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rgN E W S F O R E M P L O Y E E S A N D F R I E N D S O F WA K E M E D NOVEMBER 2013

MEET DONALD GINTZIG SEE INSIDE FOR A PROFILE OF WAKEMED’S PRESIDENT & CEO

TIME IS RUNNING OUT! NOMINATE A CO-WORKER TODAY!

DEADLINE IS NOVEMBER 30

NEW UNIT FOR PATIENTS WITHSPINAL CORD INJURIES

Patients who havespinal cord injuries(SCIs) and theirfamilies now havetheir own inpatientrehabilitation uniton 3C of our RaleighCampus.

With the unit now inplace, WakeMedoffers patients withSCIs a level ofcomprehensive carethat is unmatched byother facilities.

The SCI RehabilitationGym is home to thefirst Vector Gait &Safety System in theU.S. It allows patientsto work on walkingwithout the fear offalling.

Denton Arledge Wins TBJ CIO of the Year Award Denton Arledge, vice president & chief information officer (CIO), wasrecently recognized by the Triangle Business Journal as a Triangle-area CIO of the year. He was one of 20 individuals honored for using

information technology in innovative ways tocreate competitive advantages, optimizebusiness processes and enable growth.

Arledge joined WakeMed in 2004 and has over30 years of information services experience. As chief information officer, he oversees anddirects the focus of Information Services.Recently, he has been heading up WakeMed’stransition to the Epic electronic medical recordsystem, which will go live in 2014 and 2015.

“The information systems field is a very exciting, constantly growingindustry that has always had interesting challenges,” says Arledge.“Understanding the technology we use is important, however, asCIO, I’m challenged to go beyond understanding and use technologyto solve clinical and business problems in creative ways.”

Ylenia Sharif Honored by Wake County Public School SystemYlenia Sharif (Workforce Development) received the “OutstandingVolunteer Award” for 2012-2013 from the School-to-Career Councilof the Wake County Public School System. Sharif was recognized forher work with the Wake Early College of Health and Sciences, a

magnet high school that gives students theopportunity to graduate in five years with adegree, diploma or certificate from WakeTechnical Community College. She was alsorecognized for leadership and service to theWake County Public School System.

Sharif, who has worked at WakeMed since2003, has been involved with the Wake EarlyCollege of Health and Sciences since itsinception. She currently serves as a liaison

between WakeMed and the school to provide students and teacherswith work-based learning opportunities such as tours, speakers, jobshadowing, internships and employment opportunities.

eICU Celebrates a Year of Success, Plans for the FutureIt’s been just over a year since WakeMed launched the eICU, which uses sophisticated monitoringtechnology to enhance the care of patients in WakeMed’s adult critical care units. Off-site eICUstaff, consisting of critical care nurses and intensivists, monitor critically ill patients’ vital signs,medications and test results along with nurses and physicians at the bedside.

The only facility of its kind in the Triangle, the eICU was created with several goals in mind:

• Leverage clinical surveillance and support resources

• Continuously advance the established plan of care and assist with clinical initiatives

• Identify trends and prevent problems while promoting the practice of evidence-based medicine

“We have made great strides in meeting many of our benchmark goals throughout the year and weare now implementing new programsto help improve patient care andoutcomes even further,” said ChrisSmith, BSN, RN, manager (eICU). eICUstaff have made several ‘Great Catches’including patient safety interventions,early recognition of instability, andrecognizing errors in the electronicmedical record. The team is alsoworking to decrease the average ICUlength of stay and patientcomplications, thereby making apositive financial impact on thesystem.

“The nurses and critical care physicians at WakeMed have successfully integrated the eICUtechnology into their caring for critically ill patients,” said Bill Lane, MD (WakeMed FacultyPhysicians – eICU). “Patients benefit from the additional surveillance and prompt interventions.Enthusiastic execution and constructive criticism by the staff contribute to this accomplishment.”

Looking forward, eICU staff are working to reduce ventilator days and get glycemic controls ontarget. The eICU is also implementing an Ambassador program to strengthen relationshipsbetween eICU and hospital staff. The program will provide opportunities to exchange informationand identify ways that eICU can provide support. “The Ambassadors will serve as a resource androle model to eICU/ICU staff for issues related to program functions, daily operations, initiativesand best practices,” Smith continued.

With the first year under their belt, eICU staff are looking at future implications of the programand have begun exploring outreach opportunities at other facilities. “The administration andproviders at WakeMed have invested significantly in this endeavor. Nurses, physicians,administrators and information specialists have worked together to address technical andoperational issues,” Lane commented. “The organization is now better prepared to adapt thetechnologies of remote patient monitoring as we face the challenges of future health care.”

Comings & Goings

WOW, what an employee!

Additions & AttachmentsKathryn Lockamy, RN, (CTICU) welcomed daughter Charlotte onJuly 5.

Sara Gray, RN, (Staffing Resources) welcomed son Koen on Sept. 10.

Leslie Howard, RN, (3B CVSIC) married Chuck Falls on Sept. 28.

Lisa Howard, BSN, RN, (1A Clinical Evaluation Area) marriedBrandon Gregory on Oct. 5.

Brian Askew, RN, and Naomi Askew, RN, (both of EmergencyDepartment – Apex Healthplex) welcomed son Carter on Oct. 7.

