Spring 2008 - Memorial Hospital of South Bend
Spring 2008 - Memorial Hospital of South Bend
Spring 2008 - Memorial Hospital of South Bend
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SPRING / SUMMER <strong>2008</strong><br />
We’re Celebrating 15 Years<br />
<strong>of</strong> Tithing at <strong>Memorial</strong><br />
CHANGING<br />
LIVES<br />
www.quality<strong>of</strong>life.org
SPRING / SUMMER <strong>2008</strong><br />
Changing Lives,<br />
One Story at a Time<br />
Celebrating 15 years<br />
<strong>of</strong> tithing at <strong>Memorial</strong><br />
12-13<br />
16-17<br />
6-8<br />
Performance<br />
Excellence<br />
Hits the Mark<br />
Six Sigma training<br />
improves quality <strong>of</strong> care<br />
Designing the<br />
Formula for<br />
Healing<br />
<strong>Memorial</strong> Children’s<br />
<strong>Hospital</strong> joins the<br />
Center for Health<br />
Design’s Pebble<br />
Project<br />
YOU COULD WIN!<br />
Qualify to win a $50 American<br />
Express gift card by taking our<br />
two-minute online survey at<br />
www.quality<strong>of</strong>life.org/pulse.<br />
CONTENTS<br />
3-5 News Briefs<br />
Mixed Berry-Almond Gratin<br />
Eat a Rainbow<br />
Homegrown Goodness<br />
WOW! Projects Gone Wild<br />
Office Opens in Valparaiso<br />
Boomers & Beyond<br />
MMG Welcomes New Doctors<br />
6-8 Changing Lives, One Story at a Time<br />
Celebrating 15 years <strong>of</strong> tithing at <strong>Memorial</strong><br />
9 An Investment in Our Future<br />
<strong>Memorial</strong> Medical Group’s Clinical Research Institute<br />
10 Get to Work, Michiana!<br />
<strong>Memorial</strong> Center for Occupational Health keeps workers on the job<br />
1a-12a Generosity at Work in Our Community<br />
<strong>Memorial</strong> Health Foundation recognizes its generous benefactors<br />
11 A New Era<br />
New surgical suites part <strong>of</strong> <strong>Memorial</strong>’s largest-ever expansion project<br />
12-13 Performance Excellence Hits the Mark<br />
Six Sigma training improves quality <strong>of</strong> care<br />
14 MEDPOINT® express SM<br />
Get in. Get out. Get well.<br />
15 Comfort When It’s Needed Most<br />
The Ronald McDonald Family Room<br />
16-17 Designing the Formula for Healing<br />
<strong>Memorial</strong> Children’s <strong>Hospital</strong> joins the Center for Health Design’s<br />
Pebble Project<br />
18 Read the Label<br />
What to know about nutrition facts before you shop<br />
19 Classes & Services<br />
On the cover:<br />
Beverly Milon, sickle cell coordinator at <strong>Memorial</strong>’s Office <strong>of</strong> Minority Health<br />
PULSE is a biannual publication <strong>of</strong> <strong>Memorial</strong> Health System. <strong>Memorial</strong> Health System is a community-owned health care system providing services for people and families throughout<br />
Michiana. Philip A. Newbold, President & CEO; Cheryl Wibbens, M.D., Medical Director; Maggie Scroope, Print Publications Coordinator; Dayna Bammerlin, Designer; Matt Graham, Designer;<br />
Ryan Lafferty, Creative Director; Kris Hosbein, Contributing Writer. <strong>Memorial</strong> Health System, 615 N. Michigan St., <strong>South</strong> <strong>Bend</strong>, IN 46601. 574-647-6800, www.quality<strong>of</strong>life.org. Copyright<br />
© <strong>2008</strong> by McMurry. All rights reserved. Information in this publication is not intended for the purpose <strong>of</strong> diagnosing or prescribing. Consult your physician before undertaking any form<br />
<strong>of</strong> medical treatment and/or advice contained in this publication. If you are receiving multiple copies, need to change your mailing address or do not wish to receive this publication, please<br />
send your mailing label(s) and the updated information to McMurry, 1010 E. Missouri Ave., Phoenix, AZ 85014. 888-626-8779.<br />
02 <strong>Memorial</strong> Health System • 574-647-6800<br />
Printed on recycled paper
Mixed Berry-Almond Gratin<br />
Ingredients<br />
∞⁄Ω c. slivered almonds (1∞⁄¬ oz.)<br />
∞⁄∏ c. granulated sugar or Splenda Granular<br />
2 Tbsp. all-purpose flour<br />
pinch <strong>of</strong> salt<br />
1 large egg<br />
∞⁄Ω c. firm silken low-fat t<strong>of</strong>u<br />
1 Tbsp. butter, s<strong>of</strong>tened<br />
∞⁄¬ tsp. pure almond extract<br />
3 c. mixed berries, such as raspberries,<br />
blackberries and blueberries<br />
confectioners’ sugar for dusting<br />
Directions<br />
Preheat oven to 400 F. Coat a 1-quart gratin<br />
dish or a 9-inch pie pan with cooking spray.<br />
Spread almonds in a shallow baking<br />
pan and bake until light golden and fragrant,<br />
4 to 6 minutes. Let cool.<br />
Place sugar (or Splenda), flour, salt<br />
and almonds in a food processor; process<br />
until finely ground. Add egg, t<strong>of</strong>u, butter<br />
and almond extract; process until smooth.<br />
Spread berries evenly in the prepared<br />
gratin dish. Scrape the almond mixture<br />
over the top, spreading evenly.<br />
Bake the gratin until light golden and<br />
set, 40 to 50 minutes. Let cool for at<br />
least 20 minutes. Dust with confectioners’<br />
sugar and serve warm.<br />
Makes 6 servings.<br />
Nutrition information per serving:<br />
Calories, 195; Fat, 7 g (saturated, 2 g);<br />
Carbohydrates, 30 g; Protein, 4 g;<br />
Fiber, 4 g; Sodium, 48 mg<br />
Recipe from The EatingWell Diabetes Cookbook (The<br />
Countryman Press, 2005)<br />
Eat a Rainbow<br />
Take a look at your dinner plate. Is the food vibrant and colorful<br />
If not, you may not be getting all the nutrients you need. That’s because the more colorful the food, the<br />
more nutrients it usually has. Eating a variety <strong>of</strong> colors will help you nourish your body with the<br />
vitamins and minerals it needs.<br />
Red Orange/Yellow Green Blue/Purple White<br />
Rich in:<br />
Lycopene—a<br />
potent antioxidant,<br />
which may protect<br />
cells from damage<br />
that could lead to<br />
cancer<br />
Rich in:<br />
Beta carotene—<br />
an antioxidant<br />
important in vision,<br />
reproduction, bones<br />
and more<br />
Rich in:<br />
Lutein—a<br />
carotenoid known<br />
for supporting<br />
eyes and skin<br />
Rich in:<br />
Antioxidants—<br />
may protect cells<br />
from damage<br />
that could lead<br />
to cancer<br />
Pink grapefruit Carrots Broccoli Blueberries Bananas<br />
Tomatoes Pumpkin Peas Eggplant Potatoes<br />
Watermelon Sweet potatoes Spinach Grapes Turnips<br />
Rich in:<br />
Allicin—a powerful<br />
antibacterial and<br />
antifungal linked to<br />
blood vessel health<br />
IT’S WHAT’S ON THE INSIDE<br />
Weight management classes at <strong>Memorial</strong>’s Health Discovery Center can teach you<br />
the best ways to incorporate the vitamins and minerals you need into a healthy,<br />
delicious diet. For more information, call 574-647-6880.<br />
Homegrown<br />
Goodness<br />
Most produce is picked<br />
four to seven days before<br />
landing in the grocery<br />
store—and that’s assuming<br />
it was grown in the<br />
United States. Buying<br />
locally grown produce<br />
means fresher fruits and<br />
vegetables that also may<br />
contain less pesticides<br />
and additives.<br />
Locally grown food can<br />
be found at farmers<br />
markets, food co-ops<br />
and even the farms themselves.<br />
To locate direct<br />
sellers in your area, visit<br />
localharvest.org.<br />
SPRING / SUMMER <strong>2008</strong> › www.quality<strong>of</strong>life.org<br />
03
Our WOW! project champions have<br />
imagined amazing new ways to create<br />
powerful and meaningful patient<br />
experiences. – Colleen Sweeney<br />
The Wizard Masters from left:<br />
<strong>Memorial</strong> Health System President and<br />
CEO Philip A. Newbold; Vice President<br />
for Marketing and Innovation Strategy<br />
Diane Stover; Vice President for Quality<br />
and Safety Ken Anderson, D.O.; <strong>Memorial</strong><br />
Health Foundation Vice President Reg<br />
Wagle; and <strong>Memorial</strong> Health System Senior<br />
Vice President and COO Mike O’Neil.<br />
providers. The MLRG addresses the<br />
challenge <strong>of</strong> a recent 140 percent<br />
growth in the local Latino population.<br />
MLRG team members can also train<br />
<strong>of</strong>fi ce staff in cultural issues.<br />
property will be developed to include<br />
a 100-bed hospital able to be<br />
expanded to 250 beds with<br />
emergency care, urgent care and a<br />
variety <strong>of</strong> outpatient services.<br />
PULSE › <strong>Memorial</strong> Health System › 574-647-6800<br />
WOW! Projects<br />
Gone Wild<br />
<strong>Memorial</strong> team members<br />
WOW! with innovative ideas<br />
More than 100 WOW! project<br />
champions have re-imagined the ways<br />
<strong>Memorial</strong> provides world-class care.<br />
Newbie-to-DO-BE<br />
Nursing shortages are a big problem<br />
across the nation, and <strong>Memorial</strong> is no<br />
exception. Newbie-to-DO-BE is a<br />
