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May 8, 2014 Volume 3, Issue 7


Leadership Corner: Nancy Gaden, MS, RN, NEA-BC, Senior Vice President and Chief Nursing Officer

Nancy Gaden, MS, RN, NEA-BC, joined BMC in March as Senior Vice President and Chief Nursing Officer. In this role, Gaden oversees all aspects of nursing at the hospital. Gaden has extensive nursing leadership experience, having served in Patient Care Services/Chief Nursing Officer roles, most recently at Hallmark Health system (which was awarded Magnet designation for high quality nursing) and before that at Caritas St. Elizabeth’s Medical Center, South Shore Hospital and Milton Hospital.

Nancy Gaden, MS, RN, NEA-BC
Nancy Gaden, MS, RN, NEA-BC

BMC Brief staff recently spoke with Gaden about her goals for nursing at BMC.

What is your vision for the Nursing Department?
There are a few things I am focused on: creating a practice environment in which our nurses can provide exceptional care, ensuring that our nurses enjoy their professional practice at the highest level, and communicating the great work that they do. To do this, I am learning as much as I can to determine the areas in which I can make an impact. I am meeting with nurses and shadowing them so I can get to know their care challenges and barriers.

This month BMC goes live with its inpatient eMERGE system. What will the new system mean for nursing care?
It’s evidence of great commitment to patient care and an investment that is very exciting. For the first time, we will have data from all parts of the continuum of care flowing directly into one electronic medical record. There will be bumps, as there are with transitioning to any new system, but ultimately, working with a system that is the one source of truth is a huge step forward in caring for our patients.

This week is National Nurses Week. What does nursing mean to you?
It is a gift to be able to work with patients and staff in a field that is impactful and important. As nurses, we never have to search for meaning in our work and that is multiplied at BMC. We can go home at the end of a shift knowing we made a difference to someone oftentimes by changing how they view their illness or cope with symptoms. It is an honor every day.

What do you think of BMC?
It’s an exhilarating place. There is a ton of phenomenal work that happens here every day. I am so impressed by our nurses and their commitment to quality improvement. I look forward to meeting more staff in the coming months.

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eMERGE Update: Final Preparations Begin

BMC has begun its countdown to the Go-Live of eMERGE. In 15 days, the hospital will go live with its new Epic electronic health record system for all inpatient units and two outpatient clinics, Hematology/Oncology and Pre-Procedure. The new system will provide one complete patient record, including medical history, food and drug allergies, lab and imaging results and a complete medication list. For the first time, BMC will have an integrated medical record system that will allow enhanced patient safety, greater coordination of care and increased efficiency for staff.

eMERGE Logo

Final preparations have begun as the 4,000 staff who will use the system get ready for the May 24 Go-Live. Here is what staff can expect over the next two weeks.

Training

Right up until the Go-Live weekend of May 24-26, training will continue for system users. All users must complete training by May 23; those who do not will not be given access to the system.

Classes are being held seven days a week and 16 hours a day on campus. There are more than 1,200 classes posted on the eMERGE intranet section. Questions about training should be directed to departmental leadership or program coordinators.

A number of clinical and operational staff will need “View Only” access to eMERGE. View Only access gives clinical and operational staff the ability to look up patient data including problem lists, documents, results and orders. View Only access does not allow any updating of patient data. Staff may choose either classroom or eLearning training for “View Only” access.

  1. View Only Classroom Training: For those who want to attend classroom training, this one-hour course provides a hands-on walkthrough of eMERGE. The schedule is posted on the eMERGE intranet section. Interested staff must be pre-registered by their departmental leadership or program coordinators by emailing the training team at DG_eMERGETrainingRegistration@bmc.org.

  2. View Only eLearning Training: For those who prefer online training, there are four tutorials available on the eMERGE intranet section or in Healthstream. The eLearnings take approximately 50 minutes to complete and provide the learner with a visual walk-through of eMERGE. After viewing the online modules, staff will complete a proficiency exam in Healthstream. Pre-registration by the staff’s departmental leadership or program coordinator is also required for the eLearning training and is completed by emailing the training team at DG_eMERGETrainingRegistration@bmc.org.

A “View Only” quick start guide is available to assist BMC staff with eMERGE navigation. The guide is posted on the eMERGE intranet site and provides helpful information on accessing the application, finding a patient and viewing a patient’s chart.

