In-Touch March 2013 by Howard Memorial

HMHIn -Touch In This Issue

Strategic Partnership......... 2

Planetree Culture of Ownership Retreats

CEO’s Message................. 3

By Patsy Broeske

HMH Volunteers .............. 3 Nutrition Month ............... 4 Know Your Numbers ........ 5 Joint Commission Visit ..... 6 New Hospital Update ....... 6 Dew Drop ......................... 7 Calendar of Events ........... 8

Mission

Howard Memorial Hospital is a family of caring professionals committed to providing the highest quality of service. In partnership with physicians and community leaders, our purpose is to improve our patients’ physical, mental and spiritual well-being, and to enhance the health of our community.

Neighbors Helping Neighbors®

March 2013

17 retreats. 205 participants. 12 facilitators. Whew! The Culture of Ownership retreats took place during February, and we are very pleased with the results. We had lots of good feedback, and will take into account ALL of the suggestions from the evaluations. The Parking Lot – the issues that arose during the retreat but were “parked” rather than solved during the retreat – will also be reviewed and forwarded to the key leaders. This year we invited not just staff, physicians and volunteers, but also included in the invites physician office staff, NCN folks, and regional staff. The final count was 182 staff, 3 physicians, 5 physician office staff, 1 board member, 4 NCN staff, 1 volunteer, and 9 others including Security and UVMC staff. The cross section of participants resulted in good discussion during the retreats. One of the most common comments we see on the evaluations is how staff appreciates getting to know others who they would not normally get to know during the course of their workday. Thank you to each of you who participated, and a big shout-out to the managers who helped make it possible for the staff to go during such busy census times. We also want to thank our facilitators who trained, practiced, and facilitated the retreats on top of doing their regular jobs. Thank you to Arpad Peter, Ginny Holmen, Lorelei Choate, Reza Ghannadan, Julie Harris, David Sims, Heather Anderson, Lauren Gallagher, Lynne Buske, Henrietta Simonsson, and Janice Burr. During March 19 - 21, Planetree representatives will be at HMH conducting a site visit with patients, their families, staff, leadership, Governing Board, and physicians. If you would like to give your input, PLEASE sign up for one of the focus groups. An email will be coming out soon with the details. They will also randomly meet with staff, so please take a moment or two to tell the Planetree folks about all the wonderful things we are doing here at HMH. If you have any questions on the upcoming site visit, or any Planetree question, just give us a call! Patsy @ ext 3012 or Diane @ ext 3117.

Cerner and Adventist Health Announce Strategic Partnership for Revenue Cycle Management

Dan Gordon, CPA

The landscape of health care and our country’s current delivery system, payment mechanisms and regulatory footprint are undergoing a dramatic change that will challenge providers in ways never imagined even a few short years ago. To prepare for the rapidly changing payment mechanisms and reimbursement models, Adventist Health made the strategic decision in 2012 to standardize, modernize and consolidate revenue cycle functions. Subsequently, Cerner was selected to provide an integrated revenue cycle platform across our acute, ambulatory and postacute venues.

On March 4, Adventist Health senior leadership announced it will transition responsibility for our revenue management services to Cerner Corp, effective April 1, 2013. View the official news release. “To achieve our revenue management goals, we are teaming up with Cerner to create an innovative approach for our revenue cycle operations. This expanded partnership builds upon our decade-plus relationship with Cerner and allows us to leverage a single platform, ensure consistency in our revenue management operations, and reach top quartile--or better-performance in the industry,” said Robert Carmen, president and CEO of Adventist Health. “Our patients, communities and employees will benefit by this shared vision that advances the quality of care and improves the patient experience.” Cerner has a unique ability to blend people and processes with technology. A talented group of Adventist Health revenue cycle management team members have been invited to become Cerner associates to create an innovative approach for our revenue cycle operations. This team includes patient access, health information management, patient accounting and care management services, and they will continue to work out of their present locations. Additionally, Dan Gordon, CPA, has been announced as the vice president of revenue management, a new position that will play a pivotal role in our partnership with Cerner. A 36 year Adventist Health employee, Gordon is currently the CFO at Feather River Hospital, a role he has held since 2001. Previously, he held positions at the corporate office in budget and reimbursement, including three years as director of the department. Gordon also has frontline health care experience, working at Paradise Valley Hospital’s (PVH) emergency department in admitting while obtaining his bachelor’s degree in accounting. He then worked in PVH’s accounting department before transferring to budget and reimbursement at the corporate office. Gordon will report to John Beaman, vice president of finance. Building upon the standardization work initiated by Huron, Cerner will be responsible for both the implementation and support of the Cerner Revenue Cycle solutions. (All other non-revenue cycle solutions will be supported by Adventist Health’s IT Services).

