Steve’s Weekly Wrap-Up (2/10/17)

Brown paper package with torn section

Last week, members of our executive team, risk management, ethics and compliance and pharmacy spent the day reviewing our process for detecting drug diversion with the DEA, GDNA, Board of Pharmacy, Macon-Bibb Sheriff and Health and Human Services representatives. As you know, drug diversion is a serious nationwide issue with healthcare professionals. We have a comprehensive program to detect potential diversion and when it is confirmed we notify and licensing boards, call law enforcement and cooperate to the fullest extent to get these individuals out of the healthcare environment. We need everyone to watch for suspected diversion as well. Unusual behavior, abnormal clinical practice, frequent absences from work or any other behavior that is out of character or not consistent with behavior in the healthcare environment. Simply put, we can’t have these people in our organization. Thanks for helping insure a safe care environment for our patients and work environment for each other.

hospital-logoColiseum Northside Hospital has been named among the nation’s hospitals with the shortest emergency room wait times.  Becker’s Hospital Review recently compiled a list of hospitals where patients spent an average of four minutes or less in the emergency room before being seen by a healthcare professional.  The national average is 22 minutes; Coliseum Northside Hospital’s average wait time was listed as 4 minutes.  Coliseum Northside Hospital was the only hospital in Georgia to be listed. Congratulations!

16507935_10208402881569351_1999221729351939110_nOur CMC Trauma Services had its first Peer Review and Multidisciplinary Quality meetings in January.  Performing  process improvement  and showing improvement in our processes is a VITAL part of the trauma designation process. Our team also participated in the first ever Georgia Trauma Awareness Day at the State Capitol on February 7, 2017.  Along with other Trauma centers and their experts, they spent the day ‘working the ropes,’ lobbying legislators and teaching them how to STOP THE BLEED.  Georgia is the first to have a state-wide, organized plan to teach all schools how to stop hemorrhaging.  The Georgia Trauma Commission has written a resolution to the Capitol to appropriate extra “super speeder funds”  to buy 5-7 tourniquet kits for every school in Georgia.  Our collective trauma experts will be providing the education to teachers, etc. free of charge. Education on caring for trauma patients will be scheduled in April for all nursing staff at CMC.

It is survey time again (JC, QRS) at both CNH and CMC and we must always be prepared. We are initiating Survey Preparedness Rounds to ensure that we improve and maintain a sound survey readiness posture. Watch for times and dates of rounds on your unit/department. We need everyone’s participation.

Congratulations to HCA Awards of Distinction Winners!

Coliseum Medical Centers:


Pictured left to right are:

  • Frist Humanitarian winner, Volunteer  – Lynda Stearns
  • Excellence in Nursing Award winner, Compassionate Care – Juliet Cannon
  • Frist Humanitarian Award winner, Physician  – Dr. George Stefanis
  • Frist Humanitarian Award winner, Employee – Kyle James
  • Excellence in Nursing Award, Professional Mentoring – Tripp Alexander

Also recognized were our two Innovator Award recipients: Sarah Haddock (Service Excellence) and Jody Moroney (Financial Impact).

Coliseum Northside Hospital:


Pictured left to right are:

  • HCA Innovators Award winner, Quality & Patient Safety – Leah Smith
  • HCA Innovators Award winner, Service Excellence – Angela Eubanks
  • Excellence in Nursing Award winner, Compassionate Care  – Sarah Gradwell
  • Frist Humanitarian Award winner, Volunteer  – Evelyn Parker
  • Frist Humanitarian Award winner, Physician  – Dr. Mickey Bansal
  • Excellence in Nursing Award winner, Professional Mentoring – Kim Sanders
  • Frist Humanitarian Award winner, Employee – Patti Jones

Congratulations to all of our nominees and recipients!

coli_behavioral-health-logo_color_4cThe Psychiatric Intensive Outpatient Program opening and Outpatient Programs relocation to Building D was completed on 02/06/17. This new program will round out the continuum of care in our Outpatient Programs with a psychiatric partial hospitalization, a substance abuse partial hospitalization, a substance abuse intensive outpatient program and the new psychiatric intensive outpatient program. The Stress, Trauma, Addiction, Recovery (STAR) Program opened on 02/06/17. Designed as a 28 day program for active duty military and newly separated veterans, this program provides evidenced-based treatments such as Eye Movement Desensitization and Reprocessing (EMDT) and Cognitive Processing Therapy (CPT) in conjunction with adjunctive therapies to address and resolve PTSD symptoms.

