Nursing Report 10-11a.indd - Maury Regional Healthcare System

2010-2011 Pathway to Excellence

CNO Round Table DiscussionsJuly 2008 - December 2011What better way to gain insight into the frontline staff than to hear directly from the peoplethemselves. As part of the CNO’s ongoing commitment to the nursing staff, over 200 frontlinestaff took the opportunity to share ideas, concerns and have questions answered through smallgroup discussions with the CNO.Ideas implemented include: Work team to improve EDto Inpatient nursing report Transporters assisting withtelemetry box delivery Supply Pyxisstandardization IV catheter education Purchase of additionalvital sign machines Additional computerwork stations Increased security inthe EDLeadership: empowering the people around you.—3—

Pathway to Excellence DesignationShared GovernanceBeginning ing over25 years ago, theearly goals of shared governance nce in nursing ng practice sought toimprove the work environment of nurses, their satisfaction and retention. Implementation of a sharedgovernance model creates es themovement ent of decision-making ion-mang from a hierarchical icalstructure tureto ahorizontal, shared decision-making structure.Today, shared governance is understood as a complex delicate balance betweenfrontline staff and leadership through joint planning and decision-makingprocesses, including ownership for practice oversite and administrativeaccountability. Shared governance is not a simple matter of committeeconsensus.While there are differences in definitions of shared governance in regards totheories, depths and scope, the overarching commonalities include autonomyand independence in practice, accountability, empowerment, participationand collaboration in decisions that affect patient care.A shared governance model takes time to fully deploy, develop and grow. Armed with a common goalof excellence in patient-centered care, the frontline staff andnursing leadership tackle issues relevant to the needs ofMaury Regional Medical Center (MRMC) patients,families, community and staff.The MRMC shared governance modelcontinues to expand since its inception in2009. Today, each council is filled withfrontline nursing staff representationcanvassing all areas of nursing.As frontline nurses are mentoredthrough the process of workingalongside nursing leaders, there arenow frontline staff nurses assumingcouncil leadership roles with nursingleaders serving in sponsorship roles.Notable national accomplishmentcame in 2011 with the American NursesCredentialing Center’s award to MRMCas A PATHWAY TO EXCELLENCEdesignated facility: the first and only inTennessee.OPERATIONSIMAGE OFU NNURSINGLEADERSHIPPATIENTANDFAMILYI T C O U N C I L SPRACTICE &EDUCATIONNURSINGEXECUTIVE COUNCILRESEARCH &OUTCOMES—4—

Research & Outcomes: Evidence-basedNurse advocacy symbolizes the nurse working for the bestinterest of the patient. Through the filling of various rolesand duties, nurses keep a watchful focus on the qualityof care being provided. The results are seen in the qualityoutcomes MRMC is known for internally, locally andnationally.Pursuit of excellence in outcomes for every patient, everyday is the goal. Initiatives include fall reduction awarenessin every area, disease-specific care management postdischarge,harm avoidance initiatives and the nationallyrecognized, innovative Progressive Upright MobilityProgram the critical care team developed.Patient falls within a hospital is a national patient safetyissue. Organizations across the country continue to addressthis topic. MRMC nursing has been impacting this metricfor patient safety through staff rounding and awareness,bed alarms, patient and family education, and fallreduction diversion techniques such as seen with the use ofsock monkeys.“You have to understand the ‘why’ inorder to move from task performing tonursing practice.”—Amanda C.During 2010, MRMC nurses reviewed fall assessmenttools and successfully implemented the Morse Scale Fallrisk assessment tool. The tool gives the nurse the abilityto categorize patients into a low, moderate, or high riskcategory and, based on the results, nurses are able toimplement fall reduction strategies.In conjunction with the efforts already in place, MRMCnurses embarked on research findings supportingfurther reduction of fall rates through incorporation ofbedside shift reporting. The graph marks the significantaccomplishments.7654Non-skidfootwearplaced in theadmission kitslate 2004Bed alarmsMarch 2005Fall Reduction TrendsFrontline staffmembership toFall TeamincreasedOct 08SockMonkeyprojectstartedDec 08/Jan 09Morse Scale fallrisk assesmentimplementedDec 09Bedside reportingsummer 2010Fall policyupdatesJan 2011Fall reductioncelebrationApril 201132102003 2004 2005 2006 2007 2008 2009 2010 2011Patient Falls per 1,000 DaysPatient Falls with Injury per 1,000 Days—6—

