musc catalyst

May 6, 2011 MEDICAL UNIVERSITY of SOUTH CAROLINA Vol. 29, No. 36

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4NURSESWEEK

Japan is livingwith the aftereffects of the

9.0 earthquakeand needsyour help.

2

11

5

Join theMUSC

leadership inthanking itsnurses at aceremony

May 6

Campus News

Meet Whitney

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INSIDE

THE CATALYSTONLINE

http://www.musc.edu/catalyst

DISASTERIN JAPAN

High-techdentistry tothe rescueIf you have to break a tooth, you want it to be on

something worthy—a steak or hard-crust pizza—a hardchunk of ice maybe. Certainly, not a soft, chewy Five

Guys’ cheeseburger.You also want this to happen—if it has to—on a

Monday when you can rush to a dentist who can gapesympathetically with you at the jagged abyss that hasappeared in someone, in my opinion, way too young forsuch an incident.

But no, this happens on a Friday, just at the close of along work week, and to make matters worse, I realize I’veaccidently swallowed the chunk of tooth.

I call a friend, a dental school alumna of MUSC,who isn’t as alarmed as I. She encourages me to waituntil Monday when I can take advantage of the JamesB. Edward’s College of Dental Medicine’s fancy, newtechnology and, in the interim, to try to chew on one side.

When I call Monday, I’m in luck.A new dentist Anthony Mennito, DMD, can take me

on, and he’ll be assisted by a self-professed video geek, Walter Renne,DMD. Mennito warns me not to bealarmed by how young Renne looks—that he actually tours the state as anexpert lecturing on the uses of thecomputer-aided design/computer-aided manufacturing or CAD/CAMsystems.

As my tongue probes the jaggedopening in the tooth, this is soundinggood. Mennito begins the process, andRenne pops in to observe. I am alarmed. He looks almostyoung enough to be my son. I think maybe I am oldenough to have breaking teeth.

Mennito

BY DAWN BRAZELL

Public Relations

See RESCUE on page 9

Dr. Walter Renne tours the state teaching dentists the wonders ofcomputer-aided design and computer-aided manufacturing systemsthat are reshaping the !eld of dentistry.

2 THE CATALYST, May 6, 2011

The Catalyst is published once a week.Paid adver tisements, which do notrepresent an endorsement by MUSCor the State of South Carolina, arehandled by Island Publications Inc. ,Moultrie News, 134 Columbus St. ,Charleston, S.C., 843-849-1778 or843-958-7490. E-mail: [email protected].

Editorial of ficeMUSC Office of Public Relations135 Cannon Street, Suite 403C,Charleston, SC 29425.843-792-4107Fax: 843-792-6723

Editor: Kim [email protected]

Catalyst staff:Cindy Abole, [email protected] Brazell, [email protected]

AROUND CAMPUS

EVENTS

PEOPLE

Ted MeyerTed Meyer, M.D., Ph.D., assistantdirector, Department of Otolaryngology,

was appointed to theAlexander GrahamBell Associationfor the Deaf andHard of Hearingboard of directors.Meyer is a practicingneurotologist andalso directs the

MUSC Otolaryngology ResidencyProgram and the Cochlear ImplantProgram.

Debbie O’RearDebbie O’Rear,R.N., nurse manager,Resource SupportCenter, was selectedas MUSC Collegeof Nursing Alumnaof the Year for 2011.O’Rear received theaward at the Alumni

Homecoming Awards Ceremony April 8.

STAFFPICKS

Mount Pleasant Mayor Billy Swails signs the !nal beam for the steel-basestructure for the MUSC Specialty Care East facility during a dedicationceremony April 26. Leaders at MUSC, including MUSC Vice Presidentfor Medical Affairs and College of Medicine Dean Dr. Etta Pisano, above,attended the event. The 84,000-square-foot LEED-certi!ed facility onHungryneck Boulevard will be completed in the summer of 2012.

Melanoma Awareness BoothVisit the melanoma awareness boothfrom 10 a.m. to 2 p.m. May 9 nearStarbucks in the university hospital.Phyllis DeCoursey, R.N., sarcomaand melanoma coordinator, HollingsCancer Center, will answer questionsabout the disease and skin cancer.

