Page 127 - Flipbook January Board

th
On December 19 , the Four West interim leadership contract ended. Lori Jewett MSN, RN, offered to serve as the interim nurse manager,
effective December 19th. Lori has leadership responsibility for Six Main and the Four West teams. We continue to analyze observation,
procedural and inpatient data to determine Four West care design model and leadership structure.

Rehabilitation Services:
The Falls Committee continue to work toward a system wide falls initiative. The progressive mobility protocol has gone live at all Guthrie
entities except for Towanda Memorial Hospital, this is in process. Rehabilitation is continuing to work as a group to reduce falls as a system
while promoting patient mobility with all staff.

Inpatient Physical and Occupational Therapy have been invited to work with the new pain management group to formulate a team called
Functional Pain Group. The purpose is to look into strategies to improve patient’s function while managing their pain most appropriately.

The Robert Packer Hospital Out Patient Rehabilitation went live with Central Scheduling on November 5, 2018.

Medical Education:
A recent addition to the software suite used for resident program management includes an undergraduate student module. The Medical
Education department now tracks all students at Guthrie through this system. The system allows us to visualize and assess the impact of other
learners on the Clinical Learning Environment. Observer and students are now able to complete onboarding requirements digitally thus
ensuing timely review of required immunization, background checks and preceptor confirmation prior to scheduling onboarding.
The Emergency Medicine Residency faculty engaged in a successful ACGME pre-accreditation site visit in October and now await the
Emergency Medicine Residency Review Committee’s review of the application with anticipated accreditation decision occurring in April
2019. Recruitment efforts are underway with the goal of having up to six residents ready to start training on July 1, 2019.
The Pulmonary Disease and Critical Care Fellowship is moving forward with the ACGME online New Program Application and anticipate
submitting the application by the end of January 2019.
The Medical Education Department met with Physician Recruitment in early October to focus efforts to retain graduating resident physicians
that meet the Guthrie Physician profile. In addition to relaying information about residents/fellows interested in staying with Guthrie, the
Medical Education Department reviewed the formal Residency Recruitment Work Flow diagram that outline the specific steps taken to
facilitate and promote the retention of graduating residents and fellows.

Wound Care:
The Guthrie Center for Wound Care & Hyperbaric Medicine has been busy preparing for January 1, 2019, when some coding changes from
CMS will be implemented. Several biosynthetic skin grafts have changed their codes and Wound Care has been working with Purchasing and
Finance to adjust Chargemaster and Superbills to reflect these changes without any delay or work interruption. In addition, Healogics
Incorporated has been instrumental in alerting Wound Care to all CMS coding and payment changes in time for the center to adjust
accordingly. Program Director David Dobson has consulted the reimbursement specialists at Healogics on several occasions to proactively
adjust to the coding and payment changes.

Pharmacy:
Guthrie Robert Packer Hospital had a booth for Residency Showcase during the American Society of Health System Pharmacy Midyear. There
was an increase in interest in the Pharmacy Residency Program since we were recently awarded accreditation for 8 years.

Upgrade to Omnicell XT conversion for Eight Northwest was completed last month. This process of the new medication dispensing system
has improved access. There are plans are to review implementation to other patient care areas as soon as possible.

The pharmacy department continues to work with Operational Excellence to convert to a Lean Management System to improve efficiency.

Radiology:
Radiology had submitted and successfully received American College of Radiology accreditation for renewal of CT and MRI.

PET CT will be offering a new study using fluciclovine F18. This injection is indicated for PET Imaging in men with suspected prostate
cancer recurrence based on elevated blood PSA levels following treatment. The planned roll out date will be set for February 2019.

Facilities:
The second level floor in Behavior Health dining/activity area has been approved and is now in use. New shelves are being installed in case
carts in Central Processing. The old and rusty shelves are being replaced based on these flaking off in the washers, this is ongoing until
complete. Access issues are being addressed to prevent unauthorized access to critical areas. Phase two of the Emergency Department project
is well under way, the bathrooms by A bank elevator will be taken out of service on January 2, 2019, as part of phase two. The bathrooms on
second floor in the dietary area will also undergo renovations soon. The Cath lab project is on schedule. Bidding is underway to add an
Automatic Transfer Switching system for floors seven, eight and nine to help provide better emergency power from the generators.

Air Handler 16 upgrade plans have been approved by Department of Health. The planning phase for bidding is underway to get this air
handler replaced. This is a critical air handler as it feeds portions of the Main building, levels two and three, as well as North building level
two. These areas include Pharmacy, Blood Bank, Medical Records, Cytology and Cytology Prep, Hystology, Main Record file room, Old
Flow Cytometry, Microbiology, Main Core Lab Chemistry, File Room, and Main Core Lab Hematology. There are various exhaust fans
associated with the air handler. The Hartzell exhaust fan is the largest, located on Level nine, on the side of the Main building. This fan is
dedicated to exhausting level two of the Lab.

The old-style lighting is being replaced with more energy efficient LEDS, currently working on fourth floor areas. The parking lots are
completed as well as approximately forty-five percent of the facility, which includes the Operating Rooms, Central Processing, Cafeteria, and
Eight North West. During the process Facilities is working to plan around construction phases and priority areas.
2