New Faces

Aaron Poole, Controller

Alyse LaFortune Food Service Worker

Fernando Meza, Food Service Worker

HMH Spirit — Patient Centered Care S PI R IT

The next theme in is “Patient-Centered Care.” Even though HMH was all about the patient before becoming a Planetree affiliate, Planetree has become our framework for continued excellence in patient experience. This year’s “Culture of Ownership” Planetree retreats, were a grand success with 205 participants including HMH employees, physicians & their staff, board members, volunteers, NCN leadership, security, and UVMC employees.

Service is Sacred · Patient-Centered Care · Inspire Each Other · Respect for All · Improve · Trust We are on a journey to become a Planetree designated hospital this year. In doing so, we will need to clearly show how we apply the Planetree philosophy in our daily work. As a reminder, Planetree believes: • • • •

•

That we are human beings, caring for human beings. We are all caregivers. Caregiving is best achieved through kindness and compassion. Safe, accessible, high-quality care is fundamental to patient-centered care. • In a holistic approach to meeting people’s needs of body, mind and spirit. • Families, friends and loved ones are vital to the healing process. • Access to understandable health information can empower individuals to participate in their health. • The opportunity for individuals to make personal choices related to Rick Bockmann, CEO their care is essential. • The physical environment can enhance healing, health and wellbeing. Illness can be a transformational experience for patients, families and caregivers.

If we continue to focus on being a hospital that lives these beliefs, we will always be patient-centered. I find examples of these 10 beliefs on a weekly basis here at HMH. I am sure you find these beliefs in action too. I challenge you to find living examples of these beliefs here at HMH and to thank the person or group for being a living example of our

S P I R I T.

Let’s Celebrate National Nutrition Month! Executive Chef Kyle Evans

Tabouleh Plant Based, Mediterranean Servings: 8 1 cup bulgar wheat 2 cups water 1/2 cup quinoa 1 cup water 1 bunch parsley, chopped 4 T mint, chopped 2 tsp. garlic, chopped 1 cup cucumber, de-seeded, diced 2 cups spinach, chopped 1 cup edamame 2 cups kale, discard stalk, chopped, combine with lemon juice and salt 1/4 tsp. salt 3 each lemon, zest and juice separate 2 T extra virgin olive oil 1 tsp. salt 1/2 cup scallions Cook the bulgar wheat and quiona separately. For bulgur wheat, boil 2 cups water and pour over bulgar in a bowl, then cover with plastic. Allow to sit for 30 minutes until grains become tender. Drain off excess water. Fluff with a fork, cool. For quinoa, boil water then add quinoa to pan and cover with a lid with low heat for 2 minutes, allow to sit for 15 minutes. Remove from pan, fluff and cool. Continued on page 6

2013 marks the 40th anniversary of National Nutrition Month! This year’s theme, put forth by the Academy of Nutrition and Dietetics (AND), “Eat Right, Your Way, Every Day” highlights Annie Dogali, RD the importance of adapting healthier eating practices while still leaving room for a little fun in your diet. According to Academy President and Registered Dietitian Ethan A. Bergman, this theme “encourages consumers to include the foods they love as part of a healthful eating plan that is tailored for their lifestyles, traditions, health needs, and of course, tastes.” This supports something you may have heard people refer to as the 90/10 rule: practice healthy eating and healthy lifestyle behaviors 90% of the time, but always leave a little wiggle room for those special foods that may not exactly score 10 out of 10 on the nutrition scale. As you’ve most likely heard before, the mantra “everything in moderation” still holds true. So, how can you make your daily diet move a little closer towards the 90/10 rule? • Take part in our Nutrition Month healthy eating raffle. Every weekday in March, order a “Wellness Option” from the HMH Café and receive an entry into our raffle. If you are not able to visit the café, email a description of the healthy meals you consume to dogalial@ah.org for an entry into the raffle. Weekly raffle prizes will be drawn with prizes including gift certificates to healthy restaurants and grocery stores as well as Wellness related items such as pedometers, cookbooks and water bottles. • Share your healthy eating success with others! Post recipes and pictures of your healthy meals or healthy snack ideas on our Facebook page: www.facebook.com/howardmemorialhospital • Pick up the “Recipe of the Week” from the HMH Café for ideas of how to keep your healthy eating plan going at home. • Get Moving! Remember that all healthy eating plans include physical activity. Sign up for a new exercise class or head to the Coast on March 16th for the Whale Walk/Run •

All About Core Movement, is a new group forming on Thursdays in Willits, beginning March 14, taught by Jenna Byrne, MFA, CLMA, RSMT. To register for the workshop email: bodylifestudio@gmail. com, call 707-972-0049, or visit bodylifestudio.com

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Fort Bragg Whale Walk and Run: March 16, 2013 on Saturday at 8:00 am. This event includes a 10K run, 5K run, 5K competitive walk, 5K fun walk kiddie race. Register at: www.theschedule.com

Wishing you wellness

Know Your Numbers! Our “Know Your Numbers” biometric screening events will be taking place on Sunday, March 10 from 9 a.m. to 6 p.m., Monday, March 11 from 5 a.m. to 2 p.m., Tuesday, March 12 from 11 a.m. to 8 p.m., and Wednesday, March 13 from 6 a.m. to 3 p.m. at the 11 Oaks Building. (If these dates and times are not convenient, you can complete your screening Julie Harris at an Adventist Health facility near you.) The biometric Benefits Specialist screening, online health risk assessment (HRA) and any health coaching or care management are strictly confidential and results are not shared with your employer.

s y a d h t r i B March

Yvonne L.