three-part program developed by<br />
<strong>Memorial</strong> nurses Janet Sipp, Nancy<br />
Miller, Carol Eddy and Diane Parmelee<br />
to obtain, train and retain the best and<br />
brightest nurses. These sessions for<br />
senior and graduate nursing students<br />
include one-on-one coaching and<br />
internship programs.<br />
<strong>Memorial</strong> Language<br />
Resource Group<br />
Recognizing another growing need in<br />
the community, Terri Skaggs and<br />
Leonora Battani developed <strong>Memorial</strong><br />
Language Resource Group (MLRG)<br />
providing Spanish interpretation and<br />
translation to local health care<br />
“Our WOW! project champions have<br />
imagined amazing new ways to create<br />
powerful and meaningful patient<br />
experiences at <strong>Memorial</strong>,” says<br />
Director <strong>of</strong> Innovation and Customer<br />
Service Colleen Sweeney.<br />
Office Opens<br />
in Valparaiso<br />
Valparaiso Office Coordinator<br />
Tammy Jindra<br />
<strong>Memorial</strong> Health System has opened<br />
an <strong>of</strong>fi ce in Valparaiso to coordinate<br />
the various activities related to the<br />
new hospital project now in the<br />
planning stages.<br />
<strong>Memorial</strong> closed on the purchase <strong>of</strong><br />
53 acres near the intersection <strong>of</strong><br />
Route 49 and Burlington Beach Road<br />
in Valparaiso. The plan is that this<br />
<strong>Memorial</strong> leaders are now working<br />
with physician groups throughout<br />
Northwest Indiana to gather input<br />
about appropriate clinical services and<br />
preventive wellness programs that are<br />
needed in the area. The new facility,<br />
targeted for completion in 2010, will<br />
be owned and operated by <strong>Memorial</strong><br />
Health System in partnership with<br />
participating local physicians.<br />
The <strong>of</strong>fi ce can be reached by calling<br />
219-476-9061. For more information,<br />
visit www.newcarechoices.org.<br />
Medical Services under Review<br />
for the New Health Park<br />
Cardiology<br />
Diagnostic Services<br />
Emergency Care<br />
General Pediatrics<br />
General Surgery<br />
Home Health Care<br />
Neurological Surgery<br />
Obstetrics<br />
Oncology<br />
Orthopedics<br />
Physical Therapy<br />
Physician Offi ce Space<br />
04
NEWS BRIEFS<br />
learning and security for<br />
the future, Holy Cross<br />
Village is a great option<br />
for those seeking an<br />
active, independent<br />
lifestyle with services and<br />
amenities to keep the<br />
mind and body young.<br />
“We’ll also <strong>of</strong>fer group exercise classes<br />
like yoga, low-impact aerobics,<br />
stretching and fl exibility classes for<br />
all levels.”<br />
Holy Cross resident and former Boston<br />
Celtic Ed Ehlers works out with H&LC<br />
fitness specialist Angela King.<br />
Boomers & Beyond<br />
<strong>Memorial</strong> helps maintain<br />
quality <strong>of</strong> life for seniors<br />
Holy Cross Village at Notre Dame is fast<br />
becoming northern Indiana’s premier<br />
continuing care retirement community.<br />
Offering residential living, lifelong<br />
One way to keep feeling<br />
your best is to train with<br />
<strong>Memorial</strong>’s Health &<br />
Lifestyle Center (H&LC)<br />
fi tness experts now<br />
staffi ng the health and fi tness center at<br />
Holy Cross Village’s André House.<br />
“Our fi tness specialists will be there 20<br />
hours a week to help with orientation,<br />
personal training, massage therapy or<br />
to answer questions,” says H&LC fi tness<br />
manager Elizabeth McKinley.<br />
Are You at Risk<br />
Find out if you’re at risk for heart<br />
disease and receive a free<br />
screening by using the Heartaware<br />
Risk Evaluation online at:<br />
www.quality<strong>of</strong>life.org/heartaware<br />
Heartaware takes about 10<br />
minutes to complete and is<br />
completely free <strong>of</strong> charge.<br />
<strong>Memorial</strong> Medical Group Welcomes New Doctors<br />
If you’re looking for a family<br />
doctor, please feel free to call<br />
one <strong>of</strong> these caring physicians<br />
who would be glad to help you<br />
and your family meet your<br />
health care needs. For a<br />
complete list <strong>of</strong> <strong>Memorial</strong><br />
Medical Group physicians,<br />
please visit www.quality<strong>of</strong>l ife.org<br />
and click on “Find a Physician.”<br />
<strong>Memorial</strong> Medical Group is<br />
an affi liate <strong>of</strong> <strong>Memorial</strong><br />
Health System.<br />
Karen Davis, M.D.<br />
Navarre Pediatric Group<br />
Michelle Klawiter-Benton, M.D.<br />
Portage Road Medical Group<br />
Thomas Felger, M.D.<br />
Med-Point at<br />
Schwartz-Wiekamp Medical Group<br />
Dale Patterson, M.D.<br />
E. Blair Warner Family<br />
Medicine Center<br />
Faiz Khan, M.D.<br />
LaPorte Medical Group<br />
Modupe Popoola, M.D.<br />
Med-Point at<br />
Main Street Medical Group<br />
SPRING / SUMMER <strong>2008</strong> › www.quality<strong>of</strong>life.org<br />
05
CHANGING LIVES,<br />
ONE STORY AT<br />
Celebrating 15 Years <strong>of</strong> Tithing at <strong>Memorial</strong><br />
PULSE › <strong>Memorial</strong> Health System › 574-647-6800<br />
THE MAKING OF A MISSION<br />
“Somebody had a mission,” says Beverly Milon,<br />
sickle cell coordinator at <strong>Memorial</strong>’s Office <strong>of</strong><br />
Minority Health.<br />
Milon has firsthand knowledge <strong>of</strong> <strong>Memorial</strong>’s<br />
comprehensive approach to health, as there was a<br />
time in her life when she had to rely on some <strong>of</strong> the<br />
community programs <strong>Memorial</strong> actively participates<br />
in through tithing.<br />
“I went through a lot in my life, but we got through<br />
it,” says Milon. “We were always blessed with the<br />
resources we needed. This community has been really<br />
good to me.”<br />
Milon now works with families living with sickle cell<br />
disease, helping them find social services and financial<br />
resources when the illness keeps parents from work.<br />
Being able to work in that capacity is a dream for Milon.<br />
BUILDING A HEALTHY COMMUNITY<br />
It was 15 years ago when <strong>Memorial</strong>’s board <strong>of</strong> trustees<br />
made the unique decision to be one <strong>of</strong> the first<br />
hospitals in the country to tithe 10 percent <strong>of</strong> net<br />
revenues each year for the development <strong>of</strong> community<br />
health programs. By building and investing in health,<br />
<strong>Memorial</strong> was inspired to establish a bold vision: to<br />
create the healthiest community in the nation.<br />
<strong>Memorial</strong> Health System President and Chief Executive<br />
Officer Philip A. Newbold calls tithing an accelerator<br />
to a healthier community. For one thing, it inspires<br />
other potential donors. “If you have the resources and<br />
you don’t contribute, who else will want to”<br />
DOING IS LEARNING<br />
From the beginning, <strong>Memorial</strong>’s board decided it<br />
wouldn’t just go forth and do good, but that it would<br />
collaborate and harvest the learnings <strong>of</strong> these new<br />
programs, and that this learning would be at least as<br />
06
important as the programs themselves. All programs<br />
would be built on a broad framework that could be<br />
duplicated by any hospital.<br />
“Our learning has stimulated a level <strong>of</strong> connectivity<br />
in our community that I know wasn’t here in 1992,”<br />
says <strong>Memorial</strong> Health Foundation Vice President<br />
Reg Wagle. “That’s the most important thing that<br />
tithing has accomplished here at home.”<br />
GREAT IDEAS ATTRACT GREAT RESOURCES<br />
Believing in the incredible resources <strong>of</strong> our community,<br />
<strong>Memorial</strong> feels that all <strong>of</strong> the resources it needs to<br />
address certain issues (education, drug addiction, teen<br />
pregnancy), are, for the most part, already here in our<br />
community, and that if you choose the right partners,<br />
all kinds <strong>of</strong> incredible things can happen.<br />
A TIME<br />
“If I had to sum up one thing that makes me feel most<br />
strongly about tithing, it’s how it has helped outside<br />
community organizations seek new solutions to old<br />
problems,” says Rose Meissner, president <strong>of</strong> the<br />
Community Foundation <strong>of</strong> St. Joseph County and former<br />
Health Foundation board member. “<strong>Memorial</strong> was there<br />
for the Community Foundation as we were forming. It<br />
was a place we could turn as we launched new initiatives.”<br />
EVERYTHING HAS A PURPOSE<br />
Having been through various <strong>Memorial</strong> sponsored<br />
programs, Milon is familiar with the St. Joseph<br />
County Women, Infants, & Children (WIC) program<br />
