Nash Health Care Systems’ Quarterly News Magazine Spring 2004 Seeing Stars? New Customer Service Initiative In The Spotlight Occupational Health: Caring for the Caretakers... pg 20 NHCS 2003 Annual Report begins on pg 5 Vol. 15, Number 2 www.nhcs.org mation and results from specific areas and times —and have the information available almost instantly. Therefore, a “star” was born... Stars in Action. “We selected this name because our employees are, in every sense of the word, our stars. Their actions can provide the framework for a positive health care experience. When patients arrive at the hospital, they may naturally have some worries or anxieties due to illness or injury. Our employees understand that, and Stars in Action will help us continue to You don’t have to be a celebrity to get a star on your door. You find ways to improve ourselves,” Hedgepeth said. don’t have to walk the red carpet in the latest fashion to look your For example, one of the components of best ... and you don’t have to be in a Stars in Action involves implementing the movie to be rewarded for an outstanding use of a “secret shopper” to evaluate firstperformance. hand the health care systems response to cusAt Nash Health Care Systems, we call Unless ideas are transformed tomer service. these performers our Stars in Action – and Stars in Action is not just a passing it is a part of a new program that will into action, they run the risk of phase or mantra for the month —- the probring the latest in customer service innovagram represents a continual and permanent stagnating on the shelf, being tion to NHCS – making our outstanding dedication to customer service excellence. health care system even better. forgotten and fading from view. “Superior customer service is a vital part Nash Health Care Systems is collaboratof our role in building a healthier communiing with Avatar International to provide an At Nash Health Care Systems, ty,” said Rick Toomey, president and CEO approach to customer service that is tailoradministrators, managers and of Nash Health Care Systems. “We are so made for NHCS, and to seek ways to both proud of our employees and all that they do educate and reward employees. employees will go the extra mile to help make our hospital the cornerstone of The process of selecting a vendor actually began in 2002 when Nash Health Care to ensure not only that we have health care in the community. The Stars in Action program will help outline specific Systems’ CEO Rick Toomey assembled a stellar customer service—but goals to enable us to become even better.” group of vice-presidents, managers and physicians and charged them with the task service in ACTION. of researching and recommending a customer service vendor. ACTIONS stands for: After a rigurous process in which Avatar was selected as the vendor, the company conducted extensive document reviews and worked with focus groups to get a pulse ccountability on the customer service culture and philosophy of NHCS. Customer satisfaction scores aring & Confidentiality available through the internet at improvingcare.com demonstrated that NHCS already has a track record of excellence. eamwork The goal of the customer satisfaction program is to formalize and structure a program ntegrity which will ensure continuous improvement in customer satisfaction. utstanding Service “We did not implement this initiative because we felt we had a bad program, but rather to find ways to make our excellence urturing Environment in health care services even better,” said Nothing worthwhile happens overnight. Jeff Hedgepeth, director of marketing and When NHCS employees get the first taste ervice Excellence public relations. “A solid customer service of Stars in Action, they will be witnessing initiative is often the hallmark of a sucthe culmination of more than two years of cessful hospital. We already have several Now, what do the letters in planning, studying and implementation by customer service elements in place, and senior leadership, managers and adminisSTAR represent ... Avatar has helped us improve upon these trators. and offer a complete implantation tailorThe Stars in Action project was born made to meet our needs.” from a customer service initiative started by Avatar, headquartered in Orlando, Florida, offers a sophisticated Rick Toomey in February 2002. From reporting process with the lowest margin of error in the industry. there, members of a NHCS committee Through the internet, the company provides weekly updates which attended VHA collaborative conferences to managers can access through a password-protected site any time of gain information about a variety of custhe day or night. Avatar also enables managers to print out infortomer service vendors. Nash Health Care Systems To Launch New Customer Service Initiative: Stars in Action ACTION figures A C T I O N S 2 ◆ NHCS Spring 2004 Wishing Upon A Star... After extensive study, the administration selected Avatar, which is headquartered in Orlando, as the NHCS customer satisfaction vendor. Avatar’s clients include the Walt Disney company and Ritz Carleton. Perhaps one of the greatest factors influencing the decision was the fact that Avatar does not provide a “pre-packaged” customer service improvement plan —instead, they work with each organization to help them tailor a plan to suit their specific needs. In February 2003, Avatar consultants reviewed documents, conducted focus groups and provided an initial assessment of the customer service culture at NHCS. In April, customer survey results were made available through the internet. Plans for the final NHCS customer service initiative were finalized this January. In February 2004, around 150 employees, including managers, received training in customer service concepts by Avatar representatives over a three-day span. What’s to come? More than simply indicating areas for improvement, Stars in Action seeks to recognize our own stars by rewarding employees for outstanding customer service. So don’t be surprised this May if you start seeing stars.... AFiresideChat... Women’s Symposium of Eastern North Carolina holds symposium Martha J. Chesnutt, MD, is board certified in the specialty of internal medicine. She received her medical degree from East Carolina University School of Medicine and completed her internship and residency training in internal medicine at Greenville-Hospital System in Greenville, SC. She joined the Boice-Willis Clinic in September 2003. M. Linda Hawes, MD is board certified in the She may not have her own late-night talk show, specialty of nephrology and internal medicine. but when it comes to listing the “Top 10,” David She received her medical degree at the University Letterman doesn’t hold a candle to Nash Health of North Carolina School of Medicine where she Care Systems’ Cindy also completed her Worthy. internship and residency Worthy, vice presiin internal medicine. Dr. dent of community Hawes then completed relations, presented her fellowship training in her own version of the the specialty of nephrolocomedian’s famous telgy at Duke University evision “Top Ten” lists Medical Center. She has recently at a seminar / been affiliated with the meeting of The Boice-Willis Clinic in Women’s Network of Rocky Mount since 1987. Eastern North Carolina. Worthy outSarah Daniel lined ten ways to Maddison, MD. A maintain a healthy native of Rocky Mount, Dr. Martha Chesnutt lifestyle when she Dr. Maddison attended responds to a question at moderated the event. the University of North the Women’s Symposium of The Women’s netCarolina at Chapel Hill Eastern North Carolina. work is a new organifor her undergraduate zation to promote the studies. She received her involvement of women in Rocky Mount and the MD degree from the Brody School of Medicine surrounding area. This organization will provide at East Carolina University and completed her opportunities for networking, awareness of cominternship and residency in Obstetrics and munity involvement, mentoring activities and Gynecology at the UNC Memorial Hospitals in socializing. Over 175 women attended the netChapel Hill. She joined the practice of Midwork’s evening program “A Fireside Chat About Carolina OB/GYN, located in Raleigh, in 2002. Women’s Health Issues,” featuring a panel of area “This was an excellent opportunity for women health professionals who answered questions conto learn how to live a healthier lifestyle and get cerning a variety of topics including mental answers to health-related questions,” Worthy said. health, nutrition, hormone replacement therapy Nash Health Care Systems sponsored the event and heart disease. along with RBC Centura, Boice-Willis Clinic, Those who participated included: Poyner Spruill and Bailey’s. By the way, Worthy’s “Top Ten” tips for living a Heather Scoggins Ambrose, MD, is a native healthier life are: of Rocky Mount. NC. She received her undergraduate degree from the University of North 10) Immunize – best bargain in health care Carolina at Chapel Hill, her medical degree from 9) Keep moving and exercising the Brody School of Medicine at East Carolina 8) Eat healthy foods University. Dr. Ambrose completed her Oncology 7) Control stress internship and residency at the Medical College of 6) Don’t smoke or quit smoking if you do Virginia in Richmond. She practices in Greenville. smoke. 