Once staff have completed the training and proficiency exam, access to the eMERGE “View-Only”system is granted by the security team.

Testing

Since December, the eMERGE project team has been testing the system to ensure it functions as designed. This has included testing more than 50 highly complex patient-care scenarios to ensure information flows accurately from eMERGE to non-Epic systems, such as SDK, BMC’s patient registration system, and Sunquest, the lab system.

BMC will further test the system May 13-14 during the Clinical Dress Rehearsal. Over the course of these two days, a team of clinicians, Information Technology Services (ITS) staff and Epic consultants will run through a variety of patient scenarios to test integrated workflows and to identify any last-minute issues that need to be addressed. Clinical staff will play an essential role during this rehearsal, tracking, documenting and ordering on multiple test patients throughout a typical hospital stay.

Test scenarios include a trauma patient admitted through the Emergency Department who then spends time in the Operating Room, Intensive Care Unit (ICU) and on a medical/surgical floor before being discharged. Another scenario includes a mother delivering twins emergently and the care of all three patients throughout their stay.

“The clinical dress rehearsal is one of the final milestones to be completed prior to our Go-Live,” says Eric Poon, MD, Chief Medical Information Officer. “It will reinforce for clinical staff what they learned in their training, and it will give the eMERGE training team an opportunity to assess everyone’s readiness. We are in great shape and are excited as we near Go-Live of this world-class system.”

eMERGE By the Numbers

  • More than 20 departments/units will use inpatient eMERGE, including:
    • Inpatient providers and nurses
    • Inpatient ancillary services (Respiratory, Rehabilitation Therapy, Care Management and Social Work)
    • Pharmacy
    • HIM
    • Bedcontrol/Admitting
    • Emergency Department
    • Perioperative services: surgeons, anesthesiologists, nurses, pre-surgical services
  • More than 4,000 staff are undergoing eMERGE training
  • 8 hours of classroom training are required for physicians
  • 16 hours of classroom are training required for nurses
  • 70+ complex clinical scenarios are being used to test the system
    • 280+ order sets
    • 60+ nursing care plans
    • 130+ flowsheets
    • 80+ oncology/biologics treatment protocols
    • 100+ inpatient documentation templates

Logging on to eMERGE

Through May 23, clinical staff will need to test their eMERGE logins to ensure they have access to the correct information for their roles. Staff can participate two ways:

  1. Roaming: eMERGE teams will roam care units with mobile carts assisting staff with checking their logins.

  2. Stationary: eMERGE team members will sit outside the Newton and Menino Pavilion cafeterias to assist staff with checking their logins.

After checking their logins, staff can enter an online raffle to win a pair of movie tickets. Ten winners will be randomly selected and announced after Go-Live on May 27.

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In Memoriam: Kathy Crowley Remembered for Collegiality, Professionalism

Kathy Crowley, Laboratory Billing and Information Systems Coordinator in the Department of Pathology and Laboratory Medicine, passed away recently after a short illness.

Kathy Crowley
Kathy Crowley

Crowley began her career at Boston City Hospital (now BMC) in 1966 after graduation from Boston State College. After completing her technical training in Hematology, she was certified as a Laboratory Technician in 1967 and rose through the ranks to become a supervisor and senior technologist in Hematology, receiving certification as a medical technologist in 1987.

Crowley’s field of expertise was hematology, though over the course of her career she gained experience in other laboratory based sub-specialties including microbiology, blood bank and clinical chemistry. Crowley also played a major role in the implementation of the new hospital laboratory information system in 1992.

After the merger of Boston City Hospital and Boston University Medical Center in 1996 to form BMC, Crowley brought her talents to the administrative offices of the department, as a Laboratory billing and information systems coordinator, where she managed billing compliance and revenue integrity with great care and attention to detail.

“Kathy brought a depth of experience, knowledge and competency that will be very hard to replace,” says Chris Andry, MPhil, PhD, Director and Vice Chair of Operations and Management, Department of Laboratory and Pathology “We shall all miss Kathy’s friendliness, collegial personality and exceptional contributions to our department and the BMC community.”

“Kathy was a lovely person and great co-worker,” says Susan Mallard-Shea, Office Manager, Laboratory Medicine. “I spent the last four years sitting next to her every day and I will miss her very much. To her friends and relatives, I send my heartfelt sympathy.”

Crowley is survived by her extended family.

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Mother's Day Edition:
What do you do, Cindy and Ryan Gould?

