Supports Innovative Approach
SYNC ENGINE to Care Coordination
enrich the lives of
The Real-Life Diary OF A 24-HOUR IT TEAM page 6
As the second quarter ends, I want to take some time to focus on your contributions to our companies over the past few months. This quarter has been a very busy and productive period for CQuence Health Group, Cassling and Ensocare, and you are to be thanked for all of the hard work and dedication you bring to our companies. I also want to thank you for taking time out of your busy schedules to give back to your communities. In the second quarter, the CQuence Cares committee challenged staff by inviting you to get involved in the Volunteer Volley competition (see the back cover for photos). This tournament pits employee against employee to see who can get the most volunteer hours for the quarter, but the real winners are those being helped in the community. So once again, thank you for all that you do. We at CQuence are truly fortunate to work side-by-side with such dedicated and engaged colleagues. And we want that dedication and engagement to remain—and to grow.
Stay up-to-date on CQuence Health Group happenings on the corporate intranet, 360.
In that vein—you learned at State of the Union earlier this year that the Key Result, Employee Development, is a major focus in 2014. On page 11, you will see that our Employee
Development article is on resiliency in the workplace. This year has been another year of change at our companies, and we want to be sure that each of you have the tools needed to adapt effectively to changes happening around you.
And lastly, as we think about our Key Results, I want to mention that Bruce Stec, vice president of Human Resources, will soon receive his certification as an Accountability trainer. Once he is certified, we will announce a re-acclimation plan for those employees who have been trained in Accountability. Those who have not been trained will go through the process late this summer. As always, I invite you to ask me any questions you have about our companies and their direction via Ask Mike, at the top of every page on 360. Thank you once again for everything you do for CQuence, Cassling and Ensocare. Without our best-in-class employees, we would not be here today.
Mike Cassling President and CEO
CQuence University Upcoming Courses JULY
Something to Sleep on…the Importance of Sleep Presented by Julie Simon, team supervisor, Alegent Creighton Health EAP
This session provides an overview of the stages of sleep and an understanding of how repeated sleep problems can take their toll. Strategies and simple tips to get better sleep, long term, will be discussed.
How to Work with a Residential Contractor Presented by Jared Gerber, founder, Gerber Architecture
Architect Jared Gerber will discuss how to look for a contractor, the different contract types you may encounter, what expectations you should have and what to do when something goes wrong. Courses are held from 12 to 1 p.m. at the Omaha office. For more information, visit 360 or contact Wendy Harrison at firstname.lastname@example.org Impact | Summer 2014
HR UPDATE New Vendor for Payroll & Much More
As of May 15, CQuence Health Group transitioned to a new payroll vendor, Infinisource. This change allows Human Resources to maximize technology across the department. Payroll is the first of many technology additions you will see, including an automated hiring process, technology for our performance reviews and employee development initiatives.
Lower your cholesterol, improve your health Recent statistics state that 33.5 percent of American adults have high LDL, or “bad,” cholesterol. According to the American Heart Association, having too much cholesterol in the blood can lead to risk factors for heart disease and other illnesses. But improving your habits can help control cholesterol levels and improve your health, including:
Information you need to know as we continue through this transition includes:
• Eat a heart-healthy diet: consume plenty of fruits and vegetables, nuts, fish and whole grains. Limit the saturated fat you consume and avoid trans fats.
• Save the self-service account information you receive from Infinisource. You need it to view pay stubs, update your information and elect benefits in the future.
• Get physically active: 30 minutes of activity a day helps lower cholesterol levels and keeps your heart in great shape.
• All 2014 information will be in the new system. You can view each check, as well as 2014 accumulations.
Being a great medical consumer can also help improve your health. Keep these questions in mind when visiting your doctor:
If you have any questions or concerns, please contact HR.
Take Charge of Your Wealth & Health
Don’t leave money on the table Did you know that CQuence gives you money just for contributing to your 401(k) savings plan? CQuence makes a “safe harbor” contribution, or match, on your behalf equal to 100 percent on the first three percent deferred and 50 percent on the next two percent deferred for all eligible employees in all companies. If possible, take advantage of that full match. If you don’t, you’ll leave free money on the table. Those additional dollars could mean the difference between retiring sooner or retiring later.
1. What are the take-aways from the appointment? 2. Why has the doctor recommended a certain type of treatment? 3. Are there any alternatives to the course of treatment? 4. What can I do to reduce my health risks in the future? 5. If I have additional questions, how will I get them answered in a timely manner?
