When

a s

eed

is p

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ed, t

he ‘s

eed’ does not decide to grow. It is the gardener w

ho m

akes

this happen.

Our Magnet efforts are rooted in knowledge, Cultivated with a passion for excellence, And nurtured to sustain continued growth.

2010 Nursing Annual Report

MissionAs People of Providence, we reveal God’s love for all, especially the poor and vulnerable, through our compassionate service.

seulaV eroC Respect

All people have been created in the image of God. Genesis 1:27We welcome the uniqueness and honor the dignity of every person.We communicate openly and we act with integrity.We develop the talents and abilities of one another.

Compassion

Jesus taught and healed with compassion for all. Matthew 4:24We reach out to people in need and give comfort as Jesus did.We nurture the spiritual, physical and emotional well-being of one another and those we serve.We embrace those who are suffering.

Justice

This is what the Lord requires of you: act with justice, love with kindness and walk humbly with your God. Micah 6:8We believe everyone has a right to the basic goods of the earth.We strive to remove the causes of oppression.We join with others to work for the common good and to advocate for social justice.

Excellence

Much will be expected of those who are entrusted with much. Luke 12:48We set the highest standards for ourselves and for our ministry.We strive to transform conditions for a better tomorrow while serving the needs of today.We celebrate and encourage the contributions of one another.

StewardshipThe earth is the Lord’s and all that is in it. Psalm 24:1We believe that everything entrusted to us is for the common good.We strive to care wisely for our people, our resources and our earth.We seek simplicity in our lives and in our work.

The Providence Commitment

was founded in 1961 to provide healing and health care to the San Fernando,

Santa Clarita and Simi Valleys. A 254-bed, not-for-profit facility, the medical center

offers both inpatient and outpatient health care services, including state-of-the-art

Cancer Centers, a Heart Center, Orthopedics, Neurosciences and Rehabilitation

Services as well as Women’s and Children Services. Located in the San Fernando

Valley of Southern California, Providence Holy Cross Medical Center has a nursing

staff representing more than 600 nurses.

1

Providence Holy Cross Medical Center

Services Include:CancerHeart & VascularWomen’s ServicesOrthopedicsNeuroscienceRehabilitationSubacuteSurgeryDigestive DisordersTrauma & Emergency

2010 Statisticsof Interest:Employees: 1,900+Medical Staff: 650+Licensed Beds: 254 (377 in 2011)Births: 2,938Admissions: 14,565Average Daily Census: 187Outpatient Visits: 59,501Emergency Room Visits: 61,591Trauma Cases: 1,588Inpatient Admissions: 15,229Inpatient Surgeries: 5,469Outpatient Surgeries: 1,912

Table of Contents

Message from CNO 3

Transformational Leadership 4

Structural Empowerment 8

Exemplary Professional Practice 16

New Knowledge, Innovations & Improvements 34

Awards & Recognition 40

In Memoriam 41

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Dear Colleagues,

It is with pleasure that I write and send a report to you in regard to the achievements of the nursing staff at

Providence Holy Cross Medical Center. As you turn the pages of the annual report, you can feel the pride,

recognize the accomplishments and wonder what lies in store for 2011. This will be a Magnet® Re-designation

year full of energy to underscore the great work achieved by nurses, doctors and ancillary services to achieve

the quality initiatives.

The 4 C’s of PHCMC: Caring, Compassion, Competence and Collaboration have become the foundation

for the core values, vision and Mission. Our professional practice model, based on nursing theorists Patricia

Benner and Jean Watson, support the 4 C’s in caring, education, professional growth and retention.

As a Magnet® designated hospital, we demonstrate every day the excellence in patient care that our community

expects and deserves for themselves and their loved ones. Our nurses exemplify professionalism in their journey

to expand their knowledge to provide the best evidence-based practice possible. Many nurses have become certified

in their specialties, have returned to school for advanced degrees and have attended the wide array of education

opportunities that our Nursing Education Department provides. Our nurses have taken a leading role in

system-wide projects, as well as multidisciplinary and multi-organizational projects. We have had a consistent

presence as presenters at conferences. The support of Providence Holy Cross Medical Center for these nursing

opportunities and experiences speaks to the high regard for nurses within our organization.

Among our highly recognized programs this year were our Stroke Program, which received Disease Specific

Care Certification for Stroke from Joint Commission, Level 2 Trauma Program that is Verified by the American

College of Surgeons Trauma Committee, Lactation Program that has been Baby Friendly USA-designated since

2007 and received the Workplace Accommodation Award, Diabetes Program, which is both Sweet Success-Certified

and recognized by the American Diabetes Association, and many, many more.

As Providence Holy Cross Medical Center grows in size, it also grows in the talent pool, level of education and

contributions to patient care in both our internal and external communities. As we grow and extend our roots

further, we will strive to maintain the sense of family among our staff and within our community that sets us

apart from many other medical centers. We expect to rise to the challenges of growth by building on our strengths

from our foundational leaders. Our staff has been extremely patient with our construction processes and we all

look forward to settling into our expanded surroundings to continue our traditions of excellence, stewardship,

compassion, justice and respect.

Betty Newsom, RN,MS,CNAA

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Our Nursing Vision

Patient and Family

THE 4 C’s OF PHCMC NURSING

COM

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CARI

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PHCMC Nursing Philosophy

Achieving Excellence in anEvidence-Based Practice Environment

PH&S Nursing Vision Statement

Mission andCore Values

ProfessionalPracticeEnvironment

Our Nursing Vision

Our Providence Health & Services Nursing Vision Statement:

Providence nurses embrace their heritage of compassion, courage and leading-edge careas a steadfast, sacred presence in protecting and easing the way for those in need.

Our Providence Holy Cross Medical Center Nursing PhilosophyStatement reflects the unique theoretical underpinnings of our

approach to nursing care and professional development:

In concert with the Mission and core values of Providence Holy Cross Medical Center, our professional nursing

staff is dedicated to the promotion of health and wellness as the basis for nursing practice. In collaboration with the

healthcare team our nurses attend to patient needs with the highest level of ethics, judgment, confidentiality and

respect for human rights, dignity and diversity. It is our belief that a holistic and caring environment nurtures and

supports the patient on a journey toward self care. We are responsible for illuminating the path and competently

leading the way.

NURSING STATSMAGNET AVERAGES11.52%

3.6%

27%

45%

46%

3.7%

PHCMC8.9%

1%

24%

57%

37.5%

2.6%

RN TURNOVER

RN VACANCY

RN CERTIFICATION

LEADERS CERTIFICATION

BSN

MASTER’S DEGREE RNAT BEDSIDE

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Betty Newsom, RN, MA, CNAA, Chief Nursing Officer

Ken Archulet, RN, CFN, Manager Epidemiology and Infection Control

Deborah Bergida, RN; MSN/MHA, OCN, CMSRN, Director Medical Surgical

Missy Blackstock, RN, BSN, Director, Emergency Department

Jerilyn Brown, RN, OCN, Director Patient Care Support Services

Tricia Burkholder, RN, BSN, Director Maternal Child Health

Linda Coale, RN, RN, MBA, Magnet Program Consultant

Kate Connolly, RN, BSN, Director, Post Acute

Annette Cordero Britton, RN, BSN, PHN, Director Occupation Health and Safety

Jane Flaherty, RN, MSN, CNS, PCCN, CCRN, Director Education

Sherri Friedrich, RN, MSN, FNP-BC, Manager Stroke Program

Yvonne Gaffney, RN, BSN, MBA, CNOR, Director Perioperative Services

Heinrich Huerto, RN, MSN, ONC, Manager Orthopaedics

Kathy Kirby, RN, BSN, Manager Telemetry

Joanna Kuzmak, RN, BSN, CCM, Manager Case Management

Ronda McPhail, RN, BSN, Manager, Labor and Delivery

Patricia Mayberry, RN, Director Clinical Project Implementation

Sherri Mendelson, PhD, RNC, CNS, IBCLC, Director of Nursing Research and Magnet Program

Lisa Pettinelli, RN, RRT, CEN, Manager, Respiratory Care Services

Pam Rick, RN, BSN, Director, Critical Care Services

Barbara Rozewicz, RN, MSN, CCRN, CMC, NP-C, Manager Cardiology

Jennifer Wobig, RN, BSN, Director, Trauma Services

Cathy Yee, RN, MSN, CCRN-CSC, Clinical Nurse Leader Surgery

2010 Nursing Leadership

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The email below was written by the hospital’s Chief Operating Officer and was distributed to all employees via email. The note speaks about the employees and our family-like culture at Providence Holy Cross.

From: Berz, Derek W

Sent: Friday, March 05, 2010 2:59 PM

To: CA HC All E-mail users

Subject: Thoughts from Service Awards

On Wednesday of this week, Providence Holy Cross held the Service Awards at the Odyssey restaurant. Every

year this is an amazing event recognizing our employees who have reached years of service ranging from 5 to 40

(sometimes more….) years with Providence. As I drove home and had some unexpected traffic, I had time to

reflect on what this really represents. It is incredible to think that as we look back over the 5-40 years of this

hospital, how many changes there have been – from re-births after disaster, trailers and temporary workspace,

service changes, census changes (1994 census was 80) etc…and now in 2010 we are still transforming in many

of the same ways.

That evening we heard wonderful stories of dedication and compassion of our employees who make Holy Cross.

The history of our ministry is rooted in the people who sustain it. You each carry on the ministry the Sisters of

Holy Cross and Sisters of Providence started. It is inspiring how, no matter what your role is in the organization,

you are part of creating new stories of touching people’s lives. It is comforting to know that such a group of

dedicated and talented people are here for the vulnerable who seek our compassionate care.

