nsmcNow!THE NEWS OF NORTH SHORE MEDICAL CENTER

DECEMBER 2012–JANUARY 2013

orth Shore Medical Center’s smallest and most fragile patients will soon begetting a new home. Starting in 2013, the Special Care Nursery, located onMacomber 6 on the Salem Campus, will be undergoing a $2 millionrenovation and expansion. This project will double the unit’s size to betteraccommodate the care of high-risk infants, creating a more spacious, private

and peaceful environment for babies and their families. The project is expected to takeeight months to complete. “Our current facilities allow only 15 to 18 inches between babies,” says SanjayAurora, M.D., Chief of Newborn Medicine. “Despite the high satisfaction scores wereceive from families, the one thing we hear over and over is that they wish we had morespace. Our new facility will respond to these needs, including space to allow somemothers to sleep at their baby’s bedside.” “I sometimes liken our current space to an agility course,” says Linda Cancellieri, R.N.,who has worked in the unit for the past six years. “There are times when the unit is fulland we are dodging and weaving between privacy screens, isolettes, baby cribs, IV poles,

Meaningful UseExpanding Access to Electronic Health Records, Improving Outcomes

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NSMC will soon begin a $2 million expansion and renovation of the Special Care Nursery on the Salem Campus, another step in the hospital’s ongoing enhancement of the inpatient experience.

Members of the Meaningful Use Steering Committee (L–R): Bea Thibedeau, R.N., Pati George, Roxanne Worob,David Roberts, M.D., Ned Kaufman, M.D., Joan Casper, R.N.,Jennifer Costain and Kerry MacKenzie.

NROOM TO GROWSPECIAL CARE NURSERY RENOVATION AND EXPANSION PROJECT SET TO BEGIN

Imagine a future in which all electronic healthrecords are available online in a secure,standardized format allowing patients to view,download and share them as needed. Notonly would this be an added convenience topatients, giving them greater control overtheir own health information, it would alsoimprove the overall quality, safety andefficiency of healthcare on a much broaderscale. If all health records were availableonline, they would be easily accessible toauthorized caregivers wherever patients mightgo, leading to better care coordination,improved outcomes and reduced costs. Such a future is not as far away as onemight think. In fact, the infrastructure for thisrapidly approaching new world of electronichealth records is currently being built—withgreat determination and urgency—at NSMCand hospitals across the country thanks to theMeaningful Use incentive program.

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The Perfect Patient Experience

Dear Union Hospital ICU,

Our family would like to express our sincerethanks to the care delivered by your staff forMichael D. this past November.

During Michael’s very short stay in the ICU at Union Hospital, he and our family were treated with the utmost compassion, respect and kindness. Staff members went out of theirway to make Michael as comfortable as possible,which meant a great deal to our family. Staff kept us informed about this condition, which also helped in knowing how best to make somedifficult decisions.

Members of the team who we were fortunateto interact with during Michael’s stay included: Drs. Bimal Jane, Patrick Weyer and Rohit Ahuja;nurses Jenn Hauck, Emily Guptil, Vickie Newtonand Fatima Abdalla; nurse practitioner MaryNjonjo; case manager Deb Giovannucci; chaplainChad Kidd; and unit secretary Dana Schmorrow.

When it was realized that Michael would notsurvive his illness, Dr. Marvin Somi and nurseBarbara Jacobs were so respectful during thisheart-wrenching, emotional time, makingMichael as peaceful as possible and allowing ourfamily some precious last moments with him.

As most families, we were not prepared to losea family member in the ICU. However, your staffwere remarkable in all aspects and made it as“easy” as possible. Words cannot express howgrateful we are that during these last days ofMichael’s life he was surrounded by caring anddevoted people.

Sincerely,The Family of Michael D.

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The Perfect Patient Experience is a regular columnfeaturing letters submitted to NSMC by patients andfamilies that honor and celebrate staff who combineclinical expertise and compassion to deliver a perfectpatient experience. Letters may be edited to fit space.

he Partners in ExcellenceAward honors thoseindividuals and teams whohave gone “above andbeyond” in their efforts to

serve North Shore Medical Center,Partners HealthCare and, mostimportant, grateful patients fromthroughout the region.

