Author Archives: Trena Williamson

Joint Commission Preparation: Tip of the Week

WHAT IS THE SURVEYOR MOST LIKELY GOING TO ASK ME?

How do you, in your job support UM SRH’s mission (Creating Healthier Communities Together)?

Potential Answer/s:

  • I educate my patients regarding their medications and/or diet and/or home exercise program.
  • I refer my patients and their support person to community support groups such as a breast feeding or smoking cessation support group.

How do you, in your job ensure patient safety and support the National Patient Safety Goals?

Potential Answer/s:

  • I always use two patient identifiers when administering ordered medications, treatments or tests.
  • I always wash my hands (soap and water or hand sanitizer) before and after providing care.

What is your department’s/unit’s role in performance improvement (PI), or PI may be referred to as QAPI(Quality Assurance and Performance Improvement), or quality improvement?

Potential Answer/s:

To work on PI initiatives as set by our leaders.

Examples:

  • We educate our patients and set up post hospitalization care to assist in reducing re-admissions.
  • We report all events, even ones that did not impact the patient. (Good Catch/Near Miss)
  • We implemented care transition rounds.
  • We implemented Quiet hours for our patients.
  • We implemented White Boards to improve communication with our patients.

How do you support and ensure our Patients’ Rights?

Potential Answer/s:

  • I ensure my patient’s support person (as identified by the patient) is involved in my patient’s discharge plan.
  • I explain care being providing prior to providing care and allow my patient to ask and
    have answered questions regarding their care.

How were you oriented and deemed competent to do your job?

Potential Answer/s:

  • When I was hired I attended a hospital orientation and a department/unit based orientation, as well as competency validation specific to my job. Additionally, I completed training through UMMS U, our learning management system (LMS).

Joint Commission Preparation: Tip of the Week

Something as simple as two different handwritings on a signature line can be interpreted as falsification of documentation. Such findings during a Joint Commission survey could result in an adverse accreditation decision.

In this example, Jane Doe, RN wrote in the date and time after Dr. Cdeghi signed the document.

During the Joint Commission Accreditation survey, when questioned Jane explained to the Joint Commission surveyor that she knew the document required time and date along with the signature. Jane thought she was helping.

If you encounter missing documentation, bring it to the attention of the provider and/or your supervisor

City of Cambridge, Dorchester County and the University of Maryland Shore Regional Health take step forward in future plans for health care facilities and services

Gathering in front of UM Shore Medical Center at Dorchester after signing the Letter of Intent which serves as a framework for future hospital property negotiations are (left to right): Dorchester County Council President Ricky Travers, Dorchester County Council member Don Satterfield, Cambridge Mayor Victoria Jackson-Stanley, and Ken Kozel, President and CEO of University of Maryland Shore Regional Health.

The City of Cambridge, Dorchester County and the University of Maryland Shore Regional Health took an important step forward in future plans for new state-of-the-art health care facilities and services in the county and a milestone in development of the Cambridge waterfront as a community asset and economic development engine.

On June 8, Mayor Victoria Jackson- Stanley, Council President Ricky Travers, and UM SRH CEO Ken Kozel signed a Letter of Intent (LOI) which, along with the Memorandum of Understanding (MOU) signed last month by the City and County creating a waterfront development entity, will serve as the framework for continued negotiations regarding the future sale and development of the current hospital property when the emergency department and outpatient services occupy a proposed new site in Cambridge. This move is anticipated by 2021, although that date is contingent upon local and State approvals in order to move ahead. The City of Cambridge and Dorchester County MOU created an entity, Cambridge Waterfront Development, Inc. (CWDI), which ultimately will purchase the current hospital property, prepare it for development, and negotiate its sale by the spring of 2021.

“The County Council is very excited to continue the working relationship with the City and we thank them for the opportunity to participate as a partner in this monumental place-making endeavor,” says Council President Ricky Travers. “We look forward to the completion of the CWDI board appointment process and we are excited about the direction this will take the waterfront for Cambridge. I was overwhelmed with the willingness of both the City and UM SRH to work as a team to guarantee success of this project,” Travers says.

