Page 1

Insights for Healthy Living //

FALL 2009


Digital Mammography

Healthcare and Industry

Aviation Skills for Medicine

Sometimes, saving lives

Taking a team approach to employee health

Strengthening communication in the operating room

is all about the details


Table of

Letter from The President


Fall Issue Title Here t Tuomey, we understand that good

This issue of LifeTimes also introduces a few other

health is more than receiving good

interesting things happening at Tuomey. The Tuomey

healthcare when you are sick; it is making

Foundation, Tuomey Healthcare System’s strongest ally

good choices and maintaining a healthy

and partner, continues to thrive with the support of our

lifestyle every day. To this end, Tuomey

donors, medical staff and volunteers. The new Tuomey.

and the Foundation are doing everything

com offers this community an easier way to access infor-

we can to make Sumter a healthier com-

mation about the hospital and discover all that Tuomey

munity. LifeTimes was designed to help

Healthcare System has to offer. Tuomey Health Guides

achieve that goal by providing its readers

give Tuomey employees another resource in their path

with insights for healthy living, in addition to news about

to a healthy lifestyle, and Tuomey Medical Professional’s

the hospital and the Foundation.

Industrial Medicine and Wellness is partnering with

With this in mind, and in recognition of National

Breast Cancer Awareness Month in October, this issue of LifeTimes is dedicated, in large part, to matters surrounding breast health. It discusses advanced technology like the digital mammography offered at Tuomey,

local industry to help keep their employees healthy. And finally, Tuomey has introduced a new training program

These things are all steps we have made to continually

doctors to discover tumors sooner. It provides guidance

proud of what we do here, and we are pleased to share

on how to conduct a breast self-exam and answers cer-

these things with you in this issue of LifeTimes. As al-

tain common questions related to breast cancer. It also

ways, we thank you for your support, and encourage you

discusses the efforts of the many outreach and volunteer

to explore all that Tuomey has to offer.



LifeTimes Volume 12 | Issue 2

LifeTimes is published quarterly by the Public Relations Department of Tuomey Healthcare System as a community service for the friends and patrons of Tuomey Healthcare System and The Tuomey Foundation.

Editor in Chief Brenda Peyton Chase

Design Support Cyberwoven

Editorial Advisory Board Gregg Martin Erik Whaley Brenda Peyton Chase

Art Director / Designers Will Gettys Larry Thacker Contributing Writers Brenda Peyton Chase Kathryn Lentz Traci Quinn


Jay Cox, FACHE President & CEO Tuomey Healthcare System

Foundation Contributors’ List................ 05

A Big Success

The New 07 Tuomey Health Guides............................. 08

The Tuomey Foundation: Foundation Happenings

Aviation Skills for Medicine: See It, Say It, Fix It

A new program at Tuomey aims to strengthen leadership, command, communication and teamwork in the operating room.

Photographer George Fulton George Fulton Photo Imagery

Printer State Printing Company

Feature Photography George Fulton George Fulton Photo Imagery

Tuomey Healthcare System 129 North Washington Street Sumter, South Carolina 29150 Copyright ©2009 Tuomey Healthcare System

Contributing Photographers Tuomey Staff

Digital Mammography:

The last few months have been quite busy for The Tuomey Foundation. Read about the 1913 Legacy Circle, the Eighth Annual Tuomey Foundation Physicians’ BBQ and the Employee Scholarships.

planned Wig Closet; the Women of Tuomey benefit; and

tion and proper care can save lives.

Becton, Dickinson and Company (BD) has partnered with Tuomey Medical Professional’s Industrial Medicine and Wellness Program to put its employees’ health first.

Upcoming Events....................................... 19

Look Good, Feel Better. Perhaps most importantly, this issue serves as a call to action – for vigilance, early detec-

Healthcare and Industry: A Team Approach

Tuomey’s high-resolution, low-radiation machines make detecting tumors – and saving lives – easier.

room, to the benefit of both our staff and our patients. make Tuomey a better place for our community. We are

for breast cancer patients, like Reach to Recovery; the


designed to strengthen communication in the operating

which captures high-resolution images that enable

programs offered by Tuomey and local organizations


Main Story:


If you have a question or a story idea, please contact: Brenda Peyton Chase Director of Public Relations Tuomey Healthcare System 129 North Washington Street Sumter, S.C. 29150 (803) 774-8662 Tuomey Regional Medical Center 774-9000

Public Relations 774-8662 | Accredited by: Joint Commision on Accreditation of Healthcare Organizations Member American Hospital Association, South Carolina

Board of Trustees Bobby Boykin Chairman

Chal Glenn

Vice Chairman

Greg Thompson Treasurer

Stephen Creech Secretary

Dr. Andy McFaddin Chief of Staff

Rev. Dr. James Blassingame John Brabham Jr. Jay Cox Dr. Henry Moses Phil Palmer Dr. Kay Raffield Dr. Sam Riddle Dr. Charlie White Mitch Williams

Administration Jay Cox FACHE, President & CEO Gregg Martin FACHE, Senior Vice President & COO Paul Johnson Vice President & CFO Terrie Carlton Vice President & CNO Dr. Gene Dickerson Vice President of Medical Affairs Michelle Logan-Owens Vice President William Renwick Vice President




When a woman hears the words “breast cancer,” something inside goes cold and her mind shuts down. It’s not the deadliest of cancers – lung cancer kills more

By Traci Quinn

WOMEN, EXAMINE YOURSELF! The American Cancer Society has revised its instructions for how women should do breast self-exams.

women (and men) each year – but it’s connected to a part of a woman’s body that plays such an important part in

• Do BSEs at the same time each month.

her development, in her life, and in her role as a mother.

