Garden Variety, 25 Years of Outreach, Secondhand ... - CommOnline

We make it fresh“every few minutes. ”terry crist,Executive Chef, FountainView Cafésaint joseph health systemfall 2011 • Vol. 4 Issue 4GardenvarietyHospital cafeterias serve up freshideas with home-grown flavor25 Years of outreachsecondhand with LoveThe Presence of godwin an ipad 2!Enter the reader giveaway!see inside back cover

Letter from the CEOHappy Holidays!“We have many reasonsto be thankful this year atSaint Joseph Health System.”The holiday season is upon us, with Thanksgiving andChristmas just around the corner. As you spend time with friendsand family this season, please remember our patients, colleaguesand extended family at Saint Joseph Health System in your prayersand celebrations.This year brought many reasons to be thankful at Saint JosephHealth System. All seven of our hospitals received distinction forservice excellence from J.D. Power and Associates. Saint Joseph Eastand Flaget achieved 100 Top Hospitals recognition yet again; SaintJoseph - Berea was named one of the nation’s top performers on keyquality measures by The Joint Commission; and Flaget was namedone of the United States’ 65 Great Community Hospitals by Becker’sHospital Review.In June, the new Saint Joseph - Mount Sterling replacement hospitalopened its doors to the community, featuring expanded servicesand technology. Also this year, we began the intensive backgroundwork on OneCare, a multiyear program to create a universalelectronic health record for all patients across Saint Joseph HealthSystem and CHI.In this issue of Common Thread, we celebrate the 25th anniversaryof the Appalachian Outreach Program and its tireless staff who trulyrepresent our mission of serving those in need. We also highlightthe individual mission work of Jennifer Hamblin, whose family-runmission has opened a “fifty cent” store in Berea to help those withlittle afford basic necessities. Miracle patient Maria Miller shares herstory from coma to recovery at Saint Joseph East and employee SteveMartin nearly misses a health screening that possibly saved his life.Thanks again for your commitment to Saint Joseph Health System.I wish you and yours a very healthy and happy holiday season andnew year! As we enter 2012, we look forward to embarking uponour new journey with our partners in the pending merger for astatewide health organization. May one of our New Year’s resolutionsbe to embrace this new adventure that will result in expanding ourmission of care to more people throughout the published quarterly by the Communications/PublicRelations/Marketing department of Saint JosephHealth System for employees and their usnews.sjhlex.orgSaint Joseph HospitalAttn: PR & MarketingOne Saint Joseph Dr.Lexington, KY 40504859.313.1845publisherSaint Joseph Health Systemexecutive editorJeff MurphyeditorKara Fitzgeraldart directorLiz Swordgraphic designerLaura Doolittle (Provations Group)contributing writersJohn CowgillKym RussellKathie StampsphotographersShaun RingLee ThomasTim Webbmarketing staffSue AndrewsAngela FlorekNeva FrancisKatie HeckmanSharon HershbergerCyndi McGrawStephanie SarrantonioKevin SmithAmy TaylorSJHS president’s councilBruce Klockars, Interim CEO, SJHSEd Carthew, CHRO, SJHSGary Ermers, CFO, SJHSJackie Kingsolver, Associate Counsel, CHIMark Streety, CIO, SJHSDaniel Varga, MD, CMO, SJHSBen Wiederholt, Interim VP, Mission Integration, SJHSVirginia Dempsey, President, SJLSue Downs, President, FMHGreg Gerard, President, SJBKen Haynes, President, SJH/SJE/SJJBenny Nolen, President, SJMSKathy Stumbo, President, SJMSaint Joseph Health System is dedicated to protecting andpreserving the environment. Common Thread is printed ona Forest Stewardship Council (FSC®) Certified Paper.The FSC promotes responsible forest management byensuring certified products come from forests that aremanaged properly and are not depleted.Bruce A. Klockars, FACHEInterim CEO

Fall 2011Contentsgardenvariety14home-grown flavor.Hospital cafeteriasuse local, organicingredients to serveup fresh dishes with8features08 The Presence of GodA community blankets Holly Hamin their prayers as she fights for her life.10 25 Years of OutreachAOP staff reflects on travelingthe back roads of Appalachia.Fall 2011 common thread 1

Contents Fall 20113 New ThreadsVirtual Nurse Coach, OneCare,Kentucky Newco, plus otherhot topics.Departments 1313 Mission MomentsJennifer Hamblin offerssecondhand items with love inFifty Cent Store.20 Healthy SpiritSteve Martin recalls how asimple screening helped savehis life.21 Health Care HeroDr. Michael Sekela and teamearn national ranking forminimally-invasive heartprocedures.2224 Quick ThreadSJH ER team goes pink for PatJarnagin and Breast CancerAwareness Month.28 Face of GodMiracle patient Maria Millerwakes from coma to find strongsupport at SJE.25 UnwindDaniel Sutton unwinds as heplays cowboy.30 Photo FileEmployees are captured atvarious events and celebrationsin this photo gallery.26 Healthy SpiritTiming is everything for RJCorman’s Noel Rush.26Etc.Try your luck at ourReader Rewardchallengefor a chance to win aniPad 2! Also, view ourphoto contest winners!See inside back coverfor details.2 common thread Fall 2011

Virtual Nurse Coach Program: SaintJoseph Health System has launched a VirtualNurse Coach Program to support new graduateregistered nurses working in medical-surgicaland telemetry units at Saint Joseph Hospital(2E, 3A, 4A, 5B), Saint Joseph East (3 telemetry,4 med/surg) and Saint Joseph - Berea (med/surg). The program is part of a Catholic HealthInitiatives pilot; if successful, it may launch inother locations.As of Aug. 29, 2011, newly hired nurses whoare assuming direct patient care responsibilitieson night shifts are receiving virtual support andcoaching from expert, experienced nurses viatext, voice and videoconferencing. The VirtualNurse Coaches work from a separate location,but provide support via a mobile bedside cartequipped with dual monitors and a webcam.The cart has a hand-held camera and digitalstethoscope, and allows electronic access to thepatient’s chart and laboratory reports. For moreinformation contact Shannon McComas (picturedon screen), project coordinator, at 859.421.9421.newthreads

What you shouldknow aboutOneCareCHI and Saint Joseph Health Systemlaunch five-year plan to transformpatients’ health care experienceOneCare is the way CHI andSJHS will transform health careby creating a shared, electronic,universal health record for each of itspatients.OneCare will:✓✓Improve patient safety and clinicaloutcomes✓✓Enhance the patient experience✓✓Provide clinicians and staff withnecessary tools and information✓✓Eliminate duplication and waste✓✓Better position us for the futureOneCare is being developedbased on these principles:✓✓Led by clinicians, powered by ITS✓✓Designed by the people who deliverthe care✓✓Use of industry-leading electronichealth record (EHR) programs✓✓Build one EHR with evidence-basedcontent✓✓Act according to our Core ValuesYou can follow progress of OneCareimplementation at SJHS facilitiesonline via Inside CHI.Imagine all records for a patient instantlyavailable online. That’s the vision ofOneCare, a multiyear program to create auniversal electronic health record for eachpatient shared across Saint Joseph HealthSystem (SJHS) and all of Catholic HealthInitiatives (CHI).The focus is better patient care through theinformation. In the end that means significantlyimproved safety and clinical outcomeswhile enhancing the overall experience forpatients.OneCare is led by physicians and designedby staff members who deliver care. Togetherthey are working to make certain theelectronic health record system is built usingevidence-based medical content that supportsclinical judgment by providers for individualpatient care.The program will have business benefits,too, by eliminating duplication and wasteand increasing efficiency.OneCare is an exciting prospect forSJHS and all of CHI, said CHI OneCareRegional Chief Medical Informatics Officerfor Kentucky Dr. Jonathan Gold. “Thisinvestment in a universal electronic healthrecord for every patient will yield dramaticbenefits for both providers and our patients.It will give physicians and staff membersmore accurate, complete records for theirpatients, and patients will be able to takegreater ownership of their medical care. Thiswill enhance our overall care delivery systemand certainly improve care for our patients.”OneCare is rolling out across all of CHIin phases, reaching all its facilities in 19states in five years, with a timeline basedon each facility’s location and the existinginformation technology infrastructure thatis in place. The program includes threeinitiatives:• Ambulatory Care, which includes newtools for physician practice managementand ambulatory electronic health records;• Hospital Plus, which includesstandardized clinical content, documentationand physician orders as part of thehospital electronic health records system;and• Access Plus, which includes a physicianportal, patient portal and the underlyinginfrastructure and security necessary tosupport all of the new technology.Together, all components will addressthe unique needs of patients and providersdepending on where care is being delivered.Each component has its own mix of ITupgrades and systems that will enable patientinformation to move securely and swiftlyfor easy access by providers and health careprofessionals as they care for their patients.Once OneCare is fully implemented, apatient who is seen at a SJHS clinic and lateradmitted to one of its hospitals and thendischarged will have one electronic healthrecord that is accessible to all providers andeventually will be available to patients toview their own medical records online.“OneCare will affect every SJHS employeeas well as every patient who walks throughour doors,” said Bruce Klockars, SJHS interimpresident and CEO. “It is one of the mostcomplex programs SJHS and CHI haveundertaken, but it is vitally important andwill end up giving our clinicians the toolsthey need, and our patients the care theyexpect from us and are entitled to.”This fall, SJHS-owned physician practicesand clinics began on the OneCare projectto implement the ambulatory electronichealth record (AEHR). This work began withthe OneCare ambulatory “advance team” ofprofessionals assessing what work needs tobe accomplished to get the practices readyto convert from paper to electronic records.These comprehensive assessments include notonly the current state of wireless connectivityand equipment, but also interfaces neededfor the AEHR to connect with other systemssuch as laboratory and radiology, as well asthe best way to communicate effectively withproviders, other clinicians and staff, organizationalstructure and culture, and communicationchannels.On-site assessments at each practice werecompleted in October. The specifics of whatpractice will go live on the AEHR when willbe determined based on these assessments.The first practice could go live as early asMarch 2012.The OneCare plan calls for SJHS, andall of “Kentucky Newco” (new statewidepartnership), to have a shared electronicrecord system in place across all facilitiesby the end of fiscal year 2015. The Newcoschedule is being developed as part of themerger plans.Detailed information about OneCare –including a video program, an overviewbrochure and PowerPoint presentations – canbe viewed on CHI’s intranet, Inside CHI,accessible by SJHS employees by selecting“Patient Care” and clicking on “OneCare.”4 common thread Fall 2011