Council member Don Satterfield adds, “This historic project and partnership is the product of significant effort from both City and County employees as well as the elected boards. It is a pleasure working with the City and I have full confidence that the project will be professionally managed and developed to its fullest.”

” We, as a community, are incredibly excited at the opportunity this provides the City and County,” states Mayor Victoria Jackson-Stanley. “The ability to combine the two land areas into one project, as well as the two primary governing entities working as one, create perfect alignment for a successful centennial project that will profoundly improve the viability of the Cambridge waterfront for years to come.”

While the LOI signed June 8 does not directly impact the health system’s required Certificates of Exemption (COE) application process, it does provide University of Maryland Medical System (UMMS) and UM SRH with an interested buyer, who shares the health system’s commitment and vision for a campus supporting the health care needs of people in Dorchester and neighboring counties, as well as the revitalization of Cambridge.
“We applaud the vision and leadership of Mayor Jackson-Stanley, President Travers and their councils,” says Ken Kozel. “It is our intent that through our shared process, we will reach agreement on the sale of our Cambridge property by the end of calendar 2018 and ultimately, transfer ownership of our property in the spring of 2021, when we anticipate re-locating our services to the new UM Shore Medical Campus at Cambridge.”

UM Shore Regional Health plans to initiate the regulatory approval process in July with the Maryland Health Care Commission. The health system will request converting the hospital to a freestanding medical facility, with a new, state-of-the-art emergency department and medical pavilion for needed health care services. Plans call for the facilities to be constructed on a new medical campus in Cambridge by 2021.

HR News You Can Use: Employee Health Annual Requirements, Employee Health, Bereavement and Annual Education

Employee Health Annual Requirements

The following departments are required to complete their Employee Health requirements during the month of July:

  • Cancer Center
  • Center for Diabetes and Endocrinology

The requirements include: Respiratory mask fit, TB questionnaire & TDAP updating

There are still some team members that are due in the months of May and June from other departments. If unsure, contact Employee Health at x5549 for guidance.

If not completed during the allotted month, you will be taken off of the schedule at the end of the month until the requirements have been satisfied.

EMPLOYEE HEALTH DROP IN HOURS

CHESTERTOWN EASTON DORCHESTER
Tuesday Monday, Wednesday, Friday Thursday
7:30am – Noon 7:30am – Noon 7:30am  – Noon
1 pm – 3:30pm 1 pm – 3:30pm 1 pm – 3:30pm

Bereavement
The orgnization offers benefit eligible status employees funeral and bereavement leave time off with pay as a result of the death of an immediate family member. Employees in a non-benefit eligible status may request time off for funeral and bereavement leave; however the time off will be unpaid.

Immediate family member is defined as spouse, child, parent, sibling, grandparent, grandchild, including in-law, step and foster relationships. Same/opposite-sex domestic partners and children of domestic partners are eligible family members for funeral and bereavement leave, provided the relationship is established within federal/state guidelines.

Refer to Policy Manager (CHR-30) Funeral and Bereavement Leave for details.

Annual Education

The window is almost closed! Mandatory Annual Education must be completed by June 30, 2018. Access your education through HR Connections. No extra password needed since you are logging in through a secure access point. Once on the HR Connections page, look for the UMMS U link in the center of the page. There are demos there to help you navigate, as well as the “My Training” tab to get you started on your journey to complete your required annual education. The window closes on July 1, 2018. All staff must complete the mandatory education requirements by the deadline! If you have problems or questions, contact Kathy Freund at x 5936.

