Monday, July 11, 2011

We're Moving...

As many of you know I have accepted a new position bringing my family closer to our extended family. Certainly, change can be exciting and bittersweet. I am joining an exceptional healthcare system. I will also miss my colleagues, friends and the communities we serve in Kansas City.

Yes, we are moving. And with moves, comes life out of boxes for a while. It seems fitting to take this moving time, and move my Blog to a new address as well.

Let me know what you think. Talk to you soon.

New Blog Location: THE Healthcare Experience.

Thursday, July 7, 2011

Lessons on What Can be Flushed...

Never a dull moment in healthcare. This note just received (no, I was not the one who flushed these cloths)...




PLEASE DO NOT FLUSH THESE CLOTHS IN THE TOILET!!!!

THANK YOU

Wednesday, July 6, 2011

Until Next Time

The past three plus years have flown by for me and my family. I have really enjoyed serving St. Joseph Medical Center and Carondelet Health. Last week, Bob Bub, our Pharmacy Manager asked what I was most proud of since my arrival. There are many things we are doing really well so it was difficult to just pick one. What stood out was our safety journey. When I arrived in May 2008, we provided great care and we provided safe care. We did not have enough people in every area talking about safety and how we can continue to make our care even safer and better. We started safety huddles, put more focus on safety in our clinical meetings, discussed at staff meetings, increased rounding, enhanced the RCA (root cause analysis) review and the list goes on.

Today, everywhere you go in the hospital, you can speak to your colleagues - associates, volunteers and physicians and they will let you know how they help contribute to safer care for our patients.

Thank you for the opportunity to serve as your Chief Executive. Over the past few years, you have made a tremendous impact on my life. Please stay in touch. Jane Hoyland will have my updated contact information. Jane shared this reflection with me and I read it at our last St. Joseph Medical Center Board meeting:

Some people come into our lives and quickly go.
Some people move our souls to dance.
They awaken us to the understanding with the passing whisper of their wisdom.
Some people make the sky more beautiful to gaze upon. They stay in our lives for a while, leave footprints on our hearts, and we are never, ever the same.


It's a small world out there and even smaller in healthcare. Our future is about collaboration as we improve the health of our patients and communities. I look forward to meeting up with you again. Until next time.

Thursday, June 30, 2011

Fun at Work...

I've heard the comments..."there should be no fun in the workplace" and "they call it job for a reason." However, since many of us spend 30%+ of our time at work and another 20-30% of our time sleeping, it is good to find those fun times at work...What's going on in your workplace to make it more enjoyable for you and your colleagues?

I was speaking to Mohsin Soliman, one of our General Surgeons and we started to discuss the excitement and challenges in healthcare. He enjoys surgery, good dialogue, his colleagues and having fun while at work. He let me know he would not want to work in a place that was not enjoyable day in and day out. That would be a "dreaded place to be." This doesn't mean goofing off all day long. It does mean enjoying the time you spend in the workplace and helping to make it enjoyable for you and others.

Forbes had an article reflecting on the benefits of fun in the workplace.

I also enjoyed these 8 tips from Tres Coaching:

1. Put fun first on your list of priorities, and the rest will fall into place.
2. Laugh more. Laughter can be a great medicine for what ails you and your workplace.
3. Be spontaneous with recognition, praise and a simple “thank you”.
4. Schedule fun-based activities with employees, customers and suppliers.
5. Find your inner child. Let others see the humorous side of your personality.
6. Live with the 3E’s – Energy, Enthusiasm and Empathy.
7. Take mental health breaks and/or extended lunches to refresh and re-energize.
8. Keep things in perspective. Your work is a means to an end, not the end!


Regardless of where you are in your career, if you’re not having fun – what’s the point? Life is too short to not enjoy what you are doing, so find a way to put fun back into your work or do something else. The continuing negative trends in business as a result of downsizing, restructuring and the financial markets meltdown have taken a huge toll on the workplace, and the workforce tasked with doing more with less. We need to find ways to reduce stress, improve productivity, and keep our morale and energy levels up.

There are unlimited challenges and exciting times ahead in healthcare. Why not make the best of it and ensure we have some fun while constantly improving the healthcare experience.

Tuesday, June 28, 2011

Thank you Auxiliary Board Officers and Committee Chairs

It's always a celebration with our wonderful Auxiliary. Today, we enjoyed the installation of our new Auxiliary President and Board.

Chef - you and your team put a great lunch spread together..."light lunch" it was not!

