Casebook - St. Mary Mercy Livonia Hospital

Community Health Care for the Generations
St.
Mary Mercy Hospital was established on the corner of Levan and Five Mile Roads in 1959 by
the Felician Sisters at the urging of a group of concerned physicians and area residents. Its
growth over the past five decades has been the result of the tireless efforts of the Sisters and the
support of local citizens who together have built, guided and actively supported its facilities and programs.
For more than 50 years, St. Mary
Mercy Hospital has been an integral
part of the community and a leading
health care provider for western
Wayne County.
Today, The 304-bed hospital maintains its Catholic heritage and is as
proud of its past as it is devoted to
its future. As part of Saint Joseph
Mercy Health System (a member
of Trinity Health), St. Mary Mercy
is able to leverage the combined
talent and resources of a regional
health care system that spans six
2
counties in southeast Michigan and
includes a team of nearly 14,000
nurses and staff and 2,700 physicians. Yet, St. Mary Mercy Hospital
remains what it has always been: a
community hospital offering compassionate, comprehensive, health
care close to home.
St. Mary Mercy Hospital has received
numerous awards, certifications and
distinctions recognizing excellence
in clinical outcomes, patient safety,
financial performance and efficiency.
Through continued investment in
its facility, programs and services,
St. Mary Mercy Hospital is able to
offer the latest innovations in quality
health care. The most recent additions to the campus include the new
Our Lady of Hope Cancer Center
and the Heart & Vascular Center.
These achievements are the direct
result of the Felician Sisters’ vision
and the community’s support – a
community that understands how
important it is to continue to meet
and exceed current and future expectations in health care and maintain St. Mary Mercy Hospital as a
center of excellence for the people
of Livonia and the surrounding area.
TheSouthPavilion
Transforming Inpatient and Emergency Care
T
o continue this tradition of excellence, St. Mary Mercy Hospital
will work in partnership with the community to transform inpatient
and emergency services on its campus. The new South Pavilion
project will involve new construction and renovation of current spaces to create
a healing environment for patients and enhance staff and physician satisfaction.
Key elements will be making the majority of the Hospital’s inpatient rooms
private, and expanding and relocating the Emergency Center to improve
privacy and efficiency, promote patient-centered care and enhance the
overall patient experience.
The South Pavilion, a new three-story 154,000-square-foot addition to the
Hospital will include a 33,000-square-foot emergency center on the first floor
topped by a second and third floor, each comprising 40 private medical/
surgical inpatient rooms, for a total of 80 new private rooms.
The construction of the new facility began in 2011 and will continue through
the end of 2012. Once complete, St. Mary Mercy’s inpatients will be moved
into the new private rooms so that renovation can begin floor by floor on 90
of the existing semi-private patient rooms in the North Tower. Renovation of
these semi-private rooms into private patient rooms will conclude in late 2014.
St. Mary Mercy Livonia South Pavilion
3
Together
Generations
Sister Janet as a child (far right)
with her siblings on a visit to see
Sister Modesta at the lab.
Sister Janet Marie Adamczyk
and Sister Mary Modesta Piwowar
The heritage of the Felician Sisters is woven through St. Mary Mercy Hospital, creating a culture of compassion that benefits
our patients, visitors and staff. The Sisters are bonded to one another by their community living and prayer life. For two Sisters,
there is another common thread, their bloodline.
Sister Mary Modesta Piwowar knew that she wanted to serve God as a nun since the third grade. After taking her vows, she
prayed each day that Jesus would guide her to her true calling – to serve God and others as a caregiver. When the Livonia community turned to the Felician Sisters to help open a local hospital in 1959, Sister Modesta was asked to direct the laboratory.
Throughout the years, she has held a number of roles at St. Mary Hospital including president. Today, she directs the “No
One Dies Alone” program.
Radiating God’s love and joy, Sister Modesta is an inspiration to many people. And, this is especially true for Sister Janet
Marie Adamczyk, who cherishes the memories of family visits with Sister Modesta in the lab and the many years that she has
ministered and lived with Sister Modesta.
Currently, Sister Janet Marie is the Chief Mission Officer and is involved in Mission Integration, Ethics and Community
Benefit activities. Throughout her 38 years at the hospital she has worked in various roles.
Sister Janet Marie describes the efforts of the Generations Together Campaign as “continuing the Felician heritage by building
upon the faith and trust of the pioneer Felician Sisters; the dedication of the staff, many of whom had generations of family
members working at the hospital; and the strength of community partnerships.”
