Friday, March 23, 2012

McKesson Horizon Clinical Information System Upgrade Status

On the weekend of March 2, WellStar Information Technology successfully upgraded many of our McKesson Horizon Clinical Information System applications and servers. Planning for the upgrade began over a year ago and will improve patient care and safety while placing our critical clinical applications on more reliable infrastructure.

Overall, this has been a successful implementation with team members feeling well-trained in advance of the go-live and good communication passing between Information Technology and the hospitals. Clinicians are pleased with system speed and availability.

This upgrade was the result of months of hard work on the part of a large and diverse team of resources from McKesson, WellStar Information Technology and Organizational Learning Departments and clinicians from across our entire System. Thank you for the team’s efforts and dedication to improving patient care.

New Medical Staff as Approved at the March Governing Board Meeting

New Medical Staff

Name Specialty Group Name Appointment Current Staff Membership
Elshihabi, Said, M.D. Neurological Surgery WellStar Neurosurgery KH, GRP  
Greaves, Paula C., M.D. Obstetrics and Gynecology WellStar Northwest Women’s Care WH KH, GRP
Memark, Janet P., M.D. Internal Medicine WellStar Medical Group CH, KH  
Noohani, Chhavi V., D.O. Observation Observation Medicine Spec, LLC CH  
Pleasant, Shyronda Y., M.D. Pediatrics ER The Bortolazzo Group, LLC CH, KH  
Simmons, Barbara J., M.D. Obstetrics and Gynecology WellStar Northwest Women’s Care WH KH, GRP
Tuohy, Anne M., M.D. Pediatrics Kennesaw Pediatrics, PC KH  


















Advanced Practice Professionals

Name Specialty Group Name Appointment
Millikan, Krystle C., PA Physician Assistant The Bortolazzo Group, LLC CH, DH, KH, PH
Westercamp, Nathan A., PA Physician Assistant WellStar Surgical Assoc of Marietta KH, GRP
Wright, Shea A., PA Physician Assistant Emory Healthcare KH

April CME Events

  • Breast Cancer Tumor Board – April 4, 11 and 25; 7 a.m.; Stat Clinic Conference Room; WellStar Kennestone Hospital
  • Cancer Conference (TB) – April 4, 11, 18 and 25; 12 p.m.; Wisteria/Jasmine Room; WellStar Cobb Hospital
  • Cancer Conference (TB) – April 13 and 27; 7 a.m.; Azalea/Camellia Room; WellStar Kennestone Hospital
  • Cardiology Case Conference – April 24; 7 a.m.; Kennesaw Mountain Room; WellStar Kennestone Hospital
  • Cobb Surgical M&M – April 26; 7 a.m.; Wisteria/Jasmine Room; WellStar Cobb Hospital
  • GI Tumor Board – April 5, 12, 19 and 26; 7 a.m.; Azalea/Camellia Room; WellStar Kennestone Hospital
  • Kennestone Surgical M&M – April 25; 7:30 a.m.; Azalea/Camellia Room; WellStar Kennestone Hospital
  • Neuroradiology/General Neurology Patient Care Conference – April 4; 7 a.m.; Camellia Room; WellStar Kennestone Hospital
  • Safety First Recertification - Kennestone – April 20; 10:30 a.m.; Admin Conference Room; WellStar Kennestone Hospital
  • Thoracic Clinic – April 4, 11, 18 and 25; 5 p.m.; Post Stat Cancer Clinic; WellStar Kennestone Hospital
  • Trauma Grand Rounds – April 26; 7 a.m.; Auditorium; WellStar Kennestone Hospital

April Department Meetings

WellStar Cobb Hospital
Committee/Dept. Date & Time Place
OB/GYN Department 4/2 – 12:30 p.m. Auditorium
Credentials 4/3 – noon Admin Board Room
Medical Executive Committee 4/17 – noon Admin Board Room

WellStar Douglas Hospital
Committee/Dept. Date & Time Place
Credentials 4/3 – noon Sycamore Room
Medical Executive Committee 4/10 – noon Sycamore Room
QRC PI Committee 4/12 – 7:30 a.m. Sweetwater Room
Gen. Staff and Departments 4/19 – noon Community Room - DMC

