The BMC Brief
March 15, 2013 Volume 2, Issue 5
- BMC Re-Accredited by Joint Commission; Achieves Near-Perfect Survey
- What’s for Dinner? Healthy Chicken Cacciatore
- What Do You Do, Neline Clergeau?
- In Their Words
- News of Note
- Awards and Accolades
After months of waiting, the Joint Commission (TJC) finally made landfall at BMC in late February to conduct their triennial survey of the hospital. TJC is an independent, not-for-profit organization that accredits and certifies more than 20,000 health care organizations and programs in the United States. TJC accreditation is recognized nationwide as a symbol of quality that reflects a hospital’s commitment to meeting certain performance standards.
TJC visits BMC every three years to ensure the hospital is adhering to more than 3,700 standards which mirror the regulations set by the Center for Medicare and Medicaid Services (CMS). The five-day inspection conducted by TJC Survey Team culminates in a hospital either receiving accreditation or not. TJC accreditation enables BMC to accept patient payments through Medicare and Medicaid, which is essential in treating BMC’s patient population.
“We’re evaluated on everything from facility design to how we consent patients prior to a surgical procedure,” says Laura Harrington, RN, MHA, CPHQ, Executive Director, Quality and Patient Safety. “It is a tremendous effort because it takes the entire BMC team to meet thousands of standards.”
At the conclusion of the week, BMC had cause to celebrate. The hospital achieved 99 percent compliance on all 3,700 standards, receiving TJC re-accreditation for the next three years and glowing reviews from the surveyors.
“What a success!” says Harrington. “Only a small number of hospitals achieve a near-perfect Joint Commission survey. BMC is now in the elite minority of hospitals to do so.”
TJC surveyors were quick to point out BMC’s exceptional performance. One surveyor commented that she was impressed by how well BMC staff worked together in a large facility spread across multiple buildings and locations. Another surveyor was impressed when she saw a patient navigator in action, while a third surveyor noted that BMC has set a very high standard for all other hospitals she will be surveying in the future. The survey team was particularly impressed by the improvements the hospital has made on its mortality reduction and alarm fatigue among staff.
The surveyors did note some opportunities for improvement, such as keeping hallway exits clear, separating full and empty oxygen cylinders, labeling medications at the time of transfer to another container, and ensuring that paper patient records are signed, dated and timed. Efforts to improve these processes will be rolled out in the coming weeks.
“We had a wonderful experience with the surveyors” says Harrington. “I’ve been through 10 Joint Commission surveys in my career, but this most recent survey was the best one yet. Every member of the BMC community should be proud of this outstanding achievement.”
Summer is fast approaching, but a balanced diet should be a year-round staple on your quest to be healthy! You can start by trying this delicious recipe from BMC Demonstration Kitchen Chef Tracey Burg.
This traditional Italian dish serves six and is a perfect family dinner that can be whipped up and served on any night of the week. The veggies and lean meats make it a tasty tool to maintain your blood sugar level, and at 187 calories per serving, you’ll be one step closer to looking beach-ready this summer!
- 2 pounds chicken quarters (3 quarters)
- 1 tablespoon olive oil
- 1 medium onion, sliced
- 1 medium pepper, sliced
- 1/2 pound mushroom, sliced
- 2 cloves garlic, minced
- 1 can (15-ounce) tomato sauce, no-salt added
- 1 can (15–ounce) can diced tomatoes, no-salt added
- 1/2 tsp dried oregano (or 1 Tablespoon fresh, chopped)
- 1/2 tsp dried basil (or 1 Tablespoon fresh, chopped)
- 1/2 tsp pepper
- 1/4 tsp salt
- Cut the chicken quarters in half to have three thighs and three legs. Remove skin from chicken pieces.
- In a heated skillet, add the oil; brown the chicken for 3 minutes. Remove the chicken from the skillet and set aside.
- Add the onion, garlic, green pepper and mushroom and sauté for 3 minutes.
- Add the tomato sauce, stewed tomatoes, seasonings and chicken; bring to a boil. Reduce heat; simmer, covered, for 30 minutes or until chicken is thoroughly cooked through.
- Serve over brown rice, whole wheat pasta or polenta.
3 Lean Meat Exchanges; 2 Vegetable Exchanges
Nutritional Information per serving:
- Calories: 187
- Total Fat: 3 g
- Saturated Fat: 1 g
- Sodium: 250 mg
- Carbohydrates: 12 g
- Cholesterol: 72 mg
- Dietary Fiber: 3 g
- Protein: 26 g
Name: Neline Clergeau
Title: Recruiting Administrator
Department: Human Resources
Years at BMC: 6
What is your background?
I started working at BMC as an intern through a program at North Cambridge Catholic High School, now Cristo Rey High School in Boston. After my high school graduation, I had the opportunity to come back as a paid intern over the summer and worked here every break throughout college. After graduating from college last year, I interviewed for a full-time position and have been part of the HR team ever since!
What do you do here?
Using a recruitment software program called TALEO to post open positions at BMC. I work with the recruiters to schedule interviews, create offer letters and make sure all new employees receive their proper information and paperwork. Lastly, I supervise the Cristo Rey interns that work with us every day.