(<strong>Memorial</strong> has served as its manager and primary<br />
sponsor for 17 years), the Women’s Care Center (cosponsored<br />
by <strong>Memorial</strong> <strong>Hospital</strong>) and Beds & Britches,<br />
Etc. (B.A.B.E.), where she received diapers, clothes<br />
and the formula she needed for her baby after<br />
returning to work.<br />
“<strong>Memorial</strong> understands that through these programs,<br />
they’re investing in and building healthy communities,”<br />
says Milon. “If it were not for some <strong>of</strong> the services<br />
provided to me, my son may not have had the<br />
opportunity to choose to attend law school later on<br />
in life.”<br />
SPREADING THE WORD<br />
Along with volunteering at her church, traveling to<br />
local high schools to educate young people about<br />
sickle cell disease, providing referrals and helping<br />
applicants navigate through complex services, Milon<br />
also took the time to speak at one <strong>of</strong> <strong>Memorial</strong>’s most<br />
recent Community Plunges ® .<br />
“One <strong>of</strong> the things <strong>Memorial</strong> is most well known for<br />
across the country are community plunges,” says former<br />
Vice President <strong>of</strong> Community Affairs Carl Ellison.<br />
Developed and supported by <strong>Memorial</strong> Health System<br />
through Margo DeMont, Executive Director <strong>of</strong><br />
<strong>Memorial</strong>’s Community Health Enhancement,<br />
community plunges bring together community leaders<br />
to discuss various topics. These events have helped<br />
shape the way <strong>Memorial</strong>’s leaders think. “You get a<br />
school principal next to a police chief, next to a doctor,<br />
next to a mayor, and you really get to know what’s<br />
going on in a particular community,” says DeMont.<br />
At a recent plunge focusing on predatory lending,<br />
Milon courageously shared her story <strong>of</strong> a lending<br />
broker who approached her about an investment.<br />
She invested her money into a real estate venture<br />
that would provide low-income families with quality,<br />
affordable housing.<br />
“As time went on I got more and more letters from the<br />
mortgage company, asking where their money was.<br />
Once I realized that he had taken the money, I decided<br />
that the best way was to sell these homes and break<br />
even. That’s when I discovered that the loans I took out<br />
exceeded what the homes were worth,” says Milon.<br />
“That was a very disappointing time in my life. These<br />
families couldn’t stay there as their houses had hidden<br />
problems that were too big to fix. They didn’t have any<br />
place to go, and that was just heartbreaking for me,”<br />
says Milon.<br />
07
2000 Hoosier Healthwise Enrollment<br />
1999 DOVE Project<br />
2004 Doula program<br />
1992 B.A.B.E.<br />
1996 Literacy Council<br />
2007 Covey for Teens<br />
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007<br />
1997 Baby Think It Over<br />
2005 Apple A Day Clinic<br />
1993 African American Women in Touch<br />
2003 WomenBuild, Habitat for Hummanity<br />
This timeline shows just a sampling <strong>of</strong> dozens <strong>of</strong><br />
important tithing landmarks over the last 15 years.<br />
2000 HealthWorks! Kids’ Museum<br />
2007 Volunteer Provider Network<br />
“When I came to <strong>South</strong> <strong>Bend</strong>, I moved into a<br />
shelter—and I didn’t want my life to end up like<br />
that again. I didn’t want that to happen to these<br />
families either,” adds Milon.<br />
Milon’s story is just one <strong>of</strong> thousands that have<br />
unfolded as a result <strong>of</strong> <strong>Memorial</strong>’s commitment to<br />
community health enhancement and tithing.<br />
When looking back on his years as CEO, Newbold<br />
PULSE › <strong>Memorial</strong> Health System › 574-647-6800<br />
Years later, Milon has not only taken what<br />
she’s learned from life experiences but,<br />
much like <strong>Memorial</strong>, has turned that<br />
learning into a positive for her community.<br />
“People really need to know that there is<br />
help, and that you can overcome negative<br />
experiences. There are programs and people<br />
out there who want to help you,” says<br />
Milon. “When you make mistakes you learn from<br />
these mistakes and you become more powerful as<br />
you try to help others.”<br />
“We reach out to families every day by providing<br />
needed information on resources. These families<br />
share this information with their friends and other<br />
family members,” adds Milon. “If you want to build<br />
a great community, the focus needs to be on the<br />
whole family. That’s what <strong>Memorial</strong> is so good at.”<br />
“<br />
People really need to know that there is<br />
help, and that you can overcome negative<br />
experiences. There are programs and people out<br />
”<br />
there who want to help you.<br />
notes that tithing is one <strong>of</strong> the things he’s most<br />
proud <strong>of</strong> in his 20 years at <strong>Memorial</strong>. “You always<br />
get back more than you give. And for as much as<br />
we’ve done—we’ve gotten so much more back.”<br />
Invest wisely in the health <strong>of</strong> your community by<br />
learning from <strong>Memorial</strong>’s triumphs (and mistakes).<br />
A catalog <strong>of</strong> Learning Histories is available online<br />
at www.quality<strong>of</strong>life.org/ich.<br />
08
An Investment<br />
<strong>Memorial</strong> Medical Group’s<br />
in Our Future Clinical Research Institute<br />
<strong>Memorial</strong>’s highly successful and<br />
growing Clinical Research<br />
Institute (CRI) continues to<br />
make great strides in the<br />
advancement <strong>of</strong> medicine.<br />
“We’re no longer the new kids on<br />
the block,” says Kim Emmons,<br />
R.N., nurse manager <strong>of</strong> <strong>Memorial</strong>’s<br />
Clinical Research Institute. “We’ve<br />
established ourselves as a highquality,<br />
nationally recognized<br />
research department.”<br />
Just three years since its inception,<br />
the CRI has developed a national<br />
reputation, with pharmaceutical<br />
and research companies courting<br />
<strong>Memorial</strong>’s physicians—instead<br />
<strong>of</strong> the other way around.<br />
“Clinical research is not only good<br />
for <strong>Memorial</strong> as an organization, it’s<br />
very positive for patients and the<br />
greater community as well,” says<br />
G. Larsen Kneller, M.D., medical<br />
director at LaPorte Medical Group.<br />
Those who attempt to qualify for<br />
a trial receive a complete physical,<br />
follow-up exams, lab work,<br />
procedures and medicine, free<br />
<strong>of</strong> charge. Even those who don’t<br />
qualify for the trial walk away<br />
with valuable health information.<br />
“A national company recently<br />
came to us because they wanted<br />
to work with <strong>Memorial</strong><br />
Interventional Radiologist<br />
Gerard Duprat, M.D., to test an<br />
investigational stent device for<br />
aortic aneurysms,” says Emmons.<br />
“Nicholas Straniero, M.D., has also<br />
made a name for himself nationally<br />
as the lead enrolling investigator on<br />
a rheumatoid arthritis study.<br />
Research companies are seeking us<br />
out as a research center now.”<br />
“It’s a continued growth situation<br />
for us as health care providers,”<br />
says Emmons. “Not only are<br />
physicians and nurses increasing<br />
their knowledge, they’re also giving<br />
their patients the opportunity to<br />
receive cutting-edge medicine.”<br />
“I appreciate the quality nursing<br />
time spent with patients during<br />
the course <strong>of</strong> their participation,”<br />
says Clinical Research Nurse<br />
LuAnn Tracey, R.N., when speaking<br />
about her own experiences with<br />
clinical research.<br />
<strong>Memorial</strong> Health System is also<br />
establishing itself as a high quality<br />
HIV/AIDS study center with<br />
Brandon Zabukovic, M.D.<br />
“We were involved in a study<br />
looking at patches to treat HIVassociated<br />
peripheral neuropathy,”<br />
says Dr. Zabukovic. “HIV is<br />
interesting because it is intellectually<br />
stimulating from a complexity issue.<br />
HIV patients have unique and<br />
rare complications.”<br />
Brandon Zabukovic, M.D., sees patients at <strong>Memorial</strong><br />
Neighborhood Health Center – Central Clinic.<br />
“These wide-ranging clinical trials<br />
bring new knowledge and expertise<br />
to our physicians and into the<br />
community, providing people with<br />
more advanced care,” says Michael<br />
Gordon, executive director <strong>of</strong><br />
<strong>Memorial</strong> Medical Group. “We<br />
want to provide for our diverse<br />
community by doing whatever we<br />
can to make them healthier, now<br />
and into the future.”<br />