5) Avoid drug and alcohol excess Deborah Bullock Burnette MA.Ed., LPC, 4) Practice safety CCAS,CCS. Also a native of Rocky Mount, 3) Enjoy healthy activities: have fun Burnette received her undergraduate degree in 2) Think well of yourself: a good self image Social Work and her Mastersdegree in Counseling 1) Promote peace: nonviolent ways to resolve from East Carolina University. She is a Licensed conflicts at home, work and in your comProfessional Counselor, Certified Clinical Addicmunity tion Specialist and Certified Clinical Supervisor in private practice at Centerpoint Counseling and For more information on the Women’s Network, Consultation in Rocky Mount. visit www.womensnetworkenc.org. NHCS Spring 2004 ◆3 What you don’t know can hurt you Nash Health Care Systems participates in DVT Awareness Month It is a disease that kills more people than AIDS Contact your doctor and breast cancer ... if you notice: combined. • Pain, tenderness, or When a blood clot sudden swelling in breaks loose from the the leg wall of a vein, it can trav• Discoloration or el to the lungs where it visibly large veins may block an artery, • Skin that is warm resulting in a pulmonary to the touch embolism (PE). A PE is a complication that can Seek urgent medical result from Deep-Vein help if you experience Thrombosis or DVT. any of the following: Nash Health Care • Shortness of breath Systems recently partici• Rapid pulse pated in DVT Awareness • Excessive sweating Month, increasing or anxiety awareness and education • Sharp chest pain through group seminars • Coughing up blood for health care profes• Dizziness or fainting sionals. DVT Awareness Month is sponsored by the Coalition to Prevent Deep-Vein Thrombosis. Its purpose is to raise awareness of this serious medical condition among consumers, health care professionals, and government and public health leaders. The Coalition is comprised of more than 20 representatives from nationally known medDeep Vein Thrombosis Awareness Month Pam Chambers with Avent ical societies, patient Pharmaceuticals shows a display featuring the dangers of Deep Vein Thrombosis or advocacy groups and DVT as a part of her educational program held recently at Nash General Hospital. other public health March marked DVT awareness month at Nash Health Care Systems. organizations. Deep-vein thrombosis is a medical condition that occurs when a thrombus (blood clot) forms in one of the large veins, usually in the lower limbs, either partially or totally blocking the circulation. Risk factors for DVT include age, obesity, stroke, major surgery or respiratory failure. In addition to health complications, DVT can result in a pulmonary embolism (PE). A pulmonary embolism occurs when a fragment of a blood clot breaks loose from the wall of the vein and migrates to the lungs, where it blocks a pulmonary (lung) artery or one of its branches. According to the American Heart Association, up to 2 million Americans are affected annually by DVT, yet 74 percent have no awareness of it. According to the DVT Awareness Month website, DVT may occur without obvious symptoms. Up to 50 percent of DVT cases present minimal symptoms. “We are proud to be a part of the national effort to increase awareness about the signs, symptoms and risk factors of DVT and pulmonary embolism,” said Kim Riddick, RN, staff development coordinator with the Nash General Hospital Education Department. “With proper medical care and understanding of the risk factors, the risk of deep-vein thrombosis can be reduced.” For more information on DVT, go to the website: www.dvt.net 4 ◆ NHCS Spring 2004 IBEX goes live Employees in the Emergency Care Center now have electronic patient medical records at the touch of a finger...and it’s mobile. The new computer system will streamline the medical record process in the ECC. NEW FEATURE NEXT EDITION Ask the CEO... The NHCS Newsline will feature a new column in its next edition ... and you’re the one who gets to ask the questions. Ask the CEO will give employees a chance to submit questions for Rick Toomey, president and CEO of Nash Health Care Systems. Toomey will respond to the questions in the next edition of Newsline. “We want to know what’s on your mind and how we can help our employees and readers stay informed of various hospital projects and events,” said Jeff Hedgepeth, director of marketing and public relations. Submit your question via interoffice mail to Dawn Wilson in the public relations office. Questions may also be submitted via e-mail to Dawn at [email protected] or by calling extension 8766. Nash Health Care Systems Annual Report 2003 It could have happened anywhere, at any time. It could have happened on the open plains of Ohio or the sunny coasts of California. But it happened in Kitty Hawk, North Carolina in 1903. One hundred years ago, the Wright Brothers realized their dream and proved that man could fly. Their boundless ingenuity selected a small fishing village on the North Carolina coast to host their accomplishment, which opened the doors of aviation. Historians speculate on the specific reasons for the selection of Kitty Hawk. There are mumblings of weather patterns, winds and the sand that could ensure a soft landing if needed. But perhaps the reason was something more subtle. Wide, open spaces and strong, steady winds were only part of the equation. Wilbur wrote to the local weather station and received a welcoming letter from William Tate, who was probably the best-educated resident on the island. He not only assured them of Kitty Hawk’s favorable conditions, but pledged to help them in any way he could. Some believe that it was this simple sign of a community welcome that gave Kitty Hawk the edge that etched it into history. The Wright Brothers recognized much more than aerodynamics—they recognized the importance of community and dedication to teamwork. As North Carolina and all America celebrated 100 years of flight this past year, Nash Health Care Systems celebrated successes as well. Interestingly, these two events share many parallels. These parallels include the thirst for scientific innovation, dedication to teamwork, vision for the future and support for the community. 6 ◆ NHCS Spring 2004 NHCS Spring 2004 ◆7 I n n o v a t i o n The quest for the sky did not start in the sands. It did not start in historic black and white photographs or at scientific conventions. It started in a bicycle shop in Dayton, Ohio. It started with theory, then continued with prototypes, and finished with tests ... ... and more tests, and more tests. The Wright Brothers were known for keeping meticulous records and experimenting with different types of wing shapes and sizes. When the resources were not available to conduct these tests, the brothers simply created their own devices, such as rigging a homemade wind tunnel to measure the lift of wing prototypes. Today, engineers have improved on the basic Wright design by only 10 percent. In fact, at the 100-year celebration in Kitty Hawk last fall, technicians found that recreating the Wright Brothers’ plane and historic flight was challenging to say the least. Before 1971, the campus of Nash Health Care Systems was an open field, kissed by the sun and not unlike hundreds of other farm fields dominating the Nash County landscape. In 2003, NHCS continued to build on its reputation for innovation by introducing other firsts to our community: ◆ The Rocky Mount Heartburn Treatment Center was the first in the state to use the revolutionary Bravo pH monitoring system, which uses a small, electronic monitoring chip placed in the esophagus, replacing the older system of nose tubes. 8 ◆ NHCS Spring 2004 ◆ Dr. Christopher Petrus became one of the first surgeons in the area— and one of only about 10 in the state—to offer cryotechnology to freeze and destroy kidney tumors, eliminating the need for removal of all or part of the kidney. ◆ Dr. Eduardo Marsigli implemented another first through a new technique for hip and knee replacements. By using smaller instruments and carefully calculating the angle of incision, patients are left with a smaller, 3- to 5-inch scar instead of the previous 10- to 12inch scar. Patients are in less pain and return to a regular schedule faster. ◆ Dr. Bennie Jarvis, an otolaryngologist, implemented a new use for the harmonic scalpel by using it to remove tonsils. The harmonic scalpel, which uses sonic vibrations instead of heated cauterization, causes less pain after surgery, and allows patients to return to work faster. ◆ Construction continued on the $25 million surgery pavilion, which will provide new operating rooms, a specially designed pediatric waiting room, patient internet access, an educational auditorium, and a large fish tank, which will welcome visitors and patients. Operating room employees played an active role in designing the facility, incorporating their everyday, hands-on knowledge into realities that will benefit everyone. When the pioneers of NHCS broke ground on a facility that would take them into the future, did they envision the $25 million surgery pavilion that would house state-of the-art surgical techniques? Did they envision patients coming from as far as Canada to seek treatment at the Rocky Mount Heartburn Treatment Center, the first of its kind in the nation? Did they realize that, like the Wright Brothers’ flying experiments, NHCS would lay the groundwork for a series of “firsts?” Unlike Kitty Hawk, NHCS is accustomed to being a backdrop for firsts. Nash General Hospital was the first all-private room hospital in North Carolina, and Nash Day Hospital was one of the first free-standing outpatient surgery centers in the country. Nash Health Care Systems was one of the first hospitals in the country to introduce electronic bedside documentation, and our health care system remains a nationwide leader in computerized medical records. ◆ Now, patients no longer have to go out of the area for a positron emission technology (PET) scan. A PET scan is a diagnostic tool that provides information about organ function—which can help doctors diagnose certain types of cancer, especially cancer of the breast, brain, lung, prostate, colon and lymph system. Previously, the closest PET scanner was located in Durham. Through Alliance Imaging, a mobile PET scanner is available to patients at Nash Day Hospital. The scanner complements the nationally recognized comprehensive cancer services available at the Nash Cancer Treatment Center. ◆ Nash Health Care Systems completed the area’s first parking deck – two-levels specifically engineered so that it may