YOUR PARTNER IN HEALTH - Saint Agnes Hospital

32 Pages·2016·2.74 MB·English

YOUR PARTNER
IN HEALTH
SAINT AGNES
H O S P I TA L
ANNUAL REPORT 2014

ANNUAL REPORT 2014
Saint Agnes was founded in 1862 on the principles of
cooperation and community spirit, driven by the determined
attitude of the Daughters of Charity who worked hand in
hand with city and community leaders of their time to help
those in need of medical care.
Now we stand poised on the brink of a new era of healthcare
reform which emphasizes collaboration and community-
based initiatives, and our historic mission has led us to the
forefront of this emerging trend.
Saint Agnes is proud to be Your Partner in Health, and we
pledge to continue to reach out to organizations and leaders
— locally, regionally, and nationally — who can enhance our
services to bring our community the highest quality of care.
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LEADERSHIP
BONNIE PHIPPS
President & CEO, Saint Agnes Healthcare
Even in the rapidly changing world of health care, there is that which remains
constant for Saint Agnes and those we serve: our traditional values, excellent
clinical skills, and strong partnerships with patients and our community. This report
highlights some of the ways Saint Agnes is reaching beyond traditional health care
delivery, and across boundaries of health and wellness, to create a collaborative
care network which supports and promotes a healthier community. Our future is
bright and our hard work will result in a healthier outlook for those we serve —
thanks to the dedication and steadfast support of our associates, physicians,
community leaders, and donors.
GARY GEISEL
Chair, Saint Agnes Healthcare Board of Directors
It is an honor to serve Saint Agnes as Chair of its Board of Directors. I am continually
energized by the spirit of the dynamic partnership which is fostered between the
Board, the hospital, and the community that we serve.. The achievements high-
lighted in this Annual Report showcase the power of teamwork in tackling some
of the most important and critical health issues of our times, including cutting-
edge Emergency Care, cardiovascular services, diabetes prevention and treatment.
The community projects we have initiated, especially Gibbons Commons, will be
blueprints for the future of collaborative, responsive health care which puts well-
ness and caring first.
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TABLE OF CONTENTS
PARTNERING WITH OUR PATIENTS 4
PARTNERING FOR INNOVATIVE CARE DELIVERY 10
PARTNERING WITH THE COMMUNITY 14
COMMUNITY BENEFIT/FINANCIAL REPORT 18
MISSION 19
FOUNDATION 22
LEADERSHIP 29
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Dr. Pascal Crosley, chief of Emergency Medicine at Saint Agnes
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PARTNERING
WITH OUR PATIENTS
Revitalized Emergency Department Achieves Impressive Results
Saint Agnes’ Emergency Department (ED) has years of experience managing acute care
embarked on a cutting-edge re-organization to services to enhance teamwork and results.
improve patient flow and operations — and the
“We are collaborating with physicians and
revitalized ED has already achieved impressive
nurses, as well as technicians, to review our
results.
operations and make sure that the lower acuity
Patients to the ED now experience reduced wait patients are seeing one team, while those in
times for needed care, thanks to a rapid triage acute need are rapidly treated,” said Dr. Crosley.
system which quickly and efficiently identifies
“It’s all about great teamwork,” agreed Carol
those suffering from strokes, heart attacks,
Gallaher, ED nurse manager. “The most important
delirium and other critical issues. Saint Agnes has
thing is to get the right patient to the right place,
enjoyed significantly higher patient satisfaction
so that they can quickly get the help they need.”
scores as a result of the new environment,
according to Sue Hartman, director of the ED. The ED has been recognized for its hard work as
the 2014 PRC Platinum Achievement Award
Leading this reorganization is Pascal Crosley, D.O.,
winner in emergency care for its Emergency
chief of Emergency Medicine at Saint Agnes.
Department/Rapid Medical Evaluation (RME)
Dr. Crosley is a native of Maryland, and has many
implementation, awarded by Professional
Research Consultants. The hospital was also
honored as a 2013 Get With the Guidelines –
Stroke GOLD PLUS Achievement Award Hospital
by the American Heart Association and American
Stroke Association, and was recently named to
the Target: Stroke Honor Roll for those organiza-
tions as well.
The Saint Agnes Emergency Team continues to
work together to improve acute care delivery.
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“If I had to rate the care at Saint
Agnes that I got from my doctors
and nurses on a scale of one to 10,
I could not give them anything less
than 11. It was truly an exceptional
experience.”
Tracie Turner
Fast Action Results in Amazing Stroke Recovery
When she began to experience the signs of a What Tracie didn’t know was that she was one of
major stroke in February, Tracie Turner knew the first patients experiencing the life-saving
what to look for because she had suffered her efficiency of the new FAST team at Saint Agnes,
first stroke while being treated for congestive a group of ED physicians, neurologists, techni-
heart failure at another hospital seven years ago. cians and nurses trained in rapid and targeted
stroke triage. FAST — which stands for Face
But this time she was alone at home, and the
(facial droop), Arm (arm weakness), Speech
attack came on hard and fast. “I felt normal,