Think you might be interested in<br />
participating in a clinical trial<br />
See the latest ongoing trials by visiting<br />
www.quality<strong>of</strong>life.org/clinicalresearch or<br />
by calling 574-647-7883.<br />
SPRING / SUMMER <strong>2008</strong> › www.quality<strong>of</strong>life.org<br />
09
Eric Wohlrab, M.D., consults with workers<br />
at Lock Joint Tube (left) and the Northern<br />
Indiana Commuter Transportation District.<br />
GET TO WORK, MICHIANA!<br />
<strong>Memorial</strong> Center for Occupational Health keeps workers on the job<br />
PULSE › <strong>Memorial</strong> Health System › 574-647-6800<br />
Leaders, managers, human resource<br />
executives, anyone who helps<br />
keep Michiana businesses up and<br />
running, all know that employees<br />
who are physically and emotionally<br />
healthy make a strong and<br />
productive organization.<br />
From equipment issues to chemicals,<br />
asbestos, needle sticks, burns, falls<br />
and more, <strong>Memorial</strong>’s Center for<br />
Occupational Health (COH) does<br />
whatever it takes to help employers<br />
protect workers in the workplace.<br />
“Employees are the number one<br />
resource companies have,” says<br />
Occupational Medicine Specialist<br />
Eric Wohlrab, M.D., MPH, M.S.,<br />
FACOEM. “That’s why we really try<br />
to limit the time employees are away.<br />
We get them in and out <strong>of</strong> the door<br />
as quickly and safely as possible.”<br />
From a human standpoint there’s no<br />
better way to tell your employees<br />
you care than to provide the safest<br />
work environment and the best<br />
medical care possible. From a<br />
business standpoint, an investment<br />
in human capital returns $3 for<br />
every $1 invested.<br />
Along with treating common (and<br />
not so common) workplace ailments,<br />
<strong>Memorial</strong>’s COH also provides<br />
preventive services to help keep<br />
workers well in the first place.<br />
“Our passion as a clinic is really<br />
in prevention,” says Dr. Wohlrab.<br />
“You can find anyone to put<br />
stitches in, but we can also take<br />
you through your workplace and<br />
discuss ways you can protect the<br />
health <strong>of</strong> your employees.”<br />
One <strong>of</strong> the more innovative ways<br />
<strong>Memorial</strong>’s COH fulfills this<br />
promise is through its WorkSAFE<br />
Ergonomics Program, which<br />
provides on-site consultation and<br />
evaluation to help reduce workplace<br />
injuries caused by repetitive tasks.<br />
Dr. Wohlrab adds, “We’re a clinic<br />
without walls. If we stayed within<br />
the confines <strong>of</strong> this building we’d<br />
be missing 50 percent <strong>of</strong> what<br />
occupational health is all about.”<br />
With 2,500 clients, <strong>Memorial</strong>’s<br />
COH has expanded to include<br />
<strong>Memorial</strong>’s four Med-Point clinics<br />
to better meet the needs <strong>of</strong> clients.<br />
“Serious injuries such as significant<br />
burns, falls from heights, much<br />
<strong>of</strong> that happens after hours. The<br />
after-hours service provided by<br />
Med-Points helps us out tremendously,”<br />
says Occupational Medicine<br />
Specialist Melinda Dy, D.O., MPH,<br />
ABFM, ACOEM.<br />
While working autonomously,<br />
occupational health physicians are<br />
also required to adhere to federal,<br />
state and local laws enforcing<br />
workplace safety, all while working<br />
with the employer and the employee.<br />
“Each day is different. We could<br />
have 20 people scheduled and end<br />
up seeing 90 people that day,” adds<br />
Dr. Dy. “It’s definitely a unique and<br />
challenging work environment.”<br />
<strong>Memorial</strong> Center for<br />
Occupational Health<br />
2301 N. <strong>Bend</strong>ix, Suite 500<br />
<strong>South</strong> <strong>Bend</strong><br />
574-647-1675<br />
<strong>Memorial</strong> Center for Occupational<br />
Health at LaPorte Medical Group<br />
900 I Street, LaPorte<br />
219-324-1960<br />
www.memorialcoh.com<br />
010
A NEW ERA<br />
New surgical suites part <strong>of</strong> <strong>Memorial</strong>’s largest-ever expansion project<br />
The largest expansion in <strong>Memorial</strong>’s<br />
112-year history is well under way.<br />
Ground has been broken, foundations<br />
poured and walls erected for the new<br />
surgical suite replacement project,<br />
which will increase capacity to 13<br />
pre-surgery rooms, 13 operating<br />
rooms, 12 recovery rooms, and six<br />
swing rooms for either pre-surgery<br />
or recovery. The project also includes<br />
renovation <strong>of</strong> the Outpatient Surgery<br />
Center. This 137,066-square-foot<br />
expansion will result in up to 45 new<br />
clinical jobs and 300 constructionrelated<br />
jobs, with completion slated<br />
for summer <strong>of</strong> 2009.<br />
<strong>Memorial</strong>’s administrators envisioned<br />
the surgical suite expansion to help<br />
accommodate yearly increases in<br />
surgical cases. <strong>Memorial</strong> Health<br />
System President and CEO Philip<br />
A. Newbold says, “We are now<br />
performing close to 14,000 surgeries<br />
a year and we’re outgrowing<br />
our existing space, which was<br />
last renovated in 1980. This<br />
extensive project will allow us to<br />
accommodate a 53 percent increase<br />
in surgical cases to keep up with the<br />
demand for specialized care.”<br />
When the center opens, <strong>Memorial</strong><br />
will operate one <strong>of</strong> the most technologically<br />
advanced surgical centers<br />
in the country. The new facility<br />
will also help attract additional<br />
surgeons to the area, including<br />
pediatric surgeons as part <strong>of</strong> the<br />
Children’s <strong>Hospital</strong> expansion.<br />
<strong>Memorial</strong> Vice President <strong>of</strong><br />
Nursing Connie McCahill, R.N.,<br />
described the design <strong>of</strong> this<br />
project. “Our medical staff<br />
has worked very closely with<br />
us to plan a new surgical service<br />
that <strong>of</strong>fers great flexibility for<br />
each surgeon and the clinical<br />
support staff. We are very excited<br />
about how soon our patients will<br />
benefit from the new capacity this<br />
construction will provide.”<br />
Plans for the new space also include<br />
the <strong>Memorial</strong> Regional Cancer<br />
Center, featuring a highly integrated<br />
medical, surgical and radiation<br />
services model emphasizing the<br />
comprehensive needs <strong>of</strong> cancer<br />
patients and their families. Other<br />
new services will include a new main<br />
entrance, sterile processing center,<br />
loading dock and energy center.<br />
SPRING / SUMMER <strong>2008</strong> › www.quality<strong>of</strong>life.org<br />
011
Performance<br />
Excellence<br />
Hits the Mark<br />
Six Sigma training improves quality <strong>of</strong> care<br />
An exciting commitment to Performance<br />
Excellence has overtaken the world <strong>of</strong><br />
<strong>Memorial</strong> over the past year, infusing new<br />
thinking and fresh outlooks into the<br />
day-to-day operations <strong>of</strong> <strong>Memorial</strong>.<br />
The Six Sigma and Lean methodologies <strong>of</strong> process<br />
improvement have made an enormous impact on the<br />
kind <strong>of</strong> care <strong>Memorial</strong> can give to its patients and<br />
families, while improving the quality <strong>of</strong> work life for<br />
physicians and employees.<br />
<strong>Memorial</strong>’s partnership with General Electric (GE),<br />
a company widely known as one <strong>of</strong> the best-managed<br />
companies in the world, has brought Lean, Six Sigma,<br />
the Change Acceleration Process and Work-Out<br />
to <strong>Memorial</strong>’s well-established culture <strong>of</strong> forwardthinking<br />
innovation.<br />
This brave new world began when 21 <strong>Memorial</strong><br />
employees undertook the daunting task <strong>of</strong> completing<br />
GE’s Lean Six Sigma Black Belt and Green Belt<br />
Development Program. At the end <strong>of</strong> the session, five<br />
Black Belts and 16 Green Belts emerged, ready to take<br />
on the roadblocks and destroy the barriers that keep<br />
change and improvement from happening.<br />
Amazing Results<br />
• Fewer delayed and canceled surgeries for patients<br />
• Quicker turnaround time for “high-demand” pieces<br />
• More room in the center core <strong>of</strong> surgery<br />
• Decreased clutter using “just-in-time” carts<br />
• Less non-value-added time for physicians and nurses<br />
• Decreased “needed” items<br />
• Improved collaboration between departments<br />
• Savings <strong>of</strong> more than $64,000 a year<br />
Sterile Processing staff send completed case carts up to Surgical<br />
Services throughout the day, using a special dumbwaiter.
