and and comforting. ative even offered me coffe Matt the Transporter Sheri Cunningham, RN, Julie Marsha Haase, RN, and e. As a fellow Rachael Doezema, RN, associate, I do not no and Steve Martin, RN, 5 N Nicholas, RN, & Tina Lauzon, RN Andrea Hoffman, RN rmally receive Colleen Chase ro this level of attention utinely gave us on patient understandable precise and floors. However, I could updates on our tell that friend’s in case you missed it … condition. Carole every person working Fields, Julie Fick was friendly, Ramaker, were fa and Jason attentive and engage bulous and like d. They were all Darwin Andringa angels. demonstrating Excelle , who helped he nce In Action Past issues of Within — as well as issues of e-Within, our easier, was very r breathe and as it made a differ special, and a nu ence in my day, weekly electronic newsletter — can be found on Saint Mary’s Kevin who chec rse named I’m sure their positive ked on our friend attitude made a intranet. Files can be viewed on-screen or downloaded. us with his thou touched difference in the lives ghtfulness. Ther of our patients who I am forget e are people and guests. Thank yo ting, but please u, all of you, for http://smhcinfocenter.trinity-health.org know how wonde let them showing me what So rful they all are. mething More is all about. 38 » Within » May 2008 39 coming events National Health Care daily Mass breast imaging 2008 Mass is celebrated daily in Our Lady of Learn about current issues in the diagnosis Week Events Mercy Chapel on the second floor of The of breast cancer, Friday, May 16, at Grand May 11–17 Lacks Cancer Center from 12:05–12:35 p.m. Rapids Community College. Presented by See the pullout calendar in the It is also broadcast live in all patient rooms Breast Services at The Lacks Cancer Center, center of this issue (pages 20-21) and available in Spanish on Channel 55. the seminar will feature Jamie Caughran, for all event details. There is a Healing Mass on the first Friday MD, Gilbert Padula, MD, and Timothy of each month. Fitzgerald, MD, as well as oncologists from other networks. Cost for Saint Mary’s dementia Caregiver associates is $40; cost is $80 for participants from other organizations. Receive a Celebration of Nursing Support group registration form before May 9 by calling Wednesday, May 14, 1–3 p.m. Fifth The Alzheimer’s Disease and Memory 616.752.6391 or 800.639.6266. floor, the Lacks Cancer Center. Disorders Program at Saint Mary’s and See who wins this year’s nursing the Alzheimer’s Association co-sponsor a Excellence awards. Dementia Caregiver Support Group. The Senior Health and fitness day support group meets every third Thursday Wednesday, May 28, 9 a.m.–3 p.m., at the of the month from 6:30–8 p.m. in Wege, Forest Hills Fine Arts Center. This event is Room 14. For more information, please call free and features nearly everything that you need to know to be healthy, happy and relay for Life Karen Bugg, at 913.1044. Upcoming dates successful in your senior years. More details Relay for Life is the signature activity of the are May 15 and June 19. on page 9. American Cancer Society. Join this year’s Relay for Life, from Friday, May 30 at 2 p.m. diabetes Support group through Saturday, May 31 at 2 p.m. at 2870 This informative group discusses a variety one Nation, one Moment Jack Smith Avenue SE. Relay for Life is a of issues related to diabetes on the fourth Memorial Day (May 26) at 3 p.m. 24-hour event that that empowers individual Tuesday of every month from 7–8 p.m. in In 2000, Congress established the National communities to get involved in the fight Wege 14. Free of charge. Moment of Remembrance in an effort to against cancer. For more information, contact put the “memorial” back in Memorial Day. Coralyn Martinez at woldhuic@trinity-health. This act of national unity asks all Americans org or 752.5930, or Krista Schaendorf at Smoking Cessation to pause for one minute of reflection at 3 Tobacco-free for good Classes p.m. on Memorial Day to honor those who email@example.com. Sign up for free Tobacco-free for Good have died in service to our nation. To those classes. Class schedule and brochure are who have lost a loved one in service to our Schwartz Center rounds available online at tobaccofreepartners.org. country, let them know of your gratitude. The Schwartz Center Rounds is a You can register online or call 975.0123. multidisciplinary forum where caregivers can discuss difficult emotional and social “The Quitters” support group issues that may arise in caring for patients. Meets the second and fourth Monday of topic: What is Modesty in each month from 6–7 p.m. in Wege 11. Cancer Treatment When: Wednesday, May 14, Nicotine anonymous from noon–1 p.m. Meets Tuesdays at 5:30 p.m. and Where: The Lacks Grand Conference Room Saturdays at 11 a.m. on the Kent Who: Open to all caregivers. Community Hospital Campus. Complimentary lunch provided. Call 752.6162 by May 7 to reserve your spot. a Member of trinity health www.smhealthcare.org
"Amazing Associates = Something More"