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Cornerstones - Boca Raton Regional Hospital

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Fall 2010<br />

B o c a R a t o n R E G I O N A L H o s p i t a l<br />

A message from the President<br />

same magnitude of effort will be needed to secure and<br />

sustain the gains we have made and move us to even<br />

more meaningful and substantive achievements.<br />

We must no longer look back. Our entire focus must<br />

be on the opportunities that lie ahead. We have come<br />

together as a team and have a renewed pride in our<br />

<strong>Hospital</strong> and in ourselves as healthcare professionals.<br />

It is a marvelous thing to observe and feel.<br />

True greatness is within our grasp. It will be gained not<br />

by what we did yesterday, but by what we do today…<br />

and tomorrow.<br />

I look forward with confidence and enthusiasm to what<br />

we can accomplish together during this important time<br />

for our <strong>Hospital</strong>.<br />

Sincerely,<br />

<strong>Cornerstones</strong><br />

<strong>Boca</strong> <strong>Regional</strong> Goes Green<br />

Fiscally Responsible & A Great Place to Work<br />

In addition to its clinical excellence, <strong>Boca</strong> <strong>Raton</strong> <strong>Regional</strong><br />

<strong>Hospital</strong> can now add environmentally conscious to its<br />

expanding repertoire. In April, <strong>Boca</strong> <strong>Regional</strong> officially<br />

began its recycling program. In an effort to decrease<br />

unnecessary waste and increase operational efficiency,<br />

the <strong>Hospital</strong> began recycling materials like cardboard,<br />

paper and metals. In the few months since the program<br />

was initiated, <strong>Boca</strong> <strong>Regional</strong> has recycled hundreds<br />

of thousands of pounds of materials and the number<br />

continues to grow daily.<br />

Recycling is not the only thing <strong>Boca</strong> <strong>Regional</strong> is doing to<br />

help the environment; the <strong>Hospital</strong> discontinued the use of<br />

its incinerator – in order to reduce CO² emissions – and<br />

adopted a new program to manage waste streams from<br />

the <strong>Hospital</strong>. This new system will utilize reusable sharps<br />

containers in order to prevent a significant amount of<br />

cardboard and plastic from going to the landfill each year.<br />

Dear Colleagues,<br />

The summer months are now behind us and we are<br />

moving into what is the busiest time for our <strong>Hospital</strong>.<br />

We enter this year’s “season” with significant<br />

momentum. We have solidified our finances, added<br />

depth and expertise to our medical staff and have<br />

initiatives in place to recruit and retain the best and<br />

brightest at all levels of the organization. We have<br />

enhanced and expanded key clinical strengths,<br />

changed our name to better reflect our capabilities<br />

and are aggressively conveying the role we play in<br />

the region’s healthcare to referring physicians and<br />

the public alike. It is an exciting time at <strong>Boca</strong> <strong>Raton</strong><br />

<strong>Regional</strong> <strong>Hospital</strong>.<br />

Jerry J. Fedele<br />

President and Chief Executive Officer<br />

<strong>Boca</strong> <strong>Raton</strong> <strong>Regional</strong> <strong>Hospital</strong><br />

By implementing these programs, <strong>Boca</strong> <strong>Regional</strong> is<br />