Names: Cindy Gould, RN, and Ryan Gould
Titles: Staff Nurse and Pathologist Assistant
Departments: Ambulatory Surgery, Moakley Building, and Pathology
Time at BMC: 44 years; more than 5 years

Now: Cindy Gould, RN and Ryan Gould
Now: Cindy Gould, RN and Ryan Gould

What brought you to BMC?

Cindy: I was a new nursing school graduate interested in perioperative services. I had a friend who worked at University Hospital, so I applied, had an interview and accepted the position! The rest is history.

Ryan: I first came to BMC while I was a student at Boston College. A good friend of mine’s mother, Kathy Harkins, is a longtime manager in Pathology, so she helped me get a job working in the lab during my summer vacations. I started doing odd jobs around the department. One of my biggest projects early on was moving Pathology from the Mallory Building to its current home at 670 Albany St. I also was a runner, collecting specimens to bring back to the lab for processing. When I graduated, a full-time position opened up and I was lucky to be in the right place at the right time.

What do you do here?

Cindy: I am a staff nurse in the operating room, which means I am responsible for the direct care of patients during surgery. We provide support to a variety of surgical specialties like orthopedics, ophthalmology and otolaryngology/ear, nose and throat (ENT), and I love that I experience something different every day. I spent most of my career in the Newton Pavilion, where I worked in many capacities as a cardiothoracic nurse, charge nurse and even as a program coordinator in a call center. I transitioned into the Moakley Ambulatory Surgery unit in 2012. I am honored to be a recipient of the Nursing Excellence Award.

Ryan: I work in the gross anatomy lab in pathology as a Pathologist Assistant. I participate in examining, dissecting and processing surgical tissues for analysis by the pathologist. Although we never interact with patients directly, our work in the lab is essential for physicians to provide patients with accurate diagnoses and treatment. I also volunteer as the Employee Engagement Ambassador for our department and help out with the Young Professionals employee resource group.

What do you like most about working at BMC?

Cindy: My favorite part of my job is that I have the privilege of working with so many talented individuals on all levels. During my career, I have witnessed the advancement of technology and I have experienced the evolution that has taken place in health care. I love that within my job I work in a stimulating environment that poses different challenges.

Ryan: My favorite part is the excitement of never knowing what is coming through the door at any given moment. Pathology receives such a vast array of specimens, ranging from small routine skin biopsies to large complicated cancer resections, so the opportunity to learn human anatomy and the mechanisms of disease is something I’m able to appreciate in a unique way and could never get from just being in a classroom. On a broader scale, working at a large institution such as BMC has opened my eyes to the ins and outs of operating a hospital.

Ryan, what made you decide to pursue a career in the medical field?

Ryan: I was exposed to medicine through my mom. When you have a parent who is a nurse, you know that being a nurse is a state of being rather than just a job, and it isn’t something you turn off at the end of your work day. So I grew up in a house where health was a huge focus. Through my mom I learned to be conscious of the importance of health care. It was common for friends and family to come to her with questions, and she took the initiative to educate them when she could. Her anti-smoking crusade stands out to me in particular. She taught me to exercise my body and my mind, and she is definitely the reason I was drawn to science and medicine.

Then: Cindy Gould, RN and Ryan Gould
Then: Cindy Gould, RN, and Ryan Gould

Cindy, how does it feel to have Ryan work on campus with you?

Cindy: It’s really great. He is such a wonderful and intelligent human being, a kind and thoughtful individual. He has given my husband and me so much joy. When he was recognized last year as a winner of the Be Exceptional Award, we were so proud of him.

Ryan: Mom, you’re making this sound like an online dating profile.

Cindy: I’m sorry, I’m sorry. But it’s all true! It’s nice having him on campus. We try to get together a few times a month, but we are both so busy when we are at work, it can be tough to get away.

Mother’s Day is coming up. Do you have any special plans?

Ryan: I actually will be away on vacation in California visiting my best friend. When I get back, I will celebrate with the two moms of the house, my mother and my grandmother.

Cindy: I’ll spend the weekend with my husband and my mother-in-law, who lives with us. She is 98 years old and is a proud BMC patient.

What do you do for fun outside of work?