Patient Case Management welcomes MicheleD’Aguilar, Mabel Cubillos, Tasha Ferguson, whotransitioned from Zebulon/Wendell Outpatient &Skilled Nursing Facility; and Andrea Johnson, who transitioned from Fuquay-Varina Outpatient & Skilled Nursing Facility.

Occupational Health welcomes Melissa Ingram,BSN, RN, who transitioned from Women’s Pavilion& Birthplace.

The Gift Shop welcomes Merri Kay Fredean as aretail services assistant.

2W CVIC – Cary Hospital welcomes KrystenPalladino, RN; Jenny Salzer, RN, fellow; andAmanda Eagle, RN, fellow.

OneCall welcomes new schedulers Mesha Brownand Kimberly Marmol.

Clinical Administrators welcome Angie Weiser,RN.

Clinical Administrators – Cary Hospital welcomesNicole Perry, RN.

Guest Services welcomes Beverly Parker.

6B Orthopaedics & Oncology welcomes TeresaArlotta, NA II; Dindo Antonio, RN; Amber Brown,RN; Cathy Burke, RN; Nicole Coats, RN; BarbaraGaither, NA II; Jen Gauvain, RN; ElizabethKyangenyenka, RN; Sara Killen, NA II; Tish Lory,RN; Lori Metzner, RN; Damita Onuorah, RN;Jasmine Palka, RN; Julia Strickland, RN; JohnTheroux, NA I; and Kara Wells, RN.

Spiritual Care welcomes new resident chaplains:Heather Doss, Gretchen Martin, Justin Maynard,Mark Palmer, Lexi Scoggin, and Telika Wiggan.The department also welcomes chaplain interns:Dustin Bannister, Bryan Chapman, Jimmy Gibbs,Kyle Hooss, Paulette Kearney, Evelyn Medina,Debbie Wall, Rick Ward, Drew Weseman, andWanda Woods.

3E CVIC welcomes Elda Villalobos, NAII.

Infection Prevention welcomes Alice Mathew,BSN, RN, who transitioned from 5A.

Pathology Labs – Cary Hospital welcomes Wanda Sutton.

N E W S F R O M WA K E M E D P H Y S I C I A N P R A C T I C E S

Andrea Crane, MDWake SpecialtyPhysicians – Women’s Center

Rajesh Vakani, MDWakeMed FacultyPhysicians – Cary Cardiology

Sumeet Subherwal, MDWakeMed FacultyPhysicians – Raleigh Cardiology

Olalekan Folarin, MDHospitalistHarnett Health System

Dena Armstrong, MDPsychiatristRaleigh Campus

Shahzad Ali, MDPsychiatristRaleigh Campus

Jay Patel, MDPsychiatristRaleigh Campus

Molly Flynn (Patient Case Management) passed the Commission for CaseManagement (CCM) exam.

Deborah Chase-Smith (Patient Case Management) received licensed clinical socialworker (LCSW) certification.

Cathy McKane, RN, and Jodi Mitchiner, RN, (both of Patient Case Management)earned accredited case manager (ACM) certification.

Tammy Duke, RN; Eleanor Erejer, RN; Angelica Adkins, RN; Lauren Whitaker,RN; and Lori Kleeberg, RN, (all of 6B Orthopaedics & Oncology) obtained oncologycertification for nurses (ONS).

Tanisha Tutchstone, RN, (6B Orthopaedics & Oncology) was promoted tosupervisor/educator.

Carla Cozart, RN, (6B Orthopaedics & Oncology) earned amaster’s degree in nursing.

Rossamma Varghese, RN, (6B Orthopaedics & Oncology)earned a bachelor’s degree in nursing.

Heather Ferguson, RN; Danielle Boruta, RN; and Teo Tobes, RN, (all of the Emergency Department) receivedcertification in emergency nursing (CEN).

M A N A G E M E N T N E W S

WakeMed’s fall Head to Toe events were a great success!The community health series included free screenings forcholesterol, bone density, blood pressure and body massindex as well as peripheral vascular disease, head &

neck/thyroid cancer, andprostate problems. WakeMednurses, physicians andspecialists talked to hundredsof community membersabout healthy living, whilefree seminars offerededucation on everything frompreventing colds to CPR towomen’s health.

“Head to Toe events promote our ambulatory servicesand physician practices while also helping thecommunity learn more about their health and identifychronic conditions such as high cholesterol, high bloodpressure and obesity,” said Deb Laughery, vice president,Public Relations.

Here’s a look at the events ‘by the numbers’:

BY THE NUMBERSHEAD TOETO

4 Events took place at Garner Healthplex, Apex Healthplex, Alexander Family YMCAand A. E. Finley YMCA

120 Employees pitched in tomake sure that everythingwent smoothly

372 Cholesterolscreeningsperformed 321Bone density

screeningsperformed

6 Health education seminars, led by OrlandoConty, MD (WSP – Apex Medical Group); Ryan Murray, MD (WSP – Garner Primary Care);Elizabeth Kim, MD, (WSP –Women’s Center);Brian Klausner, MD, (WSP – City CenterMedical Group); James O’Neil, MD (WSP – ENT– Head & Neck Surgery); and Islam Othman, MD(WSP – Raleigh Cardiology)

Dianna Knight NamedDirector of Adult Surgeryand Neurology

Dianna Knight, MSN, RN, NE-BC,has been named director of AdultSurgery and Neurology. Knightoversees 6B Orthopaedics, 6CSurgery/Trauma, STICU, 5B NeuroIntermediate Care, and the NeuroICU. She joined WakeMed in 1997and most recently served as nursemanager of 6A CardiacIntermediate Care Unit and theChest Pain Unit.

