St. Luke's Patient Care Services Report

ST. LUKE’S

Patient Care Services Report 2016 - 2017

Focusing on patients and quality care

Dear Colleagues, Welcome to the 2016-2017 Patient Care Services Annual Report. By the time you receive this, we will be well through our 2017 efforts and looking forward to our 2018 priorities. It remains important that we recognize and celebrate the many accomplishments of the past 18 months.

I also want to take this opportunity to thank you for your many contributions in providing exceptional care. Please know how impactful each of you are in assuring that our patients and families receive the healthcare we’d like our loved ones to receive. Across our many sites of care, this is happening every single day. Take pride in your collective accomplishments and the difference you are making for our community. It is evident we do not have pockets of excellence, but rather a culture of aspiration that drives us to provide exceptional care in all settings.

Table of Contents 1 -2

Preparing for the Future

3

Patient Care Services Strategic Plan 2017

4-10 Exemplary

Professional Practice

11-14 New Knowledge 15-18 Structural

Empowerment

19-22 Transformational

Leadership

23-25 Community Contributions

This culture has led to another year of external recognition, such as Becker’s list of ‘100 Great Hospitals in America,’ U.S News & World Report’s ‘Best Regional Hospital,’ Truven Health Analytics ‘Top 50 Heart Hospital’ for the sixth time, and ‘Best Hospital in the Corridor’ for the fifth time. We also received continued Joint Commission Disease Specific Designations for Heart Failure, Palliative Care, and Hip and Knee Replacement Programs, along with re-certification as a Primary Stroke Center. Our Inpatient Rehabilitation Unit has received specialty certifications in stroke and brain injury. Our critical care colleagues celebrated the Beacon Award for Critical Care Excellence, given by the American Association of Critical Care Nurses to recognize the nation’s top hospital critical care units. Our Magnet designation continues to convey to our team members and our community that we are committed to exceptional nursing care and a positive work environment that support the desired work.

Throughout this report, you will see examples of Exemplary Professional Practice, such as building a program to promote advance care planning (ACP) within our health system and in the community, engaging the cross-continuum team to reduce readmissions for the COPD patient, and the use of AvaSys® TeleSitter monitoring system to reduce patient falls. Leader Rounding on patients has made a powerful impact on the patient and family experience.

Innovations in Care are highlighted by the introduction of new therapy innovations for our behavioral health clients, and efforts to prevent readmission through a community paramedicine program. St. Luke’s nurses and colleagues contribute to New Knowledge through participation and leadership in evidence-based practice and research studies.

The accomplishments illustrated throughout the report reflect the impact of Shared Governance and Transformational Leadership. The department-based Unit Practice Councils have been instrumental in improving care at the unit level, while the interdepartmental councils, such as Practice Council and Performance Improvement Council, drive house-wide improvements.

Opportunities for celebration, reward and recognition occur throughout the year. We continue to honor Daisy Award winners who have been nominated by patients, families, or peers for providing exceptional nursing care. We feel very fortunate to partner with the Barnes Family in their efforts to honor nurses. We are also very proud to have added seven St. Luke’s nurses to the Top 100 Great Iowa Nurses roster. Nursing Excellence Awards, new certifications and degrees, as well as other accomplishments, are signs of individual and organizational commitment. Please enjoy reading about your colleagues and their achievements, as well as seeing your own efforts recognized and celebrated. St. Luke’s continues to be successful, with patients benefitting, because of you and the work you do individually and as teams to deliver on our mission. Thank you!

Sincerely,

Carmen Kleinsmith, MSN, RN Vice President & Chief Nurse Executive

We will be the place where leaders want to lead, physicians want to practice, staff want a career and patients must have their care.

OUR MISSION Improve the health of the people & communities we serve OUR PURPOSE UnityPoint Health® – St. Luke’s Hospital: To give the health care we’d like our loved ones to receive OUR VISION Best Outcome Every Patient Every Time® OUR VALUES FOSTER UNITY • OWN THE MOMENT CHAMPION EXCELLENCE • SEIZE OPPORTUNITIES

2016 | A Year in Review St. Luke’s Named to Becker’s list of 100 Hospitals & Health Systems St. Luke’s Hospital was named to Becker’s Hospital Review’s “100 Great Hospitals in America” for a fourth consecutive time in 2016.

St. Luke’s was also named to the list in 2013, 2014 and 2015. The hospitals included on Becker’s Hospital Review are renowned for excellence. They are industry leaders in innovation, quality patient care and clinical research, and have received recognition across various publications and accrediting organizations.

U.S. News & World Report names St. Luke’s second Best in Iowa St. Luke’s Hospital is among the nation’s Best Regional Hospitals, according to U.S. News and World Report. St. Luke’s tied for second best hospital in Iowa in the U.S. News & World Report 2016-17 edition and was ranked as high performing in seven procedures/conditions. The annual U.S. News Best Hospitals rankings, now in its 27th year, recognizes hospitals that excel in treating the most challenging patients.

St. Luke’s a Top 50 Heart Hospital In 2016, St. Luke’s was designated as one of the 50 Top Cardiovascular Hospitals for the sixth time. The study, in its 17th year, singled out 50 hospitals that achieved superior clinic outcomes in this critical area of hospital care.

“This is truly an honor for our entire cardiovascular team,” says Dr. Todd Langager, UnityPoint Clinic Cardiology.

“Their dedication to excellence has truly made St. Luke’s a leader in heart care.”

As is the case with the Truven Health 100 Top Hospitals study, the rigorous processes used to calculate and measure hospital service lines leverage industryleading, risk-adjusted methodologies developed and maintained by Truven Health scientists over many years.

St. Luke’s also achieved Top Cardiovascular status in 2004, 2007, 2008, 2012 and 2015.

2 | PREPARING FOR THE FUTURE

JANUARY

FEBRUARY

• UnityPoint Health welcomes new President and CEO Kevin Vermeer

• Three St. Luke’s volunteers are honored by KCRG 9 Who Care

• PCI and the Nassif • Nassif Community Community Cancer Cancer Center Center treat first North begins providing American patient acupuncture with Radium 223 for a metastic breast cancer diagnosis

MAY

JUNE

• UnityPoint Health - Cedar Rapids celebrates the groundbreaking of UnityPoint Clinic Family Medicine Westdale • Jones Regional Medical Center Grand Opening, introducing a new and expanded facility

SEPTEMBER • UnityPoint Health – Cedar Rapids Heart and Vascular Institute performs first Vena Seal procedure in Iowa • Cedar Rapids is impacted by the flood of 2016

MARCH • St. Luke’s Hospital becomes Designated Blue Distinction Center for Maternity and Cardiac Care

JULY • St. Luke’s earns best hospital in the Corridor for the fourth time

• St. Luke’s earns Blue Distinction Center Designation for Quality and Cost-Efficiency in Knee and Hip Replacement Surgeries

• Project SEARCH graduates 10 students from St. Luke’s Hospital

• Cedar Rapids Heart and Vascular Institute performs first TAVR procedure • UnityPoint Health celebrates the return of UnityPoint Clinic Family Medicine Shellsburg

• Jones Regional Medical Center is named a Top 100 Critical Access Hospital

• Three St. Luke’s nurses are named to 100 Great Iowa Nurses list

• St. Luke’s is recognized as a Gold Safe Sleep Champion

OCTOBER

APRIL

• UnityPoint Health – St. Luke’s Hospitalist program celebrates 10 years

NOVEMBER • St. Luke’s is first in Iowa to offer Image-Guided Atherectomy Device for patients with Peripheral Artery Disease

AUGUST • UnityPoint Health – Cedar Rapids hosts UnityPoint Health LiveWell 5k Walk/ Run to benefit the Diabetes and Kidney Fund • St. Luke’s tied for second best hospital in Iowa in the U.S. News & World Report 2016-17 edition and ranked as high performing in seven procedures/conditions • St. Luke’s ICU earns the Silver Level Beacon Award for Excellence from the American Association of Critical Care Nurses

DECEMBER • Heart and Vascular Institute is the first in Cedar Rapids to perform Watchman procedure • St. Luke’s earns Consumer Choice Award

• UnityPoint Health – Cedar Rapids and AbbeHealth sign affiliation agreement

2017 | A Year in Review JANUARY • AbbeHealth, Inc. becomes an affiliate of UnityPoint Health Cedar Rapids

MAY • UnityPoint Clinic in Marion opens newly expanded urgent care • UnityPoint Health Westdale campus opens

FEBRUARY • UnityPoint Clinic Family Medicine – Shellsburg opens

JUNE • UnityPoint Clinic Pediatric Cardiology opens at St. Luke’s Hospital • Heart & Vascular Institute marks two firsts, the first in the nation to implant a Micra pacemaker and to implant a Micra during an open-heart valve repair

MARCH • Four St. Luke’s nurses are named to 100 Great Iowa Nurses list

JULY • UnityPoint Health – Cedar Rapids voted best hospital in the Corridor by Corridor Business Journal

APRIL • Becker’s Hospital Review Top 100 hospital for the fourth time

AUGUST • U.S. News & World Report names St. Luke’s among best in Iowa

Patient Care Services Strategic Plan 2016-2017

1

Serve More Patients

Based on UnityPoint Health’s common, systemwide strategic plan which propels us to thriving as a nationally-recognized leader in health care.

System-led initiatives are called out in blue.