expand to four levels to meet future growth. ◆ Millions of Americans suffer from chronic or acute pain —pain that makes living an everyday life challenging. To serve these patients, NHCS pioneered another first in the form of the Nash Regional Pain Center—a comprehensive pain treatment center where Dr. Christopher Godbout and Dr. John Tananis implement a variety of techniques to minimize pain ... and help patients regain control of their lives. ◆ At the Bryant T. Aldridge Rehabilitation Center, current and former patients have formed the first stroke and heart disease peer support group in North Carolina. Since completing extensive course work, the patients have used both their knowledge and personal experience to help others. In a tradition of excellence that has continued for more than three decades, NHCS has proven itself to be a leader in providing innovative health care close to home. NHCS Spring 2004 ◆9 T e a m w o r k Administrators at Nash Health Care Systems meet with Avatar representatives to discuss the NHCS customer service initiative. Board Members Laura Earp and Randolph Holoman No one can think of “Wright” without “Brothers.” In fact, the phrase “Wright Brothers” seems to flow together as if it were one word. Neither would have been able to accomplish the goal of manned flight had he worked on his own. Instead, the brothers complemented each other, with one’s weaknesses compensated for by the other’s strength. Arguments were based on engineering instead of egos. In fact, when preparing for the flight that would be forever immortalized in a photograph that would dominate headlines and history books, the brothers faced a dilemma. Only one person could fly the plane. The other would have to stay on the ground. Who would it be? Without egos dueling over their innovation, the Wright Brothers made the decision by simply flipping a coin. Indeed, few people who view that photograph today can say who was at the controls and who was walking alongside the plane. (For the record, it was Orville at the controls.) Since its inception, NHCS has valued the critical element of teamwork. Teamwork is recognized as the ability of people to work together to accomplish a common goal. In order for teamwork to become standard practice, it must be modeled at the highest level of the organization. Nash Health Care Systems Board of Commissioners’ members Laura Earp and Randolph Holoman were recognized for their teamwork in board leadership as they received a statewide honor from the North Carolina Hospital Association. It marked the first time that two award recipients from the same health care system were recognized in the same year. The Information Systems Department at NHCS mounted several large projects in 2003 that would not have been possible without the dedication of teamwork. No one was out for glory, no one had an egotistical agenda, and the only goal was the betterment of a system that has kept NHCS at the forefront of electronic documentation. The new, web-based Eclypsis system streamlined the financial process of the hospital, combining registration and billing records for greater efficiency. In addition, Eclypsis allows any problems to be resolved on a central server, eliminating the need to work out “bugs” on each individual computer. Kronos offered a more powerful method of recording time and attendance, providing managers with a smooth ability to access and track employee time schedules and work hours, making time and attendance reports easier to generate. To enhance our reputation for excellence, NHCS secured sophisticated customer evaluation measurements through Avatar International, a company whose clients include Walt Disney and Ritz-Carleton. Avatar’s unique surveying process individually customizes surveys to measure the experience of each customer in detail. 10 ◆ NHCS Spring 2004 Avatar’s accomplished reporting process has the lowest margin of error in the industry. Through the internet, the company provides weekly updates which managers can access through a password-protected site any time of day or night. Avatar also enables managers to print out information and results from specific areas and times —and have the information available almost instantly. This industry-leading measurement capability provides management with the information it needs to keep NHCS on course to deliver exceptional customer service. The Nash Cancer Treatment Center and the Bryant T. Aldridge Rehabilitation Center continue to rebuild shattered lives in an atmosphere where everyone—from radiology techs to physical therapists to case workers and physicians—takes a team approach to help patients not only heal, but thrive. The Nash Cancer Treatment Center recently received accreditation from the American College of Surgeons, designating it as a comprehensive cancer care center. This designation places it in the top 20 percent of hospitals nationwide. The Bryant T. Aldridge Rehabilitation Center also received accreditation from CARF, the national rehabilitation accreditation commission. The construction of a new surgical pavilion at NHCS received nationwide attention recently when it was featured as the cover story in Advance for Nurses magazine. Advance for Nurses is a nationwide magazine covering all aspects of nursing, from educational articles to feature stories. In addition, the story on NHCS was also chosen by the magazine as one of the top cover stories of the year and featured in their “best of ” issue. The story was chosen not because of a fancy new building, but because of the unique perspective brought to the blueprints. Members of the operating room team, from surgeons to scrub nurses to nurse anesthetists, all had input in the design of the building. The approach was not only innovative, but also logical: who better to know the needs of patients than those who care for them every day? Barbara Hunter is one of hundreds of local residents who sought care at the Nash Cancer Treatment Center. Amy Howes, a physical therapist at the Bryant T. Aldridge Rehabilitation Center, helps residents get a new lease on life. Shay Ehler (far right), director of surgical services, meets with contractors to discuss the new surgical pavilion. NHCS Spring 2004 ◆ 11 V i s i o n f o r On that day in 1903, it seemed unfathomable that Chuck Yeager would fly an airplane faster than the speed of sound, that John Glenn would orbit the earth, that Neil Armstrong would walk on the moon and that NASA would launch a probe to explore Mars. The Wright Brothers laid groundwork for an endless horizon, and realized that the aviation age was only beginning. They prepared the canvas and, through the years, men and women affixed their own colors and signatures, creating the work of art that has become the future. For more than 32 years, NHCS visionaries have been contributing to the evolving masterpiece of health care in our community. In 2003, the Nash Health Care Foundation was formed. The Foundation’s mission is to extend the scope of good health and wellness into additional facets of the community through programs and disease and injury prevention. To begin its quest, the Foundation prepared for its first major fund-raising event—a Turbo Turtle Trek on the Tar, where participants can “adopt” plastic turtles which will race down the Tar River, giving the participant a chance for prizes. The inaugural event is scheduled for May 15, 2004. The beneficiary of the fund-raising drive is Wellness for Kids, which seeks to educate young people about good health habits— habits that foundation leaders hope will last a lifetime. Foundation Executive Director Don Mucci said that the Foundation is key to improving the health of the community, citing the nationwide health problems of child obesity and type 2 diabetes as some of the healthrelated challenges young people face. “We wanted to do something that would touch every facet of the community,” he said. “Children are our future, and to build a healthier community, it is important that we provide children with the skills, education and resources they need to become healthy adults and pass this knowledge on to their own children.” 12 ◆ NHCS Spring 2004 t h e Nash Health Care Foundation In its first full year of operation, the Nash Health Care Foundation received $28,209.63, which will go toward several programs geared to improve the health of area citizens. The Nash Health Care Foundation seeks to extend the scope of good health and wellness into additional facets of the community through programs and disease and injury prevention.The Foundation would like to thank the following 2003 donors: A. Askew Ben Askew Barbara Barlow Robert Bass Ralph Batchelor Jeff Batts Janice Beckham Mr. and Mrs. Cam Blalock William Bobbitt Boice Willis Pediatric Staff Albert Bost W. Boswell Candace Brantley Charles Brantley David Brantley Wilmer “Sonny” Brantley Rodney Brown Jane Bryant Jimmy Bryant Richard Bryant Faye Bunn Florence Bunn Linda Bunn Bob Burnette Harriet Buss Anita Carlton David Cary Keith Cochran Eileen Collins Dan Cone Joyce Cooper Russell Crews William Crews George Dail Eric Dawson Donnie Deans Lerlene Deans Mary Debnam James Denton f u t u r e George Dickson John Dinan Dixon Associates Consulting Engineers, Inc. Neal Drummond Annie Earp Laura Earp Edgecombe County Farm Bureau Frank Edwards Ron Erichson Rebecca Ferrell Dorothy Fisher Grace Foster Linda Frazier Tom Freeman Beth Gore Connie Gorham Virginia Griffin Rick Guarino Faye Hall Elma Harper Barney Harris Charles Hathaway Frances Hedgepeth Sylvia Herbert Jimmie Hinton James Holland Randolph Holoman Jesse House Mark Hucks Ryan Jackson Ralph Johnson Steve Jones Gregory Joyner John Keller Carlton Kemper Steven Kent Kel Landis Earl Langley Legal Aid of North Carolina Bennett Lewis Berry Lewis Charles Little James Little Jerry Little Timothy Little Richard Loritsch Thomas Looney Ida Lynch Edward Manning Erwin Massengill Linday McCoy McCulloch England Associates Virginia McLauchlan