Sabrina Tyndall Promoted toDirector of NursingOperations and AdultMedicine

Sabrina Tyndall, MSN, RN, wasrecently named director of NursingOperations and Adult Medicine. Inthis role, she oversees nursing andclinical areas for Epic, supportssystem nursing productivity andbudget development, andfacilitates key care transition pilotsand models. Along with these newresponsibilities, she continues tooversee the Diabetes Program,Hemodialysis, eICU and units 5A,5C and MICU.

Laura Aiken Named Director of Patient-FamilyExperience

Laura Aiken has been chosen asWakeMed’s director of Patient-Family Experience. Aiken, whojoined WakeMed in 2000, waspreviously the director of RegionalOperations. In her new role, she isresponsible for leading system-wide service improvementinitiatives with a goal ofcontinuously improving the patientand family experience in supportof WakeMed’s mission.

Wake Specialty Physicians – Employee Health

W E WA N T T O B E Y O U R P R I M A RY C A R E P R O V I D E R .

Caring for our WakeMed family the Wake Way! The trusted providers at Employee Health offer primary care services for all WakeMed employees and their dependents.

Schedule an appointment today for you or your dependents, age 6 and up.919-350-8284 – Monday through Friday – 7 am to 3 pmEmployee Health is located on the first floor of the Andrews Center.

Welcome New Physicians

WakeMed’s Outpatient Nutrition team is making adifference for people who want to eat better, addressdietary concerns or cope with food allergies. Whether thegoal is to lose weight, manage cholesterol, improve hearthealth or encourage healthy eating habits in a child,WakeMed’s team of licensed registered dietitiansprovides evidence-based, scientific nutritional advicetailored to individual needs.

“Our dietitians specialize in developing customizedplans that incorporate each patient’s preferences, eatinghabits, lifestyle, medical history and even medications,”said Lise Zublena, RD, director (Food & NutritionServices – Cary Hospital). “We build on patients’ existinglevel of nutrition knowledge and identify potentialproblem areas and opportunities to help them besuccessful.”

Based at Cary Hospital, Outpatient Nutrition seespatients from throughout the region, but also welcomesour own employees. In fact, employees who participatein our BCBSNC health plan can receive free visits with aWakeMed nutritionist. One-on-one nutritionalcounseling is available for: • Adult & pediatric weight management• Bariatric surgery• Diabetes• Celiac disease & food allergies• Heart health• Vegetarian nutrition

For more information, or to schedule an appointment,call 919-350-7000 (option 2) or have your physician faxa referral to 919-350-8959.

• Plan time to exercise, which can alsohelp relieve holiday stress.

• Eat until you are satisfied, not stuffed.

• Select small portions.

• Avoid skipping meals, which maycause you to overeat later in the day.

• Socialize more and eat less – standaway from the food to avoid nibbling.

• If you drink alcohol, choose lightbeers or wine and limit yourself to 1-2 drinks.

With the holidays just around thecorner, Outpatient Nutrition offerssome tips to help you navigate theseason without letting parties and

potlucks take a toll on your waistline:

Megan Holler (Patient CaseManagement) enjoys somevegan dishes prepared bypatient Janice Greenidge.

Process Changes Improve Safety,

Efficiency & Patient Satisfaction

Last July, WakeMed began rolling out severalperformance improvement initiatives withinSurgical Services at Raleigh Campus andOperative Services at Cary Hospital to providesafer, more efficient and fiscally-responsiblecare. The initiatives – led by task forcescomprised of physicians, surgical staff andsupport staff – focused on improvingscheduling processes, streamlining pre-admission testing, improving patient safety,increasing efficiency and strengtheningeducation and communication.

After 18 months, the results have been verygood. On-time first case starts at bothhospitals have surpassed the 75th percentile,compared to nationwide Advisory Boardbenchmarks. Day-of-surgery cancellation rateshave gone down, lowering operating expensesand improving patient, family and surgeonsatisfaction.

“I am very pleased with the progress that wehave made over the past year and a half,”commented Reed VanMatre, MD, (AmericanAnesthesiology of NC) co-medical director ofthe Raleigh Campus Surgical ServicesExecutive Committee. “These initiatives haveimproved the patient and family experiencewhile strengthening surgeon andanesthesiologist engagement.”

Additional improvements include:

• Implemented a multidisciplinary preoperative huddle to discuss the next day's surgical patients, addressunresolved issues that might cause delay or cancellation, finalize the elective surgical schedule, andcoordinate patient flow.

• Developed a reliable scheduling and pre-anesthesia testing process, which ensures that patients haveappropriate and cost-effective preoperative preparation.

• Improved physician involvement in operational decision-making; defined the role of physicians in surgicalservices leadership via the Raleigh Surgical Services Executive Committee and Cary Operating RoomExecutive Committee.

• Enhanced surgeon access to the scheduling process via the online Order Facilitator application.

Congratulations to Surgical Services and Operative Services on these excellent results! As we continue to buildon these successes, the focus will be on improving patient satisfaction with the preoperative and day-of-surgeryexperience; optimizing operating room access, turnover times, and resource map accuracy for surgeons; andmaximizing operational efficiency.