Keep Care in the System • •

2

Exceptional Care Delivery

Speak confidently to patients about UnityPoint Health services Support referrals to our own partners while respecting patient choice

Patient & Family Experience • • • •

Patient and family experience projects, complete focused initiatives in each department utilizing data, PI tools and concepts of coaching in the moment Hardwire AIDET as framework for bedside report Patient Rounding Involve Patient Family Advisory Councils in care redesign

Culture of Safety • PSI-90 • Falls • Infection Prevention Everyone’s a Care Coordinator • Focus on “what really matters” • ED Utilization • T.H.E. Care Model - Hardwire use of Common Care Plan and Transition of Care Report - Advance Care Planning - Clinical Care Pathways • Colorectal surgery pathways • Pre Procedure Optimization • Diabetes • Heart Failure Reduce Variations in Clinical Care Delivery • Sepsis • COPD Readmissions • Acute Myocardial infarction

3

Efficient & Effective Operations

4

Committed Team

Productivity Work Redesign • Enhance patient care tech roles • Pilot staffing model changes • Work at top of license Employee Engagement • FOCUS Values and Standards of Behavior • Associate Rounding IBM Kenexa action planning and follow through New Manager Orientation Recruitment and Retention • Work force development action plans • Onboarding • Nurse Residency refinements

Services Strategic Plan 2017 Patient Care | 3

Advance Care Planning Begins Second Wave In 2015 St. Luke’s entered into an agreement with GundersenLutheran’s Respecting Choices to build a program to promote advance care planning within our health system and in the community. Advance Care Planning (ACP) is an organized process of communication to help individuals understand, reflect upon and discuss goals for future health care decisions in the context of their values and beliefs.

The Respecting Choices model recognizes a staged approach to planning: First Steps, Next Steps and Last Steps.

Stages of Advanced Care Planning Over an Individual’s Lifetime First Steps®

Next Steps®

Last Steps®

Create an AD that identifies healthcare agent and goals of care for permanent brain injury

Identify goals of care, if illness complications result in “bad outcomes”

Identify goals of care, expresses as medical orders using POL ST paradigm

Healthy adults or those who have not planned

Individuals with advanced illness, complications, frequent encounters

Individuals whom it would not be a surprise if they died in the next 12 months

The focus of our program is First Steps. The goals of First Steps (FS) (ACP) are to: motivate individuals to plan; assist in selecting a qualified healthcare agent(s); provide instructions for goals of care in the event of a severe, permanent brain injury with a poor cognitive outcome; and complete a written plan (Advance Directive). The ultimate promise of ACP is to honor informed healthcare decisions and ensure individuals receive care that matches their goals and values.

A steering committee was formed to manage and evaluate the ACP program and also function as a decision making body for the broader ACP implementation. Four multi-disciplinary work groups were also developed to review, revise, and design several key systems for the ACP Implementation: Community Engagement and ACP Education; Advance Directive; Documentation Storage and Retrieval; and Quality.

Leanne Burrack, MSN, RN, and Barb Haeder, MSN, RN, were selected to be mentored by the Respecting Choices team to become ACP Organization Faculty. As ACP Organization Faculty, these two individuals developed leadership, change management and educational competencies to guide and support program development and system-wide implementation of ACP. They are both certified FS ACP facilitators as well as instructors for FS facilitator and instructor training.

First wave sites began offering FS ACP conversations in December of 2015. These sites included two regional clinics, two community agencies, UnityPoint at Home - Cedar Rapids and UnityPoint Health - St. Luke’s Hospital team members. Each site identified and invited a select group to offer this program. In 2016, these six sites combined had a total of 233 FS ACP facilitated conversations. In the first quarter of 2017, these sites have had a total of 81 conversations.

UnityPoint at Home sites across all UnityPoint Health regions and other community partners were identified as the second wave and work began with these teams in November 2016.

Second wave sites combined have had a total of 76 facilitated FS ACP conversations in the first quarter of 2017.

We look forward to the continued progress of this important and meaningful work within our health system and communities. A recent comment from the daughter of an individual that had an ACP conversation speaks to the significance of our work. “Thank you so much for all of the time you spent helping with this. It made it so much better with you presenting this information. I didn’t feel like I was the one leading Mom to make her choices. It made a hard process easier!”

4 | EXEMPLARY PROFESSIONAL PRACTICE

Reducing Readmissions for the COPD Patient Chronic Obstructive Pulmonary Disease (COPD) affects an estimated 15 million U.S. adults and is the third leading cause of death. It is common, preventable and treatable yet falls in the top ten diagnoses for patients readmitted to the hospital within 30 days of discharge and costs the U.S. billions of dollars each year. The Centers for Medicare and Medicaid Services (CMS), through Value-Based Purchasing contracts that reward providers based on quality, has challenged health care organizations across the country to reduce hospital readmissions for this disease as well as many others.

In the summer of 2016 UnityPoint Health - St Luke’s Hospital formed a cross-continuum COPD and Pneumonia Care Improvement Oversight Steering Committee to foster care standardization through the development of clinical pathways and protocols that are executed across all sites of care.

St. Luke’s was accepted into the Mayo Clinic Care Network Practice Redesign Collaborative with a focus on COPD hospital readmission reduction in the fall of 2016. This collaborative helped St. Luke’s identify gaps in best practice and allowed for networking with health care organizations across the country.

The steering committee divided into inpatient and ambulatory teams with a leader/physician dyad guiding the work. The inpatient team has made evidence-based changes to the COPD order set and continues to work on increasing its use with our pulmonology and hospitalist providers. A core group of respiratory therapists is providing individualized patient education, identifying care plan opportunities, and connecting with patients post-discharge via phone.

The ambulatory team has standardized patient education materials across the continuum of care through engagement

of our home health nurses and clinic care coordinators. A community paramedicine program is providing home visits to pulmonary patients that do not otherwise qualify and/ or refuse home health services. The uses of predictability reports in the clinic setting are identifying patients at risk of hospitalization and pulling them into the clinic to assess for health optimization opportunities, provide education, and identify barriers to treatment compliance. Our Emergency Department (ED) case managers are providing COPD action plan education to patients being treated and released in the ED, ensuring patients have timely follow-up with their primary care provider or pulmonologist, and connecting with patients post-discharge via phone to provide education reinforcement, assist appointment scheduling, and making necessary referrals to community agencies. The ED case managers also provide a hand-off through the patient’s electronic medical record to the primary care and pulmonology offices to improve care coordination efforts.

The teams continue to work on standardizing smoking cessation education and ensuring that care team members across all sites of care can readily see the staged severity of the patient’s COPD to develop treatment plans and guide referrals.

This cross-continuum effort has helped us meet our readmission rate targets, decrease length of stay and cost per case, and improve the patient/family experience. This novel approach to COPD care in the Cedar Rapids region is now being emulated across all of UnityPoint Health.

EXEMPLARY PROFESSIONAL PRACTICE | 5

Use of AvaSys®Tele Sitter Monitoring System to Reduce Patient Falls Since October 1, 2015, staff at St. Luke’s has been using technology to help care for patients and keep them safe from falls.

Brenda Oehler, MSN, RN, Director of Nursing Operations led a multidisciplinary team, including nursing staff to implement the use of a video monitoring system for patients. The AvaSys® TeleSitter Monitoring System provides patient video monitoring via mobile, wireless monitors that allow trained monitor technicians to see and talk with patients over a video and audio feed in real time. St. Luke’s has 12 mobile monitors with a centralized monitoring station located at the 3 West nursing station. This system can be utilized in all areas of the hospital, but is primarily used in our adult inpatient units.

The TeleSitter monitoring system is a nursing intervention. The clinical nurse determines if

video monitoring is right for patients. Patients that are appropriate for video monitoring include patients with delirium, restlessness, history of falls or high risk of falls, confused patients, alcohol withdrawl and other safety issues identified by the primary care nurse.

Video monitoring is utilized as a first line option to help keep patients safe from falls. Since the implementation of AvaSys® TeleSitter there has been a significant decrease in patient falls with injuries.

In addition to this decrease, St. Luke’s staff has been able to increase the number of hours that patients in need of additional observation to prevent risk of injury are monitored, while actually decreasing the hospital’s cost for additional nursing resources.

Total Hours

6 | EXEMPLARY PROFESSIONAL PRACTICE

Revision of Group Treatment Curriculum in the Child and Adolescent Behavioral Health Program Group treatment is an integral part of patient programming offered six to eight times daily on 3 East, Child and Adolescent Behavioral Health. Under the direction of Cathy Keys-Andrys, MA, BSN, advanced practice nurse for the Behavioral Health Division and Mary Austin, youth counselor, the effectiveness of the then current group treatment programs were evaluated. Based on current literature of evidence-based practice, the curriculum of the group treatment programs was revised. Inpatient clinical

staff completed a learning needs assessment and inservices were then provided based on specific needs assessed. Positive feedback from clinical staff has reinforced the effectiveness of the new curriculum. Cathy Keys-Andrys, MA, BSN, presented findings from this evidence based project at the 24th Annual National Evidence-Based Practice Conference hosted by the University of Iowa Hospital and Clinics in April of 2017.

Therapy Dog Benefits Inpatient Child/Adolescent Behavioral Health Department As the world of inpatient behavioral health continues to evolve, many facilities are looking for new and effective ways of promoting positive environments. By creating a positive atmosphere for people with mental health diagnoses to improve, it likely will increase their ability to deal with life stressors. In this spirit, St. Luke’s Inpatient Child/Adolescent Behavioral Health department (3 East) brought Mable to the unit to start a Pet Therapy Program. Mable is a half Pitbull, half German Shephard mix purchased with a grant from St. Luke’s Foundation. Mable was trained at the Tom Rose School of Dog Training in St. Louis, MO. Mable has been a presence on the unit for over a year and has had quite an impact on children and staff. While her role is still evolving, Mable’s day consists of waking up the children with a smooch, attending groups and helping children in crisis. She is also available upon request by children throughout the day.

The benefits a therapy dog provides are profound, and there is a growing amount of research to support this. Having a loving, friendly animal can lessen depression, decrease feelings of loneliness and isolation, and give the kids a reminder of some fond memories of life outside the hospital. From a

therapeutic standpoint, Mable serves as an excellent “ice breaker” when dealing with a resistant child. The impact of Mable was felt almost immediately. In Mable’s first couple of days, the unit had two children admitted who were upset and on the edge of violence. After assessing the situation to make sure it was safe for Mable, the team brought her in. After a few short minutes with Mable, both situations were defused. By Mable simply being there she decreased what had the potential to be two very difficult situations.

