October 2013 Hocking Valley Community Hospital Dear Team Members: October Empty Bowls Luncheon, Sat. Oct. 26th, Central Elementary School, 11:00 am to 2:00 pm Halloween Cookie Sale, Thursday Oct. 24th, Front Lobby, 7:00 am to ? Safe Sitter class, October 28th, CIC Conference Room November TWIG VI Chinese Auction, Sat. November 2nd, Fairgrounds Book Sale, Tuesday November 19th, Front Lobby, 7:00 am to 4:00 pm TWIG II Thanksgiving Bake Sale and Pumpkin roll pickup, Wed. Nov. 27th, 7:00 am-? I want to thank you for your kind attention at the Fall Forums and the suggestions for “Eating the Elephant”. In my rounding after the Forums, many of you asked about the ideas that were submitted. I thought it would be beneficial if you knew what was submitted and perhaps that would stir suggestions from others. The enclosed sheet contains all the suggestions that were submitted verbatim. I have not included the names as many were not signed. I can tell you that some of the suggestions are in the process of being implemented immediately, others will take further time, and some are not possible to implement. I will do my best to keep you informed of the progress so continue to look at your pillar boards. It’s never too late to make suggestions, so don’t hesitate to submit “Your Bite of the Elephant”. You can send it to me via hospital mail or drop it in a Direct Line box. Thank you for your continued support. Julie Last Week of Food Drive! December Oct. 17th is the final day to bring in non-perishable food items for the annual HVCH food drive. Please take the time to purchase a few food items for the drive. The CHAP program counts on our generous support at this time of year, to distribute food to families in need. Employee Christmas CelebrationThursday, Dec 5th, Front Lobby Sharon Conner’s team has an early lead in the food drive competition. October 2013 Welcome New Employees Alicia M. Snyder - STNA Med/Surg. Josie Schultz- Student- BHU Olivia A. Fisher - OT Assistant Rehab Terri Higgins - RN - Med/Surg. Employee Wellness Fair Frances Lehman is completing the lab testing for the Wellness Profile. Employees need to have their profile completed by Nov. 30th. The Healthy Lifestyles Committee recently held the annual Wellness Fair for HVCH employees. Many employees fasted and completed their lab work. If you still need to complete your lab work, your deadline is Nov. 30th for Insurance deductible discounts. All employees, even those who do not have HVCH health insurance, are required to complete the Tier 1 Wellness profile before Nov. 30th. go to https://hockingvalley.motivation.cc Hocking Valley Community Hospital Happy Birthday September Front Row: Julie Stuck, Cheryl Sampson, Rebekah Driscoll, Wendy Lytle, Missy Hoffman and Jeff Hovatter. Back Row: Julie Freeland, Brenda Lehman, Kristen Butler, and Karen Standiford. Children’s Christmas Party-December 3rd TWIG IV Cookbooks Still Available The Employee Satisfaction Team will be hosting the annual Christmas party for the children and grandchildren of HVCH employees. The event will be held on Tuesday, Dec. 3rd, from 5:00 pm to 7:30 pm. in the front lobby. Children that are ages 10 and under can receive a gift from Santa Claus, but gift registrations must be received by Oct. 25th in the box in the cafeteria. The registration forms are available in the employee pay envelope. If you have not purchased your TWIG IV cookbook yet, there are still some available. The book is only $10.00 and contains more than 100 delicious recipes. The books can be purchased from any TWIG IV member, the Patio Shoppe or Administration. Payroll deduction is available Toys & Stuffed Animals Needed Wildlights Tickets Deadline Approaching The Emergency Department is in need of new toys or new stuffed animals. These items are needed for small children to calm their fears and make them smile while they are a patient at HVCH. For infection control purposes, they cannot accept any used items. Drop off your items to the ED. The Columbus Zoo & Aquarium Wildlights tickets are valid November 22, 2013 – January 5, 2014, but the orders must be placed by Oct. 18. Adult (age 10-59) - $7.50 Child/Sr (age 2-9 & 60+) - $5.00 Payroll deduction is available. Contact Ginger in Administration at ext. 8207. October 2013 Rehab Update Julie Freeland, Occupational Therapist is shown helping a patient improve their grip with the new dynamometer. The Occupational Therapy Dept. received funds from the American Legion Post, for purchase of a digital hand grip dynamometer. This replaces a hydraulic dynamometer and provides a more precise measurement of grip strength and performs calculations previously done manually. We thank the Vets for their support. Did you know that Kari Holly P.T. and Becky McCarty, P.I., are both trained in diagnosis and treatment of BPPV (benign paroxysmal positional vertigo)? In layman’s terms... inner ear cause of dizziness. Olivia Fisher, COTA, joined the Occupational Therapy Dept. in August as the newest member of HVCH’s contracting Occupational Therapy services to students in the Logan Hocking Schools. Hocking Valley Community Hospital Surgery Update Dr. Marshall and the