In this issue 3 In your words 6 An interview with Jim Weldon,
Chief Information Officer JULY 2013
AMAZING ST. ANTHONYâ€™S
Janette Dietzler, Manager of the Wound Treatment Center, can hear, thanks to co-workers like Lauren Felton, AuD.
AMAZING EMPLOYEES All of these employees signed up to play the Amazing St. Anthony’s Race. Their first task was to take a photo with, and describe, another St. Anthony’s employee. Above is a collage of the photos entered. 2
spotlight | july 2013
in your words
What makes st. anthony’s so amazing? OUR LATEST WINNER
t was December 2006. I had been working as a tech in Labor and Delivery for five years prior. I got accepted to nursing school and was eager to start in January 2007. It was really close to the start date and I was at work when my co-workers handed me a card. In the card was $1,200 that they collected for me for school. They said that this was my mini scholarship from my department. This was my whole department, including doctors, co-workers, and CRNAs.
Dusty Scheper, R.N. Labor and Delivery
“I was here in February on the eighth floor. The nurses and the aides were wonderful and kind. They did not know that I worked here. Yet, they were still very caring and attentive. I also had the pleasure of being treated by Thomas Olivier, M.D., and he is AMAZING!! I think that so often we forget that there are employees who go above and beyond every day because it is the right thing to do. This floor has a great set of employees.” Hether Range Breast Surgeons of South County “I have been seen here twice for colonoscopies. They went smoothly, the care was excellent, and the service was on time. Also, in August 2011, I was in a car accident and was taken to St. Anthony’s Emergency Department for a dislocated toe. Again, care was excellent, the nurses were very reassuring, and all went well.” Judith Schmitt, RD, LD, CDE Outpatient Diabetes and Nutrition Services “Early in March, 2013, I was a patient here at St. Anthony’s Medical Center in the Gastrointestinal Lab. I had a very professional experience. Everyone was spotlight | july 2013
I cried. I was scared about starting nursing school and this really helped me to stay on task and finish. I graduated in November 2009 and I still work in this awesome department, and am proud to call it my home away from home.”
compassionate and very friendly. My experience, besides being professional, was very caring. I received GREAT medical care!!! Every employee here at St. Anthony’s Medical Center is amazing!!!” Cynthia Steiger Volunteer Services “I’m not new to SAMC but I am new to Oncology Data Services. I started March 1, 2013, and all I can say is, …‘What an amazing department!’ This department follows cancer patients and their status until death. They report all cancers to the state and then nationally. Because of tumor registrars, we are able to evaluate diagnostic and treatment practices and assess quality of care and hospital programs. Registry data also is used to develop standards of care, develop strategic plans and measure progress. I feel it is important to talk about this department because it is a wonderful department doing wonderful things.” Carrie Nolfo Oncology Data Services “I think the most amazing thing I’ve seen was how the hospital came together to make such an amazing Pink Glove
video! I truly enjoyed being a part of that as much as my family and friends enjoyed watching it!” Ellen LaMar 7 West “I see amazing things happen every day around the medical center. But I have to say, when I meet weekly with both the field and hospice house staff and hear what they go through on a daily basis, I find myself saying, ‘Wow!’ The conditions some of the field nurses have to endure to help someone in their journey are not always ideal. They handle it all with compassion, grace and humility. They truly are angels among us.” Keryn Shipman St. Anthony’s Charitable Foundation
“In your words” is devoted to you, the caregiver and employee. We’ll ask a different question in each issue of Spotlight magazine via the exchange users e-mail and the responses will be entered into a drawing for a $25 Target gift card. All responses are winners! 3
amazing st. anthony’s
SWEET SOUNDS of LIFE
After a cochlear implant, Janette Dietzler is enjoying the
anette Dietzler was worried.