(speech disruption), and Time — is an acronym
but when I looked in the mirror something was
to help the public understand major stroke
different. I smiled, and I saw that only half of my
symptoms and the crucial role that rapid treat-
face moved. Then I hit the floor,” said Tracie, 44.
ment plays in recovery. The FAST team at Saint
Within seconds she could not stand, and by Agnes goes into action immediately when
the time the EMT’s arrived, she could no longer someone arrives at Saint Agnes with a suspected
speak. They took her directly to the Primary stroke, with a goal of administering within 60
Stroke Center at Saint Agnes, where ED physician minutes the “stroke busting” tissue plasminogen
Matthew Smith, M.D., was waiting for the ambu- activator (tPA) if the stroke is ischemic.
lance outside.
This drug has the potential to halt or even
“The doctor asked me a series of questions but reverse neurological damage from stroke, but
I couldn’t answer,” recalled Tracie. “Then he held only if given within hours of the stroke. That’s
my hand, told me everything was going to be why it is critical that people seek emergency
okay. Even as bad as I was, that made me feel like care quickly if they see any one of the stroke
someone cared.” symptoms, advises Ashley Reid, Saint Agnes
Stroke Coordinator.
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Creating Innovative Solutions to Solve Chronic Health Issues
Saint Agnes was fortunate to have received six Patients identified as being delirious or at risk for
federal Medicare grants, awarded from the developing delirium receive a number of inter-
Centers for Medicare and Medicaid Services and ventions provided by the nurses and by trained
Ascension Health to develop collaborative volunteers from the University of Maryland at
operational and training strategies addressing Baltimore County.
complex, systemic health care issues.
The delirious or at-risk patient is kept hydrated,
“These grants are focused on identifying situa- taken off of medications known to increase the
tions and patients at higher risk for complica- risk of delirium, provided with devices to help
tions, and trying to prevent these complications with low vision and impaired hearing, and
from happening or recurring,” said Adrian Long, encouraged to be out of bed and active as soon
M.D., Chief Medical Officer for Saint Agnes. as possible. The volunteers and nurses keep the
patient’s mind active through conversation and
One of the grants deals with preventing delirium,
other means.
an acute confusional state seen commonly in
elderly hospital inpatients. This is a priority for
Saint Agnes because of the large and growing
senior population in the community it serves. In
recognition of this, the Saint Agnes Emergency
Department has re-engineered its operation to
include a geriatric division.
CuTTINg-EDgE DElIRIuM PREvENTION
One important component of this project is the
early screening of patients for delirium and for
the risk factors for delirium: dementia or previous
Dr. Paul McClelland and Cynthia Skeens, RN,
delirium; dehydration; hearing or vision loss; or lead the delirium project.
multiple serious illnesses.
“These are low-tech and common sense interventions. They should be the
standard of care in every hospital in America.”
Dr. Paul McClelland
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ONE OF A KIND RADIATION AccuBoost delivers radiation using a mammo-
TREATMENT gram-based image guidance system to pinpoint
the exact site of the target area. “AccuBoost is an
As a nurse and an environmental health educa-
elegant and safe way to deliver the partial breast
tor and advocate, Brenda Afzal knew the statistics
dose,” said Dr. Hudes. The targeted nature of the
about breast cancer — 1 in 8 women. “Still, I
treatment spares the patient’s organs in the
really wasn’t expecting it,” Afzal said about the
chest area from exposure to radiation. At the
diagnosis of breast cancer she received just
same time, using four points of entry minimizes
before Thanksgiving last year.
“hot spots” of radiation therapy, according to
Thanks to surgery and radiation therapy with the Dr. Hudes.
new AccuBoost system at Saint Agnes Hospital,
Afzal described the treatment process as “like
Afzal received swift and targeted treatment, and
a mammogram, but tighter and for a longer
has a good outlook for ongoing recovery.
period of time.” She said she was asked to stay
The Saint Agnes Cancer Institute is the only can- in position for 10 to 11 minutes as the radiation
cer center in Maryland that offers the AccuBoost was carefully targeted to the affected area. She
procedure as a radiotherapy treatment option to did this twice a day during the treatment.
treat breast cancer. It is an efficient, streamlined
The new AccuBoost technology is carefully
delivery system which uses image guidance to
administered by a team of professionals, with a
deliver a targeted “boost” of radiation therapy to
radiation oncologist and a physicist present at
the area in the breast where the cancer was
every treatment to check all of the data and to
removed.
ensure precision throughout the process. “It is a
AccuBoost is usually used as part of a course of good example of the personalized medicine
treatment following a lumpectomy, or partial approach that makes Saint Agnes distinct from
removal of the breast. Afzal had a partial mastec- many other cancer treatment centers,” Dr. Hudes
tomy and reconstruction two weeks before she explained.
met with Dr. Richard Hudes, M.D., chief of Radia-
tion Oncology at Saint Agnes, who presented
AccuBoost as an option for follow-up radiation
therapy.
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