Harm AvoidanceIn a hospital environment, patients are at risk fordeveloping pressure ulcers. At MRMC, we believeprevention is the key to avoid negative implicationsassociated with pressure ulcers, which includeincreased length of stay, delays in recovery, increasedrisk of complications (i.e. infection), increased loss of1.000.750.500.250.00July2010Aug2010MRMC Inpatient Pressure Ulcer IncidenceFY 2011% of Patients with Hospital Acquired Pressure UlcersCumulative: # of patientsdeveloping a new pressureulcer x 100 divided by totalIP admissions for the monthSept2010Oct2010Nov2010Dec2010Incidence DensityIncidence: # of patientsdeveloping a new pressureulcer x 1000 dividedby total patient daysFY09 Baseline = .83FY10 Baseline = .20FY11 Baseline = .13Jan2011Feb2011Mar2011Cumulative Densityfunction, increased cost of care and higher mortalityrate.MRMC’s Skin and Wound Care Committee,comprised of 84% frontline staff, has developed andimplemented key processes to aid in staff awarenessof pressure ulcers. MRMCApr2011May2011June2011participates in the NationalDatabase of Nursing QualityIndicators to compare our resultsagainst the national outcomes.Additionally, each year MRMCparticipates in a NationalPrevalence & Incidence Studysponsored by Kinetics ConceptsInternational (KCI). The studyexamines and evaluates thepercentage of patients who are atrisk of developing pressure ulcersand those who actually developan ulcer while hospitalized.—7—

Practice & Education: ExemplaryProfessional PracticeThe roleof Nursing Practice ce is to ensure the qualityand integrity ity of clinical ical practice ce while individualizingivididuaingpatient care throughutilization of nationala standardsdsin compliance with state and federal regulatoryagencies.Nursing theory is a characterized distinct and separatebody of knowledge, a guide to how the practice ofnursing is conducted. In 2011, nursing embarkedto create and define a model for MRMC nursingpractice. Through joint efforts, MRMC nursingproudly displays the grounded principles in nursingpractice, knowledge and expertise as seen in theNursing Professional Practice Model.MAURY REGIONAL MEDICAL CENTER CLINICAL NURSINGPROFESSIONAL PRACTICE MODELOur Nursing Professional Practice Model reflects an organizational commitment to teamwork which facilitates excellencein patient care. The model is a framework for achieving our mission and vision using a patient and family centered caredelivery system to serve our region.EXTRAORDINARY PEOPLE• Patient Focused• Respect• Integrity• Dedication• Enthusiastic CarePATIENT & FAMILY CENTERED CARE• Patient Safety & Rights• Planetree• Care Rounding• FACT Team• Research & InnovationMULTI-DISCIPLINARY TEAMS• Diversity• Ancillary Departments• Effective Decision Making• Critical ThinkingSHARED GOVERNANCE• Nursing Councils• Unit-Based Councils• Organizational Committees• Strategic PlanningPROFESSIONAL DEVELOPMENT• Peer Review• Leadership Retreats• On-Site RN-BSN• Clinical Advancement ProgramEXTRAORDINARY CARE• Accountable• Responsible• Diverse• Compassionate• Service ExcellenceOPTIMAL COMMUNITY HEALTH• Caring Bridge• Community Education• Health Screening• Evidence-Based Care• Patient & Family SatisfactionPROFESSIONAL RELATIONSHIPS• Enhanced Care Delivery• Quality Outcomes• Interdisciplinary Teams• Nurse-MD Communication TeamCOLLABORATIVE PRACTICE & LEADERSHIP• Performance Improvement• Recruitment & Retention• Pathway to Excellence• Nursing SatisfactionREWARDS & RECOGNITION• Certification• Service Champions• Image of Nursing Awards• Tuition Reimbursement—8—