Since I have been at Holy Cross I have been involved with patient/family care, hospital management and

personal changes (being married and now having twin boys) and so I also recognize that we touch each other’s

lives providing care and friendship to each other, in good times and when we ourselves are vulnerable, as team

members, as we go through life. Look around and you will see that we could not do what we do without the

team around you. The strength of the years of service is also a strength of the Holy Cross “family”; the strength

of common mission and core values drives the culture we need to fulfill our responsibility to those who trust us

with their care in the future.

I am not a great writer or experienced with getting these thoughts out, but I wanted to share this reflection in

the context of thanking you and also inviting you to reflect on how this will reveal itself for you in your future

daily lives here as we go through the growth of our medical center and we continue to strive for excellence in

quality and safety.

Again, Thank you

Derek Berz, MHA, CMAC, FACHE

Chief Operating Officer

Providence Holy Cross Medical Center

Message About Employee Service & Excellence

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2010 Nursing Strategic Goals

Mission Inspired

People Centered

Service Oriented

Quality Focused

Financially Responsible

Growing to Serve

STRATEGIES SUCCESS MEASURES

OPERATING COMMITMENTS

Palliative Care Program

Increase number of certified RNs

Increase number of BSN/MSN prepared nurses

Recruitment and retention of qualified staff for new tower

Career Path Development (staff and leader group)

Improve patient satisfaction via Press Ganey scores

Enhance process to support community outreach

Innovative nursing research projects

Nurse sensitive indicators (fall and hospital acquired pressure ulcers) scored at top half of cohort

Reduction of employee injuries

Collaborate with Foundation toincrease funding for Nursing Researchand Education

New Wing expansion opening plan

Valley Services Integration Plan

Stroke Certification

Preparation for Level II NICU

Increased palliative care referrals

Number of certifications

Number of new degrees

Workforce model and staffing plan

Succession Plan designed

Increase from 2009

Increased community education and programs

2 completed studies

Below the mean for NDNQI

Number of injuries

Increased funding

Plan completed

Planning phase completed

Attainment

Completion of staff training

Completion of policies/procedures

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Our Community

POPULATION BY AGE

1.26%

17.65%

22.74%

28.48%7.81%

22.05%

0-13

14-24

25-44

45-64

65-84

85+

EDUCATIONAL ATTAINMENT

3.42%3.66%

Still in School/Too Young

for School

Out of School K-8th Grade

Some High School

High School Graduate

Some College - No Degree

Associate’s Degree

Bachelor’s Degree

Graduate/Professional

Degree

11.77%7.88%

39.71%

12.13%9.63%

11.80%

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POPULATION BY RACE

Asian

Black

Hispanic

White

Other

2.42%3.64%

7.63%

58.36%

27.95%

INSURANCE STATUS OF COMMUNITY RESIDENTS

% of Total Uninsured

% of Medi-Cal

% of Medicare

% of HMO

% of PPO

30.14%

27.50%

8.40%16.51%

17.45%

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• Mental health services that are affordable and accessible, especially

for children, older adults, homeless, veterans and undocumented.

• Affordable and portable health insurance and providing access for

undocumented individuals.

• Permanent supportive and affordable housing including more

Section 8 housing and emergency shelter beds.

• Chronic disease management and prevention with a focus on diabetes,

hypertension, obesity and asthma.

• Dental health services that are affordable and accessible especially

for adults, seniors and low-income children.

Providence Holy Cross Medical Center has embarked on a technology upgrade, funded by a $500,000 grant

from Verizon that will improve the hospital’s efficiency, increase accuracy of patient records and initiate health

care outreach for uninsured Californians.

The two-year grant - awarded by the Verizon Foundation, the philanthropic arm of Verizon Communications - was

announced in early 2010 at a reception attended by Assemblyman Felipe Fuentes, retired Assemblyman Keith Richman,

M.D., and executives from Providence Health & Services, Southern California region, which operates the medical center.

Verizon’s generosity will help take Providence Holy Cross Medical Center into the future. And with our entire

nation so focused on health care, this gift is a shining illustration of how private enterprise can work with

healthcare providers in reaching out to those most in need.

The grant will fund a kiosk in the hospital’s busy emergency room where patients will check themselves in, following

instructions in either English or Spanish. The system will reduce the time people wait for treatment, increase the

accuracy of medical records and alert the staff to the most urgent cases so they are treated immediately.

The grant also will establish an outreach program to help uninsured patients find cost-effective primary health

alternatives to treatment in the emergency room, and will enable the purchase of new software for computers in

the medical center’s 138-bed expansion, which opens in 2011. The computer system will enable staff to print

identification bracelets at a patient’s bedside and help ensure all laboratory orders and tests are matched with the

correct patient.

Verizon’s generosity and commitment to our community will improve the delivery of health care services to the

uninsured and is an important contribution to the health care issue. At the same time, Verizon’s donation will help

relieve the pressure on the hospital’s emergency room.

Priority Healthcare Issues in Our Community

Emergency Room Upgrades Technology to Increase Health Care Efficiency

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Our nurses have ample opportunity for participation, to help form the direction for the Department of Nursing

and to collaborate with other departments through our Shared Governance Structures. The following list includes

the Nursing Committees and Chairs for 2010.

COUNCIL/COMMITTEE CHAIRAcute Rehabilitation Collaborative Kate Connolly

Assistant Nurse Manager Council Cary Faulkner

Brain Trauma Injury Committee Jennifer Wobig

Breast Feeding Task Force Sherri Mendelson

Chapter Chair Council Laurie Marx

Clinical Education Council Jane Flaherty

Core Measures/Nursing Quality Deborah Bergida

Clinical Ladder Committee Cynthia Funakoshi

Clinical Practice Council Patricia Porter

Clinical Nurse Leader Committee Ronda McPhail

CPR Committee Chris Consolo

Critical Services/Trauma Clinical Practice Kathy Cadden

Cultural Diversity Council Kate Connolly

Disaster Council Connie Lackey

Documentation Management Committee Jeri Brown

Donor Council Phil Abraham

Emergency Department Unit Based Council Carol Carter

Falls Committee Ramona Rojas

Interdisciplinary Palliative Care Team Karen Roberson

Interdisciplinary Patient and Family Education Kate Connolly

Labor and Delivery Clinical Practice Marilyn Herrick

Magnet Council Karen Watson & Sherri Mendelson

Mother-Baby Clinical Practice Committee Sherri Mendelson

Med Surg Unit Based Management Team Terrie Bybee

Med Surg/Post Acute Divisional Practice Kathy Christian

Medication Management/Safety Chapter Chair Tawny Bui

Meditech User Group Michelle Dressback

Nurse Manager Council Kate Connolly

Nursing Research Committee Sherri Mendelson

Patient Care Leadership Betty Newsom

Patient Safety Jean Marie Kane

Performance Review Tim Gilmore

Peri-operative/Invasive Meeting Group Lisa Fetterolf

Products and Standards Ken Archulet

Provision of Care Council Jeri Brown

Recruitment and Retention Workforce Planning Jeri Brown

Nursing Director Council Betty Newsom

Safety Committee Connie Lackey

Telemetry Unit Based Management Team Linda O’Reilly

Tracer Team Laurie Marx

Wound/Skin Committee Monica Tweddell

Nursing Shared Governance

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Clinical Ladder

The Clinical Ladder provides a vehicle to expand and advance the practice of professional nursing at PHCMC

for the registered nurse. The Clinical Ladder helps to demonstrate the forces of magnetism inherent in the

structures and processes of the nursing organization at PHCMC. Our Clinical Ladder design is based on Benner’s

Novice to Expert theory and recognizes the contribution of nursing excellence within our organization.

CLINICAL LADDER COMMITTEECynthia Funakoshi (Chair) Tanya Haight (Co-chair)

CLINICAL LADDER LEVEL 3

EDUCATION

Aurora Tweddell

Mary Juarez

EMERGENCY DEPARTMENT

Terri Halverson

ICU

Melissa Tell

LABOR AND DELIVERY

Kristina Shannon

NICU

Barbara Russo

Pensri Choti

SUBACUTE

Susana Austria

TELEMETRY

Edeliza Rosales

Cecile Salvador

Linda O’Reilly

CLINICAL LADDER LEVEL 4

EDUCATION

Cynthia Funakoshi

Tanya Haight

Kathy Christian

Kristi Muira

Karen Watson

ICU

Carole McKennan

Christina Consolo

LABOR AND DELIVERY

Linda Harrington

Yajaira Angulo

Tenesa Reid

MED/SURG/ONCOLOGY

Terrie Bybee

Teodora Tiongson

Ingrid Blose

TELEMETRY

Debbie Welch

Wendell Garcia

Beverly Gumodga

CLINICAL LADDER LEVEL 5

EDUCATION

Sherri Mendelson

Kimberly Crabtree Loyd

ICU

Kathy Cadden

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As part of our Nursing Clinical Ladder application process, nurses must submit their personal nursing philosophy statements. Below are selected portions of a sample of statements from 2010 applicants.

Jessica Horst, RN, BSN

In keeping with Benner’s nursing philosophy, I acquired my BSN degree through the University of Phoenix in

2008. I have since aspired to expand my knowledge and experience as a critical care nurse by applying my BSN

education as a Neurotrauma nurse, Second Charge nurse and Rapid Response Team nurse. I have had the pleasure

of sharing my knowledge and clinical expertise precepting new grads and new employees to the critical care unit.

