Inside Inspira Newsletter - November 2022

SJ Magazine Top Docs

Our organization works diligently to provide highquality care and a seamless patient experience for South Jersey. Today, we recognize and congratulate several of our doctors across our hospitals and specialties who have been named a 2022 Top Doctor by SJ Magazine. All 29 doctors serve across our hospitals, including Inspira Medical Center Elmer, Mullica Hill, Vineland and Woodbury, and range in specialties from emergency medicine, family practice and surgery.

Every year, this list honors the medical professionals who have made sacrifices and show their ongoing commitment to keeping South Jersey safe. Those mentioned here are just a small sample of our dedicated and amazing Inspira Health team. Their

recognition is a reflection on our entire organization and the work every person here does on both clinical and non-clinical sides in offering South Jersey residents safe, high-quality health care.

Inspira Celebrates 10th Anniversary of Deborah F. Sager Neonatal Intensive Care Unit

Inspira and Nemours Children’s Health celebrated the 10th anniversary of the Deborah F. Sager Neonatal Intensive Care Unit (NICU) at Inspira Medical Center Vineland with a carnival-themed reunion. NICU graduates and their family members, approximately 200 in all, attended the free event and reunited with the nurses, neonatologists and others who cared for them during their earliest and most fragile days.

Approximately 200 NICU graduates and their family members attended the Deborah F. Sager Neonatal Intensive Care Unit 10year anniversary celebration on October 8th.

Click here to view photos from this fun event!

The day was filled with hugs and smiles, and a few happy tears, as NICU families reconnected with members of the NICU team. Photos were taken and stories were shared as the nurses, doctors and therapists had the rare opportunity to see – and hold – babies and children that they had taken care of, for days, weeks and even months. Carnival games, face painting, a magician, and a photo booth entertained the children and their families. Inspira Medical Center Vineland’s Deborah F. Sager Neonatal Intensive Care Unit cares for infants of any gestational age. Since opening in 2012, it has provided advanced care to more than 2,500 premature, low birth-weight and critically ill babies.

Inspira LIFE to Provide Alternative to Nursing Home Care for Seniors in Gloucester County

Successful Cumberland County program expanding to neighboring counties

In October, Inspira announced the expansion of its LIFE Program (Living Independently for Elders) to all of Gloucester and Salem County. LIFE, also known as PACE in other states, provides an alternative to nursing home placement. Inspira has operated a LIFE program in Cumberland County since 2011. Enrollment in the new service area will begin late Fall.

With the expansion, Inspira will be able to help more seniors remain in their homes safely, and achieve better quality of life. Services will be provided in home, virtually and at a new LIFE Center in Williamstown. By providing comprehensive health and social services, Inspira LIFE helps participants remain in their homes while providing support and respite to family caregivers.

Inspira LIFE offers seniors, with ongoing health needs, a personalized individual health care plan tailored to meet their needs, which may include a balance of both home-based and center-based care. Inspira LIFE services are provided with no out-of-pocket expenses, based on eligibility. A multi-disciplinary team manages the care of every participant even if they are hospitalized or require a higher level of care.

The new LIFE center in Williamstown will serve as a hub for the comprehensive health and social services provided to seniors so they can remain in their homes. Elected officials and Inspira Health leaders gathered for a formal ribbon cutting ceremony at the new center on October 19th.

As one of six programs for all-inclusive care of the elderly (PACE) in New Jersey recognized by the center for Medicare and Medicaid, LIFE is an option for people ages 55 and over who are eligible for nursing home-level care. The program provides medical and specialty care, pharmacy services, dental care, vision care, hearing care, podiatry, transportation, medical equipment and supplies, behavioral wellness, nutritional counseling, occupational and physical therapies, home and personal care, end-of-life care, 24-hour access to a care team, and caregiver and family support.

Build-a-Bouquet for Breast Cancer Awareness

For Breast Cancer Awareness Month, Inspira sponsored community events in Cumberland and Gloucester counties offering event attendees the opportunity to build and take home a free bouquet of flowers. For each bouquet that was taken home, a second bouquet was created and donated to hospital patients at Inspira Medical Centers Vineland and Mullica Hill with personal notes from the attendees. As a result, a total of 300 flower bouquets were arranged by hand and donated to our patients network-wide.