Graham Mercer Miriam Lamm’s Sunday School Class Donald Mucci Sylvia Neely Nickolas B. Boddie Sr. and Lucy M. Boddie Foundation R. O’Dell James Oates Opie Pace Mary Padgett Eugene Paige Sandi Paige Kathryn Perkinson Luke Phillips Ernest Pittman William Pollard Dale Pridgen Gail Robbins Rocky Creek Baptist Church Rocky Mount Medical Park Pharmacy J. Rodwell Thomas B. Rogers Allen Rose David Rose Lula Shackelford Richard Shelton Jean Sherron R. Spencer Ben Strother Roger Taylor Tommy Thompson James H. Thorp Nancy Thorson Richard Toomey Richard Trottier Fred Turnage James Vaughan Gordon Vestal Hubert Vester Sandra Vick Bradford Weisner Robert Whitmore Charles Williams Johnnie Williams Elizabeth Woody George Worsely Robert Worthington Craig W. Worthy Robert Zalzneck NHCS Spring 2004 ◆ 13 S e n s e o f c o m m u n i t y The Wright Brothers’ experiments became This year, the Christmas generosity of NHCS’ employees filled an somewhat of a curiosity in Kitty Hawk. The entire conference room with toys, food and clothing for needy families brothers formed a close bond with the locals and in the community. In addition, employees and administrators volunoften viewed their trips to the North Carolina teered to ring in the season by manning the donation kettles for the coast as vacations. It is easy to imagine the first Salvation Army. While many employees participated in these projects, airplane drawing the curious attention of onlookers, the imagination of other departments and floors throughout the hospital held their own children, and enough excitement charity drives to meet the needs to fuel a generation of aviators. of patients, patients’ families and Kitty Hawk may have been those whose homes were damsmall, rural – practically aged by fire. unknown. But for one day in Hospital volunteers donated December of 1903, it was the thousands of hours – and thoucenter of the world. sands of dollars – in service to Like the Wright Brothers, the hospital each day. Through NHCS understands the importheir generosity, the Nash tance of community because our Cancer Treatment Center purmission to build a healthier comchased additional patient educamunity is the cornerstone of all tional items, the Education Junior volunteer Nastasia Wagner lends a hand by working in the NHCS Gift Shop. that we do. Free cancer screenDepartment secured a pediatric ings have detected malignancies that may have otherwise gone untreat“crash cart” to use for emergency training, and tuition was paid for an ed. Free blood pressure screenings were offered monthly, and NHCS Emergency Care Center nurse to receive special training to help chilemployees participated in fund-raising events such as the “Relay for dren who are victims of physical and sexual abuse. Life” and the “American Heart Walk.” Employees participated in other events as well, proving that caring for others is not just a full-time job, but a philosophy of life. The United Way, American Red Cross, and Exercise specialists with the HealthFirst rehabilitation and fitness center of Nash Health the American Diabetes Association are some of the many organizations Care Systems, run the 5-mile American Heart Walk to raise awareness and funds for the that have benefited from the involvement of the NHCS team. American Heart Association. 14 ◆ NHCS Spring 2004 Emily Ellis, rehabilitation therapist, and her friend Jay Cooper enjoy the festivities at the Brdige program Easter celebration at the Bryant T. Aldridge Rehabilitation Center. An annual tradition, volunteers donate stuffed animals to the Emergency Care Center to be used to comfort children during an emergency. From left are volunteers Jaclie Ward, Cindy Crowder, Molly Lankford, Irene Moss and Duenda Zwanziger. Some would say that exploration is a waste, that the age of imagination and innovation have long since passed, that men no longer dare to dream big dreams. But those are the cynics who don’t realize that many accomplishments go unnoticed every day, building the blocks of a community into a firm foundation on which it can stand and thrive. Those are the ones who don’t realize that a team of dedicated professionals cannot only make the community a better place, but even redefine our definition of community to include all ethnicities, and all economic levels. Those with firsthand experience at NHCS know the truth – that a caring community hospital dedicated to excellence can transform lives. Those transformed lives include: Herman Myrick, whose kidney was saved through Dr. Petrus’ innovative cryo-surgery; the smiling faces of children who attended the annual pediatric Christmas party and William Ward and Charles Brown who found new life on the road to physical rehabilitation. Other lives are rescued from addiction and the pain of mental illness. Still others received a much-needed smile or hug when facing treatment for cancer. Anyone who doubts that one dream can transform the world needs look no further than the sandy shores of Kitty Hawk, where man learned he could fly. For the vision of a healthier community, one needs to look no further than NHCS, where a group of visionary community leaders enables the entire community to soar. NHCS Spring 2004 ◆ 15 ASSETS Current assets Capital assets, net Other assets 2003 $ 56,893,447 105,656,381 101,230,917 2002 $ 38,076,386 90,849,856 63,354,979 Total assets 263,780,745 192,281,221 Current liabilities Other liabilities Total liabilities Total net assets 33,366,501 57,009,966 90,376,467 173,404,278 26,953,195 2,184,111 29,137,306 163,143,915 Total liabilities and net assets 263,780,745 192,281,221 REVENUE and EXPENSES Total revenue Total operating expenses Income from operations Total nonoperating revenue, net 150,345,441 147,637,366 2,708,075 7,552,288 144,618,533 137,227,666 7,390,867 2,135,301 10,260,363 9,526,168 Increase in net assets 16 ◆ NHCS Spring 2004 Southern Nash Leadership Consortium Examines Health Care Needs Surgery Pavilion Opening Is A Time For Celebration Health Care Leadership Dr. Rick Guarino, vice president of medical affairs and chief medical officer at Nash Health Care Systems, explains the health care challenges facing a continually growing southern Nash County. Members of the southern Nash County leadership consortium recently discussed how to meet the expanding needs of a community poised for growth—-including how to respond to the rising demand for health care services. Dr. Rick Guarino, vice-president of medical affairs and chief medical officer of Nash Health Care Systems, and Dr. Bob Hartley, CEO and CMO of Boice-Willis Clinic were featured speakers at the symposium, held at Spaulding Family Resource Center in Spring Hope. There are several reasons why growth will occur in the “western corridor” area of Nash County. First, the completion of the Knightdale bypass at US 64 and the I-540 extension will expedite commutes for residents who work in the Triangle. Second, the rising cost of land and housing in the Triangle may cause families to relocate to Nash County. Third, many want to raise their children or retire in a more relaxed, rural environment. The “western corridor,” is an area of southern Nash County incorporating areas of Spring Hope, Middlesex and Bailey. “Community decision-making is a strength that can be applied to the problem of ensuring access to health care. A good starting point is a community self-assessment, like we are doing, that brings together local leaders to take inventory of the community’s health care needs and resources,” Hartley said. Guarino and Hartley spoke about the challenges of providing health care in a growing community, from physician recruitment to wellness programs to responsible use of health care resources. “Rick Toomey, president of Nash Health Care Systems, and myself have been participating in a group that is looking at these issues nationally,” Hartley said. “North Carolina was one of eight states that was the focus of discussion involving providers and consumers.” Three key objectives emerged in the discussion: to provide equity and universal access to health care, to develop patients’ sense of personal responsibility for their health and the cost of their health care, and to promote community engagement in health policy issues, Hartley said. “The delivery of health care services takes place at the local level, between an individual patient and his or her health care practitioner,” he added. “Everyone should have a primary health care home. This would help ensure that all individuals can access care in an appropriate setting. Ideally, it is a primary care practitioner, like a family physician, who sees the patient on a consistent basis, knows the patient’s medical background, and has a relationship of trust and open communication with the patient. “This primary care provider would help ensure access to other services needed including specialty care. Today, a large part of the population utilizes urgent care and hospital emergency rooms as their health care home. This is not appropriate or cost-efficient and does not allow for any continuity of care or any coordination of care for patients with multiple chronic illnesses.” Wellness programs, such as those held at the Spaulding Family Resource Center, have a profound impact on improving the health of the community. The leadership consortium will continue to discuss issues facing southern Nash County in the upcoming weeks. For more information, contact the Spaulding Family Resource Center at 478-7656. It was about 51 years ago that Drs. Watson and Crick discovered the intricate structure of DNA. DNA serves as a blueprint for who we are. Contained in its microscopic structures are the building plans for a human being, with instructions for our eye color, height, race and gender. At Nash Health Care Systems, we have been using a few blueprints of our own. Like DNA, these blueprints help us discover who we are, and how we can improve the health of our community. When we broke ground on our