Thank you to Jeri Grimes, Director and Mary Ann Nagy, Past-President, for your remarkable leadership. I appreciate the work of you and your 2010-2011 Committee Chairs and Executive Officers. Your work made such a difference at St. Joseph Medical Center.

And welcome Shari Boles as our new President. I know you will continue to strengthen our efforts.

Please welcome our new 2011-2012 Committee Chairs:

- Telephone: Etta Hedrick
- Information Desk: Bruce Border
- Hospitality: Janet Morris
- Standing Committee Chairpersons:
- Program: Susan Ruiz
- Publicity: Mary Jameson
- Scholarship & Certification: Becky Hook
- Sewing: Mary Ann Olson
- Spiritual: Gerry Duncan

Executive Officers:

- Treasurer: Lisa Smith
- Corresponding Secretary: Judy Hansen
- Recording Secretary/Historian: Fran Graves
- 3rd Vice President - Strategic Planning: Kaye Martin
- 2nd Vice President - Dues and Membership: Dale Wolf
- 1st Vice President - Ways and Means: Joan Cody
- Past President: Mary Nagy
- President-Elect: Patricia Seiter
- President: Shari Boles

Thursday, June 23, 2011

You Say You Want a Revolution...


The other day we discussed "Change" during one of our leadership meetings. The more I thought about it, we all know change happens all the time. We may not like some of the change but most of us understand it is inevitable (Although I must say I still miss those aluminum foil wrapped Ho-Hos from the 70s). We just need to be clear why we want to change and how we will go about the change to ensure we stay successful in our care delivery and the overall healthcare experience.

Remember the Beatles song, Revolution....
You say you want a revolution
Well, you know
We all want to change the world
You tell me that it's evolution
Well, you know
We all want to change the world

At times it may seem like healthcare is a revolution (a sudden, radical or complete change). Really over the years, it seems more of an evolution with a need to infuse revolution with inclusion (e.g., Lean Six Sigma). Looking at it from this stand-point as opposed to just "change" seems more inviting for all of us to participate. It gives us a chance to take note of where we are, what we could be and how we will get there together.

It's not easy but there are things I don't miss that we could not be without years ago...you guessed it, Interoffice Envelopes. I don't miss them one bit. Sure, my email inbox is more full and people expect quicker response times than the week we were given with interoffice envelopes. However, our world, as complicated as it may be is more responsive since the decline of the interoffice envelope! Clearly I share this tongue in cheek - healthcare will continue to evolve and form partnerships we did not know could ever exist. Do you remember when Steven Spielberg, David Geffen and Jeffrey Katzenberg formed Dreamworks SKG in 1994. That seemed to work out pretty well don't you think. Individually, they were very successful...together they changed their industry beyond what each could do individually. A true "evolution and revolution" in film animation followed.

Think about the amazing impact healthcare providers and suppliers will have on the healthcare experience as they come together over the next 5-10 years. Creating healthier communities by bringing together wellness experts, physicians, nurses, hospital providers, post acute providers, rehabilitation, educators, suppliers, process improvement experts, community members...and other fields we didn't even know would start to impact the healthcare experience. Now, that's an evolution we should all look forward to impacting.

Friday, June 17, 2011

Do You See What I See?

This morning, I toured our facilities with Larry Rubin (Facilities Management), NuNu Girma (Environmental Services-EVS) and Andrew Stonestreet (EVS). They provided the tour through their eyes. It was great getting their perspective. As Andrew said, it all starts with the first impression through our "Front Doors"...and there are many:

- Our Emergency Department where 50% of our inpatients first arrive;

- The "main entrance" where we welcome the majority of outpatients, visitors and families;

- Our Heart Institute and Womens' Health Center entrance;

- The associate, volunteer and physician parking entrances that help start our day;

- The Community Center utilized by thousands every year;

- Our loading docks and entrances for our many suppliers and vendors....the list goes on.

That first impression is so key and such an instrumental part of our welcome and the pride we have in our organization. We then traveled to other parts of the hospital...the Emergency Department, outpatient areas, inpatient rooms and high traffic hallways.

We all play an important role in keeping our organization a welcoming environment for the thousands we serve in our communities.

Thank you Andrew, Larry and NuNu for sharing the organization through "your eyes."

Wednesday, June 15, 2011

Lead, Follow and Help Whenever Necessary

Take a look at Dr. Don Clement's upcoming newsletter article. Dr. Clement serves as the President of our Medical Staff and a truly exceptional leader..

