vision 3rd quarter 2012

VIS1ON – page #A Satellite Campus of Tulane University School of Medicine

Physician Matters – page #A Satellite Campus of Tulane University School of Medicine

A Publication for BRG Medical Staff

A Satellite Campus ofTulane University School of Medicine

2nd Quarter 2012

What’s InsideStrategic Direction Update 1

Mid City Moving Forward 3-6

Women’s Health Expansion 10

EMR Upgrades 11

Making History Tulane’s Baton Rouge LEAD

Academy Inaugural Class

www.BRGOneVision.org



VISION – page 2A Satellite Campus of Tulane University School of Medicine

VIS1ONOne Mission. One Vision. One Mission. One Vision. One Mission. One Vision. One BR General.

One Mission. One Vision. One General.

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We are one hospital with two unique campuses that work together to fulfill our mission of improving and strengthening lives in our community by providing exceptional

healthcare. OneVision illustrates Baton Rouge General’s single strategic direction for the future, and in partnership with medical staff from all specialty areas, we are moving forward with a clear strategic focus for each campus.

At Mid City, we are focused on continued development of key clinical programs that serve the unique health needs of the community, and through the expansion of medical education and training this campus is positioned to excel as an academic medical center.

We envision Bluebonnet as the region’s destination hospital for specialty services and wellness. At the Bluebonnet campus, we are focused on providing high quality, innovative specialty care in oncology, cardiology and other areas such as women’s health specialties, and continued facility enhancements.

Collaboration and communication with our medical staff is key to the success of OneVision and I want to thank you for your continual leadership, and your commitment to our hospital and our patients as we advance this initiative.

A Message From Bill Holman President and CEO

Andrew Olinde, MD

“ Alignment with integrated and independent medical staff and expansion of both primary and specialty care are all key to moving Baton Rouge General’s strategic plans forward,” noted Andrew Olinde, MD, Baton Rouge General’s Chief of Staff. “As health care continues to evolve, engaging physicians in development of innovative delivery models and quality initiatives will also be important elements of the hospital’s vision.”

Mid CityCommunity Focus

Excel as an academic center through expansion of medical education and training:

• Tulane University School of Medicine Satellite Campus

• Family and Internal Medicine Residency Programs

Expand specialized clinical programs, serving the needs of the surrounding community through high quality services in areas such as:

• Geriatric Care• Emergency Care• Psychiatric Care• Complex Wound Care• Burn• Rehab

BlueBonnetSpecialty Service Focus

Regional leader in specialty programs, delivering high quality and innovation in areas such as:

• Cardiovascular• Oncology• Other Specialty Areas,

including Neurosurgery and Obstetrics

Facility expansion and enhancement

• New Medical Technologies• Hybrid Surgical Suite• State-of-the-Art Medical Office

Building


ernest J. Mencer, Md evens Rodney, MdB. eugene Berry, Md


Everett J. Bonner, Jr., MD

William M. Boedefeld, II, MD

Stephen P. Brierre, MD

Michael J. Castine, MD

Roy J. Culotta, MD

Marci L. Fabre, MD

Navin Hafez Fanous, MD

John R. Godke, MD

R. Bryan Griffith, Jr., MD

Joseph M. Griffin, MD

Tonya Jagneaux, MD

Lawrence J. Messina, MD

Robert N. Moukarzel, MD

Hollis Ray O’Neal, Jr., MD

Pamela Payment, MD

Kevin D. Reed, MD

Eric M. Rowley, MD

Venkat R. Surakanti, MD

Vasudev Hejamadi Tati, MD

Christopher B. Thomas, MD

Mikah Sheridan Thompson, MD

Physicians were recognized for their leadership and quality excellence recently at Baton Rouge General’s Medical Staff Appreciation Gala.

The J. Benton Dupont Medical Staff Leadership Award recognizes physicians for outstanding leadership and dedication to compassionate patient care.

The BRG Excellence in Quality Award recognizes physicians’ exceptional efforts to provide top quality care in four core quality domains – outcomes, utilization, evidence-based practice and patient satisfaction.

Thank you for your collaboration and commitment to excellence in care.

