May/June 2011 SOuTHCOAST HEALTH SySTEM ANNOuNCES CONSOLIDATED SOuTHCOAST VNA S outhcoast Health System announced, in April, it will be consolidating its home health and hospice agencies to form Southcoast Visiting Nurse Association, which will be known in the community as Southcoast VNA. Southcoast VNA will bring together the staff and services of The breadth of services offered and the regional expanse makes the Visiting Nurse Association of Southeastern Massachusetts, Southcoast VNA one of the largest home health and hospice currently located in Fall River and serving the greater regions of agencies in New England, noting its ability to continue to serve Fall River, Taunton and East Bay, Rhode Island, and Southcoast the region as a highly efficient, low-cost provider. Home Care, Hospice & Palliative Care & Infusion Services, located Sharon Jones, President & CEO of Southcoast VNA, who currently in Fairhaven and serving the greater regions of New Bedford and holds the dual positions of CEO of the Visiting Nurse Association Wareham. Though both agencies — which are the top two providers of Southeastern Massachusetts and Vice President of Southcoast of home health and hospice care in the region — are part of Home Care, Hospice & Palliative Care & Infusion, said the new Southcoast Health System, they have functioned separately since Southcoast VNA “will allow us to better serve our communities by the merger in 1996. offering seamless, integrated home health and hospice services “Bringing together our two home health and hospice services strengthens our ability to improve access to care for patients at all throughout the entire South Coast region.” “Both programs have exceptional health care professionals with levels of our system by combining our resources and staff,” said strong community roots and a long history of caring for our local Keith A. Hovan, President of Southcoast Health System & President communities,” Jones said. “Together we will be able to expand & CEO of Southcoast Hospitals Group. “The new Southcoast VNA services and build on that success.” will ensure that patients receive highly-coordinated home health The new Southcoast VNA will significantly expand existing and hospice services no matter where they live in Southeastern home health and hospice services as well as support the develop- Massachusetts or East Bay, Rhode Island.” ment of new programs designed to meet the growing home health Hovan added that those services “will be delivered by the same skilled and compassionate caregivers who have provided that care care needs of the entire area. The Hospice & Palliative Care Program will offer specialized care for individuals with terminal and life- for decades.” continued on page 2 THE INTERVIEW SOUTHCOAST CENTERS FOR CANCER CARE AT FAIRHAVEN 4 Amy Winn 5 News Briefs Linda Carr has accepted a new role as Compensation Specialist in the Benefits area of the Human Resources Department. Carr joined Southcoast in 2005 as a Human Resources Consultant at Charlton. She previously worked for Arbour Health Systems as a Benefits & Operations Manager and Jet Spray Corporation as a Human Resources Administrator. She holds a Bachelor of Science degree in Business Management from Bentley University. Southcoast VNA continued from cover threatening illnesses. Expanded services will include inpatient palliative care, enhanced bereavement support for children and adults and community education and support programs. It will be the only provider of pediatric palliative care in Jennifer Pierce-Durot has joined Southcoast as an Employee Relations Manager. In this newly created role, Pierce-Durot will be provide consultative services regarding employee relations issues to employees and leadership at both Charlton and St. Luke's. She previously worked as a Senior Generalist at Blue Cross Blue Shield of Rhode Island and a Human Resources Manager at the Rhode Island Foundation. Please continue to direct concerns to the Human Resources Consultants who will forward the appropriate issues to Pierce-Durot. Southeastern Massachusetts. Southcoast VNA is also establishing a much-needed Behavioral Health Program to complement traditional treat- Sharon Verville (left) and Susan Bliss, LICSW, Verville’s Palliative Care Social Worker. ment of mental illnesses and help to decrease the utilization of inpatient and facility-based care. Designed to serve as a bridge between the hospital and the community mental health system, Southcoast VNA’s new Behavioral Health Program will use a multidisciplinary approach to care for individuals with emotional and mental health problems and psychiatric illnesses. Southcoast VNA’s main office will be located at the South Coast Business Center at 200 Mill Road in Fairhaven with additional offices in Fall River, Raynham and Little Compton, R.I. The consolidation will bring together some 400 employees from the two agencies. Stephanie Poyant has joined the Marketing & Public Relations team as the Public Information Officer & New Media Specialist. In this newlycreated position, she will be responsible for day-to-day media relations and work to maintain and enrich Southcoast’s social media presence. Poyant most recently worked at the Public Information Officer for the Mayor of the city of New Bedford. “The majority of our employees travel throughout the region caring for our patients,” Jones said. “Our new office in Fairhaven will offer more space with ample parking and easy access to Interstate 195 for our staff and for those who visit our office.” Demand for home care services is growing Demand for home care services has been growing steadily over the last several years, Jones said. “Many people prefer to recuperate in the comfort of their own homes, which in turn promotes healing, quality of life and can be more cost effective,” Jones said. “As the largest provider in the region, we will offer greater connectivity with our hospitals, physicians and other community Southcoast Laboratory & Pathology Services has opened a satellite blood draw site at Truesdale Clinic located at 1030 President Ave. in Fall River. The site is open to the public Monday through Friday from 7 a.m. to 7 p.m. and Saturday from 8:30 a.m. to 2 p.m. Call 508-235-6399 for more information. resources to provide integrated care that greatly benefits our patients with a focus on prevention, disease management and coordination of care.” Southcoast VNA will offer the most complete and comprehensive range of quality home health and hospice services available 24 hours a day, seven days a week. Services will be tailored to the specific needs of every patient and include skilled nursing, rehabilitation therapies (physical, occupational and speech/language), medical social work, chronic disease management, home health aides, dietitian/nutrition services and behavioral health services. Specialty services will include specialized wound management, infusion therapy, certified diabetic educators and in-home telemonitoring. Patient Comment “The nurse was outstanding — very courteous and caring. The doctors addressed all of my The Hospice & Palliative Care Program will offer supportive care, including bereavement, spiritual and chaplain services in addition to skilled nursing, physician services and counseling. A palliative inpatient program will be available for people needing acute symptom management. “By uniting into one region-wide provider we will be able to maintain a high level of uniform, concerns and were very prompt with their consistent high-quality care to a broader community, offer cost-effective services and respond to answers.” anticipated changes related to the ever changing health care environment,” Hovan said. The transition from the current organizations to the new Southcoast VNA will be seamless for patients and providers, Jones said. Southcoast VNA will be communicating directly with patients, families and area health care providers on the changes and any new contact information over the next few months. Credit union Supports Employee Appeal The Southcoast Federal Credit Union recently donated $5,000 to be credited to the Employee Appeal. Pictured during a check