An Outstanding Patient Experience:On Sept. 14, 2011, J.D. Powerand Associates presentedall seven Saint JosephHealth System hospitalswith trophies forachieving exceptionalservice excellence.The distinctionwas determinedby surveying arandom sampleof dischargedpatients in 2010at each hospitalon their perceptions of their hospital stayand comparing the results to the nationalbenchmark established by J.D. Power.Top Performer in Quality: SaintJoseph - Berea (SJB) was named one of thenation’s top performers on key qualitymeasures by The Joint Commission basedon 2010 data reported about evidence-basedclinical processes that are shown to improvecare for certain conditions, including heartattack, heart failure, pneumonia, surgical careand children’s asthma. SJB was recognized asa top performer for meeting two 95 percentperformance thresholds for the Surgical CareImprovement Project.Three-Star Bypass Rating: In theSept. 2011 issue of Consumer Reports, heartsurgeons were ranked by state according tooverall performance, complications and otherquality measures. The data are forJuly 1, 2009, to July 30, 2010, andcome from the Society of ThoracicSurgeons. London CardiovascularSurgery, Saint Joseph - London,was listed with three stars (abovenational average) for bypass surgery.KODA Award: Saint JosephHospital (SJH) received the TissueDonation Performance Award fromKODA, Kentucky Organ DonorAffiliates, for the second year in arow during a conference Sept. 7,2011, in Lexington. The award isbased on a conversion formula thatrequired a hospital to have ten ormore suitable cases in 2010, andthat of those ten, at least 25 percentbe released to use for donations. AtSJH in 2010, 33 cases were deemedsuitable for tissue donation and nine werereleased for donation.Leadership Notes: Sue Downs, RN, MSN,is the new president of Flaget MemorialHospital after serving as the interim presidentsince May 2011. Prior to that, Sue was chiefoperating officer/chief nursing executive since2009. Norma Goss, BSN, MSN/ED, is the newchief operating officer/chief nursing officer.RevampedWebsite: SaintJoseph Health Systemhas launched anewly designed andimproved websitethat is restructuredfor easier navigation.The site is morecomprehensiveand interactive forconsumers, patients,physicians andemployees. Featuresinclude a physicianreferral service,patient stories,health educationand tools, classesand events calendar,videos, online registration and bill payment,phone directories, printable floor maps,interactive campus maps, virtual tours andone-click directions. You’ll immediately seethe exciting improvements when you Great Community Hospitals: FlagetMemorial Hospital was recently named oneof the United States’ 65 Great CommunityHospitals by Becker’s Hospital Review. Datafrom numerous sources, including U.S. News& World Report magazine, American NursesCredentialing Center and Thomson Reuters,was used to identify remarkable hospitals.Flaget was one of only four Kentuckyhospitals named to the list. Review the list with the Guidelines: Saint Joseph -London received the Silver Award for HeartFailure Care from the American Heart Association’s“Get with the Guidelines” for the secondyear in a row. The hospital was recognized for“at least 12 months of 85 percent or higheradherence on all achievement measuresapplicable to heart failure care.”A Legacy of Leadership:Arthur E. Walker Jr., CEO of The Walker Company, has been a leader in Mount Sterlingfor decades. From his work with The Walker Company employing Kentuckians throughoutthe state to his three-decade service as a board member of Mary Chiles Hospital (nowSaint Joseph - Mount Sterling), Walker’s legacy of leadership has played a key role inthe advancement of the Mount Sterlingcommunity.With his recent donation to SaintJoseph - Mount Sterling (SJMS), Walker’slegacy and that of his family will live onfor generations. In honor of his significantgift, the Walker Administrative Suite andWalker Administrative Conference Roomhave been named in the new $60 millionhospital. The SJMS Foundation held aArthur E. Walker Jr.and Marsha Walkerdedication ceremony Sept. 9, 2011, withthe Walker family, hospital employees,community leaders and friends.newthreadsFall 2011 common thread 5

Integration forKentucky NewcoContinuesThe partners and sponsors of what, fornow, is referred to as “Kentucky Newco,” arecontinuing the meticulous detailed planningfor integrating Jewish Hospital & St. Mary’sHealthCare, Saint Joseph Health System andUniversity of Louisville Hospital | JamesGraham Brown Cancer Center. The officialclosing of the merger is pending state andChurch approvals.Community InterestPartner leaders have met with numerouscommunity groups as well as local andstate leaders to spread the message thatthe pending merger will bring positivechanges to the health status of Kentuckyand Kentuckians. The partners have begunan advertising campaign in newspapers,magazines, specialty publications and inradio across Kentucky to reinforce the needfor the combined mission of the partneringentities to address Kentucky’s serious healthissues, including cancer, heart disease andobesity, as well as the physician shortages andlack of access to proper health care.Questions from interested communityorganizations and individuals continue toarise. Questions and answers are publishedin each issue of Partnership Progress, whichcan be found on the partnership’s website,, as a resource forstakeholders.6 common thread Fall 2011Ultimate GoalThe number onegoal of “Newco” is toimprove the healthof all Kentuckians.A key factor inmeeting this goal isto expand the reachof the leading-edgetreatment, preventionand research programsat the LouisvilleAcademic HealthCenter throughoutthe entire systemstatewide. The systemwill put basic andadvanced specializedcare within closer reachfor patients in all ruralcommunities we serve.It will take asignificant investmentto expand these programs, and the leadersare committed to making it. Anotherimportant component is creating health carehomes for people. The best way to treat manychronic conditions that plague our state is toprevent them. By increasing access to healthcare professionals throughout the state, itis Newco’s goal to stop many of these issuesbefore they get started. Learn more about thereasons behind the merger on the partnership’swebsite, Teams WorkWell UnderwayThe partners and sponsors have established13 planning teams – most of which have anumber of subteams – composed of representativesfrom all entities. More than 125people from the partner and sponsor organizationsare serving on the planning teams.The teams are reaching further into theorganizations to gain deeper understandingof the complexities of bringing the diverseorganizations together. Activities includesite visits to better understand ways tasksare currently accomplished, as well as toexamine best practices that can be sharedamong the partners.Additionally, the members of the teamshave identified critical interrelationships.This has resulted in interdisciplinarydiscussions related to the impacts decisionsin one functional area will have on one ormore other areas. In the end, with input fromso many people within the organizationswho are closest to the work, this detailedintegration planning process will result ina smoother transition and a more efficientorganization.