Town Hall image_CNHTown hall meetings begin next week at Coliseum Northside Hospital. We will be reviewing the accomplishments from the 2016 employee survey action plans and providing you the opportunity to ask questions about our strategies for 2017. Please watch for dates and times to attend.

new_residentThe Internal Medicine residency program has interviewed 179 candidates. Rank night to review candidates and finalize rank list is scheduled for 2/8.  The Match will take place on March 17 and we anticipate we will fill all 10 of our spots.  The first group of residents will start this July.

We are awaiting an accreditation decision for our psychiatry residency program.  We anticipate receiving accreditation. Once that is finalized, we will accept 4 residents through the SOAP (formerly called the Scramble) process.  Again, we expect four Psych residents starting this July.

Dr. Hatcher, our  Family Medicine Program Director is in place and actively recruiting faculty and working on our ACGME application for the FM program for 2018. We are interviewing for Emergency Medicine and Transitional Year Program Directors.  We anticipate the Transitional Year program beginning in 2018 and the Emergency Medicine program beginning in 2019. The Graduate Medical Education program moved into new space 2 weeks ago and it looks great.  We met with architects last week to start reviewing plans for Phase II which will house our Family Medicine and Transitional Year programs.



Please join me in congratulating Vic, Robin and the team on 3E for the highest HCAHPS scores for January at CMC!  They were 90.5% and in the 98th percentile on Rate 0-10. As a frame of reference, HCA had a January score of 68.7% and 27th percentile.  I am so proud of 3E and appreciate their hard work.


Deb, Eunice & Vivian – thank you to an awesome night shift staff who were so helpful and welcoming at 2 in the morning.  You ladies are awesome!”  Rebekah Kelterman (Heartland Hospice)

Angie Eubanks, thank you for going out of your way to accommodate my mother and making sure all her needs were met in a professional manner.  God bless you!”   Patient – J.B.

“This was my first time at this time at Coliseum Northside Hospital.  I had to have blood work and an EKG.  The person that registered me was Elaine Vaughn and she was one of the nicest people I have ever met.  She was patient and considerate and made my experience an awesome one!”  Patient – L.W.

“Had an issue arise Monday night (after hours) where we needed to get into one of the conference rooms at Coliseum Northside on very short notice.  We had a class scheduled for the next morning and really needed the room to be set up and materials distributed the night before.  Vanessa Fuller at the front desk was extremely helpful and took care of handling everything for us.  She made sure that everything ran smoothly for us and I wanted to make sure she was recognized for her efforts to go above and beyond to help facilitate this for us.”  Laurie Welch, HCA Director of Organizational Development

“Thanks so much to the following people for providing excellent care during my stay at Coliseum Northside Hospital:  Shawn, Jill, April, Amanda, Lizzie and Jaimie.”  Patient – M.M.

This past Tuesday my daughter took my mother to Northside to get an MRI before going to see Dr. Holliday. When she went in for her MRI she thought she had put her earrings and wedding ring in her vest before changing to her gown and put her vest and purse in the locker used for personal items. When I met her after the MRI in Dr. Holliday’s office that afternoon she pulled the earrings out of her vest and put them on, but there was no ring. We started calling hospital staff and searching in Dr. Holliday’s office in case it had fallen out of the vest somewhere. Becky also looked around and let us know she did not see it anywhere in MRI. When we finally got out of Dr. Holliday’s office it was 7:00pm.  My mother asked if we could please walk down to MRI to look ourselves – thankfully Becky was still there. Not only did Becky take us back to MRI to help us look again, but she herself put on gloves and went through the gowns and trash there for us – just in case – to no avail. The next day we ended up finding the ring as she had put it in my daughter’s purse for safe keeping while medicated earlier that day and forgot that is where she put it. A special thank you to Becky for going above and beyond to help my mother! – Kat Armstrong

Wes Thompson (Wayne) graduates Friday from the Nuclear A school as the Honor Man. This means he is graduating as first in the class! – Congrats Wayne and Family

Thanks for everyone’s hard work this week!

Steve Daugherty - CNH