Crohn’s & Colitis WalkThe annual Take Steps for Crohn’s& Colitis walk will be held from 4 to7 p.m. May 14 at Joe Riley Stadium.The event will include music, food andchildren’s activities.

Visit http://www.cctakesteps.org orcall 876-7213.

Adopt-A-HighwayCharleston County Adopt-A-Highway,coordinated by Community Pride, willhold its next litter cleanup May 14.

Call Angela Crouch at 722-5940, ext.112 or e-mail [email protected].

“Campus History Series: TheMedical University of SouthCarolina” by Susan Dick Hoffius,Department of Library Scienceand Informatics,and E. BrookeFox, WaringHistorical Library.Hoffius and Foxhave compileda selection ofphotographsthat tell the story of not just theuniversity but also the peoplewho have improved the health ofSouth Carolinians for nearly twocenturies. Available at local retailers,online bookstores or throughArcadia Publishing at http://www.arcadiapublishing.com or(888) 313-2665. The MedicalUniversity of South Carolina,$21.99, Arcadia Publishing.Reviewer: Kim Draughn,Public Relations

YOUR REFLECTIONS?If you have a book or website you’d liketo review or recommend to colleagues,send in your reflections to: Dawn Brazellat [email protected].

QUICKSURVEYs

GREATREADs

Collards is an excellent source ofcancer preventive agents known asisothiocyanates. This class of naturalcompounds is most concentratedin crucifers and has high promisein the laboratory in inhibitingmany forms of cancer. Not a fan ofcollards, then try kale, cabbage, orbroccoli. —Dr. Michael Wargovich,Hollings Cancer Center

HEALTHTIPs

MUSC Employee Wellness isconducting a survey on commutingto MUSC. The survey should takeless than a minute to complete. Visithttp://www.surveymonkey.com/s/CRKF2Y8.

Carlos SalinasCarlos Salinas, DMD, professor,Department of Pediatric Dentistryand Orthodontics, College of DentalMedicine, was elected as a distinguished

scholar-memberof the NationalAcademies ofPractice. NAP wasfounded in 1981in recognitionof the need forinterdisciplinarycollaboration in

health care and includes practitionersand scholars from all of the primaryhealth professionals.

THE CATALYST, May 6, 2011 3

The Scholars group researching the topic ofmental health and substance abuse found that healthprofessionals on campus need more information aboutthe myriad of services available to help those seekingmental health or substance abuse help.

The Presidential Scholars Program is an opportunityfor students from all colleges at MUSC, along withstudents from the Charleston School of Law, to worktogether on a project to improve the community.

The Scholars are divided into small groups, sothat the program promotes interprofessional growthand awareness. I had the privilege of working with aScholars group that was given the subject, “MentalHealth and Substance Abuse.”

As my group started to brainstorm about possiblecommunity resources and projects, we realized that themajority of us were unaware of many of the resourcesavailable in the community. We began to wonder ifthe rest of the students on campus shared our lack ofawareness.

After receiving Institutional Review Board approval,we conducted a campuswide survey on Surveymonkeyto assess knowledge of services, to determine whether

students believed theycould have benefitted fromservices, and finally to askwhy students did not utilizeservices if they did in factneed them.

Two hundred and eighty-one students completed thesurvey, with more than 60percent of the responsescoming from first-or second-year students enrolled in theCollege of Medicine and College of Health Professions.Most of the students who completed the survey wereunaware of the resources available in the Charlestoncommunity for those seeking mental health orsubstance abuse help.

The two services that students were more awareof were Alcoholics Anonymous, 65.3 percent andCounseling and Psychological Services, or CAPS,offered on campus at 53 percent. When asked if theybelieved they could have benefitted from substanceabuse or mental health services, more than half saidthey did, but cited reasons for not receiving help such aslack of awareness and lack of time.