WellStar Kennestone Hospital
Committee/Dept. Date & Time Place
Credentials 4/10 – 7 a.m. Kennesaw Mountain Room
APP Leadership Council 4/11 – 7 a.m. Kennesaw Mountain Room
OB/GYN Department 4/16 – 6 p.m. Kennesaw Mountain Room
Pediatrics Department 4/17 – 6:30 p.m. Azalea/Camellia Room
Department of Surgery 4/18 – 7 a.m. Azalea/Camellia Room
New Provider Orientation & Safety First Initial Training 4/20 – 8 a.m. - noon Kennesaw Mountain Room

WellStar Paulding Hospital
Committee/Dept. Date & Time Place
Medical Executive Committee 4/12 – 12:30 p.m. Chestnut Room

WellStar Windy Hill Hospital
Committee/Dept. Date & Time Place
Combined General Staff Meeting and Ethics Forum 4/18 – 6 p.m. Cobb Galleria

Patient Satisfaction Graphs



Prestigious Distinguished Service Award Presented to WellStar Health System Board Member Charles Wood

Charles “Pete” Wood, founding member of the Board of Trustees for WellStar Health System in Marietta, was presented with one of the Georgia Hospital Association’s (GHA) highest honors, the Distinguished Service Award. Wood, who received the award at the association’s annual convention on Feb. 22 in Atlanta, was recognized for his integral role in achieving several health care milestones over the past five decades.

WellStar Health System’s Gold Standards of Clinical Documentation Improvement


General and Surgery-Specific Clinical Documentation Tips

WellStar Health System’s Clinical Documentation Improvement (CDI) Program is designed to ensure that clinical documentation in a patient’s medical record appropriately reflects the care provided. The most vital role of the CDI program is facilitating a true representation of healthcare services provided, through accurate reporting of the principal diagnosis, co-morbidities and any treatments or procedures.

As part of the program’s ongoing efforts, the CDI team offers specific tips monthly from the Program’s Gold Standards of Clinical Documentation Improvement. 

General Tips:
  • Queries may be responded to by the attending physician, consultants or advanced practice professionals; however, it is ultimately the attending physician’s responsibility
  • Consider SIRS and indicate if the cause is related to infection, trauma, burns or pancreatitis
Surgery-Specific Tips:
  • Always document acuity, even when it is obvious. State acute, chronic, acute on chronic when known. Example: acute on chronic cholecystitis, acute blood loss anemia, chronic pancreatitis
  • Document all co-existing medical conditions, as this will impact the severity of illness level for your patients. Example: Diabetes, Chronic CHF
  • Trauma: List injuries separately when describing multiple trauma. Document any loss of consciousness and the duration.
  • Fractures: Document traumatic versus pathological, with identification of underlying cause
  • Debridement: Always document excisional versus non-excisional, the depth of tissue removed and the method (Versajet, scalpel, etc.)
  • Document pathology findings within progress notes or discharge summary
  • Document a diagnosis, such as hyponatremia, rather than ↓NA. Up and down arrows are not acceptable for coding purposes.
  • Link any conditions to underlying cause. Example: Skin ulcer due to DM, gastroparesis due to DM

WellStar Wins Two Statewide Patient Safety Awards for Excellence in Patient Care

The Partnership for Health and Accountability (PHA) presented its prestigious Quality and Patient Safety Award to WellStar Health System and to WellStar Windy Hill Hospital, both in Marietta. The health system’s project titled, “Glycemic Control Initiative,” improved inpatient diabetes care and won second place in the Hospital/Health Systems Category. WellStar Windy Hill’s project, titled, “War on the Spore: Clostridium difficile among Patients in an Acute Care Long Term Hospital,” decreased infection rates and won third place in the Hospitals with Less Than 100 Beds Category.

Get Involved in National Healthcare Decisions Day






On April 16, 2012, join Americans across the country to talk to others about your future healthcare decisions and complete your advance directive for health care.

The National Healthcare Decisions Day (NHDD) initiative is a collaborative effort of national, state, and community organizations committed to ensuring that all adults with decision-making capacity in the United States have the information and opportunity to communicate and document their healthcare decisions.