Tuomey’s high-resolution digital mammography machines have been a great success since their installation several years ago. The low-radiation machines, which feature a digital image quality that is much higher than traditional film machines, allow the Women’s Imaging Center at Tuomey to provide the best breast care within a 50-mile radius.

When the world comes back into focus, her second thought is likely to be about her hair. Some women, in fact, say the loss of their hair is actually worse than the loss of their breast because they can’t conceal it as easily.

If you have questions about mammography, please call Tuomey Breast Care Coordinator Susan Parnell at (803) 774-9047.

Tuomey Mammography wants to do what it can to ease this part of a woman’s painful journey through any cancer. The department is in the process of establishing a Wig Closet for women with cancer who’ve lost their hair. Eventually, the closet will stock wigs, turbans, hats and scarves for those who need them. Right now, they’re still looking for donations – of time, money or resources. If you’d like to help, please contact Terry Jett at (803) 774-9046 or Susan Parnell

“We can detect tumors better and earlier in pre- a fact which Dr. Parker noted has made the breast with dense breasts,” said Terry Jett, manager of the Women’s Imaging Center. The center performs routine and diagnostic mammograms as well as breast biopsies, all techniques that help identify and investigate abnormalities as soon as possible. The digital mammography machines’ software

cancer survival rate begin to “creep upwards.” The MRI is used “primarily for a person we’ve

are organizing a Fashion and Jewelry Show

there’s not a second cancer hiding,” Dr. Parker

to benefit Tuomey Mammography, with

explained. “It’s also used in patients who have a

help from sponsors Galloway & Moseley

first-degree relative – a sister or mother – with

and Jo Roberts.

who falls into that second category and who

Reach to Recovery is a volunteer pro-

a.m. to 1:30 p.m. on

gram through the American Cancer Society

Wednesday, Oct. 21,

that allows women with breast cancer to

Furthermore, the machines offer a much

at the Sunset Coun-

connect with other women who’ve had a

shorter exam time, so the Imaging Center can

try Club. Tickets are

similar experience. Many times it is diffi-

see more patients and get them in and out more

$25, and all proceeds from the luncheon

cult for women to discuss their feelings and

quickly. And the images can be archived more

and show will be used to spread awareness

easily and accessed more readily, which gives

of breast cancer by providing educational

doctors a more efficient way to compare and


hasn’t already had a breast MRI should discuss

tion) that over-reads the mammogram and tries

the option with her primary physician.

examines the digital image and the CAD review and determines if a patient needs an additional diagnostic mammogram or ultrasound to augment the screening. “It’s an incredible program,” said Radiologist Dr. Bert Parker. “The detection of masses is

contrast images over time. With patient history

easier, it decreases the number of repeat studies

readily available and the greater detail available

that may be required, the radiation level is sig-

with the digital images, there’s less chance of a

nificantly reduced, and it lessens the amount of

doctor missing a small tumor. Finally, the digital

time a woman has to spend waiting on films to be

process is also much better for patients with

developed.” Perhaps most significantly, the tech-

breast implants.

nology makes it possible to detect tumors sooner;



The event will be held from 11:30

includes a CAD review (computer aided detecto find calcifications or tumors. The radiologist

You’re invited! The Women of Tuomey

already found breast cancer in, to make sure

breast cancer.” He recommends that any woman

at (803) 774-9047.


October :: Breast Cancer Awareness Month | Digital Mammography // Tuomey Breast Cancer Programs

If you’d like to attend, please contact (803) 774-8664, or visit the sponsors to purchase a ticket.

Photos: George Fulton, George Fulton Photo Imagery

and perimenopausal women, especially those

• Do them lying down, not standing up.

fears with family or friends. This program gives them an opportunity to talk with a woman who has already been through this life-altering experience. Tuomey recently sponsored training for women to become Reach to Recovery

via telephone initially. After that, contact is based on the patient’s individual needs. Want to know more? Please call Susan Parnell, Sumter County’s Reach to Recov-

• Use the finger pads of the 3 middle fingers on your left hand to feel for lumps in the right breast. Use overlapping dime-sized circular motions of the finger pads to feel the breast tissue. Use 3 different levels of pressure to feel all the breast tissue. Light pressure is needed to feel the tissue closest to the skin; medium pressure to feel a little deeper; and firm pressure to feel the tissue closest to the chest and ribs. If you’re not sure how hard to press, talk with your doctor or nurse. • Now use a vertical pattern. Start at the underarm and move to the chest bone, moving up and down in each area – go down until you feel only ribs and up to the neck or collar bone.

ery coordinator, at (803) 774-9047.

• Repeat the entire exam on your left breast.


• While standing in front of a mirror with your hands pressing firmly down on your hips, look at your breasts for any changes of size, shape, contour, or dimpling, redness or scaliness of the nipple or breast skin. (The pressing down on the hips position contracts the chest wall muscles and enhances any breast changes.)

Through Look Good, Feel Better, an American Cancer Society program sponsored locally by Tuomey and area cosmetologists, cancer patients can learn techniques to address the cosmetic side of treatment. The group meets every other

volunteers. The program allows for self-

month at Tuomey Regional Medical

referrals or referrals made by a physician —

Center. Register by calling Janie Smith at

a newly diagnosed breast cancer patient is

(877) 227-9398 or Phyllis Buckner at

paired with a survivor, and the two “meet”

(803) 774-9047.