contributing to the ever growing initiative of “going green.”<br />

By making a few simple eco-friendly changes, the <strong>Hospital</strong><br />

is doing its part to help conserve natural resources and<br />

reduce pollution in the community.<br />

Appointed to the Medical Staff (July - September)<br />

It is critically important for us to look forward, not<br />

backward. It would be far too easy to limit our<br />

perspective and attitude to that of the road just<br />

traveled as compared to the road we must now take.<br />

Our recovery is over. We achieved what was necessary<br />

for the organization. It was a magnificent effort and that<br />

Bradley J.<br />

Artel, MD<br />

Cardiovascular<br />

Disease<br />

Hari<br />

Brundavanam, MD<br />

Critical Care Medicine /<br />

Internal Medicine<br />

Hillel D.<br />

Cohen, MD<br />

Gastroenterology<br />

Mohamed<br />

Erritouni, MD<br />

Infectious Disease<br />

Habibollah (Bobby)<br />

Ghanavati, MD<br />

Neurology<br />

Martin<br />

Greenberg, MD<br />

Neuro-Surgery<br />

Please submit any interesting story<br />

ideas or pictures you’d like to share<br />

to <strong>Boca</strong>BEAT@brrh.com.<br />

All submissions must include<br />

name and contact information.<br />

Leonard R.<br />

Hock, DO<br />

Internal Medicine<br />

Adil<br />

Sanaulla, MD<br />

Internal Medicine<br />

Heather<br />

Kessler-Reyes, MD<br />

Pulmonary Disease<br />

Susan W.<br />

Shulman, DO<br />

Pediatric<br />

W. Anthony<br />

Lee, MD<br />

Endovascular<br />

Surgery<br />

Sharon M.<br />

Smith-Thomas, MD<br />

Obstetrics /<br />

Gynecology<br />

John A.<br />

DiSilvestro, MD<br />

Cardiovascular<br />

Disease<br />

j<br />

Ronald M.<br />

Levy, MD<br />

Gastroenterology<br />

Daniel E.<br />

Torres, DMD<br />

Oral / Maxillofacial<br />

Surgery<br />

Richard<br />

Marques, DO<br />

Internal Medicine<br />

Jose L.<br />

Martinez, MD<br />

Pulmonary Disease<br />

Madelaine<br />

Vilme, MD<br />

Internal Medicine<br />

Jorge I.<br />

Montalvan, MD<br />

Internal Medicine<br />

Zachary L.<br />

Yablon, MD<br />

Nephrology


B o c a r e g i o n a l W A Y<br />

d e pa r t m e n t h i g h l i g h t s<br />

Strive for excellence<br />

Be in the know! There are five important areas that all employees should be aware of. These are key to our future<br />

success and specific measures for each area are reported to the Board of Trustees on a monthly basis:<br />

• Quality and Safety<br />

• Patient Satisfaction<br />

• Financial Performance<br />

• Growth<br />

• People<br />

In this issue, we provide you with some important facts about <strong>Hospital</strong> Quality (Core Measures) and Patient Satisfaction.<br />

Quality<br />

As part of the Medicare Prescription Drug, Improvement and Modernization Act of 2003, the Centers for Medicare and<br />

Medicaid Services (CMS) require hospitals to collect and submit “Core Measures.” These processes of care pertain to<br />

particular medical conditions and procedures. For most patients, providing this recommended care helps our patients<br />

to achieve the best possible results. Members of the public can access our performance with these processes when<br />

making decisions about their health care. These results, also referred to as National Quality Improvements Goals,<br />

can be viewed through the Joint Commission’s Quality Check website [www.qualitycheck.org]. The most recent data<br />

displayed is for the time period of April 2009 to March 2010.<br />

Our performance<br />

CORE MEASURE<br />

Score<br />

Heart attack care +<br />

Heart failure care<br />

√<br />

Pneumonia care<br />

√<br />

Surgical care improvement project -<br />

Patient Satisfaction<br />

+ = This organization’s performance is above the target range/value<br />

√ = This organization’s performance is similar to the target range/value<br />

- = This organization’s performance is below the target range/value<br />

Each member of the <strong>Boca</strong> <strong>Regional</strong> team should consider providing the highest level of quality, safety and service<br />

as a personal responsibility. It takes each one of us to achieve excellence in performance. Find out how your area<br />

contributes to or supports these Core Measure processes.<br />

Our patients may receive a survey in the mail after receiving services at <strong>Boca</strong> <strong>Raton</strong> <strong>Regional</strong><br />

<strong>Hospital</strong>, asking questions about their experience during their visit.<br />

Inpatient <strong>Hospital</strong> goal = 70th Percentile<br />

Outpatient Services goal = 70th Percentile<br />

Emergency Services goal = 70th Percentile<br />

Outpatient Oncology goal = 70th Percentile<br />

A score in the 70th percentile means that we achieved patient satisfaction scores that exceed 70% of the <strong>Hospital</strong>s<br />

in the Press Ganey database. High performing hospitals recognize that achieving high levels of patient satisfaction<br />

can be a significant differentiating factor and help to drive success in other areas as well. Every employee has an<br />

opportunity to help us be successful in this area.<br />

Do you know your area’s score? If not, be sure to ask your Department Leader!<br />

Cardiac Rehabilitation Program<br />

With the American Heart Association Heart Walk behind us, we are<br />

becoming more aware of heart disease. Almost everyone is touched by<br />

this disease in some way--be it a family member, friend or coworker.<br />

The staff of the Lynn Heart & Vascular Institute’s Cardiac and Pulmonary<br />

Rehabilitation program is comprised of three RNs as well as six exercise<br />

specialists who have bachelor’s degrees in exercise science or master’s<br />

degrees in exercise physiology. Patients can begin cardiac rehab<br />

following bypass surgery, valve replacement or repair, angioplasty, heart<br />

attack, heart transplant or angina. Patients can enter our program as<br />

soon as three weeks following bypass surgery. Our job is to evaluate<br />

each patient and set realistic short and long-term goals for each. One<br />

main goal is to get each patient back to their level of activity and quality<br />