Board of Trustees in PlaceThe partners have named the communityboard of trustees for their new, statewide healthcare system in Kentucky. The 18-member boardrepresents a wealth of knowledge, communityleadership and dedication to Kentuckians.The board is serving in an advisory capacityuntil all regulatory and Church approvalsare complete. They will then transition intoa fiduciary role and oversee the new organization,establishing committee structuressuch as strategic planning, quality and patientsatisfaction, audit and compliance, andfinance, among others.Michael AdesRetired AttorneyLexington, KYLouAnn AtlasFifth Third Bank ExecutiveLouisville, KYJane BurksVolunteers of AmericaLouisville, KYJane J. ChilesMeridian Chiles AdvertisingLexington, KYDavid L. Dunn, MD, PhDExecutive VP for Health Affairs, UofLLouisville, KYPaul EdgettCatholic Health InitiativesErlanger, KYRobert HewettRetired Utility and Banking ExecutiveLexington, KYMiller HoffmanHoffman Robertson InsuranceMount Sterling, KYRobert C. Hughes, MDSenior Partner, Primary Care Medical CtrMurray, KYCharlie JohnsonCEO, Immanuel Realty, LLCLouisville, KYThomas Mechas, MDLondon Women’s CareLondon, KYRobert W. Rounsavall, IIIOwner, Dixie Real PropertiesLouisville, KYMichael RowanCatholic Health InitiativesEnglewood, COAdolfo (Ben) Ruiz, Sr.Adhawks Advertising & Public Relations, Inc.Louisville, KYRichard SchultzRetired Advertising ExecutiveLouisville, KYGerald Temes, MDRetired Thoracic and Cardiovascular SurgeonLouisville, KYElizabeth Wendeln, SCNConsultant/FacilitatorLouisville, KYRussell Williams, MDAssociates in General Surgery, PSCLouisville, KYWhy should ourpatients andcommunities careabout the merger?By having the financial stability tocarry out our traditional mission ofindigent/charity care, the new systemwill be able to make the necessaryinvestments to:• Share best practices for excellence inpatient- and family-centered care• Pool resources for efficiency• Disseminate knowledge to providecare closer to homes• Increase opportunities in health caretraining• Increase reach for medical researchAll these things are necessary forthe new health system to address thesignificant health issues we face. Asone organization, we believe we canachieve our ultimate goal – a healthierKentucky.What’s NextOver the next few weeks, you are likelyto hear announcements regarding the nameof the merged entity, the location of thecorporate headquarters, and other decisionsand recommendations made by the newboard, the sponsors, and/or the TransactionProcess Leadership team.Fall 2011 common thread 7newthreads

The Presence of GodCommunity blankets Holly Ham in their prayers as she fights for her lifeBy Amy TaylorSomething happens whenyou have been to the edge of death and thengiven a second chance.“In one moment my world was turnedupside down,” said Julie Ham, a registerednurse with Saint Joseph - Berea’s surgerydepartment.Julie is referring to the emotions she saidshe felt when she saw her daughter hit by aline drive straight to her face during a highschool softball game Monday, March 28,2011. A date they will never forget.“Holly wasn’t the starting pitcher, but dueto a teammate’s injury she was filling in,” saidher mother, who will never forget the soundof the bat hitting that ball. “There were twoouts, and the girl batting hit it back to Hollyin a line drive, hitting her in the left side ofthe head.”The 17-year-old never fell down. It seemedlike the force of the ball startled her. Shedropped her glove, grabbed her head, andsaid, “I think I got hit.” As a precaution hercoach took her out of the game.A doctor the Hams knew was watching thegame; she and Julie assessed Holly.“She had a little red mark to the left ofher eye,” Julie stated. “She placed a bag ofice to the injured spot. Holly watched twomore innings of the game from the dugout,cheering for her team.”It was sundown, and it was getting cold.Since her daughter seemed fine, Julie stayedto sell concessions at the next game. Holly’sfather, Jeff, took her home after that. Theirpeacefulness would be short-lived.“She hadn’t been gone 30 minutes whenJeff called me to say she was getting sick toher stomach. As a nurse, that concerned me.I ended up going home, and found out shehad been vomiting, but she was still pacingaround and talking.”Julie continued to check Holly every fewminutes. The teen seemed OK. Her pupilsweren’t dilated; they were equal and reactive.“I went into the bathroom to check her,”Julie said. “Her speech was slurred. Then shewas unable to stand up.”At that point Holly’s dad picked her up andcarried her over his shoulder and placed herin the back of their SUV. “He tried to keepher awake while I rushed her to the hospital,”Julie said. “My husband ran into the ER andtold them we needed help NOW. By thistime, she wasn’t even responsive. I was besidemyself.”The ER team brought out a stretcher andraced Holly to treatment. She was diagnosedwith an epidural hematoma, a blood clot inher brain. Tests also revealed a small arterialtear that was leaking blood.“She started having seizures,” her mothersaid. “She was airlifted to [the nearest traumacenter], where she underwent emergencyneurosurgery that lasted two hours thentransferred to the trauma ICU where sheremained in a coma on a ventilator untilWednesday around 5 a.m.”For a while Holly floated in a state ofsemi-consciousness.“She was really groggy,” her mothersaid. “They told me she might never regainfull consciousness. They didn’t know howsignificant the brain injury was.”If she did waken, “they said she could belike a stroke victim – paralyzed on one side.”But many, many people – from relativesto friends to co-workers to the congregationfrom their church to total strangers who hadbeen touched by her story on the news –were blanketing Holly with their prayers.Not only was God touching the lives of theHam family, but He was touching the livesof these people through Holly. People whohadn’t spoken to God for years revealedthat praying for Holly brought them back toprayer.“By Thursday she was fully conscious,”Julie said. “But they still wanted her to goto [a local rehabilitation center] for a week.They wanted to evaluate her for short-termmemory loss. But she did well. We were therea week, and she got to go home.”In the midst of their fear and pain, Julieremembers the kindness of friends andfamily – those who visited, those who broughtfood, those who donated money, those whobrought toothbrushes and supplies.“We’re a praying family,” Julie said.“Everybody prayed for us and with us. Holly’sfriends started a prayer page on the Internet.It received over 3,000 hits. The schoolprincipal said children were asking, ‘Can wepray?’ We were blessed by God.”Holly said that during semi-consciousness,she was aware of the presence of God.“She knows He healed her,” Julie said.“This was a miracle.”Clarissa Ramsey, Julie’s fellow surgerynurse, has watched her co-worker stay strongthrough a terrifying time.“She has always been such a positiveperson, and is always so encouraging to herco-workers,” Ramsey said. “These traits werehonored by her receiving the Daisy Award.She’ll motivate you to be a more positiveperson.”Throughout her ordeal, Holly neverworried, she said.“I felt like I was protected. I prayed to Godthat I would get better and everything wouldbe OK, and that I would be able to play ballagain. I felt God working to heal me.”Holly was amazed and touched by theflood of cards and letters from high schooland college softball teams. The AsburyCollege team even visited her in rehab,brought gifts, and prayed with her.“It was so cool,” the teen said.Holly credits her mom’s influenceand attitude for her spirit anddespite her injury, the teenwent to the prom April 30. Shewore a wig to cover her baldhead and her surgery scar,and enjoyed the eveningwith her classmates. Hereyes were twinkling withexcitement.Since her accident,she has been closer withher sisters, Shelby andCourtney, with her parents,Julie and Jeff, and with herteammates, classmates andfriends.“We were close before,”she said. “Now we’re evencloser.”Julie Ham (right) anddaughter Holly (left)turned tragedy intotriumph after a nearfatal softball accident.8 common thread Fall 2011

Photograph by Lee ThomasFall 2011 common thread 9

25 Years of OutreachReflections on traveling theback roads of AppalachiaBy Kathie StampsIn September 1986, Sister BettyShelton and the Sisters ofCharity of Nazareth started theAppalachian Outreach Program(AOP) to serve Kentucky’s ruralcounties by following up withpatients after they are dischargedfrom Saint Joseph Hospital (SJH).photograph by tim webb10 common thread Fall 2011