Physician Honors

It was a pleasure to see the hard work of our medical staff and all our clinicians recognized on the front page of The Advocate recently. Thanks to your leadership and commitment, Baton Rouge General earned an A in Hospital Safety Score, a nationwide ranking of hospitals by the Leapfrog Group – the only hospital in our area to receive this grade. Click here to read The Advocate article.

The new "Hospital Safety Score" was issued by The Leapfrog Group, a non-profit employer-sponsored organization, that reviewed 2,651 facilities across the country and generated a report card for each, with an A, B, C, D or F letter grade. Twenty-six measures were utilized by the Leapfrog Group to determine hospitals’ safety scores, including 15 process or structural measures and 11 outcome-based. Only 8 of the 26 were self-reported and the remainder were validated from Center for Medicare Services Hospital Compare.

As with any full-service hospital performance comparative report, strengths and improvement areas always emerge. These scores keep us all striving for improvement, which can only make us better caregivers. Baton Rouge General stands together with all hospitals in our community...we are all on the journey to perfection in how we take care of our patients and their families. We should all be proud of the high quality care, research and medical education offered right here in the Greater Baton Rouge area.

Recently completing Patient Safety Fellowships as part of the American Hospital Association’s

National Patient Safety Fellowship program, Dr. Robert Kenney, Medical Director

for Quality Care and Patient Safety, and Wanda Hughes, RN, PhD, Director of Quality & Patient Safety, are yet another reflection of our medical and clinical staff’s commitment to the highest

standards for patient safety and quality performance.

Recognizing Physicians Commitment to Patient Safety





Mid City Moving Forward

Quick Fact:Baton Rouge General Satellite Campus of Tulane University School of Medicine is the First training campus outside the New orleans Area.

May 19, 2012 marked a momentous occasion – the inaugural class

graduation of Tulane University School of Medicine’s flagship satellite

campus at Baton Rouge General. Four of the nine Baton Rouge LEAD

(Leadership, Education, Advocacy and Discovery) Academy graduates

have chosen to remain in Louisiana for their residency training.

The Baton Rouge satellite campus is an important component of

expanding Baton Rouge General’s role as a teaching hospital and

enhancing medical leadership and education opportunities in Baton

Rouge. The Baton Rouge LEAD Academy provides a unique medical

education in both healthcare delivery and policy.

“The Baton Rouge LEAD program offers an innovative Longitudinal Clerkship that lasts throughout the third year of medical school. Each student has a mentor for the year which creates the opportunity to follow patients in a longitudinal fashion over many months,” said Floyd Roberts, MD, Baton Rouge General’s Chief Medical Officer and Dean of Tulane University School of Medicine’s Satellite Campus.

“In addition to their hospital training, our students have opportunities to develop leadership and advocacy skills through seminars with leaders from many dimensions of healthcare as well as state government and legislative leaders.”

Inaugural Class Graduation of Baton Rouge General/Tulane Satellite Medical Training Campus

GRaDUatE MatCH SItE SPECIaLtY

Matthew Cooper, MD LSUHSC – Shreveport, LA Emergency Medicine

Amber Fontenot, MD University of Colorado School of Medicine – Denver, CO Obstetrics/Gynecology

Eric ‘Jove’ Graham, MD University of California San Francisco – Fresno, CA Emergency Medicine

Gregory Mitchell, MD Tulane University School of Medicine – New Orleans, LA Urology

Rachel ‘Alix’ Oreck, MD Tulane University School of Medicine – New Orleans, LA Internal Medicine

Kenneth Perry, MD Earl K. Long Medical Center – Baton Rouge, LA Emergency Medicine

Marc Quinlan, MD Denver Health Medical Center – Denver, CO Emergency Medicine

Shai Rosenfeld, MD Providence Milwaukie Hospital – Portland, OR Family Medicine

Wendy Wong, MD Rhode Island Hospital/Brown University – Providence, RI Emergency Medicine


The BRG Tulane LEAD campus’ inaugural class graduation was accompanied by the presentation of the first B. Eugene Berry, MD, Outstanding Student Award, which recognizes a medical student from the Baton Rouge LEAD Academy graduating class for outstanding performance in the areas of scholarship, professionalism, leadership, research, and includes a gift of $500.