of life prior to the event. It is not unusual to hear patients say that they<br />

feel the best they have ever felt after completing our programs. To help<br />

patients achieve these goals, an exercise and education program is<br />

specific for each patient.<br />

The Cardiac and Pulmonary Rehabilitation program can see up to<br />

80 patients each day in season. To ensure patient safety, constant<br />

ECG, blood pressure, and heart rate monitoring are conducted. Patients<br />

usually come in three days a week for as long as three months. In<br />

that time, patients work on exercise duration and usually achieve up<br />

to 45 minutes of continuous exercise. When they reach that goal, they<br />

begin working on exercise intensity. Patients use a variety of equipment<br />

including treadmills, elliptical trainers, recumbent step machines,<br />

Airdyne bicycles, and upper body cycles. Additionally, education is<br />

an important component of cardiac rehab. Patients are educated on<br />

individual risk-factor reduction throughout the program.<br />

When patient census is low in cardiac rehab, the staff switches over<br />

to pulmonary rehab, helping patients with lung disease including<br />

emphysema, chronic bronchitis, bronchiectasis, lung transplant or Cystic<br />

Fibrosis. Much like cardiac rehabilitation, an exercise and education<br />

program focusing on disease management skills are implemented as<br />

patients are able to manage their daily activities with less shortness of<br />

breath plus more endurance and strength.<br />

If you, or someone you know, has heart or lung disease talk to your<br />

doctor and remember the Lynn Heart & Vascular Institute’s Cardiac and<br />

Pulmonary Rehabilitation facility is right off the <strong>Hospital</strong>’s main lobby.<br />

New to Our Team (July - September)<br />

Kathleen Adorno<br />

Immacula Chery<br />

Courtney Dill<br />

Brian Griffith<br />

Edgar Lerma<br />

Frank Occhipinti<br />

Marie Saint Clous<br />

Emmanuela Tourenne<br />

Dawn Augustine<br />

Christopher Chie-For<br />

Robert Dominick<br />

Mark Harris<br />

Helen Ling<br />

Rosalind Ortiz<br />

Shakira Sarquis-Kolber<br />

Marie Toussaint<br />

Brandon Bechler<br />

Destiny Clark<br />

Kris Everett<br />

Karen Heck<br />

Melissa Lorenz<br />

Robert Osnato<br />

Nancy Shirley<br />

David Voteau<br />

Stephanie Bishop<br />

Edye Cleary<br />

Alexis Flagler<br />

Danielle Hildebrandt<br />

Joann Lugo<br />

Peter Palin<br />

Ria Sobrian<br />

Linda Weber<br />

Kelly Brazzeal<br />

Mary Connolly<br />

Caroline Flynn<br />

Donna Johnson<br />

Jami Mahon<br />

Taneisha Quinn<br />

Sue Steele<br />

Jeanne Wiener<br />

Leslie Burman<br />

Darren Cook<br />

Marla Gershkoff<br />

Yvonne Jones<br />

Brenda Martinez<br />

Diana Raymond<br />

Amber Stefanelli<br />

Tonya Wright<br />

Sarah Cabell<br />

Joni Dennis<br />

Dottie Goff<br />

Vera Jones<br />

Jennifer Melvin<br />

Patricia Redd<br />

Bethie Sylvain<br />

Sara Caldwell<br />

Tiana DeQuesada<br />

Leonardo Gomez<br />

Yuko Kobayashi<br />

Elin Mohomed<br />

Cynthia Rennick<br />

Mimose Tessier<br />

William Chalman<br />

Paula Despirito<br />

Jodi Gribble<br />

Kevin Landau<br />

Supreena Norman<br />

Lois Ronis<br />

Jolene Torres<br />

2


3<br />

A R O U N D B o c a r e g i o n a l<br />

2010 American Heart Association Start! Heart Walk was a success!<br />

“Team BRRH” had an American Heart Association record-breaking 678 registered walkers. To date we have raised $42,220.89 surpassing our goal of $30,000.<br />

Foundation Focus<br />

A generous gift for women’s health<br />

The BRRH Foundation has received a $10 million donation from philanthropist Christine E. Lynn, which<br />

will name the Christine E. Lynn Women’s Health & Wellness Institute at <strong>Boca</strong> <strong>Raton</strong> <strong>Regional</strong> <strong>Hospital</strong>.<br />