“Your work here at North ShoreMedical Center is an essential piece ofthe Partners HealthCare mission,” saidDr. Gary Gottlieb, President and CEOof Partners HealthCare, at the17th annual Partners in Excellenceaward ceremony held this pastNovember 30 on the Salem Campus.“By offering a complete continuum ofcare, including our first-class

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RECOGNIZING EXCELL2012 PARTNERS IN EXCELLENCE AWARD

community hospitals, we are able toprovide our patients with a world-class healthcare system.” NSMC President and CEO BobNorton echoed these sentimentsduring the ceremony. “The successof NSMC and Partners HealthCareis a tribute to all of you—theindividuals who lead by example andthe teams whose collaborative effortsare moving us forward. Each of youbeing recognized today directly orindirectly supports our efforts toredesign the way we care for patientsand make care more affordable.” During the ceremony, awardrecipients received certificates andpins from Gottlieb and Norton. Thisyear, 15 teams and 44 individuals

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NSMC Teams

Only team leaders are noted.For entire team listing, pleasevisit NSMC Connect.

Birthplace Nurses DuoAlison WorthSarah Young

Care Management ProgramTeamLaurie IsidroMarianne Turner

CMP Mental Health TeamDeidra Smith-Horton

Inpatient Pediatric Nursingand Care TeamsEdward Bailey

Knee and Hip School TeamKelly Lombardo

MRI DepartmentStacy Kimball

North Shore PhysiciansGroup in SaugusRose Marie HinchionChristine Valdes

NSPG Training andEducation TeamJanice Trombetto

OR Materials CoordinatorsJodi FitzgeraldJeanne Nevins

Post Operative HandoffImprovement TeamKaren CorrentiLisa O’Neil

RELATE Champions TeamAnnmarie Baldisserotto

NSMC Individual Award Recipients

Vivian AkerbergsVictoria AleixoEleanor BarryCheryl BurgessMichelle ButlerLouis CaligiuriMichael ChamberlainGayla ChaseAndrew ChenKathy CluneBarbara Corning-DavisHelen CunananElizabeth Da SilvaKatelyn DaleyElma DeleonAnn DeLucaDenise DigiulioAnn DoyleMarianne DuhaimeLenny DulleaDan DulongMaribeth EmberleyTeddy EsposaJudith FlahertyMichelle FlewellingJohn Anu FortawMichael FrostLindsay GainerKaryn GearyCarla GreenbergGladys GrijalvaMary HigginsRose Marie HinchionIrving IngrahamKimberly JalbertChad KiddStacy KimballSmita KolliPaul LausierSusan LausierSharon LucieSusan MalleyManny OrtizStark Peterson

Salem Hospital Emergency Room Staff on 3/18/12 Dan Slack

Salem Hospital STAT RoomWaste Reduction TeamJames Helps

Tempus Scheduling SystemClean Up TeamCourtney BelangerNicole Johnston

Union Hospital Transport TeamWally Tucker

NSMC Leadership on Partners Network Teams

NSMC and Mass General/North Shore ChemotherapyOrder Entry ImplementationTeamPatricia GeorgeJoel SchwartzBea ibedeau

LENCE D RECIPIENTS

from NSMC and NSPG werehonored by their colleagues forquality treatment and service;leadership and innovation;teamwork; operational efficiency; or outstanding communitycontributions. Additionally, awardswere presented to one Partnersnetwork team with NSMCleadership and five network teamsfeaturing NSMC membership.

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Federico Honored WithEmergency Nursing AwardNurse Manager SabrinaFederico, R.N., of theSalem HospitalEmergency Department,was recently named therecipient of the2012 Emergency NursesAssociation NurseManager of the YearAward for Massachusetts. This award honors anemergency nurse manager who consistentlydemonstrates excellence in the profession ofemergency nursing, leadership skills andprofessional behavior and who has made asignificant contribution to emergency nursingmanagement. Federico has been serving in her current positionat North Shore Medical Center since 2011. She waspreviously a nurse educator in both the Salem andUnion hospital emergency departments. Beforejoining NSMC in 2009, she had served as anemergency room staff nurse at MassachusettsGeneral Hospital for more than two decades. The Emergency Nurses Association is the onlyprofessional nursing association dedicated todefining the future of emergency nursing andemergency care through advocacy, expertise,innovation and leadership.

Boston Magazine RecognizesFive NSMC PhysiciansCongratulations to the five NSMC physicianswho have been named among the “best doctorsin Boston” in the December 2012 issue of Boston Magazine. The list includes more than645 Boston area physicians in 50 differentspecialties ranging from pediatrics andcardiovascular, to plastic surgery, sports medicineand beyond. To identify the area’s best doctors,Boston Magazine partnered with a healthcareresearch company that publishes America’s TopDoctors, a guide to the country’s top one percentof medical specialists. The following NSMC physicians wereincluded among the best physicians: DanielDoody, M.D., pediatric surgery; AllanGoldstein, M.D., pediatric surgery; JamesMacLean, M.D., allergy and clinicalimmunology; John Petrozza, M.D.,reproductive endocrinology; and John Schorge, M.D., gynecologic oncology.