presentation are, from left, Linda Silva, Southcoast Emergency Department Business Manager and Credit Union Board Member; Larry Domenici, Southcoast Treasury Director and Credit Union Treasurer; Keith A. Hovan, President of Southcoast Health System and President & CEO of Southcoast Hospitals Group; Scott Flanagan, RPh, Pharmacy Manager and Credit Union Secretary; Frank Byrne, Corporate Compliance Officer and Credit Union Board President; Duarte Silva, Credit Union General Manager, and Holly Knight, Corporate Foundation Relations Officer. COASTLINES 2 One, Two, Three … Wellness! Take the following steps to improve wellness today: Southcoast Health Plan 1. Earn a $50 gift card through HealthQuest by completing the HQA and biometric screenings and agreeing to have the data confidentially uploaded to the HealthQuest Website. Get started at www.southcoasthealthquest.org. Exciting new offerings from HealthQuest and the Southcoast Health Plan S outhcoast’s mission is to care for the health of the communities it serves — including the health of the employees who work so hard to care for others. With that in mind, the organization recently unveiled new resources designed to help staff improve their wellness and that of 2. Review the Southcoast Health their family members. Plan $150 fitness reimbursement benefit at www.southcoasthealthplan.org “Our goal is to create a culture of wellness throughout Southcoast,” said David DeJesus Jr., Senior Vice President of Human Resources. members of the Southcoast Health Plan. The site gives “Through these programs we hope to improve the overall health and employees easy, confidential productivity of the Southcoast work force.” access to health information The programs are designed to help employees: • Maintain and modify high-risk healthy behaviors. • Control chronic and manage acute conditions. • Learn to make good choices about their health care. • Reduce expenses. they can customize for “The HealthQuest portal lifestyle improvement guidance and support, tools to help each of us monitor before they get serious. our progress,” Aimone said. Get the facts Coaching to Maintain Health: Southcoast offers two easy ways to gain important basic health infor- The HealthQuest website also mation to help employees make informed decisions on their wellness. offers Health Coaching through The HealthQuest Assessment (HQA). Formerly known at the Health WebMD to employees who Risk Assessment, the HQA provides a personalized snapshot of a per- qualify based on their HQA son’s current health conditions, taking into account vital statistics like results and who exhibit a readi- blood pressure and cholesterol, diet, exercise and lifestyle events such ness to change. on the HealthQuest website (see below). “The HQA is confidential and the website provides a secure place to objectives,” Aimone said. “It is basis,” said Kris Aimone, Wellness Coordinator for Southcoast. “It HealthQuest website to create takes just 10 to 15 minutes to complete and is interactive so that as structured online programs that users improve their health habits they can see first-hand how the are easy for employees to use and offer biometric screenings, which provide essential, basic health information like total cholesterol, glucose level and blood pressure. With an employee’s written permission, this information will be uploaded to the HealthQuest website for use in a user’s HQA. The data are provided to a third-party vendor, InforMed, who collects and posts it securely and confidentially. “Personal data is never shared with Southcoast,” Aimone said. “We Finding a Primary Care Physician “Health Coaching is designed to integrated, securely with the Biometric Screenings: The HealthQuest program also continues to Attend an open screening at Charlton, St. Luke’s, Tobey or the South Coast Business Center. For a schedule of open screenings, log on to the HealthQuest page of the Southcoast intranet. Departments can schedule biometric screenings by contacting Kris Aimone at 65-5054, via Meditech or GroupWise email or by paging 73654. help employees reach their wellness complete it online, where it can easily be referenced on a regular changes affect their overall health.” How to get a biometric screening also offers self-paced maintain good health and identify and correct potential problems as family, job and finances. The HQA can now conveniently be taken 3. Take advantage of the other activities offered through HealthQuest and benefits of the Southcoast Health Plan. themselves. programs that provide Southcoast provides employees with a number of tools to help in and apply if eligible. All Southcoast Health Plan Members are required to designate a Primary Care Physician. Subscribers can log on to www.southcoasthealthplan.org to elect or change their PCP. Pre-Certified Services Some procedures and services require track their progress.” pre-certification in order to be covered Coaching is free to eligible particiby the Southcoast Health Plan. A list of pants and takes place through strictly services requiring pre-certification can be found at www.southconfidential, one-on-one phone convercoasthealthplan.org. sations with health coaches who are behavioral specialists with degrees in health sciences. HealthQuest also offers an array of other programs to help employees with their wellness goals including walking programs, quit-smoking resources and weight management help through the Sodexo “Create Your Weight” program. receive combined data from InforMed and WebMD so we can track general trends within the organization, which helps us determine the Fitness incentive: The Southcoast Health Plan also offers a Fitness best programs and services to provide.” Reimbursement Benefit. The benefit is up to $150 per family per calendar year for members who have been enrolled in a qualified Earn a $50 gift card! Employees can earn a $50 gift card for completing their HQA and biometric screening and granting permission for their biometric data to be collected. health club and the Southcoast Health Plan for at least four consecutive months in that year. For more information or to download the reimbursement form, visit www.southcoasthealthplan.org. “The gift card is our way of showing employees that we think these tools are important building blocks for health management and to Managing chronic and acute conditions encourage everyone to use them,” said Beth Barker, Director of The Southcoast Health Plan offers Personal Health Management serv- Compensation & Benefits. ices to eligible, high-risk members who may have complex chronic or All employees are eligible for the $50 gift card with the exception of Massachusetts Nursing Association members. HealthQuest is now online: Established in 2005, HealthQuest — Southcoast’s employee wellness program — is designed to educate, motivate and empower all employees and their families to make healthy lifestyle choices to improve their overall health. “We are striving to create an environment where healthy lifestyles are supported,” Aimone said. “We have been building and adding programs over the years and have just introduced a website that gives employees the resources they need to understand more about their health and help them track their progress against their health improvement goals.” Found at www.southcoasthealthquest.org and powered by WebMD, acute conditions. Personal Health Nurses (PHNs) are available to assist members by providing support and guidance to help them manage medical conditions that could seriously compromise their health. By managing these conditions, members may improve their health and wellness and reduce health care costs. “Personal Health Nurses can develop a confidential, one-on-one relationship with a member and understand their unique needs,” Barker said. “While they are employed by InforMed, PHNs live in our community and work exclusively with Southcoast Health Plan members so they know how to help our members access local resources.” Southcoast has two RNs serving as Personal Health Nurses — Brandy Dobbyn and Gail Gravel. the site is available to all employees, regardless of whether they are COASTLINES 3 The Most Advanced