Sister Modesta and Sister Janet Marie cross generations as aunt and niece to carry out the vision of the Blessed Mary Angela,
foundress of the Felician Sisters and the mission and vision of St. Mary Mercy Hospital. They, along with all of the physicians,
employees and volunteers bring God’s love and mercy to the patients they serve.
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The Changing Expectations
of a New Generation
{InpatientRooms}
Much has changed in medicine
and customer expectations since
1959, when the Felicians built
St. Mary Mercy Hospital. But the
last major initiative to update the
Hospital’s inpatient rooms was
more than 40 years ago, when
the Hospital doubled its capacity
to 304 licensed beds in a semiprivate room configuration.
The decision to expand in the
1970s was visionary, and today,
the community’s reliance on St.
Mary Mercy Hospital continues to
increase notably despite a struggling Michigan economy. From
fiscal year 2007 to 2011, admissions
increased 5.4%. This is more than
triple the rate of any of our top 10
competitor hospitals.
Most of St. Mary Mercy’s rooms are semi-private and average 115
square feet per patient, far smaller than today’s typical private room
and incompatible with modern medical technology. Patients want
and expect private bathrooms with showers, Internet access, space
for family members to visit and basic, homelike amenities. Furthermore,
improvements in health care dictate that today’s patient room allows
space for care workers to have an increasing amount of advanced
medical equipment and supplies close at hand when tending to
In recent years, however, those
patients’ needs. Clinicians strongly believe that providing an environ-
competitors have made significant
ment that meets both sets of expectations aids significantly in the
investments in developing facilities
healing process and the ability to provide high-quality, effective care.
that meet consumer expectations
for delivery of care in a contemporary setting. In contrast, the amenities in St. Mary Mercy’s inpatient
rooms reflect the era in which they
Changing Expectations
were originally constructed.
St. Mary Mercy Livonia South Pavilion
5
Solution
Inpatient
Rooms
The South Pavilion Project will include two new inpatient floors, each comprising 40 private
inpatient rooms. These rooms will incorporate state-of-the-art design and flexibility, reflecting
best practices in the health care industry.
The new private patient rooms will be bigger than some of our current semi-private rooms,
increasing in size from 230 square feet to 320 square feet. Each patient room will have a designated work zone for the caregiver that incorporates improvements in patient care technology. Furthermore, the larger rooms allow for a broader option of bedside treatments and
procedures, reducing the need to transport the patient to other locations. This enhances the
patient’s privacy, dignity, comfort, and safety.
In addition, these larger rooms provide ample comfortable space for family members and
other visitors to spend the day (or the night). The new patient rooms are designed so that the
patient and visitors have more control over their environment. A daybed provides a comfortable space for a visitor to sleep over. Separate TV volume and light controls allow a visitor to
watch television or read without disturbing a sleeping patient. Personal visitor storage space
is available for storing and securing laptops, cell phones, handbags, etc., allowing family and
visitors to bring what they need to be nearby the patient while staying connected.
6
Putting the service core in the center
also provides a quieter environment
{InpatientRooms}
than having patient rooms on either
side of a single corridor.
These innovations will provide a
Each of the new rooms will have a
private bathroom with a shower.
The caregiver station outside the
bathroom has a curved sink counter
with under-counter lighting, eliminating hard edges and serving
as a hand-hold and guide for the
patient to navigate to the lavatory.
The bathrooms will be built on the
corridor wall of the patient room to
maximize window space. The large
windows will provide ample natural
light and the ability to bring the
rejuvenating and stress-relieving
powers of nature inside.
The room configuration of the South
Pavilion’s inpatient units will be a
“racetrack” design with patient
rooms along the outside perimeter
of the building and nursing, storage
“best-designed” environment and
optimum working conditions for the
caregivers, helping St. Mary Mercy
in attracting the best and brightest
physicians, nurses and other clinical
staff in a competitive market.
“
create a nurturing
place that fosters
dignity and
independence;
focuses on well being
and, ultimately,
contributes to the
healing process.
”
These rooms will be reserved for
fort of the patient warrants a shared
room (a geriatric patient from a nursing facility, for example, who is used
to sharing a room and for whom
change tends to be disruptive).