I have also just recently had the opportunity to be a member of the new Night Shift Council and participate in its

pilot meeting, as well as acquire the position of co-chair. I am excited to partake in this new endeavor in order to

address the concerns and unique needs of night shift nurses hospital-wide.

Bilma Pellissery, RN, MSNMy nursing philosophy is based on the ANA definition of nursing (American Nurses Association, 2004, p. 7). I believe

this to be the core characteristics of nursing. My nursing philosophical aspects consist of advocacy, respect, compassion,

patience, knowledge, time management, caring and a positive attitude. I do adhere to more than one nursing theory

such as Patricia Benner’s Novice to Expert model, Leininger’s Transcultural theory, Jean Watson’s Caring theory, and

Orem’s Self-care theory. This approach allows me to function as an excellent care-giver. I do believe that nursing care

should consider the physical, psychological, social and spiritual well being of each person. My future goals as a clinical

nurse, level four, include earning my NP or CNS and eventually a PhD in nursing education.

Stacey Beatty, RN, BSNIn my nursing practice I incorporate several nursing theories. I strongly believe in patient-centered care. Involving

patients and their families in their care promotes independence. Faye Abdullah’s grand nursing theory on patient

centered approach encompasses this belief. She developed a list of 10 nursing skills to help identify a patient’s

problem and develop a treatment plan. One of the 10 steps includes knowing your patients by understanding their

viewpoints regarding their illnesses. As a nursing instructor, mentor and preceptor, I incorporate Patricia Benner’s

Novice to Expert model. I use this model to assist a student or new graduate nurse to advance to the next level

and develop critical thinking skills.

Lisa Fetterolf, RNMy philosophy in nursing is really quite simple. I take care of my patients as if they were my mother or father.

My calling as a nurse started out in 1976 when I took a nurse’s aide class. I was 16 years old, but found the job

rewarding. I felt good helping people. My mother graduated nursing school the next year; the same year I

graduated high school. Later, my mother, my sister and I all worked at the same hospital. Twenty-eight years

later, as a Registered Nurse, I am pursuing my BSN. I came to Providence Holy Cross Medical Center in 1993.

It was still run by the Sisters of Holy Cross. Many changes have taken place through the years in the hospital as

well as in nursing. I feel fortunate to be part of it. Sure, no more metal bed pans or standing when the doctor walks

on the unit, but the changes in our profession, I feel, have allowed for better care for our patients. We, as nurses,

have more opportunity for education. We work together with the physician as well as other disciplines

to ultimately provide better education and care to our patients.

Personal Nursing Philosophy Statements from aFew of Our Clinical Ladder Applicants [excerpts]

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Helping Other Communities

Trip to Haiti February, 2010

On February 6, 2010, I flew to Haiti to help with healthcare needs that already existed prior to the earthquake and

were now complicated because of the disaster that struck their country. I was accompanied by two physicians from

our Southern California area and four other nurses and four EMT/paramedics. I came in a dual role on this trip

knowing what I do about health care, years of being a nurse’s aide and years of being an EMT/Paramedic/Nurse.

I felt I was up for the challenge. This was my first trip for missions out of the country and having the disaster made

it more of a challenge. God had told me to go and so I had a calling to answer to as well.

We all were asked to gather supplies to take. I got on the phone and called Peter Barry with Providence Hospital.

He was so amazing and helpful in getting me supplies to take. Our group had over 30 suitcases full of supplies in

total on the day we left Los Angeles International Airport.

There were literally thousands of people outside the Haiti airport, I think looking for loved ones, and they were

loud. We had a bus waiting for us from the Youth with a Mission group and this is where we stayed for five hours

before getting on the bus to Port au Prince, Haiti. We encountered a nine-hour ride instead of the six we were told

it would take to get there, and what a ride it was. The damage was apparent: broken roads from the earthquake and

bridges that were now gone, so we just drove right through the rivers.

We were able to see the many healthcare workers from around the world who came and the lines of people getting

food. The children were standing alone without any adults and under the wings of a nurse in a line of the crowd.

We drove up to our destination, Mission of Hope. The address is 777, so praise God, we all shouted, as we saw the

sign and the gate opens for our welcoming. We had all brought sleeping bags and tents and had been told we could

have a bunk and that there was some running water here. The next morning we had set up our supplies and opened

bottles of medications and started labeling bags for prescriptions. We did this for eight hours while a few others

helped at the warehouse unpacking supplies that came on train cars and such. Some helped at the clinic as well.

Pastor Andre was right at work, praying for the sick. He even married a couple in their hospital room. I could hear

singing and I wanted to be where it was, so I came down the hill to the bottom of the road where a huge crowd was

in the open air sanctuary singing worship songs that had a familiar tune. This was overpowering.

We had a trip to a village called Orange where there is no running water or electricity and only a generator. We

were told to be sure and leave by 4 pm as it would be dark. We arrived at the village, a primitive area, and were

greeted by the people who helped us move the supplies to their church building to set up for a clinic. There was a

man who sat in the front entrance and logged in the name and age and complaint on a paper and also in a book

for the church record. From there the patients went to triage and had vitals signs taken and then went over to a

bench to wait to be called by the doctor who was at a table with a nurse and translator. If they needed an IV for

rehydration or any immediate intervention it was done: fever control, wound cleaning, cast change. We treated

malaria and impetigo, yeast infections, urinary tract infections, respiratory infections, otitis media, hypertension,

congestive heart failure and atrial fibrillation that day. After patients were seen, they took their papers to the

pharmacy section to get medication and teaching by another translator and RN.

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We also noted that the pregnant mothers had never been seen by a doctor. We gave out vitamins and asked who

was going to deliver their babies. The answer was, they deliver their own. It was now 3 pm and we had seen the

last of the 250 people. This was the first day doing a mobile clinic and we were already out of doxycycline, much

needed here for malaria.

We all prepared for the next day of clinic in a city in the worst part of Port Au Prince called the land of Black.

We set up clinic the next day for three days at this location. We encountered an anaphylactic reaction on arrival,

a man who had urinary retention for two days and a 10-year old with a femur fracture from the first day of the

earthquake who hadn’t yet been treated.

The line of people was forever it seemed, but each one was so kind and not once did anyone say “I have been here

for hours, what’s taking so long?” We gave out so many things, but most of all, hope. There was a call to prayer and

fasting while we were there for three days and we had the pleasure of hearing singing the whole time. It was powerful.

We treated more than 667 people in the outside clinics away from the orphanages’ home base hospital and clinic,

and used almost all of our medication and supplies that we brought with us. We left the rest behind for use as well

as our bags for transport.

The goal to go back is in the planning stages as I will return with a team of nurses to teach a few to be midwives in

the villages. There is a big need for education to pave the way for safer passage into this world for these women and

babies as many die in childbirth each year.

I can never forget the people we met and the lives touched by our faithfulness to go to this country and help. I am

working on the birthing project and hope that the Sisters of Providence will let us come to join them in Haiti also.

I am Faithful

Susan Ortiz RN, FCN, Pastor

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In June, 2010 PHCMC received Disease Specific Care Certification for Stroke from the Joint Commission.

We are recognized as a primary stroke center and Emergency Medical Services diverts patients with stroke signs

or symptoms to facilities such as ours with this designation. All five Providence hospitals in the Southern California

region are now designated stroke centers.

We Received the Bronze Award from The American Stroke Association in November 2010. This recognizes

PHCMC as being competent with stroke core measures at least 80% of the time. Holy Cross will be eligible for

the Silver Award from The American Stroke Association in January, 2011. Our Stroke Program has been actively

involved in the community and is dedicated to providing education for stroke prevention. We have held two

health fairs and one community lecture during 2010 at our Porter Ranch health center. Included in our community

education and screenings were blood glucose screening, blood pressure screening, BMI testing and education

regarding risk factors, signs and symptoms, as well as treatments. For high-risk patients we also offered carotid

ultrasounds and cholesterol screening. This year we initiated a stroke support group available to the public that

is administered through our rehabilitation therapies department.

Providence Holy Cross Becomes an Advanced Primary Stroke Center

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The Providence definition of palliative care is comprehensive, specialized care provided

by an interdisciplinary team to patients and families living with life-limiting, advanced

illness or decline, where care is particularly focused on patient- and family-directed

goals of alleviating suffering and promoting quality of life. Palliative care delivers pain

and symptom management, information sharing, advance care planning, psychosocial

and spiritual support and coordination across the care continuum.

Providence Health and Services has set a goal that by 2012 every patient with a life limiting illness or condition will

receive palliative care services. Palliative Care is one of three major focuses for Clinical Advancement within nursing

leadership. The five ministries in California are collaborating as a region to help shape the model of palliative care

throughout our organization.

At Providence Holy Cross Medical Center, palliative care was fortunate to have received a generous grant from

Unihealth Foundation to promote advance care planning and palliative care for the inpatient setting and at the

primary care level. Over a two-year period primary care physicians, patients, community and hospital staff

received education and encouragement regarding advance care planning.

After an exhaustive search, we successfully added a palliative care physician to our program. The palliative care

team includes the physician, palliative care nurse and house-based social workers, chaplains and case managers.

The palliative care program at PHCMC received 366 referrals in 2010 (exceeding our goals) and that is expected

to increase in 2011.

We continue to provide education to hospital staff regarding palliative care and will be launching special training

for the unit in our expanded wing, housing the newly established Comfort Care room. The focus will be on

end-of-life care and the role of the interdisciplinary team in supporting patients and families.