“It is such an encouragement andstatement of commitment and caring forsomeone to visit a patient in their home,”said Rose Rexroat, manager of virtualcare and community services at SJH. Shemanages the AOP program. “Patientscomment frequently how much the timespent with them has meant to them.”Sister Betty Shelton (pictured above)ran the program until 1991, when she wasjoined by Sister Joan Wilson. Laypeoplehave been added to the staff over the years.Social worker Jeanie Lawson, who was interimchaplain for two years at Saint Joseph - Berea,makes around 40 to 60 phone calls everyFriday to check on people after their hospitalstay and set up appointments to see them, ifthey would like. One call may take a minute(“Thank you for calling; I’m fine”) andanother up to an hour, with someone whowants to know about the hospital’s financialassistance programs or needs bereavementafter-care. When a patient in Jackson Countyneeded plumbing for a mobile home, Lawsonfound a company to take care of him.She visits patients and their families in11 counties, offering support, referrals,counseling and any type of help they need.Recently she saw a man who had been having“episodes” with a stent. He was going towait for his scheduled doctor’s appointmentbut Lawson urged him to go to the ER if ithappened again.“A lot of times they don’t think to call thedoctor,” she said. In addition to providingeducation, Lawson and the other AOPmembers give their time and presence.“Sometimes I’m the only person who comesby,” she said. “God has called us all forsomething. I feel called for this.”In the late 1980s, Sister Mary Alan Stuart,PhD, OP (Order of Preachers), was a professorof nutrition and dietetics at UK. “I got tothinking that Saint Joseph Hospital neededan outreach nutrition service,” she said.“I had no idea they had the AppalachianOutreach Program.” She started thenutrition component of AOP in 1992 andwas an employee of SJH for 10 years. Since2002 she has been a weekly volunteer.Sister Mary Stuart is a Dominican Sister ofthe Order of Saint Dominic. This year shecelebrated her 60th anniversary of being areligious sister.“I used to say that if we did nothingelse, we proved to the rural people thatSaint Joseph Hospital cares about themand wants them to be part of a healthycommunity,” she said.Barbara Baumgardner, registered dietitianand certified diabetes educator, is in herninth year with AOP. She sees people at 13health clinics and physicians’ offices.“I really enjoy trying to figure out whatmakes each person an individual and I tailorwhat I’m going to say to that person,” shesaid. One day in Beattyville she saw threepeople with the same condition – diabetes –but the ages and lifestyles of these patientswere all different.For Baumgardner, the AppalachianOutreach Program is important “because itgives people access to really good nutritioninformation that a lot of them have neverhad any chance to get.”AOP is supported by the Saint JosephHospital Foundation. Barry Stumbo,president and CEO of the Foundation, wasaware of the program even before he cameto Saint Joseph more than 10 years ago. “Ithought, not only do the sisters providenutritional counseling and social services,they are bringing the ministry of SaintFall 2011 common thread 11

Joseph to their homes. What a wonderfulthing to do!”Over the past decade, the Foundationhas raised almost $165,000 to supportAOP services. “I cannot think of anotherprogram that exemplifies the core valuesand ministry of Saint Joseph like the AOP,”Stumbo said. “The care and compassiondemonstrated by our dedicated staff hashelped save lives and brought hope, arenewed spirit and a higher quality of lifeto thousands of our patients and theirfamilies.”There is no charge for anyone to use AOPservices. “The fact that it’s a free service isjust phenomenal to me,” Baumgardner said.“The hospital doesn’t make any moneyon us,” Lawson said. “It’s a one-of-a-kindwonderful program.”Jennifer Bringardner is the directorof strategy and business developmentwith Catholic Health Initiatives (CHI) inErlanger, Ky. She started at Saint JosephHospital as a new nursing graduate, andjoined AOP in 1991. Within a coupleof years she was named the program’sfirst manager. “It was just a wonderfulopportunity to work with very gifted angels,in my eyes,” she said.“When you’re a nurse you are caring forthe patient in your environment in thehospital,” she said. “To be able to hear howthey were doing when they went home wasvery rewarding.”Sister Ann Kernen, former SJH chaplain,AOP team members celebrate 25 years of ministry: (left to right) Jeanie Lawson,Barbara Baumgardner, Sister Joan Wilson, Sister Ann Kernen and Rose Rexroat.was recruited by Sister Betty Shelton toprovide pastoral care for AOP. She recallsmany touching and heart-renderingexperiences. “As always, you receive muchmore than you give,” she said.One day she was met at the door by awoman in a wheelchair. “She couldn’t hearor see very well,” Kernen said. She asked themother how she managed to take care of herfamily. “She said, ‘Oh, I’m so much better offthan other people.’ I get cold chills when Ithink of that.”Ben Wiederholt is interim vice president ofmission integration with Saint Joseph HealthSystem. “The AOP is a direct reflection of ourmission to emphasize human dignity andsocial justice as it provides extended servicesto people who are oftentimes forgotten,” hesaid. “Sister Betty Shelton’s vision for theAOP reminds me that we have the privilegeto be part of an incredible legacy.”AOP by the numbers(1986-2010)Contacts: 306,849Counties served: 30Miles traveled: 1,141,890Volunteer hours: 5,943The Appalachian Outreach Programcomprises counselors, educators andadvocates who follow up with formerpatients to provide a continuum of care,including pastoral guidance, social servicesand nutritional services. AOP also runsthe Christmas Partners Project, so SJHSemployees can help families in need. Tohelp with this year’s Christmas PartnersProject, contact Barbara Baumgardner at859.313.4447 or in aMillionSr. Joan Wilsonimmersed herself in theculture of India duringa recent mission trip.Sister Joan Wilson’sdedicated ministry workBy Kathie StampsSome shoes are harder to fill than others. When Sister Joan Wilson retiredfrom her 21-year ministry with the Appalachian Outreach Program (AOP)this summer, Saint Joseph Hospital (SJH) received 115 applications to takeher place. No one can replace her, of course, but her position in pastoral carewill be filled soon.Since the founding of SJH in 1877 by the Sisters of Charity of Nazareth(SCN), there have been 288 SCNs who have served the hospital. Now,for the first time in 134 years, there will be no SCN employee within theorganization.“It could happen again. We do have some young sisters,” Sister JoanWilson said. Ever the optimist, Wilson is beloved for her consistentthumbs-up attitude, dedicated ministry work and lilting Virginia accent.A native of Roanoke, Va., Wilson claims the Sisters of Charity of Nazareth“got her” in grade school. By high school she had joined the community,and at Nazareth College in Louisville she studied theology and elementaryeducation. She now lives at the mother house at Nazareth, outside ofBardstown, Ky., which will celebrate 200 years as a religious community inDecember 2012.continued on page 3212 common thread Fall 2011

SecondhandJennifer Hamblin offers hope in Fifty Cent StoreMission momentswithLoveBy Kym RussellAnew store in Berea, Ky., sellingclothing for less than a price of a cupof gourmet coffee is good economic news.But, for Jennifer Hamblin and her familyoperating the Fifty Cent Store it is more –it’s a way to share the goodness of God’slove.Jennifer Hamblin lives in Berea andworks as a nurse in the infection controldepartment at Saint Joseph East. Theimportance of helping people was deeplyinstilled in her as a child as she helped herparents deliver meals to the homeless inpoverty-stricken areas of Dayton, Ohio.Helping others continues to be at the heartof the way she lives her life.On Friday evenings after her shift at thehospital, she usually joins her mother atthe store to unload truckloads of donationsand stock the shelves until midnight. She’sup at six o’clock and back at the store toprepare for Saturday customers. The storesells baby clothing (size 4T and under)for 50 cents. Clothing of all sizes is pricedslightly higher and shoppers can findaffordable household appliances, decorativeitems and furniture as inventory changesby the day.The original Fifty Cent Store, nearMcKee in Jackson County, is managed byHamblin’s brother. Their sister, AndreaConner, who is a former Saint Josephemployee, helps with the store and thenon-profit organization established bythe family, Appalachia Mission of Hope.All store proceeds are rolled back into themission for several special projects andservices throughout the year includingdelivering holiday gifts and meals to thosein need.Hamblin said she believes reachingout is simply the right thing to do. “Wewere raised in church and saw the need,the poverty, when we were growing up,”Hamblin explained. Her parents areoriginally from Leslie County, so whenher father took a job in Jackson County,the family brought their commitment toserving others back home – to Appalachia.The Fifty Cent Store started as afood bank in the family’s garage. Theiroutreach grew, partnering with churchesand other community organizationsuntil the Appalachia Mission of Hopewas established as a non-profit entity in2004. Today, it serves many of the state’spoorest counties. Hamblin’s mother, AnnaWilliams, serves as the organization’sexecutive director, runs the Berea storeand blogs about uplifting experiences ofday-by-day life.Expanding the Fifty Cent Store modelinto other communities and offering allof Appalachia Mission of Hope’s servicesis a long-term goal. Hamblin said, “I livein Berea. I know there is poverty in Berea.People work for minimum wage and theycan’t get the help that people who don’twork, get. I see the need here.”Hamblin said volunteers make abig difference in how much can beaccomplished, like picking up donationsand unloading trucks. “We need moreresources. It’s a lot of work.”She said she believes it’s important forpeople to give and get involved. “Anyoneblessed enough to be able to help, shouldhelp others even if it is giving their time.For me, there is so much satisfaction inknowing that I’ve helped someone getwhat they need to make things better. Ican’t say enough to someone who wantsto volunteer. You don’t always see theoutcomes. Other times, you see the lookon a kid’s face, getting a toy or some newclothes, that expression is priceless. Youcan’t put a price on that.”To volunteer or donate, visit by shaun ringFall 2011 common thread 13

gardenvarietyHome-grown produce fills platesand palates in system cafeterias14 common thread Fall 2011