Mable is leashed 100 percent of the time.

While she is technically owned by the hospital, she lives with one of our patient care coordinators and comes to and from work with that staff member three days a week.

Mable’s main work hours occur in the morning, due to the need for a nap in the afternoon.

As staff continue to grow in their confidence with Mable, her role will continue to evolve.

Currently she spends 100 percent of her time on 3 East, but will begin to spend time weekly with the outpatient Behavioral Health Programs at UnityPoint Health as well.

There is also a potential for other behavioral health programs within the system to adopt this strategy. We clearly are “barking up the right tree” when it comes to Mable.

EXEMPLARY PROFESSIONAL PRACTICE | 7

Community Paramedicine serves Cedar Rapids and Hiawatha In September 2016, St Luke’s Hospital, Mercy Medical Center, Area Ambulance and Hiawatha Fire/Rescue embarked upon a new collaborative model of care called Community Paramedicine.

Community Paramedicine, serving the Cedar Rapids metro and Hiawatha area, is an innovative and evolving model of community-based health care designed to serve a particular patient population; in this case, adults with a pulmonary diagnosis such as Chronic Obstructive Pulmonary Disease (COPD), asthma and pneumonia. This program allows paramedics to function outside their traditional emergency response/transport roles to facilitate safe transitions from hospital to home. The paramedicine home visit(s) addresses immediate barriers to the health and well-being of the pulmonary patient and provides closed loop communication to the hospital referral source and to the patient’s primary care physician or pulmonologist.

Community paramedicine is intended for those patients that either do not qualify for or refuse home health care services,

The goal of each visit is to assist patients in re-attaining optimal health and quality of life after a hospital stay or Emergency Department (ED) visit. The paramedicine visit is comprehensive and includes: •

Obtaining vital signs

•

Ensuring post-hospital discharge follow up is scheduled

•

Addressing transportation needs

•

Reviewing post-hospital discharge instructions and ensuring all medications are in the home

•

Reinforcing medication education including demonstration of inhaler technique

•

Assessing social support system

•

Identifying safety concerns in the home including triggers that may contribute to breathing issues

•

Educating on the lung health action plan when appropriate

•

Ensuring equipment in the home such as oxygen, nebulizers, CPAPs and BiPAPs are in good working order and patient understands the importance of using them as directed by their provider

8 | EXEMPLARY PROFESSIONAL PRACTICE

but are willing to participate in a paramedicine visit. There is no cost to the patient. Upon receiving a referral from the hospital, the ambulance service calls the patient to schedule an appointment. If the ambulance service is unable to connect with the patient, they will make a welfare stop at the patient’s home.

Since the program started, there have been numerous referrals made as the result of an identified barrier to optimal health including Lifeline, Meals on Wheels, prescription assistance programs and home medical equipment agencies. As the program matures the value will be measured in fewer ED visits and hospital readmissions in this patient population but the collaboration between agencies and the opportunity to enhance the coordination of care for the populations we serve has been priceless.

Work has begun to expand Community Paramedicine with the diabetic population.

The Impact of Interdisciplinary Leader Rounding on Patient Satisfaction at UnityPoint Health On Sept. 6, 2016, St. Luke’s staff began rounding on bedded inpatients on the following units: medical-surgical, critical care, behavioral health, Women’s and Children’s, Long-Term Acute Care and Rehabilitation. The initial focus was streamlining the process. Beginning in January 2017, the goal was to connect with 50 percent of patients in beds each weekday using an interdisciplinary team of more than 50 leaders to support the frontline manager. From Jan. 1 - June 1, 2017, this team completed 15,254 rounds.

Patient Rounding

Leaders use a standardized set of questions to collect information on communication, responsiveness, pain management and the consistent use of key communication tools, including white boards and bedside report. The answers from patients and families are entered into a web-based tool by the Advisory Board, called iRound. This tool helps track progress as well as areas of opportunities from the patient/family perspective. Data from all units and patient commentary can be found in one centralized location, which provides facility-wide insights. This data is shared at a weekly 15 minute leadership meeting to ensure accountability and support improvement efforts.

Outcomes include sustained HCAHPS improvement since Q2 2016 in all domains, including a 7.6 percent increase in top box scores for Nurse Communication from Q3 2016 to Q1 2017.

Communication with Nurses

The practice of rounding supports the patient/family experience in the following ways: •

Following up on any concerns at the time of service

•

Demonstrating a leadership presence

•

Improving consistency of care through focusing on utilization of tools for communication, which is the key driver of Patient Experience.

The practice of rounding supports staff in the following ways: •

Improving employee engagement and reinforcing culture

•

Leaders have the opportunity to provide praise and recognition in the moment

•

Supporting frontline staff by acting as a help-chain for in-themoment problem-solving when concerns arise

EXEMPLARY PROFESSIONAL PRACTICE | 9

Sharing Our Expertise Throughout the year, St. Luke’s associates, managers and directors speak at conferences and events around the country to share their expertise and success stories with peers and various groups and organizations.

Rebecca Moore, MSN, RN Patient Care Practice Development Coordinator Nurse Retention: Impact From Workplace Environment Assessments 44th Biennial Sigma Theta Tau International Conference Indianapolis, IN

Brenda Oehler, MSN, RN Diane Seelau, MBA, RN Charge RN Enrichment Program Poster 23rd National Evidence-Based Practice Conference UnityPoint Health Leadership Symposium Iowa Organization of Nurse Leaders Spring Conference

Gretchen Aschoff, BSN, RN, CPHQ Coaching with Bedside Report UnityPoint Health Symposium

Michelle Wenzel, MSN, FNP-BC, CWON Decreasing Hospital Acquired Pressure Ulcers in Continuing Care Hospital: Value of Wound Therapy Associates and Certified Wound Nurse Mentor UnityPoint Health Leadership Symposium Iowa Organization of Nurse Leaders Spring Conference Iowa Women Lead Change

Carrie Stewart, MHA, BSN Guided Relaxation Therapy UnityPoint Health Symposium Cathy Keys-Andrys, MA, BSN Implementation and Evaluation of An EvidenceBased Group Curriculum on an Adolescent Inpatient Unit Evidence-Based Practice Conference University of Iowa Hospitals & Clinics April 2017 Rose Hedges MSN, RN Strategy to Impact the Retention of Nurses: A Workplace Environment Assessment 2017 Iowa Organization of Nurse Leaders Innovation in Care Projects Kerri Feldhaus, MSN, RN, CCRN, Lori Townsend MSN, RN, CPHQ, CIC ICU No Isolation Study 2017 Iowa Organization of Nurse Leaders Innovation in Care Projects Peg Bradke, MA, RN Institute for Healthcare Improvement (IHI) Faculty for Expedition Improving Care Transitions to Reduce Readmissions Webinar IHI Summit 2016, 2107 Faculty for Remington Chronic Care Disease Collaborative Tennessee Hospital Association Faculty for Webinar series “Reducing Avoidable Readmissions by Improving Transitions in Care Clinical Care Collaborative Partnerships: Newly Emerging Health Eco-Systems changing the Future, San Diego, CA

10 | EXEMPLARY PROFESSIONAL PRACTICE

Jessica Cizmadia, BSN, RN, PCCN Diabetes Control Glycemic Management poster Iowa Hospital Association Conference, Des Moines Falls Prevention Poster Lena Nelson conference Meredith L. Stensland Social Worker, LMSW “It’s like dying in a cave”: Advance care planning with aging and dying offenders Hospice and Palliative Care Association of Iowa Conference Stensland, M. & Landsman, M. Burnout among Iowa hospice workers: A test of the Job Demands-Resources Model.

2016 Council on Social Work Education Conference Atlanta, GA Maureen McEvoy, BSN, RN, CHPN Palliative Care: A Key Initiative for UnityPoint Health Presentation/webinar to the Mayo Clinic Care Network

Opening New Doors St. Luke’s Hospital – Mount Mercy University RN to BSN Program and the Keech Scholarship combined to help a St. Luke’s nurse expand her horizons.

After more than three decades as a registered nurse at St. Luke’s, Dawn Cook, BSN, RN, never thought she’d go back to school. But the new St. Luke’s Hospital – Mount Mercy University RN to BSN Program and financial support from St. Luke’s Foundation have opened new doors for her.

Cook has been part of St. Luke’s orthopedic unit since graduating from St. Luke’s School of Nursing diploma program in 1981. But over time, Cook began to feel she was missing something.

She explains, “Newer nurses were equipped with more knowledge. I also saw how rapidly medical technology was changing.”

Cook wanted a bachelor’s degree, but worried it would take years. Then in 2014, she learned about a new RN to BSN program offered by Mount Mercy University in partnership with St. Luke’s.

It features an expedited curriculum that can be completed in as little as 1 ½ years.

“I was excited to know I could get my degree,” Cook recalls. She also applied for and received financial aid, including the Keech scholarship managed by St. Luke’s Foundation.

core classes to achieve their degree; St. Luke’s Foundation scholarships and St. Luke’s Hospital tuition reimbursement are available to help cover tuition for those courses as well.

The scholarship was established in 1969 with funds from the estate of Dr. Roy K. and Bess Keech. Originally intended to support students at St. Luke’s School of Nursing, today the Keech Scholarship offsets tuition expenses for the 21 nursing credit hours required by the RN to BSN Program at Mount Mercy University.

Dawn Cook received her BSN from Mount Mercy in February 2017. She says, “Getting my bachelor’s degree has given me a more well-rounded education, from evidencebased practices to communication and presentation skills. It’s also opening new doors for me.”