WellStar is committed to helping our community understand that making future healthcare decisions includes much more than deciding what care they would or would not want; it starts with expressing preferences, clarifying values, identifying care preferences, and selecting an agent to express themselves.

By registering for a free workshop “Preparing Your Directive for Health Care,” you will receive a free CRITICAL Conditions™ Planning Guide that you can use to discuss and document your wishes for final health care. WellStar team members will receive 10 HealthStart points, and nurses will be awarded contact hours from Georgia Nurses Association.

For workshop dates and locations, call 770-956-STAR (7827) or go to www.wellstar.org.

Stride into Spring with WellStar HealthStart’s New Walk This Way® Program

This April, Walk This Way® is stepping onto WellStar facilities to help team members enhance their overall health and physical activity levels by accumulating steps each day. This fun, 12-week walking program will be available to all WellStar team members at no cost regardless of whether you are a current HealthStart participant.

Beginning April 2, take your first step by logging on to www.wellstarhealthstart.org to sign up for the challenge. You will receive a t-shirt for participating and will also be mailed a personal digital pedometer and log-book. Beginning the week of April 16, you will be encouraged to log on to the HealthStart website to record your steps. There will be opportunities throughout WellStar to get involved in organized group walks. During the 12-week program, HealthStart participants can earn their Behavior Modification points by logging their daily physical activity on the HealthStart website.

Participants who log an average of 3,000 steps per day between April 16 - July 8 will receive one entry into the grand prize drawings. Logging additional steps per day can earn participants additional entries to be eligible for the prizes. The following incentives will be available:

Level Total Steps Steps Per Day Incentive Entries
Level 1 – Bronze 250,000 – 499,000 3,000 1 entry
Level 2 – Silver 500,000 – 749,999 6,000 2 additional entries (3 total)
Level 3 – Gold 750,000 – 849,999 9,000 3 additional entries (6 total)
Level 4 – Platinum 850,000+ 10,000+ 4 additional entries (10 total)

Key Program Dates
April 2 - Registration opens
April 16 – Program officially begins
April 30 – Registration ends
July 8 - Program ends

For additional information about the program, please visit the HealthStart website beginning the week of March 26, call HealthStart Customer Service at 1-877-224-6672, or contact Valerie Riley, Health Promotion Coordinator, at Valerie.Riley@wellstar.org or 770-793-7280.

New Liver Tumor Procedure at WellStar Kennestone

John E. Bianco, MD, Interventional Radiologist, Quantum Radiology, PC, is offering a new outpatient procedure for the treatment of primary and metastatic liver tumors at WellStar Kennestone’s Vascular Institute. The procedure, Selective Internal Radiation Therapy (SIRT), provides targeted radiation to the liver tumors and includes the placement of a transfemoral microcatheter positioned in the hepatic artery. Using the liver’s unique vascular supply, millions of yttrium-90 microspheres are selectively implanted in the microvascular arterial supply of the tumor, where they become trapped, killing tumor cells and sparing the healthy liver parenchyma. For more information on this procedure, please contact Quantum Radiology at 678-581-3830.

WellStar Paulding Hospital Awarded Certification from the Joint Commission

Four WellStar Hospitals Now Certified in Joint Surgery

WellStar Paulding Hospital has earned The Joint Commission’s Gold Seal of Approval™ for its Knee and Hip Joint Surgery Program by demonstrating compliance with The Joint Commission’s national standards for health care quality and safety in disease-specific care. The certification award recognizes WellStar Paulding’s dedication to continuous compliance with The Joint Commission’s state-of-the- art standards.

The designation now means all WellStar hospitals offering knee and hip joint surgery, including WellStar Paulding, WellStar Kennestone, WellStar Cobb and WellStar Douglas, are now certified in joint surgery by the Joint Commission.

WellStar Paulding underwent a rigorous on-site survey in late 2011. A team of Joint Commission expert surveyors evaluated the Hip and Knee Program for compliance with standards of care specific to the needs of patients and families, including infection prevention and control, leadership and medication management.

The Joint Commission’s Disease-Specific Care Certification Program, launched in 2002, is designed to evaluate clinical programs across the continuum of care. Certification requirements address three core areas: compliance with consensus-based national standards; effective use of evidence-based clinical practice guidelines to manage and optimize care; and an organized approach to performance measurement and improvement activities.