Saving enough to get the full match is only the first step. Many experts say putting away 10 to 15 percent of your income improves your chances of having adequate savings for retirement. With these extra contributions, your balance can grow faster and help you move closer to your retirement goals. 3
First Sales Made in Expanded Southern Territory The expansion team in the South is up and running. Cassling has five account executives in Oklahoma, Texas and Louisiana, with plans to add a sixth person in Kentucky. Last quarter, all of their hard work started paying off as the team booked nearly $4 million in orders. Regional Sales Director Kim Phox said the team is finding business in non-traditional areas, such as freestanding emergency rooms that are not affiliated with hospitals. And with new Medical Imaging and Technology Alliance Smart Dose guidelines for CT, they have a new area to target, as about 25 percent of the CT market will need to upgrade in the next year to retain full reimbursement from Medicare and Medicaid. Kim and her team recently spent two days in New Orleans for Siemens training on all modalities, including the new dose guidelines for CT.
New Regional Sales Director to Guide Western Expansion Jeff Chamer joined Cassling in April as a regional sales director, based in Orange County, California. He joins Cassling following 13 years with Siemens, where he most recently was AX zone business manager, Midwest zone. Chamer and Account Executive Gene Wendt recently met with each Siemens modality product specialist and zone business manager to discuss the accounts that have been assigned to the expansion team.
“The Siemens Western zone leadership and teams are very receptive to Cassling and the strategic importance of the expansion,” Jeff said. Jeff’s immediate focus is putting a team in place. The interview process has started and the goal is to have six additional team members identified this quarter.
Wendt Honored with Ken Vetter Integrity and Strategy Award During a surprise announcement at the President’s Circle trip in April, Account Executive Gene Wendt was awarded the Ken Vetter Integrity and Strategy Award for his teamwork and unwavering commitment to the organization and its customers.
This marks the second time the award has been given since it was created in 2007 to honor the career achievements of Ken Vetter, a Cassling founder and 40-plus year veteran of the health-care industry. “Gene’s known for his competitiveness, but within our organization he is very much a team player and mentor,” said Tim Krzyzanowski, executive vice president. “His positive attitude and loyal actions are a big part of our company’s success.” In his 28 years with Cassling, Gene has sold more than $250 million in new equipment and contributed to many more. Today Gene is based in Phoenix and serves as an account executive in the expanded Western territory.
Impact | Summer 2014
Sync & Connect Engines
Support Innovative Approach to Care Coordination
Ensocare’s product and development teams are gearing up for an exciting and meaningful roll out of the Sync and Connect engines this September. Ensocare is partnering with Cone Health, a not-forprofit health-care network serving patients in Greensboro, North Carolina, to beta test the new Sync and Connect engines. The testing is part of a pilot program to reduce hospital readmissions for Cone’s chronic obstructive pulmonary disease (COPD) patients. Last year, Cone launched an initiative with its “COPD Gold” patients—those with a history of COPD and three or more inpatient hospital admissions during a sixmonth period. By expanding its case management teams, making follow-up patient phone calls and visits, scheduling doctors’ appointments for patients and utilizing home delivery pharmacy services, Cone reduced COPD patient readmissions by 11 percent within one year—saving more than $4.3 million in hospital utilization costs. Cone—which is part of the Triad HealthCare Network— hopes to further reduce readmissions and automate its care coordination and patient engagement process by utilizing Ensocare’s Sync and Connect products. “Right now, Cone’s method of tracking patients is very manual,” said Kevin Wheeler, Ensocare product manager. “Once a patient leaves the hospital, there are huge visibility and communication gaps in the patient's progress—it's almost like a ‘black hole.’”
plan adherence, Kevin said. The Sync and Connect engines will help Cone keep its eyes on COPD patients through care plan management, messaging, monitoring and alerts. For example, Cone patients will receive a proactive alert to take their medications, and Cone’s case management team will receive a reactive alert should the patient fail to record that the medication was taken. “This is of tremendous value given that COPD patients may take 10 or more medications on a daily basis,” Kevin said. “Imagine the complexity of tracking tasks to refill, deliver and take this many medications for an entire patient population. The seamless coordination of these tasks is essential because missing a dose by even a few hours can elevate the risk of readmission. This tracking could not be done efficiently or effectively without the power of Sync and Connect.” “We are very excited to partner with Ensocare to allow our case management teams to have touch points with patients after they leave the hospital and data to monitor,” said Elvin Perkins, III, chronic disease project manager at Triad HealthCare Network. “Ensocare’s technology will allow us to intervene when needed to encourage medication compliance and ultimately reduce readmissions for our high-risk patients.”
A lack of coordinated communication between the care team, patient and family is a significant obstacle to care
Ensocare’s Sync engine allows hospital staff to monitor a patient’s care plan after discharge using tracking software and to intervene with appropriate care when certain milestones are missed.