• Examine each underarm while sitting up or standing, and with your arm only slightly raised so you can easily feel in this area. Raising your arm straight up tightens the tissue in this area and makes it harder to examine.

LifeTimes | Fall 2009


The Tuomey Foundation

The purpose of The 1913 Legacy Circle is to help ensure the highest quality of compassionate care for the people of Sumter and its surround-

Other Happenings

ing community through individual planned gifts and endowment giving. Members of The 1913 Legacy Circle understand that the future success

The 1913 Legacy Circle:

of Tuomey Healthcare System depends on the plans that we make to-

Philanthropic support has been the cornerstone of Tuomey’s progress since the beginning.

day. The goal of the circle is to acknowledge these individuals for their visions and to provide a lasting tribute in their honor. By making a planned gift or creating an endowment, your name is listed on a display in Tuomey Regional Medical Center and will be listed in our publications. In addition to this, you will be invited to a reception ceremony recognizing those making planned gifts and be the recipient of a unique recognition piece denoting your generosity. Although most donors want nothing in return for their generosity, including recognition, allowing us to acknowledge your commitment inspires others to follow your example in providing a legacy and the gift of healthcare ex-

By Erik Whaley

cellence to this community. There are many ways your estate plan may be constructed to join The 1913

From a small 10-bed hospital

ning. In fact, giving of one’s trea-

born out of Timothy J.

sures is more needed than ever

and Ella Bogin Tuomey’s gift in 1913 to today’s

before due to the challenges facing health-

modern healthcare

care today. In order

system of more than

to meet the demands

2,000 employees, 150 physicians and 301 beds, Tuomey’s history has

of an aging community and stay on the cutting edge of technological

Legacy Circle. Legacy gifts to consider as you plan your financial affairs: Gifts of Cash Gifts of Securities Gifts of Real Estate

The Eighth Annual Tuomey Foundation Physicians’ BBQ The Tuomey Foundation honored our medical community on Thursday, June 25th at the Heath Pavilion. It was our most successful gathering to date with over 125 people in attendance. It was a memorable evening of great food and fun. The highlight of the night was Sumter’s own Chief Complaint, who are now enjoying quite the following. Their music combined with fellowship taking place amongst doctors, board members and spouses made this warm summer night an event that no one wants to miss next year.

Employee Scholarship In the summer of 2000 Tuomey employees contributed $150,000 to create a scholarship endowment for our employees, volunteers and family members. Once the endowment began to create interest, those responsible for overseeing the campaign created an employee scholarship committee that reviews all the applications each year. The applicants’ names are left confidential so that the committee can only base their decision on the merit of the application. To date The

Bargain Sales

Tuomey Foundation has awarded 22 $500 scholarships. On August

Life Insurance

10th, we were pleased to award five recipients a $500 scholarship

Life Estate in a Home or Farm In addition, there are several gift options that allow donors to give to Tuomey while also receiving income for life. These options can benefit the donor, a spouse or other beneficiary: Gift Annuity Charitable Remainder Trusts Charitable Lead Trusts If you are interested in learning more about charitable estate and gift planning opportunities, please do not hesitate to call our office. By

been one of compassion and

advances, we must find a source

having a chance to discuss your financial and philanthropic goals in a

resolve. Philanthropic support

that dollar for dollar is strate-

how you can best fulfill your desires to become a member of The 1913 Legacy Circle. We can work with your team of professional advisors to

has been the cornerstone of our

gically best for Tuomey. That


progress since the very begin-

source is through philanthropy.

relaxed and confidential atmosphere, you will have a better idea about

and presented them with certificates denoting their receiving this prestigious award. Listed below are the names of the five recipients and where they will be attending college: Miss Maddison R. Chappell

Winthrop University

Mr. Jordan Reid Montrose Graham

Clemson University

Miss Ashleigh S. Hodge

University of South Carolina

Miss Kimberly A. Holliday

College of Charleston

Mr. Zachary T. Robertson

Presbyterian College

These are just a few of the things taking place in the life of your Foundation through out the summer. Whether it is philanthropically or as an ambassador, we are so blessed by the continued support received on behalf of Tuomey. As always, please know we are so thankful to have you as a part of our family.

structure an arrangement which will provide you maximum benefit and However you decide to structure your gift, you’ll be giving significantly — a part of your life’s work, dedicated to the future of your community through the healthcare offered by Tuomey.


The Tuomey Foundation | The 1913 Legacy Circle // Other Happenings

LifeTimes | Fall 2009 LifeTimes | Fall 2009

4 4

The Tuomey Foundation Photo Gallery

May through July 2009

The Tuomey Foundation Contributors Endowment Contributions: Elaine D. Korn Charitable Trust Memorials: Theo Tuomey Baxter Murphy Tuomey Wilson

Wilson A. (Bubba) McElveen, Jr. Murphy Tuomey Wilson

Gaither A. Simpson, Sr. Mr. and Mrs. Leverne G. Avin Brenda and John Cubbage Sarah and Billy Freeman Dr. and Mrs. Wendell M. Levi, Jr. Nursing Scholarship Endowment Contributions: Claire and Powell Black Dr. and Mrs. W. Mitchell Levi, III