“Evidence supports a correlation between nursing education and patient outcomes,” says Carmen Kleinsmith, MSN, RN, St. Luke’s VP/Chief Nurse Executive. “We value our nurses and want to give them an opportunity to continue professional development. We asked the Foundation if they could assist in supporting the RN to BSN Program and the Keech Scholarship was a perfect fit.”

Ten students each year are selected to complete the required 21 nursing credit hours in the RN to BSN program. Classes in the form of six courses that run for fiveweek sessions are held onsite at St. Luke’s.

Some students may also need to complete

This fall, in addition to continuing to work on 4 Center, Cook will begin teaching clinical education as an adjunct nursing professor at Mount Mercy. “I’ve always liked teaching and precepting, so doing clinical education and lab assessments for nursing students is very exciting. Who knows, if I like it, I could go on to get my master’s degree!”

Photo caption: Dawn Cook with her mother and father. Cook’s father was hospitalized the night before her graduation, and passed away six days later.

Cook is grateful he was able to see her in cap and gown.

NEW KNOWLEDGE | 11

Nurse Residency Program Changes Curriculum to Achieve Accreditation Nurse residency programs are essential in aiding new graduate nurses through their first year as a practicing nurse. Years of evidence has shown nurse residency programs provide additional support and education to help new nurses transition from student to professional nurse.

Hospitals without a nurse residency program lose 50 percent of their new graduate nurses to other healthcare institutions, or new nurses leave the profession entirely.

St. Luke’s implemented its nurse residency program in 2009. Over the years, the program has continued to evolve to meet the needs of new graduate nurses.

Currently, Rebecca Moore, MSN, RN, and Julie Zimmerman, MSN, RN, RNC-EFM, RNC-OB, facilitate the program. When Moore was hired as the Patient Care Practice Development Coordinator in

12 | NEW KNOWLEDGE

April 2016, she wanted to have St. Luke’s residency program accredited in the next two years, improve the attendance average and increase retention rates of the program. To reach these goals, Moore and Zimmerman took the feedback they received from past residents and began reorganizing the curriculum and format of the program.

One of the most significant curriculum changes to the residency program was including an evidence-based practice poster project that all nursing residents complete. This project allows nurses to identify an area of improvement within their home unit and find a solution.

Nurses were introduced and encouraged

to utilize their Advanced Practice Nurse (APN) to assist in their projects. Once the project is complete, a poster is created so the knowledge can be shared. The final day of nurse residency is a poster fair. At this fair, all of the posters are displayed and the nurses were available to discuss their work. Nursing leadership, along with unit staff members, were invited to attend the poster fair to learn about all of the ongoing work throughout the hospital. The first poster fair was held June 6, 2017 around the 3 West track.

In 2016 and 2017 St. Luke’s team members achieved the following: ADVANCED DEGREES

Michelle Takes | Family Counseling Center Behavioral Health, TF-CBT - Trauma Focused Cognitive

Amanda Plummer, BSN

Alisha Armstrong | Medical Social Services, Case Management, Certified Brain Injury Specialist - CBIS

Michelle Wenzel, MSN April Golwitzer, MSN Sue Donnelly, MSN

2016 INITIAL CERTIFICATIONS Chelsea Adams | 4W, Acute Adult, Gerontological Nursing Michelle Ross | 5C, Acute Adult, Gerontological Nursing Wendy Hill | 5E, Acute Adult, Gerontological Nursing Andrea Taylor | Respiratory Care, Acute Adult, NPS - Neonatal Pediatric Specialty Anna Houdeshell | 3E, Behavioral Health , CTRS - Certified Therapeutic Recreation Specialist Dan Louzek | Family Counseling Center, Behavioral Health, TF-CBT - Trauma Focused Cognitive Karen Matthews | Family Counseling Center, Behavioral Health, EMDR - Eye Movement Desensitization Reprocessing Karen Matthews | Family Counseling Center, Behavioral Health, TF-CBT - Trauma Focused Cognitive Kim Steffensmeier | Family Counseling Center, Behavioral Health, TF-CBT -Trauma Focused Cognitive

Kristin Sperfslage | Cancer Services, CCRP Certified Clinical Research Professional Jessica Schmidt | Cardiac Cath Lab, Cardiology, Registered Cardiovascular Invasive Specialist

CNOR - Competency and Credentialing Institute Lynsey Hahn | OR, Surgical Services, CNOR - Competency and Credentialing Institute Kimberly Biechler | NICU, Women’s & Children’s, National Certification of Cooperation Holly Flynn | NICU, Women’s & Childrens, Neonatal Pediatric Transport

Nathan Johnson | Emergency Services, Certified Emergency Nurse

Christina Grimm | NICU, Women’s & Children’s, Certification in Neonatal Intensive Care (RNC-NIC)

Vicki Cornwell | Hospice, Certified Hospice/Palliative Care Nurse

Lauren Hutchins | NICU, Women’s & Children’s, NICU Certification

Debra Boyd | Hospice - General IP, Hospice, Certified Hospice/Palliative Care Nurse

Amie Price | NICU, Women’s & Children’s, Transport Neo and Peds

Beth Mehmen | Hospice - General OP, Hospice, Certified Hospice/Palliative Care Nurse

Kelsey Reck | NICU, Women’s & Children’s, NICU Certification

Jennifer Magsamen | 6W, Rehab Services, Certified Brain Injury Specialist

2017 INITIAL CERTIFICATIONS

Michael Robinson | 6W, Rehab Services, Certified Brain Injury Specialist - CBIS

Diane Pfeiler | Case Management, Nursing Case Management

Jason Christy | Radiology, Imaging Services, ARDMS-Abdomen

Elizabeth Chipera | Operating Room, Surgical Services, Certified Nurse Operating Room

Michelle Wenzel | Skin Care, Nursing Operations, AANP - American Academy of Nurse Practitioners

Mary Peiffer | Nassif Cancer Center, Oncology Nutrition

Amy Veit | Quality Improvement, Performance Improvement, Certified Professional in Healthcare Quaility Kelsey Sikkema | Endo, Surgical Services, CGRN - Certified Gastroenterolgy RN Sarah Coulter | OR, Surgical Services,

NEW KNOWLEDGE | 13

$ $

Bridges to EXCELLENCE The Bridges to Excellence Program provides St. Luke’s Hospital team members an opportunity for professional growth and development through an educational stipend.

This includes all hospital and hospital-based departments with full-or-part time status. Participants in the program may pursue attendance at a national conference, department performance improvement projects or leadership development experiences. A team member may receive a monetary award of up to $2,000 to support their program/expenses.

The Bridges to Excellence award can be received once every other calendar year. Team members apply for the award with manager approval. Once approved, the team member attends their educational program/conference and brings back information to share with their peers.

In the past, team members have brought back ideas that have been implemented at the hospital. In 2015, for example, Aimee Traugh, MSN, RN, Director, Case Management, brought back an idea about collaborating with the hospitalSecurity department to implement rounding on the inpatient units. This helps to keep security informed of potential situations on the units.

Since 2015, over $160,000 has been awarded, impacting 135 team members.

14 | NEW KNOWLEDGE

$

Success Pays

$

We are committed to the development of our staff to meet the current and future needs of the ever-changing health care environment. With the support of Tuition Reimbursement, Scholarship Support, Certification & Re‑certification Reimbursement and CE Direct, many of our frontline clinical associates have chosen to advance their practice. Additional programs and program enhancements introduced in 2015 provide even more support for our associates pursuing further educational or certification opportunities.

SHARED GOVERNANCE COUNCIL ACCOMPLISHMENTS PATIENT CARE PRACTICE COUNCIL Chaired by Brenda Oehler, MSN, RN •

RESEARCH COUNCIL

Chaired by Sandi McIntosh, MA, RN, NE-BC

Reviewed and assisted with implementation of new and updated evidence-based protocols and procedures, including Emergency Guidelines, Care of the Dying Patient, Blood Products Administration, Lymphedema Reduction Strategies and DKA Management

•

Revised “Promoting Evidence-based Clinical Practice Toolkit” (March 2016), which includes the Clinical Project Proposal Form and Workflow

•

•

Reviewed and evaluated patient care process improvements, including implementation of Hester-Davis Fall Scale, night noise in inpatient units, Behavioral Health MET documentation and Transition of Care Report

Research Council members presented Evidence-Based Practice as part of Nursing Orientation

•

Posters projects presented in the lobby, and cafeteria during Nurses’ Week 2016

•

Discussed safety initiatives and shared learnings housewide. Safety initiatives discussed in 2014: Use of AvaSys TeleSitter with Suicidal Patients, Reducing sharps in linen and workplace violence updates

•

Shared department innovations and best practices

LEADERSHIP COUNCIL

Chaired by April Golwitzer, MSN, RN •

Ongoing support of UnityPoint Health Roadmap initiatives

•

Policy review and updates

•

Reports on multiple sustainability projects, including linen, float pool/RN resource and dining services

PROFESSIONAL DEVELOPMENT Chaired by Diane Seelau, MBA, BSN •

Council members evaluate Career Achievement submissions and determine award level based on criteria

•

In 2016, 105 individuals achieved bronze level, 116 achieved silver level and 40 received gold for a total of 261 participants

PERFORMANCE IMPROVEMENT COUNCIL

PATIENT FAMILY EXPERIENCE COUNCIL

Responsible for review and oversight of nurse sensitive indicator data

•

Quarterly reporting of Performance Improvement project initiatives in patient care areas

•

Receives reports of ongoing monitoring of Patient Safety, Joint Commission and Infection Prevention

NURSE PEER REVIEW

Chaired by Kim Erlandson, MPH, BSN, CPHQ, CPPS •

Reviews cases with an unanticipated outcome, such as transfer to a higher level of care to recognize excellence and identify opportunities

PATIENT

Comfort FAMILY

E

Continuity

A

Accountability

R

Relationship centered

Evidence based

Chaired by Jenny Houlihan, MSN, RN •

Conducted an amateur video contest to highlight PX best practices and awarded winners