The Real-Life Di OF A 24-HOUR IT
Downtime. It’s the one thing the IT department doesn’t have and can’t get. That’s because the five-person IT team is always on. From resolving connection errors and fixing printer issues, to upgrading software and handling server maintenance—it’s always go time. Take an inside look at a day in the life of the CQuence Health Group IT team:
An automatic test runs on CQuence’s data storage network. The storage was recently upgraded for greater performance and capacity. “That means when you go to save something to the server, it happens instantly,” said Roger Hill, director of IT. “It gives us the ability to restructure our virtual storage space for better efficiency, so employees can be more productive.”
Ashok Tankala, Ensocare java engineer, reaches out to IT to help him set up a virtual environment to conduct development testing. Travis Ehlers, IT system administrator, is more than qualified to help. In fact, Travis recently traveled to the Seattle Ensocare office to upgrade firewalls, add disc space to servers and recycle old hard drives and batteries. Barclay Stebbins, MIS administrator, fills up another cup of coffee before his 9 a.m. meeting with Roger Hill and Randy Wobig, chief information officer.
Roger, Randy and Barclay meet to discuss IT’s disaster recovery and business continuity plan. The plan was recently updated to ensure proper procedures are built into all technical systems and to guarantee business runs as usual in the event of a storm, natural disaster or loss of our headquarters. “With new technology, we are able to have employees sign on to our network from any location with a computer and Internet access,” Roger said. “Once logged in, employees can operate as if they were at the corporate office, minimizing downtime.”
Dan Zampogna, Cassling field service engineer, calls Mark Petersen, IT system administrator. He needs help resetting his Siemens credentials, which are essential for him and other FSEs to be able to remotely access imaging equipment at customer hospital sites. Barclay is asked to restore an employee’s email folder that was completely lost. Another IT responsibility is monitoring and archiving emails. Each week, our servers are hit with nearly 200,000 inbound emails. Of those, 137,000 emails
From left to right: (1) Roger Hill, director of IT; (2) Nate Tippets, MIS administrator; (3) Roger Hill, Mark Petersen, IT system administrator and Barclay Stebbins, MIS administrator. 1
Impact | Summer 2014
From left to right: (4) Barclay Stebbins, MIS administrator; (5) Mark Petersen, IT system administrator and Justin Eggspuehler, creative services manager. Not pictured: Travis Ehlers, IT system administrator.
are denied as SPAM and filtered by firewalls. The remaining 43,000 inbound messages are delivered, archived and saved on our server, so Barclay is able to retrieve the folder.
“Our employees are fortunate that we have on-site and on-call IT resources,” Travis said. “It’s great that we don’t put requests into a queue, because we can take care of things right away.”
Kyle Salem, CQuence managing director, calls Roger to discuss our current network capabilities and the capacity for growth.
Nate Tippets, MIS administrator, logs into the network from home. He performs maintenance on a handful of servers. One major responsibility for the IT department is managing approximately 120 servers spread across three locations.
“We are always aware that change is coming, whether it is the addition of a new position within one of the companies, another expansion company or changes in technology,” Roger said.
Travis helps Lynn Owen, CQuence HR administrator, set up the print driver on her computer. When new employees come on board, IT is responsible for their email, phone, printing and other equipment setup.
“We frequently handle tasks after hours, even in the middle of the night. Some of our most critical work occurs behind the scenes and our users usually never know anything changed,” Nate said. “It goes with the territory.”
IT Tips for Employees
1. Change your password. This one might seem simple, but changing your password can become complicated if you don’t update it when prompted.
2. Delete items in your email inbox. Our archiving email system saves all messages, so there’s no reason to let your sent, received or deleted inbox folders fill up. One benefit of emptying your email regularly is that Outlook will run even faster. 3. Close applications. If your computer is running slowly, you may have too many applications open at once. Close down the ones not in use and see if it goes any faster.
4. Run updates. Your computer might take a long time to boot up if you’re missing key software updates. Install/download any updates as soon as they become available. Ask IT for help if needed. 5. Contact IT right away. If you experience an issue, it’s best to let IT know immediately. That way they can fix a small problem before it becomes a more complex issue. Email ITSupport@cassling.com or call Roger at ext. 1173.
enrich the lives of CQUENCE EMPLOYEES People collect all kinds of things for all kinds of reasons. Collections can remind us of our childhoods, a memorable experience or important people in our lives. We set out to find employees who collect. From coins, figurines, soda bottles, books and radios, here’s what we discovered.