SURGICAL SERVICESMAKES GREAT STRIDES

A Prescription for Good Nutrition

WakeMed employees can now orderuniforms and shoes online through FirstUniform Inc.’s website. First Uniformwelcomes credit cards and payrolldeduction for full- and part-timeemployees. For orders over $100, payrolldeduction payments can be spread outover two pay periods.

As with the on-site First Uniform salesheld at WakeMed, a portion of theproceeds from purchases are used byWakeMed Volunteers to fund varioushospital projects.

Here’s how to get started:

• Visit www.firstuniform.com

• Click on “Payroll Partner Program” atthe top of the page

• Our Hospital Username is “wakemed”

• Follow directions on the screen toproceed.

Remember, WakeMed’s reviseduniform policy goes into effectFebruary 14, 2014. Questions? ContactUniformQuestions@wakemed.org.

First Uniform Inc. Offers Online Ordering Payroll Deduction Available; Proceeds Benefit Volunteers

Vegan Therapy?WakeMed Rehab Hospital patient Janice Greenidgerecently gave her therapy team a “taste of their ownmedicine.” At 67 years old, Greenidge, a case managerat Womack Army Medical Center, leads a very healthylifestyle. “I try to walk three miles and go to the gymevery day,” she says. In addition to her exerciseroutine, Greenidge has been a committed vegan forabout eight years. She chose to go vegan and exerciseregularly because of an aggressive family history ofheart disease. Greenidge has perfected many vegandelicacies and shares them with members of herchurch and other groups via classes anddemonstrations.

Even a massive automobile accident on October 3hasn’t kept Greenidge from imparting her heart-healthyculinary wisdom. In fact, she recently made a tofu keylime pie with wild blueberry sauce and smoked tofuchicken salad for her therapy team on 3C. Recreationtherapist Elizabeth Penny (REACH) took her on ashopping trip to buy some of the ingredients;Greenidge’s husband brought in the rest.

The result? A healthy and delicious meal that even themost skeptical staff members enjoyed. “Food can behealthy and still taste good,” explains Greenidge. “It’sknowing how to substitute healthy ingredients for thenot-so-healthy ones to keep your arteries clear.”

Vegan Key Lime Pie

1 package Mori-Nu extra firm tofu

1 8 oz. container plain Tofutti Better than Cream Cheese

Juice from 1-2 limes

1 package Mori-Nu Vanilla Mate Pudding mix

4 tablespoons cane sugar

1 prepared graham cracker pie crust

Pour the water from the tofu package and rinse the tofuunder running water. Wrap the tofu in double layers ofpaper towels and squeeze the water out. Repeat threetimes with dry paper towels.

Place the tofu and the lime juice in a food processor;blend until the mixture is smooth. Add each ingredient(through sugar) one at a time to the mixture and blenduntil smooth. Pour the mixture into the pie crust andchill overnight. Garnish with your favorite fruit.

Behavioral Health ExpandsHolding Unit, Adds Telepsychiatry Services

WakeMed’s Behavioral Health Servicesprovides initial diagnostic assessment andmedication management to patients of allages. The program also provides triage topsychiatric treatment facilities to ensurethat mentally ill patients have access to the

care they need. In an effort to reduce wait times and improve thetransition from emergency department to treatment, BehavioralHealth recently enhanced several patient services.

The 1D Clinical Evaluation Area opened on November 4,expanding the Behavioral Health Holding Area from five to 11 beds. The unit is a special area for patients who are awaitingplacement out of our Emergency Department into a psychiatricfacility. Sharyn Comeau, MD, medical director (BehavioralHealth), is managing the unit with support from WakeMedpsychiatrists Jay Patel, MD; Shahzad Ali, MD; and DenaArmstrong, MD (all of Behavioral Health).

Also this month, Behavioral Health introduced telepsychiatryservices, which expands the reach of the team while decreasingpatient wait time. Through the telepsychiatry service, patients at Cary Hospital and all healthplexes can have a livevideoconference consult with a psychiatrist or behavioral health counselor based at Raleigh Campus. “We are dedicated to providing excellent service and care for the mentally illpopulation,” commented Dr. Comeau. “These enhancements will help us meet growing patient demands and direct ourpatients to the best treatment available.”

WakeMed ENERGIZE is a family-basedhealthy lifestyle program available tochildren ages 6-18 struggling with healthyeating and exercise. The program wasrecently named a finalist to receive anational Jackson Healthcare HospitalCharitable Services Award for serving as amodel for community health improvement.Of the 178 programs that were nominated,only 40 were selected as finalists. See theENERGIZE website for program andregistration information.

Raleigh Area Development

Authority 2014 Classes

WakeMed has partnered with the RaleighArea Development Authority (RADA) tooffer free classes on site to help employeessave for a rainy day or toward the purchaseof a dream home. RADA is a HUD-approved financial and credit counselingagency dedicated to helping you manageyour finances. Classes will start in January2014; find out more at http://rada-nc.org orcall 919-208-2314.