WellStar Board of Trustees Approves Funding for Replacement Hospital in Paulding

Groundbreaking Set for Monday, April 9, 2012

At the March 1, 2012 WellStar Board of Trustees meeting, the board gave final approval for the financing of a $135 million, 56-bed replacement hospital project located in Hiram at 148 Bill Carruth Parkway.

“This investment will enable WellStar to continue to provide world-class healthcare throughout our service area,” said Reynold J. Jennings, president and CEO of WellStar Health System.  “A new hospital in Paulding County will contribute to our strategy of providing improved access to our community as well as create an estimated 300 new jobs.”

A groundbreaking event is scheduled for Monday, April 9.  The hospital and new medical office building will be built adjacent to the existing medical office building in Hiram.  When complete, the campus will include an emergency department, comprehensive surgical services, a cancer center, women’s imaging and a multitude of other healthcare services.

Totally digital, the new WellStar Paulding Hospital is designed with patient-centered care in mind.  The design of the replacement hospital includes a significant amount of green space and landscaping surrounding the facility that is accessible to patients and visitors, including two park-like areas.

“The population of Paulding County is expected to rise 19 percent by 2016,” said Mark Haney, senior vice president of real estate and construction & WellStar Paulding Hospital president. “There is a tremendous need for this modern facility and the community is eagerly anticipating it.”

Environmental and energy sustainability are priorities of the replacement hospital design, and LEED-principled elements are incorporated throughout. Additionally, the facility will be constructed using concepts from the Center for Health Design’s Pebble Project, ensuring that the facility design is driven by evidence-based research. Evidence-based design features are elements in the design and construction environment that have been proven beneficial to patients and staff, contributing to high quality outcomes, fewer safety events and improved employee morale.

WellStar Supports YWCA of Northwest Georgia

The YWCA of Northwest Georgia’s vision is a community free of domestic violence and sexual assault. Their philosophy is to stand up and speak on behalf of those who cannot speak for themselves. WellStar has been a strong supporter of the YWCA of Northwest Georgia for years. In 2005, the strong bond began when the SART/SANE (Sexual Assault Response Team/Sexual Assault Nurse Examiners) program was implemented in Cobb County. With the foresight of Pat Head, District Attorney, the program was launched in conjunction with law enforcement and WellStar Health System. Dr. Robert Lipson, former President and CEO of WellStar, agreed to partner with the YWCA in this program by providing a room in which sexual assault victims could receive the rape exam without having to wait in the emergency room for hours at times.

Cancer Support Services New Location

The Cancer Support Team, including genetic counselors, nurse navigators, registered dietitians and social workers, is now located in the 320 Building, Suite 107. This new office space enables the team to collaborate in a multi-disciplinary manner, improving the patient experience. In the new space there is a resource center that the team encourages patients, family members and staff to visit Monday- Friday from 8 a.m. - 4:30 p.m. For more information, please call 770-793-7470.

Cultural Connections: Snapshot on Brazilian Culture

Cultural Connection provides WellStar team members with information about the diverse patients and communities we serve. Each month the newsletter highlights a different ethnicity or religion by introducing a variety of customs and traditions to foster a greater respect and understanding. No generalizations about individuals should be made since all individuals differ – so when in doubt, ask! 

Brazil, officially the Federative Republic of Brazil, is the largest country in South America. It is the world's fifth largest country, both by geographical area and by population, with more than 192 million people. Ecuador and Chile are the only South Ameri-can countries which do not share their boundaries with Brazil.

Monday, February 27, 2012

Physician Ambassadors - From Reynold Jennings, President & CEO of WellStar Health System

During my first few months at WellStar, I have learned that we have a diverse medical staff with different needs and expectations. Although it is my intent to personally meet all of them, I know that I cannot accomplish this goal as quickly as I would like given the scope of our strategic priorities.

To learn how WellStar can best support our private physicians and their practices, I have engaged Dan Stephens, M.D., and Bob Anstine as independent consultants to assist me as my personal ambassadors to community-affiliated physicians. Their primary goals are to listen to our physicians’ needs, learn what is working well and identify areas of opportunity for improvement.