With the two new floors of private
patient rooms and the renovation of
North Tower rooms from semi-private
to private, the Hospital will maintain
direct connection to the emergency
Also, the additional square footage
center, surgery and intensive care
gained in the new construction will
units, solving the Hospital’s current
provide much needed space for
need to transport patients to and from
treatment, staff and storage.
these areas through public corridors.
Direct access to these areas from the
privacy and dignity when they must
stations will be located between
be transported for procedures or a
every two patient rooms so that
change in their level of care.
computer data and observe and
floors 3, 4 and 5 of the North Tower.
all of its currently licensed beds.
central core. In addition, charting
ity to their patients in order to enter
of semi-private rooms will remain on
The new inpatient floors will have a
inpatient floors will preserve patient
in direct physical and visual proxim-
of private showers. A small number
instances where the care and com-
and service areas located in a
nurses and physicians can remain
new patient rooms with the exception
To promote a true healing environment, several clinical teams worked
with the architects to help design
the new patient units. The design
reflects St. Mary Mercy’s approach
to care, which recognizes the com-
With 80 new private inpatient rooms
plete individual in body, mind and
coming online with the building of
spirit. The intent is to create a nurtur-
the South Pavilion, phased renova-
ing place that fosters dignity and
tion of the North Tower patient rooms
independence; focuses on the well
monitor their patients without hav-
to private ones will be accomplished
being of patients, family, visitors and
ing to disturb them.
without interruption in patient care
staff; and ultimately contributes to
and comfort.
the healing process.
The 90 remodeled rooms in the North
Tower will have most of the same
amenities and appointments as the
St. Mary Mercy Livonia South Pavilion
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Despite the expansion of its emergency medicine facilities in 1988
and 1995, the current emergency
center at St. Mary Mercy no longer
EMERGENCY
meets today’s patient and visitor
expectations, nor the requirements
of the caregiver and advancing
technology. The current layout,
designed nearly 20 years ago, coupled
The Current ER Situation
with extensive use that exceeds
capacity, creates modern-day issues
related to privacy, safety and efficiency.
In addition, lack of space in the exam
rooms forces family members to wait
in a small waiting room, separated
from the patient while he or she is
being assessed and treated.
Traffic flow patterns into and out of
the emergency center are less than
ideal, and patients must be trans-
ported to other parts of the Hospital
(surgery, radiology, intensive care)
through public corridors.
Nonetheless, more than 40,000
patients per year seek immediate care
at our emergency facilities.
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EMERG E N CY
The ER of the
Next Generation
The new 33,000 square foot
The design of St. Mary Mercy’s new ER is based on a unique triage and rapid
assessment system. Located at the front of the ER, just beyond registration,
Emergency Center will
the triage staff will guide the patient through the steps necessary to diagnose
and treat emergent problems in a time-saving progression: from initial
significantly increase the
assessment to blood work, to x-ray, and ultimately to the exam and
treatment room – in quick succession and all without leaving the ER. Being
space currently available for
able to bring patients into the care continuum immediately in this way
increases facility capacity by increasing the number of people that can be
emergency care. Design
seen in a given time and decreasing the time they must remain in the ER.
and process innovations
that will reduce the
amount of time patients
and visitors spend in the
Emergency Center.
The arrangement of staff, patient and treatment areas in the new ER is
based on a racetrack design. Thirty-five private exam rooms will be arranged
around a central staff/service core. The dual-access exam rooms have solid
doors to an exterior hallway conducting patient and visitor traffic, and sliding
Next
Generation
glass doors on the interior corridor giving physicians and care staff direct
access and visible proximity to each patient. The result is much improved
traffic flow and a much quieter environment. The racetrack layout also allows
for flexibility in staffing and adjusting the number of on-line exam rooms
needed based on patient volumes from day to day and season to season.
St. Mary Mercy Livonia South Pavilion
9
Other Important Features of the
New Emergency Department
time needed to develop images and the need to retake them.
The South Pavilion’s new emergency
center will include the following
state-of-the-art assessment, diagnostic, treatment and staffing areas:
Unlike the current ER layout, patients won’t have to leave the
•2 triage rooms for initial assessment
By doubling the radiological capacity and incorporating full digital
technology within the ER, imaging staff will be able to decrease the
department for a CT scan; a new CT room will be located right next
to the trauma rooms.
A welcoming registration and waiting area will make the time visitors
spend there more pleasant. The new seating areas are arranged
in intimate groupings of comfortable chairs and sofas that allow for
private conversations. The seating areas are all oriented toward
large glass windows with a view of the outside, allowing for ample
natural light and a view of an adjacent garden.
