Nursing Annual Report 2014

Transcription

Nursing Annual Report 2014
The nursing staff across Premier Health serves as a strong anchor for many of
our services, allowing us to continue to provide quality health care in so many
communities across Southwest Ohio. Our nurses’ leadership, compassion, and
expertise create an atmosphere that allows us to maintain respect and trust by
exceeding patients’ expectations. The dedication of our nurses is a major part of
that which keeps Premier Health at the top of our game.
Jim Pancoast
President & CEO, Premier Health
Premier Health’s incredible nursing staff continues to play a pivotal role in one
of our most important areas — the day-to-day successes of our patients. The
nurses ensure their ability to care for every patient by working together as a
team, mentoring colleagues, working with supervisors to establish best practices,
continuing their education, and remaining committed to excellence.
Mary Boosalis
Executive Vice President & Chief Operating Officer, Premier Health
Premier Health’s nurses support our efforts to fulfill our mission through
their effective, efficient care. Our patients, and their families, tell us that they
appreciate knowing that we support a talented, caring nursing staff, who provide
individualized attention at every turn. Our nurses provide value in myriad ways, but
primarily by keeping our patients safe as they return to the best possible health.
Tom Duncan
Chief Financial Officer, Premier Health
One key to providing excellent nursing care is a well-supported, satisfied
nursing staff. We work to support our nurses through continuous improvement,
educational and research opportunities, and strong professional partnerships
with physicians. We want every nurse who dedicates herself, or himself, to
Premier Health to know that we see their commitment and value it. Every time
a nurse holds a hand, reassures a family member, or offers a second – or third –
explanation to a worried patient, our entire organization is elevated to a higher
level. Those actions, which our nurses perform inherently, help us retain our focus
on quality, safety, and service, allowing us to lead with the best nursing care.
Tammy S. Lundstrom, MD, JD
Chief Medical Officer, Premier Health
“Nurses are the heart of health care.” – Donna Wilk Cardillo
Our nurses ensure patient safety throughout each experience, whether it’s a
quick visit or a longer stay. Without a safe environment, our patients would not
thrive during their time at any of the Premier Health facilities. Premier’s nurses
want every patient to feel comforted and cared for, regardless of the reason for
a visit, and extending that care to families makes the patient experience even
better. We applaud the entire Premier Health nursing staff for their hard work and
compassionate care.
Barbara Johnson
Vice President, Human Resources, Premier Health
P r e m i e r
H Ea l t h
It gives me great pleasure to share with you the 2014
Premier Health Annual Nursing Report. This report
celebrates your professional contributions at Premier
Health, highlighting some of our most valuable
achievements.
Our nursing services strategy is aligned with the
overall strategy of Premier Health. We aim to:
•Leverage professional expertise and advance
practice to grow our market
• Exceed consumers’ expectations by creating and staging the best possible
consumer experience
• Deliver quality outcomes by adhering to evidence-based practices
• Deliver care in a cost-effective manner
• Offer employees an outstanding place to work, supporting lifelong learning
and a system-shared governance structure.
Premier Health nurses are the system’s most valuable human capital asset,
and without that, our patients would not realize the regularly achieved strong
outcomes. In 2011, we began a five year journey to become a nationally
recognized top-tier integrated health care system. The nurses at Premier Health,
providing direct patient care, are pivotal to that success. With only one year left
on this journey, we want to take a moment to celebrate the success achieved thus
far, remembering the necessary work ahead of us required to meet our goal of
building healthier communities.
Table of Contents
Premier Health. . . . . . . . . . . . . . . . . . 2
Fidelity Health Care . . . . . . . . . . . . . 8
Atrium Medical Center. . . . . . . . . 10
Good Samaritan Hospital . . . . . . 12
Miami Valley Hospital. . . . . . . . . . 14
Upper Valley Medical Center. . . . 16
Certified RNs in
Premier Health Network. . . . . . . 18
ACE Participants in System. . . . . 20
Presentations and
Publications . . . . . . . . . . . . . . . . . . . 22
At the end of 2014, three of our five campuses have achieved the American
Nurses Credentialing Center’s Magnet designation and we are implementing an
infrastructure to support the Magnet model in all of our hospitals.