Practice & Education:Professional DevelopmentProfessionalnursingdevelopmentassures theavailability of ongoingeducationalopportunities forindividual nursingdevelopmentand growth.This includesopportunities fornurses to expandnursing knowledgelocally, state-wideand nationally.This can be seenin the form ofarticle or abstractsubmission,conferenceparticipant, posterpresenter or as apodium speaker.The followingindividuals haveshared the MRMCnursing expertise:Carey AlbrightJanice HenkelGinger EarnestBrenda HoganBrenda HoganDeborah LumpkinsJoan StephensSue MacArthurDeborah SuttonEXPANDING NURSING KNOWLEDGE“Nurse/Physician Relationship: How Everyone Can Win”Podium Speaker, Tennessee Hospital Association Annual Conference,Nashville, TN“Patient-Centered Unit-Based Competencies”Poster Presentation, Women's Health Across the Lifespan, Johnson City, TNPoster Presentation, Southeast Educators for the Development of Staff,Nashville, TN“Early Progressive Upright Mobility”Premier Breakthroughs Annual Conference and Exhibition, Washington, DCNational Teaching Institute & Critical Care Exposition, Chicago, IL“Early Progressive Upright Mobility for Acute Critical CareVentilator Patients”Tennessee Hospital Association Annual Workshop, Nashville, TN”Readmissions and Healthcare Reform”Premier Breakthroughs Annual Conference and Exhibition, Nashville, TN”Maury Regional Journey”QUEST Annual Meeting, Nashville, TN“MRMC Journey and Early Progressive Upright Mobility for AcuteCritical Care Ventilator Patients”Tennessee Center for Performance Excellence, Franklin, TN”Successful Tips for Creating a Service Excellence Council”Podium Presentation, PRC National Conference, San Diego, CA”Focus on Outcomes Diabetes Care”Poster Presentation, Tennessee Hospital Association Nursing Summit,Nashville, TNDonna Shedd“Improving Meal Timing and Glucose Control in the HospitalizedPatient: A Multidisciplinary Performance Improvement Project”Poster Presentation and Abstract, American Dietetic Association Conference,Boston, MA“Impacting Patient Outcomes”Poster Presentation and Abstract, 71st Scientific Session of the AmericanDiabetes Association, San Diego, CA“Focus on Diabetes: Impacting Patient Outcomes”Presenter, Premier WebinarPoster Presentation, American Association of Diabetic Educators NationalConference, Las Vegas, NV—9—

Practice & Education:Professional DevelopmentAnother component of professional development includes continuing education. As a Tennesseestate approved provider of continuing education, MRMC is able to provide opportunities fornurses to obtain continuing education credits through program offerings. As one of only 24approved provider sites in the state, nursing staff at MRMC are assured the MRMC programsmeet national standards for accreditation. This allows nurses who are certified to gain theirrequired continuing education credits on-site. During the first two years of the program, March2009 through December 2011, there have been:• 36 new offerings developed• 124 sessions offered• 504.5 contact hours• 2,667 staff attendedCLINICAL NURSE RESIDENCY PROGRAMThe Clinical Nurse Residency (CNR) programis designed specifically for new graduate nursesemployed at MRMC. The program supports the newnurse through the transition of a student role to asuccessful and effective registered nurse role. Theresidency is a combination of classroom and clinicalexperiences designed specifically for the needs of thenew graduate nurse.Since MRMC began the CNR program in January2007, a total of 189 new graduate nurses havecompleted education. The positive impact of the CNRprogram is evidenced in an overall 91% retention ratefor new graduates for the life of the program. MRMChas also seen a progressive increase in the applicantsfrom baccalaureate schools of nursing.2009 AND 2010 PREMIER AWARD FOR QUALITY—10—

Practice & Education:Professional DevelopmentEXEMPLARY NURSING PRACTICEThe Joint Commission’s Gold Seal of Approval for orthopedic total hip/total knee AND advanced inpatientdiabetes program was awarded to MRMC in December 2011. MRMC underwent a rigorous on-site surveyfor both disease-specific care accreditations with surveyors, a diabetic expert and a physical therapist expert,evaluating MRMC for compliance with standards of care specific to the needs of patients and families,including infection prevention and control, leadership and medication management. Success in bothprograms demonstrates compliance with the rigorous national standards for health care quality, safety andstate-of-the-art standards as outlined by The Joint Commission.“We are treated with respect as nursing professionals. We have input and are soughtout for our opinions in the care of our patients.”—Macie M.—11—