The members of my group and I find it important

that we, as future health care providers, are aware ofservices to which we can direct our patients, as wellas others who we may know on a personal level, whomay need community-based support. We hope thatour survey will prove the lack of awareness on campus,and that we can begin to increase awareness throughour project. We would like to help make students moreaware of these services:q Center for Drug and Alcohol Programs (CDAP) atMUSC’s Institute of Psychiatry: one of the nation’spremier facilities for the treatment of alcohol andsubstance abuse problems (http://www.muschealth.com/cdap/index.htm)q United Way’s 2-1-1 phone service is free andconfidential. The volunteers answering the calls aretrained to handle a variety of situations and can assistindividuals with “food, housing, employment, healthcare, counseling and more.” (http://www.211.org/)q Palmetto Lowcountry Behavioral Health: mentalhealth treatment provider 800-387-0037 (http://www.palmettobehavioralhealth.com/index.html)q Charleston Center: substance abuse treatment at958-3300q Center for Women: comprehensive women’sdevelopment center (http://www.c4women.org/who.html)

BY KATHRYN ANNE MOONEYHAM

College of Medicine

Programs available to help !ght substance abuse

Survey participantsfrom each college

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EMPLOYEE WELLNESSSleep disorders are some of the most

common problems seen among patientsin medicine and psychiatry. Having anundiagnosed sleep disorder can make itdifficult for your body to recover fromillness.

To learn about sleep disorders andparticipate in a free sleep screening, visitexperts from MUSC Sleep Center from11 a.m. – 1 p.m. May 11 outside AshleyRiver Tower (ART) cafeteria and at 11p.m. near Starbucks in the universityhospital.

Problems with sleep can be thecause or affect other health issues. Forexample, sleep disorders can lead toother medical conditions, such as highblood pressure, diabetes and low sexdrive. Sleep disorders commonly seen areinsomnia, excessive daytime sleepinessand sleep apnea. Although sleep apneais most prevalent, people suffering fromexcessive daytime sleepiness shouldconsider an evaluation with a sleepspecialist or a primary care physicianto identify the underlying cause. Shiftworker disorders, circadian rhythmdisorders and restless legs syndrome arealso commonly seen in the population.

Sleep apnea should be suspectedin anyone who snores or wakesup frequently during the night orhas difficulty getting going in themorning, including children. Call foran appointment with your health careprovider if lack of sleep, too much sleepor unusual sleep behaviors are interferingwith daily living.

You can avoid sleep problems by:o Maintaining a healthy body weight byexercising and eating a balanced diet.o Going to bed and waking up at thesame time every day.o Sleeping in a quiet, dark environmentby turning off the TV, computer and cellphones.

Employee Wellness eventso Nurse Appreciation WeekCelebration BBQ: Come to ART from10:30 a.m. - 3 p.m. May 10 for a specially-priced BBQ buffet, smoothies, musicand a nurse craft sale to celebrate NurseAppreciation Week. For information,

e-mail [email protected] Breakfast brain boost: Join registereddietitian Debbie Petitpain for “ShiftingYour Eating Habits: Tips and Tricks forNight Nurses” to be held from 7:30 – 8a.m. at Halo Restaurant May 11. Learnwhy shift work can have a negativeeffect on health and weight, how mealplanning can improve health and specifictips for healthy snacking. Advancedregistration and menu selection isrequired as space is limited. A varietyof boxed breakfasts will be available for$4.50 and include a beverage. [email protected] to sign up.o Wellness Wednesday: Experts fromthe Weight Management Center willbe at the Wellness Wednesday boothnear Starbucks in the university hospitalfrom 11 a.m. – 1 p.m. May 11. Bodymass index and body compositionmeasurements will be available as wellas information about programs and freeconsultation scheduling.o MUSC Employee Fitness Series: Afree step class will be held from 4:15 to4:45 p.m. May 18 at the MUSC WellnessCenter. Participants will receive a freeone-day pass to the wellness center.E-mail [email protected] “Eat This, Learn That” Lunch &Learn: Fit to be fried? Can eating friedfoods be healthy? Come learn aboutthe healthy cooking techniques andfresh ingredients used to prepare thismonth’s “Limited Time Offer” at WorldCuisine: Lemon Beef stir fry. Duringthis educational taste-testing, a registereddietitian will present while participantstaste a free sample. Reserve your spotvia e-mail: [email protected], class isscheduled from 12 – 12:30 p.m. May 18in Room 107 Colbert Education Center& Library.o Worksite screening: The nextscreening will be May 25 in Room 125,Gazes. The screening is $15 with theState Health Plan and $42 without.Register at http://www.musc.edu/medcenter/ health1st.