surgery pavilion in 2001, we were responding to the growing needs of our community. We are very excited about the opening of our new surgical pavilion, which will enable us to continue to provide outstanding medical care, close to home. Our older operating rooms have served us well, but have been in use since the hospital opened in 1971. This facility incorporates the best of medical science with the personal time and attention our patients deserve. The pavilion demonstrates our desire to treat the whole person — not only healing the body, but seeking to ease the mind by providing comforts such as relaxation music, more comfortable operating tables and a special pediatric waiting area. In addition, the new surgery pavilion will enable everything to be located in one place. Patients can get pre-operational lab work, EKGs and other procedures at the pavilion instead of having to visit tseveral other facilities. In addition, the surgery pavilion will provide a comfortable, relaxed atmosphere for you and your loved ones. A special waiting area will enable physicians to keep your loved ones informed of your progress. We’ve also added some aesthetic benefits — such as access to soothing music and a large fish tank which will welcome visitors and patients as they enter the new facility. These additions are more than just an exercise in interior design, but decor that will ease the anxiety and provide comfort to those seeking treatment. We hope you take advantage of the opportunity to view the facility at an open house on May 2 from 1:30 to 4 pm. Thank you for helping us continue to build a healthier community. Richard K. Toomey NHCS Spring 2004 ◆ 17 There are several different “adoption” packages available. These include individual turtle adoptions, or the chance to adopt an entire herd. These packages include: VIT (Very Important Turtle) $100 25 turtle adoptions; one event t-shirt Herd of Turtles $50 12 turtle adoptions Tub of Turtles $25 6 turtle adoptions One Turtle Adoption is $5 Turbo Turtles Ready To Spring IntoAction On May 15 from 2 to 5 p.m., the Tar River will be transformed into an aquatic speedway as green, plastic Turbo Turtles race toward a finish line for the first annual Turbo Turtle Trek on the Tar at Sunset Park. The Trek is a fundraising event for the Nash Health Care Foundation. Net proceeds from the event will go toward Wellness for Kids, a series of educational programs designed to improve the health of local children. And if the turtles aren’t turbo charged enough for you well, there’s always a Turbo Cruiser Convertible. Everyone who “adopts” a Turbo Turtle will have a chance to win a PT Turbo Cruiser Convertible. The Nash Health Care Foundation seeks to extend the scope of good health and wellness into additional facets of the community through programs and disease and injury prevention. Funds from the foundation are not used to supplement the budget For more information of Nash Health Care Systems. call 451-3353 or For $5, anyone may adopt a plastic “Turbo visit our website at Turtle,” which will then be tagged and raced down www.nhcs.org. and click on the the Tar River. Those who adopt turtles will have a Turbo Turtle icon. chance to win several prizes, including: The Nash Health Care Foundation would like to thank the following sponsors for making this event possible: Bill England Associates Architects Rodgers Builders Nash Health Care Systems RBC Centura YMCA Crown Carriers Battle, Winslow, Scott & Wiley Wachovia Bank Consolidated Diesel Southern Credit Adjusters, Inc. The Rocky Mount Telegram Cox Communications The City of Rocky Mount WNCT- Oldies 107.9 618◆◆NHCS NHCSSpring Spring2004 2004 A $5,000 grand prize. A second place $1,000 prize. A third place prize of $500. A fourth place prize of $250. By Larry Peck Do you use CPAP or oxygen to help you sleep? If so, the Special Medicine Department is offering the following series of CPAP clinics at Nash Health Care Systems: May 18 in dining room #3 from 7 to 8:30 p.m. July 20 in dining room #3 from 7 to 8:30 p.m. Sept. 21 in dining room #3 from 7 to 8:30 p.m. In addition, a CPAP bazaar, featuring a variety of CPAP equipment, will be held on Nov. 16 in the cafeteria. For more information or updates, please call the Special Medicine Department at: 443-8025. Housekeeping numbers For all of the hospital linen and housekeeping services, 24-hours-a-day, seven-days-a-week, the staff can page 212-2861. It’s easy to bend the rules. I confess, if I get pulled for speeding, the first thing I hope for is that the officer will be lenient and let me off with a warning, hoping that, even though I was speeding, for just this once I can get off the hook. For just once, this rule wouldn’t apply to me. I’m not saying that I speed, or that I’m always looking for an excuse to get out of a traffic ticket, but rather that rules are always there for a reason, and if exceptions are made–whether for managers or employees–it defeats the purpose of having rules. To do anything less would be to use a double standard–i.e. requiring someone else to follow various policies and procedures yet claim that you are exempt from it. The problem with double standards is that they often lead to double trouble. In the hospital’s Communications Department (which I supervise), we have a standing policy of “no chewing gum.” Our folks primarily answer phones and greet the public, so our policy eliminates the possibility of offending callers/guests as a result of unsightly chomping or unprofessional smacking and popping. Now I’m sure that there are probably folks that would be able to chew gum quietly, to slide it over to the corner of their mouth, and do it with such discretion that visitors may not be able to tell they were chewing gum at all. But the ramifications would be predictable. It would be like saying it was okay to drive 70 in a 55 mph zone if you were a good driver. A double standard is when you expect someone else to follow a rule, but yet think that you are exempt from following it yourself. If one person has to adhere to the rules, then everyone should–no matter what their position. A double standard evokes grievances about unfairness or “if he can do it, why can’t I?” It’s a lot easi- Best Foot Forward er to simply enforce a policy of “no gum.” But is there ever a time when a double standard is okay? Every person who works in a service-oriented position must acknowledge the fact that there are occasions when a double standard is not only acceptable, but appropriate practice. The standard of courtesy to which I am held does not change just because a caller or guest might be rude or obnoxious. The patience that I extend toward a customer must not diminish just because he oozes with impatience. As a member of the service community, I must recognize and embrace the principle that another’s ugly behavior rarely justifies unpleasantness on my part. While we would like for everyone to follow the rules of general courtesy, as a customer service representative, I am required to be courteous. The caller is not. The caller does not have to follow the same rules I do–and I should not get upset if they don’t. This time, the double standard is OK. If you need an outlet for how frustrating folks can be at times, then write it in a book. I’m entitling mine, Let Me Go Get a Pen, in honor of all the people who forgot to have pen in hand when calling to ask for information. I’ll also guarantee you this–not one of those callers was ever made to feel that I had been inconvenienced (even though I had to wait); not one was ever treated ungraciously (even though I had to bite my tongue a time or two); not one ever got the “Oops, we were disconnected” treatment. The Double Standard There is a double standard; and this time, it’s OK. NHCS Spring 2004 ◆ 19 In theSpotlight Susan Wood, LPN Wood received her training at Halifax Community College. “The LPN program was new at the time, and I thought it was very interesting and something I wanted to study,” she said. Wood has been a nurse since 1975 and has been an Occupational Health nurse for the last seventeen years. “I enjoy working with employees, and the fact that, through the mandatory TB tests and other requirements, that I will get to meet and help all our employees, as well as new ones,” she added. You could call it their very own personalized birthday greeting. Employees receive an e-mail greeting the month of their birthday, reminding them that it is time to take their annual pilgrimage to the Occupational Health Department for a TB test. A TB test screens for tuberculosis, a dangerous lung disease. Federal requirements mandate that hospital employees are screened for TB once a year. Occupational Health employees ensure that all these mandatory requirements are met ... by every employee. But when employees go to the Occupational Health Department to get a shot or a needle prick or even a blood pressure check, they may not realize the work that goes on behind-the-scenes ... the work that enables them to take care of others, because occupational health care workers take care of them. Behind the helm are Jackie Atkinson, RN, BSN and Susan Wood, LPN. While not a substitute for a clinical physician’s office or a family doctor, the Occupational Health Department offers services to employees including blood pressure checks and flu shots. The office also conducts pre-employ- ment and post-accident drug screenings. “Every person who works at this facility comes through our office,” Atkinson said. “This includes volunteers, junior volunteers, contract employees and temporary employees.” Their tasks also include workman’s compensation issues and providing hepatitis immunizations. “We care for them so they can care for others,” Atkinson said. Caring for employees also means catering to the large amounts of paperwork required. Since Wood and Atkinson are the sole members of the department, that means everything from secretarial memos and project reports to meticulously detailing every job completed that day. In addition, they also handle requests from employees who want their occupational health records transferred to a university, school, or another health care system. In 1998, Employee Health changed its name to Occupational Health to focus more intensely on the occupational issues as opposed to personal med- Teamwork is the key ingredient in a successful health care system. Teams from many different disciplines join hands to produce the quality service that builds a healthier community. These hands may be used for taking blood pressure or chopping vegetables–at any rate, they are all a part of the patterns of the quilt that makes Nash Health Care Systems an organization of distinction. But how much do you know about your neighbors in other departments? 