“I can’t overemphasize the rigorous<br />
training our Black Belts and Green<br />
Belts went through. GE’s training<br />
was months-long, data-driven, heavy<br />
on critical thinking and decisionmaking<br />
and very intensive,” says<br />
Matt Krathwohl, executive director<br />
<strong>of</strong> Performance Excellence<br />
(<strong>Memorial</strong>’s brand for process<br />
improvement that includes Lean<br />
and Six Sigma tools). “Now our<br />
Black Belts and Green Belts are<br />
applying that learning to real life<br />
challenges at <strong>Memorial</strong>.”<br />
“I was the director <strong>of</strong> the pharmacy<br />
when I took this position,” says Black<br />
Belt Jim Goshert. “It’s definitely<br />
unlike anything I’ve ever done<br />
before. In fact, I wish I had done this<br />
a long time ago. It would have been<br />
useful in my role as a manager.<br />
The things you learn can be applied<br />
to improve and control processes<br />
in any department.”<br />
Using Six Sigma principles, Goshert<br />
and his team took on the task <strong>of</strong><br />
improving case cart accuracy for<br />
<strong>Memorial</strong>’s surgical team. It was<br />
one <strong>of</strong> five training projects that<br />
the Performance Excellence team<br />
members undertook at <strong>Memorial</strong><br />
after completing their certification.<br />
By ensuring the timely and correct<br />
presentation <strong>of</strong> surgical instruments,<br />
patients are less likely to be delayed<br />
or rescheduled, making a better<br />
experience for everyone.<br />
Some surgeries require an enormous<br />
amount <strong>of</strong> equipment. In the past,<br />
the Sterile Processing Department<br />
would ensure surgery received all<br />
case carts by 6 a.m. With all that<br />
equipment around, nurses, doctors<br />
and staff barely had enough room<br />
to walk the hallways. Now that the<br />
improved process only allows for<br />
10 case carts at a time, it opened<br />
up that area tremendously.<br />
“Another type <strong>of</strong> issue can occur<br />
when say two or three hip surgeries<br />
are scheduled for one day,” says<br />
Goshert. “Now say each <strong>of</strong> those<br />
surgeries require the same piece<br />
<strong>of</strong> equipment, an item we only have<br />
one <strong>of</strong>. Throw in the fact that this<br />
equipment needs to be sterilized<br />
after each surgery. Now these highdemand<br />
pieces are highly trackable,<br />
with one dedicated Sterile Processing<br />
representative to handle calls.”<br />
Safety has improved not just in<br />
surgery but for all employees<br />
working in that area <strong>of</strong> the hospital.<br />
Preparing carts closer to surgery<br />
time helps decrease clutter and<br />
reduce the likelihood <strong>of</strong> incomplete<br />
carts and delayed surgeries.<br />
Financially, this project saves<br />
<strong>Memorial</strong> $1,231 per week,<br />
or $64,000 per year.<br />
“I have strongly supported this<br />
project from the beginning,” says<br />
Jayne Mitton, R.N., executive<br />
director <strong>of</strong> Surgical Services.<br />
“As with all projects, the process<br />
is still a work in progress, but has<br />
a tremendous potential, and it<br />
shows great collaboration<br />
between departments.<br />
“An added bonus is that anytime<br />
you’re trying to improve processes,<br />
you’ll find something else you<br />
can improve upon,” says Mitton.<br />
“It’s helped us see other areas<br />
for improvement, which is<br />
always helpful.”<br />
“My team on the surgery cart case<br />
was outstanding,” says Goshert.<br />
“Johan Kuitse, Mark Wilson, Darla<br />
McAllister and Greg Piper, who was<br />
a co-sponsor with Jayne Mitton.<br />
They are so energetic about this<br />
process. They are the reason we<br />
made this happen. I can’t say<br />
enough about them.”<br />
Never Stop Learning<br />
<strong>Memorial</strong>’s Black Belts and Green<br />
Belts have earned a certificate <strong>of</strong><br />
achievement for successfully completing<br />
the Lean Six Sigma Black Belt and<br />
Green Belt Development Program.<br />
Black Belts<br />
Diane Freel<br />
Carey Gaudern<br />
Jim Goshert<br />
Sandy Kowalski<br />
Tom Merry<br />
Green Belts<br />
John Albright<br />
Ken Anderson, D.O.<br />
Cindy Crawford<br />
Yolanda Emley<br />
Matt Krathwohl<br />
Johan Kuitse<br />
Darla McAllister<br />
CJ Paulausky<br />
Julie Phillips<br />
Greg Piper<br />
Barb Ponder<br />
Tracee Siade-Jones<br />
David Sipp<br />
Janet Sipp<br />
Deidra Turner<br />
Mark Wilson, R.N.<br />
He also couldn’t say enough about<br />
the partnership with GE that has<br />
made all <strong>of</strong> this possible. “If<br />
<strong>Memorial</strong> can continue to use this<br />
training, and get even more and<br />
more people trained, we will have<br />
a brighter future,” says Goshert.<br />
“Because every process we improve<br />
in our individual departments<br />
improves <strong>Memorial</strong>.”<br />
SPRING / SUMMER <strong>2008</strong> › www.quality<strong>of</strong>life.org<br />
013
Nowadays life is busy. Who hasn’t rushed through Martin’s or Wal-Mart ® after work or<br />
between appointments From one commitment to the next, people are on the move,<br />
making the most <strong>of</strong> life, while guarding their precious time with ferocity. Now, those<br />
who have the added burden <strong>of</strong> a minor illness can stop at MEDPOINT ® express SM .<br />
With this fresh model <strong>of</strong> health care,<br />
patients can see a nurse practitioner<br />
for minor health conditions. No<br />
appointments are necessary and visits<br />
usually take about 15 minutes. It<br />
provides quick, affordable, quality<br />
health care in a fast, convenient setting.<br />
Family nurse practitioners provide<br />
care for most common ailments,<br />
such as strep throat, earache, flu,<br />
pink eye and allergies. They can<br />
also prescribe most medications,<br />
administer vaccinations and perform<br />
health screenings.<br />
“MEDPOINT express was awesome.<br />
My family is just thrilled with the care<br />
we receive there,” says Chris Priebe,<br />
mother <strong>of</strong> three teenage daughters<br />
and loyal MEDPOINT express<br />
customer. “The nurse practitioners<br />
are great and we haven’t had to wait,<br />
which has been a blessing.”<br />
In step with <strong>Memorial</strong>’s experience<br />
design principles, the MEDPOINT<br />
express team traveled the nation,<br />
gathering invaluable information from<br />
other health care retail clinics.<br />
“We went to every major city that<br />
had any retail clinic presence to<br />
see how it’s being done across the<br />
country,” said MEDPOINT express<br />
Director Chris Endres. “We evaluated<br />
what services they <strong>of</strong>fer, how their<br />
facilities are laid out and their services<br />
executed. We saw what clinics were<br />
doing well, and what clinics were not.”<br />
With a thorough report in hand,<br />
Endres and his team developed a plan<br />
to expand MEDPOINT express from<br />
its original location—inside Wal-Mart<br />
stores—to include grocery stores such<br />
as Martin’s.<br />
“Our objective is to improve<br />
accessibility to health care,” says<br />
Endres. “MEDPOINT express is a<br />
convenient option for busy people,<br />
including parents <strong>of</strong> children who<br />
have minor illnesses.” The Martin’s<br />
and Wal-Mart on-site pharmacies add<br />
to the convenience and help patients<br />
save even more time, he added.<br />
You can be in and out and on your way.<br />
To find out more about your local<br />
MEDPOINT express, call 800-635-5516<br />
or visit www.medpointexpress.com.<br />
Get in. Get out. Get well. <br />
SPRING <strong>2008</strong> › www.quality<strong>of</strong>life.org<br />
014
COMFORT<br />
WHEN IT’S<br />
NEEDED MOST<br />
“Take 5 minutes for yourself.”<br />
It’s sage advice from someone who<br />
sees what the families <strong>of</strong> <strong>Memorial</strong>’s<br />