Summertime and the Fourth of July, outdoor BBQs, walking through the neighborhood, soaking up the sunshine. As we look forward to celebrating the anniversary of the founding of this great country on the Fourth, perhaps we should spend some time looking back and consider the one ingredient necessary for this monumental historical accomplishment. Recognizing the importance of fundamental leadership and its principles will help us appreciate how we can employ those same principles every day.

The decision to establish the independence of those thirteen disparate colonies and embark on the creation of this nascent country rested on the leadership of many different individuals. Throughout the countryside and in the many small communities the ability to impart the sense of vision and implement this move towards independence required a concerted effort with leadership at all levels. While that trait was integral to our nation’s foundation it is directly translatable to all of us throughout the workplace, particularly in our Medical Center.

What makes a good leader and who should assume that role? The answers are that everyone has some capability for leading and should want to play a part. Do what’s right, even when there’s pressure to “cut the corners”. Be willing to accept responsibility, share the workload, help others, and set the example for others by how you conduct yourself in your job. It isn’t something that is only limited to those in positions of decision making. Every one of us makes decisions each day on how best to do our assigned tasks. More importantly we must decide that we are willing to share in our concerted effort towards providing the best in health care.

The development of leaders and those necessary skills takes place every day. Physicians and senior executives whether they want to accept this mantle or not, must recognize the need to exhibit leadership traits in their practice and encourage a culture that promotes leadership at all levels. But it extends far beyond those positions. Whether you are a nurse on the floor, working in the lab, transporting patients, cleaning the rooms, balancing the budget, fixing computers, making schedules, teaching students it doesn’t matter. Those in positions of authority at whatever level (who may at times not always set the good leadership example) must be willing to project solid leadership values.

As a retired military officer I recall that I was taught to “Lead, Follow or Get out of the way”. I think we could expand this a bit by advocating that all of us should be willing to “Lead whenever necessary, Follow when appropriate and Help create an environment where there is the expectation of good leadership”.

Tuesday, June 14, 2011

Today is Going to Be the Best Day Ever

Last night, I said goodnight to my kids. Skyler had many camp stories. Sydney told me today was "the best day ever" and shared that her camp team won the "spirit stick." Zach was deep into a book and said, "I'm almost done...just a few pages." It was so great to see their excitement. Zach let me know that he loved finishing a book and looked forward to starting the next in the series by Rick Riordon. He told me he is done for the night but can't wait to start his next book. Isn't that part of our journey in healthcare? That constant excitement for what's next...what we could be.

He also pulled a few of the books off his shelf and asked me to start reading them...I let him know that I was not quite ready for them yet!

That spark, that enthusiasm is so contagious. That's part of our world in healthcare, the "contagious" compassion, sincerity and excitement we show in our work with each and every person we serve.

This morning Jenny asked Sydney, are you looking forward to another day at camp. Of course Sydney replied with all sincerity..."today is going to be the best day ever."

Wednesday, June 1, 2011

Life is Good

Healthcare delivery changes at a rapid pace. Is this positive or doom and gloom?

Over the past couple of days, I've had discussions with colleagues about several tragedies.

Some of their stories included:

- My home was majorly damaged with the recent hail storms...my insurance will cover the majority of the cost.

- Home prices have dropped all around the country...it may be a good time to buy.

- My trip to Japan was canceled...right after their tsunami - glad my life was spared.

- I lost my brother to a fluke accident...the tragedy has pulled our family together.

- My mom had a stroke last week...she still has her speech.

There was a "silver lining" in everyone's story. Sure they all wished the event did not take place however they shared the positive side given the reality of the situation.

Healthcare is changing at a rapid pace...what a great time to make it work together - we can't do this alone.

Cheryl Sadro, one of my colleagues, said, "I marvel at the opportunities we have...life is good!"

Monday, May 30, 2011

Memorial Day








Memorial Day, originally called Decoration Day, is a day of remembrance for those who have died in our nation's service. Last week, Dennis Thompson, from our Spiritual Care Department organized a service in honor of our Veterans. It was really incredible to see how many of our associates and volunteers served our nation - most were dressed in uniform excluding a few who thought their uniform may not fit anymore! Thank you to Jane Hoyland and Jeri Grimes for getting the word out - we had great attendance and everyone was very appreciative of the event.

Happy Memorial Day and thanks to all those who serve and served our country. We remember those who have died for our country.