Another Great Golf Outing It was a beautiful day for the 15th Annual Volunteers atWakeMed Cary Hospital Golf Outing. Winning team members included Jay Hager, RonaldAlbritton, David Rodden and Trip Brizandine. Many thanks to the top tournament sponsor RileyContracting Group as well as Jani-King of Raleigh/Durham, The Volunteers at WakeMed CaryHospital Board (Eagle sponsors); Sterling Capital Management (19th Hole on Wheels sponsor);Overstreet Sign Contractors, RR Donelley, VALIC and Wake Emergency Physicians, PA (Birdiesponsors); Canteen Vending and Owens & Minor Distribution, Inc. (Tee Box sponsors); CaryDermatology Center, PA, Cary Gastroenterology, Diamond Springs, Global Recruiters of Raleigh,John McGrath, SBS Management Co., Wayne M. Beavers, DDS, PA, Susan Hester and WholeFoods (Pin Flag sponsors); and Timothy S. Barlow, DDS, PA (Putting Green sponsor).

CHILDREN’S ED ROOMS GET A REFRESHSeveral volunteers from the Junior League of Raleighhelped bring two rooms in the Children’s EmergencyDepartment to life. The volunteers reupholsteredfurniture in one room and painted it a cheery yellow,while another room got a fresh coat of blue paint andwill soon have a new TV, donated by the JuniorLeague. Shown: Volunteers Lisa Vanderberry, KellyMiller and Caroline Russell (far right), along withLaurie Cook, RN, manager (Children’s ED) and JaniceFrohman, BSN RN, director (Emergency Services),show off the new look at the Children’s ED.

What is the difference between ICD-9 codes and

ICD-10 codes?

ICD-10 codes include changes in:

• Terminology

• Expanded concepts for injuries

• Laterality

• Etiology

• Anatomic site

• Severity of illness

• Codes assigned to operations and procedures are more specificand clinically accurate

What are the benefits of ICD-10?

Under ICD-9, significantly different diagnoses and procedures areassigned to a single code, which limits payment and patient safetydata collection. ICD-10 is much more detailed and will help payersbetter understand their claims information and make it easier toevaluate the outcomes of new procedures and emerging health careconditions. ICD-10 also works better with electronic medical recordsand computer-assisted coding, offers more flexibility in adding newcodes, provides better data for evaluating and improving quality,and standardizes disease outbreak reporting.

What does ICD-10 mean to me?

The transition to ICD-10 is a complex undertaking and will impactthe entire system. Many departments are highly dependent on ICD-9codes – including Scheduling, Admissions, Physician Clinical Care,Case Management, Labs, Radiology, Performance Management,Accounting/Billing and Health Information Management – but thosearen’t the only departments that will be impacted.

“Between system updates, testing and training, there is already a lotof work being done to prepare for the 2014 deadline,” said Hoth.“We will be ready to meet this federally mandated deadline, but itwill take many individuals from across the health system workingtogether to ensure a smooth roll out of ICD-10.”

Stay tuned to Microscope and WakeMed Weekly for training andeducational opportunities as we prepare for ICD-10 implementation.

The U.S. Department of Health & Human Services (HHS) has required that the United Statesadopt the ICD-10 (International Classification of Diseases-10) procedure and diagnosis codingsystem by October 1, 2014. HHS originally intended for ICD-10 to be implemented byOctober 1, 2013, but that date was revised to give health care providers more time to preparefor this important and far-reaching change.

ICD codes are used to indicatediagnoses and procedures for manyreasons including billing, audits,teaching, Joint Commissioncompliance and publicly reporteddata, among others. The system thatis currently in use, ICD-9, is almost30 years old, and the 18,000 codesthat it contains are not detailedenough to meet the needs of today’shealth care providers. ICD-10, onthe other hand, contains 150,000

highly specific codes that reflect advances in medical knowledge and technology. Thesecodes will help hospitals more accurately track diagnoses, keep pace with new diseases andprocedures by incorporating new codes, and improve quality metrics, patient safety andcompliance data.

“ICD-10 is more than an upgrade of the ICD-9 coding classification system,” said Brian Hoth,WakeMed’s ICD-10 program manager. “This is the first new diagnosis coding system to beadopted since the widespread use of computers in health care. It represents a significantstructural change that will impact providers, staff, processes and most of the systems andtechnology that we use.”

WakeMed Prepares for

ICD-1OIMPLEMENTATION

0

50,000

100,000

150,000

200,000

Total Codes Diagnosis Codes Procedure Codes

ICD-918,000

ICD-10155,000

ICD-913,000

ICD-1068,000

ICD-93,000

ICD-1087,000

In his first weeks at WakeMed, President & CEO DonaldGintzig (who introduces himself as Donald) had noshortage of meetings. As he navigated this sea ofintroductions and learning about WakeMed, he made sureto block off time to walk the hospitals and talk toemployees – an ongoing practice that has given him agood feel for the organization, but serves another purposeas well. “We all play an integral role, and it’s important to

know the people who drive theorganization. I’ve been veryimpressed with the spirit andfriendliness of WakeMed,” he says.“It’s essential that our organization isengaged and visible. Buildingrelationships with each other – withour medical staff, with our patientsand their families, and with ourcommunity – keeps us connected towhy we exist, and we can’t lose that.

Our goal is to create an exceptional experience foreveryone, every time!”

In fact, our strong connection to the community is onereason Gintzig was drawn to WakeMed. “I enjoy beingpart of an organization that strongly reflects thecommunity and region it serves. It’s rewarding to bepart of an organization that focuses its efforts on howto improve the lives of the community. WakeMedhas that and much more,” he continued.