Improved access for EMS vehicles and emergency aircraft will be
achieved with a new helipad and an ambulance drive up and
entrance separate from that used by ambulatory patients. EMS
staff will now have their own dedicated workroom to do charting
and other administrative work between calls. A new decontamination
room with direct access from the ambulance drive up will be essential during hazardous materials situations.
•4 trauma bays for care of the critically ill
or injured
•6 rapid assessment bays for evaluation
and testing of non-critical patients
•6 fast track bays for care of minor injuries
•An expanded Senior ER area with special
amenities and care protocols for our elderly patients
•35 exam/treatment rooms
•Radiology rooms and a CT scanner
•Specially designed rooms for
ob/gyn patients
•Specially designed suite for patients
with behavioral issues
•A comfortable and spacious visit or
waiting area
•A meditation room for quiet
contemplation and prayer
•Classrooms and resident work areas for
the Hospital’s growing graduate medical
education program
Features
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Together
Generations
I’ve grown up with St. Mary Mercy Hospital. As a
child and young adult, I lived with my family just
across the street from the Hospital. It seems like
only yesterday that I began in my first official
role at the Hospital — a volunteer my senior
year of high school. Three years later, I applied
for the job of “orderly” in the ER on the midnight shift — that job put me through medical
school. I’ve spent nearly my entire medical
career here in St. Mary Mercy’s ER.
That’s why I’m so passionate about the quality
of care that my staff and I provide to the patients we serve. And, that’s why I’m honored to have a leadership role
in the St. Mary Mercy Livonia Generations Together Campaign.
At St. Mary Mercy, we have treated nearly ten generations and counting, and it’s not uncommon for staff and
physicians to have family members who have also served or who are serving at the hospital. In my case it’s my mom
who works here. And, it’s the patients of all ages who I see in the ER, many of whom I will see more than once over
a lifetime whether they need emergency care for themselves or a loved one.
The trust of our patients throughout the decades, the ongoing commitment and generosity of our community and
the caring dedication of our staff — the St. Mary Mercy family — is what the Generations Together Campaign is all
about. It’s about generations coming together, knowing that we are building something that will make a difference
today and benefit patients for decades to come.
Michael Calice, MD, St. Mary Mercy Director of Emergency Services
St. Mary Mercy Livonia South Pavilion
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Innovations
in ER Design with Special
Populations in Mind
In addition to the many features common to all of the ER exam rooms in the new South
Pavilion, special populations of St. Mary Mercy’s patients were in mind in the designing of
distinct clusters of customized exam rooms. For example, those rooms designed for use by
expectant mothers are equipped with private baths. Following are other unique features of
the new emergency department that will address special needs:
Senior ER The popular Senior ER, a concept first introduced in Michigan at St. Mary Mercy
Hospital, will be expanded (from 6 to 14 exam rooms) when it relocates within the new facility in the South Pavilion. In 2009, Saint Joseph Mercy Health System invested in the creation
of specialized emergency departments for patients age 65 and older at all its emergency
facilities – quiet and comfortable environments designed to reduce anxiety and disorientation
and minimize a patient’s risk of injury due to falls. In a very short time St. Mary Mercy’s elderly
patients and their families have come to rely on our Senior ER’s specially designed exam rooms
with softer lighting, non-skid/non-glare floors, extra thick pressure-reducing mattresses and visual
and hearing assistive devices, as well as a staff that is specially trained in geriatric emergency
care and support services. Relocating this quiet and comfortable environment to a larger
space will enable St. Mary Mercy to expand a service that is in high demand.
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Behavioral Medicine A designated suite within the emergency department will provide
can relax and move about while waiting to be assessed by caregivers. The area
will provide a serene and comforting environment, reducing the level of anxiety and
agitation for the patient. The design and layout of this area, separate from the main ER,
ensures patient confidentiality and security and helps to decrease the stigma often
associated with behavioral medicine patients. St. Mary Mercy’s psychiatric residency
program will center its activities in this suite.
Graduate Medical Education St. Mary Mercy Hospital welcomed its first class of emergency medicine resident medical students in 2009, and the program has now grown to
24 students. As a result, there are more physicians in St. Mary Mercy’s ER than ever before.