20 ◆ NHCS Spring 2004 Occupational Health Caring for the Caretakers... So They Can Care For Others Jackie Atkinson, RN, BSN Atkinson received her nursing degree at East Carolina University and began her career as an OR nurse. Several years later, she turned to occupational health and has been working at Nash Health Care Systems as an occupational health nurse since 1997. “It is such a wonderful way to feel that you are making a difference. That what we do directly contributes to the health and well-being of our employees,” she said. “Remember that we do all we do to keep you healthy so you can do what you do.” ical issues. This allows Atkinson and Wood more time to monitor employee compliance and keep track of the latest federal mandates. Dr. Rick Guarino, vice president of medical affairs at Nash Health Care Systems, is the medical director of Occupational Health. “Our Occupational Health nurses are important members of the health care team at Nash Health Care Systems. We are so fortunate to have nurses who are enthusiastic and dedicated to our employees.” But what would a busy day be without making holidays a little fun? It’s not unusual to see Wood and Atkinson dressed in the latest Halloween finery, providing–in addition to a flu shot–a smile and a photo op. Occupational Health has even gone “mobile”–taking their services to areas of the hospitals where employees may find it difficult to get to their office. “There is no ‘typical day’ in Occupational Health,” Wood said. “You have to be flexible. Flexibility is the key.” D I D Y O U K N O W . . . Last year, the Occupational Health Department gave 2,648 TB tests. Last year, the Occupational Health Department gave 895 flu shots. The Occupational Health Department also performs post-accident drug screens. The Occupational Health Department sees an average of 630 employees a month for a variety of reasons—including TB tests and blood pressure checks. This “In the Spotlight” feature in each edition focuses on one department, providing information and insight into not only what they do, but who they are. If you are interested in featuring your department, contact Dawn Wilson in the public relations office at ext. 8766. NHCS Spring 2004 ◆ 21 Hospital Happenings How Sweet It Is! These Nash Employees Are Real Sweethearts The Service Excellence committee of Nash Health Care Systems recently sponsored a Sweetheart Contest where different departments could nominate employees for the title of “Department Sweetheart.” The recognition was a way to reward outstanding employees. Special delivery Mary Strickland of the Women’s Center has the latest scoop on sweet treats. Employees recently got to create their own sundaes as a part of the Nash General Hospital Cafeteria’s annual February Freeze - a special treat that has become an annual favorite. Soul food Gail Forbes (left) and Dorothy Whitaker (right) serve a helping of history as a part of the Nash General Hospital Cafeteria’s Black History Month celebration. The event featured traditional AfricanAmerican cuisine. Soups on! Linda Prezioso, left, and Gina Champion of the Emergency Care Center beat the winter blahs with piping hot cups of homemade soup. One dollar provided a sampling of some of the best culinary delights around–and all proceeds went toward the Relay for Life, a fund-raising event for the American Cancer Society. By the end of the day, around $70 was raised for the relay. Stellar service Vicki Whitley, (left), manager of the Emergency Care Center, and Sandra Todd-Atkinson (right), president of Nash Day Hospital, accept the Stony Creek EMS John James award. The award recognizes outstanding cooperative efforts between health care facilities and EMS organizations. Nash Health Care Systems was honored with the award. Duke Endowment Grant Cindy Worthy (second from right), vice president of community relations, presents a check to local EMS workers as a part of a Duke Endowment Grant. The grant will help local EMS workers update software for PDAs which are used in the field to transmit important medical information to hospital emergency rooms, saving precious minutes which equal saved lives in an emergency. With Worthy are, from left, Scarlett Atkinson of West Edgecombe; Brian Brantley, Nash County emergency services director; George Winsted and Ricky Turner of Stony Creek EMS. 22 ◆ NHCS Spring 2004 The winners were: 4th Floor Nancy Campanelli IV Therapy Emma Collins 3rd South Delia Joseph Pediatrics Monica Blanchard ICCU Ernestine Perry Dialysis Lorene Whitehead Women’s Center Cheryl Countee Public Relations Tracy Hoefling HIM Connie West Education Debra Medlin Human Resources Marilyn Lynch Business Office Linda Thorpe Accounting Lisa Beane Care Management Nick Alexander Nursing Administration Janet Curtis Dietary Brenda Jones Environmental Services Della Hooker Plant Services Evelyn Joyner Laboratory Dr. David Eckert CCU Peter Koerner Cath Lab Mildred Battle NDH Pre-Post Op Diane Cherry Endoscopy Cheryl Joyner NDH Operating Room Micheal Johnson Nash Cancer Treatment Center Bruce Collins NDH-Rehab Services Debbie Helmer Operating Room Shay Ehler Central Sterile Ella Hansen Pre-Op Marlene Everette Recovery Jane Davenport Radiology Gray Summerlin NGH-Rehab Erin Agan Pastoral Care Sammy Crumley ECC Otis Barnes Coastal Plain Hospital Jean Hiatt BTAR-Therapist Office Roy Logan BTAR- Nursing Vonda Summerlin Pain Center Melissa Sauls Infobytes by Gail Parrish Recently the hospital put together a Recruitment and Retention Committee to review our current efforts and explore new and different ideas. The committee is made up of the following employees: Steve Jones - Radiology Andrea Milks - Rehabilitation services Lisa Rogers - Special medicine Sam Pittman - Triage services Evangeline Grant - Nursing services Nancy Evans - Human resources Jennifer Vester - Nursing services / CPH Joe Gibson - Pharmacy Doris Johnson - Nursing services / NGH Brenda Davis - Nursing services /NGH by Jamie Parsons Vicki Whitley - Nursing services / NGH. The committee had its first meeting in March and has already started on some new ideas. If staff have suggestions for recruitment and retention initiatives, please feel free to contact one of the committee members to share your idea and have them bring it to the committee meetings. The purpose of the committee is to meet on a regular basis and evaluate existing ideas for effectiveness as well as explore new ideas to help meet our current and future recruitment and retention needs of our staff. In addition to listening to our staff, the committee has several tools to help them. One example is the American Hospital Association’s publication “Workforce Ideas in Action.” This publication lists different hospitals from all over the United States and what they are doing for recruitment and retention. It is already in its third printing and provides some very useful information to the committee. The committee members will be meeting on a monthly basis and look forward to revitalizing some of our current programs as well as coming up with new ones. Again, if you would like any information about this committee, please contact one of our members for more information. Investing in Employees The Basic Retirement Plan The employee Basic Retirement Plan makes it possible for each full-time employee to build a more secure future. Full-time employees become eligible for the plan on the first day of employment. The plan basically provides for retirement benefits in lieu of social security for all full-time employees, so that upon reaching retirement age, you can receive a steady monthly income. The Basic Retirement Plan is designed to provide retirement income when an employee retires. Money can only be taken out of this account for retirement or disability. There are no hardship distributions from this account. Each pay period the hospital contributes 7.65 percent and you contribute 7.65 percent to your retirement account—-just as you and your employer would do if you were in Social Security. Your Basic Retirement Account has a vesting schedule for the money NHI puts in your account. Money that you put in your account is 100 percent vested immediately. The vesting schedule for money NHI puts in your account is as follows: First year 0 percent Second year 0 percent Third year 30 percent Fourth year 40 percent Fifth year 100 percent In 2003, the Basic Retirement Plan had a return of 23.57 percent. For more information, contact the Human Resources Department at extension 8715 or 8264. Nash Health Care Systems began 2004 with yet another technological advance on January 11 when the Kronos Workforce Central time and attendance system went into production. New Kronos clocks were installed and as a result, make it easier to record employee work time. No longer do clocks have to “poll” at night to make the previous day’s punches available for viewing and editing by the Department Manager. Kronos clocks brought “real-time” to Time and Attendance, a steady stream of clock data flowing from the clocks into the system makes punches and other transactions accessible in minutes, if not seconds. There was a tremendous amount of time and effort