Overall, the support from physicians and hospital staff has been very positive. We are finding that many hospital

staff are eager to learn more about palliative care and also participate in promoting the basic concepts of patient-

centered care for our patients. The Mission and core values of Providence set an expectation and a climate that

nurtures the concepts of care for our most vulnerable patients and families and fosters a quest for excellence in

this important effort.

Palliative Care Expands to Serve Patients

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Providence Holy Cross, as a Level II Trauma Center, participates with One Legacy to ensure that families have

the opportunity to fulfill the wishes of their loved ones. Particularly noteworthy in 2010 is the fact that 46 organs

from 11 organ donor patients were recovered and transplanted. Ultimately, a total of 40 recipients (some recipients

receive multiple organs) benefited from the gifts made by these donor patients and their families and obviously

the good work of our hospital staff. The recipients ranged in age from 5 months to 71 years and included multiple

kidney recipients who had been on the waiting list for more than 3,500 days! A strategic plan was developed in

partnership with the following Hospital Representatives: The Donor Council with Kathy Cadden, RN, MSN,

Assistant Nurse Manager ICU and Kristi Miura, RN, Clinical Educator, ICU. Performance goals included 100%

timely referrals and maintain or exceed our 2009 conversion rates. Strengths and successes in 2010 include an

active partnership between One Legacy and PHCMC, our high rates of early referrals and a conversion rate

of 69%.

Organ Donation – Saving Lives

 

ADDITIONAL DATA

Organs Transplanted by Organ 1st QTR 2nd QTR 3rd QTR 4th QTR YTD

Lung 2 6 3 0 11

Heart 1 3 0 0 4

Liver 1 4 4 1 10

Kidney 2 6 6 4 18

Pancreas 0 3 0 0 3

Small Bowel 0 0 0 0 0

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The Sub Acute Unit at Providence Holy Cross takes great pride in being able to provide a home-like environment

for our chronically ill patients. For our patients, the unit is their home, sometimes for years and sometimes for the

rest of their lives. We strive to make our environment family-friendly, a place of comfort and healing.

Sub Acute patients have complex needs and present with varying levels of abilities. To meet criteria for Sub Acute

care, the patient must have at least three skilled nursing needs. Presently, all of our patients have tracheostomies,

half of our patients are on ventilator support, most have G-tube feedings and catheters. Some of our patients are

comatose or in persistent vegetative states, but many are able to interact and participate in activities of daily living.

Each month our Activities Team develops a calendar of events and activities. Patients participate in live entertainment,

exercise, viewing movies and more. A dedicated volunteer comes in once a week to teach crafts (‘Crafts with

Carleen’). We celebrate birthdays by ordering cakes and recognizing each individual with a birthday every month.

Holidays are celebrated with planned festivities. One of the big events we celebrate each year is Cinco de Mayo.

We open the invitation to this event not only to patients, friends and family, but to the whole medical center. On

this day we barbecue more than 200 pounds of chicken and have a Mariachi band. Everyone looks forward to

this event! We celebrate Christmas, Easter, the 4th of July and Thanksgiving by inviting friends and families to

socialize and share food.

Our patients are also in need of spiritual support, so we conduct religious services weekly in our Day Room.

Chaplains read inspirational and Biblical writings. There is also fellowship in song, often with live musical

accompaniment.

Knowing that our families need help to cope with feelings of loss and frustration, we conduct a monthly Family

Support Group. At this group the families share their hopes, fears, stories of encouragement and tears. We serve

light refreshments and have a new focus issue each meeting; educational, spiritual, informational, and/or

psychosocial. When a loved one passes on, we have memorial services for our patients and family members.

Due to the positive relationships we have forged with our patients and families, we have been able to conduct some

important research studies in the Sub Acute Unit. Our research on gastrostomy tube residuals and repositioning

has been possible because our patients and families trust us to do what is best for the patient’s safety and well-being.

It also gives a sense of purpose to our population. The husband (and decision maker) of one patient, a former

physician, signed the research consent and said, “She would have wanted to do this to help others”.

At the Sub Acute Unit we recognize the worth of each individual life. We work with a great interdisciplinary team

to treat our patients holistically. We provide the support necessary to promote independence and the best quality of

life possible. The work is not easy, but it is rewarding.

Sub Acute Unit Connects to Patients & Families

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Two New Graduate Nurses Tell Us How They Learned About Physician Nurse Communication

Robert Mejia, RNI believe that today’s experience with Dr. Gorakshakar was beneficial to my nursing career because it helped me

understand the doctor’s routine and what is needed from me as the nurse.

Rounding with the doctor helped reassure me that it is expected for a nurse and a doctor to converse and that

it is perfectly acceptable for the nurse to approach the doctor with questions. I liked knowing what I should

communicate with the doctor and how I should gather and save that information for them to be able to

provide it more efficiently.

I learned what daily information the doctors will likely want to know such as trends in WBC, H/H and PLT from

the CBC and trends in Na, K, Cl, Bicarb, BUN, Cr and glucose from the BMP. I will also need to be familiar with

the patient, their chart and vital signs to be effective in providing information to the physician and, of course,

improving the quality of care to the patient. Other things I need to have ready for the physician would naturally be

any other significant changes that may occur as well, such as ECG changes or unexpected elevated Troponin levels.

Talking with the doctor also gave me a better idea of what I should be concerned with when taking or giving report

such as being more aware of not only code status but also advanced directives, who their primary care physician is

and what level of activity the patient is able to accomplish. As a new graduate nurse I have been most concerned

with my day-to-day nursing activities and have not been very focused on advanced directives or who their consulted

doctors are. I hope to make a greater effort to recognize that kind of information because it will help me know who

to call or what type of care the patient is willing to have if anything unexpected should happen.

In the end I think more positively about the type of relationship I can have with the physicians after my experience

rounding with Dr. Gorakshakar. With the knowledge I have gained I hope to make a better impression on the

doctors and in turn I hope it will make for the best patient outcome.

How New Nurses Grow at Providence Holy Cross

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Erik Nosker, RNI just finished rounding with Dr. Gorakshakar and found the experience to be extremely helpful. We began in the

ER where we observed an admission and H&P. Here Dr. Gorakahakar went through the generic order sets and

explained the importance of handoff communication from the ER to the floor, stressing the need for code status,

attending/primary physician and activity to be addressed.

From the ER we headed to the PACU for a discharge. Dr. Gorakshakar went through the Med Reconcilliation for

discharge to home and explained the importance of not only copying the printed version, but also copying any

handwritten orders as well, such as narcotic prescriptions.

Next we headed to 3C and 4C for patient rounds. Here I was fortunate to observe how a physician prepares for a

patient by reviewing previous doctor’s notes, orders, labs, vitals and procedural results as well as the nurse’s role in

communicating this information. As nurses, we can really help the doctors out by giving concise updates.

Overall, I felt that today was very helpful and would recommend it for future new grads. Dr. Gorakshakar was great

and did an excellent job of explaining a physician’s role.

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The Joint Commission Strategic Surveillance System (S3) scores for Q4 2010. Providence Holy Cross received a

score of 5 (lower is better), which puts us in the top 10% for all hospitals in the country. The S3 score takes into

account compliance with core measures (ORYX), past survey findings, complaints, and HCAHPS scores and

indicates an overall level of compliance with performance expectations.

Outcomes & Excellence

100

80

60

40

20

0

OVERALL PFP POINT TOTALSNOTE: Higher point totals may indicate risk as the data that assign points are primarily negative and outlier data.

Prelimin

ary Den

ial of A

ccreditatio

n (n

=10)

Co

nd

ition

al Accred

itation

(n=

95)

For C

ause Su

rvey (n=

510)

Un

iversity Health

System C

on

sortiu

m Fu

ll Mem

bers (n

=105)

US N

ews A

merica’s B

est Ho

spitals (n

=142)

2009 Tho

mso

n R

euters 100 To

p H

osp

itals® (n

=89)

Mag

net H

osp

itals (n=

314)

Top

25% H

osp

itals (n=

681

Top

10% H

osp

itals (n=

268)

Reg

ion

IX (A

S, AZ, C

A, G

U, H

I, NV

) (n=

466)

CA

LIFOR

NIA

(n=

252)

Natio

nal (n

=2678)

Provid

ence H

oly C

ross M

edical C

enter (n

=1)

PFP

POIN

T TO

TAL

COMPARISON GROUPS

5

3338

32

6 8

37

27

3745

5247

66

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The PHCMC Education services are directed by Jane Flaherty, RN, MSN, CNS, PCCN, CCRN. New educator

positions were added in 2010 for the Perioperative, Telemetry and Medical-Surgical areas. A new course, Preceptor

Renewal Workshop, was developed this year. This will help to ensure that preceptors are up-to-date on teaching

methods and expectations as we add staff in 2011 to meet the needs of our expanding hospital. Particular sources

of pride among our educators are the specialty new graduate intern programs and the specialty certification review

courses offered at Holy Cross. In 2010 a full complement of classes were provided. This included an NICU course,

an MICN course for the Emergency Department and Stroke education. These are among many educational areas

that were added to our impressive list of classes offered to our nursing staff. A total of 1,303 contact hours of

in-class nursing Continuing Education was offered at Holy Cross this year in addition to the basic orientation,

CPR and on-line courses.

Four PHCMC RNs were enrolled in the BSN program offered by University of Great Falls (Montana) in 2010.

Remote nursing classes held at Holy Cross began in July 2010 and will be completed in December, 2011. Our

nurses attended a two-week intensive session on the UGF campus in summer 2010, followed by the video and

online instruction at PHCMC. Providence Health & Services offers significant scholarship assistance for tuition

and fees. University of Great Falls is reserving 72 slots for Providence Health & Services nurses in 2011.