What do you like most about working at BMC?
The sense of community and the positive environment in my department make BMC a wonderful place to work. I love the diversity within this organization and being in HR gives me the opportunity to interact with people from many different backgrounds. I also believe that BMC has given me an opportunity to further develop my career.
What are some of the most memorable projects you’ve worked on here?
I enjoyed working on the service recognition event, held each year to recognize employees for their years of service to BMC. It was rewarding to see how the event came together and how appreciative everyone was for the hard work that went into organizing it.
How do you maintain a healthy work/life balance?
I make sure I finish my work during business hours so I do not have to take it home with me. I also have built great relationships with my colleagues who are always there to help me, which makes the workflow more manageable. We laugh a lot in our department, which helps when we’re busy hiring people for 360 open positions!
Do you know a staff member who should be profiled? Send your suggestions to firstname.lastname@example.org.
Patients share their BMC experience
To the staff of 8West:
I have never written a letter of praise in all of my 42 years and numerous hospital stays, but I felt compelled to write this one.
Recently, I was admitted to BMC for back surgery (my third one!) by Dr. Davies. The team that prepared me for surgery was delightful and made me feel at ease during what was a very nerve-wracking morning. When I awoke in recovery, I was again cared for by a very compassionate group. We were in the middle of a blizzard and I’m sure not working with a full staff, but you would never have known it. They were incredibly attentive—came within a minute of me pressing my call bell. When I was brought up to my room I had an incredibly kind nurse.. She was wonderful and I believe she must have had a calling to become a nurse – she was A++! I also wanted to recognize some other members of your staff who made my one-week stay much more bearable, as I missed my children and husband. The nurses that stood out as true professionals to me were: Karen, Chris, Ann J., Maryanne, Marjorie and Nicky (who was a floater). I also wanted to mention a CNA you have on your staff who is not only professional, but compassionate, caring and very funny! He loves his family and it showed. His name is Michael and I would pay out-of-pocket to have him as my CNA if ever admitted again! Every single occupational therapist and physical therapist that entered my room were phenomenal and delightful. The ones I remember most were Iris (OT) and Kristi (PT). They were lovely, professional young women who made me work, but put a smile on my face. I’m grateful for their work! And last but certainly not least is a warm, caring and very special individual who came to collect my linens each day with a smile that would light up a room. His name is Carlos and he is a pure gem and an asset to your hospital. He loves his job, he loves the patients he meets, and you can feel that the moment he enters the room. I will surely miss him (but not enough to stay longer! Haha!)
Please commend these wonderful people. Because of them I will recommend BMC to everyone I meet in need of surgery or a new doctor.
P.S. I can’t believe I almost forgot to mention Dr. Davies! Of course he did the absolute best he could, and I’m sure over time I’ll be running around after my 7 year-old! His nurse practitioner Kim Chagnon is a kind-hearted, caring, compassionate, lovely woman and worked with me closely so that I would feel 100 percent confident going home. She never questioned the severe pain I had been suffering post-operation, and worked her hardest to make sure I stayed comfortable. She’s a fantastic woman in every way and I truly appreciated having her as my NP! I was blessed!
New Bike Cage
TranSComm opens third bike cage on campus
TranSComm has installed a third bike cage at the entrance to the 710 Albany St. garage. After entering the garage, take a right and the new bike cage is ahead on your left. This cage is available to all registered cyclists. The cost of registration is $20 for a calendar year. Please drop by the TranSComm office at 710 Albany St. to register. Please note that all three cages are available to all registered cyclists. For more information, please contact TranSComm at 638-7473.
NICU celebrates one year free of CLABSIs
The Neonatal Intensive Care Unit (NICU) has focused on reducing central line-associated bloodstream infections (CLABIs) for the past past couple of years through a QI initiative. The hard work has paid off; the NICU is pleased to report that it has been CLABSI-infection free for one year. Congratulations!
BMC recently was ranked No. 2 out of 17 large-volume hospitals in the state for its delivery of stroke care by the Stroke Collaborative Reaching for Excellence (SCORE), a voluntary statewide quality improvement initiative collaborative administered by the Massachusetts Department of Public Health. BMC received the award for providing “defect-free care to a minimum of 80 percent of patients;” 94 percent of BMC patients receive defect-free care. SCORE awards were created in 2009 to recognize participating hospitals (58 statewide) for their achievements in providing stroke care.
BMC has been named a Blue Distinction Center® for neurosurgery and orthopaedic spine surgery by the Blue Cross Blue Shield Association. Blue Distinction Centers for spine surgery are awarded to medical facilities exhibiting a commitment to quality care, resulting in better overall outcomes for patients. These facilities offer experienced, comprehensive inpatient spine surgery services, including discectomy, fusion and decompression procedures. Research confirms that hospitals designated as Blue Distinction Centers for Spine Surgery have fewer complications and fewer hospital readmissions than non-designated hospitals.
BMC’s Carl J. and Ruth Shapiro Ambulatory Care Center has received a 2012 design award from the Boston Society of Architects (BSA). BMC opened the state-of-the-art Shapiro Center in 2011. It is BMC’s first green building, and was designed by Tsoi/Kobus and Associates of Cambridge.