•

Story Catching: 1:1 interviews with patients, visitors randomly to solicit patient stories

•

AIDET Training: Initial training and follow up exercises to develop expertise in the best practices

•

Epic Education: streamlining communication re: phone number and contact person information

•

Video Remote Interpreting

•

Service Animal Policy review

•

Initiated evaluation of cell phone etiquette policy review

RECRUITMENT AND RETENTION COUNCIL Chaired by Rose Hedges, MSN, RN •

Formed in 2016 to provide input and clarity to common themes identified by Workforce Development subgroup interviews

•

Improved and revitalized recognition tools to provide frontline staff and leadership unique ways to recognize one another

Chaired by Kim Erlandson, MPH, BSN, CPHQ, CPPS •

C

MAGNET STEERING COUNCIL Chaired by Amy Veit, MSN, RN, CPHQ •

Provides guidance and oversight to all Shared Governance Councils

•

Responsible for selection and recognition of all DAISY Award Winners

•

Provides oversight of the Magnet culture and ongoing Magnet re-designation

STRUCTURAL EMPOWERMENT | 15

Extraordinary People – Exceptional Care Every year during Nurse Week, St. Luke’s holds a Nursing Awards ceremony to recognize, celebrate and thank nurses in our organization who were nominated by their peers for nursing excellence. The awards and scholarships give our hospital an opportunity to say a heartfelt thank you to nurses who are living our mission every day. The awards and scholarships are provided by generous donors in our community who believe in the mission of St. Luke’s Hospital and St. Luke’s Foundation.

2016-2017 100 Great Iowa Nurses Tammy Dietrich

Lisa Hughes

Michelle Jonas Donna Prier

Mary Beth Keuter

Sue Donnelly

Cheryl Sarges

2016-2017 The DAISY Award Chelsea Benters

Erin Kuhl

Halie Budreau

Amy Luehring

Alix Ewalt

Bonnie Lunsford

Velma Faler

Jan Mussell

Kathyrn Fleming

Luke Peterson

Melissa Grecian

Cindy Pospisil

Morgan Gritzner

Kerri Richeson

Kim Jacobs

Jessica Ryan

Brenda Keller

Ann Sterenchuk

Kathy Krumrei

Carly Wendt

Nursing Awards and Scholarship Recipients

2016 Patient Care Excellence Award Recipients Yaw Scholarship recipients: Angela Hunt, Cedar Rapids Xavier. Daughter of Cathy Hunt, Medical Admissions Center

Excellence in Behavioral Health Award Beth Etten, 3 East, Behavioral Health Nurse Award

Kendra Peterson, Vinton Shellsburg High School. Daughter of Julie Peterson, Cardiac Rehab

Anne Smith, Recreation, Mental Health Professional Award

Rachel Willenborg, Linn-Mar High School.

Daughter of Patricia Willenborg, Birth Care Center Joshua Yem, Linn-Mar High School.

Son of Khanh Phan, Pharmacy

Anna Purna Ghosh Oncology Nursing Award Kim Hingtgen, 5 Center/OP Infusion Center LaMorgese Award for Excellence in Neurological Nursing Andrea Schwake, Hospice

Nancy Lamb Skogsbergh & Edna Lamb Nursing (Clinical) Leadership Award Ann Overton, Neonatal Intensive Care Unit/Pediatrics Karma Smith Healthcare Pioneer Award Jennifer Aarni, Operating Room Smulekoff Family Award for Nursing Excellence Lynsey Haun, Operating Room Amber Hoyt, Inpatient Skin Care Services Jennie Montgomery, Neonatal Intensive Care Unit

Peak Scholarship recipients: Vijayvardhan Kamalumpundi, Prairie High School

Ron Mahany Award Julie Gasway, Witwer Children’s Therapy

Sruthi Palaniappan, Linn-Mar High School

Katie Kass, Physical Therapy

Margie Thompson, Diagnostic Cardiology/ Care Management

James Pazour, Occupational Therapy

Michelle Young, Nursing Support

Dale & Ruby Morgan and Mable Ray Award Sandi Wasek, Pediatrics

Social Worker Award Renee Grummer-Miller, Palliative Care

Carroll H. & Lena Nelson Critical Care Award Heather MacTaggart, 4 West

Gail Stork Emergency Medicine Nursing Award Nate Johnson, Emergency Department

C.A.R.E. Award Tara Nolting, Infusion Center Darrell Dennis Pulmonary Medicine Award Bill Feldhaus, Respiratory Care

Debra Zastrow, Electrophysiology Lab Outstanding New Graduate (Rookie) Tonya Harman, Neonatal Intensive Care Unit/Pediatrics

16 | STRUCTURAL EMPOWERMENT

Dr. Stephen & Peg Vanourny Award for Excellence in Obstetrical & Gynecological Nursing Pat Schneider, Birth Care Center Elaine Young Leadership Award Michelle Divoky, Pediatrics

2016 Scholarship Recipients Natalie and Joe Cohn Scholarship Lydia Molitor, Children’s Specialty Services

Jessica Telfer, Operating Room

Ted and Lillian Feder Scholarship Shannon Stone, 5 East

Cassandra Weigert, UnityPoint at Home

May G. Gortner Scholarship Susan Donnelly, Case Management Keech Scholarship Laura Barner, Cardiac Holding Area Dawn Cook, 4 Center Kristi Elwick, Work Well Solutions Brian McAfee, Electrophysiology Lab Michelle Pappas, Pre-Surgery Testing/STAR Nichole Pollitt, Continuing Care Hospital

Rachel Volkl, Operating Room Lisa Young, Operating Room Beatha Kuntz Scholarship Abby Maples, Emergency Department Megan Ogburn, Cardiac Holding Area Ruth Schlabach, 1 West J. Stuart McQuiston, MD Scholarship Jessica Cizmadia, 4 West Norma Newmeister Scholarship Katrina Thomas, Physical Therapy

Nursing Scholarship Rose Hedges, Medical Staff Office Alejandra Villagomez, Intensive Care Ann & Forbes Olberg Nursing Scholarship Sally Vervaecke-Koenigs, 2 East Greta Schuchmann Scholarship Kiley Stineman, Operating Room Dr. Charles Schwartz Scholarship Sandra Bills, 2 East Madison Digmann, Neonatal Intensive Care Unit St. Luke’s Auxiliary Scholarship Kristi Lange, Emergency Department Abby Maples, Emergency Department

2017 Patient Care Excellence Award Recipients C.A.R.E. Award Sydney Fortney, Intensive Care Unit

Lindsey Rowley, Witwer Children’s Therapy

Donna Prier, Intensive Care Unit

Darrell Dennis Pulmonary Medicine Award Megan Etheridge, Respiratory Care

Tara Weir, 6 West Rehab

Carrie Scoggins, Ambulatory Surgery/Surgical

Dale & Ruby Morgan and Mable Ray Award Kristen Kasner, Child Protection Center

Social Worker Award Alisha Armstrong, Medical Social Services

Carroll H. & Lena Nelson Critical Care Award Julie McNeal, Intensive Care Unit

Gail Stork Emergency Medicine Nursing Award Jennifer Lee, Emergency Department

Mandy Ohrt, Cardiac Cath Lab

Dr. Stephen & Peg Vanourny Award for Excellence in Obstetrical & Gynecological Nursing Rachel Petersen, Birth Care Center/ MCN Operations

Excellence in Behavioral Health Award Mental Health Professional Award: Rachel Bowers, Behavioral Health Access Center Behavioral Health Support Staff Award: Stacy Carper, Chemical Dependency Behavioral Health Nurse Award: Alexis Velazquez, Child Adolescent Center Anna Purna Ghosh Oncology Nursing Award Linda Schwiebert, IP Hospice Unit LaMorgese Award for Excellence in Neurological Nursing Jennifer Boren, Intensive Care Unit Ron Mahany Award Jo Huff, Physical Medicine & Rehabilitation Jennifer Jenatscheck, Physical Therapy Jessica Mackey, Rehabilitation Administration

Outstanding New Graduate (Rookie) Rachel Burke, Continuing Care Hospital Nancy Lamb Skogsbergh & Edna Lamb Nursing (Clinical) Leadership Award Diane Seelau, Women’s and Children’s Services Karma Smith Healthcare Pioneer Award Denise Easley, Newborn Intensive Care Unit

Elaine Young Leadership Award Kelly Printy, 5 Center

Smulekoff Family Award for Nursing Excellence Heath Brandt, IV Therapy Melissa Coulter, Diagnostic Cardiology/Cardiac Holding Area Emily Dumolien, Newborn Intensive Care Unit

2017 Scholarship Recipients Natalie and Joe Cohn Scholarship Lisa Young, Operating Room

Beatha Kuntz Scholarship Daniel Meyers, Operating Room

Ann & Forbes Olberg Nursing Scholarship Sydney Fortney, Intensive Care Unit

Abby Maples, Emergency Department

Michelle Pappas, STAR

Ted and Lillian Feder Scholarship Namira Romero, Operating Room

Angela Spoden, Operating Room

Greta Schuchmann Scholarship Monica Rannals, IP Hospice Unit

May G. Gortner Scholarship Ashley DeGeeter, St. Luke’s Respiratory & Critical Care

J. Stuart McQuiston, MD Scholarship Madeline DeBoer, Child Protection Center

Walter A. and Ida K. Kansky Memorial Scholarship Madison Miller, 3 West Keech Scholarship Elizabeth Babka, 1 West Jacque Formanek, STAR Lacey Gorman, 3 West Daniel Meyers, Operating Room Megan Ogburn, Heart Holding Angela Spoden, Operating Room

Colette Webster-Moore, Heart Holding

Deena Downey, Heart Holding Norma Newmeister Scholarship Katrina Thomas, Physical Therapy Dr. E.L. Mansfield Scholarship Tiffany Ehlers, 3 West Norma Newmeister Scholarship Rose Hedges, Medical Staff Office

Dr. Charles Schwartz Scholarship Katrina Mahoney, Physical Medicine & Rehabilitation Amelia Wenner, Digestive Health Center/ Emergency Department St. Luke’s Auxiliary Scholarship Brielle Kolpin, 3 West Kristi Moorman Lauren Stopko, 5 East

Nursing Scholarship Indira Beganovic, Heart Holding Kristi Elwick, Work Well

STRUCTURAL EMPOWERMENT | 17

iCare Donations at Work iCare is UnityPoint Health –Cedar Rapids’ annual employee giving campaign.