Technology & Treatments T he Southcoast Centers for Cancer Care in Fairhaven and Fall River feature the very latest technology in radiation therapy and medical oncology. Linear Accelerator (Linac) Brachytherapy is a form of radiation • State-of-the-art linear accelerator with the highest precision and clinical accuracy currently available. therapy where the radiation source — a small radioactive seed of Iridium — is placed directly into the • Robotic couch allows for six-dimensional patient positioning. patient. This treatment is used on • CT imaging capability for direct comparison with planning CT. certain tumors and when the cancer • Independent imaging system built into the ceiling and floor for real-time positioning and imaging during treatment. and there is no evidence of spreading. is confined to one organ or tissue Image Guided Radiation Therapy (IGRT) allows radiation oncologists (from left) Radiation Therapists Jamie Tapper and Mari Crouse and therapists to image a tumor just before delivering radiotherapy or even during treatment. This is important because tumors can shift location slightly. With IGRT, radiation beams can be adjusted so they hit the tumor with precision that can be measured in millimeters while avoiding surrounding healthy tissue. PET/CT Scanner • Combines two radiology imaging technologies into one device. Stereotactic Radiotherapy delivers a • Painless procedure that may minimize the need for further testing. than standard radiation therapy. • Provides greater accuracy in determing what stage a cancer is in. radiation, a much higher level of much higher daily dose of radiation Because of the higher dose of precision is required in delivering the radiation to prevent damage of surrounding tissue. The • Short imaging time. linear accelerator room’s floor-to-ceiling imaging system and robotic couch with six-dimensional movement allow for the precise positioning of patients, which enhances the accuracy of this type of radiation therapy. Intensity Modulated Radiation Therapy (IMRT) utilizes computer-controlled beam shaping devices to deliver precise radiation doses to a malignant tumor or specific areas within the tumor while minimizing the dose to surrounding normal tissue. Video-Assisted Thoracoscopic Surgery (VATS) is a minimally invasive approach to lung surgery that introduces a tiny video camera into the patient’s chest. The thoracic surgeon uses the video camera to view the anatomy and other surgical instruments that are introduced into the chest CT Scanner via small incisions or “ports.” • Provides detailed imaging of bone, soft tissue and blood vessels at the same time. • Advanced CT Simulation allows for more precise radiation treatment planning. • CT Simulator allows patients to receive a full scan in only three to five minutes. • Large bore scanner gives patients a more open feeling when being scanned. • Four-dimensional scanning ability allows for respiratory motion management and advanced treatment planning. COASTLINES 4 Clinical Trials: Cancer care is evolving at a rapid pace with new medications and treatments introduced into clinical care frequently. Much of the research is focused on smarter ways to treat cancer, using therapies that target tumors more directly and spare normal tissue. The Southcoast Centers for Cancer Care has a new clinical trials program that will eventually allow us access to trials sponsored by the National Cancer Institute. Patients can participate in trials testing potential new treatments for their cancer with the comfort of knowing they are cared for by a team of providers that practice at higher levels of cancer care, as participating in clinical trials demands that of a practice. Introducing Southcoast Centers for Cancer Care at Fairhaven T At-A-Glance The Southcoast Centers for Cancer Care at Fairhaven offers: he most advanced cancer treatment with greater convenience, coordination, • State-of-the-art radiation therapies. communication, compassion and more personal attention and support — this • Infusion chairs: 13 open bay & 3 private. is what the Southcoast Centers for Cancer Care is all about. • Dedicated Patient Navigator. • Advanced imaging, including PET/CT. • Highly skilled oncology nurses, social workers and nutritionists. • Fully electronic health records. • Multidisciplinary treatment planning conferences. • 56,000 square feet on two floors. • Conveniently located off I-195. • Plenty of free parking. • Many “green” elements. • Peaceful, healing environment. A Healing Environment The Southcoast Centers for Cancer Care’s Fairhaven site was designed as a retreat-like setting awash a “green” roof and the native landscape beyond. The interior is decorated in a restful color palate Fairhaven Building Features reflecting the center’s natural surroundings. Changing Rooms in natural light from the many windows that render soothing views of landscaped healing gardens, • Private, individual changing rooms. Art: The convergence of art and medicine benefits everyone. Art can be a soothing • Relaxed, pleasant environment. tonic for people under stress or in crisis, engrossing the imagination and providing respite from anxiety and pain. Southcoast has endeavored to connect the healing power of art by partnering with area artists and collectors to bring their works to the Southcoast Centers for Cancer Care. As you tour the building take a moment to notice and enjoy the original artwork to help create an atmosphere that combines the medical and visual arts to provide healing to the body, mind and spirit of all who enter. Specialty Suite • Dedicated space for multidisciplinary clinic sessions where patients are seen by an oncologist and other specialists in a single session. • Private exam rooms. • Separate waiting areas. Inner Strength: A sculpture entitled “Inner Strength” can be found on the stairway leading from the first to second floors of the center. Created by New Bedford Exam Rooms artist John Magnan, the sculpture stands in the yoga “tree” pose — a pose of • Spacious exam rooms designed to preserve patient privacy. strength and balance, which are resources drawn upon by those facing the challenge of cancer and its treatment. The sculpture is carved of white oak and stands more than eight feet tall. • Medical equipment and supplies conveniently located in each exam room. Café: The café menu at our Fairhaven cancer center was designed with the • Computers in every exam room allowing providers to access the patient record. special needs of cancer patients in mind. Deli sandwiches are created with the freshest ingredients, including natural antibiotic- and hormone-free deli meats. • Chairs for family members accompanying patient. Other offerings include whole grain, trans-fat-free muffins and health and protein bars. The café also features a healthy smoothie blender bar furnished with fresh Nurses’ Station flavorful ingredients and super foods. Coffee is brewed fresh throughout the day • Bright, open work areas. and a wide variety of herbal teas and cold beverages are available. • Computers allowing access to electronic medical records. Green Elements: The new cancer center incorporates many “green” elements to preserve its natural surroundings, reduce the use of resources and minimize impact on the environment. Those elements include: • Preservation of surrounding wetlands to promote habitat and biodiversity. • Landscaping designed to minimize the need for permanent irrigation using native, drought-tolerant species. • High-efficiency window glazing and shading devices to reduce heat gain or loss that are oriented to maximize views and daylight. • Conveniently located close to patient exam rooms and infusion chairs. Infusion Room • Soothing, spacious treatment areas filled with natural light. • Comfortable seating for patients and family. • Individual TVs, music and Internet access. • The ability to socialize with other patients or have privacy. • Light-colored roofing materials that reflect light to reduce the heat-island effect. • Interior lighting controls that operate by occupancy sensors with manual overrides. Conference Room • A robust recycling program. • Fully integrated audio and