August 2023 Inside Inspira Newsletter

Rewards and Recognition Portal Upgrade

In our last Employee Engagement and Safety Survey we heard your concerns about, and barriers experienced, with the current Rewards and Recognition platform and are taking action.

We’re pleased to announce we’ve made significant improvements to Inspira’s Rewards and Recognition platform. As we work toward creating a better experience for our employees, we will be rolling out enhancements to the platform in two phases this year. Included within Phase I and available now are:

• An updated website reflective of the Total Rewards model

• Single sign-on capabilities—you’ll no longer need a separate username and password to access

• A new mobile app that puts the power of praise in the palm of your hand, and also has single sign-on capabilities

• Profile personalization, including the ability to upload photos as well as list interests, hobbies and more

• Refreshed e-card styles—including a new category for our values, I.C.R.E.A.T.E.—to send to colleagues for a job well-done

Phase II is expected to roll out in the fall. If you have any questions about Rewards and Recognition, please contact the HR Service Center (email: HRServiceCenter@ihn.org; phone: 856-641-6947).

DAISY Award Winners

Wendy Rosen, M.S.N., R.N.C.

2Q23, Mullica Hill, Maternity

Wendy Rosen is an exceptional role model, nurse advocate, patient advocate and human being. Wendy strives for excellence in every undertaking she pursues, always gives 100 percent effort and accomplishes her goals with grace and gratitude. She has an incredible mind and it moves at top speed, always determining what she can do to improve patient outcomes, educate the staff and care for every individual based on their own specific needs.

She is not only our nurse educator, but also a natural leader and trusted friend. Wendy is my mentor. She has guided and encouraged me through obtaining my master's degree in nursing education. By reviewing and following my course objectives, she helped me to design and implement the online childbirth education program we are currently using for our patients. She helped me to select a vendor, get approval for a capital purchase, design the education plan and roll out the finished product via Teams. This was an amazing opportunity for me to see the role and responsibilities of the clinical outcomes manager by being a partner to Wendy.

Wendy has a certain magic that seems to exude from her effortlessly. It's her ability to instill confidence and value in others. Not only has she done that for me, but I see her investing herself in everyone. She wants to see people succeed. She looks for a spark of interest as an opportunity to cultivate higher learning, nursing excellence and the self-esteem of the staff members. She has a special way of coming up with projects tailored specifically around patient care issues or suggestions from the staff. She listens, she researches, she is full of ideas and gladly shares academic opportunities with those who are interested.

When Wendy is not working with her staff, she is busy keeping up to date on the most recent literature to improve patient outcomes. There are countless ways in which Wendy improves the patient experience. Most recently, Wendy Rosen has rolled out extensive education regarding hypertensive disorders of pregnancy. Because this is a state-mandated quality improvement initiative, Wendy Rosen has gone above and beyond to make sure all the staff is doing everything possible to follow the specific treatment algorithms. This includes writing policies, designing and distributing educational materials, planning and implementing drills, training nurses and providers and auditing charts. Through Wendy, in collaboration with nursing staff, our unit has gotten manual blood pressure cuffs in every room and worked in coordination with pharmacy to get antihypertensive kits available in the Omni Cell for streamlined medication administration. She also made BP cuffs available to our patients when needed, added hypertension and preeclampsia statements into our discharge instruction and is advocating for nurses to make sure a hypertensive patient has a follow-up appointment scheduled with their provider at discharge.

Last, but certainly not least, Wendy is a kind and compassionate person who cares about others' feelings. She's a coach and a cheerleader and has a listening ear and shoulder to cry on. Her door is always open, but it’s shut if you need a moment. She brings candy and snacks and encouraging words to all her meetings. She's there next to you if you need her support and is always willing to lend a hand. Additionally, she has an amazing way of giving others the credit and recognition they deserve. These are only a few examples of her accomplishments, and there are many, many more. Wendy is an invaluable asset to the department. -Colleague

The DAISY Award® recognizes outstanding licensed nurses for their skillful and compassionate care.

DAISY Award Winners continued on next page.

DAISY Award Winners

The DAISY Award® recognizes outstanding licensed nurses for their skillful and compassionate care.

Abigail Warner, B.S.N., R.N.

3Q23, Mullica Hill, ICU

My father was admitted to the ICU, intubated with a tube down his throat and I was at his side by myself. Abby was his nurse and continuously checked in on him, constantly trying to make him more comfortable. She rubbed his hand and talked to him and was so caring. Her bedside manner is so calming. Always with a smile on her face. Abigail made me feel like my father was her only patient. -Patient's Family Member

Michele Alston, R.N.

1Q23, Bridgeton, ED

Michele is extremely reliable and knowledgeable. She goes above and beyond for patients and takes special care of those that frequent the ED—making sure they have food and clothes, and even helping them shower. This nurse is a phenomenal team player. -Colleague

PETAL Award Winners

Every DAISY has its petals. The PETAL Award is a recognition program that honors the performance, dedication and diligence of Inspira’s nursing support partners.