sick and injured children experience<br />
every day. Ronald McDonald Family<br />
Room ® Director Shelley Lesniewicz<br />
understands that taking even a fiveminute<br />
break can make a big difference.<br />
“Parents spend so much time and<br />
energy taking care <strong>of</strong> their family<br />
that sometimes they forget to take<br />
care <strong>of</strong> themselves,” says Lesniewicz.<br />
“Taking just a little bit <strong>of</strong> time for<br />
yourself ultimately allows you to be a<br />
better parent.”<br />
For the last five years, the Ronald<br />
McDonald Family Room (RMFR)<br />
at <strong>Memorial</strong> <strong>Hospital</strong> has allowed<br />
families to do just that.<br />
Innovative Ways <strong>of</strong> Giving Back<br />
• For the past three years, the generous<br />
employees <strong>of</strong> RSM McGladrey have<br />
donated their year-end bonus checks to<br />
the Ronald McDonald Family Room<br />
(RMFR) in <strong>South</strong> <strong>Bend</strong> for a total <strong>of</strong> more<br />
than $10,000.<br />
• Some children asked guests to bring<br />
RMFR Wish List items to their birthday<br />
parties instead <strong>of</strong> gifts.<br />
• Keenan Donze asked guests to bring toys<br />
to his birthday party to be donated to the<br />
RMFR.<br />
015<br />
On the hospital’s third floor, just<br />
steps away from pediatrics and the<br />
Newborn Intensive Care Unit, a calm<br />
oasis awaits families <strong>of</strong> <strong>Memorial</strong>’s<br />
inpatients, <strong>of</strong>fering a moment <strong>of</strong> quiet,<br />
a c<strong>of</strong>fee break, a snack or a friendly<br />
face to talk to.<br />
Each month the RMFR provides more<br />
than 300 meals, and more than 6,000<br />
families have visited the RMFR since<br />
its inception, including more than<br />
4,000 overnight guests.<br />
As a respite for families, the RMFR<br />
serves as a home away from home for<br />
families whose seriously ill or injured<br />
child is receiving care at <strong>Memorial</strong>;<br />
and it’s <strong>of</strong>fered free <strong>of</strong> charge thanks<br />
to the generosity <strong>of</strong> local businesses<br />
and individuals in our community.<br />
• Alicia Metzger held a carnival in her<br />
backyard and raised $250.<br />
• A retired <strong>South</strong> <strong>Bend</strong> fireman and his wife<br />
collected $345 in pennies.<br />
• To serve as wedding favors, a bride and<br />
groom made donations to the RMFR<br />
located in the region <strong>of</strong> each wedding<br />
guest.<br />
You can help too! Tiny pop tabs add up to<br />
big bucks. Collect pop tabs to support the<br />
RMFR, while helping the environment.<br />
Want to help the Ronald McDonald<br />
Family Room® help those who need<br />
it most Call 574-647-3020 or<br />
visit www.quality<strong>of</strong>life.org/ronald<br />
to learn how you can make<br />
a difference.<br />
“It’s the people in our community<br />
who keep this place running,” says<br />
Lesniewicz. “We’ve seen some<br />
great projects come out <strong>of</strong> our<br />
community, especially from younger<br />
donors. It’s great for kids to see that<br />
small things like pennies and pop<br />
tabs can make such a huge difference.<br />
I love that we’re getting elementary<br />
school students excited about<br />
giving back, and it’s a great lesson<br />
for them to learn: that a little can go<br />
a long way.”<br />
Wish List<br />
Gift Cards<br />
(Sam’s Club ® , Wal-Mart ® , Martin’s,<br />
Meijer ® , Target ® , etc.) Used to buy milk,<br />
meats and other perishables<br />
Food<br />
Individual snacks, single-serving boxes<br />
<strong>of</strong> cereal, canned fruit, c<strong>of</strong>fee, creamer,<br />
apple juice, etc.<br />
Household Items<br />
Toilet paper, dishwasher detergent,<br />
postage stamps, copy paper, etc.<br />
Personal Care Items<br />
Sample sizes <strong>of</strong> deodorant, shaving<br />
cream, toothbrushes, toothpaste,<br />
disposable razors, etc.
Designing the<br />
Formula for Healing<br />
<strong>Memorial</strong> Children’s <strong>Hospital</strong> joins the<br />
Center for Health Design’s Pebble Project ®<br />
PULSE › <strong>Memorial</strong> Health System › 574-647-6800<br />
The Center for Health Design is a national organization<br />
dedicated to creating the best possible environment for<br />
healing through evidence-based design, partnering with<br />
health care organizations’ clinical research and facility<br />
design teams, with a focus on healing.<br />
The goal is to improve environmental factors that<br />
contribute to patient, staff and family satisfaction,<br />
as well as increase safety and lower medical errors.<br />
Health care organizations and architectural firms<br />
across the nation have partnered with the Center to<br />
document their findings, improve health care<br />
processes and learn from each other. The Pebble<br />
Project is the pivot point for gathering research and<br />
sharing the conclusions so that future generations will<br />
continue to receive the best health care in the most<br />
supportive environment.<br />
Robert White, M.D., director <strong>of</strong><br />
the Regional Newborn program<br />
<strong>Memorial</strong> Children’s<br />
<strong>Hospital</strong>, together with<br />
Robert White, M.D., and<br />
his team <strong>of</strong> neonatal<br />
experts, recently joined<br />
the Pebble Project to<br />
contribute their knowledge<br />
about premature infants<br />
and their families to the<br />
pool <strong>of</strong> research.<br />
016
Dr. White has been working with premature babies<br />
for more than 26 years and serves as chair <strong>of</strong> the<br />
international committee that writes standards for<br />
newborn ICU design.<br />
Premature infants are born before their nervous<br />
systems are fully developed. Therefore, their outward<br />
reactions are not the same as a baby born full term.<br />
They don’t have the startle reflex that fully developed<br />
newborns have to sudden noises, nor do they cry at<br />
the same stimuli. The youngest babies that <strong>Memorial</strong>’s<br />
NICU has treated were born at 23 weeks gestation,<br />
and the smallest survivor weighed only 12 ounces.<br />
With this inability to cry or react the same way that<br />
full-term babies do, the <strong>Memorial</strong> NICU team<br />
monitors the children in other ways such as measuring<br />
responses in brain EEG patterns. With all <strong>of</strong> the<br />
monitoring devices on the children, they are able to<br />
see the effects the environment has on the babies with<br />
more sensitivity. The slightest changes in sound, light,<br />
temperature and touch can all affect the healing rate<br />
<strong>of</strong> these tiny children.<br />
Dr. White and his team are currently exploring<br />
the effect <strong>of</strong> mother’s milk on the growth and<br />
development <strong>of</strong> premature babies. Not only does<br />
mother’s milk contain the essential nutrients that<br />
babies need, but research at <strong>Memorial</strong> is showing that<br />
even the time <strong>of</strong> day that the mother expressed the<br />
milk can lead to varying levels <strong>of</strong> important hormones<br />
in the milk, such as melatonin and cortisol. This is just<br />
one <strong>of</strong> the many reports that may be created and<br />
It’s this kind <strong>of</strong> dedication that<br />
will ensure that future generations,<br />
not only in our own community but<br />
throughout the nation, will benefit<br />
from better health care. – Mary Malone<br />
shared within the Pebble Project, so that other health<br />
care providers are able to learn from these findings.<br />
Many <strong>of</strong> the principles that have been discovered in<br />
<strong>Memorial</strong>’s NICU are also applied in other intensive<br />
care units. Correct lighting and a low noise level are<br />
