Roy Proujansky, MD, <strong>Nemours</strong> EVP for Patient Operations and Chief OperatingOfficer with Terri M. Young, Vice President for Human ResourcesThe hospital administrative leadership controlledexpenditures while central business and managed carestaff improved processes resulting in a strong hospitalbusiness performance despite increased costs for energy,surgical implants, drugs and biological products. Operatingperformance improved for the third straight year basedon sound management and an increased focus onservice excellence.Efforts continued throughout the year to assure facilities,programs and services maintain the child as the focusof all we do. Hospital and practice leadership joinedforces to develop a strategic plan, tightly aligned withthe <strong>Nemours</strong>-wide Strategy Management initiative. Startedin December 2005, the comprehensive planning processbrought together more than 60 leaders to define and aligngoals and objectives reinforcing <strong>Nemours</strong>’ mission,vision and values.Expansion and upgrades started in theNeonatal Intensive Care Unit and theCardiac Intensive Care Unit.Management and improvement of quality and safety forpatients, their families and staff is a top priority across<strong>Nemours</strong>. Activities in <strong>2006</strong> included the installationof a new physiologic patient monitoring system for allintensive care and specialty units as well as an automatedalarm notification and communication system to alert staffmore quickly. Security enhancements included expanded,24-hour coverage in the Emergency Department andmobile security across all properties on or near thecampus. Security systems and procedures were upgradedin the hospital and in the Rockland facilities, includingadditional cameras, card access doors, asset controlsand staffing.Additionally, the pharmacy program was re-organized sopharmacists could be more involved with bedside care toassist with medication decisions. One patient care unitsuccessfully piloted a bar-code-based system to improvemedication safety. The system will be deployed throughoutthe entire hospital in 2007.The process to achieve Nursing Magnet recognitioncontinued in <strong>2006</strong> with the implementation of SharedGovernance Councils. The Councils are working to earnthe coveted Magnet designation from the AmericanNurses Credentialing Center in recognition of nursingexcellence, quality patient care and nursing innovations.30 <strong>2006</strong> <strong>Nemours</strong> Annual Report
Several programs and services for patients and theirfamilies were enhanced during the year. Expansion andupgrades started in the Neonatal Intensive Care Unit(NICU) and the Cardiac Intensive Care Unit (CICU).The NICU will grow from nine to 14 beds (with theability to flex up to 18 beds) while the CICU willgrow from seven to 10 beds.Also, the hospital requested and achieved provisionalstatus as a Level 3 trauma center in July. The AmericanCollege of Surgeons verified our Level 3 capabilities andprovided input regarding our intent to move to Level 2in 2007.Efforts to improve facility functions and infrastructureincluded the completion of a 1,674-space parking garage.The new garage provides safe, convenient, covered parkingfor staff while maintaining the close-in surface lots forpatients and visitors.With the promotions of David Bailey, MD, MBA, andRoy Proujansky, MD, this past spring, Practice Operationsin the Delaware Valley experienced a significant changein leadership. Bernard J. Clark, III, MD, stepped into therole of Chief Executive of the Practice and JayGreenspan, MD, assumed the role of interim Chair forthe Jefferson Medical College Department of Pediatrics.Implementation of <strong>Nemours</strong>Link, a program for communityprimary care practitioners, continued in <strong>2006</strong>. Nowphysicians who refer patients to <strong>Nemours</strong> have accessto the EMR via the internet. Timely and accuratetransfer of information and continuity of care areenhanced; physicians and families are more satisfied.The Practice Leadership Team and members of theHospital Administrative Council will implement thenewly created strategic plan during 2007. Upcominggoals include the pursuit of Level 2 trauma centerdesignation for the Hospital and designation of adedicated orthopedic inpatient unit, as well as renovationof the lobbies to improve patient flow and to upgradetheir appearance. Additionally, the Clinic will expandits comprehensive obesity program, extend the SickleCell Program to lower Delaware, increase the cardiacoutreach services across the region and apply themedically complex surgical program to other surgicalareas. All of these service enhancements draw upon<strong>Nemours</strong>’ team of dedicated staff, linked by knowledgeand state-of-the-art technology working to improve thehealth and lives of the children and families we serve. ■’The essential focus for the Clinic remainsthe provision of safe, efficient and familycenteredpatient care of the highest quality.<strong>Nemours</strong> Children’s Clinic in Delaware experiencedgrowth in clinic visits and new patients. The numberof visits to physicians grew by more than 4 percenttotaling almost 301,000 while the number of newpatients grew more than 7 percent to morethan 38,000.The essential focus for the Clinic remains theprovision of safe, efficient and family-centeredpatient care of the highest quality. Improvementsin <strong>2006</strong> included the optimization of the electronicmedical record (EMR), development of a modeldashboard to provide an overall physician scorecardand time flow studies measuring clinic room utilization,module availability and provider utilization.31
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