that went into the implementation of Kronos here at Nash. It is a massive undertaking to implement a system that affects every employee in the hospital. Many thanks go to the members of the Kronos Core Team, made up of department representatives, IS analysts, IS technical people and maintenance, who spent countless hours meeting, planning, deciding, testing and helping do the seemingly endless list of tasks necessary to ensure a smooth transition to the new time and attendance system. This implementation is truly an example of superb teamwork and what it can accomplish, even in a tight timeframe. Nash General Hospital Radiology, NGH Lab, NGH OR, ICU, Pediatrics, IV Therapy, BTAR Nursing, CPH Triage are the brave pilot groups who completed payrolls on both the old system and the new one for numerous pay periods to assure the accuracy of the new system. It was a job well done by this entire Core Team. New interfaces between our Lawson Payroll system and the Kronos Time & Attendance system were developed and thoroughly tested by doing several parallel payrolls. Kronos presented a unique opportunity to give every employee a network ID and password. This grants electronic access to his/her timecard, allowing employees the ability to review their timecards electronically whenever they wish. There is the ability to access timecard information from one’s own PC or from one of the three kiosks available at BTAR, CPH or the hospital cafeteria. Based on department manager approval, some employees enter their own PTO and “Approve” their timecards electronically. The assignment of a network ID to every employee sets up a framework within which the same network ID and password can be used to access multiple systems, a universal application ID and password. With the implementation of Kronos, the electronic “Sign-Off” of timecards by department managers makes yet another effort to curb paper usage come to pass at Nash. Managers are no longer required to print a paper copy of timecards for sign-off. Retention of electronic timecard data is enhanced by the implementation of Kronos. Timecard data remains available for viewing online after the pay period is closed. One of the next steps is to acquire and implement a Kronos Archiving tool which will store historical data beyond the 3 years that will be retained online. Kronos Comments and suggestions regarding Kronos are welcome! Gail Parrish Kronos Project manager NHCS Spring 2004 ◆ 23 V olunteers: Planting the seeds of kindness Nash Health Care Volunteer Auxiliary Officers The 2004 officers for the Nash Health Care Systems Volunteer Auxiliary are: (front row, from left) Marion Sawyer, junior volunteer committee chairperson; Gertrude Kennedy, president; Leigh Johnson, vice president; Evelyn Medford, publicity chairperson; Cindy Crowder, membership chairperson; (back row, from left) Jackie Chicoine,treasurer; Peggy Williams, hospitality committee chairperson; Dawn Holleman, secretary; Eleanor O’Keef, gift shop committee chairperson; and Jackie Ward, past president and historian. When you hear the phrase “five-star,” you may immediately think of a fancy hotel or gourmet restaurant. But at Nash Health Care Systems, the Volunteer Auxiliary has captured a few stars of their own. The auxiliary was recently recognized as a five-star organization by the North Carolina Society of Volunteer Auxilians. The five-star recognition is one of the highest honors the society confers. In 2003, volunteers at Nash Health Care Systems contributed 15, 575 hours of service to the hospital. From April 18 24 Nash Health Care Systems will celebrate National Volunteer Week with the theme “Volunteers Plant the Seeds of Kindness.” These seeds of kindness grow to affect every area of the hospital. Cancer patients 24 ◆ NHCS Spring 2004 can receive additional education thanks to a new VCR and TV volunteers provided to the Cancer Resource Center at the Nash Cancer Treatment Center. Volunteer funding also supplied the Education Department with a pediatric “crash” cart, which will be used to train health care workers. In 2003, volunteers also paid tuition for an Emergency Care Center nurse to receive specialized training in helping children who are victims of abuse. “In many cases, these things would not have been possible without help or funding from our volunteers,” said Lita Watson, volunteer services coordinator. “We raise funds through various activities, including book and jewelry sale fund-raisers, which will be coming up this spring and summer.” Shall we dance? John Chicoine wasn’t expecting to be one of the featured dancers during the Volunteer Awards Banquet held recently —but Chicoine demonstrates that he can cut the rug with the best when singer Patsy Gilliland asked him to dance. Gilliland provided the entertainment at the event. The following volunteers were recongnized for their outstanding service to Nash Health Care Systems. Grace Batchelor Volunteer Events Edna Burnette Volunteers have continually participated in events throughout the year that raise money for hospital projects. For information on the latest volunteer events, visit the Nash Health Care Systems website at www.nhcs.org or call 443-8462. 100-499 hours Anna Rush Johnetta Arrington Doris Reed Mavis Armstrong Barbara Rackley Gloria Alston Margie Turner Martha Alexander Tommy White Gary Batts Retha Farmer Tina Jernigan Patsy Manning Evelyn Medford Margaret Pridgen Beverly Adcock Winifred Chocklett 2000-2999 hours Shireen Davar Jane White Grover Edwards Jackie Chicoine Cindy Foxworth John Chicoine Nancy Grier Gertrude Kennedy Dawn Holleman John Lease Sylvia Hull Virginia Meeks Dorthy Jones Eleanor O’Keef Leigh Johnson Marjorie Taylor How do I become a volunteer? ks o Bo un F e r A Fair k o o B Molly Lankford Frances Long 3000-3999 hours Norwood Pirkey Ollie Briggs Doris Phinizy Bill Stanley Sherry Porter Ann Sumner 4000-4999 hours Peggy Williams Marie Boone Beatrice Watson Patsy Ferebee Duenda Zwanziger Marion Sawyer Becky Young 5000-5999 hours 500-999 hours Charlotte Gunn Mavis Cash Rose Arrington 6000-6999 hours Cindy Crowder Suzanne Hassell Wilma Dancy Lee Grier 10,000- hours Uteen Hargrove Jackie Ward Maeta Joyner 12,000-12,999 hours 1000-1999 Lillian Whitley “We always welcome new faces to our pool of volunteers,” said Lita Watson, volunteer services coordinator. “Becoming a volunteer is a great way to meet people and make a difference in our community.” At Nash Health Care Systems, volunteers help with a variety of activities, from delivering patient mail to discharging patients to working in the gift shop. In addition, they also lend support to several fund-raising activities throughout the year, including a book sale and jewelry sale. Money from these events is used for hospital projects. Those who are interested in becoming a volunteer with NHCS should contact Watson at 443-8462. Money raised from this event will go toward hospital projects. April 13 from 10 a.m to 5 p.m. April 14 from 7 a.m. to 3 p.m Nash General Hospital Cafeteria 5 $ Phantasia Jewelry new Sale This fund-raiser makes its debut this year–featuring all jewelry priced at $5. June 29-30 from 7 a.m. to 4 p.m. Nash General Hospital Cafeteria. Donna Smith NHCS Spring 2004 ◆ 25 Mailbag the sincere concern of the staff. Situations like ours are not fun to deal with. However, knowing there are places like BTAR relieves some of the stress and concerns families may have. Thanks again for everything you did to make Mama’s rehabilitation time there pleasant. I guess it could be said when families are in need and can’t be together, God provides loving and concerned people like you guys. God bless!! Dear Ms. Harkey: This is a brief and informal letter, but I felt compelled to take the time to let you know what a wonderful staff you have on the second floor in labor and delivery, recovery and in the nursery. I delivered a baby girl in December 2003, and my husband and I were very pleased with the care our daughter and I received while there. As this was my first child, and my first hospital experience, I found your nursing staff to be very kind, wellinformed, and encouraging. Thank you for your time and the services that Nash General provides to our community. Dear Mary Strickland: I am writing in regards to thank you and your staff again for a wonderful experience in the labor and delivery ward. Our second child was born at your facility in January, and the service we received was even better than the first time. I want to thank the staff of L&D, but most of all to thank Amy Winstead. Because of her dedication to her job and personal one-on-one with the patients, we experienced the most care that anyone could dream of in a hospital. I would like for you to give her the recognition she deserves. I am just asking you to drop her a line or let her know that the public perception of her skills are above and beyond exceptional. I have contacted the president of Nash General Hospital and told him the very same information. Please let Amy Winstead know how wonderful she is and thank you for being there for your staff. Again, I believe that Amy Winstead is a valuable asset to your area. Just a note of thanks to everyone at the Bryant T. Aldridge Rehabilitation center for the excellent care and attention received by my mom. Also any and all questions asked by family members were answered professionally and satisfactorily. We appreciate the cleanliness of the facility and 26 ◆ NHCS Spring 2004 On Saturday, Feb. 21, I found myself as a patient in your Emergency Department. Long story short, I was having a severe allergic reaction to a chemical exposure and was brought to the ECC by the Nurse Supervisor. My eyes were swelling by the minute, my throat was beginning to get tight and my lips were tingling. Despite my insistence that I was OK they started an IV, got the MD in to see me and began to administer IV solumedrol, IV benadryl and eventually subqepinephrine. I wanted to compliment the