Thursday, May 26, 2011

What an Amazing Picture

Yes, this is a real photo of the funnel clouds forming over Kansas City yesterday. Past to me by Jenn Leonard. I was told it was taken from atop the Bishop-McCann building.


Wednesday, May 25, 2011

There is a Funnel Cloud Directly over State Line and 435

A note I shared with our team today...

St.Joseph Medical Center, right off 435 and State Line Road...that's where we work.

Well, today we knew fully well what we were up against with the Joplin devastation just a few days ago. We tuned to our TV to hear the reporter say: "There is a dark funnel cloud directly over State Line and 435 Highway"...directly over us.

I am so proud of the team effort we showed.. Our patients were safe and families and visitors felt the same. We had several people pull off the road and come to St. Joseph for safety. They were so appreciative of the welcome they received.

Here are a couple comments I received:
From Kathleen Henderson: I just got a hold of my sister, who lives in south Overland Park – all is fine. But she wanted to tell me that when she was watching the news when a reporter in Louisburg, KS made this comment: “On a personal note, my relative was at St. Joseph Medical Center when all this was happening. Those folks at St. Joe did a great job of getting all the patients and visitors to a safe place”

From Lindsay Alexander: I was with Nan going from unit to unit to see what we could help with…all units were fabulous. They all had the patients already in the halls. You could over hear them interacting with the patients, they all did so in a calm and courteous way. They were asking all patients what they needed and providing extra blankets to everyone. Respiratory was spot on too. Facilities was out rounding to ensure curtains were shut etc. Just wanted to let you know that I was proud to see that kind of care and team work.

Our daily work is challenging enough without the mix of a natural disaster. Thank you all for your support, compassion and tremendous teamwork this afternoon. We are a true reflection of our mission.

Pride in Our Work

Don't you enjoy hearing why people chose their profession?

Ann Ventrillo RN, our Clinical Quality Specialist with Carondelet Home Care Services shared her story with me...

I also started my health care career as a "candy-striper" but in a home for seniors.
Instant love and wanted to "Save the World" (the 60’s)….went on to Nursing at Avila College where I first met the "sisters"….I had wonderful teachers many of whom are still involved with SJMC today! Sister Rosemary Flanigan, Sister Patricia Lorenz and many others.
I did many of my clinicals at the old St Joseph Hospital on Linwood.

I worked at Catholic Charities Home Health which then became Carondelet Home Care 25 years ago….My passion for home care began in the 1970’s and I was with St Joseph Hosp / Carondelet Home Care until we moved to Memphis, TN in the late 90’s.

I was absolutely thrilled when the administrator of Carondelet Home Care called me last October and asked me to come back.

I told her then, that there is no one else in town that could have called and offered me anything to change companies…..

St Joseph is where my heart has always been. Carondelet Home Care is my passion….It is my privilege to serve. I am blessed.

What's your story?

Tuesday, May 24, 2011

The Healthcare Providers Bearing

I received a note today describing a conversation that Stephanie Dembicki, our OR Specialty Team Lead, had with her 30 year old son. They discussed the challenges in today's healthcare environment and reflected on conversations they had in their past. Her son gave this some thought and reflected on the term "bearing":

This is what he wrote to his mom:

"Bearing" simply means behaving with decorum and discipline. Additionally, one demonstrates bearing through being composed, tactful, polite, neat in appearance, and carrying out the highest level of professionalism. A person with great bearing is someone who can handle himself or herself calmly while being under extreme pressure. In boot camp, soldiers are taught never to lose their bearing. Rolling one’s eyes or complaining is an example of someone losing their bearing. Bearing is just as important in healthcare as in the military, and for the same reasons – people’s lives are at stake. Bearing is also defined by having the integrity to do the morally right action even when no one is watching, and the integrity that one takes upon oneself in order to responsibly carry out the task at hand. Every action one takes in this job directly or indirectly affects this organization’s ability to accomplish the mission. It is important to remember that we are in the business of saving people’s lives.

Monday, May 23, 2011

Tornado Hits Joplin

By now most of you have heard about the devastating tornado in Joplin, Missouri. The warnings were coming and it certainly makes you stop and think...are we prepared?

In our hospitals, we go through several emergency preparation drills each years and certainly some real emergencies as well. It seems that you can't practice enough and you wrestle with the balance of the need to practice more and the time needed to practice. I have seen pictures on the Internet and through those sent by people I know down in Joplin. We have two nurse leaders assisting in Joplin, Collette Culver and Barb Swords. There has been a tremendous amount of devastation to the community and St. John's Regional Medical Center.