1. Members of the Care Management Program Team: MaureenMcGovern, M.D., and Laurie Isidro. 2. Members of the Care ManagementProgram Team: Trisha Mossman, R.N., Marianne Turner, R.N., KathleenCallinan, R.N., and Michele Capano, R.N. 3. Members of the Knee and HipSchool Team: Danielle Roberts, P.T., and Joclyn Hunter, P.T. 4. Awardrecipient Lori Brunell of the MRI Department Team and RadiologyManager Lorrie Keating. 5. Award recipients Paul and Susan Lausier. 6. Members of the Knee and Hip School Team: Linda Fabbri, R.N., andAndrea Messina, O.T. 7. Members of the NSPG Saugus Team: KimberlyTinnirello, Natasha Shah, M.D., and Susan Sidell. 8. Lisa O’Neil, R.N., ofthe Post Operative Handoff Improvement Team, and award recipients

Ann DeLuca, R.N., and Gayla Chase. 9. Members ofthe Salem Hospital STAT Room Waste ReductionTeam: Henry Ouellette, James Mills, John Sousa and Mark Dulong. 10. Members of the Knee and HipSchool Team: Taryn Ambrose, P.T., Charlotte Greene,P.A., and Dana Barenthaler, P.T. 11. Members of theSalem Hospital STAT Room Waste Reduction Team:Mike Lebrun, Sue Cyr and Alex Vanyo. 12. Membersof the Inpatient Pediatric Nursing and Care Teams:Ryann Collins, R.D., L.D.N., Carlos Nunez, R.N.,Christine Delisi, R.N. 13. Award recipient ChaplainChad Kidd and Director of Pastoral Care Jane Korins.

All photos left to right.

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parents and visitors. It gets a bitcongested. Being able to work in a morespacious environment will be hugelybeneficial to the care we provide.” For Cancellieri, one of the highlightsof the new space will be the six privaterooms, each featuring glass walls on threesides with a curtain across the front.This, she says, will better accommodateprivate conversations between staff andfamilies as well as formula- andbreastfeeding or patient education. Therooms will also include space for a chairthat converts into a bed where newmothers and fathers can sleep next totheir newborns. “These rooms will alsohelp reduce the overall noise level in theunit,” adds Cancellieri. “In our currentspace, it can get quite noisy between allof the babies and equipment.” In addition to larger, private patientareas, the renovated nursery will alsoinclude a waiting room for families andadditional space for physician-familyconsultation and patient education.Enhanced lighting and sound control

will create a more calming environment.A centralized bedside monitoring systemand a pneumatic tube station willfacilitate faster and more accuratedelivery of care. “These changes come at an importanttime for NSMC’s neonatology program,which was raised to Level IIB status in

2011, allowing for the care of high-riskbabies born as early as 32 weeks,” saysDr. Aurora. “The renovations will

improve our ability to provide the high-intensity care our patients require andsmooth their transition to home.” The centerpiece of NSMC’sneonatology program, the Special CareNursery is a 12-bed unit designed to care for babies who need medicalmonitoring and specialized services notroutinely available in standard maternityrooming-in environments or communityhospital nurseries. NSMC’s close medicaland nursing collaboration with theneonatal intensive care units (NICUs) atBrigham and Women’s Hospital andMassachusetts General Hospital (MGH)ensures the most advanced approach toinfant care. A new videoconferencinglink with the MGH NICU will evenallow for real-time consultations once

the renovation is complete. The SpecialCare Nursery currently serves upward of400 high-risk babies annually.

SPECIAL CARE NURSERYcontinued from page 1

Special Care Nursery: Planned Improvements

• Doubling size – from 1,300 to 2,800 square feet

• Better circulation – for staff, equipment around bassinets

• Private treatment areas – six private rooms, including one isolation room

• Safer care – expanded central monitoring, nurse call systems

• Rapid care – Pneumatic tube for fast access to medication, labs and tests

• More comfort – New HVAC with improved temperature control

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Neonatologist Katheryn Nathe, M.D., with Lisa Young, R.N., and Linda Cancellieri, R.N., of the SpecialCare Nursery.

Sanjay Aurora, M.D., Chief of Newborn Medicine, says the renovated Special Care Nursery willdouble the unit’s size to better accommodate the care of high-risk infants.

nsmcNow!THE NEWS OF NORTH SHORE MEDICAL CENTER

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Do you have news or ideas to share? Let us know. Contact editor Bill Ewing at 978-354-2161 or wewing@partners.org. NSMC Now! is produced by NSMC’s Department of Communications and Public Affairs.