Cindy: I love gourmet cooking. I like think of it as a chemistry experiment! My love for cooking goes hand-in-hand with my love of entertaining. I also love to garden. I grow flowers and a variety of vegetables and herbs. I’m especially known for growing enormous amounts of tomatoes and giving them away. In the summer my husband and I love to go to the beach, a trait my son also inherited. But above everything else, I just enjoy being with my family.

Ryan: In addition to working at BMC, I am pursuing my Master’s degree in Bioimaging part time from the BU School of Medicine Division of Graduate Medical Sciences. When I’m not on campus, I really enjoy staying active. I love going to CrossFit classes and running around Castle Island and along the beach in the summer. About three years ago I started skiing and now enjoy road tripping to Vermont in the winter. I am also a bit of a music junkie … some might say obsessed. I play guitar and try to catch as much live music as I can. I’m also an avid fanatic of all the Boston sports teams, and am currently pumped up about playoff hockey. Let’s go Bruins!

Happy Mother's Day to all of the Moms at BMC!

Do you know a staff member who should be profiled? Send your suggestions to communications@bmc.org .

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What’s for Breakfast?

Warmer weather is finally here! Try out this delicious smoothie to prep yourself for bathing suit season from the Demonstration Kitchen’s Tracey Burg.

Blueberry Pineapple Soy Smoothie

Blueberries are a nutritional powerhouse. They rank the highest of any fruit for antioxidants, and one cup delivers 14 percent of the recommended daily dose of fiber and nearly a quarter of the recommended daily intake of vitamin C. Pineapples contain bromelain, an enzyme that may help arthritis pain by easing inflammation. They are also a good source of vitamin C, which helps your immune system. Combining them in this smoothie packs in some low-calorie nutrients to your diet and makes a great breakfast or snack.

Blueberry Pineapple Soy Smoothie

Ingredients:

  • 1 cup Pineapple chunks in juice
  • 1 cup Blueberries, frozen
  • 1/2 cup Silken tofu
  • To taste Splenda

Directions:

  • Combine all ingredients in blender and blend until smooth.

Nutritional Information Per Serving:
Serves 2

  • Calories: 130
  • Total Fat: 1 g
  • Saturated Fat: 0 g
  • Cholesterol: 0 mg
  • Carbohydrates: 30 g
  • Dietary Fiber: 3 g
  • Sodium: 30 mg
  • Protein: 4 g

Do you have a recipe that you would like to share with the BMC community? Send it to communications@bmc.org and we’ll feature it in a future issue of the BMC Brief!

News of Note

Reverend Dr. Ray Hammond
Reverend Dr. Ray Hammond

Reverend Dr. Ray Hammond Joins BMC Health System Board of Trustees
Reverend Dr. Ray Hammond was recently appointed a trustee of the BMC Health System, Inc. Board of Trustees. The BMC Health System Board oversees the operations of Boston Medical Center and BMC HealthNet Plan and their affiliates. Hammond, founder and co-pastor of Bethel African Methodist Episcopal Church in Boston, is well known for his extensive involvement with various Boston community organizations and his advocacy on behalf of youth and the undeserved. In addition to serving as co-pastor of the Bethel AME Church, Hammond is chairman and co-founder of the Ten Point Coalition, an ecumenical group of Christian clergy and lay leaders working to mobilize the greater Boston community around issues affecting black youth. He also serves as a trustee of the Yawkey Foundation and is the executive director of Bethel’s Generation Excel program.

Vitaliy Volansky, DPM, Joins BMC Department of Surgery
Vitaliy Volansky, DPM, has been named Attending Surgeon, Division of Podiatry Surgery at BMC and Instructor of Surgery, BUSM. Prior to joining BMC, Volansky was an Associate Physician at Manhattan Footcare in Brooklyn and held faculty positions at New York College of Podiatric Medicine in New York, and Lincoln Hospital in the Bronx. Volansky received his doctor of podiatric medicine from New York College of Podiatric Medicine and completed his residency at Long Island College Hospital, Downstate Medical Center in Brooklyn. His research and clinical interests include: podiatric surgery, diabetic foot care, dermatology/pathology and biomechanic analysis/sports injuries. Volansky is a native of Ukraine and has been in the United States since 1997.