By Kathie StampsLittle things mean a lot when it comesto working green and living green.“Not getting a to-go container whenyou eat in the cafeteria,” cites GregGerard as an example. He is the system leaderof the Working Green/Living Green initiativeat Saint Joseph Health System, which startedin 2008. Gerard is president of Saint Joseph -Berea. “As a Catholic institution, we have acommitment to be good stewards of God’searth,” he said.Saint Joseph - Berea (SJB) is using the earth,literally, to provide healthful foods in itsGreen Leaf Cafeteria. This summer, HunterPurdy, RN, HNB-BC, and integrative carespecialist, and community relations managerKatie Heckman designed three raised beds forherbs and vegetables. They planted tomatoes,cucumbers, squash and green beans, alongwith parsley, basil, chives, mint and edibleflowers (lemon gem chrysanthemums).“Berea is known as a creative, progressive,environmentally aware community,” Purdysaid. She had a private practice as a holisticnurse when Greg Gerard approached her in2009 to help infuse integrative care at thehospital. A beautiful rock garden with flowerscame first, then Purdy asked the nutritionstaff what types of produce they would like tobe planted in the gardens.SJB production worker Judy Harris said, “Ilove going out to the garden in the morning,picking and bringing back a whole apron full.When people see me they can’t get over thosewhite cucumbers! I want more beds so we cangrow more.” Her co-worker Julie Smith added,“I love that we have healthier options. Whenwe grow our own we know what it is, where itcame from and who has handled it.”Three times over the summer, SJB hadits own farmers market, of sorts: a gardenexchange for employees to bring in anysurplus they had from their home gardensand share with one another. “It was a hugehit,” Purdy said. The employees also hada plant exchange to share perennials andannuals.Flaget Memorial Hospital uses very fewdisposables at Café Flaget, making thecafeteria as green as possible. “We use chinaand reusable tumblers,” said Donna Hurst,RD, LD, and director of food and nutritionservices. “It took some time to get employeesto buy in, but we save the environment ofall the waste.” The six-person staff is veryinterested in working with local produceas soon as possible, based on their interestwith what is happening in London. Thehospital does have a community garden onits grounds for employees to use, but there areno plans as of yet to use any plots for produceserved in Café Flaget.photographs by tim webbPestoHunter Purdy (shown at left), SJB4 cups fresh basil leaves1/3 to 1/2 cup olive oil1/3 cup pine nuts(or almonds, pecans or no nuts)2 fresh garlic cloves1/4 to 1/2 cup freshly gratedParmesan cheesesalt to taste (or none)Put all ingredients in a foodprocessor or blender until smooth.It will keep in the fridge forabout a week or it can be frozenfor winter use. Serve over pasta,chicken, fish or on crostini.Fall 2011 common thread 15

Zucchini CasseroleChef Terry Crist, SJL6 cups large diced zucchini oryellow squash1 cup shredded cheddar cheese3/4 cup milk1.5 cups crushed Ritz crackers1/4 teaspoon salt1/8 teaspoon pepperSteam or simmer squash until tender;drain. Add remaining ingredients andplace in casserole dish. Bake at 350degrees until bubbly around the edges,approximately 15 minutes.16 common thread Fall 2011

At Saint Joseph - London’s (SJL) FountainViewCafé, executive chef Terry Cristuses basil, banana peppers, dill, thyme andoregano grown in an 8-by-9-foot garden onthe premises. The on-site garden was inspiredby a meeting last fall with Ford Waterstrat,owner of Sustainable Harvest Farm inLondon.“We use our herbs and peppers for pizzaand our pasta bar, where we make it freshevery few minutes,” Crist said. Four differentkinds of vegetables are sautéed (with oliveoil instead of butter) every day in front ofthe cafeteria’s customers. Chef Terry andAllen Cassidy, director of food and nutritionservices, are quadrupling the size of thegarden next spring.The local food efforts of SJL are alsosupported by the Saint Joseph - LondonFoundation. “Board members Dianna Milamand Jane Rice Williams have made it theirmission to promote the use of local produceto the hospital and to the community,” Cristsaid.“We buy local produce when we can,through approved vendors,” said MinDeeHudson, nutritional services manager at SaintJoseph - Mount Sterling. “They let us knowwhat is Kentucky Proud and we incorporateit in our menu.” Her staff of 16 typically getslocal produce in the form of tomatoes andsquash, pumpkins and gourds, green beansand corn. “We have lots of big ideas wewant to pursue in the future,” Hudson said.“I’m excited about getting an herb garden,somewhere, somehow.”The eight employees in the nutritiondepartment of Saint Joseph - Martin (SJM)use produce from GFS or Mike’s Produce. “Wehave made an effort to provide healthy mealsdaily to employees and, of course, patients,”said Samantha Stratton, director of nutritionat SJM. Employees can choose a sandwichwith light chicken salad, turkey or roast beef,along with a salad, fresh fruit and bakedchips. They also have the choice of selectingthe patients’ cardiac meal as a healthy option.The dining room has a serving window foremployees and visitors to order meals threetimes a day.Although Saint Joseph East (SJE) doesn’thave a garden right now, it is on the wishlist and there’s even a possibility of doing arooftop garden. “We work with Papania’s Inc.,a local produce company,” said John Herzog,nutritional services manager at SJE. Papania’soften fulfills Herzog’s requests for KentuckyProud produce purchased at local auctions. “Iknow Bob Barks will get it locally if he can,”Herzog said.photographs by tim webbFall 2011 common thread 17

18 common thread Fall 2011Pedro Green often useslocal produce whencreating his dishes at SJH.

Saint Joseph Hospital (SJH) and SJE both havea Green Leaf Café. “We had a naming contest awhile back,” said Amanda Goldman, MS, RD, LD,and director of nutritional services at SJH and SJE.“When we use produce from Papania’s we marketit in the cafeterias with signage. We do that asmuch as we can so people know we’re using local.”The three largest vendors, Cisco, U.S.Foodservice and Gordon Food Service (GFS),are offering more local produce than they werejust a few years ago, but there’s a long way togo. Conversations about being green are oftenpolemic. While a lot of local food is organic, notall organic food is local. “It puts us in a positionto research and figure things out for ourselves,”Herzog said. “Nobody was doing this 10 yearsago in our roles, but the hospital is absolutelybehind the green initiative.”Local food is getting the green light fromalmost every source. Organic produce, on theother hand, is pretty much price-prohibitive,according to Herzog. “The demand isn’t quitethere yet,” he said. “That’s a bigger and differenthill to climb. We have a fiscal responsibility ofstewardship for our facility.”Raising the quality of hospital food is anational trend. “Buying local helps,” Herzog said.And it has put creativity back into the kitchen. IfPapania’s has three cases of cherry tomatoes, thehospital cooks will figure out something to dowith them.Exhibition cook Pedro Green has been with SJHsince 2004, after working with local restaurantchefs for eight years. At 6:30 on weekdaymornings he is in the kitchen prepping vegetablesand making chicken salad and tuna salad fromscratch. “I like where I work,” he said. “If we cankeep it local, that’s a good achievement, as far asfresh vegetables that don’t have to travel or befrozen.”Supporting a local farmers market is the onething everyone can do to help, according toSJL’s executive chef Terry Crist. “This is notonly true Kentucky Proud, it is helping yourneighbors out,” he said. “It all starts with ourown communities.”photographs by tim webbFall 2011 common thread 19

Healthy spiritA Nearly-MissedOpportunitySteve Martin recallshow a simple screeninghelped save his lifeBy Kym RussellWhat would have happenedif Steve Martin, a rehabilitation physicaltherapy tech, missed the employee healthscreening at Saint Joseph Hospital thisyear? Martin has the answer. As a seasonedinterviewer and broadcaster for a Top 40Internet country music radio talk show,, he is used to askingcelebrities questions about their lives. In thisinterview, Martin talks about how a simplescreening helped save his life.“In June, I started getting cramps in myright leg only when I’d walk a good distance.I’d have to sit down and it would take fiveor 10 minutes for the pain to go away. I tookpotassium to relieve the cramps. But I feltworse every day until walking in from theparking lot was a challenge.When the health fair was going on, therehab department was really busy. I wasn’tgoing to leave. But, a co-worker told me Ishould get my leg checked.I went down there and they told me Ihad no pulse in my right foot. I couldn’tunderstand that because my feet are alwayswarm. If there wasn’t a pulse, why are myfeet warm? They did an ABI (ankle/brachialindex) screening and thought I might havea blockage. They wanted to make a doctor’sappointment to get tested. And, I said, ‘That’salright. I’ll handle it. I appreciate you findingthis.’Two days later, I couldn’t take the painanymore and I decided to see my regulardoctor. She did the tests and the resultsshowed about 90 percent of the blood flowin my leg was blocked. The next Tuesday,I was in the surgeon’s office scheduling anangiogram to clean out the blockage. Myleg pain went away pretty quick. It wasthe bruising that hung around awhile. Imissed about 17 days [of work] altogetherwith the surgery and recovery. I have notrouble walking at all now. It is like it neverhappened.But the screening, it was free help. I’d tellanybody if it’s there, take advantage of it.Everyone was genuinely concerned and theygave me the information I needed.I could’ve been stubborn like a lot of menand say, ‘Oh, I’m fine. I’ll just sit down, it’ll goaway, I’ll be OK.’ It didn’t work out that way.When I think about it now, it is all aboutsurvival. These kinds of things are lethal.If that block had moved, then it could havegone straight to my heart and I would havenever known what hit me.I feel if I hadn’t been coaxed and proddedto get screened and had not been helped bypeople doing the screening, I might not havesurvived it.I have been to every screening offered. Itwas just this year, I was so busy. I’ve workedwith rehabilitation [at Saint Joseph Hospital]for 22 years, these are my friends. Theyknew what I needed to do, and I had theopportunity to find out what was wrong.”photograph by tim webbEmployee health screenings are scheduledannually throughout Saint Joseph HealthSystem and coordinated by Saint JosephCorporate Health Services. They are offeredas part of Catholic Health Initiatives’ “HealthySpirit” program. Watch for more health andwellness opportunities in 2012.20 common thread Fall 2011