video conferencing capabilities. • A green roof to reduce the heat-island effect and provide additional onsite rain • Large space for planned educational activities. absorption while affording patients a pleasant and relaxing view. • Dedicated space for support group meetings. COASTLINES 5 Marie Oliver Retires After 53 years of Volunteering L ong-time volunteer and Auxilian, Marie Oliver, “retired” from service in February. Oliver began her volunteer service in the late 1950s as a Red Cross 4 p.m. when the Gift Shop closed, then she would go home and have Nurses Aide Volunteer. Once St. Luke’s developed its own volunteer supper and be back most nights from 5:30 to 7 p.m. for the shop’s evening program, she dedicated her energies to the hospital, serving for more hours,” said John Teixeira, Team Leader of Volunteer Services at St. Luke’s. than 53 years and donating more than 70,000 hours. “She did take Tuesdays off, but that was about it.” Teixeira said Oliver “Over her many years of service, Marie and I became good friends,” said John B. Day, CEO of Southcoast Health System. “I used to visit her in the Gift Shop every day. Her presence will truly be missed.” often came in on weekends to work in the Gift Shop. “Marie was a consummate volunteer,” said Barbara H. Mulville, CFRE, Senior Vice President of External Affairs. “Her years of service are a testa- Oliver was a member of the St. Luke’s Auxiliary and served as its ment of her complete dedication to St. Luke’s.” President from 1994 to 1996. But she is probably best known as a “Our volunteers are so important to the running of our hospitals — mainstay at the St. Luke’s Gift Shop. and Marie was an exemplary volunteer,” said Keith A. Hovan, President “Marie would come in bright and early every morning and stay until of Southcoast Health System and President & CEO of Southcoast Hospitals Group. “We cannot thank her enough for all she has done for St. Luke’s.” St. Luke’s Hospital Receives Award for Stroke Care S t. Luke’s Hospital received the Most Improved Door-to-CT Time Award from the Stroke Collaborative Reaching for Excellence. Known as “SCORE,” the collaborative is a voluntary statewide quality improvement effort administered by the Massachusetts Department of Public Health (DPH) that supports Primary Stroke Service hospitals. The award recognizes a hospital that has had the greatest reduction in median time between arrival and computed tomography (CT) scans of patients with stroke symptoms. Quality improvement efforts focused on reducing door-to-CT times can result in quicker assessment and treatment for stroke patients and better outcomes. A CT scan of the brain is a critical part of stroke assessment and helps determine the best treatment for each patient. Rapid assessment is important for stroke because increasing numbers From left: Laura Coe, Coordinator, Paul Coverdell National Acute Stroke Registry Program, DPH, Kelly Houde, RN, Stroke Coordinator for Southcoast, Carol Conley, RN, Chief Nursing Office for Southcoast and Lauren Smith, MD, Medical Director of DPH. of brain cells die as a stroke continues. There is just one FDA-approved treatment for ischemic stroke — the clot-busting drug known as IV-tPA “St. Luke’s Hospital is proud that our commitment to providing quality — which can only be administered within three-hours from symptom stroke care was recognized by this prestigious award from the DPH’s SCORE onset. Quickly assessing and appropriately treating a patient increases the program,” said Carol Conley, RN, Chief Nursing Officer for Southcoast. likelihood of a better outcome, lowering the risk for disability and “We strive to provide exceptional care to all of our patients.” death. Employee Appeal update: 62 departments achieve 50% or greater participation M ore departments than ever achieved a 50 percent or greater participation rate in the 2011 Employee Appeal. 100% PARTICIPATION OVER 50% UP TO 99% PARTICIPATION System-wide, 62 departments had at least half of their staff Charlton Departments Charlton Departments Tobey Departments making gifts to Southcoast — six more departments than Diagnostic Mammography Nutritional Services Patient Services Administration Professional Development Human Resources Clinical Lab — Chemistry Diabetes Management Imaging Outreach Lab — Pathology Maintenance Nuclear Medicine Truesdale Ultrasound Wound Care Pharmacy Rehab Services Inpatient last year. As of the beginning of May, 835 employees contributed to the 2011 Employee Appeal, compared to a goal of 930 participants. “We still have a little way to go to get the participation Tobey Departments Cardiac Rehabilitation Echocardiography we are hoping for,” said Amy Winn, Annual Giving Officer for Southcoast. “But with 123 new donors so far this year, I Southcoast Departments can’t help but believe we will achieve our goal.” Allied Health Services Audit Services Bed Flow Coordination Budget Contracting & Reimbursement Design & Construction Management Executive Administration (5 areas) Information Systems Administration Marketing & Public Relations Philanthropy Physician Recruitment Quality Outcomes Revenue Systems Safety & Emergency Management Wellness Program Your participation counts: There is still time to contribute to the Southcoast Employee Appeal. Just log on to the Southcoast intranet and click on “Every Penny Counts” or onto www.southcoast.org/give/ to make your gift today. “On behalf of the patients we serve, our co-workers and our hospital, I want to say ‘thank you’ to every one who has participated in the Employee Appeal so far,” Winn said. “Together we are helping make Southcoast a better place to work and a great place to get care.” COASTLINES 6 St. Luke’s Departments Bed Flow Coordination Design & Construction Echocardiography EEG Enterostomal Human Resources Information Desk Knowles Management Administration Patient Services Administration Southcoast Departments Ergonomics Library Medical Affairs MIS-EDM-OP MIS-PCM-CAP Patient Services — Quality Performance Improvement Physician Initiatives Planning Quality Data Radiation Oncology Risk Management Volunteer Services Serving Those in Need Continues to be Priority No. 1 for Southcoast S outhcoast’s Community Benefits programs continued to thrive in 2010 with the introduction of new programs to compliment those already in place — all to benefit the unique health care needs of the South Coast region and provide care to the community’s most under-served and at-risk residents.. “At a time when many men, women and children in our region are When a person suffers a stroke minutes count. By remembering to act FAST, you can help minimize the disabilities of a person showing the symptoms of stroke. struggling through this difficult economy, our commitment continues to be one that ensures we are providing those in need with essential services and programs to those who would otherwise go without them,” said Keith A Hovan, President of Southcoast Health System and President & CEO of Southcoast Hospitals Group. In 2010, Southcoast provided more than $14 million in direct services and programs that would otherwise not be available to the community. Stroke Heroes Act FAST Southcoast also provided more than $11.6 million in services to Medicaid patients for which it was not reimbursed by the state and more Face – Does the face look uneven? Arm – Does one arm sag or drift down? Speech – Does speech sound strange? Time – Call 911 immediately. than $28.5 million in non-reimbursed services for federal Medicare and Medicare Managed Care patients. These shortfalls brought the organization’s total community contribution to more than $66 million in fiscal year 2010. Southcoast continues to be the largest community hospital provider of Medicaid services in Massachusetts. “We are proud of the impact our programs have had in the region,” said Jim Rattray, Vice President of Marketing & Public Affairs at Southcoast their blood pressure. These materials were translated into both Portuguese and Spanish. Over the past several years, more than 10,000 cards and magnets have been distributed. Southcoast also conduct monthly stroke support groups for the public at the Heritage