Carol B.

Matt W.

Dolly G.

Monique O.

Deena Y.

Gloria L.

Adriana V.

Reza G.

Brandy A.

Jesse F.

Karen O.

Helen T.

Nika P.

You’ll also have the opportunity to meet with a health coach to review your results, and receive some suggestions for prospective next steps to improve your health, and to prevent illness and disease. Information on how to complete the online HRA will also be provided to you at this time.

Regina V.

Erinn C.

Franklin S.

Screenings are conducted by appointment, and can be scheduled using the link, login and password provided below. Please bring your health plan ID card with you to the biometric screening.

Amy B.

Martha G.

Sharon F.

Patty P.

Jen R.

Nannette P.

Nancy A.

Vickie K.

Jodie D.

Teri S.

As a reminder, the screening is required for all employees and spouses who are Engaged! Plan members. Those who do not complete the biometric screening and HRA will be moved to the Base Plan and will incur a higher monthly contribution and co-pays than they would in the Engaged! Plan. Employees and spouses who are Base Plan members are encouraged to participate as well—it is free! The time required to participate in the biometric screening is approximately 30 minutes and can be completed during work hours, provided you make prior arrangements with your supervisor. The biometric screening consists of blood pressure, height and weight measurement, body mass index calculation, glucose, total and HDL cholesterol (finger stick), LDL, and triglycerides for those who fast (fasting is encouraged, but not required).

When: Sunday, March 10 9 a.m. - 6 p.m. Monday, March 11 5 a.m. - 2 p.m. Tuesday, March 12 11 a.m. - 8 p.m. Wednesday, March 13 6 a.m. - 3 p.m. Where: 11 Oaks Building Register for your appointment at www.screeningreg.com Login: adventist

Password: healthy

Adventist Health’s mission is to share God’s love through providing physical, mental and spiritual healing. We are best able to fulfill our mission when we are good stewards of our own physical, mental and spiritual health. If you have any questions about any details, please contact our LivingWell Site Coordinators, Darcy, de Leon, x3101, Julie Harris, x3015 or Leslie Smith, x3294.

Tabouleh Continued Massage kale and lemon juice with hands for several minutes to tenderize kale prior to mixing in with tabouleh. Combine quinoa and bulgar wheat along with all ingredients in a bowl mix well. Serve as a side salad or main dish. Great with vegetable kabobs, hummus and whole wheat pita bread, marinated mushrooms, grilled zucchini or delicious by itself. Per Serving: 93 Calories; 4g Fat (37.3% calories from fat); 3g Protein;13g Carbohydrate; 2g Dietary Fiber; Omg Cholesterol; 358mg Sodium. Exchanges:1/2 Grain(Starch); 1/2 Vegetable; 0 Fruit; 1 Fat.

Joint Commission Tri-Annual Survey Surveyors from The Joint Commission visited the HMH campus for our tri-annual survey on February 12 and 13. Although we have some things to work on, we did well. This survey had fewer findings than our survey three years ago. Thank you to Betty Hawks and team, and everyone who met directly with the surveyors. You did awesome. Congratulations to all! Each of us play an important role in providing excellent care at HMH. In the closing session with Joint Commission, Debra Payne RN, team leader said, “I can feel the teamwork, pride in giving good patient care, and loyalty to this facility. You provide excellent care here at Howard Hospital, let your team know how we feel.” Vincent Melton, EOC/LS Specialist, mentioned during the Lab survey that he would feel comfortable being a patient here and that he has almost never felt that way about a hospital he has visited. “I am always proud of you and the work that we do but (that day) I was extra proud - you should be too,” HMH CEO Rick Bockmann said.

Did You Know? Facts and Tidbits of Info about the Construction of Our New Hospital • •

Department floor plans can be viewed on the Connect Page and in Administration. A doll house model of the new hospital can be viewed in the Administration building.