Gregory Mitchell, MD, Tulane University School of Medicine graduate of Baton Rouge General’s satellite campus inaugural class, was the first recipient of the B. Eugene Berry, MD, Outstanding Student Award. Mitchell will complete his residency training in Urology at Tulane University School of Medicine in New Orleans.

“My experience in the BRG/Tulane LEAD program provided an exceptional education in clinical quality, compassionate patient care and medical leadership and was instrumental in obtaining my choice for residency. Working in such a close capacity with excellent attending physicians prepared me with the skills and knowledge to be successful in residency,” notes Gregory Mitchell, MD, BRG/Tulane LEAD inaugural class graduate.

The award was named for Dr. B. Eugene Berry, distinguished Tulane University School of Medicine Alumnus and recently retired cardio thoracic surgeon, who was instrumental in developing and supporting the creation of the Baton Rouge General Medical Center satellite training campus.

Gregory Mitchell, MD

B. Eugene Berry, MD, Outstanding Student Award

VISION – page 5


A Satellite Campus of Tulane University School of Medicine

Wendy Wong, MD, Tulane University School of Medicine graduate of Baton Rouge General’s satellite campus inaugural class, received a Green Belt in Lean Six Sigma Certification. Lean Six Sigma Green Belts are trained in leadership and quality improvement. Dr. Wong will complete her residency training in emergency medicine at Rhode Island Hospital.

Wendy Wong, MD, Earns Lean Six Sigma Green Belt

“ Working together, Tulane University School of Medicine and Baton Rouge General are committed to enhancing medical education opportunities in Baton Rouge and training our community’s future physician leaders,”

- Dr. Benjamin Sachs, Medical

School Dean and Senior Vice President at Tulane.

Wendy Wong, MD





For more than 40 years Baton Rouge General’s Mid City campus has provided highly specialized burn care services to the entire Gulf Coast region, including the area’s petrochemical corridor. Treating more than 90 percent of all inpatient burns in the Baton Rouge Metro area, Mid City’s regional burn service plays an integral role in supporting Louisiana’s industrial and petrochemical sectors as well as the surrounding communities.

The hospital’s burn center is uniquely designed to provide all phases of burn care – from inpatient burn care to outpatient rehabilitation – to ensure smooth transitioning through the continuum of care. The burn center staff includes three board-certified general surgeons with more than 50 years of combined burn care experience as well as a team of highly skilled burn care nurses, social workers and technicians. Baton Rouge General’s burn program also includes pediatric burn services at the Bluebonnet campus and has three pediatric surgeons on staff.

Just over 100 burn centers remain open in the U.S. today and that number is shrinking as burn facilities are closing because of the challenges presented by the complexity and high costs of treatment for burn care. In addition, the severe national shortage of burn surgeons and clinical burn specialists presents staffing challenges for burn centers. With the limited number of burn

specialists, burn centers must offer the most advanced clinical setting to attract qualified staff.

“Mid City’s burn center is a vital provider for complex burn treatment in our region, and reinvesting in the burn program will ensure that we can continue to offer critical regional burn care services in the future,” said Ernest Mencer, MD, Medical Director for Baton Rouge General’s Burn Center.

Baton Rouge General is committed to protecting this critical service for our region and has already begun to make investments in the burn center. Through financial support from community partners, the burn center waiting area was transformed from a basic, one-room style space to a family-friendly area offering families comfort and privacy during those first critical days following a severe burn. The new waiting area renovation completed Phase One of a Three Phase total renovation of Baton Rouge General’s Burn Center.

Quick Facts:

123 Specialized burn centers remain open in the U.S.

19 U.S. burn centers closed in the last 10 years

Three Phase Renovation PlanPhase 1 - Burn Center Waiting AreaCreate family-friendly waiting

area with enhanced comfort

and privacy

Completed august 2010

Phase 2 - Outpatient Burn Treatment Area Update service area with the

latest in care protocols –

Begins Summer 2012

Phase 3 - Inpatient Treatment FacilityEquip patient rooms with the

latest technology to allow for

treatment at the bedside and

reduce infection risk


Burn Center: Protecting a Critical Service for Our Region


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national Trend in Senior Emergency Care, Mid City Seniors ER Leads Region

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Seniors EMERGEnCy InFORMATIOn

Specialized emergency care for seniors is an emerging national trend according to a recent Louisiana Medical News report, citing Mid City’s Seniors ER as the only emergency department in the Southeast region dedicated to senior care. Baton Rouge General is part of a small

but rapidly growing number of hospitals nationwide with emergency departments focused on the unique medical needs of seniors.