T. Douglas Tuomey, Sr. Murphy Tuomey Wilson

T. Douglas Tuomey, Jr. Murphy Tuomey Wilson Hospice Contributions: Ramon Schwartz, Jr. Memorials: Carol Balwanz Kathryn J. Somers Nolia A. Benenhaley Kaydon Precision Bearings/Plant #12 Frances J. Brown Sarah and Billy Freeman Mattie L. Collins Bernice and John Dew Jewell E. Cubbage Sarah and Billy Freeman Patricia E. Floyd Church of God of Prophecy

Peggy J. Norris Memorials: Sylvia S. Weinberg Patricia L. Barnett Louise and Rex Deaton Dr. and Mrs. Lea B. Givens Jackie and Hubert Osteen

Frederick Maple Sarah and Billy Freeman

Peggy and Harold Reynolds Mr. and Mrs. W. B. Singleton Mr. and Mrs. Robert B. Smith James D. Snyder Dr. and Mrs. Kurt T. Stroebel Patty and Porter Thompkins Mr. and Mrs. Harold L. Turner Honorary Gifts: Teresa Carlton Brenda and Rick LaForge Jay Cox Brenda and Rick LaForge Dr. Gene F. Dickerson Brenda and Rick LaForge


Gregg Martin Brenda and Rick LaForge

Market Strategies, Inc. Tuomey Pride Contributions: Gloria and Robert Bateman Mr. James E. Bowman and Dr. Catherine M. Zybak Mr. and Mrs. Julian G. Frasier, III Vicki and Cliff Goodwin Lil Darlins’

Joseph L. Little Elizabeth and John Callahan

Redbone of Florence, Inc.

Michelle Logan-Owens Brenda and Rick LaForge

Oleta and Carnell Rogers

Lillian Rainwater Glass Webster Rogers LLP

Cheryl and Gregg Martin


Mr. and Mrs. Lee O. Holloway

Otis C. Geddings Deane and Roger Ackerman

Gray and Keith Maklary

Dr. Andrena E. Ray

Contributions: Our 365 (3)

Farmers Telephone Cooperative, Inc.

Mary M. Foreman J. Grady Locklear

Drs. Timothy L. and Tammy E. Pannell

W. Paul Johnson Brenda and Rick LaForge

Contributions: AMR (5)

Dr. and Mrs. Henry P. Moses Nexsen Pruet, LLC NBSC Dr. and Mrs. Gilbert E. Parker, Jr. Prudential – John M. Brabham Real Estate Mr. and Mrs. Joe Singleton Mr. and Mrs. Earl Wilson Unrestricted Contributions: Mary Jane and Chris Caison

Wilbur McCall Gladys T. Lee and Shirley Turner

Mr. and Mrs. Charles E. Fienning

Virginia S. Mood Mr. and Mrs. Walter M. LeNoir, Jr.

Mr. and Mrs. Septimus A. Harvin, Jr.

Dr. and Mrs. Danny H. Ford Imagine Nation Books, LTD.

The Eighth Annual Tuomey Foundation Physicians’ BBQ

Dr. Ansel R. McFaddin, III Clara G. and Robert A. Moses William R. Renwick Brenda and Rick LaForge George W. Rikard Brenda and Rick LaForge Jane R. Singleton W. B. Singleton Dr. and Mrs. William F. (Ted) Young Dr. and Mrs. Donald E. Harrop

Frances J. Brown Dr. and Mrs. Philip H. Brandt Annette M. Brunson Tuomey Healthcare System Administration Washington M. Brunson Dr. and Mrs. Philip H. Brandt Charlie Carter Dr. and Mrs. Laurie N. Smith Katherine H. Charles Susan and Jay Cox Ruby Coker Dr. and Mrs. Philip H. Brandt Elizabeth Dagley Dr. and Mrs. Philip H. Brandt

Women’s Services Contributions: Dr. Mary Elizabeth Blanchard Weight Watchers Murphy Tuomey Wilson

Should you notice an error or omission, please accept our apology and notify The Tuomey Foundation at (803) 774-9014.

Joseph B. Johnson Dr. and Mrs. Philip H. Brandt Willie Hazel Johnson Susan and Jay Cox Carol A. McCarter Mr. and Mrs. Henry A. McFaddin Robert E. Reichard Dr. and Mrs. Philip H. Brandt William Robertson Dr. and Mrs. Philip H. Brandt Alice M. Shumaker Dr. and Mrs. Philip H. Brandt

Clyde N. Atkinson, Jr. Dr. and Mrs. Philip H. Brandt

T. Douglas Tuomey, Jr. Murphy Tuomey Wilson

Joseph E. Atkinson, Jr. Dr. and Mrs. Philip H. Brandt

Henry Wilson Dr. and Mrs. Philip H. Brandt

William Blackwell Tuomey Healthcare System Administration

Dr. Charles H. White, Sr. Mr. and Mrs. Daniel J. McKiever

Donald Haas Dr. and Mrs. Philip H. Brandt

Ben Smith Tuomey Healthcare System Administration

Ruby Barfield Beard Dr. and Mrs. Laurie N. Smith


Otis C. Geddings Deane and Roger Ackerman


Mary H. Barrett Dr. and Mrs. Philip H. Brandt

Charles H. White, Sr. Cardiac Endowment

[TOP LEFT]Dr. Pap Propst and Dr. Mary E. Blanchard are seen entering the event. [TOP RIGHT] Dr. Dave Lovice, foreground, and Dr. Mark Mitchiner of Chief Complaint entertain the crowd. [BOTTOM LEFT] Drs. Pressley and Todd Warrick enjoy the festivities. [BOTTOM RIGHT] Diane Mitchiner, Stephen & Dr. Melissa Arscott and Dr. Lana Latham all enjoyed their time of fellowship and good food.