The transformational gift is an important step in the creation of a regional destination for women’s health<br />

services at <strong>Boca</strong> <strong>Regional</strong>. A comprehensive array of integrated services will be specifically targeted to<br />

women as they pass through the continuum of healthcare issues during their lifetime, from reproductive<br />

years and maternity care, through menopause and aging.<br />

In announcing the gift, Mrs. Lynn said that she was giving the gift in honor of Gloria Drummond, the<br />

founder of the <strong>Hospital</strong>, on the occasion of Gloria’s 80th birthday celebration. “I know that Gloria shares<br />

my wish that women in our community be afforded the finest, most advanced healthcare,” Mrs. Lynn<br />

said. “With the quality of our physicians, the superb staff and dedication to emerging technology, the<br />

Institute will continue to make a significant difference in the lives of women throughout South Florida.”<br />

“The gift will be utilized to construct a new, state-of-the-art facility for women’s services, creating an<br />

attractive and comfortable setting with an emphasis on clinical excellence, efficiency and privacy,” said<br />

Jan Savarick, President of BRRH Foundation.<br />

“We are so appreciative of Christine’s generosity,” continued Savarick. “The gift launches a<br />

campaign to raise additional funds to support the services and technology of the Lynn Women’s<br />

Health & Wellness Institute.”<br />

What a party!<br />

Go Pink Luncheon<br />

The Sandler Pavilion was filled with over 400 guests as the <strong>Hospital</strong> and Debbie-Rand Memorial<br />

Service League celebrated the 80th birthday of our First Lady – Gloria Drummond.<br />

More than 1,200 attendees filled the ballroom at the <strong>Boca</strong> <strong>Raton</strong><br />

Resort & Club for the 7th Annual Go Pink Luncheon to hear cancer<br />

survivor and women’s health activist Fran Drescher. Drescher,<br />

best known for her role in the TV hit, “The Nanny,” is a best-selling<br />

author and outspoken advocate for women’s health awareness,<br />

early detection and treatment and patient empowerment.<br />

The Go Pink Luncheon is one of <strong>Boca</strong> <strong>Raton</strong> <strong>Regional</strong> <strong>Hospital</strong><br />

Foundation’s signature events. It has grown into south Florida’s<br />

premier event for women’s health education and wellness,<br />

attracting attendees from throughout the region. Louise Morrell,<br />

MD, Medical Director of the Lynn Cancer Institute, was the special<br />

guest speaker.<br />

Proceeds benefit the Foundation’s Go Pink<br />

Challenge, supporting the Lynn Women’s<br />

Health & Wellness Institute and the Lynn<br />

Cancer Institute. Funds raised through<br />

the Challenge have been utilized<br />

to purchase a 3-D ultrasound, a<br />

PEM scanner, and the Kathryn<br />

Krickstein Pressel MammoVan.


Physicians of the Month<br />

JULY<br />

Employee of the Month<br />

J U LY<br />

Alfred Albert, Environmental Services<br />

Jeffrey Miller, MD<br />

Urology<br />

AUGUST<br />

A U G U S T<br />

Alfred Albert, Environment Services, has been with the <strong>Hospital</strong> since May 2006 and has only missed<br />

one day of work in his tenure. He is always courteous and greets everyone he passes. His approach<br />

to work is truly outstanding and makes sure the public areas are clean and presentable. He has been<br />

extremely flexible when sudden drop in patient census has meant the opportunity to clean department<br />

units. What stands out about Alfred is his initiative to help without waiting to be asked. He is friendly,<br />

always has a smile and he never says “no.”<br />

Rachael Carpenter, Facilities Management<br />

Danni Driscoll, MD<br />

Anesthesiology<br />

SEPTEMBER<br />

Rachael Carpenter, Facilities Management, is always willing to go the extra mile to get the job done.<br />

Besides her daily responsibilities, she maintains all of the EOC documents required by Joint Commission.<br />

She has a large role in the <strong>Hospital</strong>’s safety process assuring that paperwork is completed for all<br />

inspections and surveys are readily available to inspectors when requested. Rachael is also involved in<br />

<strong>Boca</strong> <strong>Regional</strong>’s Hazardous Waste Program and Life Safety Program by coordinating information, assisting<br />

with training and ensuring that all licenses and certificates are up-to-date throughout the <strong>Hospital</strong> and<br />

off-site locations. In addition to working at the <strong>Hospital</strong>, Rachael is also attending nursing school. Because<br />

of her dedication, knowledge and willingness to learn, we salute her.<br />

S E P T E M B E R<br />

Jon Schauer, DO<br />

Anesthesiology<br />

Total Rewards<br />

Healthy Habits<br />

<strong>Boca</strong> <strong>Regional</strong>: Operation Health<br />

Anita Healy, Patient Access<br />

For the past two years, Anita Healy, Patient Access, has been the ER Patient Access Supervisor and has<br />

made several contributions to the overall improvement of the department. She has implemented a 100%<br />