Talonna Shaw

1Q23, Elmer, 2 South PCT

In the short time I have worked with Talonna she has quickly distinguished herself as a caring, thorough and reliable coworker. I know that when she is working my patients will be well-cared-for. More than that, she takes time to bond with her patients and consistently goes above and beyond to give them a positive experience. She is fantastic. She started at Elmer as an agency PCT and is now full time on 2 South. Every patient she comes in contact with has nothing but great things to say about her care. She always goes the extra mile for her patients whether it means actively listening or fluffing their pillows. -Colleague

William Wentz

1Q23,

Bridgeton Security

William is a dedicated employee who always goes above and beyond to protect patients, staff and visitors alike. Bill has a proven track record of excellence and dedication toward all those he comes in contact with. Several weeks ago, Bill encountered a patient in the emergency room parking lot unconscious with no pulse. His fast-acting response in alerting staff no doubt saved the patient's life. Bill has always gone out of his way to train and mentor new officers. He has dedicated his life to making sure policies and procedures have been followed to ensure the safety of his peers and staff alike. -Colleague

LearningBoards

ALICE Safety Training

Bill Wiley, director of Security and Safety, shared a recent item that landed on the green "Solved" section of the Security and Safety learning board titled, "ALICE: Alert, Lockdown, Inform, Counter, Evacuate."

Our medical centers, doctors’ offices and care providers all embody a place of safety and healing for those who enter our doors. Rarely do we ever think, or believe, that someone would enter our doors to disrupt that and cause harm. Unfortunately, acts of violence against health care professionals, as well as active shooter situations in health care settings, are no longer as unthinkable as they once were. As an organization rooted in placing our employees and patients at the center of all we do, it is our responsibility to provide the tools and resources to create and maintain a safe environment for all.

Over the past 20 years, shootings in hospital settings have been on the rise. In just June of last year, there were five violent incidents in hospitals across the country. Research shows that the average duration of a violent critical event is between 5 and 15 minutes, with shots that can fire in 4 to 15 seconds; and the national average response time for law enforcement is 2 minutes from the time of the 9-1-1 call, usually after the violence has begun. Oftentimes this means that the police cannot arrive on site until after the shooting has ended and the greatest impact is made by those already on scene when the violent act begins. As such, it is critically important that organizations prepare their staff to respond and survive.

The Inspira Security team, in collaboration with the Emergency Preparedness and Workplace Violence teams, have developed a comprehensive plan centered around active shooter preparedness and response. Over the course of the year, we will roll out a number of educational resources and trainings to staff, implement new gun-safety technologies and continue to collaborate and train with law enforcement on prevention strategies.

Our top priority is to create a safe environment for our employees and for our patients. This active shooter program is incredibly important as it will help train us all on how to keep ourselves and our patients safe if an event were to occur.

Check your Inspira email for additional information, such as background on the ALICE training model, as well as an accompanying schedule.

In the interim, if you have any questions about the active shooter plan or upcoming training, please reach out to Bill Wiley.

Does your team use your department Learning Board effectively? Is there a Learning Board item that your department completed and would like to highlight?

Email your Learning Board stories to Katy Perez (PerezK@ihn.org) for a chance to be featured!

Pictured from left to right: Justin Rodriguez, Workplace Violence Specialist; Virginia Johnson, Security Manager; Kim Zucal, Mobile Security Officer; Chris Hampton, Security Officer Vineland; Dave Henning, Security Officer Vineland; Sean Dowling, K9 Officer Vineland.

Pictured in the back: Bill Wiley, Director of Security and Safety

RELIABILITY

Speak Up for Safety

Great Catch of the Month July

Qadirah Scruggs

Support Service Aide, Environmental Services, Mullica Hill

Submitter: Shared at Environmental Services staff meeting

This Great Catch highlights the importance of consistently Paying Attention to Detail using our High Reliability tool STAR (Stop-Think-Act-Review) to ensure Safe Sleep for newborns.

Qadirah Scruggs, support service aide in Environmental Services, was working on the Mother Baby unit at Inspira Medical Center Mullica Hill. Paying Attention to Detail, Qadirah saw twin newborns sleeping in separate bassinets, and one was sleeping unsafely with the head of the bassinet elevated. Qadirah immediately took a STAR Moment to Speak Up for Safety and notifed the care team on the Mother Baby unit.

• STOP- Qadirah paused when she saw one of the twins sleeping unsafely with the head of the bassinet elevated.

• THINK- Qadirah thought about the risks of unsafe sleeping.

• ACT- Qadirah notified the care team that the newborn was sleeping unsafely.

• REVIEW- The care team on the Mother Baby unit ensured risks to the baby were mitigated, provided education about safe sleep to the mother, shared the situation with their manager and shared the situation with the unit for awareness and learning.

Had Qadirah not taken a STAR Moment to ensure Safe Sleep of the baby, the baby could have potentially been harmed. This is why we must be Paying Attention to Detail using our High Reliability tool STAR (Stop-Think-Act-Review) to reinforce our best practice Safe Sleep Program.