Gintzig grew up in the Washington, D.C., area. Hismother, a nurse, and his father, an early pioneer inhealth care administration, were both first-generation Americans who placed a highimportance on serving others. They passed thisdrive on to their three children, all of whom wentinto health care in one way or another. Gintzigattended George Washington University, earningboth a bachelor’s and master’s degree in businessadministration. He was drawn to health careadministration because of how it united hisinterest in business and leadership with adesire to help others. After completing ahospital administration fellowship at SouthMiami Hospital, Gintzig went on to serve asCEO for large not-for-profit, faith-based, andfor-profit health systems in Texas,Pennsylvania, Tennessee and Minnesota.

Gintzig’s career in the Navy began in 1983when he joined the Navy Reserves. Over the

next two decades, he worked as a civilian while moving up the ranks. In 2005, he was nominated by the president to serve as Rear Admiral, SeniorHealthcare Executive, for the U.S. Navy. Since then hehas mostly been on active duty, most recently serving asthe Deputy Surgeon General, until retiring in October2013. “Whether it’s serving my country, serving mycommunity, serving my church or serving my neighbor,being able to contribute and make a positive difference is what drives me,” he says.

As a leader, Gintzig enjoys helping people identify theirtalents and provide opportunities for them to be used. Hesees the role of leadership as helping set goals andproviding support along the journey – whether byremoving barriers or mentoring and encouraging theteam. Gintzig is realistic about the difficulties facingWakeMed and hospitals across the country. “It’s a criticaltime in health care. As a nation, we’ve experiencedchallenging times before. We’ve always survived them,and we will get through this one,” he says. “I feel sofortunate to be a part of this organization at such animportant time and to help build upon WakeMed’s stronglegacy as we look forward to a successful future.”

Between his wide ranging civilian and militaryexperiences, Gintzig is no stranger to moving. He and hiswife of 31 years, Lindy (a nurse), are looking forward togetting to know the Raleigh area. They relocated thismonth from near Nashville, Tenn., where their threedaughters (aged 19, 20 and 22) still live. On the weekend,he enjoys reading, exercising, playing golf and otheroutdoor activities. He also enjoys cooking, though he’smore likely to whip up a meal from what he can find inthe cabinets than follow a recipe. “Of course, that means Ican never recreate the good ones,” he says.

As he settles in at WakeMed, Gintzig hopes to apply someof the experiences he’s had throughout his career. Afterleading hospitals of many shapes and sizes, he has foundthat one common theme ties them together. “For all of ourtechnology and innovation, it all boils down torelationships based on trust,” he explains. “Our patientsdignify us by seeking our help when they are mostvulnerable. We have to come together to improve thehealth of our patients, and that starts with building strongrelationships between members of the care team, betweenthe care team and the patient, and between the hospitaland the community. The mission drives us, but it’s thoserelationships that allow us to work toward fulfilling it.”

This fall, the WakeMed HospitalistProgram expanded to include BetsyJohnson Hospital in Dunn, N.C.,and Central Harnett Hospital inLillington, N.C. In addition tocaring for adult inpatients at bothhospitals, the team of board-certified physicians will provideon-site and telephone consultationswith community health careproviders and coordinate patientcare with any physician who refersa patient to be admitted.

“WakeMed is honored to lead anoutstanding team of hospitalists towork alongside both the BetsyJohnson Hospital and CentralHarnett Hospital teams to care foradults from Harnett County andsurrounding communities,” saidWilliam Pittman, MD, medicaldirector, WakeMed’s HospitalistProgram. “This partnership helpsensure local residents can stayclose to home and receive high-quality care anytime they need it.”

The hospitalists will workprimarily at Betsy Johnson andCentral Harnett Hospitals but willalso rotate at the Raleigh Campusand Cary Hospital. These newprograms complement the growthof our Pediatric Hospitalist service,which expanded to CentralCarolina Hospital in Sanford, N.C.,in September.

WakeMed Honors Veterans WakeMed hosted Veterans Day recognition ceremonies on Monday, November 11, on the RaleighCampus and Cary Hospital to honor all WakeMed employees, physicians and volunteers who areveterans or currently serving in the U.S. Armed Forces. Held in the Andrews Center, the RaleighCampus ceremony included special remarks from Donald Gintzig, president & CEO, as well as akeynote presentation by Lieutenant Colonel Michael Marciniak. David Coulter, senior vicepresident and administrator – Cary Hospital, spoke at the Cary Hospital ceremony, which tookplace at the flagpole. Both ceremonies also included a song, an invocation and the reading of thePresident’s Proclamation.

Pictured, left, Teo Eclarinal (Telecommunications) presented a special award on behalf ofWakeMed's Veterans Committee to Colonel Angela Jones, manager (3C Rehab Nursing), torecognize her promotion to 0-6 Colonel.

WakeMed Employees Promote Reading through Volunteer EffortsRead and Feed is a local nonprofit program committed to assisting elementary schoolchildren from economically challenged homes learn to read and be academically successful.This is the third year that WakeMed has partnered with the program by providing food andemployee volunteers. This year, WakeMed supported the program at Powell ElementarySchool, located less than two miles from Raleigh Campus. Each week this fall, 15 to 30WakeMed volunteers visit the school and serve students a hot meal and spend time readingwith them one-on-one or in small groups. At the end of each session, the children areprovided with age-appropriate books they can take home to start their own personal library.

Special thanks to all of our Read and Feed volunteers for donating their time, the Food &Nutrition Services team for providing the hot meals, and to Julie Phipps, manager, (InformationServices) and Melody Wallace (Construction & Design) for coordinating these efforts!