Contact Susan Johnson at [email protected] to become involved inemployee wellness at MUSC. Events,speakers, or any other ideas are welcome.

Nurses Week 2011q Friday, May 6: Nurse of the Year Ceremony—9 to 11 a.m., St.Luke’s Chapel;massages are scheduled throughout the day.q Saturday, May 7: Florence Nightingale’s Traveling Birthday Party—6:30 p.m.Jafra Patty (Facials and Massages)—3 to 8 p.m., 8E Break Roomq Monday, May 9: Massages; Craft Fair–9 a.m. to 2 p.m., Portico; PosterDay–11 a.m. to 2 p.m., Portico; Jafra Patty–3 to 6 p.m., 8E Break Room; BeautyControl–11 a.m. to 4 p.m., 2W Classroomq Tuesday, May 10: “Shifting Your Eating Habits: Tips and Tricks for BusyNurses”–11 a.m. to noon, Ashley River Tower Auditorium (ART); Massages;Mary Kay facials–8 to 10 a.m. and 2 to 5 p.m., Room 460 Rutledge Tower;Education & Professional Organizational Fair–10 a.m. to 2 p.m., Children’sHospital lobby; Sodexo sponsored picnic and craft fair–10:30 a.m. to 2 p.m.,ART Portico; Healing Touch–10 a.m. to 2 p.m., Room 3037 ART; Jafra Patty–3to 6 p.m., 8E Break Room; Beauty Control–noon to 4 p.m., 6th floor ARTq Wednesday, May 11: Massages; Poster Day–11 a.m. to 2 p.m., ART; BeautyControl–noon to 4 p.m., 6th floor ART; Jafra Patty–8 to 10 p.m., 8E Breakroomq Thursday, May 12: Massages; Nurses Week Closing Drop-In–11 a.m. to 2p.m., Hollings Cancer Center (HCC); Mary Kay facials–11 a.m. to 2 p.m., HCC;RiverDogs Nurses Night–7:05 p.m., Joe Riley Stadium. Call Mike Petrini at 723-7241 for tickets

Two MUSC teams participate in the Annual Charleston Bed Raceheld at Hampton Park April 10. The race raises funds for CampHappy Days, which helps children kick cancer. College of HealthProfessions students Brittany Bennett, Katie Cash, Lauren Cox, LizCurley, Anna Ouzts and Kate Rollins organized volunteers andcoordinated MUSC’s effort in support of the race.

Kicking cancer

Visit https://www.musc.edu/medcenter/index.htm


MEET WHITNEY

DepartmentOB/GYN, Division of Gynecology OncologyHow long at MUSCSince August 2010Favorite TV show“American Idol”Bad habitDiet Dr. PepperWhat music is in your CD playerRadioheadGreatest moment in your lifeRunning on the USA team in the worldcross country championshipsMeal you love to cookShrimp Thai CurryDream vacationAn adventure vacation in New ZealandFavorite activitiesSnow skiing, running, scuba diving,hunting and !shing; anything outdoorsFavorite quote“The difference between a successful personand others is not a lack of strength, nota lack of knowledge, but rather a lack inwill.”--Vince Lombardi

Whitney Graybill, M.D.

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If your image of Japan is of aneconomic giant with numerous

workaholics, you are a little bit biasedand old fashioned.

Recently, younger generations associateJapan with its sub-culture, such asmanga (cartoon) or anime (animation).Japanese culture has been known toattract many people in the world. Forexample, it is impossible to discussImpressionism in the late 19th to early20th century without considering theinfluence by Japanese culture. (PaulCezanne would be the only painterwho was immune from it.) The essenceof Japanese culture may reside in itskeen sense for natural beauty, which isa product of it having four seasons andsuch variety in its natural landscapes.For Japanese, the natural environmentis one with which they live in harmony.Reflecting that is haiku, a form ofJapanese poem. It is the shortest form ofpoems in the world and consists of only17 moras in three phrases (5-7-5 moras).The main theme of haiku is the beautyof the natural environment. Actually,writing haiku-style short poems withentertaining natural beauty is a trend allover the world, especially in Europe.