Emergency departments at both Baton Rouge General campuses are seeing increases in ER visits among senior patients age 65 and older despite a mild Flu and Pneumonia season this year.

“The need for senior focused emergency care continues to increase as our community’s baby boomers age. We have seen the benefits for our seniors – not only by making their

ER experience more comfortable but also helping with special needs and resources to ensure a safe transition home after discharge from the hospital,” said James Crowell, MD, Baton Rouge General’s Chief of Emergency Services. “Post-discharge follow-up calls to our senior patients by our specially-trained Geriatric Emergency Nursing Education (GENE) certified nurses are important to coordinating a safe transition home,” added Baton Rouge General’s Vice President of Patient Care and Chief Nursing Officer Anna Cazes, DNS, RN.

Wayne Gravois, MD

Statewide:

$290 million in economic activity

2,500 Jobs

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Mid City Campus Boosts Economy and CommunityBaton Rouge General’s Mid City campus is a significant economic driver in the local community and statewide, generating more than $290 million in economic activity and nearly 2,500 jobs in Louisiana.* Locally, the Mid City campus’ economic impact on Greater Baton Rouge is $162 million and more than $18 million on the Mid City community.

Enhancing health services and programs at the Mid City campus directly impacts not only the health and well-being of our community but also the long-term viability of our community through the creation jobs to educating and training future physicians, nurses and clinicians supported by our affiliation with Tulane.

*Baton Rouge General retained Tripp Umbach to conduct the impact study.

Mid City

Three Phase Renovation Plan

Seniors receive an emergency card to record important health

conditions, medications and contact information in the event of

an ER visit. The card also lists warning signs that may indicate an

emergency.

For copies of the emergency card for your patients, contact BRG’s Senior Care Consultant at 225-387-7632.

new Family Medicine Faculty Wayne Gravois, MDDr. Gravois brings more than 30 years experience to our patients and Family Medicine residents in his new role with Baton Rouge General. In addition to continuing family practice at BRG’s Family Health Center, Dr. Gravois will train our residents as a faculty member of the Baton Rouge General Family Medicine Residency Program.





MOVING DIRT

Thanks to our medical staff’s input and guidance, Baton Rouge General’s expansion plans for the Bluebonnet campus are taking shape! We began breaking ground on the first phase of construction in April and are progressing as scheduled.

The Bluebonnet expansion project includes construction of an innovative new surgical space and a state-of-the-art medical office building. OR expansion construction has already begun, and we are on target for our fall 2012 completion. The OR expansion includes four new operating rooms and a hybrid operating suite in addition to current enhancements including daVinci, our minimally invasive robotics technology.

Phase one of construction on the medical office building has also begun and is projected for completion by year end 2013. Physicians have begun expressing interest in office space, and interest meetings are currently available for scheduling.

“ Under the direction of a multi-disciplinary physician steering committee, the new hybrid OR has been designed ergonomically to enhance workflow and will offer exciting advancements for all our surgical specialists including accommodating the future development and expansion of the General’s minimally invasive surgical program,” said Jeffrey Littleton, MD, Baton Rouge General’s Chief of Surgery.

Jeffrey Littleton, MD




The physicians, nurses and staff of Baton Rouge General achieved 100% on the ACC/AHA national “door to balloon” time quality guideline for ST segment elevation myocardial infarction (STEMI) patients. The ACC/AHA recommends a door to balloon interval of no more than 90 minutes. Door to balloon time measurement in emergency cardiac care starts when patients reach the hospital’s ER door and ends when the catheter guidewire crosses the culprit lesion and the balloon is deployed in the cardiac cath lab. Baton Rouge General’s median door to balloon time for qualified heart attack patients is 65 minutes – on par with the national median.