Inspira sponsored a Build-a-Bouquet event at Duffield’s Farm in Sewell on October 8th.

Congratulations to our Leaders of the Quarter

Teamwork

Joan Maheshwari, assistant nurse manager, 2 South, Elmer

“Since Joan became the assistant nurse manager on 2 South, she has reorganized the supply room to make it easier for staff to locate items. Joan continually tries to maintain a fair and balanced schedule. She is always willing to take on added responsibilities. She maintains patient care skills and is always willing to lend a hand. Joan is willing to think out of the box for innovations to assist all staff.”

Empowerment

Jill Bocchese, clinical manager, Nursing Administration, Mullica Hill

“Jill is a great wound care expert who not only directly impacts patients daily through evidence-based best practice recommendations, but also provides indirect impact that's long-lasting by routinely educating clinical nurses. Recently, she organized a lunch and learn for staff and continually goes above and beyond in her role. I always look forward to working with her.”

Reliability

Darian Robbins, associate director, Tomlin Station Urgent Care

“I have had the pleasure to work with Darian for several years and she consistently exemplifies the leadership qualities that speak to Inspira's commitment to our patients. When a provider calls out, Darian's first reaction is not that we should close the center, but rather how can we remain open so we can be present and able to provide care to our patients. I continually appreciate her level of dedication and inventiveness in keeping our centers open.”

Empowerment

Elizabeth Burgess, manager, Behavioral Health, Bridgeton

“Elizabeth creates a work environment that leaves staff feeling empowered. She gives us the tools to succeed at our jobs and truly listens to our feedback and considers it in her decisions for the units. Elizabeth has turned the units around for the better. She has put people and processes in place to help the department run smoothly and efficiently.”

Teamwork

William Furdyna, assistant nurse manager, 3rd Medical Step Down, Vineland

“Bill is always a great team player despite his workload as assistant nurse manager. If we have a staffing issue, he steps in to help us floor nurses, whether it is to cover or to assist with patient care. I appreciate having him as a colleague and leader. His energy is always through the roof and he really cares about each of us. Bill encourages all of us to continue to invest in ourselves through education and certifications.”

Compassion

Dawn Davis, manager, Patient Experience, Vineland

“Dawn consistently goes above and beyond to ensure that both patients and staff are supported. She always makes herself available, is genuine in her approach, and gives 100% every time. Whenever there is a concern, she takes the time to completely address the situation. You know that you have her full support whenever she is involved and that she will give her very best. She consistently goes above and beyond to not only address the situation, but ensure that a solution is found to prevent it from reoccurring.”

Reliability

Speak Up for Safety Great Catch of the Month

Nicole Bock, pharmacist, Emergency Medicine, Inspira Medical Center Mullica Hill

Having updated and accurate medication histories is essential for our patients, especially those that are admitted to the hospital. Incorrect or incomplete medication lists can be troublesome for both the patient and the institution; as the wrong dose, frequency or duration could potentially lead to patient harm. This has been one of the responsibilities for the newly implemented Emergency Medicine Clinical Pharmacists at Inspira Mullica Hill.

While working in the Discharge Lounge as the Transitions of Care Pharmacist, Nicole Bock, who also works as an Emergency Medicine (EM) Pharmacist, was reviewing the chart of a patient that may be appropriate for the discharge lounge. Upon reviewing the medication reconciliation in Cerner, Nicole identified the previous EM Pharmacist had completed the medication history with the patient prior to admission. However, once the patient got to the floor, the admitting nurse made changes to the medication list.

Applying a Questioning Attitude, Nicole continued to Validate and Verify the patient’s medication history. In this patient’s case, she was taking a diuretic medication as needed, depending on her weight each morning. This patient’s dose is not a typical regimen, and this detail was recognized on the medication history completed by the EM pharmacist, with written specifics from the patient on when she takes it. The admitting nurse changed the list and added that the patient takes the diuretic medication daily. The nurse also added that the patient takes tramadol, a medication for pain. With further research, Nicole found that the patient had a 5-day prescription of tramadol filled in mid-August and was no longer using it.

Familiar with the process of medication reconciliation conducted by the EM pharmacists, and knowing they use multiple resources when updating a patient’s medication history, this raised a concern for Nicole. Speaking Up for Safety, Nicole escalated her concerns to her supervisor and entered an Event Report in RL6.