Practice & Education:Professional DevelopmentDIABETES INTERESTING FACTS:At MRMC, 28-33% of all hospitalized adultpatients have diabetes. In order to meet thechallenge of providing comprehensive care to thispopulation, an inter-professional team known asthe diabetic champions (including RNs and clinicalstaff) assembled to implement disease-specificimprovements. Using The Joint Commission diseasespecificstandards and the American DiabetesAssociation guidelines, the team, led by Donna Shedd,CDE, actively participated with Food and Nutrition,Quality Services, Pharmacy and members of themedical staff to improve care of the diabetic patient.Accomplishments include:• Development of unit-specific timeframes forobtaining finger-stick blood sugar (FSBS)• Revision of the hypoglycemia standard operatingprocedure (SOP)• Conversion to insulin pens• Publication of a new patient education booklet• Implementation of a meal tray delivery systemthat ensures meal arrival correlates with obtainingblood glucose testing and insulin administration• Development of an automated diabetes SOP(includes A1C on admission)ORTHOPEDIC INTERESTING FACTS:The bone and joint program at MRMC continues tooutperform the competition. Included in the diseasespecific care recognition by The Joint Commission,the surveyor noted zero recommendations for theprogram!The MRMC program is also designated as a BlueDistinction Center by BlueCross BlueShield for kneeand hip replacement, a designation based on quality ofcare and patient outcomes.In 2011, MRMC orthopedic patients underwent 435joint replacement surgeries. The inter-professionalteam for orthopedics consisting of orthopedicsurgeons, nurses from the surgical and nursingunits, case management and physical therapy workon innovative program improvements for patients.The team embarked on another avenue to exceed thepatient experience. The idea, A Joint Effort VolunteerProgram, pairs a MRMC volunteer who has gonethrough a joint replacement with a prospectivejoint replacement patient. The process of sharingexperiences, answering questions and general supportfor the patient receiving the replacement begins in thephysician office, continuing through surgery, hospitaland rehabilitation stay. Plans are in place to begin themodel in early 2013.Percent1009080706050403020100MRMC Percentage Compliance A1Cin Diabetes Population78.0%91.4%64.1%96.5%69.8% 71.0%1Q08 2Q08 3Q08 4Q08 1Q09 2Q09 3Q09 4Q09 1Q10 2Q10 3Q10 4Q10 1Q11 2Q11 3Q11 4Q11% diabetes pts w/A1C done % diabetes pts w/A1C done w/in 60 days (w/in 90 days Aug 11)—12—

Image of Nursing: Raising theBar of NursingSince Florence Nightingale first published her 19th-century book “Notes on Nursing,” thepicture of nursing has continued to evolve through the years. The Image of Nursing Councilserves as the representative body of nursing at MRMC, recognizing the continued excellence innursing services and overall patient care. The council promotes the professional image of nursingthrough recognition, reward and continuing education.2011 NURSING AWARD WINNERSCharge Nurse of the Year: Michelle FriersonPreceptor of the Year: Alisha AshleyNightingale Award: Alison VenableRising Star Award: Michael HensleyService Line Clinical Excellence AwardsDana Burcham – Cardiovascular ServicesAmy Richardson – Emergency DepartmentKaren Turbett – Ortho/Neuro/Postop/MedicineServicesSandra Beard – Surgery ServicesMacie McKee – Women’s /Children’s Services2009 NURSING AWARD WINNERSCharge Nurse of the Year: Lisa PoguePreceptor of the Year: Stacey PerryNightingale Award: Vicky RobnettService Line Clinical Excellence AwardsPam Winters – Adult Medicine/Oncology ServicesApril Kelley – Cardiovascular & Pulmonary ServicesDan Seeley – Emergency ServicesDeborah Brown – Ortho/Neuro/Postop ServicesTim Dickey – Surgical ServicesGeorgia Arms – Women’s /Children’s Services2010 NURSING AWARD WINNERSCharge Nurse of the Year: Deb MangrumPreceptor of the Year: Michele MarbetNightingale Award: Wanda PeeryRising Star Award: Allison LoveService Line Clinical Excellence AwardsJim Norton – Adult Medicine/Oncology ServicesMary Jane Hood – Cardiovascular & PulmonaryServicesTracey Williams – Emergency DepartmentJudy King – Ortho/Neuro/Postop ServicesAshley Phelps – Surgery ServicesLinda Clayton – Women’s /Children’s Services—13—