Providence Holy Cross Medical Center is known within our nursing community for its excellence in education.

Educating Our Nurses

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The Providence Holy Cross Level II Trauma Services saw 1,136 patients in 2010. One hundred thirty-six of those

patients arrived by air to our hospital helipad. Our Trauma program is verified by the American College of

Surgeons Committee on Trauma. This year, our Trauma Services had a particular focus on brain injury. Due to

our location at the crossroads of two major freeways we have a high number of trauma patients resulting from

car accidents. Motor vehicle trauma accounted for 28% of our cases in 2010. We developed a taskforce to

standardize care of these fragile patients. Through this taskforce we were able to devise an order set for this

specific patient population. Additionally, we instituted weekly brain injury rounds. The taskforce identified a

need for a brain injury support group for patients and families. The planning phase will lead to action early

in 2011. Also in 2011, as we open our new wing, a specialized Neurology Unit will finally be a reality at

Holy Cross.

Jennifer Lindskog, our clinical educator for the Emergency Department, helped develop an on-site trauma nurse’s

MICN- core course. An instructor was brought in to train our nurses in this course. We now have six internal

instructors and have received approval from the Emergency Nurses Association for our course participants to

receive continuing education credit.

In partnership with our Disaster Committee we developed a Trauma and Burn Surge Plan. This plan would be

instituted during disasters to pair our Trauma Center with a Burn Resource Center to meet the diverse needs of

patients in specific disaster scenarios.

Trauma Services – An Integral Role in the Hospital

8070605040302010

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2010 has been an exciting year at Holy Cross within our Lactation Services through our Baby Wise Programs. Holy

Cross was awarded three very special recognitions for our lactation services. We received the Family Health Promotion

Award from the Greater Los Angeles Breastfeeding Taskforce in Los Angeles and the Baby-Friendly Way Hospital

Workplace Award at a ceremony at the state Capitol in Sacramento on August 4, 2010, for our accommodation

of breastfeeding in the workplace. We were also recognized with the IBCLC Care Recognition Award by the

International Board of Lactation Consultant Examiners and International Lactation Consultant Association.

The following comment by an employee exemplifies why we were chosen:Breastfeeding has been a blessing in my life. The first weeks were tiresome and painful and I thought breastfeeding

was a torture. I did it because I love my baby. Then through the help of the Lactation Consultants at Providence

Holy Cross, their guidance and constant support, and the many sessions at the Breastfeeding support group, Cecilia

and I transitioned. I understood how breastfeeding builds a bond I could never have imagined. We always had our

time together, to touch and hold. Breastfeeding was our calm moments away from the chaos of life. I truly believe

Cecilia has been so healthy, with no ear infections, respiratory infections or really any illness her first year, because

she breastfed exclusively the first six months and has continued breastfeeding even now at 19 months. The love it

builds and the protection it gives are two reasons I am so grateful I am able to breastfeed.

Thanks, Julie

Increased resources were provided for our Lactation Programs in 2010. A third full-time position was added for this

program. The lactation consultants have been able to assist more in-patients with the addition of a third lactation

consultant. Our newest Lactation Consultant, Cambria Stephens, RN, IBCLC, joins Terry Gass, RN, IBCLC and

Carol Chacon, IBCLC. Cambria came to us with extensive NICU experience. This will be extremely beneficial as

we open our new 12-bed NICU in 2011. In-patient lactation specialty availability has increased to seven days per

week and includes night shift. We are building our outpatient consultation services to better meet the needs of

our babies being discharged from the Special Care Nursery, allowing us to provide better continuity of care after

discharge. Our community support groups are well established. We currently provide three support groups per

week in three different locations for increased patient convenience. The attendance at our Breastfeeding Support

Group meetings has steadily increased over the year.

Lactation Support Services Continue to See Success

Out-patient consults have increased from an average of 14 per month to 30 per month in the last two quarters of 2010. Future plans include initiation of a teen support group and establishment of a support group for NICU mothers.

Q3

Q4

80706050403020100

120

100

80

60

40

20

0

Initiation

Exclusive

OUTPATIENTCONSULTS

2010 BREAST FEEDING INITIATIONVERSUS EXCLUSIVE RATE

JAN

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JUL

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In 2010 the Diabetes Education Department increased its total FTEs to 3.5. We currently have four diabetes

educators that are CDE certified. One of our educators is also a certified insulin pump trainer. Our department is

Sweet Success Certified indicating our excellence in provision of care for pregnant women with abnormal glucose

conditions. We cared for 405 patients referred by their obstetrical care provider for this service in 2010.

We are American Diabetes Association – recognized both at Holy Cross and at our Porter Ranch health center.

In 2010 we have been working on The Joint Commission Disease Specific Inpatient Certification for Diabetes.

One quality initiative in 2010 was management of hyperglycemia. We were able to decrease the rate of blood

glucose values over 300mg/dL without increasing hypoglycemia rates. We also decreased the number of critical

low results in 2010. Twenty-nine percent of the results < 70 mg/dL were < 50 mg/dL in 2008 and 2009. In

2010 this decreased to 25% < 50 mg/dL.

Diabetes Program – Grows to Serve Patients

TRIC

Hypoglycemia ManagementFollow the basic hypoglycemia prevention “TRIC” below

Assumes verified hypoglcemia (symptomatic and/or below 70 mg/dl)

The Best Intervention is Prevention! reat with 15 grams of carbohydrate such as:1 tube of glucose gel (or 1 amp (25 ml) D50 (if unconscious.) or 1 Cup (8 Ounces) nonfat milk or 1/2 Cup of juice or soda (4 ounces)

epeat the result in 15 minutes. The “Rule of 15’s”If blood glucose is not above 100 mg/dl, treat again with another 15 gms of carbohydrate.

nform the physician. Include information that identifies possible contributing causes. (SBARR)

hart the event include symptoms, treatment, response, possible causes and corrective action.

No Regular Insulin Sub QSubstitute Humalog . . . Dose:Dose Subcutaneous

Insulin

Onset(Minutes)

Peak(Hours)

Duration(Hours)

Humalog (lispro) 5 - 15 1 - 2 4 - 5

Regular 30 - 60 2 - 4 6 - 7

8 am 10 am 12 noon 2 pm 4 pm 6 pm 8 pm 10 pm 12m 2 am 4 am 6 am 8am

iiiiiiiiiinsulin iiiiiiiiiiiiinsulinHumalog (lispro) Subcutaneous only. “Rapid” Action - 4 hrs - Analog Insulin

Regular Insulin (Humalin or Novolin)IV use only – Immediate (as soon as 5 minutes - basal or bolus)

As Subcutaneous has “Short” Duration – usually 6 hrs Caution:Increased risk of hypoglycemia, hyperglycemia and greater variability of onset, peak and duration.

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Cultural diversity is a reality in most healthcare environments. This diversity often exists among the staff and

within the patient population they serve. Diversity can foster division and mistrust or promote education and

understanding. We sought to better understand the needs of staff and patient population. We formed a Cultural

Diversity Committee in 2009. This committee is composed of representation from nursing, education,

administration, human resources, social services, patient relations, food and nutrition and spiritual care. In

early formation of the committee we performed a SWOT analysis to determine our strengths, weaknesses,

opportunities and threats. We then analyzed the patient demographics to understand the current needs.

Understanding that almost half of our patient population is Hispanic, we sought to strengthen the cultural

heritage that influences this patient population. We found evidence of progress in meeting generational,

religious and Americans with Disabilities issues.

The Committee produced a cultural diversity event in June 2010 that was named Four Corners of the World.

The purpose for this event was to enhance staff awareness of how to respect diverse cultures. Each room was set up

to simulate a typical home from each culture. The cultural practices across the life-span were represented, as well as

foods and dress. Specific cultures included were: Mexican, Armenian, Black American, Southeast Asian Indian.

Approximately 209 staff members attended this event with 170 staff members participating in the pre and post

survey instruments.

Our next step is to provide detailed education regarding a broader variety of cultures and cultural practices.

Celebrating Cultural Diversity Among Our Staff

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Providence Holy Cross Grows & Expands

While 11 hospitals have closed in Los Angeles County in the last five years, including two major hospitals within a

six-mile radius of Mission Hills, Providence Holy Cross Medical Center is expanding to meet the healthcare needs

of a growing community.

Due to these hospital closures, a growing population and an even faster growing senior population that is expected

to double in 15 years, hospitals in the San Fernando and Santa Clarita Valleys are at capacity. Currently, Providence

Holy Cross Medical Center is at 97 percent bed capacity – during an average day. Providence Holy Cross has seen

its patient admissions grow by nearly 40 percent in the last five years.

The new four-story patient care wing at Providence Holy Cross will provide 138 new beds to serve patients in the

Valley. The new wing will include new labor and delivery suites, a GI (gastrointestinal) lab and a much-needed

12-bed neonatal intensive care unit for premature and high-risk babies. In addition, the pharmacy will be upgraded

and the hospital will have a remodeled main entrance, lobby and cafeteria.

Providence Holy Cross Medical Center’s new patient care wing also will be one of the first “green” hospital

building sin the state of California by receiving LEED certification, the nationally accepted benchmark for

environmentally conscious design, construction and operation of high performance green buildings. Providence

Holy Cross is paying an additional $500,000 to ensure environmentally-friendly construction practices and for

the “green” design.28

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After the groom kissed his bride, after the flashes of a dozen cameras, after the cake was cut, three Providence Holy

Cross ICU nurses shared a silent “high-five” outside Room 2103.