Beginning in 2013, the Foundation created the iGrant Program.

This program allows departments to identify a need and submit their request to the Foundation on an iGrant application. The iGrant Program is funded through iCare donations.

LifeGuard Flight Nurse Soars to Milestone Bev Minear, RN, has a love of altitude. The long-time St. Luke’s Hospital LifeGuard Air Ambulance flight nurse recently soared to a personal milestone – Minear has flown in 500 flights on LifeGuard. She also works in St. Luke’s Emergency Room.

Because of the generosity and creativity of our employees – 2017 will be the fifth year for the iGrant Program. Through the iGrant Program, the Foundation has awarded 84 iGrants totaling $578,381!

Number of iGrants Awarded

iCare Funds Awarded

Foundation Funds Awarded

2013

26

$134,205

$55,939

$190,144

2014

24

$113,862

$25,862

$139,151

2015

19

$139,773

$16,254

$156,027

2016

15

$92,059

$1,000

$93,059

2017

TBD

TBD

TBD

TBD

Total w/o 2017

84

$479,899

$98,482

$578,381

Year

Total Dollars Awarded

St. Luke’s Foundation’s iGrant gives priority consideration to support innovative programs and equipment to enhance and strengthen the strategic framework of UnityPoint Health – Cedar Rapids. The maximum iGrant request is $15,000. All projects should be compatible with iGrant’s purpose and: • • •

Advance the quality of the patient and/or family care experience in any area at UnityPoint Health – Cedar Rapids Improve the atmosphere for UnityPoint Health - Cedar Rapids’ employees, physicians and volunteers Assist department, units and/or clinics as a whole

Eligible entities for iGrant include all members of UnityPoint Health – Cedar Rapids who participate in iCare: • • • • • • •

St. Luke’s Hospital Surgery Center Medlabs HGN Community Cancer Center UnityPoint Clinics UnityPoint at Home and Hospice Unity Point Health Information Technology (IT)

Various staff make-up the iGrant Selection Committee and they determine iGrant recipients.

18 | STRUCTURAL EMPOWERMENT

Minear has worked at St. Luke’s for 26 years. The first 15 years were spent developing and honing her nursing skills in the hospital’s Intensive Care Unit (ICU).

“My work in the ICU helped prepare me to be flight nurse,” said Minear. “I joined the LifeGuard team because I have a passion for taking care of critically ill patients. I want to try to make a difference in the lives of every patient and give the care we would all want our own family to receive.”

St. Luke’s LifeGuard is called to many emergencies in Linn, Johnson, Jones, Cedar and Benton Counties. Minear began working as a flight nurse in January 2005. She’s part of a three-person team, which includes a pilot, flight paramedic and a flight nurse.

“It takes a whole team and I feel honored to be a part of the team at St. Luke’s,” said Minear. “I have had many great mentors over the years. I learn something new every day I come to work. I try to share all I know with others around me to help improve the care we provide our patients.”

Minear and the entire LifeGuard team have helped thousands of individuals since the helicopter came into service 35 years ago. The blue helicopter has been a familiar sight in the skies around Cedar Rapids since February 23, 1981.

“I love it when we have patients who we have cared for come back weeks and even years later and thank our crew for the great care,” said Minear. “They often tell us about all of the things they have been able to do and see since we cared for them and are grateful to have survived.”

There really is no typical day for St. Luke’s Lifeguard. The flight crew is on call for flights and when they are not on a call they work in St. Luke’s Emergency Room.

“My job is very special because I have the honor to care for critically ill patients of all ages both in the hospital and out in the field,” said Minear. “I also have the opportunity to work with physicians and staff in the Emergency Room and throughout the entire hospital.”

As for reaching the 500th flight – Minear said she has no plans to slow down.

“I want to do this job indefinitely,” said Minear. “I always tell everyone, ‘I have the best job ever’ and I do mean this. I love my job and look forward to flying the skies around eastern Iowa for many more years to come. I love caring for people.”

DELIVER ON CARE COORDINATION

HOSPITAL

GOAL 1: Implement T.H.E. Care Model

LONG-TERM CARE

COMMUNITY SUPPORT

Common Care Plan (CCP): One of the foundational core competencies used in implementing T.H.E Care Model. It provides longitudinal information on the patient. The CCP identifies and communicates the patient’s unique personal goals, medical history, barriers to care, cultural beliefs, available resources, chronic conditions, social determinants and medication lists. It also captures data from commonly used screening tools.

PHARMACY

PATIENT

HOME HEALTH

PHYSICIAN OFFICE

EMS PALLIATIVE CARE

Transitions of Care (ToC): ToC occurs when a patient moves from one healthcare provider or setting to another.

The initial workflow impact has been for inpatients and Emergency Department patients returning home; the additional ToC information benefits transitions to other care levels following these encounters.

ANALYSIS:

•

The ToC report pulls information from various parts of the EHR and presents it in a concise and actionable way to allow the receiving clinician to know what they need to follow-up on.

•

The report helps clinicians quickly understand the patient and family’s greatest concerns related to the transition, unique characteristics or barriers that could impact the patient outcomes, as well as the resources needed.

Common Care Plan: •

Common Care Plan (CCP) is fully deployed in the Cedar Rapids Region.

Transitions of Care: •

In November, 2016 the improved Transitions of Care (ToC) workflows were piloted.

•

ToC includes two new communication tools in the Epic electronic health record (EHR) to facilitate smooth transitions. These include the ToC report for patients leaving the hospital and the ED Encounter Report for patients leaving the ED and returning to the clinic.

Improving Care for Our Limited English Proficient (LEP) Patient Population The LEP Population in the United States more than doubled from 1990-2015 (Migration Policy Institute, 2015). LEP persons are individuals who do not speak English as their primary language and who have a limited ability to read, speak, write or understand English (NRCS, 2017). Many LEP individuals require language assistance services in order to understand and participate in their healthcare decisions.

In July 2016, Section 1557 of the Patient Protection and Affordable Care Act went into effect for certain healthcare programs and activities. This Section prohibits discrimination on the basis of race, color, national origin, sex, age, or disability (Dept. of Justice, 2016).

For healthcare providers, this means providing LEP individuals with meaningful access to language assistance services such as interpreters and written translation. In order to adhere to these government regulations and also fulfill our vision of Best Outcome, Every Patient, Every Time, St. Luke’s has been working on improving care and communication with our non-English speaking patients.

In September 2016, St. Luke’s hired a full-time Spanish Interpreter, Stacy Hutchins, to meet our in-house Spanish-speaking patients’ needs. Hutchins is also coordinating many of our interpretation resources and education needs. Some key education topics delivered to frontline staff members include EPIC documentation of interpreter use and etiquette for working with non-English speaking patients. Reference materials, interpretation contact sheets, and a workflow diagram to quickly navigate care for nonEnglish speaking patients are now available on the Intranet.

In October 2016, the hospital introduced nine Video Remote Interpretation (VRI) devices with the company Stratus. VRI devices provide patients with 24-hour, efficient access to an interpreter by means of a video screen and portable stand. A health care provider can utilize this service to communicate a message to a patient in the moment, without having to wait to for an in-person interpreter to be contacted and arrive. Frontline staff members were educated via live demonstrations on how to locate and use video remote and over-the-phone interpretation devices in October 2016 and then again in April 2017.

In November 2016, Hutchins and a team of Nursing Support staff members met with the two vendor companies the hospital uses for in-person interpretation needs, Hands UP Communications and Humble Language Institute, to discuss expectations for serving our LEP patient population. We required the companies to acquire and provide documentation of their training in certified medical interpreting. We also implemented a better tracking process for knowing which interpreters were being utilized and when by having interpreters sign in and out at main entrance areas for appointments. We met with the vendors again in May 2017, six months later, to check their progress on certifications and discuss any issues or questions.

In August 2017, Hutchins and Patient Experience Director Jaclyn Hall hosted a “Focus Group for Non-English Speaking Patients” to hear from LEP patients on how to further improve access to care and meet diverse expectations in terms of the patient-provider relationship.

TRANSFORMATIONAL LEADERSHIP | 19

Directors meet daily for safety huddles

Increasing Patient and Team Member Safety Daily Safety Huddles (DSH) started at St. Luke’s on November 1, 2016. All directors of patient care areas and areas that impact patient care meet for 15 minutes every week day.

Why are we doing this and what are we accomplishing?

•

Enhances leadership awareness of front line operations. Directors get signals from front line staff regarding patient and team member safety concerns from the past 24 hours and anticipated issues over the next 24 hours

•

Ability to identify problems and assign ownership for follow-up and resolution

•

Provides timely identification and resolution of issues

•

All events are tracked and a daily report is sent to management for distribution. Staff are encouraged to contact their manager with questions

Some examples of issues raised and resolved at DSH: •

Provider not receiving pages – issue was identified and resolved

•

Lab machine down and information relayed regarding possible delays in results

•

Five near-miss falls. Changed cleaning product, which was causing the floor to be slick

A survey of participants showed, since holding DSH, there has been an increase in awareness of patient and team member safety issues within their teams and throughout the Cedar Rapids Region.

Directors identified the following as positives of the DSHs: •

Quick focus on safety and daily touch point for information

•

Able to funnel up issues; availability to get safety issues resolved quickly

•

Good to know what others are experiencing. Others may have same issues

We also share positive stories, such as, “Great teamwork and smooth handoffs when accepting a complicated rehab patient from an outside hospital.”