Thank you Qadirah for Paying Attention to Detail using our High Reliability tool STAR (Stop-Think-Act-Review) and living our Inspira Value of Reliability

RELIABILITY

Speak Up for Safety

Great Catch of the Month July

Kristen Lutz

Safety Coach and Diagnostic Coordinator, Cancer Services, Vineland

Submitter: Jami DeNigris, Director of Cancer Services

This Great Catch highlights the importance of embodying our Mission, Vision, Values (I.C.R.E.A.T.E.) and system goal of Teamwork, as well as our High Reliability Tones, Tools and Behaviors.

A patient reached out to Vineland Oncology with a concern. A computerized tomography (CT) scan had been ordered by Dr. Ahmad and scheduled at Delsea Imaging. However, the patient received a call from Delsea Imaging stating that there was no authorization, leading the patient to consider canceling the appointment. Amanda Morales, medical assistant of surgical oncology, took the initiative to contact Kristen Lutz, safety coach and diagnostic coordinator of Vineland Cancer Services, seeking guidance on how to proceed and whether the patient should cancel.

Kristen promptly engaged with the pre-service team and spoke with Carmen Rosario, pre-service pre-cert representative of patient registration, to address the issue. Carmen successfully attached the authorization to the appointment and contacted Delsea Imaging to confirm that the CT scan was indeed authorized, assuring the patient could keep their appointment. Amanda then reached out to the patient, providing reassurance regarding the authorization and instructing them to proceed with the scheduled appointment.

Seeking to understand the root cause of the authorization issue, Kristen initiated a discussion with Carmen. It was revealed that the authorizations were not being completed for Dr. Ahmad's patients because their team only handled authorizations for Inspira providers, and Dr. Ahmad was listed as a non-Inspira provider in Soarian Financials. Recognizing the need for improvement, Kristen and Carmen collaborated and discovered that tests ordered by Dr. Ahmad were automatically placed on a non-Inspira worklist for pre-service based on a setting in Soarian Financials. They agreed that pre-service should take responsibility for completing authorizations for Dr. Ahmad's Inspira patients.

Kristen and Carmen worked together with Maryanne D'Agostino, supervisor of patient registration, and supervisor of patient registration, to implement changes to either

the setting or the process, aiming to enhance the system moving forward. The entire pre-service team was informed and instructed to cross-check Dr. Ahmad's patients on the worklist with PowerChart to confirm their status as Inspira patients and ensure their authorizations were completed.

This Safety Story exemplifies how a Safety Coach is empowered to Speak Up for Safety and collaborate with various departments to improve our systems, all in the pursuit of providing safer and more reliable care for our patients, staff and community.

Kristen shared her experience using our High Reliability Tool, ARCC (Ask a question, Request a change, Communicate a concern and Chain of command), with the system goal of Teamwork at the core:

• Ask a Question: Kristen asked why authorizations were not completed for Dr. Ahmad's Inspira patients.

• Request a Change: She requested a change to the pre-service process to help identify Dr. Ahmad's Inspira patients who require authorization.

• Communicate a Concern: Kristen effectively communicated her concern that authorizations were not being completed for patients in need of timely testing to treat or rule out cancer, putting their appointments at risk of cancellation.

• Chain of Command: Kristen and Carmen elevated this concern up the chain of command within Patient Access. As a result, the supervisor implemented a cross-check process for all pre-service representatives to identify Dr. Ahmad's Inspira patients and ensure their authorizations are completed.

This collaborative effort and commitment to safety and teamwork are truly commendable and contribute to the continuous improvement of our care delivery system.

Thank you, Kristen, for embodying our Mission, Vision, Values (I.C.R.E.A.T.E.) and system goal of Teamwork, as well as our High Reliability Tones, Tools and Behaviors

Join Us for Schwartz Rounds: Join Us for Schwartz Rounds:

C ARING FOR PATIENT S WHEN THEY DON’ T C ARE FOR THEMSELVES

NAVIGATING THE CHALLENGES OF C ARING FOR NON–COMPLIANT PATIENT S

WHEN AND WHERE? LEARNING OBJEC TIVES

Tuesday, August 22, 2023

12:00 – 1:00 p.m.

Inspira Medical Center Vineland

Educational Classrooms 1, 2, 3

•Describe the social, emotional, ethical and personal issues that arise during the care of patients and their impact on caregivers.

•Demonstrate enhanced communication with patients, family members and colleagues.

1505 W. Sherman Ave. Vineland, NJ 08360 multiple

PROGR AM DESCRIPTION

•Appraise oppor tunities to explore and understand perspectives across disciplines.

•Access opportunities to provide and receive suppor t from other health care communit y members.

There are many reasons a patient may not adhere to their treatment plans: cost of medications, lack of understanding, language barriers, mistrust and even dependency on alcohol or drugs. This panel discusses how to manage the challenges of caring for non-compliant patients. Panel includes representatives from Primar y Care, Pharmacy and the Emergency Depar tment.

Schwar tz Rounds allow for interdisciplinar y conversation about some of the most complex and compelling dilemmas tha thealth professionals face. Schwar tz Rounds of fer health care providers time to openly and honestly discuss the social and emotional issues they face in caring for patients and families. Caregivers have an oppor tunit y to share their experiences, thoughts and feelings on thought-provoking topics drawn from actual patient cases. As a result, they are bet ter able to make personal connections with patients and colleagues.