Joint Commission Preparation: Tip of the Week

TJC Prep 2018

  • Be calm – you’ll do great.
  • Be welcoming and polite – SMILE!
    • Patient care always comes first. If you need to respond to a patient’s needs, be polite, explain the situation and offer to meet the surveyor again as soon as possible. If approached by a surveyor to discuss a patient’s care, arrange for someone to cover your patients.
  • ALWAYS BE AWARE OF PATIENT CONFIDENTIALITY AND WHERE QUESTIONS ARE ASKED
    • If there is a chance for others to overhear, suggest going to a conference room or staff lounge.
  • Be enthusiastic and confident – Remember, you know your job better than anyone else
    Answer only what is asked – allow the surveyor to ask follow-up questions. Answer questions with a “yes” or “no” whenever possible. Do not elaborate or offer specifics unless asked.
  • Avoid words such as “usually” and “sometimes.” Instead answer “we do.”
    Remember we’re a team – talk about the collaboration among the various disciplines caring for the patient.
  • Know your patients – surveyors will be concerned with answers like, “I’ve been off for a few days and don’t know the status of this patient’s care.” Instead, give the details and discuss how other information is obtained during the day: rounds, etc. or where you can find it in the medical record.
  • Stay positive – even if things aren’t going the way you’d like, keep a positive perspective and a smile on your face! You’re doing great.
  • Be HONEST. We never knowingly provide false information.
  • Accept criticism and educational points graciously. The surveyors are here to educate. Use open body language. Stand facing the surveyor in a comfortable, confident manner.
  • Be flexible. You may be interviewed only once, multiple times or not at all. Regardless, be ready.
  • RELAX. Surveys are an opportunity for us to shine and show off the exceptional job we do each and every day.
  • FOLLOW THE 3 SECOND RULE IN ANSWERING QUESTIONS:
    • If you are unsure of what is being asked, ask the surveyor to clarify the question (I’m not sure what you are asking. Could you clarify?)
    • Use the buddy system. Ask a co-worker for help in answering a question or offer to help someone stumped by a question.
    • If you don’t know the answer to a question, don’t get creative. Tell the surveyor you’re unsure or don’t know and either direct them to someone who can respond or tell them that you know where to find the answer will get back to them as quickly as possible.

HR News You Can Use: Retirements, Annual Education Update & Employee Health Annual Requirements

Annual Education
Time is running out to complete your annual education requirement! You must complete all assigned modules by June 30, 2018. If you are not sure if all requirements have been met, log into your account by accessing through HR Connections and make sure all assignments are completed.

Employee Self Service Updates
Our Employee Recognition Program is active with some really great “above and beyond” recognitions on the wall of the website (https://ummsrewards.com). You must make sure your address, phone number and email address are correct through Employee Self Service. We need accurate work emails for you to receive recognitions through our electronic system.

Updating personal information is a very simple process:

  • Log into HR Connections
  • Click on “Bookmarks” near the top left of your screen
  • Employee Self Service
    • Employment, Work phone and email to check/edit for accuracy
    • Personal Information for editing address, phone number or emergency contacts

As always, your Business Partner is here to assist you with any questions!

Prudential Representative on Site
Our Prudential representative has site visits scheduled for the rest of the year to allow you to meet with him personally to discuss your retirement accounts. Feel free to stop by at any of the following sessions to review your account or ask any questions that you may have:

2018 UMMS Shore Regional Health Prudential Site Visit Schedule:

Easton – 2 East 286 Patient Family/Library
July 3, 2018 6:00 p.m. — 8:00 p.m.
July 17, 2018 10:00 a.m. — 12 noon
August 7, 2018 10:00 a.m. — 12 noon
September 4, 2018 1:00 p.m. — 3:00 p.m.
September 18, 2018 10:00 a.m. — 12 noon
 October 2, 2018 6:00 p.m. — 8:00 p.m.
October 16, 2018 10:00 a.m. — 12 noon
November 6, 2018 10:00 a.m. — 12 noon
November 20, 2018 10:00 a.m. — 12 noon
December 4, 2018 1:00 p.m. — 3:00 p.m.
December 18, 2018 10:00 a.m. — 12 noon

 

Dorchester – Human Resources Office
July 10, 2018 10:00 a.m. — 12 noon
August 14, 2018 1:00 p.m. — 3:00 p.m.
September 11, 2018 10:00 a.m. — 12 noon
October 9, 2018 1:00 p.m. — 3:00 p.m.
November 13, 2018 1:00 p.m. — 3:00 p.m.
December 11, 2018 10:00 a.m. — 12 noon

 

Chestertown – Cafeteria Meeting Room/Hospital
July 24, 2018 10:00 a.m. — 3:00 p.m.
August 28, 2018 10:00 a.m. — 3:00 p.m.
September 25, 2018 10:00 a.m. — 3:00 p.m.
October 23, 2018 10:00 a.m. — 3:00 p.m.
November 27, 2018 10:00 a.m. — 3:00 p.m.