This report is issued to honor all of the nurses who serve at Premier Health. No
matter the role or the setting, Premier’s nurses continue to have their patients’
best interest in mind, functioning as advocates for some of the sickest and most
vulnerable members of our community. I thank you for your commitment, and the
difference you make in the lives of the people we serve.
Your continued accomplishments energize us every day and make a difference
across the Premier Health system. We simply couldn’t be who we are without you.
Sincerely,
Sylvain (Syl) Trepanier, DNP, RN, CENP
System Vice President & Chief Nursing Officer, Premier Health
N u r s i n g A nn u a l Repo r t 2 0 1 4 • 1
N u r s i n g S t ra t e g i c P l an – O v e r v i e w
In 2014, we maintained the established Premier Health
Nursing Strategic and Operational Plan. The system-wide
Nurse Executive Council offered general oversight of
implementation. This plan was developed in collaboration
with nurse leaders and bedside leaders from systemshared governance practice councils at each Premier Health
hospital. This plan is directly linked to Premier Health’s
strategic goals, the magnet practice environment, the
Institute of Medicine report on the future of nursing, and
the American Organization of Nurses executive strategic
plan. This overall plan offers nurses a road map to ensure
they support Premier Health’s vision to become a top health
system in the United States by the end of 2015.
Multiple initiatives were developed and implemented in
support of the plan in 2014. Below are some system-wide
examples:
• nursing leadership governance structure
• nurse recognition program, nursing research council
• APRN council
• safety companion program to improve safety for
consumers by better resourcing nurses and patient care
technicians
• nursing pool/resource center to increase flexibility and
meet census fluctuation at all system hospitals
• robust financial management structure, including
position control and productivity systems, to better
support nursing leaders
2 • P r em i e r H ea l th
P r e m i e r
H Ea l t h
Premier Health Nurse Recognition
By Jayne Gmeiner, MS, RN, NEA-BC
The Premier Health nurse recognition committee was developed in 2013 to
establish a system-wide approach for nursing recognition. In addition, this team
develops and edits the Premier Health nursing annual report. With members from
each Premier Health facility and led by Jayne Gmeiner, the team includes:
• Atrium Medical Center: Caitlyn Russell, Linda Duplechian, and Melissa Mercurio
• Fidelity Health Care: Mary Walters, Kristin Jones, and Cindy Balzer
• Good Samaritan Hospital/Good Samaritan Hospital North: Geoff Underwood,
Daisy Dronen, and Missy Staton
• Miami Valley Hospital/Miami Valley Hospital South/Miami Valley Hospital
Jamestown Emergency Center: Linda Raterman, Tiffany Castelitz, Tara Gifford,
and Mary Pat Thomas
• Upper Valley Medical Center: Jenna Geuy, Teri Gulker, Kate Hagner, and
Yolanda Munguia
• Premier System Support: Jayne Gmeiner, Annette Drake, Patty Simmons,
and Cinnamon Gregg
To ensure all nurses have the chance to be recognized, the team implemented
a nomination process, which is held during Nurse Recognition Week. In May
2014, a formal recognition celebration was held for nursing colleagues and key
interdisciplinary partners across the system offering multiple opportunities for
nurses across the system to celebrate their careers. Terry Foster, MS, RN, CNS-BC,
was the keynote speaker.
DAISY Award
The DAISY Award, given to nurses, was implemented across the system.