Collector: Misty Green, installation specialist, Cassling Collections: Milk glass, vintage sewing notions, owls and antique/nostalgia books “If you love something and it makes you happy, why not have more than one?” Misty said of her collections. Misty’s many collections enrich her life, but one collection stands apart from the rest—her books. “I have a passion for reading and all things literature,” she said. “I have always believed that books take you anywhere you want to go.” Misty received her first heirloom book as a gift from her grandmother and the collection grew from there. Today she has about 20. She sees her collection of heirloom books as a way to learn about the past and peek into what her great-greatgrandmother liked to read when she was a little girl. One day she will share her collection with her son, but for now he just enjoys book time with Mom and the new memories they create reading together.
Collector: Duane Losh, field service engineer, Cassling Collection: Coins Duane was 10 when a widowed neighbor sparked his interest in coin collecting, and he’s been collecting coins ever since. He started his collection with a can of old coins that he and his neighbor would search for and catalog in albums. “I am reminded of the years of friendship we had when I see the coins he helped me find,” Duane recalled. In much the same way he bonded with his neighbor, Duane used coin collecting as quality time with his own children— stopping at banks in small towns to buy rolls of coins on his drive home from a service call. “We would spend hours searching for any coins that we needed to help complete our collection, and then return the unneeded ones to the bank the next day,” he said. Today his collection numbers more than 2,000 coins. And after all the years of coin collecting, Duane said he can’t walk by a coin on the ground without picking it up. He collects for the adventure of finding a rare coin and hopes to pass his passion and collection on to his future grandchildren.
Impact | Summer 2014
Collector: Terry Meyers, field service engineer, Cassling Collection: Antique and novelty radios Terry has amassed 85 antique and novelty radios in 28 years. His collection started after he received a 1949 Westinghouse floor model old-style phonograph and a box of needles that belonged to his in-laws. He restored it and was hooked. His collection is his hobby. He hunts for radios regularly at auctions, garage sales, flea markets and antique stores, and restores them to working order. Terry spends anywhere from a few hours to 20 hours a week on restorations. “I get a kick out of seeing how electronics have evolved over the years,” he said. His favorite funny story about his collection happened while in his basement workshop on a Sunday night. He had just powered up a 1928 Stromberg Carlson radio for the first time. “As I tune in a station, I hear ‘only the Shadow knows,’” he said. “For a moment I thought I was in the twilight zone and the radio could pick up old radio shows from the 1940s. It turned out that KFAB ran old radio shows on Sunday nights.”
Collector: Kathy Nelson, customer support specialist, Ensocare Collection: Williraye Collectibles— American folk art figurines Kathy is guilty of having many collections, but downsized before moving from Minnesota to Nebraska earlier this year. Her Williraye collection is her favorite. She is unsure how many pieces she has, but said there are too many to display all of them in her home. She started her collection from scratch after coming across the collectibles at a local Hallmark store. “They made me laugh,” she said. In addition, Kathy said the collection reminds her of growing up in a rural farm community. Kathy hasn’t come across the collectibles since her local Hallmark closed, but occasionally finds them in secondhand stores. “I am a decorator at heart and love to restore life into pieces that someone has trashed,” she said.
Collector: Shawn Pew, regional service manager, Cassling Collection: Old soda pop bottles Shawn started his collection in elementary school. He found his first bottle in an old barn on the family farm near Bartley, Nebraska, and remembers thinking it was pretty neat. From then on, he kept an eye out for any bottles that looked old. His collection of 24 bottles is on display in his home office. Shawn said his bottle collection reminds him of his youth, since the majority of them were found before he graduated high school. “I have fond memories of finding each one,” he said. Shawn found a Paulsen’s Beverage bottle buried underneath an old chicken coop that he and his dad tore down. He also found a couple bottles partially buried while fixing pasture fence. Shawn has not paid, nor will he ever pay, to add bottles to his collection.
“It’s just something I have done and still something I find myself doing when I’m back home visiting my parents,” he said. For now the collection is just a cool conversation piece and something that his daughters have expressed interest in carrying on in the future. “Maybe next time we visit the farm we’ll spend a day treasure hunting,” he said.
Your Gui d e TO BUYING
ORGANIC Once found only in health food stores, organic foods are now a regular feature at most supermarkets. And that's created a bit of a dilemma in the produce aisle. Consider a conventionally grown apple and one that's organic. Both apples are firm, shiny and red. Both provide vitamins and fiber and are free of fat, sodium and cholesterol. Which should you choose? First, it’s important to know what organic means. The word “organic” refers to the way farmers grow and process agricultural products. According to standards set by the USDA, the label “100% Organic” indicates that meat, poultry, eggs and dairy products are free of antibiotics and artificial growth hormones and that produce has been cultivated without pesticides, synthetic fertilizers or sewage sludge. Likewise, any product that has been irradiated or that contains bioengineered ingredients cannot be labeled organic. To learn more, visit ams.usda.gov.