Health Care HEROPutting His Heart Into ItphotographS by SHAUN RINGDrs. Michael Sekela (left)and Theodore Wright (right)Lead surgeon Michael Sekelaand team earn nationalranking for roboticallyassisted heart proceduresBy John CowgillFacing heart surgery canbe terrifying. If the sheer prospectof having one’s heart operated on by foreigninstruments weren’t enough to unsettle apatient, the details of the surgery probablywould be. Traditional open chest heartsurgery involves cutting a 10-inch incisiondown a patient’s chest, splitting a patient’sbreastbone, and spreading a patient’s ribswith a retractor.The trauma associated with the procedurecan make any patient hesitant about theoperation.Michael Sekela, MD, with SurgicalAssociates of Lexington, is determined toFall 2011 common thread 21

make life-saving heart operations available tomore patients, and to do it with less trauma.To accomplish his goal, Sekela and his teampartnered with Saint Joseph Hospital in 2009to offer minimally invasive heart surgeryusing the da Vinci® Robotic Surgical System.Using the da Vinci system, Dr. Sekelacan perform heart surgeries using just threeincisions, each less than 1-cm long. “Thebenefits of the da Vinci are clear,” Sekela said.22 common thread Fall 2011“There is no open chest, less pain and trauma,and a shorter recovery and hospital stay.”In his first year testing the da Vinci, Sekelaoperated on patients who had been turneddown as candidates for open chest surgerydue to physiological problems to prove tohimself that the da Vinci platform was a lesstraumatic way to perform heart surgery.Now, after using the da Vinci for twoyears, Sekela is amazed by the results. “Lastyear was our first full year using the daVinci on all patients. We were named thenumber eleven practice in the nation inpatient volume for intracardiac work on theda Vinci platform,” Sekela said. “It blew usaway that we built that.”The numbers are impressive. Sekela is theonly cardiothoracic surgeon in Kentuckyranked in the top twenty in patientvolume for intracardiac work by Intuitive

“Our successes with the da Vincihave truly been a team project.”Surgical Incorporated, the company thatmanufactures for the da Vinci platform.Furthermore, Sekela has performedeighty-eight percent of the more than120 robotically assisted heart proceduresconducted at Saint Joseph Hospital.Despite these impressive achievements,Sekela is quick to praise his team and SaintJoseph Hospital for his successes with theda Vinci platform. “The success we havephotograph by SHAUN RINGhad with the da Vinci are the result of thecommitment of everyone in the operatingroom,” Sekela said.Sekela also credits the unique model of hispractice and his partner Dr. Theodore Wrightas reasons for his high patient volume. “Inmost robotic surgeries, there is a surgeonon the robotic console in the corner ofthe room and a physician assistant at thepatient’s bedside. In our practice, we have Dr.Theodore Wright, who is also a surgeon, atthe patient’s bedside,” Sekela said.With this model in place, Sekela andWright can work quickly and efficientlywith minimal communication. In a da Vincisurgery, Sekela works at a console translatingsurgical movements onto the robotic arms ofthe da Vinci system while Wright stands overthe patient operating off the images on themonitor.“Our successes with the da Vinci havetruly been a team project,” Wright said.“Physicians of many specialties, nursing andancillary staff, and the administration haveall worked together to bring this state-of-theartcare to our community.”Beyond improving patient outcomes,robotic surgery has enhanced Sekela’sunderstanding of the heart. The da Vincisystem is capable of producing ten timesmagnification of the heart valve. Althoughthis level of detail can initially confusesurgeons, Sekela has learned to read subtledetails in the imaging that can offer clues asto why a heart valve is failing.“I did a traditional open heart case recentlythat was very complex and I had to translatewhat I have learned from looking at the heartvalve with the da Vinci platform onto theopen case,” Sekela said. “The translation ofthe skill set goes both ways.”Although the technology of the da VinciSurgical System is indeed impressive, Sekelamaintains that his primary motivation forperforming robotic surgery is for improvedpatient outcomes. When asked what the mostexciting aspect of da Vinci surgery is, Sekelareaches for his digital camera and pulls up apicture of an 83-year-old woman.“This is a woman who is three weeks outfrom da Vinci heart surgery,” Sekela begins.“Going into the surgery she couldn’t walk.After surgery and three weeks of rehab, shecould walk around her house and ride 19miles on a stationary bike. That is what daVinci can do.”Leonardo himself would be proud.To learn more about the advanced da Vincitechnology offered at Saint Joseph Hospital andhow it’s used, visit 2011 common thread 23

quickthreadPraises for PinkBy Kym RussellWhen Saint Joseph Hospital ER nurse Pat Jarnaginreturned to work after surgery, she saw wall-to-wall hot pink.Everyone in her unit was wearing T-shirts emblazoned with“Positive Attitude” with the breast cancer awareness ribbonon the front – and, on the back, “Team ER” demonstratedher co-workers’ unity and support.Fellow nurse Tammy Andrews led the effort to specialorderthe shirts. Jarnagin’s ER team covered the cost andmore: raising $550 to donate to Saint Joseph Breast Centerin Jarnagin’s name. Her on-the-job supporters sported pinkon Jarnagin’s first day of chemotherapy and every day sheunderwent the treatment.From the time she shared her diagnosis of breast cancer,support came in all forms with countless cards, calls, emails,texts from managers and co-workers throughout the hospitaland cancer center. “I had a great supportive family at SaintJoseph. It was something that I really, really needed. In ER,we support each other. It was truly a blessing from all ofthem.”Pat has a message for future cancer patients, too. “I canspeak from experience. When you go to the Saint JosephCancer Center, you are going to get the best quality of carefrom the physicians and each person that helps navigatethe process of going through cancer.”photograph by tim webbPat Jarnagin (center) and “Team ER”members at Saint Joseph Hospitalcelebrated Breast Cancer AwarenessMonth this October.24 common thread Fall 2011

unwindA Cowboy LifeBy Kym RussellDaniel Sutton grew up to be a cowboy,a darn good one, too. Off the job, thephysical therapist at Saint Joseph - Bereaworks hard to refine his horsemanship:competing in cowboy equestrian eventsthat demand the finesse of dressage andthe spirit of the Old West.Sutton’s competitive streak wasfostered by his grandfather who servedwith the mounted Calvary and laterrecruited his grandson to compete incarriage driving. Sutton was a teenagerwhen he bought the first horse he couldafford, one that had never been ridden.He wanted to ride without a bridle.Taking cues from his dad, a veterinarian,Sutton learned pressure-and-releasetraining techniques.His horses taught him a lot aboutpatience and thinking things throughinstead of making hard demands.Today, as a trainer, he said, “I learnedI could ride or I could have a trustingrelationship. It takes time to set thingsup so the horse learns to choose thedesired reaction.”In competition, trust pays off. “Whenyou ask the horse to turn, stop or openup really fast, the horse does it in aninstant, regardless of loud noise orroping.” Sutton is having fun and isquick to add, “And, I’m happy my wifedoesn’t mind being married to a big kidwho still plays cowboy.”How do you unwind?Tell us at by lee thomasFall 2011 common thread 25

