325 South Belmont Street
P.O Box 15118
York, Pennsylvania 17405
Volume 22, Issue 3 • DECEMBER 2013
Memorial Hospital Receives
Primary Stroke Certification
Sally Dixon
MESSAGE
FROM SALLY…
Welcome Dr. Jolly!
Dr. Beth Jolly recently joined the Memorial family to provide neurology care through our
Stroke Services program. Dr. Jolly received her medical degree from the University of
Maryland and completed her residency at the university’s medical center where she specialized
in neurology.
Following her residency, Dr. Jolly continued with her training and completed a fellowship in
epilepsy and electroencephalography (EEG) through a joint program between the University
of Maryland and the Baltimore Veterans Affairs (VA) Medical Center.
As part of Memorial’s Stroke Services, Dr. Jolly will practice at York Neurology Specialists, a
new outpatient neurology office that has opened in the Sixth Avenue Professional Center.
“I am excited to help establish the neurology program at Memorial,” said Dr. Jolly. “I look
forward to being a part of the community and helping to provide good care to those living
and working in the York area.”
1600 Sixth Avenue, Suite 108
York, Pennsylvania 17403
Telephone: 717-849-5576
Fax: 717-718-9972
Memorial Hospital is continuing
to take part in a training program
through CHS designed to help
hospitals become Highly Reliable
Organizations by developing
inherently safe environments and
a culture that is focused on patient
safety.
We are using the acronym
S.A.F.E. for this training process.
S is Support the Team, A is Asking
Questions, F is Focusing on Task
and E is Effective Communication
Every Time. In previous issues of
Medline, I reviewed the elements
of Support the Team and Asking
Questions. In this issue, I would
like to talk about Focusing on Task
and Effective Communication
Every Time.
Every day, we all perform more
than 10,000 skill-based actions
and a mental lapse can lead to
(continued on page 2)
Memorial Hospital has been awarded Primary Stroke
Certification from the Healthcare Facilities Accreditation
Program (HFAP). Primary Stroke Certification recognizes
Memorial Hospital’s capacity to stabilize and treat acute
stroke patients, provide initial acute care, and administer tPA
and other acute therapies safely and efficiently.
“This certification is a national recognition of Memorial
Hospital’s excellence in caring for stroke patients,” said Sally Dixon,
Memorial’s CEO. “Memorial is committed to making our stroke care
program the best it can be – and this means partnering with physicians for ongoing improvements in
quality and clinical practices, and investing in the latest tools, techniques and innovations.”
Stroke is the nation’s fourth leading cause of death. Each year, about 795,000 people experience a new
or recurrent stroke, which is about one every 40 seconds. Stroke is a leading cause of serious, long-term
disability in the United States, with about 4.7 million stroke survivors alive today.
EUCLID Research Study
Memorial Hospital has been selected to participate in an international study on Peripheral Artery Disease
(PAD). The most common symptom of PAD is cramping in the legs or hips while walking. Other signs
and symptoms may include: weak or absent pulses, slow or nonhealing wounds or ulcers, coldness of the
extremity.
There are two medications commonly used to treat PAD, Ticagrelor and Clopidogrel. Memorial is
participating in the EUCLID (Examing the Use of CLopidogrel In patients with paD) study to compare
the effectiveness of these drugs. The double blind study is being conducted by Duke Clinical Research
Institute, in partnership with Astra Zeneca, and researchers hope to enroll approximately 15,000 patients
worldwide to be studied throughout a three-year period.
“Participation in the EUCLID trial will help recognize Memorial Hospital’s services for treating patients
with PAD,” said P.J. Winchell, Nurse Clinician in Memorial’s Heart and Vascular Center. “In addition
to increasing our exposure in the community, it provides an opportunity to educate both patients and
associates about the importance of safe, quality vascular care.”
Investigators hope to learn which treatments are more helpful than others through the research. Dr.
Manu Rajachandran will act as the primary investigator for the study at Memorial.
Participation in the study is voluntary, though anyone who may be affected by PAD can schedule a
consultation with Dr. Rajachandran by calling York Heart and Vascular Specialists at 849-5576.
For questions related to participation in the EUCLID trial, please call our study coordinator, P.J.
Winchell, at 815-2459.
325 South Belmont Street • P.O. Box 15118 • York, PA 17405 • 1-800-436-4326 or 717-843-8623 • www.mhyork.org
Affordable Care Act
Memorial Hospital is helping York County residents enroll in new affordable health
insurance options. The Affordable Care Act (ACA) will require most U.S. citizens to enroll
for health insurance by March 31, 2014.
As a primary health care provider, Memorial wants to help educate patients and our
community about the ACA in an easy-to-understand way. We also want to help those who
need it sign up for insurance through the Health Insurance Marketplace or Medicaid.
Open enrollment for health coverage runs through March 31, 2014 and those who qualify
and enroll by December 23 will have coverage effective January 1, 2014.
Health Insurance Marketplaces will provide U.S. citizens access to affordable health
insurance coverage. Depending on household income, some individuals may qualify for
financial assistance – or subsidies – towards the cost of the premium. All health plans on the
Marketplace must offer a comprehensive set of benefits, and individuals cannot be denied
coverage based on a pre-existing condition.
While Pennsylvania has chosen not to expand Medicaid coverage, many residents already
qualify for Medicaid and must enroll. As we have done in the past, Memorial Hospital will
continue to provide assistance to our patients in enrolling in Medicaid. In Pennsylvania,
they can enroll at any time and coverage can start immediately.
Individuals who have questions about health insurance options or need help signing up can
call our Application Coordinator at 849–5457.