Service ChampionsGeorgia Arms, RN Bob Vogle, Nurse Tech Jim Calahan, RN Stephen Staggs, RN Jackie Miles, RN Patti Hollinsworth, RNJim Norton, RN Henrietta Weaver, LPN Lori Long, RN Dana Allen, RN Michelle Pigg, RN Jennifer Burgett, RNMRMC NURSING FACTSTotal # RNs 675Total # LPNs28% of Board Certified RNs27%% of RNs with AD/Diplomas68%% of RNs with BSN29%% of RNs with MSN3.5%% of RNs with Doctorate Degree

Achievements for ProfessionalsPursuing Excellence 2010 - 2011DOCTOR OF NURSING PRACTICERena SmithHospitalistMASTER OF SCIENCE OF NURSINGAndrea PoynterChristy HarrisKatie SimmonsNursing Professional DevelopmentLabor & DeliveryCritical CareBACCALAUREATE OF SCIENCE OF NURSINGAndrea BainKaysha BeaversBrian BeckTammy CalvertLisa ChambersAmanda ClantonKimberly ClaytonLinda ClaytonSusan DaleDeDra EzellTim DickeyJessica DixonHaley GilliamSarah HayesTrever HawkinsCorey IngramMatt NiswanderShannon ParkerAshley PhelpsLisa PottsCandace ScottAndrea Van FleetSecond WestCritical CareNursing Professional DevelopmentQuality ServicesCardiovascular Step-downFifth WestQuality ServicesLabor & DeliveryCritical CareGeneral MotorsEmergency DepartmentQuality ServicesCritical CarePre-Admission TestingMother/BabyCritical CareEmergency DepartmentQuality ServicesPre-Admission TestingEmergency DepartmentQuality ServicesIntensive Care Unit Step-down“You always get a little bit of everythingcoming to you in nursing so you have to knowa little about everything. Continuing to growmeans you are not confined.”—Amanda I.SPECIAL RECOGNITIONSBeverly Hobson, Critical CareNominated for Nurse of the Year; ReceivedCommunity Nurse of the Year for TennesseeSponsored by The TennesseanLeigh Jones, Critical CareNominated for and selected to attend the TennesseeNurses Association Leadership SummitAmy Richardson, Nursing Professional DevelopmentNominated and received the National Mosby’s NursingSuite Superheroes of Nursing Achiever AwardJanice Henkel, Nursing Professional DevelopmentTennessee Simulation FellowRNS SERVING IN PROFESSIONALASSOCIATION LEADERSHIP ROLESCarey AlbrightAdministrative DirectorTreasurer/Membership Chair: TONE BoardHeide FritzCritical CareTreasurer: STV AACN ChapterTheresa HarrisCritical CarePresident: STV AACN ChapterHolly KunzAssistant CNOSecretary: State ENAPresident: Middle Tennessee ENA ChapterSue MacArthurNursing Professional Development DirectorRole Delineated Panel: ANCCWorkforce Board of Middle TennesseeResearch Committee: NNSDO National Committee:co-chair 2011Secretary/Treasurer:Middle Tennessee NNSDO ChapterMaury County Board of Health memberTennessee Nursing Foundation Board memberMelissa MillerCritical CareSecretary: STV AACN Chapter—15—

Board Specialty Certifications2010 - 2011Michelle BabbCamesuze Jean-BaptisteElizabeth BaileyKaren BlairHeather BowenCathy BrysonDana BurchamChristine CarsonBrenda ChapmanLinda ClaytonAmanda CothranTammy CrainRhonda CurryZac CurtisBrenda DennisAlana DickeyDustin DockinsAmy EnglandJulie GilbreathStacey GoatsJoseph HemmenJacqueline HillLindsey HillTeresa HonakerRachel HughesAmanda IngramDaryl Ann JacobsApril KellyJessica KincaidAngela LeeSara LindseyKatie LoganLori LongDeborah McCormackDacia McEversMacie McKeeBryan McRaeGenevieve McRaeJanet MoloneyCara MooreKim MorrowLaura MorphewKatie MossJim NortonRNCCCRNCCRNRNCRNC-LRNRNC-LRNCMSRNC-LRNCICRNCCENPCCNRNC-MNNCENLCECCRNCNORCCRNRNFACCRNCCRNACERNC-LRNCMSABC-CGRNRNC-LRNRNC-LRNCCRNCENIBCLC, ICCERNC-LRNRNCCCRNRNC-LRNRNC-LRNRNCCCRNCCRNRNC-LRNRNCCCRNRNCCMSCMSWanda PeeryKelly PickettAimee PilapilAndrea PoynterJoanne ReddingAmy RichardsonLeah RobinsonVicky RobnettVall RoginskiTiffany SensatDonna SheddAmy SkidmoreChristine SwansonKelly TaylorLindsey TaylorSally ThurmanBobby UnderwoodSpencer WarrenBeverly WorkmanAmanda VossAmbulatory NursingCCRNRNC-LRNPNC-MSPCCNCENCCRNPCCNRNCCCRNCDECCRNRNCRNC-MNNONCRNC-NICRNFACCRNRNC-MNNCCRN—16—