EARTHQUAKE IN JAPAN

Japan is located in the West end ofthe Pacific Ocean facing the Eurasiancontinent, where four different plates(Pacific, North American, Eurasianand Philippine plates) meet. Gradualinsertion of a plate below the otheris released suddenly, which causes anearthquake. Its location exposes Japanto earthquakes more frequently than anyother country in the world.

Interestingly, frequent attacks bynatural disasters (mainly earthquakesand hurricanes) affect the mentality ofJapanese and its culture, in associationwith the basic idea of Buddhism that“everything on the earth is transient andsubject to decay.” Traditionally, mostof the Japanese buildings are made inwood, which enables them to rebuildquickly after being destroyed by natural

disasters. Few foreign visitors notice (oreven are disappointed by) the simpledesigns or simple decoration of historicbuildings in Japan, even in a palace orcastle, as compared to those in othercountries.

Modern buildings are carefullydesigned, not only to resist, but also toabsorb earthquake shocks. When yougo to Tokyo, you may have differentimpressions compared to other citiesin the world, such as New York, whereskyscrapers abound. Actually, the highestbuilding in Japan is only 60 stories,which is much shorter than those inother industrialized countries.

In addition, various trainings forearthquake are frequently held in manyschools and communities in Japan.Japan is probably the most well preparedcountry in the world for earthquakes,but…

ITS AFTERMATH AND FUTURE

On March 11, a magnitude 9.0earthquake hit the northeast part ofHonshu, the largest island in Japan. Itwas the strongest earthquake in Japanesehistory and the fourth strongest one inthe world since 1900. The earthquakecaused a tsunami (high surge waves).Although the officially recorded highesttsunami associated with the earthquakewas 30 feet, it is estimated it actuallywas 50 to even 100 feet, causing seriousdamage, especially on the Pacific coast

of Japan. More than 13,000 peoplewere killed and 15,000 people are stillmissing. During the first week after theearthquake, more than 400,000 peoplewere compelled to live in camps.

In addition, Fukushima NuclearPower Plant was seriously damaged bythe tsunami. Recently, the Japanesegovernment declared its damage as level7 (major accident) by the InternationalNuclear and Radiological Event Scale.Using this scale, the Three Mile Islandaccident in 1979 was level 5 and theChernobyl accident in 1985 was level 7.Based on the level, the evacuation areawill be extended from 20 km (12.5 mile)to 30 km (18.6 mile) radius from thenuclear power plant.

In order to fix the seriously damagednuclear reactors, many technicians,firefighters and soldiers have beeninvolved despite the risk of their lives.Although “Fukushima 50” is well known,it is said that more than 800 people havebeen involved.

Surprisingly, the people who suffereddamage from the earthquake, tsunamior the nuclear power plant accidentmanage to still keep order and help eachother. The people and the governmentof Japan spend every effort to help thosewho suffered from the disaster recoverfrom the damage. So far, many countrieshave offered various aids. Among them,the contribution by the United States istremendous. It performed the operation“Tomodachi” (meaning friendship), bysending military troops into Japan and10 naval vessels, including aircraft carrierUSS Ronald Reagan. The U.S. alsosent nuclear power plant specialists. Wehighly appreciate the support from theU.S. and other countries.

The cost of damage caused by theearthquake is estimated around $300billion. It will also take at least 10 yearsto recover from it. It may take decades tocease the nuclear reaction in FukushimaNuclear Power Plant. You may wonderwhether it is possible for the Japanesepeople to recover from the damage orwhether they will give up. No, we nevergive up, and yes, we will, and we mustrecover from it. Considering the degreeand amount of the damage, however,continuous international support isrequired longterm.