She loved serving St. Anthony’s as manager of its Wound Treatment Center. The problem was that she couldn’t hear. If you had a conversation sitting across from Dietzler, you would never know she’s legally deaf. She can read lips. She speaks as if she could hear every word she said. But she can’t. “My hearing loss has been gradual, ever since I was a child,” said Dietzler. “But two years ago, it got to the point that I couldn’t hear people on the phone, and I really thought I was going to get fired because that’s how so many people communicated, and I couldn’t hear them.” At the time, Dietzler had been helping patients at St. Anthony’s Medical Center for more than a decade. Now, it became time that her employer helped her. The Audiology department helped fit her with two hearing aids, which are hidden behind her blond curls. Hearing aids cost money, though, and her insurance didn’t cover them. That’s when her supervisor stepped in. “Normally, a patient has to pay up front for hearing aids,” remembered Ellie Sicola, Director of Senior Services, Wound/HBO Center, Senior Transport and Intercampus Courier Services. “But two hearing aids, costing thousands of dollars, were too much for Janette. So, I contacted the director of the Audiology Department and we worked out a plan for Janette to pay
off the hearing aids over the course of a year. We also worked with the Employee Crisis Fund. They normally give money to help employees pay their utilities and things like that. We convinced them that Janette needed the help, too.” But even with the hearing aids, Janette Dietzler and her supervisor, Ellie Sicola. Sicola said, “Janette’s a Dietzler still great clinician, has wonderful skills and is really our lead in the Wound couldn’t hear the Care Center.” phone ring, much commercially, and tried to make it less understand the person on the all work. She went a little extra, so I other end. That’s when Human went a little extra. I’m grateful we got Resources stepped in and purchased something.” a special phone that had an amplifier. Dietzler’s work phone now rings to Richard Juenger with Information her cell phone, which is programmed Services then worked with Dietzler to transmit through her hearing and the Audiology department to aids. She wears a streamer, which figure out how to program the phone looks like a small remote, around to ring directly into her hearing aids. her neck that receives audio signals “What she was doing wasn’t via Bluetooth technology and sends working, so we thought there had those signals directly to her hearing to be another way,” Juenger recalled. aids. She can hear the caller, and the “We had never done anything like this caller can hear her. before. We did a lot of research, we Dietzler’s story as an employee looked at what she was doing with her and a patient reflects the stories home phone, and what was available of many of our patients who have
“I never thought I’d have this chance.” – Janette Dietzler spotlight | july 2013
felt something amazing during their experience at St. Anthony’s Medical Center. Mary Sherfy, Director of Marketing and Public Relations, wanted to take those stories and share them. “As we go about our business, it can be easy to forget what actually happens here everyday,” said Sherfy. “What happens is sacred and life-altering for the patients and families we serve. Amazing things literally do happen here, every single day, and there is no better way to tell that story than through the real-life experiences.” So Sherfy’s team began documenting some of the stories that patients and employees were telling. She and her department called it “Amazing St. Anthony’s” and kept the entire project in-house, saving the hospital tens of thousands of dollars that many other hospitals would have paid to an outside advertising/marketing firm. “It is absolutely wonderful to the have the privilege to share real stories told by our physicians, our employees and our patients in an advertising campaign,” Sherfy said. “We believe it is a very compelling way to involve our very own in spreading the word that St. Anthony’s Medical Center is a remarkable and highly skilled community of professionals.” It’s that kind of amazing care that Clinical Audiologist Lauren Felton gave when she suggested, and fought for, insurance coverage for a cochlear implant for Dietzler. Dietzler received the implant in May, and will hear the voice of her fiancée when he says his vows at their wedding, scheduled for this month. “I was scared to get them, but to hear his voice for the first time, and to dance to the music at our wedding...well, I never thought I’d have this chance. It’s amazing. It really is!”
spotlight | july 2013
Jerry Moore’s team poses at Busch Stadium for the Heart Walk. Their son, Ryan, designed the shirt after his mother’s stroke. Pictured (L-R): Jeanne, Jerry, Becky and Ricky (Jerry’s sister-in-law and brother), and Ryan Moore.
ANOTHER AMAZING OUTCOME Jerry Moore, Senior Statistician, was at his desk in the Landmark building last December when he got a call from his son. “Ryan told me that my wife, Jeanne, had a stroke,” Jerry remembers. Because of her medical history, Jerry and Jeanne both knew a stroke would probably leave her permanently disabled. “I remember having a sharp pain in my head, and then when I tried to move my left arm, it hung limp,” Jeanne said. “I called out to my son, and my voice didn’t sound like my own.” Within minutes of arriving at St. Anthony’s, she was in surgery, where B. Kirke Bieneman, M.D., performed a thrombectomy procedure. She wrote in a letter to Dr. Bieneman: “It was nerve-wracking being awake, and the pain (was) intense when you removed the blood clot from my brain. However, the results were miraculous and immediate. I regained total use of my limbs and my speech was returned to normal. I had to let you know how thankful I am to you for your expertise and steady hand. You gave me back my quality of life and I will be forever grateful. My husband and children were moved by your concern for me as not only a patient, but as a Radio: wife and mother. You have made a KEZK (102.5 FM), KLOU (103.3 difference in my family’s life and you FM), KYKY (98.1 FM), WARH (106.5 should know that. FM), WIL (92.3 FM) and KMOX I was then transported to Barnes, where everyone was so (1120 AM). impressed with the quality of care I had received at St. Anthony’s. I Newspapers: shamelessly sang your praises to Jefferson County Leader, St. Louis Review, everyone who came to check my South County/Webster-Kirkwood Times progress.”