medical and nursing staff for their disallowing me to refuse their care as well as their hasty response to my condition. Crystal Joyner was the nurse who admitted me and others came in to help. Crystal was professional as well as kind & compassionate. She could tell I was a bit nervous and definitely out of my comfort zone. Later that evening, Christy Bulluck came in to take over, frequently checked on me and discharged me home. Dr. Nicholson was the physician who saw me, and he was great as well. Thanks to your staff, I am back at work and doing fine. I very appreciate the excellent care that I received as well their kindness in response to my situation. Hats off to the ECC for a great job. NashCancer TreatmentCenter World-class care, that’s close to home 1 866 478 3471 Our world-class team of physicians, nurses, therapists, educators, counselors, nutritionists and volunteers is among the best anywhere. We use the latest technology, supported by up-to-date research. And, we have a genuine concern for your health and well-being. At the Nash Cancer Treatment Center, you’re not just a patient, but a neighbor—and part of the community we all live in. Call today for more information. • Free Scheduled Screenings • Support Groups • Counseling • Prevention Information • Pain Management • Educational Resources 2450 Curtis Ellis Dr. Rocky Mount, NC A Service of Nash Health Care Systems Accredited by the American College of Surgeons Commission on Cancer as a Comprehensive Cancer Center Physician services provided by Nash/UNC physicians Free Skin Cancer Screening Hospice of Nash General is such an exemplary program with exceptionally high standards. I don’t know how you can improve anything. Continue doing all the good things you are currently doing. Work hard to maintain the excellence. Continue to involve exceptional people in an exceptional program. Thank-you for your kind and friendly service on the day I started my radiation therapy. Especially when you got me a wheelchair. May God bless you. A Free Skin Cancer Screening will be held Thursday,May 6th,4 to 7 p.m.at the Day Surgery area of Nash Day Hospital on the campus of Nash Health Care Systems.The free screening is made possible by Community Health Services and local dermatologist,Dr Jeff Suchniak. Appointments are required and may be made by calling 451-3460. Focus On People In Memory John “Big John” Young Nash Health Care Systems lost a member of its family when John R. Young, a sergeant with Nash General Hospital’s company police force, died at the scene of a wreck in February. Young, who was known as Big John to his friends, joined the hospital’s police force in April 1986. “He was a very dedicated employee, and very well-liked. He was hardly ever out sick, and he was very conscientious about coming to work. He was willing to help out whenever needed,” said David Harrell, chief of the hospital’s company police. Ehler recognized by OR staff When someone inspires you to soar, you want to recognize them. Such was the case when Shay Ehler was presented with an excellence award by the operating room staff. The award was not for a special degree or certification, but rather a gesture of appreciation for the spirit of excellence Ehler brings to work every day. “Shay has done so much for all of us, we just wanted to show her how much we appreciate her,” said Julie Lawler, an OR nurse. Ehler was appointed the director of surgical services last year. She received her BSN from Texas Women’s University College of Nursing in Denton, Texas, and her MBA/ACA from Almeda College/ University in Boise, Idaho. She has been certified in OR nursing since 1991. Nash Regional PainCenter www.nashpaincenter.com Roughly 20 percent of the world’s population – that’s around 1.2 billion people – suffers from chronic pain. You don’t have to live with chronic or acute pain. At the Nash Regional Pain Center, our board-certified physicians offer a variety of treatment methods to help you manage your pain. We can help you get control of your life. And we’re close to home. Local 252 443 8994 Toll Free 877 451 PAIN 7 2 4 6 Taylor honored for outstanding work Nash Health Care Systems President and CEO Rick Toomey presented Irma Taylor with a certificate of appreciation recently in honor of her dedication to the Employee Pension Committee. Taylor has worked at NHCS since the facility opened in 1971. Taylor, of Central Sterile Services, has served on the committee for 16 years. She said that working on the committee was a responsibility she took very seriously, and it was a wonderful way to help employees. Toomey named President of Rocky Mount Area Chamber Rick Toomey, DHA, was named President of the Rocky Mount Area Chamber of Commerce. This year marks the 100th anniversary of the Chamber. Toomey, President and CEO of Nash Health Care Systems, received his master’s degree from Duke University and his doctorate in health care administration (DHA) from the Medical University of South Carolina. He has worked with NHCS since 1989 and was named president and CEO after the retirement of Bryant T. Aldridge in 1998. Marks Named Manager Patricia Marks, RN, BSN, was recently named manager of the Dialysis Department. Marks has been an employee of NHCS since 1999. She has more than 25 years experience as a registered nurse and earned her BSN from Barton College. Previously, she was the head nurse of the Acute Hemodialysis Unit at Duke University Medical Center, Durham, N.C. Located on the campus of Nash Health Care Systems NHCS Spring 2004 ◆ 27 Extra Point by Dawn Wilson When American playwright Larry Shue was working with a theatre group in Japan, he noticed that the Japanese people were very tolerant of his behavior, even if he did things that were very strange. The Japanese simply dismissed it as the customs of a foreigner. From that incident the seeds of inspiration were sown for his comedy classic “The Foreigner,” in which a Briton manages a quiet, undisturbed vacation at a Georgia fishing lodge by convincing the locals that he speaks no English. The situations that ensue are hilarious, as everything the Briton does is a source of fascination because he is a “foreigner.” Many times, we are so familiar with our own culture and customs that we do not realize how strange it may appear to those visiting from other areas–even areas where English is the primary language. The result is a miscommunication that at best can be humorous and at worst can be disastrous. For an example, we need look no further than “across the pond” at Andy Walsh, a magazine writer from the United Kingdom. Walsh gives some advice for Britons visiting the United States. This advice includes: • Don’t assume that because you watch “Friends” and “Ally McBeal” that you know everything you need to know about America. • Don’t refer to Americans as “Colonials.” Just don’t. • In the United Kingdom, when a cop stops you, it may be considered friendly to get out of the car and wave to them. In the United States, it could be viewed differently. • Not everyone in the US gives “high-fives” and whoops. If an American initiates it, then by all means, respond wholeheartedly, but don’t initiate it yourself. Just don’t. Northwood University, with campuses in Florida and Texas, gives the following advice to foreign exchange students: • Americans are generally very direct, especially in business transac- tions. This is not meant to be offensive. It is simply out of respect for your time and theirs. • Be on time. Punctuality is very important in America. A common American expression is “time is money.” • While in some cultures it is customary to eat meals in respectful silence, you will seldom see Americans quiet during a meal. Would you believe that one of the more confusing areas of American culture is the refrigerator? In some cultures, it is considered rude to simply take something out of a family refrigerator. In America, things in the refrigerator are generally considered “community property” unless otherwise labeled. It gets better. One Italian website gave this advice to foreign exchange students: “Greetings such as ‘what’s up?’ and ‘how are you?’ should not be taken literally. These expressions mean the same as ‘hello.’ Your answer should be ‘fine.’ Don’t try to explain everything because they will not understand why you are telling them your life story. If they have any questions, don’t worry, they will ask you.” I’m not trying to discard “political correctness” and I’m not trying to make fun of foreigners or Americans. The point is this: so many times, we are so ingrained in our own surroundings that we find it difficult to take an objective look at things that may be obvious to outsiders, but unnoticed by us. Nash Health Care Systems has recently created Stars in Action. (See related article.) It is much more than a buzzword or another item to add on the “to do list.” It is a dedication to the best in customer service. All the time. This may mean that we need to find more effective ways of communicating. Things that may be perfectly clear to us may be confusing to someone who is unfamiliar with the health care environment – especially those who may be anxious about their illness or upcoming surgery. Keep watching the Newsline and other announcements for more information on the Stars in Action program. And if, by chance, you’re ever visiting Great Britain, don’t go to a fast food restaurant and ask for “biggie” fries. Just don’t. “biggie” fries NASH HEALTH CARE SYSTEMS ...building a healthier community 2460 Curtis Ellis Drive, Rocky Mount, NC 27804 www.nhcs.org Address Correction Requested NHCS NEWSLINE is published quarterly by the Public Relations Department of Nash Health Care Systems. Writer: Dawn Wilson Editor: Jeff Hedgepeth Comments and contributions are welcome. Member of: VHA The North Carolina Hospital Association The American Hospital Association Nonprofit Organization US Postage PAID Rocky Mount, NC 27804 Permit No. 297
© Copyright 2026 Paperzz