•

Awareness of issues, both patient and staff, across the organization

•

Specific scenarios connect across multiple departments

Front-line staff supports DSH by notifying their supervisor of any safety concerns.

They also work with their teams and leadership to resolve any issues identified.

•

Staff likes knowing that senior leadership is making safety a priority

•

Enhanced transparency

•

More space is needed in the corner spaces in the A Avenue ramp to maneuver vehicles. Parking space lines were re-drawn

20 | TRANSFORMATIONAL LEADERSHIP

St. Luke’s Provides Ostomy Patients a Partner In Care It takes time to adapt to living with an ostomy.

An ostomy refers to the surgically created opening within the abdomen for stool or urine to excrete from the body. Having an ostomy leads to many questions and fears. What can I eat? Can I do errands? Can I work? Will my family love me anymore? Can I still have sex?

What do I do if my pouch is leaking? These are all questions that can be addressed at the Ostomy Clinic at St. Luke’s Hospital.

St. Luke’s has initiated an Ostomy Clinic.

This is one of only a few ostomy clinics in Iowa. Michelle Wenzel, MSN, FNP-BC, CWON, APRN, is the primary provider who sees patients in the ostomy clinic along with certified ostomy nurses.

“I knew when I was obtaining my master’s degree I wanted to establish a clinic for those living with an ostomy or faced with the possibility of requiring one be constructed,” says Wenzel. “I wanted patients and family members to feel they had someone who was their partner in a difficult healthcare journey and ensure the best possible transition to the adaptation of living with an ostomy.”

The Ostomy Clinic assists patients with the following: education on what it is like to have an ostomy, evaluations for best location for an ostomy to be constructed, assistance with pouch selection to best fit the patient’s lifestyle, address skin breakdown, stoma changes, hernia belt fittings, education regarding eating, lifestyle concerns and any other questions patients may have related to living with an ostomy.

“No matter what situation the patient and/ or family member is facing it is my goal they leave the clinic knowing they now have a partner on this journey for guidance and recommendations to make their life with an ostomy the best it can be,” says Wenzel.

The Ostomy Clinic has assisted many patients in coping with their ostomies. Patients have expressed many good experiences and appreciation of the service. An individual who had a newly constructed ostomy stated, “I was so happy to be able to be seen in the Ostomy Clinic after I was discharged from the hospital. I was assisted in finding a pouch that I loved and felt secure enough to go out in public.” Another stated, “The Ostomy Clinic is truly a lifesaver. After going over my situation the first thing they did was give me a hug and told me that I was now not alone. I knew I didn’t just have a healthcare provider, but a partner in this.”

UnityPoint Health - St. Luke’s Foundation receives grant to bring simulation center to life

A $60,000 grant from Variety – the Children’s Charity has brought an education and simulation center at St. Luke’s Hospital to life.

The Children’s Charity Education and Simulation Center. It is used to train nurses and staff that work in the Birth Care Center and pediatrics unit.

The Education and Simulation Center has three main areas: •

A patient room – designed as an exact replication of hospital patient rooms for the simulation.

•

Observational control room – area where facilitators/instructors operate Victoria, a maternal birthing simulator and the video equipment to record simulations for education.

•

Classroom – a space dedicated to debriefing discussions, including a wallmounted monitor to watch the simulation.

According to the Agency for Healthcare Research and Quality, simulation allows health care teams to acquire valuable experience safely without placing patients at risk. Simulation trainings are not meant to be about hospital staff, but rather the mothers and children they care for.

Simulation versus classroom learning is very different. Simulation learning allows: •

Participants take responsibility and become engaged in the event.

•

Participants are immersed in a safe environment filled with realistic cues, they can see, hear, feel and touch.

•

Scenarios are planned so participants can integrate cognitive, technical and behavioral skills often in tense situations that involve quick reactions. Just as they would in real life.

•

Participants are often forced out of their comfort zones, may make mistakes but will learn from them.

•

Video is taken and reviewed, which includes questions and discussion led by trained instructors.

“As Cedar Rapids’ baby hospital – St. Luke’s cares for about 80 percent of the babies born in the community. Because of this it is essential to prepare and provide staff with certain competencies,” says Diane Seelau, MBA, RN, Director of St. Luke’s Nassif Center for Women’s and Children’s Health. “Since 2005 our staff incorporated simulation-based education into their training - this generous gift from Variety – the Children’s Charity will take our education and training to a new level.”

The total cost of the project is approximately $100,000, with St. Luke’s Foundation raising the remainder needed through its Children’s Fundraising Initiative.

TRANSFORMATIONAL LEADERSHIP | 21

Accreditations and Recognition Best in the Corridor - In 2016 and 2017, St. Luke’s Hospital was named as the Best Hospital in the Corridor by the Corridor Business Journal.

Cardiovascular Rehabilitation Program Certification - St. Luke’s Cardiac Rehab program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation which recognizes outstanding programs that follow best practices in patient care and program management.

Get With the Guidelines Award - In 2016, St. Luke’s received the Get With The Guidelines - Heart Failure Platinum Plus Performance Achievement Award from the American Heart Association and is one of only 223 hospitals nationwide to receive the honor. The award recognizes our commitment and success in implementing a higher standard of care for heart attack patients and signifies that we have reached an aggressive goal of treating these patients to standard levels of care as outlined by the American College of Cardiology/ American Heart Association clinical guidelines and recommendations.

Cancer Program Accreditation - The cancer program at St. Luke’s Hospital earned a three-year approval with commendation from the Commission on Cancer (CoC) of the American College of Surgeons. Established in 1922 by the American College of Surgeons, the Commission on Cancer is a consortium of professional organizations dedicated to improving survival rates and quality of life for cancer patients through standard-setting, prevention, research, education and the monitoring of comprehensive, quality care.

Chest Pain Accreditation - St. Luke’s received Chest Pain Center Accreditation from the Society of Cardiovascular Patient Care (SCPC), an international organization dedicated to eliminating heart disease as the number one cause of death worldwide.

Beacon Award - The Beacon Award for Critical Care Excellence is an award given by the American Association of Critical Care Nurses and specifically designated to recognize the nation’s top hospital critical care units.

Critical care units that receive the Beacon Award will have exhibited high quality standards, exceptional care of patients and their families and healthy work environments.

Family Centered Care - St. Luke’s Women’s and Children’s Center is the first birth care center in the nation to receive the national award for outstanding Family Centered Maternity Care. Family Centered Maternity Care is an approach to providing care for women and their families that integrates pregnancy, childbirth, postpartum, and infant care into the continuum of the family life as normal, healthy life events.

22 | TRANSFORMATIONAL LEADERSHIP

St. Luke’s certifications and accreditations Commission on Accreditation of Rehabilitation Facilities (CARF): Accreditation valid for three years in the following programs: • Inpatient Rehabilitation – adults • Inpatient Rehabilitation – children and adolescents • Inpatient Rehabilitation – brain injury adults • Inpatient Rehabilitation – brain injury children and adolescents • Inpatient Rehabilitation – stroke specialty program – adults St. Luke’s is the first rehabilitation program in Iowa to receive the Commission on Accreditation of Rehabilitation Facilities (CARF) Inpatient Rehabilitation Stroke Specialty Program accreditation.

The Joint Commission on Accreditation of Healthcare Organizations (TJC) - Certification is awarded TJC, which evaluates and accredits nearly 17,000 healthcare organizations and programs in the United States. St. Luke’s met all of the standards in all areas of evaluation.

TJC has also accredited St. Luke’s Physical Medicine and Rehabilitation and Home Medical Equipment .

St. Luke’s has earned the Gold Seal of Approval for DiseaseSpecific Care Certification from The Joint Commission for its heart failure and hip and knee joint replacement programs. St. Luke’s has also been re-certified as a Primary Stroke Center by The Joint Commission.

Advanced Certification in Heart Failure: Awarded

by The Joint Commission – valid for two years.

Certification in Joint Replacement – Hip – Knee: Awarded by The Joint Commission – valid for two years.

A Home Within The Hospital For End-Of-Life Care Our community’s only dedicated Hospice Inpatient Unit recently celebrated its fourth anniversary of providing comfort and dignity for end-of-life patients and their families. This “hospice house” within the walls of St. Luke’s Hospital offers a peaceful, homelike environment for patients who must be in the hospital for their last days.

“Many, if not most, patients want to be at home, and if that is possible, we still absolutely advocate for getting them there,” explains Dr. James Bell, medical director of UnityPoint Hospice.

But he adds, “Sometimes the best place for a patient to receive care is in the hospital, because the patient requires more intervention to be comfortable than can be provided at home.”

The Ed and Joan Hemphill Hospice Inpatient Unit was made possible by a gift from Ed Hemphill in memory of his late wife. Nearly 500 patients have been cared for in the unit since its opening in March of 2013. Oversized private rooms with sleeper sofas allow loved ones to stay near. Family space within the unit includes a kitchen, laundry facilities, meeting rooms and quiet spaces.

In addition to hospice doctors and nurses, the inpatient unit team includes social workers, aides, chaplains, volunteers and music, massage and pet therapists.

Educating on the Dangers of Distracted Driving

COMMUNITY BOARD AND ROLE

In early 2016 St. Luke’s Hospital Trauma Program teamed up with 26 businesses in the corridor to educate local teens and adults about the dangers of distracted driving with a program called Safe Lanes.

These businesses donated prizes to be given to the participants. The participants receive a prize when they actively participate in answering and asking questions related to the information presented.

The intent is to fully engage the teens in the program while making an impact on their future.

