Insights for Healthy Living //
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
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 Tuomey.com.............................. 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 www.tuomey.com Copyright ©2009 Tuomey Healthcare System
Contributing Photographers Tuomey Staff
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
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 email@example.com (803) 774-8662 Tuomey Regional Medical Center 774-9000
Public Relations 774-8662 | www.tuomey.com Accredited by: Joint Commision on Accreditation of Healthcare Organizations Member American Hospital Association, South Carolina
Board of Trustees Bobby Boykin 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
THE WIG CLOSET RETURNS
A BIG SUCCESS
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-
nology makes it possible to detect tumors sooner;
REACH TO RECOVERY
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.
WOMEN OF TUOMEY SHOW THEIR SUPPORT
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.
LOOK GOOD, FEEL BETTER
• 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”
• 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-
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-
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
Tuomey Foundation has awarded 22 $500 scholarships. On August
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
Mr. Jordan Reid Montrose Graham
Miss Ashleigh S. Hodge
University of South Carolina
Miss Kimberly A. Holliday
College of Charleston
Mr. Zachary T. Robertson
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
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.
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.com.
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.com // Tuomey Health Guides
online form. We invite you to come see the new Tuomey.com.
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
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
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
“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
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.”
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
AVIATION SKILLS FOR MEDICINE By Traci Quinn
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.
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
“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
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
Crabbe explained, “I think
about character, confidence
pre-incision and post-op-
this course is typical of the
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
Connect with us! twitter.com/tuomeyofsumter
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.
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
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 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.
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Tuomey Inc. 129 North Washington Street Sumter, South Carolina 29150 www.tuomey.com 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. www.tuomey.com
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