Everyday Heroes Award
Our nurse recognition committee also implemented the Everyday Heroes Award,
established by the Premier Health nurse recognition committee to recognize our
key non-nursing staff partners – support staff and volunteers – who are vital
members of our patient care teams. The recognition is aligned with the DAISY
award; recipients can be nominated nursing colleagues, physicians, non-nursing
staff, or patients and their families. To be recognized as an Everyday Hero, the
nominee should consistently demonstrate the following characteristics:
• positive attitude
• outstanding customer service
• responsiveness
• collaboration
• respect, integrity, compassion, and excellence
PEN Program
Advancing clinical ladder to outcome measure performance
integration: The new Premier Excellence in Nursing (PEN) clinical
advancement model.
In February 2014, the Premier Excellence in Nursing (PEN) clinical advancement
model was implemented for all eligible clinical nurses. The previous Advancing
Clinical Excellence (ACE) clinical advancement ladder and PNPP programs were
transitioned to the new model over the previous year. The goal of the PEN model
is to develop a system-wide program directly aligned with the strategic priorities
of Premier Health, which include:
• exemplary professional practice
• patient experience
• value-based performance
• professional development of the clinical nurse
Premier Health leaders believe that the ongoing development of the professional
nurse is critical to the successful practice of clinical nursing. The PEN program
provides a pathway for nurses interested in advancing within the clinical
setting, seeking additional learning opportunities resulting in improved patient
outcomes and standards of patient care. A clinical ladders program built on the
characteristics and qualities identified in Patricia Benner’s “novice to expert”
theory of nursing development, PEN allows nurses to transition from beginner
to expert nurse. This program incorporates the four key American Nurses
Credentialing Center’s Magnet Recognition Program components of exemplary
professional practice, transformation leadership, structural empowerment, and
new knowledge and innovation. It also includes the Premier Health system goals
for value-based performance.
The PEN program was developed by, and for, RNs throughout Premier Health. It
is congruent with Premier’s strategic goals of respect, integrity, compassion, and
excellence, and our pillars of success:
• positive work environment, patient experience, and quality physician
partnership
• competitive positioning and financials
Premier Health committee members participating on the redesign team are led by
Jayne Gmeiner, chair. The team includes:
• Atrium Medical Center: Julie Tyson, Kathy Wilson, and Linda Duplechian
• Good Samaritan Hospital: PJ Musser, Cindy Campbell, and Julia Ralston
• Miami Valley Hospital/Miami Valley Hospital South: Patti Schairbaum,
Angela Wale, and Kim Porter
• Upper Valley Medical Center: Jean Heath, Elaine Bohman, and Sarah Jones
• Premier System Support: Lisa Drees, Shelly Franz, Annette Drake, and Leslie
Helmbrecht
The Premier clinical ladder team performed an assessment of the system’s
current career ladder, drawing on clinical nurse team members to assist with
assessments and revisions. The team also conducted focus groups with nursing
leaders to gain feedback about important characteristics of a successful clinical
advancement program.
Key features of the new model:
• system-designed in eight tiers with entry level being finalized at this time –
propose entry level requiring five points
• one point must be achieved in each column of the PEN grid
• one PEN grid column is dedicated to each component — quality, clinical, length
of stay, readmission, and work environment outcomes
• Three columns on PEN grid dedicated to individual contribution with
prescriptive forms describing point attainment process.
All information for the PEN clinical advancement program is regularly updated
and available on the HealthStream online learning management site and the
Premier Nursing Intranet.
Safety Companion Program Update
The safety companion team, chartered by the Nurse Executive Council (NEC),
established a new process to secure safety companions (in-room sitter resources)
for Premier Health customers. A partnership was established with Fidelity Health
Care to provide safety companions, with goal of implementing the service at all
Premier hospitals. The overall goal is to improve health care continuity of Patient
Care Technician to patient ratios and staffing.
An MVH pilot began November 3, 2014, and has accomplished the following:
• safety companions are scheduled in collaboration with central staffing resources
• average of six safety companions provided per shift by Fidelity
• unmet PCT needs have been reduced by 26 percent
• safety companion role has been designed to support intentional interventions,
in order to promote patient safety and to reduce patient risk for delirium
• communication tool has been implemented for RNs and safety companions
• revised simplified algorithm has been developed for pilot feedback
• safety companions can be ordered by a physician or nurse, based on patient needs.