Employee Scholarship

Jeanne C. Watson Oncology Endowment Contributions: Patty and Porter Thompkins Memorials:

Col. (Ret.) Felix A. Blanchard Dr. and Mrs. Philip H. Brandt

Elizabeth T. McElveen Jackie and Hubert Osteen

John M. Brabham, III Rev. and Mrs. Phil Jones

Jeanne C. Watson Jackie and Hubert Osteen

Dr. and Mrs. William A. King

The 2009 Employee Scholarship recipients are, from left, Jordan R. M. Graham (Clemson University), Ashleigh S. Hodge (University of South Carolina), Kimberly A. Holliday (College of Charleston), Maddison R. Chappell (Winthrop University) and Zachary T. Robertson (Presbyterian College). Foundation Director Erik Whaley talks with several of the recipients during the luncheon.


The Tuomey Foundation | Contributors List

LifeTimes | Fall 2009


Tuomey Health Guides

In the spirit of giving nothing but the best to Sumter and its surrounding communities, Tuomey Healthcare System has launched a new, redesigned

Tuomey Healthcare System believes that its employees are its greatest asset. So it created the Health Guides program to help Tuomey employees take control of their health, stay out of the E.R., and even save a little money.

By Traci Quinn

In its early stages, Health Guides has focused specifically on diabetes, hypertension and high cholesterol.

Patients and Visitors link directly from homepage, allowing easy access to information relevant to you or your loved one’s stay at Tuomey.

for them, one that will control their problem and still al-

Research shows that South

low them to feel good.”

Carolina in general and

Events Calendar with a comprehensive listing of Tuomey classes and events, including contact information.

It’s a win-win situation,

Sumter specifically have

says Curt Ackerman, Indus-

high incidents of diabetes

trial Medicine and Wellness

and heart disease; Tuomey

manager. Employees learn

is not immune. The goal of

to monitor and manage

Health Guides is to help the

their health and well-being,

staff better their health by

and the hospital saves mon-

improving the management

ey on health claims and by

of these diseases. To this

keeping employees on the

end, employees who enroll

job – which means not hav-

can save 50% on co-pay-

ing to find replacements

ments for medicines related

when a staffer is out sick.

to these specific illnesses.

LifeTimes Issues available to download, should you wish to share the magazine with a friend or review a missed issue.

vocate for the employees

the program, RN Brett

and establish a rapport with

Lynam works one-on-one

the physicians,” Lynam ex-

with each participant to

plained. “I have found that

help them better under-

a lot of the time people don’t

stand their disease and en-

follow their doctors’ orders

gate and a good resource for our patients, their families and

of Tuomey Regional Medical Center and the Tuomey Health- friends. Visitor information, including when you can visit care System. Visitors to the site can find doctors by specialty, the hospital, what things you can bring with you, and what download maps of Tuomey buildings and parking locations, services and conveniences are offered around the hospital, is and use the secure online payment system to pay hospital

available with a direct link from the homepage. And should

bills. It’s even easy to find information regarding the many

you be unable to visit your friend or family member during

outreach and community classes offered at Tuomey – includ- their stay here, you can easily send a get well card using our ing class types, contact information and event calendars. Our goal has been to make the website both easy to navi-

What’s New At Tuomey | // Tuomey Health Guides

online form. We invite you to come see the new

Photo: George Fulton, George Fulton Photo Imagery


The website offers easy access to information on all areas

“My goal is to be an ad-

As Care Manager for

courage compliance with


follow the right diet or get them on the right medication


Brett Lynam, RN, serves as the Care Manager for the Health Guides program.

simply because they don’t have a clear understand-

treatment and medication regimen. She provides edu-

ing of their disease and the treatment of that disease. I

cation and support, essentially becoming a liaison be-

believe once they develop a better understanding of the

tween the employee and his or her doctor – a health

disease and medication regimen, they will develop bet-

coach. She shows staffers who participate why they

ter self-management.” This, she noted, will improve their

need to follow their doctor’s orders, why it’s important

health and overall well-being.

that they take their medication exactly as prescribed,

Tuomey Health Guides is provided through the com-

and how a better diet and exercise can help control

bined efforts of Tuomey Healthcare System, Wells Fargo

their illness.

Insurance Services and American Healthcare.

WHO CAN PARTICIPATE? Health Guides is open to any Tuomey employee or dependent who is covered by Tuomey’s health insurance program. It’s offered free of charge, and the only requirement is attendance at regularly scheduled meetings with the Care Manager. Once enrolled, employees work one-on-one with the Care Manager. The Care Manager learns about the staffer’s health practices and behaviors – not as a substitute for his doctor but as a source of support between office visits. The Care Manager also employs the expertise of the nutrition/dietary staff and the pharmacy staff, to make sure participants are getting the best advice and education. For more information on Tuomey Health Guides, please call Curt Ackerman at (803) 774-5293 or Brett Lynam at (803) 774-9731.