Had Nicole not Applied a Questioning Attitude to Validate and Verify the patient’s medication history and medication reconciliation, and spoke up for safety when the error was identified, it could have led to potential harm or death to the patient. Specifically, the diuretic medication can cause dehydration and electrolyte abnormalities if the patient takes more than the tolerable dose.

Inspira Hosts GraduationEvents for Staff

Hosted by the Magnet and Pathway to Excellence department, outdoor graduation events were held at both Inspira Medical Centers Mullica Hill and Vineland in September. In light of the pandemic and virtual environment of higher education, recent graduates were able to attend and enjoy refreshments, photos and music along with peers and family.

Click here to view photos from the graduation events.

Inspira’s Magnet and Pathway to Excellence department hosted graduation events in September.

LearningBoards

Radiation Oncology,Vineland

The Radiation Oncology department at Vineland recently had a Maintenance workorder move from the New (Red) section of the Learning Board to the Solved (Green) section of the Learning Board.

There was recently an incident where patients were seen tripping, or their walkers were getting stuck to the curb, when entering the Frank and Edith Scarpa Regional Cancer Pavilion at Inspira Medical Center Vineland. Staff immediately took a STAR moment to complete rounds where the patients were seen tripping and identified that the color coding of blue and yellowwhich served as a safety visual that a curb was present for those entering the facility - was wearing away, causing a tripping hazard.

Speaking Up for Safety, the staff escalated their concern to their department supervisor, placed a work order with Maintenance and added it to their department Learning Board. Maintenance promptly painted not only the curbing/ramp but also refreshed the handicap parking space lines.

Pictured: Back row left to right: Cindy Fox, radiation therapist; Jules Feltwell, radiation therapist; Amy Widger, radiation therapist; Vitaliy Nechay, radiation therapist. Front row left to right: Jen Silvers, aide; Veronica Franceschini, radiation therapist; Colette Goranson, R.N.; Jen Poloff, supervisor; and Kathy Weisenburg admin Secretary.

Colette Goranson, R.N. and Safety Coach of Radiation Oncology at Vineland shared,

“By taking a STAR Moment and Speaking Up for Safety, staff and patient safety were maintained. This incident highlights why it is so important for all of us to maintain awareness and ensure that we are using our HRO tools.”

Women's and Children Outpatient

Robin Taylor, nurse manager for Women's and Children Outpatient at Inspira Mullica Hill, Vineland and Woodbury shared,

“I have individual Learning Boards available for my staff at all three Women's and Children Outpatient locations. We review items on the Learning Boards at a local level during huddle, and as a system with all three locations weekly during our weekly staff meeting. In addition to department huddles and weekly staff meetings, I created a weekly flyer for my team. The flyer includes a weekly Learning Board update, network communications, team member milestones, patient experience shout outs, employee recognition and quality initiatives. Adding the Learning Board updates was a great way to close the loop on concerns the staff report at huddle and place on the Learning Board. These concerns are worked through the Learning Board as a visual, but staff seem to really enjoy a status update and the loop closed on items that were resolved, timing to resolution and transparency if unable to resolve. The flyer is updated every month with items that have been placed in the New, Working and Solved section.”

A recent item that landed in the Solved (green) section of the Learning Board is the transition of a procedure room to an ultrasound room at Inspira Medical Center Mullica Hill. This request was made by staff due to an increase in volume at Mullica Hill. The team shared that they required an additional patient room that would serve as an ultrasound room to safely care for their patients and improve the patient experience. This project included collaboration between the teams at Mullica Hill, Vineland, BioMed and Maintenance. Equipment was moved between campuses, construction was completed in the room, and exact placement of the ultrasound table was completed to ensure the patients could comfortably see the images of their babies.

Robin shared,

“Though this project took several months to complete, it was a needed change to increase the patient experience and allows for our staff to safely care for our patients. This work could not have been completed without the amazing collaboration between departments and the staff Speaking Up for Safety. The Learning Board allows a safe place for staff to share their concerns, Speak Up for Safety and has increased collaboration between departments.”