Times like this make us look at our own systems to determine how are training would have prepared us if this devastation touched home. We will have internal debriefings and additional drills to further prepare our team and community.

Our thoughts are with the medical center's CEO, Gary Pulsipher, their staff and the entire Joplin community.

Friday, May 20, 2011

Celebrating 475 Years

Today is our Associate Recognition Luncheon. We are celebrating 40 associates and 475 years of service. Congratulations everyone.

Years / Associate
5 Tamara Foster
5 Robyn Freiden
5 Fizeta Halili
5 Cynthia Creek
5 Jill Morsbach
5 Thomas Upton
5 Diane Moser
5 Danielle Iselin
5 Sharon Dessert
5 Kristina Vansandt
5 Beth Laughery
5 Kevin Saugier
5 Kelise Fuselier
5 Amara Shea O'Dell
10 Jerri Keller
10 Kimberly Swaney
10 Regina Brooks
10 Alison Lock
10 Tracy Diaz
10 Duane Nelson
10 Lea Payne
10 Georgia Blackman
10 Lorine Thomas
10 Sara Kreisel
10 Melissa Randolph
10 Leann Scrogham
10 Cheryl Parrett
15 Kathy Lefever
15 Kathleen Carr
15 Vicki Hathaway
15 Donna McLear
15 Kathleen Lahey
20 Jeffrey Lee
20 Pamela Stuart
20 Melinda Frechin
25 Susan Summerour
25 Barbara Burnett
30 Hazel Slater
30 Sheryl Kusgen
30 Gerri Ginsburg

Thursday, May 19, 2011

Hey Kids, Look at the Humans

Yesterday I was running in my neighborhood and came across two deer. They both stopped and looked over at me. I stopped running as well to take in the moment. It took me back to the days when my parents used to say, "kids, look at the horses, deer, cows..." This time it seemed as though one deer said to another, "kid, look at the human!"

I really enjoy those moments that take you back in time to remember when you were a kid, why you did the things you did and what brought you to where you are today. I started out in healthcare as a psychiatric counselor for 5 years. As I explored doctoral programs, I looked into healthcare administration as a "back-up" option. When interviewing with different schools, I was drawn to healthcare administration and thought I could make a bigger difference in this field given my clinical background.

During our recent Safety Huddles, we have started or ended with several people sharing what inspired them to get into healthcare. Vicki Sherwood shared "My grandmother had a stroke when I was a senior in high school. I was vacillating on pursuing nursing or social work. The experience led me to choose nursing. I love helping others."

We also enjoyed similar stories from Erik Christianson and Larry Reimer from Human Resources and Facilities, respectively. Both said, they wanted an occupation where they could work indoors! We all have our own story that inspired us and brought us where are are today.

What inspired you to get into your field?

Monday, May 16, 2011

Standardization with Attention to Outliers

There's no question that standardization can and will decrease potential harm to our patients. We hear about it through The Institute for Healthcare Improvement, other national forums and locally in each of our hospitals. Certainly, these should be scientifically driven. This morning, during one of our physician led surgical meetings, we discussed generic incision care instructions and further opportunities to standardize. We referenced the current literature and key areas where we need to tailor the instructions to each patient, outside of any standard protocol.

As we reviewed best practices for incision care, someone shared a case they heard about where a post surgical infection took place because the patient allowed his cat to lick his surgical incision. Sure, a drastic outlier however a reason to ensure we tailor instructions accordingly and discuss potential concerns with all patients.

Friday, May 13, 2011

Good Mojo

How many of you have it too easy in your professional and personal life? Really...that many!

Have you ever heard someone use the term "good mojo" meaning personal magnetism or charm? Here's a few people who embody that spirit.

This afternoon, I ran into (not literally) a couple of my favorite walkers, Dr. and Mrs. Buchli. They are celebrating their 68th wedding anniversary (plus 3 years together before their wedding) and have only been apart for 21 days...they are just crazy about each other and are always by each others' side. You could just feel their commitment and energy towards each other.

A little later, I connected with a friend, Dave Kraft...the guy is always upbeat. Sure we all have good days and bad. However, someone forgot to give Dave the memo. While in a philosophical mode, I asked what he considers a bad day. His response, "I'll let you know when I have one!" Oh, and he was truly sincere.

When you find those people and they are truly sincere, their good energy can flow right through you....make sure you catch it!