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Awards and Accolades

Becker's Healthcare

BMC Named One of the Best Places to Work in Healthcare
BMC has been named to the Becker's Healthcare "150 Great Places to Work in Healthcare" for 2014. The annual list features provider organizations, including hospitals, health systems and ambulatory surgery centers, as well as nonprovider organizations, like electronic health record providers and IT vendors. Winners were chosen for their robust benefits, wellness initiatives, commitment to diversity and inclusion, professional development opportunities and work environments that promote employee satisfaction and work-life balance Other local hospitals recognized included Massachusetts General Hospital and Brigham and Women’s Hospital.

BMC Receives “A” Hospital Safety Score from Leapfrog Group
BMC is one of just 251 hospitals in the nation to achieve an “A” rating in all five testing areas in Leapfrog Group’s Spring 2014 Hospital Safety Score. The Leapfrog Group is an independent national nonprofit run by employers and other large purchasers of health benefits. The Hospital Safety Score was calculated under the guidance of The Leapfrog Group’s Blue Ribbon Expert Panel using publicly available data on patient injuries, medical and medication errors, and infections. U.S. hospitals were assigned an A, B, C, D, or F for their safety. The Hospital Safety Score represents a hospital’s overall capacity to keep patients safe from infections, injuries, and medical and medication errors. To see BMC’s scores as they compare nationally and locally, visit www.hospitalsafetyscore.org.

BMC Recognized for Outstanding Medical Device Reporting
BMC has been recognized for outstanding contribution in promoting patient safety with medical devices by the Food and Drug Administration, Center for Devices and Radiological Health and Medical Product Safety Network (MedSun). MedSun’s goal is to work collaboratively with the clinical community to identify, understand, and solve problems with the use of medical devices. MedSun participants, like BMC, voluntarily report problems with devices, such as ‘close-calls,’ potential for harm, and other safety concerns. By monitoring reports about problems and concerns before a more serious event occurs, FDA, manufacturers, and clinicians work together proactively to prevent serious injuries and death. BMC was recognized for outstanding reports on “Smith Medical Hypodermic Needle, which resulted in Manufacturer Action.”

Kristin Dwyer, MD, Named Emergency Resident of the Year by MACEP
Kristin Dwyer, MD, PGY4, has been selected as the Massachusetts College of Emergency Physicians (MACEP) Emergency Medicine Resident of the Year. This award recognizes and honors Dwyer as an outstanding emergency medicine resident whose combination of clinical promise, leadership, and commitment to her patients and emergency medicine separate her from other Emergency Medicine residents. MACEP is dedicated to advancing excellence in emergency care, and advocating for emergency physicians, their patients and the health of the community.

Deborah Frank, MD
Deborah Frank, MD

Deborah Frank, MD, Receives Prestigious Award for Work to End Hunger in Children
Deborah Frank, MD, Director, Grow Clinic for Children, will be recognized with the Robert F. Kennedy Children’s Action Corps’ Embracing the Legacy Award June 3 for her work as a committed advocate for America’s children. Throughout her career, Frank’s work has aimed to end hunger and hardship for the increasing number of impoverished children and families in Massachusetts and around the nation. During the past year, work by Frank and the Children’s HealthWatch team has found alarming evidence of an increased risk of hunger among young children nationally in the wake of significant budget cuts to SNAP benefits (formerly known as Food Stamps). Recent Children’s HealthWatch studies also have found that within groups of poor families, those whose children have chronic health problems are even more likely than their peers to struggle with hunger. The Robert F. Kennedy Children’s Action Corps’ annual Embracing the Legacy Award celebrates the legacy of Robert F. Kennedy and the work of the organization founded to carry out his principles of social justice for the poor and disadvantaged. Through its Embracing the Legacy event, the agency raises money to support some of Massachusetts’ most vulnerable youth and families, giving them a second chance for a better life.

Department of Pediatrics Receives Numerous Accolades
Lois Doerr, CPNP, recently received BMC’s annual Barbara Levy Caring Award. Barbara Levy was the first volunteer coordinator for Pediatrics and the award is given to a member of the pediatric staff who exemplifies Barbara's caring spirit and commitment to BMC’s youngest patients. Doerr received the award in recognition of her commitment, passion and excellence.

The American Pediatric Association (APA) recently awarded Jayna Schumacher, MD, the Young Investigator Award for Primary Care Strategies for the Promotion of Early Literacy and School Readiness Supported by Reach Out and Read. The title of the project is "Use of E-books to Support Emergent Readers from Families with Low Socioeconomic Status." The APA Young Investigator Program funds projects in health services research, medical education, adolescent medicine, public health, and other general pediatric clinical research domains.

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