WAKEMED CONTINUES

TO GROWHOSPITALISTPROGRAM

getting to know Donald Gintzig

President & CEO

FighttheFluFlu Season is Here!

The deadline for employees to get theirflu shot is December 31, 2013. Don’twait until the last minute to getvaccinated – stop by OccupationalHealth today.

WakeMed volunteers helping out with Read and Feedon October 29 take a break for a photo.

NOVEMBER 2013

FocusOnNursingwww.wakemed.org

Setting a new standard of excellence in the art and science of nursing care and caring.

Nurse Manager CouncilOur nurse managers guide patientcare including nurse and patientsatisfaction and quality outcomes.They are transformational leaders who enable and empower us to do our best.SPEAKING OF NURSING: A NOTE FROM OUR CNO

Cindy Boily MSN, RN, NEA-BC

Senior Vice President & Chief Nursing Officer

Attending the Nursing Council Rush Day events at RaleighCampus and Cary Hospital, I was reminded of how hard ournurses work to improve our outcomes. WakeMed’s SharedDecision-Making Structure strengthens the clinical nurse’svoice and has enabled us to improve policies, practices, ourwork environment and – most importantly – patientoutcomes. It was wonderful to see this hard work highlightedat the Rush Days, which drew nurses, leaders and executivesfrom across the system. Many thanks to the Work Life Councilfor creating this fantastic event.

Please join me in thanking all of our dedicated councilmembers for their pursuit of outcomes excellence and forbeing the kind of leaders that empower us to do our best!

Falls & RestraintsCommitteeVicki Block, senior vicepresident and administrator,Raleigh Campus, (left) andLisa Tassos, RN, are smilingabout the great outcomeschampioned by the Falls &Restraints Committee.

Informatics Committee

Policy & Procedure Committee

Pediatric Committee

PRPN Committee

Education CouncilIn FY2013, we surpassedour goal: 45 percent ofWakeMed nurses havetheir bachelor’s degree innursing and 34 percentare specialty certified.

Patient EducationCommittee

Practice CouncilJessica Dixon, RN, and ChrisRoddy, BSN, RN, sharedinformation about the PracticeCouncil, which has madedecisions on several clinicaltopics this year including vaccinesite selection, transdermal patchscanning and bedside report.

Work Life CouncilThe Council’s workinfluences our nurseturnover rate, which iscurrently 9.67 percent (thenational average is 13.1percent). Lauren Smith, RN,greets attendees at theRaleigh Rush Day.

First-ever Council Rush Days Create Awareness, Spark EnthusiasmLeave it to the Work Life Council’s Lauren Smith, RN, and Sara Cobb, RN, with special efforts by Cary Hospital’s TeresaHarvey, RN, to create a unique event that effectively acquaints nurses with the workings of our nursing councils andencourages their participation in future council activities. The event was based on the fraternity/sorority rush concept.Rooms were set up like our Shared Decision-Making Structure.

Supervisor/Educator CouncilCouncil members continue toincrease staff education andknowledge by making sessions easilyaccessible through venues such asunit-based inservices.

Quality CouncilWith Council mentor Janice Neff,RN; Heather Ferguson, RN; andAmy Dorn, RN, oversee nursingquality by supervising thenursing dashboards.

Research & Innovation CouncilThe Research & InnovationCouncil equips nurses to seekanswers to their relevantpractice questions. In October,eight WakeMed nursespresented their research at astatewide conference.

Staff Nurse CouncilThe Staff Nurse Council leadership team ofHelen Voss, RN; Cindy Boily, RN; EleanorLittle, RN; Sandee Jene Hales, RN; andLorilyn Heinig, RN, ensures that all nurseshave a voice in decisions that impactpatients and their families.

Nurse Executive

Council

Evidence-Based PracticeCommitteeGot EBP? Members of the EBPCommittee, Millie Swan, RN;Patti Ness, RN; Betty Woodard,RN; Marie Nagel, RN; RhondaVincent, RN; and Trisha Jones,RN, ask this all-importantquestion that impacts nursingpractice.

Cary NSQI Committee

Raleigh NSQI Committee

WakeMed Health & Hospitals

3000 New Bern AvenueRaleigh, NC 27610

Non profitOrganizationU.S. PostagePAIDRaleigh, NCPermit NO. 1307

ADDRESS SERVICE REQUESTED

Microscope is a monthly newsletter written by and for the employees of WakeMed. Our goal is to provide employees and friends of

WakeMed with the most up-to-date news on all of the hospital system’s activities. The

Public Relations department thanks all of theemployees who contributed to this publication.

We welcome comments and suggestions on thispublication and its content. Call (919) 350-8120,

e-mail microscope@wakemed.org, or writeMicroscope, Wake Med Public Relations

Department, 3000 New Bern Avenue, Raleigh, NC 27610.

Kate Wilkes, Editor

WakeMed Employees, Photos

©WakeMed Public Relations, November 2013

calendarofeventsTo help you plan ahead, this calendar lists upcoming system-wide events, training classes and community events. For details and fee information,visit the WakeMedWeb. Send calendar submissions to Public Relations or email microscope@wakemed.org.

Jewelry & Accessory Sale

The Volunteers at WakeMed Cary Hospital along withrepresentatives from Masquerade will sponsor a $5jewelry & accessory sale Friday, December 6, from 7 amto 4 pm in the Cary Hospital Conference Center. Cash,credit card and payroll deduction (name badges required)will be available.