 

Diagnostic and Imaging Center (Easton)
July 10, 2018 1:00 p.m. — 3:00 p.m.
September 11, 2018 1:00 p.m. — 3:00 p.m.
October 16, 2018 1:00 p.m. — 3:00 p.m.
November 20, 2018 1:00 p.m. — 3:00 p.m.
December 11, 2018 1:00 p.m. — 3:00 p.m.

 

Federal St (Easton)
2nd Floor Shore Home Care Conference Room
July 17, 2018 1:00 p.m. — 3:00 p.m.
October 2, 2018 3:00 p.m. — 5:00 p.m.

 

Cancer Center (Easton)
August 7, 2018 1:00 p.m. — 3:00 p.m.
November 6, 2018 1:00 p.m. — 3:00 p.m.

 

Canvasback (Easton)
July 3, 2018 3:00 p.m. — 5:00 p.m.
August 7, 2018 1:00 p.m. — 3:00 p.m.
September 18, 2018 1:00 p.m. — 3:00 p.m.
October 9, 2018 1:00 p.m. — 3:00 p.m.
November 13, 2018 10:00 a.m. — 12:00 noon.
December 18, 2018 1:00 p.m. — 3:00 p.m.

 

Ambulatory Surgery Center (Easton)
September 4, 2018 10:00 a.m. — 12:00 noon
December 4, 2018 10:00 a.m. — 12:00 noon

Joint Commission Preparation: Tip of the Week

TJC Quick Tip for Medical Equipment Involved in an Incident

Medical equipment is equipment utilized for patient Diagnostic, Monitoring, or Therapeutic purposes.

Medical equipment failures are reportable incidents.

  1. When a medical equipment failure occurs Clinical staff sequesters the equipment and all disposables used with it for the said incident.
  2. Clinical staff contacts the Biomedical Engineering Department to report the details of the incident and location of the medical equipment.
  3. Clinical staff enters an incident/event report in the incident/event reporting system (RL).
  4. The Biomedical Engineering Department picks up the equipment and tests it to determine causes or potential causes of failure.
  5. The Biomedical Engineering Department enters their findings in the corresponding incident/event reporting system (RL).

Reference EC-77 for complete policy and procedure.

HR News You Can Use: Retirements, Annual Education Update & Employee Health Annual Requirements

UMMS U Assistance Sessions

For those of you who have team members that may need help navigating UMMS U for Annual Education, we are holding 3 sessions next week.

Easton:
Wednesday, June 13 –  8:00am – 12:00pm (2nd floor Classroom 3)

Cambridge:
Thursday, June 14  – 8:00am – 12:00pm (3rd floor Classroom C)

Chestertown:
Friday, June 15 – 3:00pm – 6:00pm (Computer Room)


Employee Health Annual Requirements

The following departments are required to complete their Employee Health requirements:

Month of June:

  • Cambridge – 2-East & ICU
  • Chestertown – Acute Care & ICU
  • Easton – 2East, 3East, Joint Center, Neuro, Telemetry & ICU

Per Diem staff were due in May!

The requirements include: Respiratory mask fit, TB questionnaire & TDAP updating. Contact Employee Health at x5549 for guidance.

If not completed during the allotted month, you will be taken off of the schedule at the end of the month until the requirements have been satisfied.


Employee Health Drop In Hours

 CHESTERTOWN  EASTON  DORCHESTER
 Tuesday  Monday, Wednesday, Friday  Thursday
 7:30am – Noon  7:30am – Noon  7:30am  – Noon
 1 pm – 3:30pm  1 pm – 3:30pm  1 pm – 3:30pm