Work continues on the structure, including welding the beams, installation of underground utilities (plumbing & electrical) and pouring the slab. Planning has begun on selecting furniture that ensures patient and visitor comfort, meets our Planetree objectives and compliments our color theme. Emphasis on low-voltage planning is also underway, down to details such as counting the number of cables required to run data throughout the building. For pictures and more info about our new hospital construction progress visit the Connect page: https://connect. ah.org/site/hmh/frank-r-howard-memorial-hospital/new-hospital-construction Questions? Contact: Shauna de Marques deMarqSL@ah.org x3187

The Dew Drop By Peter Huges

Have you noticed the change in the weather? Days are warmer and getting longer. Daffodils are starting to bloom and little tiny buds are starting to develop on the bushes. Spring is around the corner. Change is everywhere! Enjoy this story about spring and the “why” of change. The story is titled appropriately “The Dew Drop” by Peter Hughes As the sun rose, a dew drop became aware of its surroundings. There it sat on a leaf, catching the sunlight and throwing it back out. Proud of its simple beauty, it was very content. Around it were other dew drops, some on the same leaf and some on other leaves round about. The dew drop was sure that it was the best, the most special dew drop of them all. Ah, it was good to be a dew drop.

Dennis Long, Chaplain

The wind rose and the plant began to shake, tipping the leaf. Terror gripped the dew drop as gravity pulled it towards the edge of the leaf, towards the unknown. Why? Why was this happening? Things were comfortable. Things were safe. Why did they have to change? Why? Why? The dew drop reached the edge of the leaf. It was terrified, certain that it would be smashed into a thousand pieces below, sure that this was the end. The day had only just begun and the end had come so quickly. It seemed so unfair. It seemed so meaningless. It tried desperately to do whatever it could to cling to the leaf, but it was no use. Finally, it let go, surrendering to the pull of gravity. Down, down it fell. Below there seemed to be a mirror. A reflection of itself seemed to be coming up to meet the dew drop. Closer and closer they came together until finally... And then the fear transformed into deep joy as the tiny dew drop merged with the vastness that was the pond. Now the dew drop was no more, but it was not destroyed. It had become one with the whole.

News from the Volunteers By: Sheila Gray The Howard Hospital Auxiliary had the extreme pleasure of attending a luncheon in honor of Jann Lamprich our Director of Volunteer Services for over 21 years. Jann has been a strong and steady force behind the Volunteers for all these years. She is retiring from this position but we will still see her around as she continues her many duties with the Howard Foundation. Thank you, Jann. Becky Hope, our new Volunteer Coordinator will now be our liaison to staff. We welcome her and know she will continue to support us, help us grow and enjoy “volunteering.” We are constantly recruiting new members to help us with some of our duties such as Pet Therapy, helping out with Joint Care Program, and various activities as needed in the hospital. Anyone interested can contact any member of the volunteers or Becky at HopeRL@ah.org.

HMHIn -Touch March

March 10

Calendar of Events

Daylight Savings Begins

Biometric Health Screening • 9:00 a.m. - 6:00 p.m. • 11 Oaks Conference/Training Room 11

Biometric Health Screening • 5:00 a.m. - 2:00 p.m. • 11 Oaks Conference/Training Room

Biometric Health Screening • 11:00 a.m. - 8:00 p.m. • 11 Oaks Conference/Training Room

Biometric Health Screening • 6:00 a.m. - 3:00 p.m. • 11 Oaks Conference/Training Room Freedom from Smoking • 6:00 - 7:00 p.m. • Main Hospital Conference Room

St. Patrick’s Day

Leadership • 1:00 - 3:00 p.m. • 11 Oaks Conference Room

First Day of Spring Freedom from Smoking • 6:00 - 7:00 p.m. • Main Hospital Conference Room

General Orientation Day 1 • 9:00 a.m. - 3:00 p.m. • 11 Oaks Conference Room Freedom from Smoking • 6:00 - 7:00 p.m. • Main Hospital Conference Room

Beneﬁts Session • 11:30 a.m. - 3:00 p.m. • 11 Oaks Conference Room Diabetes Support Group • 6:00 - 8:00 p.m. • Main Hospital Conference Room

Easter Sunday

April 3

Freedom from Smoking • 6:00 - 7:00 p.m. • Main Hospital Conference Room

These events and more can be found on the Events Calendar on the Connect Page https://connect.ah.org/site/hmh/frank-r-howard-memorial-hospital/calendar

HMH In Touch is published for employees, physicians, board members, and volunteers. Articles for submission should be sent before the 15th of the month. We reserve the right to edit for space and content.

Send Submissions to: Kristen McCallum x3127 Email: McCallKP@ah.org Executive Team: Rick Bockmann, CEO Brandon Parker, VP Finance Karen Scott, VP Patient Care

Editorial Team: Kristen McCallum, Editor in Chief Patsy Broeske, Copy Editor DG Creative, Graphic Consultant Compliance/HIPPA Reporting: Brandon Parker FCO & FSO x3001 Diane Moratti, FPO x3117 or 888-366-3833