crucial in the care <strong>of</strong> critically ill and fragile patients no<br />
matter their age. Keeping the lights dimmed at night<br />
creates a restful environment. Natural light in the day<br />
with windows and sunshine is also beneficial in creating<br />
the best environment for healing.<br />
Visual input can also affect patients and their families.<br />
Studies show that a contented patient heals more<br />
quickly, and if the patient’s family is also relaxed and<br />
comfortable, it creates a better sense <strong>of</strong> well-being for<br />
the patient. Creating pleasing, comfortable, colorful<br />
spaces is a goal intended to further improve the health<br />
and happiness <strong>of</strong> patients, families and the staff who<br />
care for them.<br />
Mary Malone, <strong>of</strong> Malone Advisory Services, is a current<br />
board member <strong>of</strong> the Center for Health Design and a<br />
resident <strong>of</strong> <strong>South</strong> <strong>Bend</strong>. She says, “<strong>Memorial</strong>’s<br />
participation in the Pebble Project has a two-fold<br />
impact: The first is that the organization is committed<br />
to using evidence-based design to create the best<br />
possible outcomes for their patients, quality financial<br />
performance and a positive environment for the<br />
care-giving team. The second is that <strong>Memorial</strong> will<br />
be partnered with an elite group <strong>of</strong> health care<br />
organizations, architects and designers who are also<br />
committed to sharing their research and giving back to<br />
the community. It’s this kind <strong>of</strong> dedication that will<br />
ensure that future generations, not only in our own<br />
community but throughout the nation, will benefit<br />
from better health care.”<br />
SPRING / SUMMER <strong>2008</strong> › www.quality<strong>of</strong>life.org<br />
017
Read<br />
theLabel<br />
Back in 1990, the Nutrition Labeling and Education Act launched the modern food label. The federal<br />
government wanted to improve food labels so that consumers could make healthier food choices. The<br />
new labels were introduced in 1994.<br />
And now, 10-plus years later, many people still don’t know what they mean. That’s too bad, because<br />
there is a lot <strong>of</strong> important and helpful information on food labels. Here’s what to look for.<br />
PULSE › <strong>Memorial</strong> Health System › 574-647-6800<br />
SERVING SIZE<br />
All the information on a label is<br />
per serving. Be sure to compare<br />
the serving size with the amount<br />
you are eating. If a package has<br />
two servings in it and you eat the<br />
whole thing, you are getting twice<br />
the calories, fat and sodium listed<br />
on a per-serving basis.<br />
CALORIES<br />
How many daily calories you need<br />
depends on your weight and<br />
activity level. The range is usually<br />
2,000 to 2,500 per day. If you are<br />
trying to lose weight, <strong>of</strong> course,<br />
you want fewer calories.<br />
CALORIES FROM FAT<br />
Your goal is for no more than<br />
30 percent <strong>of</strong> your calories to<br />
come from fat. More than that is<br />
bad news for your heart.<br />
TOTAL FAT/SATURATED FAT<br />
Not all fats are created equal.<br />
Saturated fats are the bad kind.<br />
They raise cholesterol and the risk<br />
<strong>of</strong> heart disease. Keep total fat<br />
low, and saturated fat even lower.<br />
CHOLESTEROL<br />
Too much cholesterol can lead to<br />
heart disease. Try to keep total<br />
daily cholesterol to less than<br />
200 milligrams (mg) a day, lower<br />
still if your doctor recommends it.<br />
SODIUM<br />
Too much sodium increases blood<br />
pressure, so watch out. Processed<br />
foods are loaded with sodium.<br />
TOTAL CARBOHYDRATE<br />
The Atkins diet has many people<br />
focusing here. Don’t. You need<br />
carbohydrates and the fiber they<br />
contain for energy and for disease<br />
prevention. Twenty to 35 grams <strong>of</strong><br />
fiber a day is recommended.<br />
SUGARS<br />
Sugar is a type <strong>of</strong> carbohydrate. So<br />
total carbs is the more important<br />
number. However, watch for added<br />
sugars in processed foods, soda<br />
and sweets. They add “empty”<br />
calories that have no nutritional<br />
value but pile on the pounds.<br />
PROTEIN<br />
Americans are big meat- and<br />
milk-consumers, so we usually<br />
get more protein than we actually<br />
need. Try to limit animal-based<br />
proteins, which are high in fat and<br />
cholesterol. Instead, buy low-fat<br />
milk products and add protein<br />
from beans, grains and cereals.<br />
VITAMINS AND MINERALS<br />
The goal is to reach 100 percent<br />
<strong>of</strong> each, every day. Food is the<br />
best source <strong>of</strong> these nutrients,<br />
but many people need a daily<br />
multivitamin to help.<br />
018
CLASSES & SERVICES<br />
<strong>Memorial</strong> <strong>of</strong>fers educational events, classes and screenings as part <strong>of</strong> its ongoing mission to build a<br />
healthier community. Many programs are free and some have a nominal fee. For more information,<br />
call the number provided or contact The Health Pr<strong>of</strong>essionals at 574-647-6800 or 800-999-8890.<br />
For additional information you can also visit www.quality<strong>of</strong>life.org.<br />
Classes<br />
Diabetes Education Classes<br />
A free nutrition and lifestyle<br />
management class for people with<br />
diabetes. Open to anyone with<br />
diabetes, their families and significant<br />
others. Call 574-647-7700.<br />
Lung Center<br />
For Asthma: Free one-on-one<br />
education for those with asthma.<br />
Call 574-647-7318 from 7:30 a.m.<br />
to 4 p.m. For COPD and other lung<br />
problems: Call 574-251-0041,<br />
Tuesday, Wednesday, Thursday.<br />
All other times, please leave a<br />
message and a Lung Center<br />
representative will get back to you.<br />
Ortho Classes<br />
Total hip, knee and shoulder<br />
replacement classes available at<br />
no charge. Call 574-647-3359<br />
Monday through Friday for<br />
availability.<br />
Life Steps<br />
A comprehensive weight<br />
management program that stresses<br />
the importance <strong>of</strong> diet, physical<br />
activity and behavioral modification<br />
techniques for weight loss and<br />
maintenance. Classes meet weekly<br />
for 14 weeks. $175. For details, call<br />
574-647-6880.<br />
Group Fitness Classes<br />
From yoga and Pilates to spinning<br />
and zumba, group fitness classes<br />
are <strong>of</strong>fered Monday through<br />
Saturday at the Health & Lifestyle<br />
Center. Call Patty Thornton at 574-<br />
647-2663. View the current class<br />
schedule at www.quality<strong>of</strong>life.org/<br />
hlc/ExerciseSchedule.pdf.<br />
Support Groups<br />
Arthritis Partnership<br />
Meets on the second Thursday <strong>of</strong><br />
the month at 2 p.m. at the<br />
<strong>Memorial</strong> Leighton Center. Call<br />
Carol Langley at 574-234-1191.<br />
Diabetes Support Group<br />
Meets on the first and third Tuesday<br />
<strong>of</strong> the month at 10 a.m. at the<br />
<strong>Memorial</strong> Leighton Center. First<br />
Tuesday includes an educational<br />
program; third Tuesday includes a<br />
support group. Participants are<br />
welcome to bring a friend or family<br />
member. Call Nan Monhaut at<br />
574-647-7168.<br />
Gynecological Cancer<br />
Support Group<br />
Meets on the second Wednesday <strong>of</strong><br />
the month at 5 p.m. at <strong>Memorial</strong><br />
<strong>Hospital</strong>. Please call Margaret<br />
Umprovitch-Brown at 574-647-3140<br />
for exact location and directions.<br />
Leukemia & Lymphoma<br />
Support Group<br />
Meets on the third Wednesday <strong>of</strong> the<br />
month at 6 p.m. Call Brandee Flagg<br />
at 574-647-7691.<br />
Mother Matters Support Group<br />
Focuses on postpartum depression<br />
and parenting responsibilities. Meets<br />
on the second and fourth Monday <strong>of</strong><br />