Board member of the United Way Women’s Leadership Initiative American Heart Association Go Red For Women Executive Committee

Since our start, the Safe Lanes presentation presented by Barb Devaney RN, trauma coordinator and Erica Albaugh EMT, trauma abstractor, has reached over 2800 participants. Through a PowerPoint presentation, videos, and group participation they educate the teens about the dangerous effects of distracted driving. In addition, they also share statistical data and personal experiences of caring for patients and families affected by distracted driving to emphasize the reality of the issue.

In 2016, Linn County was the third highest county in Iowa for deaths related to motor vehicle accidents; Many of which involved distracted drivers. St. Luke’s Trauma Program’s mission and vision is to see a decrease in the amount of deaths and injuries related to this dangerous activity.

Peg Bradke, MA, RN

Denise Walker, BSN, RN, CRRN

Brain Injury Alliance of Iowa State Board of Directors W.R.A.P. Board (Wheelchair Ramp Accessibility Program) Eastern Iowa Sleep Center Board and serve on their operations committee Serve on the Safe Kids Coalition for Linn County

Diane Handler, MSN, RN, ANVP

State Stroke Task Force-Member Iowa Stroke Coordinators Groupmember Board Member of the Linn County Trails Association, membership chairperson

Michelle Wenzel, MSN, FNP-BC, CWON

Serves on Hollister 2016-2018 North America Ostomy Clinical Advisory Board.

Alicia Rivera, BSN, RN-BC INAP (Iowa Nurse Assistance Program) committee through the Iowa Board of Nursing

Sandi McIntosh, MA, RN, NE-BC

United Way Operations Committee Community Health Free Clinic Area Ambulance

Carmen Kleinsmith, MSN, RN Aging Services, Inc.

Diane Seelau, MA, RN

United Way Early Childhood Iowa Board

Brenda Oehler, MSN, RN Board member of the Kirkwood Community College Health Care Industry Sector Board

COMMUNITY CONTRIBUTIONS | 23

Flood 2016: We Were Ready While Cedar Rapids was impacted by the flood of 2016 – it’s safe to say the devastation, while significant to those affected, was less destructive overall this time around.

Nonetheless UnityPoint Health – Cedar Rapids ramped up its preparedness efforts just as we did in 2008.

Incident command was put into place Friday as word trickled in of the impending rise of the Cedar River. Hospital leadership worked with team members to assemble a plan and a second house supervisor was brought in to assist during the days leading up to the anticipated flooding.

Many hospital departments ramped up and stood ready to assist if needed. Plant Operations was in touch with gas and utility companies as well as the city water department. Housekeeping started working to identify supply and staffing needs for the days ahead.

Telecommunications saw a 10 percent increase in calls to the hospital – mostly residents inquiring whether the hospital would remain open during the flood. The Emergency Department (ED) identified providers and team members willing to work if visits surged during the flood. The ED saw a slightly higher number of patients Saturday in advance of the flood crest but census numbers remained manageable during the flood. Security called in additional staff to help once Coe Road closed due to flood waters and assisted in directing traffic to temporary parking lots.

Ironically, September was National Preparedness Month (NPM), which is meant to serve as a reminder to plan and prepare for emergencies – something the hospital practices throughout the year.

Bike Helmet Giveaways and Fittings St. Luke’s Physical Medicine and Rehabilitation brain injury community outreach fits and distributes approximately 1,000 bike helmets every year. They began the program twelve years ago because the acute inpatient rehab unit serves many patients who have experienced traumatic brain injuries. They felt it was important to prevent even one brain injury by keeping kids safe.

In 2017, several events were scheduled for St. Luke’s to distribute and fit kids for bike helmets. These events include: Safe Kids Linn County at Truman Elementary, Tanager Family Fest, New Bo Market with Safe Kids Linn County and Stand Down Resource Fair at Veterans Memorial Stadium.

24 | COMMUNITY CONTRIBUTIONS

Camp Embracing Memories Helps Children Cope with Death It’s never easy to lose a loved one.

Coping with death can be more challenging for a child. That’s why UnityPoint Hospice established Camp Embracing Memories—a free, overnight grief camp for children and teens in eastern Iowa.

Now in its ninth year, the camp welcomes kids ages seven through 16 who have experienced the death of a loved one. The goal of the camp is to help children effectively cope with death in a safe, accepting environment. Bereavement Coordinator Jamie Siela says the camp is designed to normalize kids’ feelings of loss so they know they are not alone. “Children who attend the camp learn that it’s OK to be sad, it’s OK to cry,” says Siela.

Trained Hospice staff and volunteers provide education and support. Children learn to express their feelings through an array of activities, from making memory pillows to music therapy and pet therapy. Speakers at the event include a chaplain and social workers. Student athletes have also been brought in to share the benefit of being part of a group and learning to lean on your teammates.

Siela stresses the camp is also designed to be fun. It’s held in September at Camp Io-Dis-E-Ca in Solon—“a fantastic campground,” Siela says they often hear from attendees about how much they enjoyed Camp Embracing Memories, adding, “One child said ‘it was so much fun, it helped me forget why I’m here.”

In 2014, UnityPoint Hospice introduced a year-long follow-up program to the camp experience.

“Adding ongoing support was something we identified as a need for our families,” explains Siela. “We come together for a reunion in November to help kids and their families prepare for dealing with holidays and anniversaries. Then throughout the year, we mail activity kits to them that are designed to help start conversations about grief and healing.”

Participation in Camp Embracing Memories is free to children who have lost a loved one, whether or not the loved one was in Hospice care. Overnight lodging and meals are included. The camp is made possible by the generous support of our community partner, Cedar Memorial.

Mayor Ron Corbett learns hand only CPR

St. Luke’s Community CPR Team Spreading Awareness of Hands-Only CPR to the Community In 2016, St. Luke’s Community CPR Team went into the community to spread awareness surrounding hands-only CPR, and also covered stroke and heart disease. The goal was to provide general awareness and ease the potential fears that arise when a medical emergency occurs.

Throughout the year, the team has been to various rotary groups, churches, businesses, wellness fairs, and even part of the Z102.9 Tailgate Tour. The team customizes the presentation based on the audience and location. Generally, the education ranges from a five minute hands-on education with return demonstration to a thirty minute presentation.

The key points of hands-only CPR we focus on are the following: 1.

Call 9-1-1

2. Any CPR is better than none 3. Hard and fast Compressions 4. About 100-120 compressions per minute (or to the tune of “Staying Alive” by the Bee Gees) In 2016, the St. Luke’s Community CPR Team went to 15 different events and reached over 1,300 people.

COMMUNITY CONTRIBUTIONS | 25

Heart Walk Team Aims to Raise Money for Heart Disease Awareness In 2016 and 2017, St. Luke’s Hospital had one of largest teams the hospital has ever had walk in the annual American Heart Association’s (AHA) Heart Walk. This increase in team growth comes after one of our own Mary Greif MSN, RN was taken to soon from the effects of heart disease. Mary was an instrumental member of our nursing leadership team and mentor to many.

In September 2016, more than 115 St. Luke’s team members, family, and friends gathered at the McGrath Amphitheatre to promote heart

disease awareness. In anticipation of this event, purple t-shirts, Mary’s favorite color, were sold to raise money as a donation in honor Mary and all other associates who have lost a loved one from heart disease.

For every shirt sold, five dollars was used towards donation to the AHA. Ultimately, more than $2,800 was donated to the AHA fight against heart disease in 2016. In 2017 more than 150 St. Luke’s team members, family, and friends participated in the Heart walk and raised more than $8,500 with 568 shirts sold.

Team St. Luke’s at the American Heart Association’s Heart Walk, 2017

Child Protection Center Offers Child Abuse Prevention Program As a part of the Child Protection Center’s outreach efforts we offer a school based child abuse prevention program called Safetouch. This presentation is offered to schools in Linn and surrounding counties and reaches over 6,500 students annually. Children attending the program range from pre-school to fifth grade.

Unfortunately, for some children this is the first and only discussion anyone will ever have with them regarding child sexual abuse prevention. We hope that children who attend the presentation will

26 | COMMUNITY CONTRIBUTIONS

be able to identify good, bad and secret touches; describe what to do if someone tries to touch them in an unwanted manner; and explain what to do and where to go for help in the unlikely event they receive an inappropriate touch.

It is the ultimate goal of the Safetouch program to prevent child sexual abuse by educating children and providing them with the necessary skills to keep themselves safe.

Pink the Rink Event Aimsto Raise Money for Patients in Need In 2016 and 2017 St. Luke’s Hospital & the Nassif Community Cancer Center teamed up with the Cedar Rapids RoughRiders to help raise awareness of breast cancer with a Pink the Rink event.

Each year more than 200 St. Luke’s team members headed to The Stable to promote breast cancer awareness. With $2 from every RoughRider ticket purchased, more than $5,000 was donated to the Community Cancer Center Spirit Fund, which provides assistance for men and women diagnosed with cancer who are in financial need.

The Stable was decorated with pink ribbons and the players wore special pink helmets during the game that were auctioned off with the proceeds benefiting the Spirit Fund.

Breast cancer survivor and check presentation

COMMUNITY CONTRIBUTIONS | 27

471

CURRENTLY

MAGNET HOSPITALS WORLD WIDE

What is Magnet Recognition? ✔ T he highest recognition of “Nursing Excellence” ✔ Awarded by the American Nurses Credentialing Center to health care organizations for quality patient care, nursing excellence and innovations in professional nursing practice. ✔ A validation of the culture, one which enables all levels of the organization to influence decisions that affect their practice.

LESS THAN

7

%

of hospitals have achieved

MAGNET RECOGNITION

ST. LUKE’S MAGNET JOURNEY

2009

Initial Designation August

2014

Re-Designation March

Re-Designation document 2018 2nd due April 1st, 2018

Connect with St. Luke’s at unitypoint.org/cedarrapids

Copyright ® 2017 UnityPoint Health.

All Rights Reserved. ® SM trademarks of UnityPoint Health.

1026 A Avenue NE | Cedar Rapids, IA 52402 | (319) 369-7211