Healthy spiritRushing to CareTiming is everything for RJ Corman’s Noel RushBy John CowgillNoel Rush is a man fullof energy. Guiding visitorsthrough his office at RJ CormanRailroad Group in Nicholasville, Ky., Rush’senthusiasm for healthy living is evident.He speaks at length about RJ Corman’scommitment to maintaining a healthyworkforce and expresses his eagerness toexercise at the new company fitness centerthat will be completed this fall.Rush’s energy and dynamic personalitybelie the fact that this past March he had aheart attack.It all began on March 24, 2011, whenRush attended a Saint Joseph CorporateHealth Services event at RJ Corman. “Wepartner with Saint Joseph Corporate Healthto hold health seminars at RJ Cormanevery month,” Rush said. “At this seminarwe had Dr. Michael Schaeffer talk aboutcardiovascular health. It was a matter ofcoincidence that I had some minor feelingsof pain in my lower throat and upper chesttwo nights before the event.”Michael Schaeffer, MD, with Saint JosephCardiology Associates, spoke with Rushafter his presentation. “Noel mentioned tome some pain he was having in his upperchest and he told me he was planning ongoing to see the doctor very soon,” Shaeffersaid. “I noticed he had some risk factors forheart disease and I told him his symptomsshould be evaluated right away.”Two hours later, Rush left work and wentto Saint Joseph - Jessamine RJ CormanAmbulatory Care Center. After a bloodtest showed Rush had elevated enzymelevels that could indicate a heart problem,he was given a CAT scan and treated by acardiologist.“He made me feel very comfortable,”Rush said. “After they got the blood testsback and did a CAT scan, [the cardiologist]very calmly told me that I had had a minorheart attack. I was surprised. He said, ‘Fewpeople look as good as you do after havinga heart attack, but you have had a minorone.’”After the diagnosis, Rush was taken toSaint Joseph Hospital and underwent anangioplasty; two stents were placed inRush’s heart. Again, Rush was grateful forthe care he received. “I can’t tell you howimpressed I was at how comforting thestaff at Saint Joseph was,” Rush said. “Myfamily in Louisville appreciated it too. Iwas inclined not to encourage anyone tocome to the hospital that night but themedical staff made some calls to my familyand told them that they should come over.I appreciated that.”Rush was so impressed with Saint JosephHospital that he provided a testimonialof his experience to his co-workers atthe next month’s Saint Joseph CorporateHealth Services event. Beyond praisingSaint Joseph Hospital, Rush encouraged hisco-workers to recognize the symptoms ofheart disease and to seek out medical carepromptly if symptoms arise.“I share my story with people because ifsomeone had told me that you could havea heart attack and only experience a littlepain in the base of your throat that wouldgo away after a few hours, I would havedriven myself to the hospital that night,”Rush said.Since his mild heart attack, which didnot damage his heart, Rush has continuedattending Saint Joseph Corporate HealthServices events and has rededicated himselfto healthy living. “Health and wellness area part of our mission at RJ Corman – a partof who we are,” Rush said.Sherri Eden, employer relations specialistwith Saint Joseph Corporate HealthServices, coordinates all corporate healthevents at RJ Corman and works withother businesses across central Kentuckyto offer similar wellness programs andhealth screenings. Eden specifically praisesRJ Corman, however, for their uniquededication to health and wellness.“In the ninety groups I work withcoordinating events, RJ Corman is the onlyone that has a wellness coordinator,” Edensaid. “Our work holding health eventswith them is a partnership in preventativemedicine.”Rush agrees that RJ Corman’s workwith Saint Joseph and their emphasis onhealth and wellness brings the companymany preventative benefits. “RJ Corman’spartnership with Saint Joseph Hospitalmakes our workforce healthier, happier andmore productive without a doubt,” Rushsaid. “We have already seen the benefitson our health insurance claims. We haveembraced and will continue to embracehealth and wellness. It is part of ourculture here.”26 common thread Fall 2011

Health Care HEROphotograph by tim webbFall 2011 common thread 27

Maria Miller bonded withDeerie Harris and othersduring her stay at SJE.28 common thread Fall 2011

Face of GODawake at lastMiracle patient Maria Miller wakes from comato find strong support at Saint Joseph EastBy Kathie StampsIn November 2010, Maria “Moddie”Miller was on a weekend kayak trip at LakeCumberland. As a Lexington ChristianAcademy teacher and former aerobicsinstructor, Miller had always been activeand athletic, but by the second day shejust didn’t feel well. She had no energyand a fever of 102. Back in Lexingtonher temperature spiked to 106, her bloodpressure was 74/47 and she was admitted toSaint Joseph East (SJE).“I passed out at 6:30 in the evening,” shesaid. “I woke up 14 days later.”Miller’s body was going into organfailure. She was diagnosed withmethicillin-susceptible Staphylococcusaureus (MSSA), a disease similar to MRSA,and she developed a case of pneumonia.During most of her stay at SJE she was in amedically induced coma.“They told my husband twice I wasn’tgoing to make it,” she said. “I had signed aliving will to never be on a respirator; I’mglad my husband didn’t know it or chose toignore it. They saved my life the day theyput me on it.”Person-centered care puts thepatient first. The goals of person-centeredcare are respect and dignity, participation,collaboration, physical and emotional comfort, andfamily involvement, all of which align with the SaintJoseph Health System core values of respect, integrity,compassion and excellence. Additionally, Saint Joseph’sservice excellence initiatives are built upon thefundamental belief that we are called to see thePhotograph by Lee ThomasFace of God in every patient we havethe privilege to serve.Although she wasn’t conscious much ofthe time, Miller still possessed her senseof hearing. Upon waking up, she recalledmany conversations she heard from staffand visitors. When the medical coma wasinduced with Fentanyl and Versed, and thebreathing tube was being put in, WhitneyWebb, RN, explained everything to herpatient.“Now I know she understood. She heardme,” Webb said. “At one point she squeezedmy hand and it broke my heart.”When a friend or loved one touchedMiller, she would have a flash of memoryassociated with that person. “My principalcame to see me every day, includingThanksgiving Day,” she said. Not thatshe was aware of it at the time, but whenshe found out later he had been there,it explained why she was flooded withmemories of their work relationship.Her husband, their two sons andextended family were in the hospital almostaround the clock. Being a headstrongperson helped Miller overcome her illness,but it was being told by family membersand hospital staff to fight that really worked.“I was so comfortable, so heavilysedated, that I was letting go,”she said. “I don’t think it’sinstinctive to fight to wakeup.”“Her spirit and willto live, accompaniedwith prayer, pulledher through,” saidDeborah Bryant,MSN, RN, directorof nursing at SJE.“She touchedeveryone’s heart.The staff never gaveup hope.”Genna Vescio,RN, is known as“Prairie Dog” in theICU. “If I hear a beepI perk up to see who itis,” she said. Vescio satwith Miller and watched“Dancing With the Stars”with her. “She had to be on the“She touchedeveryone’s heart.The staff nevergave up hope.”ventilator and it took a lot of courage forher to stay calm.”One day a chaplain visited. “I got tostand in with the family and pray for herhealing and progress,” said Jacob Heil, RN.“It is always an honor to do that.”Deerie Harris is a painter at SJE. “WhenI’m in a room by myself I’ll be singingsongs to the Lord,” he said. He has alsobeen in the ministry for 24 years. Millerheard him singing across the hall andasked if she could meet him. “He looked sohappy,” she said. They shared Bible versesand she thought him quite a remarkableperson.Another “are you kidding me?”experience for Miller, toward the end ofher coma, was when nurse Webb made hera promise. “If you’ll just wake up, Moddie,I’ll buy you a sausage, egg and cheesebiscuit.” The sandwich appeared the nextmorning and Miller’s husband said, “Oh,Whitney got that for you.”After Miller’s release from SJE, Eric Gilliam,SJE administrator, invited her to join thePatient Family Advisory Council (PFAC) toshare her experience and help the hospitalimprove its patient-centered care. “Herswas a very touching story,” he said. “Itreally brought home why we’re here and dowhat we do every day.”Maria Miller is a miracle patient. “Thecredit goes to God, absolutely and unequivocally,”she said. “He works through peopleand the people He worked through were atSaint Joseph.”Fall 2011 common thread 29

PhotoFile1FMH employees laced up their sneakers Aug. 13 for a 5KRun/Walk to raise funds for the Nelson County CommunityClinic. FMH was a sponsor of the event, called “Run forthe Health of It.”12Left to right, Jackie Spalding,RN, Edna Boone, RN,and Rebecca Reiter, RN,showed off the harvest they havereaped in the Flaget CommunityGarden, the plot that the hospitalmaintains for employees to use.23FMH hosted an end-ofsummercelebration Sept.8. Outpatient surgerystaff members attended thetropical-themed party: (from left,clockwise) Pam Sonne,Anne Culver, JackieSpalding, Lennea Gies,Mary Heil, Katrina Coulter(kneeling right)and Maureen Durbin(kneeling left).34SJJ hosted a freecommunity health fairJune 4 on its campusin Nicholasville. Highlightsincluded tours of safetyvehicles and helicopters,health screenings andfamily fun. Photo by DanAndrews45Teddy and AngelaAnders said hello to thenewest member of theirfamily, Hagen Anders,the final baby born in Augustat SJL. It was a recordbreakingmonth for newborndeliveries; Hagen was number121.530 common thread Fall 2011