Where are “Amazing St. Anthony” ads?
Jerry still tears up when he remembers that day, and the care his wife received from his co-workers. “I was so worried about what could have been, and am so grateful for what is,” he said as he wiped his eyes.
Billboards: On Tesson Ferry, across from the hospital, and various locations in our service area. Website: Amazingstanthonys.org
better medicine An interview with
Jim, how has the implementation of the Electronic Medical Record (EMR) through the Epic software progressed since St. Anthony’s began the process in January 2010?
Jim Weldon, 46, joined St. Anthony’s more than two years ago as Director of Information Services for St. Anthony’s Physician Organization (SAPO). Previously, he served for 21 years at Saint Louis University, the last 11 as Director of Information Technology for all clinical, academic and research departments.
Phase 1of the EMR involved the installation of a computer in each patient room, and focused on establishing the patient’s online medical record and the medication management cycle. Phase 2 broadened that reach, incorporating Nursing, Radiology and the Emergency Department as well as physician order entry, and created a database that allows caregivers to review and research their information in ways that will improve the patient’s care. Phase 3, launched on July 1, integrates nearly everyone at the medical center into Epic. This transformation will allow staff to complete realtime documentation during anesthesia and surgery; manage more effectively case loads and supplies; improve patient care, convenience and safety; and minimize errors. Going end to end, Epic constitutes 70 percent of the workflows, but we’re also
standardizing 175 different systems, including existing EMRs operating in Cancer Care Services, Physical Therapy, Heart Specialty Associates and St. Anthony’s Physician Organization (SAPO). What should everyone know about the EMR and the Epic software?
The focus is not on the technology, but rather on the overall patient experience. Adoption of this comprehensive EMR allows us to improve patient safety, quality outcomes and profitability. Moreover, it has forged new levels of collaboration between physicians, nursing staff and hospital leadership. St. Anthony’s was among a small group of hospitals nationwide honored in March for attaining a Stage 6 score in HIMSS Analytics’ United States Electronic Medical Record Adoption Model, or EMRAM. What does that mean?
Ultimately, it means that this hospital has made a significant commitment and investment to reach this stage. Stage spotlight | july 2013
Chief Information Officer at St. Anthony’s Medical Center 6 signifies that we are able to operate in an advanced electronic patient record environment. As of March, only nine percent of hospitals in the country achieved stage 6 or above. It is a testament to our physicians and staff whose dedication is clear in providing the best care for our patients. Eventually we will attain the HIMSS stage 7 designation. That’s when you’re basically paperless, and you share data across disparate systems. Less than two percent of medical systems in the nation have achieved that – it’s really difficult. Who, exactly, has been working to implement the EMR’s Epic software hospital-wide, most recently the rollout of Epic Phase 3?
On the inpatient side, there are Kadi Montez, Karen Kennedy, Ed Wichmann, and Damon Broyles, M.D., Clinical Director of Information Technology over all systems, and their staff. On the ambulatory side, Karissa Miller and Chris Marr have been working diligently on this implementation. In addition, managers and staff throughout the medical center stepped up to the plate to learn the Epic system and support the spotlight | july 2013
changeover. Truly, this has been a team effort. What are the plans for continued progress with Epic over the next six months?
Now that the clinical and business operations have been incorporated into the Epic system, you should see efficiencies around that. And we will begin preparing for the ICD-10 CMS requirements coming from the federal government in 2014. ICD10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems, a medical classification list that includes more than 68,000 standardized codes for diseases, symptoms, abnormal findings, complaints and more. We have been recognized by the Centers for Medicare & Medicaid Services (CMS) for achieving year 1 meaningful use designation, which means we have met or exceeded quality standards set by the government with our EMR with a strong focus on quality and continuity of care for our patients. We’re working to achieve stage 1, year 2 meaningful use designation in the fall and, beyond that, meaningful use stage 2.