The South Pavilion project presents an opportunity to enhance the classroom, work, lounge
and sleep spaces for these young physicians in training. By providing an updated and
efficient work and learning environment for our interns and residents, St. Mary Mercy will be
able to attract and retain top quality physicians and staff.
One example of the attention given to the educational needs of our residents can be
found in the new emergency center’s four new trauma rooms. These new large rooms
offer 360-degree access around the patient and television monitoring and recording
equipment, maximizing the ability for students to observe and participate in critical
I N N O VAT I O N S
behavioral medicine patients seven private exam rooms and a day room where they
emergency care situations.
“The design of the Emergency Center echoes the
concern of the Felician Sisters’ foundress, Blessed Mother Angela,
for the social issues of the day and the care of
vulnerable populations. The new ER presents a safe environment
especially for our seniors and behavioral medicine patients.”
Sr. Janet Marie Adamczyk
Vice President, Mission Services
St. Mary Mercy Hospital
St. Mary Mercy Livonia South Pavilion
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Together
Generations
During the past three decades, The Hearts
of Livonia, founded by Ben Celani, has
supported a number of important initiatives
at St. Mary Mercy Hospital including the
purchase of cardiac equipment, improving
emergency services, and naming The
Hearts of Livonia Healing Center in the new
Our Lady of Hope Cancer Center.
(Left to right) Ed McNamara, Sister Mary Calasantia, Ben Celani, Sister Mary Columbine, and Art Kobierzyski
“I still remember my Dad handing the Felician Sisters that first check for $40,000. I treasure those
memories and feel blessed to be here, almost 35 years later, continuing to support the mission
of the Sisters, and, the Hearts of Livonia. It is gratifying to give back to the Hospital and see our
donations at work. This Generations Together Campaign hits close to home for me. When I think
about the efforts my Dad started and the work the Hearts of Livonia Board and volunteers are
committed to continuing, it is
only fitting that our organization
carries forward this legacy.”
Tom Celani,
Hearts of Livonia President
(Back row) Jack Kirksey, Mayor of Livonia and David Spivey, SMML President & CEO;
(front row) Tom Celani, President of Hearts of Livonia; Sister Mary Renetta Rumpz, SJMHS Board member;
Carol Cassie, Co-chair Generations Together Campaign; David Parr, SJMHS Board member
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Several members of the community have already demonstrated their confidence in the Gererations
Together Campaign by making their most meaningful gift. And philanthropy will be a vital part of the
South Pavilion project. This monumental capital investment will be the most profound transformation
of the Hospital campus since it was established and the largest investment in inpatient care in the
Hospital’s history. The total project cost is expected to be $89 million. The goal for the Generations
Together Campaign has been set at $8 million in community support.
SouthPavilionProject
An Opportunity for
the Community
to Transform
Its Hospital
St. Mary Mercy’s Generations Together Campaign provides donors the opportunity to transform this
community’s hospital in a way that will ensure the delivery of state of the art emergency and inpatient
care. The construction of a new, expanded emergency department and spacious, thoughtfully appointed
private inpatient rooms will address present-day needs, exceed customer expectations and position the
Hospital to meet the industry and technology trends of the future. Most important, it will provide a
healing environment that will allow St. Mary Mercy Hospital’s caregivers to better serve our patients
-- in body, mind and spirit -- in the most efficient, safe and comforting manner possible.
Message from the Generations Together Campaign
Co-chairs Carol Cassie and Dan Murphy
While we often compare the differences between generations, at the core each one is like the next.
Each generation has shown the heart to be dedicated to something bigger... the strength to make a
contribution... the courage and ingenuity to make life better. Regardless of the date we were born,
with each passing decade and coming year, the health and happiness of our loved ones, our friends
and ourselves remain important.
St. Mary Mercy Livonia has been our community’s hospital for more than 50 years. We are proud
to be leading the Generations Together Campaign to help carry on the Felician Sisters’ promise
to respond to the health care needs of the time. We hope you will join us by making a gift to the
Campaign – an investment that will strengthen our hospital, and ultimately, our community. Your
generosity will benefit patients of every age today and those who turn to St. Mary Mercy for care in
the future. At the heart, every generation is the same – when we need health care, we want our
hospital to stand apart from the rest.
St. Mary Mercy Livonia South Pavilion
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REMARKABLE MEDICINE. REMARKABLE CARE.
St. Mary Mercy Hospital
Development Office
36475 Five Mile Rd.
Livonia, Michigan 48154
734-655-2980
stmarymercy.org