Assisted Living Center in North Dartmouth. and head of its Community Benefits program. “As we look to the future Addressing Youth Risk Behaviors we will continue to forge strong partnerships and alliances with com- Responsible Attitudes Toward Pregnancy, Parenting & Prevention (RAPPP) munity organizations, local schools and health facilities, to ensure we is a 14-hour abstinence-based, comprehensive education program are providing education and services where they are needed most.” targeted at high school youth. This year, the program served more than Southcoast’s Community Benefits Strategic Action Plan was first 1,400 junior and senior high school students at area schools, with formulated in 1998 as a result of an extensive community needs expansion of the program into several middle schools including a school assessment and is updated annually. The community health needs for at-risk girls and several alternative high schools in New Bedford. assessment was updated in 2009. This year’s action plan is focused on Since its inception, RAPPP has expanded with additional programs three regional, priority health issues: addressing other at-risk behaviors including youth violence and bully- • Reducing the high rate of cardiovascular disease in our region, ing. Its various programs have served more than 77,000 young people, as well as other chronic diseases, such as diabetes and asthma. • Reducing the incidence of youth risk behaviors such as teen violence, high rates of teen pregnancy and substance abuse. • Improving access to health care. their parents and other community members through programming, education, youth development and mentoring. During this past year, various RAPPP programs reached more than 7,000 people in the Greater Fall River, New Bedford and Wareham communities. RAPPP also produced a series of videos to be used in its classroom Additional areas of focus for 2010 included cancer screening and curriculum that was conceived and produced by its teen leaders. education, particularly since cancer is now the major cause of death in the region, surpassing heart disease; addressing health disparities Cardiovascular Services that exist among certain racial, ethnic and demographic groups in our In 2010, the Cardiac Prevention Program provided screenings for more community, and advocacy program development to address a “systematic than 5,700 individuals and performed more than 13,000 screenings — change” to increase healthy lifestyle options and decrease risk factors an increase of more than 2,800 procedures and more than 1,000 visits such as a high rate of smoking. (28 percent) from the previous year. Work in area middle schools this year involved screening more than Improving Access to Care 2,700 students. The program is staffed with a comprehensive health Access to health care continues to be a major issue in the South Coast team that includes a full-time registered nurse trained in risk factor region. Several communities have suffered disproportionately with the assessments including lipids, tobacco abuse, hypertension, diabetes, economic downturn. Unemployment in communities like Fall River and stress, obesity and obtaining family history, and a full-time registered New Bedford continues to be much higher than the rest of the state dietitian who performs cholesterol and lipid screening as well as dietary resulting in a number of residents losing their health insurance. instruction. In 2010, Patient Financial Services helped to file almost 7,000 free care and MassHealth applications through the state’s Virtual Gateway Policy Initiatives application system. Patient Financial Services also processed almost 900 Southcoast’s Cardiac Prevention Program actively participates in efforts agency applications — a 48 percent increase over the previous year. to achieve policy changes that will have a positive impact on the living Also in 2010, Southcoast took part in more than 200 health educa- environment on the South Coast with a focus on promoting more tion events in the community, including Southcoast Health Van visits active lifestyles, better nutrition and smoking cessation. This year, to malls, shopping centers and other community settings, health fairs Southcoast provided screenings, health risk assessments and extensive and events at local churches and other civic organizations. Southcoast education to more than 600 participants in the Fall River Fitness also provided education to local Emergency Medical Services groups. Challenge — an annual city-wide event that enrolls residents in a four-month weight loss and exercise program. Taking Action when Stroke is Suspected This past year, the stroke outreach team continued to distribute educa- Unwavering Commitment to the Community tional materials based on the Massachusetts Department of Public Health’s “Our mission continues to be one that is focused solely on improving (DPH) FAST campaign, which is designed to help people recognize the the health of our communities,” Rattray said. “We are committed to signs and symptoms of stroke and act quickly. investing in programs and services that help to support our underlying Materials include a refrigerator magnet with the signs and symptoms of stroke, and a wallet card that allows residents to record and track mission and help us deliver the highest quality of care to the communities we serve.” COASTLINES 7 EMPLOYEE ANNIVERSARIES 45 Nancy Botelho Janice Costa Carole Delano Natalie Gildea Mary Griffin Jonathan Heyes Nancy Junier Joyce Lelievre Ernest Pye Janet Weissman 40 Employee Anniversaries Kathleen Arruda Carole Baptiste Janice Besse Eileen Cook Virginia Creamer Donna Desrosiers Diane Donovan Anne Dzialo Joan Eckhart Ruth Farias Debra Gabriel Judy Galego Jean Jordan Ann Lepage Judith McCann Patricia McGuire Gilbert Mello Catherine Meneses Denise Messier Julia Monis Sharon Owens Debra Pacheco Susan Pacheco Linda Pavao Nancy Pedro Sandra Quinn Louise Qutintin Donna Raposa Theresa Rego Cathy Rogers Marie Santos William Smith Huguette Soares Gail Souza Mary Beth Sullivan Georgina Viana Sandra Vigeant 35 Deborah Allard Jane Bernier Karen Blier Stephen Boudreau Marlene Burgo Jeanne Clement Carol Conroy Peter Costa Cheryl Duarte Robert Dupont Phyllis Figueiredo Joann Finn Clara Giannelli Mary Green Linda Grenier Marguerite Hayes Robert Hayes Deborah Johnson Barbara Kanuse Paul Lagasse Susan Meinholt Terance Mooney Jaime Mourao Joanne Pearson Catherine Perkins Deborah Resendes Michael Richard Joann Silva Robin Simpkin Deborah Souza Eileen Sullivan COASTLINES 8 Bethany Sykes Teresa Todd Rosemarie Trudelle Bruce Vasconcellos Diane Watts Vanessa Wicherski Deborah Wulff Constance Yates 30 Philip Ashley Joyce Beauregard Sandra Benevides Bonnie Bill Joyce Botelho Anne Branchaud Roberta Couto Charlene DeFreitas Carole Dufrane Karen Ferreira Christine Gonet Dorothy Graham Doranne Grenon Sandra Harper Cecile Hathaway Wendy Henry Lurdes Hilario Gayle Hodosh Susan Hopkins Bethany Larson Claudette Leblanc Susan Lecomte Michelle Levesque Judith Lewis Robert Lopes Karen Marshall Judith Martins Karen Masse Lynne Maynard Betsy McCague Cathleen Medeiros Kathleen Mello Catherine Michael Susan Miller Lesley O'Donnell Anna Pereira Lisa Pineault Mary Provencher Joanne Raimo Helena Raposo Catherine Rego Debra Reis Josephine Roche Kelly Roderick Donna Rogers Linda Rose L. Jean Seguin Chris Sharples Robert Silvia Jeffrey Smith Barbara Soares Carolyn Spaulding David Sprague Ann Torres Kathleen Wilkins Diana Wyres-Springer 25 Kathleen Anthony Jane Baldwin Karen Barlow Susan Beatty Nancy Blythe Delores Borges Madalena Cabral Elizabeth Chin Maria Clough Shelley Coelho Kerry Cooper Maria Czurak-Mitchell Elisie Demenezes Martha Dufresne Marie Dumas Susan Dyke Kathy Egan Lynne Evans Elisabet Farias Lisa Ferry Donna Finni Linda Geada William Geary Marcella Goddu Faith Goodine Curtis Gray Eileen Gregg Sherri Hemmert Susan Howard Ana Jusseaume Patricia Keenan Cathy Kulla Frances Kut-Best Lynda Landry Jose Lange Anne Lawrence Darlene Levesque Daniel Lewis Jose Lima Mark Lombard Robin Lopes Edward Lowe John Magilton Judith Martin Jeanne Martineau Charles McCarthy Eliane Medeiros Kerry Mello