The radiant couple and 20 or so teary-eyed family members were rejoicing in bride Susan Hinojosa-Lujan’s room,

unaware of the heartfelt joy among the nurses who witnessed the Tuesday evening wedding.

Just five days after their patient’s family told them Susan wanted to marry long-time love Vince Lujan, the Pavilion

A team brought the Providence Mission to life. They revealed God’s love to this most vulnerable family, helping

create a wedding to remember for a couple facing a rough road. Susan was suffering liver failure and had spent the

last two weeks in ICU.

These nurses provided so much more than clinical skills to help heal this family. They felt empowered by this spirit

that lives in Holy Cross to reach out well beyond their training, knowing they were free to spend a few working

hours plucking flowers from the hospital gardens, crafting congratulatory signs and tying ribbon bows about her

room and on her wheelchair to briefly mask the sterile hospital equipment.

“You’ve got the greatest nurses in the world,” said Richard Marquez, Susan’s brother. “They have given my sister

and all of us so much love and compassion. These are not their patients, they’re their family. And it’s more than the

nurses – the kitchen made this cake, security’s been great, when the custodians come in, they’re the kindest people.”

The next morning, a still-smiling Susan was transferred to a room on the third floor where the Just Married sign

penned on pink construction paper was affixed at the foot of her bed. Behind the scenes, the wheels continued

turning to get Susan on UCLA’s liver transplant list.

“This isn’t about her illness tonight,” Richard said as the family enjoyed the chocolate wedding cake. “This is about

life, it’s about hope.”

Nurses Honor Patient Wish with Wedding in the ICU

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ICUKathy Cadden, CCRN

Chris Consolo, CCRN

Shirley Ibarra, CCRN

Melissa Tell,PCCN

Carole McKennan, CCRN

Brenda Mitchell, CCRN

Melanie LaMadrid, CCRN

Crystal Akao, CCRN

Amy Rosengran, CCRN

Jessica Horst, PCCN

Stacey Beatty, PCCN

MEDICAL/SURGICAL ONCOLOGYSuzanne Bart, CMSRN

Ingrid Blose, OCN, CMSRN

DeeDee Bubalo, OCN, CMSRN

Terrie Bybee, CMSRN

Cynthia Dasaad, OCN

Eileen Diaz, OCN

Marisia Duarte, ONC

Estranero Riza OCN; CMSRN

Barbara Farrar, OCN

Vener Lineses-Diaz, CMSRN, ONC

Gemma Francisco, ONC

Kathy Gilmore, CMSRN

Lori Galorneau, OCN

Christian Gonzalez, CMSRN

Heinrich Huerto, ONC

Mary Mahn, CMSRN, ONC

Bilma Pellissery, CMSRN

Veronica Lozano, CMSRN

Cathy Millan, CMSRN, ONC

Johanna Ongjoco, OCN, CMSRN

Lois Agler, CMSRN

Maria Rodriguez, OCN

Leticia Salvador, OCN

Betsy Smith, CMSRN; OCN

Jackie Sullivan, CMSRN

Barbara Thomas, CMSRN

Dory Tiongson, OCN; CMSRN

Pamela Baylon, CMSRN

Amy Revilla, ONC

Alvin Arceo, OCN

Sheila Cardoniga, OCN

Maelene Owera, CMSRN

Catherine Valbuena, CMSRN

April Mijares, CMSRN

Jenny Leon, CMSRN

Michelle Tabar, CMSRN

SUPER FLOAT POOLSeta Velasquez, CMSRN

Mary Ellen Hazle, CMSRN; WCC

2010 Certifications

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NURSING QUALITY ANALYSTSKaren Broggie, CPHQ

Sheila Ritchie, CPHQ

Cyndie Speen, CPHQ, RN-BC

Marianne Plakas , CCRN

Laurie Marx, CPHQ

FAITH COMMUNITY NURSINGConnie Cruz, RNC-OB

NURSE PRACTITIONERSBrigitte Condie, ANCC-ACNP

Deborah Tsunoda, ANCC-ACNP

ACUTE REHAB/SUBACUTETerri Gately, CRRN, RN-BC

EDUCATION SERVICESKathy Christian, OCN, CMSRN

Cynthia Funakoshi, PCCN

Tanya Haight, OCN, CMSRN; ONC

Adriana Basurco, RNC-NIC

Monica Tweddell, WCC

Karen Watson, CMSRN; RN-BC

Kristi Miura, CCRN

Yajaira Angulo, RNC-OB; C-EFM

CASE MANAGEMENTJoanna Kuzmak, CCM

Betsy Jansen, CHPN

Kathy Menard, CPHQ, CPRM

Edna Tiongco, CCM, CRRN

Jinky Rivera, CCM, CPUM

Craig Hollaway, CEN, MICN

Peggy Bronson, CCM

NURSING MANAGEMENTBergida Deborah OCN; CMSRN

Brown Jerilyn OCN

Gaffney Yvonne CNOR

Jane Flaherty , PCCN, CCRN

Betty Newsom, CNAA

Barbara Rozewicz, CCRN, CMC, NP-BC

Carrie Sayeski-Reid, RNC-OB

Joanna Kuzmak, CCM

Sherri Friedrich, ANCC-FNP

Ken Archulet, CFRN

Sherri Mendelson, RNC-OB, NIC, C-EFM, IBCLC

Sandra Pieschel CDE

Lisa Pettinelli CEN

Barbara Rozewicz CCRN, CMC, AANP

MATERNAL CHILD HEALTHPamela Appleton, RNC-MNN

Debbie Felkel, IBCLC, RNC-MNN

Alexis Fischer, RNC-MNN

Danielle Silvieri-Anthony, IBCLC

Julie Tannaci, RNC-MNN

Marilyn Haro, RNC-MNN

Nancy McClenaghan, RNC- NIC

Nanette Moffet, RNC-LRN

Arvy Quizo, RNC-LRN; RNC-NIC

Katie Walkowiak, RNC-MNN

Lilia Nicholas, RNC-MNN

Melinda Gruman, RNC-OB; C-EFM

Linda Harrington, RNC-OB

Jenni Kohl, RNC-OB

Claudia Preciado, RNC-C-EFM

Tenesa Reid, RNC-OB

Delores Relucio, RNC-OB; C-EFM

Sally Ritter, RNC-OB; C-EFM

Kristina Shannon, RNC-OB

Margaret Walker, RNC-OB

Therese Gass, IBCLC

Cambria Stephens, IBCLC

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EMERGENCY DEPARTMENTCarol Carter, CEN

Cathy Carter, CEN

Jennifer Dodson, CEN

Terri Halverson, CEN

Heidi Krause, CEN

Alexandria Carey, CEN

Jacquie Siddens, CEN

Sue Cassling, CEN

Rosanna Macklin, CEN

Melissa Parsons, CEN

Kim Murphy, CEN

CARDIOLOGY/RADIOLOGYHannah Rhodes, PCCN

Cathy Yee, CCRN-CSC

Jackie Richardson, CCRN

Cynthia Marsden, CRN

PERIOPERATIVEFrankye Bauerle, CPAN

Kim Crabtree-Loyd, FNP-BC, CPAN

Ed Betker,CNOR

Renee Dove,RNFA, CNOR

Lisa Eberhart, CNOR

Mike Earnheart, CFRN

Karen Kelsey, CNOR

Nora Lucas, CPAN

Mary Jane Pettee, CNOR

Elizabeth Pleasant, CNOR

Marilyn Seckar, CPAN

Louisa Singer, CNOR, RNFA

Melanie Ylagan, CNOR

Susan Zavala, CCRN, CPAN

Gail Zerby-Cook, CNOR, RNFA

Janine Montero, CMSRN

Denise Wilmarth, OCN, CMSRN

TELEMETRYBeverly Gumogda, PCCN

Linda O’Reilly, PCCN

Ulla Smith, PCCN

Therese Villanueva, PCCN

Debbie Welch, PCCN

Audie Gonzalez, PCCN

Tracy Kwak, PCCN

Wendell Garcia, PCCN

Emmanuel Palad, PCCN

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Mike Arquilles ICU BSN

Judith Avila Telemetry BSN

Deborah Bergida Medical-Surgical MSN

Missy Blackstock Emergency Department BSN

Alex Carey Emergency Department BSN

Lillian Choe Telemetry BSN

Carolyn Churchfield ICU BSN

Charles Fox Telemetry BSN

Cynthia Funakoshi Clinical Education BSN

Aileen Gonzales Telemetry BSN

Marilyn Haro Special Care Nursery BSN

Heinrich Huerto Medical Surgical MSN

Anu Kashyap Telemetry BSN

Karen Klein Quality BSN

Jenny Leon Medical Surgical BSN

Ronda McPhail Labor & Delivery BSN

Cynthia Marsden Radiology MSN

Carolina Martinez Telemetry BSN

Bilma Mathews Medical-Surgical MSN

Jennifer Medina Telemetry BSN

Stefanie Misiura Telemetry BSN

Erik Nosker Telemetry BSN

Shelly Payne Clinical Education BSN

Marianne Plakas Quality MSN, NP

Ronnell Regidor Telemetry BSN

Barbara Thomas Medical-Surgical BSN

Ann Valladares Emergency Department BSN

Viriline Vienne Telemetry BSN

Erin West Telemetry BSN

New Degrees in 2010

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PHCMC Annual Nursing Research Conference in May highlighted our own internal research activities.