“We want to keep employees feeling good and out of the hospital,” Lynam said. “Many times, if you can find out why someone is being non-compliant, you can help them

LifeTimes | Fall 2009


Healthcare and Industry:

Photo: George Fulton, George Fulton Photo Imagery

A Team Approach

9 9

Healthcare and Industry | A Team Approach Health and Prevention | Smart Beat

By Brenda Peyton Chase

Taking care of the machines in a manufacturing plant is an obvious way to keep things running smoothly. Routine maintenance keeps machines operating at peak performance. But what about the most vital part of the operation? The employees – the people who make it all run – are the company’s most important resource.

LifeTimes | Summer 2009


Businesses like BD (Becton, Dickinson and Company), Thompson Industrial and Caterpillar are putting the employees first. “The most important thing to us is our

drug delivery, enhancing the diagnosis

associates,” said Robert Fauvie, the plant

of infectious diseases and cancers, and

manager for the BD Sumter facility. “And

advancing drug discovery. BD develops,

we want to keep our associates healthy.”

manufactures and sells medical supplies,

In an effort to keep their associates at

devices, laboratory instruments, antibod-

peak performance, BD in Sumter has partnered with Tuomey Industrial Medicine in a variety of ways. One of the most well received programs has been the exercise component. “We do a lot of prevention. Obviously we are always concerned about safety, but we want to prevent other injuries as well,” Fauvie added. “The ergonomics for


Health and Prevention | Smart Beat

each position vary, so we want to prevent potential injuries that are associated with the twists and bends required on the job.” And according to BD Human Resources Manager Mary Frazzini, the exercise Photo: George Fulton, George Fulton Photo Imagery

Make good use of your break times. Use this short period of time to relax and re-energize your system for the rest of the day’s work. A 15- to 30-minute break allows plenty of time to stretch and refuel your system with the proper nutrition needed to maintain a high level of efficiency. Food choices such as fruits and whole grains are a great choice; they supply you with healthy carbohydrates and will not “weigh you down.”

program has been well-received. “We piloted the program in one department, and pretty soon we saw a payback,” Frazzini said. “We immediately saw a payback for the program.” BD is a global medical technology company that is focused on improving

ies, reagents and diagnostic products.

“We do a lot of prevention. Obviously we are always concerned about safety, but we want to prevent other injuries as well,” Fauvie added. “The ergonomics for each position vary, so we want to prevent potential injuries that are associated with the twists and bends required on the job.”

LifeTimes | Fall 2009 LifeTimes | Summer 2009

12 12

“With the rising cost of healthcare in general, and more specifically workers’ comp cases, we want to prevent as much as we can. That’s what we’re here for. And it helps everyone.”

Your posture plays a major role in the overall health of your back and neck. If you sit at a desk for long periods of time during the day, pay attention to the position your back and neck are in.  Make sure your lower and upper back are straight, your shoulders are back and your head is facing forward. Take notice of the height of your computer monitor. Often times, computer monitors are too high or too low causing us to look upwards and downwards below chin level for extended periods of time, causing neck pain or stiffness. Also, while at your desk, take 2-3 minutes throughout the day to stretch your back and neck. This may pay big dividends in the long run.

want to prevent as much as we can. That’s

In addition to the exercise programs,

ey’s Industrial Medicine program, sees the

what we’re here for. And it helps everyone.”

Industrial Medicine and Wellness (IMW)

exercise program at BD in Sumter as a win-

According to Ackerman, companies like

also offers a variety of additional services

win for both the employee and the employer. “Employers here in town talk about workers’ compensation, and they are always talking to us about prevention –

BD, Thompson and Caterpillar are doing

to their customers. Corporate wellness

the right things on the front end.

initiatives, Smartbeat heart screenings,

“They are very proactive,” he added. “And these programs are not only helping

what can we do to keep our employees

their employees at work, but they are also

healthy and safe,” Ackerman said. “With

making a difference at home. These exer-

the rising cost of healthcare in general, and

cise programs are making people healthier

more specifically workers’ comp cases, we

and stronger.”

cholesterol and diabetes screenings and drug testing options are all services offered by IMW. “We’re here to help the businesses in our community stay strong,” Ackerman said. “With a strong workforce and healthy employees, we’re all winners.”

13 13

Healthcare and Industry | A Team Approach Health and Prevention | Smart Beat

Photo: George Fulton, George Fulton Photo Imagery

Curt Ackerman, who manages Tuom-

Your legs are much stronger than your back. It is much wiser to “push” objects using your legs instead of “pulling” them, as pulling requires you to use your back as the primary source of strength.

LifeTimes | Summer 2009



Surgeons, techs and nurses gather in the darkened room. On the screen up front is a startling image: the sole surviving photo of the worst aviation crash in history. Two jumbo jet airliners, crumpled and charred, all souls aboard burned to death. The cause? A highly skilled and venerated pilot’s decision to take off without making sure he had all the facts – and a crew too in awe of the pilot’s esteemed position to tell him what he was missing. -- and a question: Do members of the team ever stifle an

on the Crew Resource Management model that has been used successfully in the aviation industry in the decades since that deadly crash –

monly called “time outs”) to take the pressure off the

decision? It’s a tough spot for the surgeon and the team.

support staff and change the team dynamics. Tuomey

2 million miles flown.

this year, but Dr. Gene Dickerson, Tuomey’s chief medical

his responsibility. But the nurses and technicians are also

officer, decided to take the culture change even further.

responsible for the safety of the patient -- and they are

He hired the Human Performance Group to conduct an

also highly skilled and keenly observant. The problem is

Aviation Skills for Medicine workshop here, to strengthen

they aren’t always comfortable communicating assertively

leadership, command, communication and teamwork in

when a problem arises. And some surgeons see com-

the operating room.

munication from non-physicians as a challenge to their authority. CAN WE LEARN FROM THE AVIATION INDUSTRY? The 1977 Canary Islands crash described above didn’t occur because of a lack of technical skills. The problem was that the crew didn’t work as a team, and they were unable to share critical information that could have saved everyone’s life. The medical industry recognizes that the same culture that led to crew members’ reluctance to speak up to the pilot exists in some operating rooms.