Wendy Montella Mary Moquin Natalie Morgado Kimberly Mortensen Carol Motta Jane Mulvey Mary Neves Peter Nott Lawrence Novo James Oliver Susan Pedro Neil Piazza Kim Pina Stephen Pires Lisa Pollard Joseph Raposa Donna Raymond Elizabeth Reynolds Lorrie Rezendes Janice Roberts Gayle Rogers Donna Rooney Thomas Sabino Celeste Settlemier Mary Shea Judith Shurtleff Joann Silva Sharon Sinagra Donna Somers Eileen Taylor Keith Turgeon Joann Ventura Manuel Victorino Patricia Welsh Donna Wolcott 20 Lori Albernaz Connie Amaral Debra Andre Krsitin Arruda Sharon Barrows Joanne Beatriz Janine Benevides Dorothy Bentley Andrea Bernardo Betty Blackmore Karen Brain Donna Cabral Vikki Cabral Nancy Chabonneau Laura Congdon Kristine Constantino Cheryl Correia Helen Costa Candida Couto Lisa Couto Richard Cox Gilles Decotret Mary Jane Dion Patricia Dolan-Souza Deborah Dosreis Elizabeth Farrar Leslie Fayan Patrick Fleming Kathleen Flynn Roger Fonteneau Darlene Frates John Furtado Richard Geada Jayne Giampietro Brenda Gifford Henry Godbout Donna Goulet Kimberly Griffin Beverly Guinen Mary-Ellen Harkins Maureen Holden Marit Ionata Pamela Jacob-Arruda Terry Jacobsen John Labrecque Roberta Langton Christine Lopiano Henry Maccarone Kristin Martins Marion McHugh Margaret McManusGilmette Nancy Medeiros Jack Morgado Nancy Murphy Pamela Neto Cathy Nunes Anna Pacheco Claudia Paiva Michael Palmieri Susan Pellerin Clara Pimentel Deborah Raposo Jennifer Raposo Alda Resendes Donna Roy Jennifer Saucier Yvette Saucier Kathleen Scanlon David Shaffer Christine Sylvia M. Christine Vargas Isaltina Vilao Earle Weeks Lynne Wilson Robert Wilson Linda Wolcott 15 Judy Abril Cheryl Albernaz Claudio Alexandre Kellie Alexandre Linda Alley Nicole Almeida Joyce Andrews Sara Appleton Martin Arruda Denise Ayotte Nilza Barbosa Elizabeth Barker Dawn Barlow Jennifer Beauliue Russell Boardman Mary Ellen Boisvert Zenaide Borges Joseph Botelho Kathleen Botelho Mary-Elizabeth Boucher Marlene Boyer Sharon Bradley Dennis Braga Michelle Bulmetti Debra Burt Diane Carpentier Robert Casmira Becky Cestodio Tracey Chilli Sandy Choquette Joanne Collyer Antonio Cordoniz Maria Correia David Costa Marcia Costa Sherrie Couto Michelle Croft Gayle Davis Kimberly Degrazia Christine Delisle Antonio DeMedeiros Douglas Despres John DiRosa Roberta Duffy Kristine Dugas Louis Dutra Paul Faria Valentina Farias Susan Fernandes Gretchen Ferrari Kimberly Ferro Lisa Fortier Lucille Fournier Tammy Franklin Sherry Gallipeau Lori Gata Jodie Gauthier Leigh Green Joshua Gurney Jason Guy Olga Harland Stephanie Hart Melissa Hendricks Michael Horn Joyce Hyslip-Ikkela Cheryl Jacques Barbara Jeffrey Barbara Jenney Linda Kelleher Kerri Lacy Maureen Lamoureux Susan Ledoux Kathleen Leidhold Anne Leonard Joellen Leonard Nancy Lo Bue Sandra Malek Ann Marklin Kelly Marks Celia Martins Kathleen Masse Martha Mattar Elizabeth McHenry Henry McVey Alda Medeiros Artemisia Medeiros Karen Medeiros Manuel Mello Michael Meneses Caren Michaels Patricia Moniz Lena Morais Figueiredo Sandra Nascimento Kathleen Nelson Jaimee Oliveira Kathleen Oliveira Madeline Paiva Curt Paradis Lucy Pinhancos Rosa Pinheiro Danielle Pires Patricia Pittsley Laurie Purcell Carolyn Rapoza Carol Ras Julie Resendes Dawn Rezendes Michelle Richard David Rose Denise Rose Danielle Roy Kamolnaree Saiyaitong Joseph Scott Gail Senuick Judith Sherman Emma Shovmer Bernadette Silva Maria Silva Kriste Smith Ana Soares Ellen Sousa Rose-Marie Souza Karina Sovik Correia Monique Speight Francisco Tavares Kristine Tavares Kenneth Thibault Kathleen Thornton Maria Tomasia Mary Vezina Jean West Melissa Wolcott 10 Sarah Almy-Hermitage Ana Amaral Jessica Amaral Roseanne Amaral Brenda Ambrose Elizabeth Anger Michelle Arancio Joanne Archer Amanda Ariagno Judy Baker Tabitha Baker Casey Baldwin Anna Baptista Bernadette Barreira Judith Baulier Brian Bedient Myriam Beltran Pamela Bermudez Doris Berube David Bibeault Stacy Bigos Donna Blackburn Richard Blouin Judith Boardman Josefina Borges Brie Botelho Connie Botelho Donna Bouchard Katherine Bowley Maria Branco Sandra Brown Melissa Cabana Janet Callahan Lisa Camara Jacqueline Cambra Lisen Cameron Grimalda Canha Diane Cardoso Cynthia Carvalho Joanna Cassidy Catherine Charlonne Elizabeth Charron Anabela Christy Linda Clark Amy Coelho Marguerite Collins Cynthia Cooke Helen Copsetta Janice Cordeiro Olivia Cordeiro Armenio Correia Lynne Correia Sandra Correia Lisa Correira EMPLOYEE ANNIVERSARIES Carlos Marques Catherine Martin Hortensia Martin Sandee Matos Michael Mayoros Kathleen McAuliffe Debra McCann Patricia McCarthy Janice McDonough Ana McHenry Sharon McNamara Marci McNicol Leonilde Medeiros Maria Medeiros Maria Medeiros Sonia Medeiros Tonya Melendez Barbara Meleo Cindy Mello Rachel Mello Stacy Mello Audrey Melo Irene Menard Heather Mimoso Eulalia Moniz Kathleen Moniz Dawn Morris Ann Nadeau Robyn Neville Jessica Nichols Irene Nickerson Kati O'Connell Robert Oden Sheri Oliveira Teresa Oliveira Pamela Opheim-Newhall Tammy Ormston Mary-Louise Palumbo Annette Parent Renee Patnaude Jeffrey Pimentel Maria Pimentel Laurie Pollock Barbara Pomeroy Karen Pontbriand Debra Ramos Laura Raposo Leonora Raposo Wendy Rayne Kristi Rebello Louise Rebello Michelle Rebello James Reilly Sonia Reis Zelia Reis Emmanuel Resendes Sergio Resendes Sandra Ricardo Patricia Riley Ana Robertson Shelly Robidoux Lisa Rose Ramona Rothwell Christine Santos Jennifer Santos Joshua Santos Heather Scanlon Frank Scarano Micheal Schena Shelly Schmelzer Robin Serpa Laurie Shippey Kelly Shumway Adriana Silva Matthew Silva Nancy Silva Eduarda Silvestre Kurt Simon Lorraine Sloane Kristina Smith Sharon Smith Maria Soares Kevin Solomon Maria Sousa Marie Sousa Charlene Souza James Souza Karen Souza Kimberly Souza Susan Spaulding Isabel Strait Danielle Strout Sean Sullivan Margaret Tavares Erica Thomas Lynn Thompson Deborah Toffey Marsha Torres Judy Trahan Michele Tsaliagos Jay Turgeon Linda Viator Gerald Victorino Grace Vieira Maria Vieira Christine Viveiros Jennifer Waite Mary Walsh Carla Wardlow Wayne Wescott Joan Williams Lauren Wulff Sarah Yates Steven Yousif 5 Kristen Abetecola Robert Achtelik John Acord Christina Aguiar Frank Aikins Joseph Aikins Martha Alas Lynne Almeida Nicole Almeida Tiffany Almeida Clotilde Alves Jullian Amaral Maria Andino Eulalia Antunues Brittanie Arruda Carolyn Arruda Eva Arsenault Kevin Barbosa Monica Barboza Christine Bariteau Erica Barroso Patricia Baumgardner Brittany Benevides Bethany Bennett Mary Bennett Patricia Bernardino Karen Bernardo Sharron Bernier Corrine Bessette Dana Bibeault Angel Bibiloni Jessica Blaine Linda Blankenship Robin Bodeau Benjie Borra Theresa Bousquet Alan Bowen Cathy Bowers Breanne Bradshaw Kimberly Branco Maria Branco Joanne Bridge Thomas Brillon Lesa Brochu Heidi Buckley Christina Buiel Laurie Burns Constance Burr Joy Cabarles Amy Cabral John Cabral Kathleen Cabral Lindsay Cabral Maria Cabral Matthew Cabral Kathleen Cabral-Decampos Alicia-Lynn Camara Virginia Camisa Kimberly Campbell Barbara Canuel Erica Caron-Afonso Donna Carson Sandy Casimiro Melanie Caton Karen Charest Ryan Chaves Edward Ciesielski Melissa Cleathero Jenna Coggeshall Joel Colaco Alyssa Coleman Veronica Coles Jenalee Cook Crystal Costa Mitzi Cote Melissa Couto Abigail Cregan Cynthia Cuhna Yvette Da Silva Mary Dacamara Shirley Dacunha Cheryl Darmofal Paula DaRosa Ursula DaSilva Brittany Delisle Irene DeMello Mary DeMello Ruben DeMello Kelly Desa David Destantis Kayla Dias Priscilla Dias Nicole Dickinson Justin Dion Mary Duarte Kimberly Duddy Kathy Dullea Sandra Duquette Cheryl Economos Leslie Ellinwood Raquel Encarnacao Kathleen Erdman Jessica Fabian Christine Falk Natalia Farias Luzia Fernandes Andrea Ferreira Jeffrey Ferreira Veronica Figueiredo Bethany Fisher Donna Ford Carlos Fortes Jaime Foster Tasha Fournier Kelly Frias Eric Furtado Aimee Gagliardi Paula Garro Kristen Gendreau Julie Gilmore Catherine Glaneiski Bethany Gomes Debra Gonsalves Brenda Gostanian Susan Graham Laura Green Sara Grenon Janice Harvey Jessica Herman Stephanie Hickey Melissa Hill Ashton Houde Isabel Howard Heather Hudon Dawn Hughes Kimberly Hymel Wayne Ignacio Jessica Isabel Judith Isabel Nicole Jalbert Joseph Jorge