Julie McGrath, LICSW, Director, Psychiatric Triage ServicesFor Julie McGrath, it’s all about the joy—finding it, nurturing it andspreading it to others. In addition to her work at NSMC as Director ofPsychiatric Triage Services, McGrath also runs The Joy Source, a sidebusiness she started in 2009 to empower people—women and mothers inparticular—to discover and pursue the activities that bring them the mostjoy in life. A licensed social worker, McGrath takes this pursuit of joyseriously. As part of her business, she offers personalized coaching, classes,retreats and professional seminars all aimed at helping people find andpursue their passions. This past November, she also published a book onthe subject, Joy Worthy: A Mother’s Guide to More Joy, Less Stress and No

Guilt, that is now available on Amazon.com and via her website, http://thejoysource.com. The basic premise behind McGrath’sbook is simple: If a mother feels joyful, thewhole family benefits. “As a new mother, Iwas seeing a lot of other women disappearinto parenting and losing all sense of self,”says McGrath, who is married with twoyoung children. “They felt guilty if they tookany time for themselves and frustrated thatthey didn’t. My goal is to encourage womento pursue their passions, maintain their ownidentity and achieve a better balance in life. Itdoesn’t have to be 100 percent about thefamily.” This, in turn, not only makes themfeel happier and more fulfilled personally, italso brings renewed energy to their marriageand parenting. In McGrath’s case, striking the right balance has also brought a sense of joy to her day job at NSMCwhere she works with a patient population that can be both challenging and unpredictable. “We workwith patients in the emergency department who have mental health or substance abuse issues and, yes, itcan be stressful, but it’s also crisis management at its purest and I love it.”

“My goal is toencourage women topursue their passions,maintain their ownidentity and achieve abetter balance in life.”[

nsmcPeople Part of a federal stimulus package to improvequality of care and population health whilereducing overall healthcare costs, Meaningful Useis supported by billions of dollars in financialincentives to encourage hospitals to implementelectronic health record technology and to use thetechnology in meaningful ways to support themost consistent clinical practices. Under thisprogram, NSMC stands to receive $3.4 million if it meets the first set of Meaningful Usebenchmarks by June 2013. If all deadlines aremet in ensuing phases, the medical center standsto earn $12 million over the next five years. “The first stage of the Meaningful Useprogram is to start laying down the foundationfor how we capture health information in astandardized way using certified technology,” says Roxanne Worob, Program Manager of theMeaningful Use Program. “After the newtechnology is fully implemented, we will need todemonstrate that we have achieved a set of 19separate core measures by the June 2013deadline.” To do so, she adds, NSMC is currentlyin the midst of completing 27 separate projects. “These projects range in size from small tovery large,” adds Ned Kaufman, M.D., ChiefMedical Information Officer and member of theMeaningful Use Steering Committee. “Some ofthe work is taking place behind the scenes, butthere are also several large, highly complexprojects that will be challenging to implementand will have a significant impact on how somepeople do their work.” Among these latter projects is an upgrade tothe Medication Administration Check (MAK) bar coding system; the installation of a newSoarian Quality Measures application for datareporting; and using the hospital’s electronichealth record, Siemens Invision, to generateelectronic discharge instructions for patients,including a list of medications. “The good news,” adds Dr. Kaufman, “is thatwe already had a leg up on many other hospitalsbefore the incentive program even started becauseour nurses are already doing assessments onlineand our physicians are using CPOM to placemedication orders—both key components toMeaningful Use. But there is still a lot of work tobe done over the next several months that willrequire focused involvement from our physicians,nurses, clinical leaders and front-line staff.”

Meaningful Use continued from page 1

Consumer Reports Names NSMC Program Among Top in the NationFor the third consecutive year, NSMC’s heart-bypass surgery program has received a three-star rating—thehighest available—from Consumer Reportsmagazine. NSMC is one of only 27 heart surgery practices inthe country, including just three in the state of Massachusetts, to receive this designation. Ratings werebased on information collected by the Society of Thoracic Surgeons on measures such as survival rates,complications, proper medication use and optimal surgical technique. NSMC is one of only threecommunity hospitals in the Commonwealth with a cardiac surgery program, and the only one on theNorth Shore.

NSMC Receives Stroke Gold Plus Quality Achievement AwardsNSMC Salem and Union hospitals have received the American Stroke Association’s Get With theGuidelines Stroke Gold Plus Quality Achievement Award. This award recognizes NSMC’s commitmentand success in implementing a higher standard of stroke care by ensuring that stroke patients receivetreatment according to nationally accepted standards and recommendations.