Choosing the Right Produce
The Environmental Working Group helps you shop smart by highlighting the cleanest and dirtiest conventionally raised fruits and vegetables. If a food is on the Dirty Dozen list, it tests high for pesticides, and it’s suggested that you buy the organic version instead. Check out the Dirty Dozen and Clean Fifteen lists at the right for more info. And remember, the health benefits of a diet rich in fruits and vegetables outweighs the risk of pesticide exposure.
Eating Organic on a Dime
The biggest concern with buying organic is often the cost. Here’s a simple guide to save some money. Buy off-brand. When purchasing packaged or frozen organic foods, many stores have their own generic brand that’s less expensive. For example, check out Simply Balanced at Target (40 percent of these products are organic), Hy-Vee HealthMarket and 365 Organic at Whole Foods.
Be choosy. When purchasing produce, reference the Dirty Dozen and Clean Fifteen lists to purchase organic foods that have a greater risk of high pesticide and herbicide exposure, and purchase conventional nonorganic items when the risk of toxins is low. Clip coupons. Check out your grocery store's website or Facebook page for coupons and special offers. Or simply search for products you like online followed by the word “coupon.” Shop in season. Farmers' markets are a fantastic resource of local organic meats and produce. These workers are often knowledgeable and passionate about healthy, fresh food. Plus, if you purchase from them in abundance, they may give you extra for free.
Dirty Dozen Plus • • • • • • •
Apples Celery Cherry tomatoes Cucumbers Grapes Hot peppers Nectarines (imported) • Peaches • Potatoes
• Spinach • Strawberries • Sweet bell peppers Plus: • Collard greens • Kale • Summer squash • Zucchini
Clean Fifteen • • • • • • • •
Asparagus Avocado Cabbage Cantaloupe Corn Eggplant Grapefruit Kiwi
• • • • • •
Mangos Mushrooms Onions Papayas Pineapples Sweet peas (frozen) • Sweet potatoes
Impact | Summer 2014
RESILIENCY HELPS EMPLOYEES Cope with Change, Find Career Success As Mike Cassling stated in his message on page 2, this year has been another year of change at our companies. We want to be sure that each of you have the tools needed to adapt effectively to the changes happening around you. That points to what’s known as workplace resiliency. Being resilient helps people cope with changes and challenges in their lives—whether at home or at work. Resiliency is an important factor in mental health and in career success.
We encourage you to visit the Employee Development page on 360 and select Featured Articles to learn how to build your resiliency assets. Source: http://www.psychologyfoundation.org/pdf/publications/ WorkplaceResiliency.pdf
“Resiliency assets” help people adjust to change, cope with stress, overcome obstacles and handle the normal challenges of life.
There are five categories of resiliency assets— relationships, emotional intelligence, competence, optimism and coping skills— and you can work on building each of them.
CQUENCE EMPLOYEES & FAMILIES are Hitting the Trails for Wellness We are in the midst of Captain Cassling’s Hit the Trails Wellness campaign. The six-week incentive, which wraps up on July 6, encourages employees and dependents to increase their activity and get outside.
The adult and dependent who earn the most activity minutes, and the adult and dependent with the most bonus points, each receive a prize at the end of the competition.
Seventy-six employees, spouses and dependents are hitting the trails and becoming even more active! At the start of the incentive, each household was eligible to receive a complimentary state park pass to encourage participants to get active and compete.
Winners will be revealed on 360 and via email in early July. So keep hitting those trails and watch soon for results!
Keep up with Captain Cassling on Facebook & Twitter!
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EMPLOYEES COMPETE IN
CQ CARES’ VOLUNTEER VOLLEY In this game, everyone’s a winner!
The CQuence Cares committee challenged employees to “serve an ace” by volunteering as many hours as they could in the second quarter. Here’s a sampling of our team in action. HEARTLAND HOPE: CQuence volunteers take a break in front of the shelves they helped empty when serving clients at the Heartland Hope Mission in April. From left to right: Melissa Schofield; Jennifer White; Melanie Henderson and her son, Blake; Aline Quick and her daughter, Amie (to her left), and Amie’s friend, Sophie Bredensteiner (front); and Dana Downs and her daughter, Alexis.
RONALD MCDONALD: CQuence staff and their children prepared and served
dinner to families at the Ronald McDonald House in May. From left to right: Melissa Schofield; Jennifer White; Alexis Downs; Michelle Heaton and her daughter, Jazmine; and Dana Downs.