Following is a list of organizations thataccept donations and distribute themto damaged areas in Japan. Any amountof your support will help those who losttheir loved ones or suffered from thedisaster in Japan.q American Red Cross— http://american.redcross.org/site/PageServer?pagename=ntld_mainq Japanese Red Cross Society— http://www.jrc.or.jp/english/relief/l4/Vcms4_00002070.htmlq Japan Society in NYC— https://www.japansociety.org/japan_earthquake_relief_fundq Japan Medical Society of America—http://jmsa.org/latest/earthquake-relief-fund.html

KENKICHI NOZAKI, M.D., PH.D.

Neurosciences, Division of Adult Neurology

Editor’s note: The Global Health pagefocuses on raising awareness of internationalissues through an academic venue. [email protected].

Japanese culture is one of harmony, survival

Source: New York Times

Mount Fuji, (the photo was taken before the earthquake) is located inFuji-Hakone-Izu National Park and is 62 miles from Tokyo. The highestbuilding in Japan is only 60 stories high.

The Catalyst, May 6, 2011 7The Catalyst, May 6, 2011 7

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CURRENTS MAY 3People–Fostering employee pride, loyaltyHR update

HR Policy #34, PositionElimination (formerly Reductionin Force)—Streamlined the policyand procedure. HR Policy #34may access on the HR Web site athttp://mcintranet.musc.edu/hr.

q Completing the PEAR Formin UMS Training Class: May 18 -- 9 to 11 a.m.,Library, Room 438; HRIS will guide participants ina step-by-step thorough completion of the Pair Form,Universal Management System; main topics targeted fordiscussion—new hires, hours/fund changes, transfers,& separations/terminations; sign up via CATTS. Forinformation, contact Tyrish Page, 792-0838, [email protected].

Employees are reminded to complete the EmployeePartnership Survey by May 13

q Benefit of the Month—MayEmployee Perks & Discounts: Employees receivediscounts from vendors including Charleston CountyParks, Riverbanks Zoo, S.C. and Georgia aquariums,Cruise Planners, car and hotel rentals, Carowinds,Biltmore Estates and others. See the complete list viathe intranet.

Working Well ProgramSusan L. Johnson, Ph.D., MUSC Employee

Wellness, and Jen Wright, S.C. Hospital Association(SCHA), spoke about a three-year, statewide hospitalemployee wellness project involving MUSC and otherhospitals, called Working Well. The $1.2 million grantis sponsored by the S.C. Hospital Association, EatSmart, Move More S.C. and North Carolina PreventionPartners and funded by the Duke Endowment.

OCIO downtimeDave Northrup, director of Clinical Systems-OCIO,

announced a main data center planned downtimebeginning at 7 p.m., May 14, to 7 a.m., May 15. Thedowntime is needed to repair, test and rectify thecampus’ main data center’s UPS system. During thisperiod, all clinical and non-clinical information systemswill be unavailable with some exceptions. Systemsthat will be available during the downtime: all phonesystems (except wireless IP phones), fax machines,Internet connectivity, the wireless network, musc.edu will have an info maintenance page only, SIMONPaging Services and OCIO help desk, 792-9700.

To Medical Center EmployeesOn April 29 we held our 19th Leadership Development Institute on campus. The LDI served to focus on changes under

way in the health care industry, recognition of high performers, cost savings plans and presentations on best practices.We reviewed progress on our fiscal year 2011 Medical Center pillar-based goals and discussed the work under way to

formulate our FY 2012 goals. Dr. Pat Cawley, executive medical director, updated the participants on the Quality and Rev-enue Link as we posture ourselves for changes in reimbursement. Chris Rees, director, Quality & Patient Safety, and JenniferHooks, manager, Performance Improvement, recognized a number of individuals who have completed LEAN training duringthe past several months.

We had a good update on our 5 & 5 cost savings plans, which we have routinely reported on in this newsletter. CaseyLiddy, director, Office of Strategic Planning, explained that our goal is to reduce the cost of care by 5 percent this year and5 percent next year, during the FY 2009 base period, for a total reduction of $100 million while improving quality of care.For purposes of this initiative, our costs are measured by cost per adjusted discharge and our goal is an overall reduction from$16,686 to $15,018 by the end of FY 2012. To date we can document a reduction in costs of slightly more than1 percent.While our savings to date is less than we had hoped for, it is noteworthy that we absorbed normal inflationary costs and apay adjustment since the 2009 base period. We expect to see more results from our cost savings plans in the months ahead.