“In cardiac care ‘time is muscle’ – delays in AMI treatment increase the likelihood and amount of cardiac muscle damage. The streamlined process among multiple clinicians from ER staff to the cardiac care team members is critical for optimal patient outcomes,” said Steven Kelley, MD, Baton Rouge General Chief of Cardiology. “Congratulations to our physicians, nurses and medical staff for their exceptional teamwork and exceeding national quality standards in heart care.”

A recent BRG heart patient whose exceptional door to balloon time of 47 minutes was the feature of a recent WAFB Channel 9 news story. Visit www.YouTube.com/BatonRougeGeneral to watch the news story.

Physicians Achieve 100% on

Door to Balloon Time

Interactive “Blueprint” for BRG’s FutureAs we continue to move OneVision forward, www.BRGOneVision.org is one way we are keeping physicians and stakeholders up-to-date about our progress on expansion project plans, development of specialized programs including cancer, cardiovascular, burn, medical education, new investments in HIT and medical technologies, and more.

For more details on our Medical Office Building, visit www.BRGOneVision.org or contact Dionne Viator, Executive Vice President and Chief Business Development Officer, at (225) 237-1541.

Visit www.BRGOneVision.org to explore our blueprint for Baton Rouge General’s future in an in-depth and interactive way.





Baton Rouge General Nationally Recognized for Cancer Care*

*Baton Rouge General is recognized by the Commission on Cancer of the American College of Surgeons as offering “the very best in cancer care.”

Congratulations to our physicians and the entire medical staff at BRG’s Pennington Cancer Center for receiving the 2011 Outstanding Achievement Award!

This prestigious award is given by the Commission on Cancer (CoC) of the American College of Surgeons to recognize cancer programs that exceed national standards in providing quality care to cancer patients. The OAA criteria measures performance on seven standards that are drawn from six program areas: cancer committee leadership, cancer data management, clinical management, research, community outreach and quality improvement.

“It is an honor for Baton Rouge General to be recognized for the exceptional quality our cancer program provides to patients in our region,” said J. Benton Dupont, Jr., MD, Medical Director of Baton Rouge General Medical Center’s Pennington Cancer Center.

The General’s cancer program has a long history of accolades for providing the “very best in cancer care”:

• Louisiana’s first accredited Comprehensive Cancer Program • Louisiana’s first NAPBC-accredited comprehensive breast program • Regionally recognized IL-2 Cancer Treatment Program

Vince Cataldo, MDEverett Bonner, Jr., MD, FACS

“ At 40 years old, I was diagnosed with metastatic kidney cancer... A farmer, a father, husband and hunter, I had too much to live for. So I saw a cancer specialist in Texas, and he advised I come home to Baton Rouge General’s Pennington Cancer Center for IL-2 treatment. Thanks to my team at the General, I am cancer-free and looking at a long life in front of me. I wish my doctor and my nurses could be treated by themselves, just so they’d know how special they really are.”

– JK Bordelon

new Physician Leadership The exceptional care provided by our physicians and caregiving staff has made BRG’s Penningtion Cancer Center staff a national leader for quality and excellence. Cancer care and physician leadership continue to be the keys to our cancer program’s success. Recent cancer program leadership appointments include:

Everett Bonner, Jr., MD, FACS, Breast Surgeon with The Baton Rouge Clinic, will serve as Baton Rouge General’s Cancer Liaison Physician for the American College of Surgeons Commission on Cancer.

Vince Cataldo, MD, Hematology/Oncology with The Baton Rouge Clinic, will serve as Baton Rouge General’s Hematology/Oncology Service Chief.

Thank you to our past physician leaders for their service and dedication to our cancer program:

Peter Bostick, MD, Baton Rouge General’s Past Cancer Liaison Physician for the American College of Surgeons Commission on Cancer

Shaista Faruqui, MD, Baton Rouge General’s Past Hematology/Oncology Service Chief



Expansion of Women’s Health Program

Baton Rouge General Nationally Recognized for Cancer Care*

Baton Rouge General and private physicians network Baton Rouge General Physicians recently expanded its comprehensive Women’s Health program. Five women’s health specialists Drs. Evelyn Hayes, Jane Peek, Jo Anne Barrios, Kimberly Neathamer-Guillory and Nurse Practitioner Erin Michel have joined Baton Rouge General Physicians, collectively bringing more than 75 years of seasoned obstetrical, gynecologic and related women’s health clinical experience to the organization.