They will report to Marcia Delk, M.D., Senior Vice President & Chief Quality Officer, and serve as a direct communication link back to me, so that I can respond to needs and concerns in a more timely manner.

Dr. Dan Stephens served this community as an OB/GYN from 1969 to 2011. He currently serves as chairman of the Cobb Board of Health and the Cobb County Community Services Board. While in practice, he served as president of the Cobb County Medical Society and chief of staff at WellStar Kennestone Hospital. Dr. Stephens serves on The Walker School Board of Trustees and over the years has been an active member of the Marietta community serving on numerous other boards.

Bob Anstine served many years as a healthcare administrator and senior manager. He was with Tenet Healthcare for more than 15 years during which time he worked closely with me in several key positions. Prior to Tenet, he operated as the head of the recruitment branch of an international hospital company in Europe and the Middle East. He also served as a district manager for Eli Lilly and Company and as a selector for the President’s Commission on White House Fellowships from 1999-2009 under both the Bush and Obama Administrations.

In addition to our two new physician ambassadors, the WellStar Physician Relations team will continue regularly calling on area physicians to keep them updated on initiatives and services within the WellStar System. Please join me in welcoming Dr. Stephens and Mr. Anstine to the WellStar team. I believe they will enhance communications, facilitate discussion and improve relationships within our physician community.

New Medical Staff As Approved at the February Governing Board Meeting

New Medical Staff

Name Specialty Group Name Appointment Current Staff Membership
Akopov, Valeri A., M.D. Hospitalist/ Internal Medicine Hospitalist Group CH, DH, KH, PH, GRP  
Ali Khan, Husain, M.D., DMD Oral and Maxillofacial Surgery Georgia Oral & Facial Surgery WH  
Bansal, Shalabh S., M.D. Pediatric Hospitalist Pediatric Hospitalist Group CH  
Caras, Thomas S., M.D. Cardiac Rehab Kennestone Cardiac Rehab KH  
Christian, Marilyne R., M.D. Pediatric Hospitalist Pediatric Hospitalist Group CH  
Crawford, Marcus H., M.D. Plastic Surgery Crawford Plastic Surgery PH KH, WH
Geffrard, Serge, M.D. Pediatric Cardiology Georgia Pediatric Cardiology DH, KH  
Gluckman, Richard J., M.D. Pediatrics West Atlanta Pediatrics DH CH
Griffin, Dauda A., M.D. Psychiatry Psychiatry CH, KH, WH, GRP  
Jean-Pierre, Fritz, Jr., M.D. Bariatric Surgery Comprehensive Bariatric Srvs KH, GRP  
Latif, Rhonda C., M.D. Gynecology Northwest Women’s Care KH, WH, GRP  
Noohani, Tariq, DO Emergency Medicine The Bortolazzo Group, LLC CH, DH, KH, PH  
Tepper, Micah R., M.D. Cardiovascular Medicine Cardiovascular Medicine PH, GRP CH, DH, KH





































Advanced Practice Professionals

Name
Specialty Group Name Appointment Current Staff Membership
Diehl, Paula K., NP Nurse Practitioner Northwest Women’s Care KH, WH, GRP  
Francisco, Geraldine A., NP Nurse Practitioner Cobb Medical Associates CH  
Hodge, Pandora M., PA Physician Assistant The Bortolazzo Group, LLC CH, DH, KH, PH  
Hurst, Nicholas Q. D., PA Physician Assistant The Bortolazzo Group, LLC CH, DH, KH, PH  
Myers, Brittainy L., NP Nurse Practitioner Cardiac Resource Center KH  
Omonuwa, Amitha B., PA Physician Assistant Tariq Javed, MD KH  
Summerville, Glenda J., NP Nurse Practitioner East Paulding Primary Care Ctr PH GRP
Tate, Lorrie S., NP Nurse Practitioner Hospitalist Group KH, GRP  

Realignment of Leadership Roles: From Reynold Jennings, President & CEO of WellStar Health System

When I was selected as President & CEO last fall, one of my main goals was to develop a solid management structure that would provide continuity of leadership going forward. To achieve our vision of delivering world-class healthcare, we must fully integrate physicians with our seasoned, experienced management team to provide our System’s future strategic direction.