QA (Quality Assurance) tracking process and increased point of service collections by 78%. Anita possesses<br />

strong, creative problem-solving skills and improved relations with the ER clinical staff. She has also caught<br />

several outsiders attempting identity theft and always puts customer service first.<br />

Our Quality / Accolades<br />

It is the mission of the Wellness Committee to<br />

create a collaborative environment, comprised of<br />

health and wellness resources and to facilitate<br />

healthy choices to improve employee overall<br />

well-being.<br />

In an effort to fulfill this objective, the Committee<br />

conducted an Employee Survey and based on its<br />

results, has implemented lunch-time classes that<br />

promote healthy habits.<br />

Classes include Stress Management, Diet and<br />

Nutrition, Emotional Eating, FAD Diets, Chronic<br />

Pain, Weight Watchers and many more that focus<br />

on health and wellness.<br />

The Wellness Committee has also created the “Just<br />

Walk 10,000 Steps-a-Day” program, which began<br />

on October 18th. It is an 8-week program that<br />

encourages employees of <strong>Boca</strong> <strong>Regional</strong> to engage<br />

in short sessions of physical activity throughout the<br />

day. The program stresses the benefits participants<br />

can achieve through the accumulation of incidental<br />

daily activities and recommends adding a few<br />

additional steps; things like parking in the back of<br />

the parking lot or taking a 10 minute walk at lunch<br />

can have a significant impact in this program.<br />

All of these programs have been established in<br />

an effort to promote the health and wellness of all<br />

<strong>Boca</strong> <strong>Regional</strong> employees. Through the Wellness<br />

Committee’s commitment to health and education,<br />

the <strong>Hospital</strong> continues to support its employees<br />

in their pursuit of improved personal health and<br />

prevention of disease.<br />

National study finds <strong>Boca</strong> <strong>Raton</strong> <strong>Regional</strong> <strong>Hospital</strong><br />

in Top 5% for Multiple Procedures and Diagnosis<br />

HealthGrades ® , the leading independent healthcare ratings<br />

organization, published a study finding that <strong>Boca</strong> <strong>Raton</strong><br />

<strong>Regional</strong> <strong>Hospital</strong> is again among the top 5% in the nation<br />

for Cardiac, Stroke, Prostatectomy and GI care. The nation’s<br />

nearly 5,000 hospitals were all included in this sweeping<br />

study, which examined mortality rates and complication rates<br />

from government data from 2007, 2008 and 2009.<br />

Employee Health Center<br />

<strong>Boca</strong> Beat Contributing Staff<br />

Editors<br />

Mindy Raymond<br />

Vice President, HR<br />

Brian Altschuler<br />

Executive Director, HR<br />

Thomas Chakurda<br />

Vice President, Marketing<br />

Contributing Editors<br />

Joann Wade<br />

Director, Medical Staff<br />

Jonathan Harrison<br />

Organizational Development<br />

Barbara Sferra<br />

Human Resources<br />

Eileen Horvath<br />

Foundation<br />

In Florida, the 2011 awards ranks <strong>Boca</strong> <strong>Raton</strong> <strong>Regional</strong><br />

<strong>Hospital</strong> as:<br />

• #1 for cardiac surgery (second year in a row)<br />

• #1 for overall cardiac services<br />

• #1 for treatment of stroke<br />

• #2 for gastrointestinal services<br />

• #3 for gastrointestinal medical treatment<br />

July marked the successful launch of the Employee Health Center. To date, 25-30 employees per month have received<br />

services at the Center. One employee remarked how convenient it was to receive care without having to miss work. In order to better<br />

serve the employees, please contact the Human Resources Front Desk at 955.4075 to schedule an individual appointment.<br />

Hours:<br />

Monday & Tuesday: 1:00pm to 5:00pm • Wednesday: 11:00am to 2:00pm • Thursday & Friday: 7:30am to 11:00am<br />

Marlene Moni<br />

Marketing Manager<br />

Allison Trowbridge<br />

Marketing<br />

<strong>Boca</strong> Beat<br />

Graphic Designer<br />

Nancy Mae Perez<br />

Marketing<br />

The <strong>Boca</strong> Beat is produced for and about the employees, volunteers,<br />

physicians and friends of <strong>Boca</strong> <strong>Raton</strong> <strong>Regional</strong> <strong>Hospital</strong>.<br />

4

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