While many changes are occurring in health care, our commitment to providing quality
care remains constant. We are committed not only to supporting our community’s health
needs, but also to educating and informing the people we serve.
Pyxis Medication Cabinets
Throughout Memorial, new automated medication dispensing cabinets are
replacing older pieces of equipment. The new Pyxis MedStation® system from
CareFusion provides access to necessary medications for patients.
“The Pyxis cabinets store medications inside, which provides nurses quicker access
to medicine without having to wait for delivery from the Pharmacy,” said Wes
Glaudin, Director of the Pharmacy department.
The cabinets contain all of the medications needed for patients in that specific
unit of care. Most of the medications in the cabinet are used frequently, but the
Pharmacy will also stock drugs that are needed specifically for patients in that
area. To access medications, nurses will enter a username and then scan their
fingerprint. The fingerprint scanning feature of Pyxis prevents unauthorized access
to the medications stored in the cabinet.
The Pyxis system is connected to Memorial’s electronic patient software. After
entering their username and scanning their fingerprint, nurses will select
their patient and the medication to be dispensed on the touch-screen. The
corresponding drawer will open to pull out the medication. When a cabinet
reaches the designated minimum amount, an electronic notice will be generated in
the Pharmacy department indicating it needs to be replenished.
Please Remind Your Patients to Pre-Register!
717-815-2351
Pre-registration appointment cards are available for
your office by calling Sheryl Bond at 815-2797.
Sally’s article continued…
an error or unintended consequence.
The chance of making a skill-based
error increases when we are distracted,
fatigued, performing multiple tasks at
the same time or under pressure to get
things done quickly.
The S.T.A.R. acronym is a selfcheck tool that can help improve
concentration. S.T.A.R. stands for
Stop, Think, Act and Review. The
most important step is to STOP. A
one-to-two second pause to think before
acting reduces your chance of a mental
slip or lapse by more than 10 times.
Effective communication is also very
important when interacting with
patients, customers or other health care
providers. There are several techniques
that can improve communication, such
as the Read and Repeat Back method
and S.B.A.R. Read and Repeat
Back clarifies a message by having the
recipient read or repeat it back to the
sender and it being acknowledged as
correct.
S.B.A.R. is a compromise between
communications styles to aid
in remembering specific types
of information that should be
communicated. The S.B.A.R.
technique places messages in a standard
format starting with the Situation
and continuing to the Background,
Assessment and Recommendation.
It is easy to become distracted or to
misunderstand what another person
is trying to communicate. Through
our S.A.F.E. education, I want all
physicians and staff to maintain their
focus and communicate effectively with
others for the safety of our patients and
one another.
Thank you for all you do for our
patients.
New Emergency Physician Program
at Memorial Hospital
Memorial Hospital has recently contracted with Hospital Physician Partners (HPP) to
provide emergency medicine physician services. HPP and its affiliates have been providing
emergency medicine programs in hospitals across the country for more than 30 years.
The HPP team of physicians and physician assistants includes some providers who are
new to the area and several familiar faces that have been practicing emergency medicine at
Memorial.
Ordering Testing and Procedures
When ordering testing or procedures for a patient at Memorial, please print the physician’s
name above or below their signature. This will help ensure results are sent to physicians in a
timely manner.
Medical Staff Additions
Larissa Clayton, D.O.
David Schillinger, M.D.
Richard Trierweiler,
M.D.
Hospital Physician Partners
325 S. Belmont Street
York, PA 17403
849-5730 * FAX: 849-5731
Specialty: Emergency
Medicine
Daniel Henriksen, M.D.
White Rose
Surgical Associates
1601 S. Queen Street
York, PA 17403
848-2067 * FAX: 848-2074
Specialty: General Surgery
Beth Jolly, M.D.
York Neurology Specialists
1600 Sixth Avenue, Suite
108
York, PA 17403
849-5576 * FAX: 718-9972
Specialty: Neurology
David Kaczorowski,
M.D.
WellSpan
Cardiothorac Surgery
25 Monument Road,
Suite 190
York, PA 17403
851-6454 * FAX: 851-1665
Specialty:
Cardiothoracic Surgery
Denise Kerchner, M.D.
Elmwood Eye Center
1601 Second Avenue
York, PA 17403
848-2520 * FAX: 846-2861
Specialty: Ophthalmology
Samuel Laucks, M.D.
White Rose
Surgical Associates
1601 S. Queen Street
York, PA 17403
848-2067 * FAX: 848-2074
Specialty: General Surgery
and Colorectal Surgery
Niloofar Roodsari, D.O.
Memorial Family Medicine
at Stewartstown
200 Bailey Drive, Suite 101
Stewartstown, PA 17363
993-2543 * FAX: 993-9258
Specialty: Family Practice
Thomas Scott, M.D.
White Rose
Surgical Associates
1601 S. Queen Street
York, PA 17403
848-2067 * FAX: 848-2074
Specialty: General Surgery
Diane Shih-Della Pena,
M.D.
2350 Freedom Way,
Suite 104
York, PA 17402
801-1250 * FAX: 741-3031
Specialty: General Surgery
Paul Sipe, M.D.
White Rose
Surgical Associates
1601 S. Queen Street
York, PA 17403
848-2067 * FAX: 848-2074
Specialty: General Surgery
and Colorectal Surgery
Heather Thieme, M.D.
White Rose
Surgical Associates
1601 S. Queen Street
York, PA 17403
848-2067 * FAX: 848-2074
Specialty: General Surgery
and Surgical Oncology
Kumar Vipul, M.D.
WellSpan Lung,
Sleep and Critical Care
2350 Freedom Way,
Suite 200
York, PA 17402
851-2465 * FAX: 741-3043
Specialty: Pulmonary
Medicine