September 2016





Welcome to eFocus.  Our goal is to provide you with timely, informative and useful short summaries and links about UM UCH related news, issues, or events.  Feel free to contact us if you have news to share, story ideas or any other feedback. As always, your comments are welcome.

eFocus, September 2016 topics include:


Welcome

Summer has gone and fall has begun. School is well underway, pools are closed and the mornings are beginning to get just a little bit colder. This month’s issue of eFocus has a lot of great news to share across all departments. The first is the incredible news that for the first month of the fiscal year, July 2017, UM UCMC was able to achieve 9 out of 9 domains in our HCAHPS patient satisfaction survey. This is the first time either UM UCMC or UM HMH achieved a perfect 9/9 in every domain. Now we have to keep that going 11 more times! Patient satisfaction is not an initiative to make a hospital a fun ride at Disneyland, but rather a concerted effort to maximize patient engagement of its health care. This is not just me talking as there are a multitude of peer-reviewed scientific articles that have shown that with increased patient satisfaction we have better compliance of treatment plans, improved physician/provider satisfaction, decreased patient complaints and even fewer medical malpractice lawsuits. As we implement our Language of Caring™ (LoC) program, we are very excited to take the lessons learned regarding empathic communication and integrate them into our culture so that we can better care for our patients. More to come regarding LoC and a big shout out to the hospitalist program and the champions/facilitators that have volunteered to further support the program.

We also have some great news to share regarding the Family Birthplace and its new Baby-Friendly designation. Read on to learn more about what Baby-Friendly means to the newborns and mothers at UM UCMC. Gary Hicks, our Director of Education, was appointed to the Maryland Board of Nursing by Governor Hogan, and Dr. Geoffrey Bloomfield, an Army reservist, has been deployed to Afghanistan. We wish him safe travels and thank him for his service.

In clinical news, our Chair of Pediatrics, Dr. Kim Cass, was interviewed about adolescent suicide on two local TV news stations. And we've included an informational video about surgery for gastroesophageal reflux from Dr. Shamus Carr, thoracic surgeon. Finally, there will be another giveaway! I'm giving away two club seat tickets to the October 9 Redskins vs Ravens game at M&T Bank stadium. The first five people to find the clue embedded in the newsletter and respond with the correct answer to my email, fbarrueto@uchs.org, will be entered into a drawing for the tickets. Enjoy and get ready for our Halloween edition next month! 

Fermin Barrueto, Jr., M.D., M.B.A.
Senior Vice President/CMO
Medical Staff Affairs


Baby-Friendly Designation

UM UCMC has been designated a Baby-Friendly® Hospital by Baby-Friendly USA. It is one of five hospitals in Maryland and is the first and only hospital within the University of Maryland Medical System to receive the designation.

Baby Friendly is a global initiative of UNICEF and WHO which focuses on evidence based care and educating mothers so they can make an informed decision on how best to feed their baby. This was truly a collaborative journey with nursing, providers, patients, and leadership working together to change the culture of the Family Birthplace and Special Care Nursery.

TheTen Steps to Successful Breastfeeding are:

  1. Have a written breastfeeding policy that is routinely communicated to all health care staff.
  2. Train all health care staff in the skills necessary to implement this policy.
  3. Inform all pregnant women about the benefits and management of breastfeeding.
  4. Help mothers initiate breastfeeding within one hour of birth.
  5. Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants.
  6. Give infants no food or drink other than breast milk, unless medically indicated.
  7. Practice rooming in--allow mothers and infants to remain together 24 hours a day.
  8. Encourage breastfeeding on demand.
  9. Give no pacifiers or artificial nipples to breastfeeding infants.
  10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or birth center.


Quality Update

The Best Foley Fighter (BFF) was recently awarded to Janet Sonn, RN on 3 West, for her efforts to prevent the unnecessary use of Indwelling Urinary Catheters. Her determination has helped drive the use of catheter days on 3 West to 35% below the national average for FY16. Congratulations!

BestFoleyFighter

  • Utilization ratio decreased 27% from FY15 to FY16
  • FY16 ratio was 0.11 which is 35% below the national average

MEC and P&T Summaries

  • Vitamin K: We removed the Vitamin K 10 mg injectable from all Meditech inventories except the Periop machines. We have also removed the 1 mg from all machines except FBP/OB. Vitamin K should not be given IM; that route has been removed from the 10 mg ampule option. It is still available on the 1 mg Neonatal option. SQ is also not recommended so it has also been removed as an option, as well. In the rare case SQ is needed, there is a new option for SQ only. This option is not orderable by OM (CPOE), only available with a written order. Pharmacy will be mixing all IV doses, which is the recommended route of administration.  
  • MEC Approved Order Sets (new or revised): Available for use November 1, 2016


Clinical Highlights

  • Dr. Shamus Carr, thoracic surgeon, presented at the UM UCH Board Education Series on September 27th about the use of robotics.  Click here to learn more about when to consider surgery for Gastroesophageal Reflux Disease. 
  • Our Chair of Pediatrics, Dr. Kim Cass, was interviewed about adolescent suicide on both Fox45 News and ABC2 News.

In Case You Missed It

  • Gary Hicks, Director of Education, was appointed to the Maryland Board of Nursing by Governor Hogan. As a member, he will be instrumental in decision-making related to nursing practice in the state.
  • Dr. Geoff Bloomfield, Harford surgeon and Army reservist, is deployed to Afghanistan in United States' longest war.
  • If you're reading this, send me an email NOW (fbarrueto@uchs.org) with 3 of the 10 Steps to Successful Breastfeeding mentioned in this issue. The first five people to email the correct answer will be entered into a drawing to win two club seat tickets to the October 9 Redskins vs Ravens game at M&T Bank stadium.


Community News

Harford County has experienced record setting numbers for heroin related overdoses in 2016. There have been nearly 200 heroin overdoses in the county this year; 32 of these were fatal.  As a response to the crisis, The Upper Chesapeake Health Foundation has supported the purchase of Naloxone kits, an antidote to opioids.  Over the last 12 months, 200 kits have been distributed to 130 patients whom have been treated in the Emergency Department at either UM UCMC or UM HMH for an overdose. We would like to thank The Foundation for its continued support of the community.  


Upcoming Meetings and Events

Mark your calendars for important standing meetings and special events.

The Breast Center at UM Upper Chesapeake Medical Center presents,
Personalized Breast Cancer Care: Providing Quality and Excellence in the Community Setting
Tuesday, October 18 ● 4:30-7:30pm
Kaufman Cancer Center, Streett Conference Room

For a registration brochure or more information, call 443-643-3350.  2.0 AMA PRA Category I Credits

Pediatric Grand Rounds: Held the first Wednesday of every quarter (Jan., Apr., July, Oct.) from 7 - 8 p.m. Guest lecturers present different topics in pediatric medicine, including common dermatologic conditions, effects and management of obesity in children, pediatric head injuries, and more.  

Multidisciplinary Thoracic Conference: 12 Noon, Every Monday
UM UCMC, KCC Streett Conference Room

Multidisciplinary Breast Conference: 8 a.m., Every Tuesday
Radiology/Oncology Conference Room

Pharmacy &Therapeutics (P & T) Committee: 7:30 a.m., Second Wednesday of each month
UM UCMC Maryland Room 

Credentials Committee 7:30 - 9 a.m., Third Friday of each month
UM UCMC, MSCR 

Medical Staff Leadership  8 - 9 a.m., Fourth Thursday of each month
UM UCMC, Fallston Room/UM HMH, MSCR