Surgery team at HVCH are now able to offer chronic back pain sufferers, a new outpatient procedure called Radio Frequency ablation. The procedure uses radio waves or electric current to generate sufficient heat to interrupt nerve conduction on a semi-permanent basis. Approximately 70% to 80% of patients will get good block of the intended nerve. The nerves are usually blocked for 6-9 months, although it may last as short as 3 months or as long as 18 months. Staff Updates Angela Schetter is now doing Pre-admission testing. Amy Markin is now working in the Pain Management Clinic and will continue to provide wound care, Picc lines and US DV’s. Mary Chorniak is now circulating, and Natasha Colley is now in OPS full time. Empty Bowls The Empty Bowls Committee invites you to support the 2013 Empty Bowls event by purchasing a bowl for $10.00. The fundraising event is designed to help fight hunger in Hocking Co. All proceeds help to support United Way of Hocking Co. & HAPCAP with funds earmarked for the local food pantry. The luncheon is at Central Elementary on Oct. 27th, from 11:00 am to 2:00 pm. OSHIIP Event Planned for November 15th On Friday, November 15th, from 10:00 am to 3:00 pm, HVCH’s OSHIIP representatives, Kristen Butler and Debra Sheets, will host a Medicare Check-Up and Open Enrollment Event. The purpose of this event is to assist Medicare beneficiaries with selecting or changing their Part D plans and health plans. Open enrollment is from Oct. 15th through Dec. 7th. Call 380-8270 or 380-8128 to schedule appointments. Enhanced Employee Benefits As a new member of SCOIC (HVCH insurance plan), an enhanced Employee Assistance Program (EAP) became available to all participating members. The Pulse will feature one of these benefits monthly, and you can access the information at any time by going to this website, www.achievesolutions.net/JHP, or by calling the toll free number, 877-233-0976. Legal and Financial Benefit A free 30 minute consultation per problem can be accessed through the toll-free number. Additional services beyond the initial consultation are available at a discounted rate. Self-serve tools for building standard legal documents, relevant articles and other resources are available on the EAP website. "A pessimist is one who makes difficulties of his opportunities and an optimist is one who makes opportunities of his difficulties." ~Harry S. Truman October 2013 Hocking Valley Community Hospital HVCH Supports Volley for the Cure Julie Grow, center, accepts the game ball on behalf of HVCH, at the recent “Volley for the Cure” fundraiser at Logan High School. The Logan Lady Chiefs and Jackson Iron Ladies volleyball teams wore pink tee shirts to commemorate “Volley for the Cure” night at LHS. Julie Grow accepted the game ball on behalf of HVCH, which sponsored the tee shirts for LHS Varsity and JV. The annual event is a fundraiser for the fight against breast cancer. HVCH Team to Teach Safesitter® Classes HVCH is now a registered Safe Sitter ® teaching site. Trained instructors, Stacey Gabriel, Crystal Kerns, Mindy Davis and Kandy Fizer, will offer the comprehensive training program to children 11 and older. The class offers choking rescue and a CPR course. The first class will be Monday, Oct. 28th, from 8:30 am to 3:30 pm. The charge for the class is $40.00 and they will be held in the CIC building conference room. To register or for more information call Sharon Littleton at x8187 Julia Mundy Retires Julie Stuck and Bob Schmidt, were on hand to wish Julia well in her retirement. Julia Mundy has been at HVCH as a Unit Secretary for 6 1/2 years. She is looking forward to tackling some home projects and maybe spending some time in Florida. When asked about her time at HVCH she shared, "HVCH has been a large part of my life for 6 1/2 years. I was born in the old Cherrington Hospital, and this hospital was always here when we needed it. Leaving is like leaving family." Plant Operations Update To keep patients and staff comfortable, PM is done on 44 separate air handling systems and 35 exhaust fans, that control the air quality of this building. PM stands for preventative maintenance and it is done to limit failures, and lessen the severity of a failure if one should occur. Common failure parts are kept on hand to limit the length of down times. Each area of the hospital has it’s own requirement for air quality. For example, patient rooms require two complete outside air exchanges and 6 partial air exchanges per hour. For surgery, this rises to 3 complete air exchanges and 15 partials per hour. Complete air exchanges mean discarding all of your conditioned air and starting from scratch to recondition the air in the room. It is essential to maintain the integrity and reliability of the equipment that keeps us all comfortable in whatever season we find ourselves in. A lot of our time is spent behind the scenes working diligently to keep employees, visitors and patients as comfortable as possible and to make HVCH the provider of choice for Hocking County and beyond. MY BITE OF THE ELEPHANT........ Employee Submissions at Fall 2013 Fall Forums • Take a look at the supplies in the med room on Swing Unit. We have way more supplies than needed (10 bags of 1000 ml D5W,) which have sat there since I have been here and they are getting ready to expire. So many insulin needles we won’t ever use. Supplies need to be ordered better. • Take care of patients who are at end of life. Keep them close to family. We have room and people. • As a member of the Registration Department, I am required to ask patients for co-pays and deposits. I know ED and Clinic visits are unplanned so the co-pays are unpredictable to collect. However, I believe deposits for outpatient scheduled visits would be easier to collect if patients were made aware and told of the cost due when the appointment is set up. • Stop stuffing our paychecks with announcements. I know businesses that do not provide written pay stubs, they use a website called paycor.com. They claim it will save them money. Employees access a digital copy of the pay stub on their online account. Less copies of Pulse. Supply 1-2 per department and eliminate or lower copies of Welcome Publication. • Recycling – less trash cost. • Nice Job! This presentation has been easier to understand than some in the past. Lights in CIC Bldg stay on all night every night. • Limit the amount of pays for Employee Payroll deduction on their medical bills. Right now it is whatever they want and the accounts stay open forever…It should bring $ in faster. • Plastic med cups are cheaper than paper. Why keep both? • We get hundreds of papers a day that print off with only 1/3 of the page used. Everyone should remove patient information and cut paper into notepads for scrap paper instead of buying post-its. Each department could send to a central place or cutting. • Revisit the idea of having a credit card. Having a cc would make it cheaper, quicker, and easier for Plant Ops to get parts and supplies to repair equipment. Examples upon request. • Charge Medicaid patients a $5.00 co-pay every visit per patient. Make them wait until clinic hours for clinic issues. No more 3am sore throats – will gladly take care of your non emergent issue at 11am this would decrease time Dr must spend with non-emergent issues and increase time they can spend with patients having a actual emergency. Accountability for a change. MY BITE OF THE ELEPHANT Continued • Ask for volunteers to cut back hours in non-clinical areas. Even just 15-30 minutes. I think it could help • Ordering supplies must be approved by Director. • Ask Employees in non-clinical areas to turn off lights when leaving a room. • Get new statement policy. Would like to not be sent to collection when I’m making my agreed upon monthly payment. Send a statement that shows what the service was for and please send a monthly statement consistently. It took over a year to get a statement on payment arrangement account. • Angie wouldn’t have to write off so much on Caid, if doctors didn’t order CT’s through the Urgent Care. • The nurses who are double dipping in retirement, let them retire and rehire a younger nurse that wages are not as high. • Do a contest for the departments in regards to changes. Whoever has the least amount can get a reward. • The work that Kathy K is doing with the advertising is really great. I think, it’s helping us overcome our unfortunate reputation as a “band aid station” We look like we’re competing with the bigger hospitals now. I am very impressed. Ortho surgery is the most elective surgery I can think of. Patients get to make choices about ortho surgeries. I think that there is a lot of potential for us to harvest more post-op therapy pts from large hospitals. (Swing and Out pt) Could some of our advertising focus on these services? They’re really great services and we have a really good reputation in the community. However, I experienced with my grandparents that people are frequently in a state of crisis (following a fall, etc.) when big hospitals ask about d/c plans. Would advertising help to bring HVCH to mind when pts are asked about post-op care decisions? We have recently had quite a few end-of-life care patients. I’ve noticed that we are sending these to long-term care, even though they are quite close to death. Is there a potential for revenue if we provide this service? I thought that the chat given by FairHope was very promising. End of life care is one of those services that family/community members really remember. Having a place close to home is also very important to a community. Providing a service like this would help to reinforce that HVCH is a place full of “people who care.” I know that the time was not right for this the last time that it was discussed, but I think that a lot of staff would be interested in launching a service like this if it were a reasonable endeavor. • Look up the individual 0.9 NS flushes in the med physis to be charged individually to the patient. Example – IV Starts = one flush = 1.95 each pt charge; so 20 IV starts each day @ 1.95 each = $39.00 a day x 7 days a week = 273.00 week x 4 weeks = 1.092 a month x 12 months = 13,104 a year. That is not including the flushes for IV meds.
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