15 15

initiated a refined and more extensive checklist earlier

one who wields the scalpel, and ultimately, the outcome is

an industry that now sees less than one fatality per

been fine-tuning their surgical safety checklists (com-

opinion because they’re reluctant to challenge a surgeon’s The surgeon has to be the lead decision-maker; he’s the The workshop was based

For several years, hospitals all over the country have

Aviation Skills For Medicine Health and Prevention | Smart Beat

The workshop was based on the Crew Resource Management model that has been used successfully in the aviation industry in the decades since that deadly crash – an industry that now sees less than one fatality per 2 million miles flown. The philosophy supporting CRM is that -- like pilots and navigators – doctors, nurses and techs may have great equipment and be highly skilled, but if they don’t communicate effectively, the patient’s safety could be compromised. When you “flatten the hierarchy” and give everyone in the room the power to voice their concerns, you make it far less likely that errors will occur.

Photo: George Fulton, George Fulton Photo Imagery

Then, a comparison to the operating room of a hospital

The surgeon has to be the lead decision-maker; he’s the one who wields the scalpel, and ultimately, the outcome is his responsibility. LifeTimes | Summer 2009


Photo: George Fulton, George Fulton Photo Imagery

SEE IT SAY IT FIX IT. Operating Room

When you “flatten the hierarchy” and give everyone in the room the power to voice their concerns, you make it far less likely that errors will occur.

“Medicine is a team sport,” the workshop teaches. “You have to eliminate

EVERYTHING COMES different perspective on the BACK TO PATIENT SAFETY hesitancy of the nurses and The early evidence from

single-viewpoint decisions.” other hospitals that have

The problem is surgeons aren’t taught to be team leaders. They’re taught to extract tumors and

diseased organs and repair things that are torn, but they don’t necessarily get lessons in team-building or effective communication in med school. The key is for surgeons and other doctors to learn to view information from non-physicians as important data, not as a distraction – and for other folks in the operating room to learn to speak up.

used the CRM approach shows lowered mortality rates among surgical patients, lower “wrong site” surgeries, improved staff morale, and far less turnover among nurses. Dr. Mark Crabbe, a general surgeon, believes the workshop was a great

is my responsibility as a surgeon to create an environment that encourages everyone to feel comfortable to speak up in any situsafety.” He also gained “a

Health and Prevention | Smart Beat

The workshop stressed

or pre-anesthetic checklist.

other in a non-threatening,

For example, “right” is an

non-attacking way – and in

orientation, not an affirma-

recognizing the hesitancy

tion. And while “negative”

and changing the atmo-

could mean “no,” it also has


other medical meanings.

“The whole process is

Clarity is imperative in

a culture change,” said

these settings.

Administrative Director

“Most of the workshop

Betsy Cain, who’s in charge

job skills will rise no higher

covered things we already

of making sure the lessons

knew, but it helped to

learned in the workshop are

Walker agreed. “Safety is

ing technically proficient is

define and refine certain

followed through. “Medi-

always first,” she said. “We

only one piece of the puzzle.

things,” Crabbe said.

cal school doesn’t teach

“Respectful assertion is

you communication and

believe as nurses that we

In fact, that’s one reason

must speak for the patients,

the Tuomey Foundation

really important. I gained

teamwork skills. We have

because they cannot speak

agreed to cover the costs

a new perspective from the

to start by changing the

for themselves. This is

for the entire program.

nurses and techs on why

team dynamics -- and then

particularly true in the

One board member noted

they feel hesitant to share

support the ranks when

operating room setting.”

that where the R Factor


they try to integrate [the

Hospital Award for Patient

Dickerson had been

Safety from HealthGrades,

reading for several years

patient safety workshop

“Surgeons don’t talk much,

could save people’s lives.”

but when they do, people

about different philoso-

tion’s lowest patient-safety

phies on ways to strengthen

operation briefings – they

incident rates.

teamwork in the O.R. He

clarify who the leader is,

in how we can talk to each

than life skills, and that be-

which recognizes the na-

the tone of the procedure,

part of the pre-operation

Manager and CRNA Wanda

the importance of preare crucial because they set

may take it as an attack. There was a great lesson

recipient of a Distinguished

So, why the need for more training? Crabbe credits Dicker-

was especially interested in how various groups were taking the aviation model to

and can be used to open the

son, Tuomey’s vice presi-

other industries with great

lines of communication so

dent for medical affairs. He

success. When he came

that everyone in the room

agreed that the hospital has

across the CRM workshop,

feels comfortable to share

an “excellent safety record”

he knew he’d struck gold.

their expertise in an un-

and that the surgeons here

success. “Most importantly,” emotional way. Tuomey al- “do an exceptional job.” But ready had a more extensive that doesn’t mean that he said, “I realized that it

ation that relates to patient


techs to speak up.”

a list of words that should or shouldn’t be used as

“This program was more

“changes people’s lives, this

For example, he said,

“This program was more compelling than the others,” Dr. Gene Dickerson said. “It’s about ‘time out,’ but it’s more about character, confidence, teambuilding.”

new system] into everyday patient care.”