At the LDI we heard 5 & 5 cost savings plan presentations from leaders who have achieved impressive cost savings to date.Karen Weaver, director, Surgical Services, and Jeff Fuller, analytics manager, discussed cost savings initiatives taken by Periop-erative Services. Their success to date is attributed to physician collaboration, working specialty groups, data transparency, andan emphasis on teamwork. They described examples of two of their cost savings initiatives focused on supply chain manage-ment and instrument inventory optimization, but have seen positive outcomes in a wide variety of initiatives this fiscal year,including vendor contract renegotiation, OR efficiency (room turnover), inventory management accuracy and other tactics.They described the secret to their success as setting out to maintain or improve patient care quality while increasing efficiencyand reducing waste. As a result, this year Perioperative Services has achieved a 3.4 percent cost savings to date (approximately$1 per OR Minute) and they expect to fulfill the 5 percent goal by the end of this fiscal year.

Nancy Reilly Dixon, director of Laboratory Services, emphasized two key approaches to laboratory cost savings: elimina-tion of waste and improved utilization. For example, Laboratory Services has focused on referral testing cost containment,discontinuation of unnecessary testing, improved management of blood products and other tactics. Laboratory Services hasrealized a year to date savings of $677,046 in lab supplies and has decreased lab costs per adjusted discharge by 2.4 percentcompared to FY 2009. Achievement of the 5 percent goal is expected this fiscal year as blood product and test utilizationstrategies are implemented

We heard from two leaders who have led implementation of best practices that have improved service and quality of care.Hope Colyer, manager, Referral Services, discussed progress made to date with the pilot centralized discharge call program,which currently includes nine units. The centralized calls program has enabled calls to 100 percent of discharged patientswith a “reach rate” in the 90 percent range. Key information is obtained from patients and, as needed, physicians and othercare providers are contacted for follow up. The information collected from the calls is reported in the electronic medical record.

Mike Sawin, nurse manager, 10W, also presented the discharge process implemented on 10W. Sawin explained that Per-formance Improvement Facilitators, Stephanie Sargent and Rob Finch, were instrumental in getting the project started andwith keeping the 10W team on track. The team examined all phases of the discharge process and, among other things, createda discharge board for each patient room and a checklist. The results have included significantly decreased time for discharge,more timely bed turnover, and dramatically improved HCAHPS and patient satisfaction scores. Our goal is to use 10 West’sdischarge process as a model and roll it out throughout the hospital(s).

Three leaders regarded as “employee engagement pacesetters” shared the methods they have used to achieve high employeepartnership scores. Leah Ramos, 9E nurse manager, discussed how her focus on generational differences has enhanced commu-nication and satisfaction. Carla Pascoe, nurse manager, 7E Pediatric Surgery, discussed initiatives taken to elevate employeeengagement including recognition, teamwork and pride. Richard Smith, general manager, Environmental Services, sharedwith the participants an array of best practices to improve employee engagement including meaningful staff meetings, “dailyenergizers,” EVS newsletter, Stoplight Reports and other tactics.

The outstanding presentations at this LDI speak to our collective efforts to achieve cost savings, improve quality of careand enhance employee engagement. The presentations can be found at http://mcintranet.musc.edu/muscexcellence/LDI/.Thanks to everyone for a job well done.

W. Stuart SmithVice President for Clinical Operations and Executive Director, MUSC Medical Center

See CURRENTS on page 9

Whipping out a magic wand of sorts, Mennitobegins scanning my tooth, the images going into a 3-Dcomputer model that can be rotated and spun aroundfrom all perspectives. It produces a sort of topographicalpicture, my teeth a ridgeline of peaks and valleys, withRenne tweaking the contour lines. He adds anchorpoints and lassoes an area of the image that isn’tneeded and hits delete. It’s like teeth by Photoshop.