Jim with his wife, Molly
We’d love to know more about your family and hobbies.
A native South Sider, I’m a graduate of Bishop DuBourg High School and Saint Louis University. My wife of 21 years, Molly, and I were high school sweethearts. We live in Eureka with our two children, Tessa, 16, and Zach 11; two basset hounds, Daisy and Beauregard; and our cat, Eve. We’ve been active with St. Mark’s Lutheran Church in Eureka for 10 years. I also serve as head football coach for the Chesterfield Football Association, and as a member of the executive board. I enjoy camping and am an avid river and stream fisherman.
TEAM EFFORT SAVES A LIFE
oe Warner, 53, was doing the dishes in his Imperial home before dinner on Jan 31. He had suffered a heart attack the previous November and was recovering from double-bypass surgery. He had just returned to work as a salesman at a plastics company, and he was talking with his 19-year old stepson, Tyler Wheat. Wheat remembers, “I wasn’t even supposed to be there. I was supposed to be out with friends, but they had cancelled our plans. I had just gotten home from the store and was walking up the stairs from the garage. I heard Joe in the kitchen. I asked him how his day was, and he joked that his job was going to kill him. Then he got a dazed look, and couldn’t speak.” At that moment, Warner dropped to the floor, and only remembers darkness. His stepson called 911, and started CPR, something Wheat had learned years ago. The dispatcher instructed Wheat until paramedics arrived. They took him to the Emergency Department at St. Anthony’s Medical Center, where Randy Speck, M.D. was waiting. “He (Warner) was lucky that people were nearby when this happened,
Service From The Heart:
and that paramedics could get him to St. Anthony’s quickly,” said Dr. Speck. Dr. Speck, along with Tina Gearhart, R.N., worked to stabilize Warner and then moved him to the ICU. Wheat said, “The doctors and nurses would come out to us, told us what to do, and what was going to happen step by step so we understood.” Warner has been told that he coded numerous times over the following 48 hours. He remembers none of it. Doctors say he is lucky not only to be alive, but to have survived with no major brain damage. “I have some short-term memory problems,” says Warner, who is back at work. “I’m thankful to be alive every day. I try to live a much happier and stress-free life. I want to see my grandchildren born.” “I will never forget it,” says Wheat. “St. Anthony’s played a major role in saving my stepdad’s life. It’s pretty miraculous, and pretty mind-blowing to know he made it and is as well as he is. It’s pretty amazing.”
From left are Kevin Gibson, M.D., Randall Speck, M.D., Dennis Disch, M.D., Joe Warner, Tina Gearhart, R.N., and Kim DeMerit, R.N. The medical team earned the Clinical Save Award from the East Central Regional Advisory Council.
TAKING CARE OF A TEEN
“No one likes being stuck in the hospital, but it’s ten times worse when you’re a teenager.” Jena Hollinshead, R.N., B.S.N., remembers the Saturday afternoon in the Neuro-Intensive Care Unit when her female patient, who was waiting for surgery a few days later, couldn’t sit up, couldn’t roll over, and was struggling emotionally. “I feel like anything that we can do to make patient care better, we really should do it,” said Hollinshead.
“I saw the need for something extra for her. Patients have different needs that can be met in different ways. For some, it’s ice cream. For others, it’s holding their hand.” For this patient, Hollinshead thought a spa day would help. “I have sisters,” said Hollinshead. “We would always paint each other’s nails and it always made us feel better!” Hollinshead gave the young woman a manicure, pedicure, shampoo, and style. She even spent her own money at the
hospital gift shop to buy shampoo so the patient’s hair would smell pretty. “She was a lot happier,” remembered Hollinshead. “She smiled a lot more. She was a lot more social with her visitors. I think she felt more confident and more like herself.” It’s that amazing care for patients that earned Jena Hollinshead the quarterly Service from the Heart Award, presented by the Rewards & Recognition Team. Congratulations!
Carol Klos (right), Nurse Manager, Surgical ICU, at the Service from the Heart Awards, tells the audience why she nominated winner Jena Hollinshead for the award.
Spotlight is published quarterly by the Marketing department at St. Anthony’s Medical Center. Writer: Anne Steffens, ext. 6877 Photography: Christy Siebert, ext. 6835 Graphic design/layout: Stephen Walker, ext. 6875