Printa Jose Karen Joy Jadilyn Kagan Jason Kasper Teri Kinder Sandra Landry Kimberly Laubenstein Kathleen Leach Jonathan Leaf Marilyn Leffort Diane Letellier Ana Lima Jesse Lima Arminda Lopes Edir Lopes Maria Lopes Melissa Lopes Denise Loranger Leah Lorizio Jennifer Lundstrom Erin Lyver Suzette Macedo Ann Mackenzie Linda Macneill DeMello Brian Magnett Jillian Major Jeanne Maloney Shirley Mattos Lena McCarron Melissa McDonald Lindsay McGrath Steven McMullen David McNally Amanda Medeiros Jenna Medeiros Melissa Medeiros Michelle Medeiros Quyen Melbourne Lisa Mello Donald Merski Kelly Messier Carole Mills Maria Miranda Pauline Miranda Whitney Mitcheson Michelle Moniz Catarina Morais Raul Moreira Pauline Morgan Chelsea Motta Suzanne Norman Jodie Northrup Caitlin Novo Maria Nuno Earl O'Bannion Maria Oliveira Michele Oliveira Virginia Owen Theresa Pace Dorota Pajak Lynn Palmer-Flagg Pauline Parker Janet Peirce Fatima Pelletier Lauri Perrault Sandra Pestana Tania Picard Richard Pimental Catia Pimentel Matthew Pimentel Vera Pimentel Eileen Pinheiro Eric Pinho Julie Pirri Jaimie Pogany Jean Polisky Amanda Pontes Elizabeth Price Elizabeth Przeszlo Julie Pung Sherrie Quinones Lee Quint Godsy Raju Jordan Ramos Amanda Raposo Marcilio Raposo Kathleen Rebello Kenneth Rebello Renee Rebello Kristin Reddy Patricia Rego Jo-Ann Richard Nathan Riel Nicholas Rini Jeffrey Rockwell Barbara Roderick Yomary Rodriguez Joanne Romanelli Jessica Romero Anderson Rosa Polly Rosseau Kimberly Ryan Theodore Sadlers Scott Sardinha Karen Sarmento Jill Sawler John Sheridan Sally Shuttle Jamie Silva Susan Silva Vasco Silva Ervina Sinko Stephanie Soares Robert Soderbom Abeer Sousa Anne Sousa Christopher Sousa Delia Sousa Gary Sousa Lindsay Sousa Dara Souza Nicholas St. Gelais Katie St. Pierre Susan St. Pierre Theresa Starling Frank Stephens Heidi Still Naja Strangis Jennifer Svirtunas Dawn Sylvia Lora-Lee Sylvia-Charette Erica Szyndlar Ralph Tate Ana Tavares Claudia Tavares Jamie Tavares Melissa Tavares Naomi Tavares Susan Tavares Jeremy Teixeira Maria Terceira Alyssa Theodore Nathan Thomas Heather Tomaz Kaitlyn Tomlinson Sambath Toun Maurice Turgeon Melissa Valente Jessica Ventura Doreen Vertentes Gloria Vieira Raquel Vieira Margaret Villa Rebecca Villineau Tiago Vital Melanie Viveiros Paula Viveiros Pedro Viveiros Nathaniel Walker Lois Weiss Amy White Barbara White Kimberly White Susan Whitman Christine Whittle Karen Williamson Jacqueline Wilson Jayde Young Employee Anniversaries Susan Cotter Mary Coyne Stacy Crowley Wanda Cuadrado Melissa Culter Jennifer Cusson Kathryn Custadio Lisa Cyr Terri D'Alessandro Robyn DaSilva Christina De Arede Maria Deabreu Linda Dean Stephanie DeFreitas Karyn Demers Nancy Demetrio Christine Desnoyers Rebecca Desnoyers Teresa Dias Roger Dupre Cheryl Ellis Kenneth Eugenio Jessica Faria Stephen Farias Anne Ferguson Sally Fernandes Susana Fernandes Elizabeth Ferreira Naria Ferreira Lisa Fletcher Lissa Fontaine Elizabeth Fraser Kathleen Frias Annmarie Furtado Renee Furtado Sonya Furtado Craig Gebo Linda Gentili Elizabeth Gibbs-West Brooke Gomes Sharon Gomes Renee Gonsalves Gary Gosselin Vera Grafova Carol Gridley Christine Guilmette Barry Hair Peggy Hamblett Eileen Hancock Rebecca Hardy Karen Harrison Jennifer Haskell Cathy Haskett Keri Hebert Troy Hebert Mary Herman Ana Hilario Donna Hodgins Susan Hohl Sadiqa Ives Stephanie Karam Edwin Karlson Varfee Keita Linda Lachapelle Nicole Laplante Paul Larue Rhonda Lawlor Christina Leal Joanne Leblanc Debbie Leonardo Lucia Letendre Michelle Letendre-Lagasse Donna Lewis Jennifer Lima Edward Loiselle Gloria Lomba Jessica Lopes Samantha Lundstrom Susan Macedo Michelle Machado Maria Maiato Ann Maloney Kelley Manchester Gloria Manning Stephanie Manteiga COASTLINES 9 Quality& Safety Patrick Gannon Vice President of Performance Improvement Chief Quality Officer, Southcoast Health System It’s been awhile since I have discussed Southcoast’s Lean/Six Sigma To date, along with implementation of the Code Help policy in January, activities, but I assure you we are still using these great tools to improve the ED achieved a 70 percent improvement in moving patients from efficiency and quality of care throughout the organization. the ED to their inpatient bed within two hours of the decision to admit To-date we have trained one Master Black Belts, four Black Belts, 22 Green Belts and 201 Yellow Belts, all of whom are consistently at work the patient. Work continues on this project including restructuring leadership in the ED, comparing inflow and demands with discharges and continuing on a wide variety of projects. One of the projects currently in full swing involves improving throughput in the St. Luke’s Emergency Department by looking at reducing times between when the physician decides to admit a patient and when admission orders are completed and from admission orders completion to the time the patient is transferred to a floor. The goals of the project include: the following actions: • Investigating the causes of ED boarders and help alleviate with Code Help. • Facilitating the timely movement of patients through the organization. • Assessing Hospitalist coverage. • Comparing inflow and demands to discharges. • Standardizing the admission process. • Improving collaboration between ED physicians and Hospitalist “gatekeepers” to reduce patient back-ups in the ED. • Hiring Bed Flow Facilitators to cover all shifts, seven days a week. • Hardwiring Bed Flow Facilitation practices and implementing the Code Help Policy. The anatomy of a Kaizen Event Kaizen is a Japanese word that means “change for the good” and is the name of a Lean tool used to take an intensive look at a process with an eye toward improvement. A Kaizen event gathers a group of people to work on nothing but improving the selected process for several days. It uses what is known • Removing barriers to making beds on floors available. as “score” methodology to: • Continuing to improve collaboration between Hospitalists, Case • Select the process to be worked on. Managers and nursing staff. • Clarify the problem statement and project objective, measuring Work on the project began in early 2010 and included the regular steps of the Six Sigma project plus two Kaizen events on the medication reconciliation process and the assignment of patients to hospitalists. Progress on the project can be seen in the chart below. historical data to quantify the current capability. • Organize team members and train them on methods and scope of project. Ready the work place and interfaces such as suppliers, customers and facilities people. • Run the event — observe, brainstorm improvements, select Decision to admit to admission orders. Admission orders to transfer to floor. improvements, test and implement. • Evaluate the results, standardize the new procedure and define Baseline (June 2010) 126 minutes 122 minutes Trend as of February 2011 87 minutes 108 minutes Goal 30 minutes Short Term: 120 minutes Long Term: Less than 60 minutes future work. The team generally consists of representatives from all areas or departments involved in the process and is facilitated by Six Sigma Black Belts. Southcoast has held several Kaizen events in the past year, involving bed flow/bed placement, psychiatric patients in the ED, medication reconciliation and, most recently, the assignment of patients to hospitalists. COASTLINES 10 System- Keith A. Hovan President, Southcoast Health System President & CEO, Southcoast Hospitals Group The importance of non-profit health care in your community Wise We are constantly looking for ways to reinvest in programs and We at Southcoast care for hundreds of thousands of patients in the services that help to enrich the lives of all of the communities we serve, South Coast region each year. When we come to work every morning, well beyond the hospitals’ walls. Whether it is the Southcoast Health we make it our personal commitment to ensure we are delivering top- Van providing free screenings to the community, our cardiac preven- quality health care to our patients every day. tion program aimed at tackling the high incidence of cardiac disease or There’s been a lot of talk lately