To reach this goal, I am restructuring the roles of some of our senior leadership team effective March 1, 2012. Jim Budzinski, Executive Vice President & CFO, Mike Graue, Executive Vice President & COO, and Robert Jansen, M.D., who has been promoted to Executive Vice President & WellStar Medical Group President, will assist me with strategic oversight. I am empowering and authorizing them to act on my behalf, when needed, to drive the strategic decisions throughout our System.

Jim Budzinski will have responsibility for all financial areas including accounting, budget and analysis, finance, internal audit, managed care, revenue cycle and supply chain. In addition, I recently asked Jim to oversee the vital information technology area. Mike Graue’s responsibilities will be aligned to focus on facility operations. All WellStar hospital presidents, service line vice presidents as well as our nursing and performance innovation leaders will report to Mike. As part of this realignment, the vice presidents of medical affairs will now report directly to their hospital president.

Along with his responsibilities as President of the WellStar Medical Group, Dr. Jansen will lead our operations that require clinical direction through physician leadership. Service line chiefs and leaders of our Community Health Clinics, Health Parks Operations, Home Health, Hospice and Palliative Care, Hospitalists, Imaging and Outpatient Rehabilitation will report to Dr. Jansen.

In addition, Marcia Delk, M.D., Senior Vice President of Safety & Quality and Credentialing & Chief Quality Officer, will report directly to me along with the leaders overseeing the Foundation, Human Resources, Legal, Public & Government Affairs and Strategic Business Development. The attached new organizational chart will further explain the realignment and shift in responsibilities.

I also would like to announce that Douglas Lundy, M.D., of Resurgeons Orthopaedics, and Mark Diehl, M.D., of Pinnacle Orthopaedics, have been named co-chiefs of our new Musculoskeletal Service Line. Chiefs of our new Behavioral Health and Neurosciences Service Lines will be announced in the near future.

With the maturation of our clinical service lines, many of the duties of the Chief Medical Officer will be absorbed by the service line Cabinets and Councils. Kenneth Kunze, M.D., will become Senior Vice President of Special Projects and has graciously agreed to assist in the transition and to help me on several special projects. I greatly appreciate his contributions and ongoing support.

I strongly believe this realignment will enhance communications and allow us to respond more quickly and decisively to the challenges and opportunities ahead. Thank you for all you do for WellStar.

March Department Meetings

WellStar Cobb Hospital
Committee/Dept. Date & Time Place
Credentials 3/6 – noon ABR
Surgery Department 3/12 – 5:30 p.m. ABR
Internal Medicine Department 3/12 – 5:30 p.m. Jasmine Wisteria Room
Family Practice Department 3/12 – 5:45 p.m. Dogwood Room
General Staff 3/12 – 6:30 p.m. Auditorium
Medical Executive Committee 3/20 – noon Jasmine/Wisteria Room
Pediatrics Department 3/27 – 12:30 p.m. Jasmine/Wisteria Room

WellStar Douglas Hospital
Committee/Dept. Date & Time Place
PI Committee 3/1 – 7:30 a.m. Sweetwater Room
Credentials 3/6 – noon Sycamore Room
Medical Executive Committee 3/13 – noon Sycamore Room

WellStar Kennestone Hospital
Committee/Dept. Date & Time Place
Credentials 3/7 – 7 a.m. Kennesaw Mountain Room
Medical Executive Committee 3/13 – 6 p.m. Kennesaw Mountain Room
OB/GYN Department 3/19 – 5:30 p.m. Kennesaw Mountain Room
Surgery Department 3/21 – 7 a.m. Azalea/Camellia Room
New Provide Orientation and Safety First Initial Training 3/23 – 8 a.m.-noon Kennesaw Mountain Room

WellStar Paulding Hospital
Committee/Dept. Date & Time Place
Medical Executive Committee 3/8 – 12:30 p.m. Dogwood Room
Surgery Department 3/21 – 6 p.m. Marietta Country Club
Department of Medicine 3/27 – noon Location TBA

WellStar Windy Hill Hospital
Committee/Dept. Date & Time Place
Medical Executive Committee 3/20 – 5:15 p.m. Admin Conference Room