6Saint Joseph Heart Institute offerededucation and blood pressure screeningsJuly 15 during the Go Red for Women nightat the 75th Annual Lexington Junior LeagueHorse Show held at the Red Mile. Helping outwere, from left, Jodi Manley, RN, Betty Cornish,RN, and Shannon Young, RN.67Sisters of Charity of Nazareth, leftto right, Elaine Puthoff, Dr. AncillaKozhipat, Mary Susann Gobber,Joan Wilson and Charlene Jacobsgathered at SJH in early May to visitwith staff. The statue in front of thehospital represents Mother CatherineSpalding, foundress of the Sisters ofCharity of Nazareth.78Members of the Nazareth/SJHSchool of Nursing graduatingclass of 1961 attendeda celebration hosted byeducation services Aug. 19commemorating their 50thanniversary. Front: Violet PetersBowling, Anita Oganecu Casey,Marilyn Hillen Robinson, SusanSmith Kerns; back: Terry TaphornHobeika, Betty Jo Miller, NeldaWells Derrick, Mary Pat ReadyOckerman, Pearl CarpenterAnderson, Maxine Ritchey Guilfoil,Sonja Mason Witt.8Captain Clark from the BereaPolice Department sharedhis reflections9during SJB’s prayerservice celebrating thedignity of labor andremembering 9/11.910SJM employees celebrated winning the Performance CultureAssessment Excellence Award for achieving the highestcombined employee participation rate plus employeeengagement index score on this year’s assessment.10Fall 2011 common thread 31

One in a Million[from page 12]In Lexington, Wilson joined the AOPstaff in 1991. “It’s a beautiful ministry andservice for the people after they return homefrom the hospital,” she said. “I made somany beautiful friendships all over easternKentucky. It was a delight to see the healingthat would take place, the people who neededus, when we would call or visit. I thoroughlyenjoyed every day.”In those early years of AOP, Wilson recallsthat the first cell phone she used came in abag, and there was no service in many places,especially on the back roads of Appalachia.Technology has certainly changed over theyears, but core values haven’t. “Regardlessof the year or time, we have the same basichuman need to be loved and cared for,” shesaid.At Wilson’s retirement dinner in July2011, Ben Wiederholt, Saint Joseph HealthSystem interim vice president of missionintegration, spoke of Wilson and theother sisters who have served SJH throughthe years. “When we recall memories ofthese incredible women, and the privilegeof working shoulder to shoulder withthem, our spirits are uplifted and we arereminded why we are here,” he said.The motto of the Sisters of Charity ofNazareth is “Caritas Christi urget nos”: thelove of Christ impels us. “So as the love ofChrist impelled Sister Joan, may it also impelus,” Wiederholt said.In addition to her role inpastoral care with AOP, Wilsonhas traveled abroad on missiontrips. She spent time in Belizeseveral years ago. Last fall shewas in India and Nepal (right)for two months, through theSCN Global Exchange Program.“I had the opportunity toshare life and ministry with oursisters in the Eastern province,”she said. She stayed with thesisters in their homes andworked with them in their ministries. “It wasan experience and a blessing I will alwaysbe truly grateful for, to be immersed in theculture of the people and to see and enjoy theriches and the poverty of the countries.”It was 1947 when the SCN community wasinvited to go to India. After the war, theytook in orphans and established clinics andhomes for children. The main focus in thebeginning was health care and now SCN hasmore than 40 missions in India. “We serveeducation, health care and social services,”Wilson said. “Beyond that we reach out topeople wherever the need is. We are involvedin almost any work you can think of.”Wilson is appreciative of the dedicated andfaithful employees who have been with SJHand Saint Joseph Health System for so manyyears. “They just carry on the work of thesisters and continue our mission and values,”she said.“Sister Joan is one in a million,” said socialworker Jeanie Lawson, who has workedwith AOP since 2003. “She has never usedthe word ‘tired’ in my presence,” Lawsonadded. “She is like the Energizer bunny, shejust keeps going! And I know that in herretirement, her track shoes are on and she isready for the next marathon. Wherever lifeleads her she will go at a high-speed pace.”As for her retirement plans, Wilson is goingto visit family, have some fun and take timefor spiritual renewal. Before long, she willbe active in ministry again, in one form oranother, going wherever and doing whateveris needed.“I’ve had many blessings in my life,” shesaid. “I’m so grateful for my life as a religious,and the opportunities I have had.”To learn more about the Sisters of Charity ofNazareth, visit photo contest winners1st Place ($100):“Fun in the Sun,”submitted by Jeanie Hogg,Saint Joseph - Berea FamilyMedicine (features hergrandson, Tyler, and hiscousin, Max)2nd Place ($50):“Yummy Watermelon,”submitted byKristen Longino,Saint Joseph - Jessamine32 common thread Fall 2011

eader rewardWin an iPad 2!One lucky person will win an Apple iPad 2 (Wi-Fi, 16GB) byentering our Reader Reward Challenge!To enter the giveaway, you must answer this question correctly:Whose nickname is “Prairie Dog”? Somewhere in this issue ofCommon Thread you’ll find the answer.Submit your answer at CommOnline at “contests”). Correct answers will be entered into the iPad 2drawing on Dec. 12. Only employees can enterthis challenge. (Prizes will be included as taxable income,per the IRS). Congratulations to previous Reader Rewardwinner Chasity Ann Lane at Flaget who won an iPod nano.etcstory timeShare Your StoryWe want to inspire others! Pleasetell us how you or someone youwork with has created meaningfulchange in your community orworkplace. Do you know someonewho is outstanding in his or her job? Tell us! Tosubmit your story ideas to Common Thread, visitCommOnline at Place ($25): “Royal Mayan Beach,”submitted by Ann Coleman, Saint Joseph Office Park(taken during a trip to Cancun, Mexico)Honorable Mention: “Cusco, Peru,”submitted by Dr. Magdalene Karon(visiting with Indian women in Peru)

Non-ProfitOrganizationU.S. PostagePAIDLexington, KYPermit #162The picture of healthThe picture of healthImagine stronger,more capable healthcare in KentuckyThe picture of healthThere is growing Mehul Patel excitement in the Bluegrass State,Rosie HuynhShiao Y. Woo, MD, FACRas UofL Health Mental Health Care, Associate Jewish Hospital & St. Mary’sExecutive SecretaryProfessor & Chair of Radiation OncologyOur Lady of PeaceSaint Joseph HospitalUniversity of LouisvilleHealthCare, and Saint Joseph Health SystemRadiation Oncologist, James Graham Brown Cancer Centerplan to come together as a single organization.Together, we will have the unmatched abilityto coordinate medical research, education andtechnology,Imaginewhile increasing accessstronger,to basic andmore capable health care in Kentuckyadvanced health services – helping to improveThere is growing excitement in the Bluegrass State, as UofL Health Care, Jewish Hospital & St. Mary’s HealthCare and Saint Joseph Healthcommunity wellness across the Commonwealth.System plan to come together as a single organization. Together, we will have the unmatched ability to coordinate medical research,Our planning is focused on realizing theextraordinary education potential and technology, for the while citizens increasing of access to basic and advanced health services – helping to improve community wellness acrossMehul PatelRosie HuynhKentucky. the We Commonwealth. are committed to Our ensuring planning this bold is focused on realizing the extraordinary potential for the citizens of Kentucky. We are committed toMental Health AssociateExecutive Secretaryinitiative will live up Our Lady of PeaceSaint Joseph Hospitalensuring to the highest this bold expectations initiative will live up to the highest expectations of our patients, employees and all we serve.of our patients, employees and all we serve.Mehul PatelMental Health AssociateOur Lady of PeaceShiao Y. Woo, MD, FACRProfessor & Chair of Radiation OncologyUniversity of LouisvilleRadiation Oncologist, James Graham Brown Cancer CenterImagine stronger, more capable health care in KentuckyRosie HuynhShiao Y. Woo, MD, FACRThere is growing excitement Executive in the Secretary Bluegrass State, as UofL Health Care, Jewish Professor Hospital && Chair St. Mary’s of Radiation HealthCare Oncology and Saint Joseph HealthSystem plan to come Saint together Joseph as Hospital a single organization. Together, we will have the unmatched University ability of to Louisville coordinate medical research,education and technology, while increasing access to basic and advanced Radiation Oncologist, health services James Graham – helping Brown to improve Cancer Center community wellness acrossthe Commonwealth. Our planning is focused on realizing the extraordinary potential for the citizens of Kentucky. We are committed toensuring this bold initiative will live up to the highest expectations of our patients, employees and all we serve.Imagine stronger, more capable health care in KentuckyThere is growing excitement in the Bluegrass State, as UofL Health Care, Jewish Hospital & St. Mary’s HealthCare and Saint Joseph HealthSystem plan to come together as a single organization. Together, we will have the unmatched ability to coordinate medical research,

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