about the difference between not- targeting youth risk behaviors through the RAPPP Program for-profit and for-profit hospitals in our own region and throughout (Responsible Attitudes toward Pregnancy, Parenting & Prevention), we Massachusetts. Perhaps the most compelling difference between the make decisions that are based on what our community members need, two is how we measure success and to whom we are accountable. no matter where they live in our region. As a not-for-profit health system, Southcoast is governed by our We are the workplace of choice. Southcoast’s payroll alone infuses Board of Trustees, which is made up of unpaid volunteers who live and more than $300 million in salaries into our local economy plus the work in our communities and who dedicate their time with the sole strong benefits program Southcoast offers our employees. We are the purpose of ensuring that every dollar we spend goes toward fulfilling largest employer in the region, creating some 2,000 jobs in the region Southcoast’s mission. since our 1996 merger. Having some 40 sites throughout the region, At Southcoast, we remain accountable to the only shareholders we have — the communities and patients who rely on us and put their means we provide jobs across many of our local towns. In addition to adding jobs to the local area, Southcoast assists local trust in us every day. In contrast, for-profit hospitals also measure their businesses in keeping health care costs down by providing essential return on investment to financial investors who often do not live in health care services to its employees and their families at a lower cost. the communities they serve and often do not have a personal stake in We support southeastern Massachusetts-area businesses that provide the care provided. While supporters of for-profits say they provide the hospitals with essential goods and services. In turn, each of these stronger financial investments to support the needs of the community, establishments economically impacts the community via jobs and their goals are ultimately tied to a financial mission and not a charita- income. ble one. This is an important distinction. We are regionally based, meaning all services are provided solely in Our not-for-profit mission has enabled Southcoast Health System to continue to serve as this region’s strongest and most cost-effective the South Coast region. This regional focus offers patients, employees provider of high-quality health care. We serve those who have no place and their families a wide array of services and benefits tailored to their to turn and we give back in the care we provide, services we offer and own community’s needs, not that of a larger entity with corporate needs we address. goals shifting out of the region. In the past decade, we have invested more than $500 million in I hope as you read this you are proud, as I am, to be part of the great fabric that makes up this strong, healthy and vital community. As we capital improvements across all hospital sites to benefit all those we look toward the future, we are committed to ensuring that our care serve. Regardless of which site you work at, you have experienced first- stays local and we will continue to do whatever it takes to protect and hand the changes and investments into the infrastructure, technology support our not-for-profit mission in the South Coast and across and dedication to patient care that Southcoast makes on an ongoing Massachusetts. basis. I hope you recently had a chance to tour the new Southcoast Thank you for all you do, every day, on behalf of our patients. Centers for Cancer Care in Fairhaven, which will serve our region for many generations to come. COASTLINES 11 the Interview Amy Winn Annual Giving Officer A native of New Bedford — born at St. Luke’s Hospital “back when there were only two parking lots” — Amy Winn, Southcoast’s new Annual Giving Officer, spent eight years working for youth organizations, including the YMCA and Boys & Girls Clubs in Rhode Island and Massachusetts after college. That is where she developed her passion for fundraising. When she decided to return home to New Bedford last spring, to be closer to family, she immediately thought of Southcoast as a place to look for employment. “What I remembered as my small, local hospital on Page Street was now a unified, community-wide system of top-quality health care services.” It made perfect sense to her to make Southcoast her first choice for job seeking. Winn recently took time out of her day to talk to Coastlines about the importance of Annual Giving and employee support. What is your job as the Annual Giving Officer? put to immediate use benefiting the community through free educational My role is to help people understand the importance of supporting programs and health screenings, as well as services provided by the their local community hospital and helping them find the best way to Southcoast Health Van. do so. Whether it be $5 or $5,000, every gift is crucial to help sustain our health system’s superior standards. Most employees are not in a position to make a large gift to Southcoast. How can a small gift make a difference? What is the Employee Appeal and why should we donate? Every dollar counts! We are a not-for-profit organization. We constantly Annually, we ask individual community members, local businesses and strive to offer the best possible care to everyone — regardless of someone’s all of our employees to help support our efforts. Our philanthropic ability to pay. This means every time we provide a free service, we need endeavors are vital to the community. It helps to assure that Southcoast to cover the expense. Pooled monies from the Employee Appeal and Hospitals remain at the forefront of modern medicine. In short, by Annual Fund help to cover those expenses. supporting the Employee Appeal, you support your work, your colleagues and everything you do on a daily basis. What can employees expect from you? I am here to serve as a resource. I want to provide employees with an What does the money go towards? opportunity to understand how we operate as a not-for-profit organiza- Unrestricted dollars donated to the Employee Appeal provide support to tion and why their support is needed. I want to make them feel com- many areas of the hospitals, including direct patient service, medication, fortable about their decision to donate. I am also here to reinforce that patient meals, supplies, equipment, training and education. Funds are Southcoast is a place where we encourage and inspire one another — both internally and externally. My office is located in the Taber House at St. Luke’s, but I will be frequently working out of the Tobey and Charlton sites as well as the South Coast Business Center in Fairhaven. As I walk through the halls I love stopping to chat with employees about their work. I am fascinated COASTLINES is a monthly publication produced by the Marketing & Public Relations Department of Southcoast Health System. Copyright ©2010 by Southcoast Health System. All rights reserved. Editor Graphic Designer Contributors Photographers at the miracles that happen here every day! I encourage everyone to send me an email, stop by the office or stop me when you see me walking through the hospitals. Patricia Giramma Heather Tomaz If there was one thing you could get all people to understand about Patrick Gannon, William E. Grigg, CPA, FHFMA, Keith A. Hovan supporting Southcoast, what would it be? John Robson, Heather Tomaz, Katherine Tsonis our community. We are the community. With health insurance issues Address inquiries to: Editor, Coastlines Marketing & Public Relations, Southcoast Health System 101 Page Street, New Bedford, MA 02740 girammap@southcoast.org As a not-for-profit organization we have a responsibility to give back to prevalent, it is important to know that all of us and our families will be taken care of. By supporting Southcoast we support our high school classmates, our neighbors, the grocery store clerk or even our own son or daughter. I think our new ad campaign says it best — “We are you” — and we all need to support our community hospitals. COASTLINES 12