Renne and Mennito continue to refine and tweak therestoration using the computer’s software, determiningthe shape and how heavily it will contact the adjacentand opposing teeth. I’m suddenly glad Renne hasspent much of his youth playing video games, havingstarted at age 4. “It’s been a long video-game journey,”he said, explaining his career path. He loves teachingdentists who might not be so video-game savvy why theyshouldn’t fear the new technology.

That’s not a problem for Mennito. The CAD/CAMsystems can be used for crowns, veneers, inlays andtemporary bridges. Mennito is working on an onlay forme and takes more images, as they continue tweakinguntil this tooth fits nicely next to the adjacent ridges.

Happy with the final computer model, they ship theimage off to the “mill” right down the hallway, where amachine begins the drilling process. Mennito explainsthis process typically takes anywhere from 12 to 23minutes depending on the system and material. Thegood news is my onlay restoration is being made out of

a solid block of eMax (lithium disilicate), a very strong,durable substance. It comes in 16 A-D shades and fourbleach shades with four levels of translucency to choosefrom so the restoration matches the adjacent teeth andwill appear invisible.

I’m liking this. It’s a beautiful blend of science andtechnology.

Renne tells me it won’t be long before there arekiosks, where patients can bite on a thin sensor that willautomatically capture a 3D digital impression of theirbite. In 10 years, the technology will change so muchthat dentists won’t even be able to do some proceduresthey used to in the old way.

“Look at the photographers who didn’t like digitalcameras,” Renne comments as we watch water splasharound a green glass tube that houses the materialbecoming my tooth. “Now everyone uses them.”

Renne said even dentists facing retirement aretraining on the new equipment. “It’s a much moreenjoyable way to do dentistry.”

When the mill finishes whittling down the block to atiny ceramic piece of “tooth” material, Mennito takes itto a polishing station and finishes the restoration, andthen it’s bonded back into my mouth. In this case, hewas able to preserve enough of my tooth structure so Ididn’t need a crown.

Bless him. Some delusions of youth should bepreserved.

I like that I came in without a tooth, but am leavingwith a tooth that looks better than before without itssilver filling. I’m getting younger by the minute.

Mennito checks out the handiwork, probing the gumline checking for “chillen in the streets” a quote he’slearned from one of his mentors about the hazards ofresidual materials left between the teeth. I marvel thatno matter how advanced or high-tech we get, there’s nosubstitute for hard-earned experience and the teacherswilling to tirelessly pass that along.

Coming from a private practice in Bamberg where hedidn’t have all the fancy equipment, Mennito is lovingthe opportunity to teach and to expand his skills. Thetechnology is only a part of it though. “You’ll alwayshave to have those interpersonal relationships,” he said,reminding me of a follow-up appointment. “That needsto be learned as well as doing a crown properly.”

Some things, machines just can’t do.

Dr. Anthony Mennito polishes up an onlay.

RESCUE Continued from Page One

The Catalyst, May 6, 2011 9

CURRENTS Continued from Page Eight

Quality—Providing quality patient care ina safe environment

Erica Rouvalis, chair of the patient safety andmobility committee, recognizedexcellence through the FirmGround Fall Prevention program’sWOOF (With Out One Fall)Awards The quarterly awardrecognizes units with the fewest fallsin the past three months, year andmost improved for preventing falls.

The winners were honored April11—5W, fewest falls (four quarters), 2TCU, fewestinjuries associated with falls, and ART 6EX, mostimproved.

May town hall meetingsMay 18, 11 a.m., 2W Amphitheater; May 18, 2 p.m.,Storm Eye Institute Auditorium; May 19, 11 a.m.,Ashley River Tower Auditorium; May 19, 4 p.m., 2WAmphitheater; May 20, 10 a.m., SEI Auditorium; May23, 10 a.m., SEI Auditorium; May 24, 10 a.m., ART;May 24, 11 a.m., Institute of Psychiatry Auditorium; May25, 7:30 a.m., SEI Auditorium; May 26, 10 a.m., 2WAmphitheater; May 26, 2 p.m., SEI Auditorium; May 27,10 a.m., 2W Amphitheater; May 31, 7 a.m., ART.

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