Patricia Perez, RDMS, RVT, sonographer shared,

“To be completely honest with you, when I first saw the Learning Board, I was very skeptical. I truly didn’t think it would be helpful. I came to realize that it is a great tool that enhances our department communication and an easy way to see how things are progressing in our unit.”

Pictured: Maria Patrino, R.N., Women’s and Children Outpatient, Inspira Medical Center Vineland.

DAIS Y Award Winner

Andrew Sabo, R.N.

4 West, Mullica Hill

“Andrew is an amazing nurse. He could pick up right away that I was having anxiety from being here and not feeling well. He checked on me to see how I was feeling and if there was anything he could do for me. My IV blew and I was terribly sick. Andrew never missed a beat and knew I needed an IV for the meds I was taking. He called in ultrasound and got right on it. He even called the doctor and told them that the meds blew the IV, and so I never got the medicine. Andrew was able to get new meds ordered and administered. He did not want to see me in pain, and I cannot thank him enough for that. Andrew is an amazing nurse with an amazing heart, and I think you should all know how awesome he is.” - Patient

Jill Connor, Nurse Aide

4 East, Mullica Hill

“Each shift Jill works, she goes above and beyond for her patients and coworkers. Jill is compliant with making sure patients get turned, fed, bathed, and anything extra they may need is taken care of. She is always friendly and treats her patients and coworkers with respect. Jill is an ideal candidate for the Petal Award due to her ongoing dedication to her patients and unit.” - Coworker.

Teamwork

Nico Filippi, support services aide, Housekeeping, Vineland

“Nico is an excellent worker, always going out of his way to assist others regardless of what is needed. He is truly a team player, Nico conducts himself in a very ethical manner, promotes teamwork and improves the work process. He is extremely moti vated and an example to all!”

Teamwork

Colleen Manning, coordinator, Staffing, Mullica Hill

“Colleen goes above and beyond consistently and is truly a valuable asset to the team. Colleen is always making moves to ensure patients can get out of the ER and to inpatient beds. More times than not, she is steps ahead and doesn't need much direction. She is truly an asset to our team.”

Reliability

Myriam Tabima, support services aide, Housekeeping, Bridgeton

“Myriam is a reliable, dependable employee. She takes pride in her work and ensures that her area is clear. Myriam goes over and above to make sure our patients feel they are coming to a clean environment. She is a great housekeeper who takes pride in Inspira and wants the areas she cleans to be appealing to the patients.”

Teamwork

Gina Byrne, office clerk, Inspira Medical Group Medical Staff Office

"Gina is always willing to help with a positive and welcoming attitude. She will take on an assignment and investigate what is needed to complete things correctly the first time. She truly displays the value of teamwork each and every day! Gina goes above and beyond to help fellow team members and does what's best to help the patients.”

Pictured: Sabrina Romean, director of Pharmacy (left) and Jeanine Aussenberg, Pharmacy manager (right), provide education on World Patient Safety Day at Inspira Vineland.

Inspira Celebrates World Patient Safety Day

The World Health Organization deemed September 17, 2022, to be World Patient Safety Day. This year’s theme was medication safety. At Inspira, we incorporate medication safety into our high reliability journey to zero harm through many of our actions and resources. Inspira celebrated World Patient Safety Day throughout the week of September 19th, with educational displays, games and giveaways at our main sites and rounding at our ambulatory locations.

Inspira Celebrates Healthcare Quality Week

As a High Reliability Organization, Inspira celebrated Healthcare Quality Week the week of October 17th. Our Quality and Patient Safety team partnered with our Magnet & Pathway to Excellence team to host a system Quality Showcase to celebrate, featuring quality improvement poster boards and associated decorated pumpkins (artificial). Poster boards and pumpkins included quality outcomes, nurse sensitive indicators, patient satisfaction, engagement and safety survey, and High Reliability tools.

Winners of

• Network Winner: Cardiac Progressive Care Unit4th Floor, Vineland

• Vineland: Infection Control

• Elmer: 2 East and 2 South

• Bridgeton: Child Adolescent Mental Health Unit,Intermediate Behavioral Care Unit

Inspira Medical Center Vineland's Cardiac Progressive Care Unit, 4th Floor.

• Mullica Hill: Pharmacy

• Woodbury: Population Health

• LIFE Center Vineland

• Ambulatory: Patient Experience

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