Staff Development & Training

Enroll in any of the listed classes via Learning Link orhave your manager/supervisor send an email toSDRegistration@wakemed.org that includes your nameand employee number, and course name, date(s) andtime(s). For information, visit the WakeMedWeb or callext. 08306. Please note: Some classes require anintroductory course or satisfactory completion of anassessment test.

MANAGEMENT DEVELOPMENT

Effective Supervision at WakeMed – Tuesday, Dec. 3,8:30 am to 12:30 pm, Raleigh Campus, Medical OfficeBuilding, Ground Floor Classrooms (Code = MDEFSS)

STAFF DEVELOPMENT

EAP: Releasing Negativity: Altering thinking for stressreduction – Friday, Nov. 22, 9 to 11:30 am, RaleighCampus, Medical Office Building, Ground FloorClassrooms (Code=SDEAP-RN)

EAP: CHANGE: Strategies for resilience and adaptability– Wednesday, Dec. 18, 9 to 11 am, Raleigh Campus,Medical Office Building, Ground Floor Classrooms(Code=SDEAP-CE)

Nursing Education

Nursing Professional Development Book Series: Lionsand Tigers and Nurses by Amy Glenn Vega (NE014-11001) – Monday, Nov. 25, 8:30 to 9:30 am, NED C

Nursing Professional Development Book Series: TheFlorence Prescription: From Accountability toOwnership by Joe Tye (NE014-13093) – Tuesday, Nov.26, 11 am to noon, Cary Hospital, Conference Center;Monday, Dec. 2, 7:30 to 8:30 am, NED B

Medicine of Compassion (NE014-9073) – Monday, Dec. 9,8:30 to 11:30 am, NED A

Nursing Professional Development Book Series: EatThat Cookie! Making Workplace Positivity Pay Off byLiz Jazwiec (NE014-12086) – Wednesday, Dec. 11, 8:30 to9:30 am, Cary Hospital, Conference Center; Monday, Dec.16, 11 am to noon, NED B

Wake AHEC

Beyond Apps & Immunizations – Wednesday, Dec. 4, 8am to 4:30 pm, Jane S McKimmon Center, N.C. StateUniversity

Nitrous Oxide Sedation – Friday, Dec. 6, 8:30 am to 4:45pm, Andrews Center

Pro Bono Counseling Network Education Series: TheGender Spectrum: Being an Inclusive and EffectiveProvider – Friday, Dec. 6, 2 to 4 pm, The Herald Sun,Durham

Using Nutrition to Improve the Biochemistry ofDevelopment, Learning and Mood – Saturday, Dec. 7,8:45 am to 4:15 pm, Jane S McKimmon Center, N.C. StateUniversity

25th Annual Leo M. Croghan Conference on EarlyIntervention – Monday, Dec. 9, 8:30 am to 4:30 pm,Sheraton Imperial Hotel, Durham

OSHA and North Carolina Infection Control Methods –Tuesday, Dec. 10, 5:45 to 9 pm, Jane S McKimmonCenter, N.C. State University

AHEC VETERANS MENTAL HEALTH PROJECT

Free webinars sponsored by N.C. AHEC and CSSP. Go towwww.ahecconnect.com/citizensoldier for moreinformation.

Mental Health Series (nursing and psychology creditsavailable)• Treating the Invisible Wounds of War• Issues of Women Returning from Combat• Understanding Military Family Issues

For Physicians (AMA credit available)• A Primary Care Approach

For Employee Assistance & Human ResourceProfessionals (EACC, PDH and HRCI credits available)• Employee Assistance in the Civilian Workforce

For Optometrists & Ophthalmologists (COPE creditavailable)• Recognizing the Signs of Mild Traumatic Brain Injury

during Routine Eye Examinations

Donations accepted throughout December.

The Love Light Tree tradition began in 1985 withthe generosity of Dr. Bill and Coleen Lee, whodonated the first Love Light Tree to the WakeMedRaleigh Campus in memory of their son, MatthewWilliam Lee (March 5, 1979 – November 26,1984). Today, the tradition continues throughoutthe year as Love Light Tree donations are made inhonor or memory of someone special. With a giftof a Light or Star, you can help make a differencefor the patients served at WakeMed Children’s.

Learn more and make your gift today by visitingwww.wakemedfoundation.org

Wednesday, December 4

6 to 9 pm

Daily Planet Café

121 West Jones Street

Raleigh 27603

Make a $20 donation to Memories for Marcus orbring in a new unwrapped toy and receive adelicious buffet meal courtesy of The Daily Planet(drinks not included). Proceeds benefit WakeMedChildren’s through the WakeMed Foundation.Toys will be given to children hospitalized duringthe holiday season. For more information, emailmemoriesformarcus@gmail.com or call Margie at919-906-0156.

New Location!

Saturday, December 7, 1 to 4 pm

Marbles Kids Museum

201 E. Hargett Street, Raleigh

Join Twinkle, WakeMed Children’smascot, for a fun-filled afternoon ofornament-making at our annual Trim the Tree with Twinkle event. Get in the holiday spirit and help bring holiday cheer to pediatric patients by decorating a tree for theWakeMed Children’s Hospital. This event is free; admission to Marbles is separate. Visitwww.marbleskidsmuseum.org forinformation on museum admission and hours.

trimthetreewith Twinkle