“I am excited to be a part of the expansion of the women’s health services at Baton Rouge General and to join our active women’s health specialists as we continue to develop and enhance the depth of the General’s current clinical programs,” said Evelyn Hayes, MD. “We are also looking forward to opportunities to enhance medical education and training for medical students, residents and fellows through the hospital’s affiliation with Tulane University School of Medicine.”

In addition to her clinical practice, Dr. Jane Peek will also continue to serve as Obstetrics and Gynecology Clerkship Director and Clinical Assistant Professor for Tulane School of Medicine’s satellite campus at Baton Rouge General.

“ We are pleased to be able to expand our women’s services and specialists for the community, and we appreciate the steadfast commitment of Drs. Carol Patin, Lydia Sims and Alicia Taylor for their roles in the establishment of our women’s health program and more recently, as we worked together to strengthen our program,” said Floyd Roberts, MD, Baton Rouge General’s Chief Medical Officer and Dean of Tulane School of Medicine’s Satellite Campus.

Expanding Baton Rouge General’s current OB/GYN medical staff of 32 practitioners, the new women’s health specialists will enhance the hospital’s women’s health programs which provide state-of-the-art services for:

• Gynecologic care, including the latest platform for daVinci minimally-invasive robotics

• Maternal Fetal Medicine

• Fertility Services

• Labor and Delivery

• Neonatal and Pediatric Care, including Level 3 NICU, Pediatric ICU and Peds ER

• Genetic counseling and early detection of female cancers and other related diseases, including screening and diagnostic mammography through our Women’s Imaging Center, Louisiana’s first NAPBC-accredited comprehensive breast center

• Diagnosis and treatment of female cancers through advanced Medical, Surgical and Radiation Oncology services, including the nation’s first ARTISTE technology

• Support and ancillary services including Social Work, Nutritional Counseling, Lactation Counseling, Physical and Occupational Therapy

Pictured L to R: Kimberly Neathamer-Guillory, MD; Jo anne Barrios, MD; Erin Michel, RN, BSN, IBCLC, WHNP; Evelyn Hayes, MD; Jane Peek, MD





VIS1ON Editorial CommitteeDr. Andrew Olinde Chief of Staff

Dr. Floyd “Flip” Roberts Chief Medical Officer Dean, Tulane University School of Medicine’s Satellite Campus

Michelle Capone Director, Medical Staff Services

George Bell Senior Vice President, MD Relations

Nicole Kleinpeter Director, Marketing and Communications

Maryann Rowland Specialist, Communications and Public Relations

Comments? Story ideas? Email us at [email protected] with questions or to let us know what’s happening in your practice.

Physician-Guided EMR System Upgrades June 2012: Completion of physician portal enhancements, including:

• Patient information viewable across the continuum of care

• Critical data more easily accessible• Critical value alerts to a comprehensive patient list• Automatic population of patient lists

October 2012: Completion of computerized order entry to enhance surgical workflows

Contact our IT Physician Liaison at (225) 819-1070 for questions and support.

As Baton Rouge General moves forward with operationalizing its new research initiative in collaboration with GuideStar Clinical Trials Management, we encourage physicians to continue to provide input and share their research interests.

Our partnership with GuideStar is focused on developing a comprehensive research program to support independent, physician-led research, creating new opportunities for medical staff to participate in clinical trials that align with their interests.

“As a clinical lipidologist, I am excited about the opportunities Baton Rouge General’s new research initiative will create for contributions to advancing medical science in the area of heart disease,” said Robert St. Amant, MD. “More importantly, it will offer our patients access to leading-edge clinical trials in the local community.”

To learn more, contact Diandra Nuno-Salcido, Operations Manager, BRG Clinical Trials Office, at (504) 799-4400 ext. 4408, or email [email protected].

Clinical Trials Update

Newly enhanced patient dashboard

Robert St. amant, Clinical Lipidologist of Baton Rouge General’s Lipid Center

vision 3rd quarter 2012

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