RESPECTFUL ASSERTION More than 100 Tuomey staffers completed the program in June, including circulating nurses, surgical techs, CRNAs, orthotechs, surgeons and anesthesiologists. One outcome is that

the staff learned ways to compelling than the others,” be more assertive – still Dickerson said. “It’s about respectful, decidedly non-

“time out” process in place,

Tuomey can’t do more. As

‘time out,’ but it’s more

including pre-anesthesia,

Crabbe explained, “I think

about character, confidence

pre-incision and post-op-

this course is typical of the

and team-building.”

eration. And it already has

attitude at Tuomey, and of

a great O.R. safety record.

Dr. Dickerson, that we want

R Factor, a program Tuom-

In fact, Tuomey Regional

to do everything possible to

ey has adopted hospital-

Medical Center was the

ensure patient safety.”

wide which preaches that

It sounds a little like the

emotional, but definitely interjecting if they believe a mistake is about be to made or that someone is acting on less than the best information. Another is the creation of a new glossary, LifeTimes | Fall 2009 LifeTimes | Summer 2009

18 18

Connect with us!

Upcoming Events Women & Children Prepared Childbirth Class (Tuesday Class Series)

Provides expectant mothers and partners with information on normal labor and delivery, common complications and interventions, medicines, breathing/relaxation exercises, initial newborn care and postpartum concerns. Includes a tour of the Birthing and Women’s centers. Cost: $60 for six two-hour sessions. Call 803.774.BABY for dates.

Childbirth Retreat (Saturday Class)

Condensed version of our Prepared Childbirth Class offered in a one-day session. Great for a refresher. Cost: $50 for full-day session. Call 803.774.BABY for dates.

Labor & Delivery

Learn what to expect during labor, how to know when it’s begun and what happens during the birthing process. This class also includes a tour. Cost: $15. (Fee is waived for moms who deliver at Tuomey.) Call 803.774.BABY for dates.


Education Baby Basics

Diabetes Management Series

Learn all the basics of caring for your newborn before you deliver! Cost: $15. (Fee is waived for moms who deliver at Tuomey.) Call 803.774.BABY for dates.

Offers general information for diabetics and their families to simplify diabetes management. Call 774-8680 or 774-8678 to register and learn about upcoming meetings. Free.

Breastfeeding Class

Joint Camp

Informal class offers instruction and discussion time for breastfeeding or expectant mothers. Babies are welcome. Cost: $15. (Fee is waived for moms who deliver at Tuomey.) Call 803.774.BABY for dates.

Car Seat Installation

Learn how to properly install your child’s car seat for maximum safety. Sumter County SAFE KIDS makes car seats available at reduced rates. Call 774-BABY for more information and dates. Free, but you must be registered to attend

Infant CPR

American Heart Association Friends and Family course for expectant parents. Does not offer certification. Cost: $15. You must pick up book prior to class. Call 803.774.BABY for dates.

Fall 2009 | Upcoming Events

Tuomey Healthcare System’s camp designed for patients who are scheduled to undergo knee or hip replacement surgery. The camp educates patients on their surgery and lets them know what to expect after surgery. The camp is run by Tuomey Case Management, Rehabilitation and Respiratory Therapy. For more information, call Sherri Falin at 774-8661 or Janelle DeLuco at 774-9178.

Tuomey Hospice

Tuomey Hospice is looking for dedicated volunteers to assist with end of life care in the community. Call B.J. Drayton at (803) 773-4663 if you are interested in joining the team.

Support Groups Breast Cancer Support Group

Women’s Imaging of Tuomey offers this support group. They provide educational and emotional support for women dealing with breast cancer. For more information, call Phyllis Buckner at 774-8678 or Susan Parnell at 774-9047.

Stroke/Brain Injury Support Group

ARU Therapy Gym, Fifth Floor. Call Angie Jones at 774-9454. No registration required.

Touching Hearts Support Group A support group for families who have experienced the loss of an infant, a miscarriage, an ectopic pregnancy or stillbirth. Call Barbara Kenawy at 774-9077.

Hospice Grief Walkers

Exercise is an effective way to deal with grief and loss. Join this walking group for exercise and support. Call Hospice volunteer Judy Tyl at 775-0386 if interested in joining.

Grief and Loss Support

Tuomey Hospice offers grief support to persons experiencing the loss of a loved one. For more information, call Linda Windley or BJ Drayton at 773-4663.


Medical Office Building One, Suite 410. Tuomey Hospice offers GriefShare, a support group for widows or widowers who have recently lost their spouse. For more information, call BJ Drayton at 773-4663

Look Good, Feel Better

This American Cancer Society program teaches cancer patients new techniques to address the cosmetic side of treatment. For more information contact Janie Smith at (877) 227-9398.



Tuomey Inc. 129 North Washington Street Sumter, South Carolina 29150 Change Service Requested

Early detection saves lives.

Talk with your doctor about mammograms. According to the Centers for Disease Control and Prevention (CDC), mammograms are the best method to detect breast cancer early, even before a tumor is big enough to be felt or cause symptoms. Having regular mammograms can lower the risk of dying from breast cancer. And with new technology like the digital mammograms offered at Tuomey, mammograms are even more effective. Talk with your doctor today.


LifeTimes: Fall 2009  

LifeTimes is published quarterly by the Public Relations Department of Tuomey Healthcare System as a community service for the friends and p...

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