We also were privileged to have presentations by our academic center research partners including Lorraine

Evangelista, PhD, RN from UCLA, Sheba Meymandi, MD, from UCLA Olive View Medical Center, and

Susan Jackman, RN, MSN from The National Children’s Study. The following abstract, presented at this

conference, is a wonderful example of the involvement of our staff nurses in research to improve the lives

of both patients and fellow staff members.

New Knowledge, Innovations & Improvements

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PURPOSE

Compassion fatigue in oncology nursing frequently manifests as physical, emotional, social and spiritual exhaustion.

This may lead to a pervasive decline in the caregiver’s ability to feel and care for others and impact on work and

personal relationships. The purpose for this study was to address and reduce compassion fatigue, and improve

spiritual and emotional well-being and morale among the patient care staff team.

BACKGROUND & SIGNIFICANCENurses in an oncology unit suffer from significant care-giver stress. Taking time at the beginning of the shift and

prior to leaving the work environment to decompress will allow nurses to shed their stress in a healthy way. This

technique could work in any nursing setting.

METHODSMembers of the oncology staff were asked to participate in an action research study. All oncology team members

were included in the study group. Interventions were aimed at reducing compassion fatigue by improving spiritual

well-being of staff caring for oncology patients. The intervention included a caring circle for on-coming and

off-going staff with an inspirational saying during shift change twice daily with selected inspirational readings

chosen by staff members and read as a group. This intervention was applied for a continuous period of three

months. IRB approval was obtained and consent was obtained from any staff member prior to participation as

an ethical consideration to ensure that team members were aware of their right to refuse to participate and to help

the team members learn important aspects of nursing research processes. The Spiritual Involvement and Beliefs

Scale (SIBS-R) spiritual assessment tool measuring compassion fatigue, emotional and spiritual well-being

by self-report was used pre and post intervention to measure change in spirituality in oncology staff. It is a

well-validated instrument that was available for use without charge or restriction. It was administered pre- and

post-intervention. Patient satisfaction scores were used as a measure of decreased staff compassion fatigue.

RESULTSAlthough the mean scores from pre-survey to post-survey for the group demonstrated a positive change, an

analysis of variance was computed for the total score of the pre-intervention SIBS-R and the post-intervention

SIBS-R indicating lack of significance for the positive change noted in spirituality. Patient satisfaction scores

showed a significant upward trend during and after this intervention. The most striking result was the enthusiasm

of team members who have chosen to continue this intervention after the investigation was completed.

CONCLUSIONThis study demonstrated that a nurse-led research project can produce a positive effect on staff morale that may

translate to improved patient satisfaction. Selection of an instrument that measures the intended outcomes is a vital

part of a research study. This instrument may not have measured the effect well, as many of the participants began

the study with a high level of spiritual connection. A qualitative aspect added to this study might have more

effectively captured the effect of this intervention on promotion of a healthy work environment.

Compassion Fatigue and SpiritualCaring in Oncology Nursing Staff

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Publications, Presentations and Grants

 

PublicationsLinda Harrington, RNC, From our readers...The Dance. American

Nurse Today (2010). 5(2).

Susan E. Sengezer – Ortiz, RN BSN; The Anointing of Mercy: From

the Heart of a Parish Nurse. Xulon Press, 2010.

Cathy Yee, MSN, RN, CCRN-CSC; Conquering Pulmonary

Embolism. OR Nurse 2010; 4(5), 18-24.

Presentations/LecturesAdriana Basurco, RN, BSN, PHN, Yajaira Angulo, RNC, BSN, PHN,

Sherri Mendelson, RNC, PhD, CNS, IBCLC; AWHONN National

Conference, Las Vegas, NV; September, 2010; Poster presentation:

Breaking Out of Our Silos.

Missy Blackstock, RN, BSN, Diane Hanley, RN, Carey Faulkner,

RN, California Emergency Physicians, Palm Springs, CA. October,

2010; Podium presentation: Alternate Bedding Sites for the

Emergency Department.

Ingrid Blose, RN, OCN, CMSRN; Terrie Bybee, RN, CMSRN; Dorrie Tiongson, RN, OCN, CMSRN; Providence Holy Cross Medical

Center Nursing Research Day, Mission Hills, CA; May, 2010; Podium presentation: Compassion Fatigue.

Kathy Christian RN, BSN, OCN, CMSRN, Tanya Haight RN, OCN, CMSRN, ONC; 35th Annual ONS Congress, San Diego, CA;

May, 2010; Poster presentation: Team Rounding: Preventing Falls on the Oncology Unit.

Kathy Christian RN, BSN, OCN, CMSRN, Tanya Haight RN, OCN, CMSRN, ONC; 35th Annual ONS Congress, San Diego, CA;

May, 2010; Moderated Poster presentation: Improving Knowledge of Oncologic Emergencies.

Linda Coale, RN, BSN, MBA, 2010 Zynx Health Conference, Key Biscayne, FL; May, 2010; Podium presentation: 4A Project, Transforming

Care at the Bedside.

Linda Coale, RN, BSN, MBA, and Barbara O’Reilly, RN, 2010 Magnet Conference, Phoenix, AZ; October, 2010; Poster presentation:

4A Transformation of Care at the Bedside Project.

Chris Consolo, RN, BSN, CCRN; Providence Holy Cross Medical Center Nursing Research Day, Mission Hills, CA; May, 2010;

Podium presentation: RRT Improvement Project.

Kim Crabtree-Loyd, RN, MSN, NP; Providence Holy Cross Medical Center Nursing Research Day, Mission Hills, CA; May, 2010;

Podium presentation: Thermoregulation in the PACU.

Cynthia Damboise, RN, MSN, MHA, PCCN, CCRN; Linda Coale, RN, MBA; ACNL, Palm Springs, CA; February, 2010; Poster

presentation: For Your Information: Admission and Discharge Videotape.

Cindy Damboise, RN, MSN, MHA, PCCN, CCRN and Linda Coale, RN, MBA; Providence Holy Cross Medical Center Nursing

Research Day, Mission Hills, CA; May, 2010; Podium presentation: 4A Transformation of Care.

Terri Gately, RN, BS, MS, CRRN, RN-BC, DSD; Clinical Nutrition Week ASPEN 2010, Las Vegas, NV; February, 2010; Poster

presentation: Do We Need to Check Gastric Residuals for the Sub Acute Patient?

Terri Gately, RN, BS, MS, CRRN, RN-BC, DSD; California Hospital Association, Huntington Beach, CA; October, 2010; Podium

presentation: The Specialty Practice of Rehabilitation Nursing.

Terri Gately, RN, BS, MS, CRRN, RN-BC, DSD; ARN, Orlando, FL. , September, 2010; Podium presentation: Correlation between FIM

Scores and Fall Risk.

Terri Gately RN, DSD and Sylvia Pacis, RN, BSN; Providence Holy Cross Medical Center Nursing Research Day, Mission Hills, CA; May,

2010; Podium presentation: Continuation of Enteral Feedings During Patient Repositioning.

Timothy Gilmore, RN, MHA; ACNL, Palm Springs, CA; February, 2010; Round Table: Environment of Practice Standard and Instrument

for Measurement Healthy Work Environment Assessment Tool Introduction.

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Tim Gilmore, RN, MHA and Therese Villanueva, RN, BSN, PCCN; Providence Holy Cross Medical Center Nursing Research Day, Mission

Hills, CA; May, 2010; Podium presentation: Healthy Workplace Environment.

Tanya Haight RN, OCN, CMSRN, ONC and Kathy Christian RN, BSN, OCN, CMSRN; 2010 Magnet Conference, Phoenix, AZ;

October, 2010; Poster presentation: Reducing Falls in the Medical Surgical Unit.

Ronda McPhail, RN, Sherri Mendelson, RNC, PhD, CNS, IBCLC; ACNL, Palm Springs, CA; February, 2010; Poster presentation:

Regional Perinatal Documentation Project.

Ronda McPhail, RN, Sherri Mendelson, RNC, PhD, CNS, IBCLC. Arizona State University, Nursing Research Conference, Phoenix, AZ;

June, 2010; Podium presentation: Regional Perinatal Documentation Project.

Ronda McPhail, RN, Sherri Mendelson, RNC, PhD, CNS, IBCLC; AWHONN National Conference, Las Vegas, NV; September, 2010;

Poster presentation: Regional Perinatal Documentation Project.

Sherri Mendelson RNC, PhD, CNS, IBCLC; Providence Holy Cross Medical Center Nursing Research Day, Mission Hills, CA; May, 2010;

Podium presentation: Perinatal Docummentation Project.

Sherri Mendelson, RNC, PhD, CNS, IBCLC; AWHONN National Conference, Las Vegas, NV; September, 2010; Poster presentation:

SLE: A 36 Year Longitudinal Case Study.

Sherri Mendelson, RNC, PhD, CNS, IBCLC; Greater Los Angeles Breastfeeding Task Force, West Covina, CA;

September, 2010; Lecture: Breastfeeding and the Late Preterm Infant.

Sherri Mendelson, RNC, PhD, CNS, IBCLC; Greater Los Angeles Breastfeeding Task Force, West Covina, CA;

September, 2010; Lecture: The Effects of Labor and Delivery Practices on Breastfeeding-What is the Evidence?