the month from 7 to 8:30 p.m. in<br />
the Family Education Center. Call<br />
574-647-7800.<br />
MS Support Group<br />
Meets on the first Tuesday <strong>of</strong> the<br />
month from 6:30 to 8 p.m. at Main<br />
Street Medical Group. Call Gretchen<br />
Cave at 574-675-9917.<br />
Ostomy Support Group<br />
Contact Sue Stelton at<br />
574-647-3156 for details.<br />
Parkinson’s Disease<br />
Support Group<br />
Meets on the first Monday <strong>of</strong> the<br />
month at 1 p.m. at the <strong>Memorial</strong><br />
Leighton Center. Call Jim Banner at<br />
574-291-4217.<br />
2 nd Wind Group (COPD)<br />
A support group for individuals with<br />
lung disease. Meets Tuesdays from<br />
1:30 to 3 p.m. at the <strong>Memorial</strong><br />
Leighton Center. Call Jan Cosby at<br />
574-647-7178.<br />
Women In Touch Cancer Support<br />
Meets on the first Tuesday <strong>of</strong> the<br />
month at 5:30 p.m. at the <strong>Memorial</strong><br />
Leighton Center. Call Hilary Pratt at<br />
574-647-6944.<br />
For New Families<br />
Advanced registration is required for<br />
all classes unless noted otherwise. Call<br />
574-647-6801. All classes are held in<br />
the Family Education Center on the<br />
third floor <strong>of</strong> <strong>Memorial</strong> <strong>Hospital</strong>.<br />
Preparing for Childbirth<br />
Five-series class to prepare couples<br />
for the childbirth experience. $75/<br />
couple. Class size is limited. Tour and<br />
breastfeeding and baby care classes<br />
included. Call 574-647-6801.<br />
Child/Infant CPR<br />
This one-evening class meets the<br />
American Red Cross guidelines in<br />
child/infant CPR and safety. Meets<br />
the first Monday <strong>of</strong> the month from<br />
6:30 to 9:30 p.m. at HealthWorks!<br />
Kids’ Museum. Registration and<br />
payment are due two weeks prior<br />
to class. Prices are $35/person or<br />
$45/couple. Call 574-647-2680<br />
for registration or with any<br />
questions.<br />
Clases Para Un Embarazo<br />
Saludable (Classes for a<br />
Healthy Pregnancy)<br />
En Español. Las mujeres<br />
embarazadas tendrán oportunidad<br />
de recibir información acerca del<br />
proceso del embarazo y parto.<br />
Llame a Mary Kay Gonzales,<br />
574-245-6835.<br />
Lunch & Learn Prenatal Class<br />
One-day intensive version <strong>of</strong><br />
Preparing for Childbirth. 9 a.m. to<br />
5 p.m. on Saturdays. Offered once<br />
or twice each month. $75/couple.<br />
Class size is limited. Tour and<br />
breastfeeding and baby care<br />
classes included. For details, call<br />
574-647-6801.<br />
Childbirth Refresher Course<br />
A one-evening review for those<br />
who have previously taken a<br />
childbirth preparation course.<br />
$20/couple. Class size is limited.<br />
Call 574-647-6801.<br />
Sibling Orientation Class<br />
Children between the ages <strong>of</strong> 3<br />
and 7 learn about newborns and<br />
how to participate in baby care.<br />
$5/child. Class size is limited.<br />
Call 574-647-6801.<br />
Caesarean Birth Preparation<br />
Class/VBAC<br />
A one-time class for families<br />
expecting a Caesarean delivery<br />
or wanting a vaginal birth after a<br />
Caesarean. Includes a tour. $20.<br />
Call 574-647-6801.<br />
Mother Matters<br />
Support Group<br />
Focuses on postpartum depression<br />
and parenting responsibilities.<br />
Meets on the second and fourth<br />
Monday <strong>of</strong> the month from 7 to<br />
8:30 p.m. in the Family Education<br />
Center. Call 574-647-3243.<br />
Parenting Your New Infant:<br />
Birth to One Year<br />
This is the most stressful yet precious<br />
year <strong>of</strong> parenting. Make sense <strong>of</strong> the<br />
<strong>of</strong>ten confl icting advice and research on<br />
sleep, feeding and self-care. Receive<br />
valuable pointers for predictable<br />
challenges in the fi rst year. Offered<br />
quarterly $10/individual or $15/couple.<br />
Call 574-647-6801.<br />
Parenting Your 12- to 24-month-old<br />
Establish healthy habits for sleep,<br />
eating and emotional regulation.<br />
Receive thoughtful, pr<strong>of</strong>essional<br />
advice for tackling changes in naps,<br />
struggles over food and fussiness.<br />
Offered quarterly $10/individual or<br />
$15/couple. Call 574-647-6801.<br />
Prenatal Breastfeeding Class<br />
Information on breastfeeding taught<br />
by certified lactation consultants.<br />
Offered monthly. Included in<br />
Preparing for Childbirth or $15.<br />
Call 574-647-6801.<br />
Winning Your Child’s Cooperation<br />
A direct, holistic approach to child<br />
guidance and discipline for parents <strong>of</strong><br />
children from birth to teens, <strong>of</strong>fered<br />
quarterly. Early registration is $80 or<br />
$120 per couple. Limited scholarships<br />
are available. Call 574-647-7511.<br />
After Baby Comes<br />
A perfect class for mom, dad and<br />
grandparents that focuses on the<br />
basics <strong>of</strong> holding, soothing and<br />
quieting a crying infant in the first<br />
weeks <strong>of</strong> life. Included in Preparing<br />
for Childbirth or $15/couple. Call<br />
574-647-6801.<br />
Celebrate Birth!<br />
This fun, hands-on, one-evening<br />
course focuses on the joy <strong>of</strong> giving<br />
birth. Explore how culture influences<br />
birth practices, what you can do to<br />
have the birth experience you want,<br />
and learn about movement and<br />
relaxation for birth. $15/couple.<br />
Tours<br />
Tours are available twice a month.<br />
No registration is required. Call The<br />
Health Pr<strong>of</strong>essionals or check the<br />
Web site at www.quality<strong>of</strong>life.org for<br />
dates and times.
Improving the Quality <strong>of</strong> Life with<br />
each person that we touch.<br />
Join the <strong>Memorial</strong> Team!<br />
Be a part <strong>of</strong> an exciting team, providing world-class<br />
service to our community. Great opportunities, including<br />
leadership positions, are now available, including:<br />
Pharmacists, Nurses, Home Care Physical Therapists,<br />
Respiratory Therapists, Occupational Therapists<br />
For detailed information or to apply for the above or other<br />
positions, please visit our Web site at: www.quality<strong>of</strong>life.org<br />
Your Skin Cancer Prevention Center<br />
Coolibar ® Signature Hat<br />
An extra-deep brim is a<br />
natural choice for keeping<br />
sun out <strong>of</strong> your eyes and<br />
away from your face.<br />
Loops hold a sheer<br />
paisley-pattern scarf<br />
for an extra-stylish touch.<br />
Coolibar ® Sun Block Hoodie<br />
Classic function updated with<br />
Coolibar style and comfortable<br />
sun protection. So durable yet<br />
lightweight you can wear it on<br />
even the hottest days.<br />
Health-Minded Accessories<br />
Ameribag Healthy Back Bag ®<br />
The Healthy Back Bag tote<br />
has an ergonomic shape that<br />
improves positioning, by<br />
contouring to the natural<br />
shape <strong>of</strong> the body, which<br />
reduces apparent stress<br />
on the shoulders, neck<br />
and back.<br />
Medical ID Jewelry<br />
Elegant and contemporary<br />
medical alert jewelry<br />
for men, women and<br />
children. Jewelry includes<br />
gold, silver, leather and<br />
semiprecious gemstones.<br />
Unique Gift Items<br />
Home Care Exclusive<br />
DNA and Fingerprint Art Products<br />
Come see yourself<br />
(or a loved one) in<br />
a whole new way.<br />
Personalized art<br />
makes a unique gift.<br />
ZÜCA<br />
The-first-<strong>of</strong>-its-kind ZÜCA<br />
carries your child’s load<br />
… and it even has a builtin<br />
seat. It’s a tote bag,<br />
laptop case, organizer and<br />
chair, all in one!<br />
3355 Douglas Road | <strong>South</strong> <strong>Bend</strong>, Indiana | 574-273-5611 | www.homecaregallery.com<br />
Non-Pr<strong>of</strong>i t Org.<br />
U.S. Postage<br />
PAID<br />
<strong>Memorial</strong><br />
Health System<br />
615 N. Michigan Street<br />
<strong>South</strong> <strong>Bend</strong>, Indiana 46601