May 8, 2014 Volume 3, Issue 7
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.
BMC Brief staff recently spoke with Gaden about her goals for nursing at BMC.
What is your vision for the Nursing Department?
This month BMC goes live with its inpatient eMERGE system. What will the new system mean for nursing care?
This week is National Nurses Week. What does nursing mean to you?
What do you think of BMC?
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.
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.
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.
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.
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
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:
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.
Kathy Crowley, Laboratory Billing and Information Systems Coordinator in the Department of Pathology and Laboratory Medicine, passed away recently after a short illness.
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.
Names: 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.
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!
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Warmer weather is finally here! Try out this delicious smoothie to prep yourself for bathing suit season from the Demonstration Kitchen’s Tracey Burg.
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
Nutritional Information Per Serving:
Do you have a recipe that you would like to share with the BMC community? Send it to email@example.com and we’ll feature it in a future issue of the BMC Brief!
Reverend Dr. Ray Hammond Joins BMC Health System Board of Trustees
Vitaliy Volansky, DPM, Joins BMC Department of Surgery
BMC Named One of the Best Places to Work in Healthcare
BMC Receives “A” Hospital Safety Score from Leapfrog Group
BMC Recognized for Outstanding Medical Device Reporting
Kristin Dwyer, MD, Named Emergency Resident of the Year by MACEP
Deborah Frank, MD, Receives Prestigious Award for Work to End Hunger in Children
Department of Pediatrics Receives Numerous Accolades