TITLE PRINCIPAL INVESTIGATOR STUDY TYPE STATUS

The Identification and Prevalence of Patients with Chronic Wounds/Ulcers in the Hospital Setting

Prevalence of Chagas Disease in Pregnant Women From Latin America

Evaluation of the Pediatric Assessment Triangle (PAT) as an Assessment Tool for Children in the Prehospital Setting (PAT Project)

In-Patient Nursing Education Home Blood Pressure Monitoring To Manage Hypertension

Do We Need to Hold Continuous G-Tube Feeding During Patient Repositioning

Compassion Fatigue and Spiritual Caring in Oncology Nursing Staff

Project HOPE: Health Promotion for a Healthy Pregnancy and Family

RRT Intensive Rounds

Correlation of Two Methods for Monitoring Hypothermia in the PACU

High Protein Diet for Weight Loss

BP Telemedicine

FIM Scores and Falls in theAcute Rehab Unit

New Grad Retention on the MS Unit

Life Balance for Professional Women in Healthcare

Monica Tweddell, RN, WCC

Sherri Mendelson, RNC, CNS, PhD (In collaboration with Olive View Medical Center)

Theresa Lacroix, RN- Site PI

Susie Parker, LVN, Sherri Mendelson, RNC, CNS, PhD, Debbie Tsunoda, ACNP-BC

Terri Gately, RN, BS, MS, CRRN, DSD, Sylvia Pacis, RN, BSN-PI

Ingrid Blose, RN, OCN, CMSRN, Dory Tiongson, RN, OCN, CMSRN Terrie Bybee, RN, CMSRN Tanya Haight, RN, OCN, CMSRN

Sherri Mendelson, RNC, CNS, PhD

Chris Consolo, RN

Kim Crabtree-Loyd, RN, MSN, NP

Sherri Mendelson-PHCMCLorraine Evangelista-UCLA

Jane Flaherty-PHCMCLorraine Evangelista-UCLA

Terri Gately, RN, BS, MS, CRRN, DSD

Bilma Pelissary, RN, MSN and William Lim, RN

Liz Septizipian

Prevalence Study

Prevalence Study

Validity and ReliabilityStudy

Interventionalone-group study

Outcomes study

One group pre and post interventionoutcome study

One group Pre and Post intervention outcome study

Two group Pre and Post intervention study

Correlation study of twomethods of temperaturemeasurement

Two group pre and post intervention study

Two group pre and postintervention study

Correlation study

One group pre and postintervention study

Currently in data analysis

Study at PHCMC closed. Continues at UCLA-Olive View MC.

On-going

5 subject accrued

Data analysis

Completed

Completed

Completed

Ongoing

Ongoing

Ongoing

Completed

Ongoing

Ongoing

2010 IRB Approved Nursing Research Studies

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VISION: By 2012, PHCMC Nursing Research will have five new projects completed and ready for dissemination. PARTICIPANTS: Currently, Nursing Research at PHCMC consists of Staff Nurses, Nursing Managers, Nursing Directors, Quality Management and Registered Dietician. Other groups/individuals may attend as necessary.

OPERATING COMMITMENT

People Centered

Quality Focused

Service Centered

Financial Centered

Growth Centered

STRATEGIC PRIORITIES/GOALS

Promote nursing research throughmentoring relationships

Provide a nursing research mentorship program

Utilize academic partnerships toprovide mentorship opportunities

Develop education for clinical staff onNursing Research and Evidence-BasedPractice

Determine areas of patient satisfactionand quality measures that demonstrategaps in nursing care delivery

Promote new nursing programs through nursing research studies and adoption of evidence-based care protocols. Partner with Stroke Program, NICU and other programs to determine nursing research opportunities and evidence-based practice needs.

Enhance ability to conduct nursing research through grant acquisition

Support of EBPs that reduce costs to contribute to organizational stewardship.

Promote Magnet environment including aspects of shared governance throughnursing research

Participate (promote staff nurse participation)in national/state-wide/local nursing research conferences

Promote research dissemination through publication

Encourage an interdependent partnership for inquiry between nursing, other disciplines and medicine to improve relationships and maximize resources

MEASURES OF SUCCESS

Compile a list of internal and external researchmentors. Each nurse researcher will be assigneda mentor.

Two mentorship programs will be provided withat least 5 participants enrolled in each. At least five completed projects will result from the mentorship programs.

Partner with academic institutions for 2 researchstudies. Assign one or two nurses as site primaryinvestigators to work with the academic institutionto further the research relationship

Healthstream program will be developed andassigned to all licensed nursing staff. 80% or moreof all licensed nursing staff will complete and passthe Healthstream program.

Initiate one research study based on a quality gap through discussion at Nursing Research Council.

One NICU-based study initiated. One Stroke Program-based study initiated.

By 2012, Nursing Research will submit 2 grant applications to fund research studies. Nursing Research will work with PHCMC Foundation to identify grant opportunities and write and submit grants.

Develop and complete one nursing research studyfor translation of an evidence-based practice toenhance stewardship.

Develop and promote annual Nursing ResearchDay to enhance internal and external participationin nursing research activities with inclusion of 4nursing projects from PHCMC. Maintain nursingjournal club and mentor nursing journal club as asub-committee to NRC.

Submit abstracts for poster/podium presentationsto at least 6 conferences.

2 articles submitted to peer- reviewed nursing/healthcare publications.

One interdisciplinary research project proposal will be completed and passed through NursingResearch Council and IRB. 39

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PHCMC NURSE’S WEEK AWARDS

Wendell Garcia Telemetry Best Supporting Team Player

Jeri Brown Administration Best Role Model

Marilyn Sluka Telemetry Most Compassionate

Jenny Leon Medical Surgical Most Compassionate

Danica Whisman Telemetry Most Caring

2 Tim Gilmore, RN, MHA, Manager of Special Projects and Data Support was honored February, 2010 at the

Association of Nursing Leaders awards luncheon for “Excellence in Nursing Leadership – South Region”

2 Family Health Promotion Award from the Greater Los Angeles Breastfeeding Taskforce in Los Angeles and

the Baby-Friendly Way Hospital Workplace Award at a ceremony at the State Capitol in Sacramento on August

4, 2010 for our accommodation of breastfeeding in the workplace. We were also recognized with the IBCLC

Care Recognition Award by the International Board of Lactation Consultant Examiners and International

Lactation Consultant Association.

2 Steve Storbakken and Connie Lackey, RN were honored with the U.S. Geological Survey’s Eugene M

Shoemaker Award in the multiple-project category for their work in planning the PHCMC’s participation

in the Great Southern California ShakeOut Campaign. The award recognizes extraordinary effectiveness in

communicating complex scientific concepts and discoveries to capture the interest of the American Public.

2 The Emergency Department was honored by California Emergency Physicians (CEP) as Emergency

Department of the Year based on door-to-doctor, Core Measures, and Patient Satisfaction results. CEP

voted the Emergency Department the best out of 70 sites. And we know it takes a village: doctors, nurses,

respiratory therapists, etc.

2010 PH&S President’s Award: The 4A Transformation of Care at the Bedside ProjectIn 2007, Providence Holy Cross Medical Center (PHCMC) received a grant from the UniHealth Foundation to

develop an innovative Health Systems Enhancement Patient Care Redesign Project. The purpose of this project

was to design reliable processes of care that assure consistent and timely delivery of evidence-based patient care each

and every time, thus improving patient satisfaction and outcomes. Included in the project design was a process of

team-based care, metrics-driven management, reduced cycle times, increased stakeholder loyalty and satisfaction

and an enhanced learning organization. Improvement and change strategies implemented within this project were

Lean, Six Sigma and Change Acceleration; statistical methodology coupled with change management and facilitation

techniques. Prioritized short-term projects within the unit redesign umbrella were physical redesign components,

quality of care delivery, the discharge process and coordination of care. Outcome and process measures included

core measure compliance, patient satisfaction, nurse and physician satisfaction, climate of safety, reduction in the

discharge process time, reduction in the average length of stay and improvement on the nurse sensitive indicators of

pain management, patient falls and hospital-acquired pressure ulcers. Improvement targets were met for all measures.

MD and Nurse satisfaction exceeded targets. Additional work and focus are needed for reliable control of patient

satisfaction and pain control metrics. Translation of defined improvements, tools and processes has occurred across

units, California ministries and was shared nationally at the annual Magnet® conference.

Awards & Recognition

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When a calming, quiet presence was all that was needed, a nurse was there.

In the excitement and miracle of birth or in the mystery of loss and life, a nurse was there.

When a silent glance could uplift a patient, family member or friend, a nurse was there.

At those times when the unexplainable needed to be explained, a nurse was there.

When the situation demanded a swift foot and sharp mind, a nurse was there.

When a gentle touch, a firm push, or an encouraging word was needed, a nurse was there.

To witness humanity—its beauty, in good times and bad, without judgment, a nurse was there.

To embrace the woes of the world, willingly and offer hope, a nurse was there.

And now, that it’s time to be at the Great One’s side, a nurse is there.

In Memoriam to The Nurses We Grieved for in 2010

Patty Brown Arlene Garrido Candy Hale

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1-888-HEALING www.providence.org/holycross

This is our Magnet® Program Recognition re-certification year. It is an opportunity for our entire hospitalto reflect on all of our successes of the past few years and direct our energies towards closing any identifiedgaps in our quest for excellence in patient care and as an employer of choice. We will open our new wingto accommodate significant growth in our medical center. We are working on creating a meaningful nursingpeer review process and reevaluating our nursing shared governance structure. Along with significanteconomic challenges and a continued uncertainty in the healthcare area Providence Holy Cross Nursesface 2011 knowing we are among the best that nursing has to offer.

Thank you to all of our nursing colleagues for making Holy Cross

a great place to work and a great place for our friends, families

and neighbors to receive excellent health care!

2011 Promises to BringChanges and Challenges

Providence Holy Cross Medical Center15031 Rinaldi Street Mission Hills, California 91346(818) 365-8051