Operations: Elevating thePatient Experienceexcellent nursing care they need. Our nurses workto build a relationship with patients early duringtheir visit. By doing this, our nurses can anticipatepatient needs and honor individual preferences asthey provide excellent clinical care.In the pursuit of elevating the patient experience,the operations council strives to build anatmosphere supportive of all the nursingprofessionals in the effective management of theprofessional nursing practice environment. Thecouncil supports evaluating on-going care delivery,nursing documentation, staffing/schedulingpractices and cost of care.PATIENT SATISFACTION:HCAHPS SUCCESSThe chart below shows the most recent data throughMarch 2011 as posted by CMS on the HospitalCompare Web site. Results from four specificindicators reflect the daily focus on excellenceshown by nursing and the rest of the MRMC team.The bars indicate the percentage of patients whogave a top box response.The success MRMC has exhibited with providinghelp to patients quickly was recently recognizedby the national consortium group VHA.Representatives from VHA came on site to blueprintthe processes that have been utilized by caregiversto achieve eight consecutive quarters at or above theTennessee and national averages for this indicator.The dedicated nursingteam at MRMC hasled the way to serviceexcellence as evidencedby Hospital ConsumerAssessment of HealthcareProviders and Systems(HCAHPS) scoresabove the Tennessee andnational averages.Daily rounding,consistency and promptresponse to patientneeds/requests ensurethat patients receive the9080706050403020100—17—HCAHPS Scores76 68 68 84 78 76 78 66 64 79 71 70Overall RatingNursingCommunicationHelp ProvidedQuicklyMRMC Tennessee NationalPain Control

Destination: Empirical Outcomes &Excellence in Patient-Centered CareThe atmosphere of constant nt change in health carerequires es every organization ation to be flexible andopen totransformation. tion. In order to sustain staiourselves in theseuncertain times, we must find the pathway that continuesto meet the needs of our patients, families, community andour staff.Each of the initiatives of the MRMC strategic plan:Baldrige, Best Places to Work, Magnet and Planetreeground our organization on our journey. Separately,each of the initiatives offers MRMC the ability to beseen in a positive light; however, jointly, they firm upthe foundational structure of MRMC positioning theorganization for the future.Every employee of MRMC is a part of the team; a valuablepartner in building the organization. Without thecommitment of each person, MRMC is simply a hollowbuilding. With each person supporting the initiatives, webring to life the MRMC mission of serving our region withclinical excellence and compassionate care.Our journey begins with Shared Governance: jointlyguiding the way with leadership, through decision-makingto affect the direction of nursing practice and building thework environment. Professional practice development fornursing excellence in all venues includes:• quality patient experience through innovative approachessuch as open family visitation• nursing research in areas that impact the community ofpatients such as cultural care to frontline nurses involvedwith staffing guidelines and finances• leadership growth in nursing• partnerships with nursing schools for the nextgenerations of nursesThe journey continues for Magnet destination: thenationally recognized symbol for nursing excellencein quality patient care, outcomes and innovations inprofessional nursing practice.As well as being recognized as a Best Place to Work:supporting the employee in the work environmentaccomplishing excellent outcomes as evidenced by workprocesses organizationally and departmentally.The voyage to Planetree and Baldrige PerformanceExcellence both bring national recognition thatcomplements MRMC’s focus to impact patients under ourwatch by investing in ways to regularly enhance the patientexperience.A lot of work? YES! Well worth the effort? You bet!Despite the challenges that lie before us, MRMC nursingstands on the pinnacle of the future in pride ensuring …Every patient, every day… excellent patient-centeredcare.It is a great big circle of continuous evolution. Wegrow in each endeavor, sharing lessons with agreater ability to impact the next patient!

Maury Regional Medical Center1224 Trotwood AvenueColumbia, TN 38401