Current implementation status:
• staffing resources, Fidelity Health Care leadership, and patient care services
(PCS) continue to work to resolve issues related to communication and
scheduling. There is continued feedback and questions from the team.
• plan created to implement pilot program at GSH in February 2015;
implementation at other facilities will follow.
Premier Health Advanced Illness Management
By Mary Walters, MSN, RN, CRNI
The Premier Health mission statement reads: “We will build healthier
communities with others who share our commitment to provide high-quality,
cost-competitive health care services.” To that end, there are many initiatives
that have been deployed to ensure we support that mission every day. In order
to maintain a cost-competitive health care system, we focus on patients who
are frequent, excessive, and inappropriate users of acute care and emergency
department services. These patients often have complex medical and
psychosocial challenges, including chronic, advanced illness. While individual care
plans may be utilized in the acute setting, those are often ineffective because
there is a lack of community involvement and coordination of care across the
health care continuum (Johnson, 2014). A comprehensive program, with intensive
case management, has been shown to be effective in managing such patients and
reducing the frequency of hospital admissions and emergency department visits
(McKinney, 2013).
Premier Health, led by Fidelity Health Care and in collaboration with Atrium
Medical Center (AMC), initiated the Premier Health advanced illness management
program. The goal of the program is to demonstrate how enhanced coordination
of health care resources, including community- and home-based services, can
assist health care organizations in decreasing inappropriate encounters, thus
reducing the cost of care. The population for the initial program was the top
25 patients with the highest number of encounters (emergent, observation,
and admissions) at Atrium Medical Center.
The identified patients were managed by a registered nurse and a social worker
with collaboration among all inpatient and external physicians. The initial results
are extremely exciting – we noted a 52 percent reduction in total encounters for
patients who were offered services through our program. Since the inception of
the program, patients are able to self-manage their complex illness better.
The next step for the program is an expansion into all Premier Health hospitals.
As a result of the lessons learned with the AMC population, the program has been
further enhanced. The program now includes additional resources, including a
licensed practical nurse and a health coach, to support the registered nurse and
social worker. The team at each hospital will be customized to fit that hospital’s
specific needs. There will be continual monitoring of the success of the program
as health care moves to value-based care.
Johnson, S. R. (2014). Managing care between home and hospice. Modern Healthcare. Retrieved from http://www.modernhealthcare.com
McKinney, M. (2013). Beyond hospice. Modern Healthcare. Retrieved from http://www.modernhealthcare.com
F i d e l i t y H e a l t h C ar e – Mar y Wa l t e r s , C N O
Fidelity Health Care
Mary Walters, CNO
Fidelity Health Care’s wound/ostomy team is comprised of 10 nurses who are
wound certified, two have wound ostomy certification, and two are certified in
hospice and palliative care. The goal of the team is to provide the best possible
patient outcome using the most cost-effective care. Our wound patients receive a
wound/ostomy consult visit that includes a comprehensive consultation, wound
supply appraisal, nutrition assessment, pressure and surface evaluation, treatment
recommendations, coordination of care with physicians, and comorbidity
management. We have an average daily wound census of 600-650 patients. At
Fidelity, we strive to provide patients with self-management tools that have the
potential to improve patient and caregiver knowledge about the disease process.
Wound consult visits occur weekly or biweekly and are coordinated with the
patient’s case manager. In 2014, our wound/ostomy team provided 4,113
wound consults throughout our 17 county service area. The team documents
progression of wound healing by taking digital photos which are shared with
226 local physicians. This allows us to provide ongoing coordination of services
with physician and wound clinics. Currently, we conduct monthly physician care
conferences with Drs Mary Chellis, Mark Eilers, R Michael Johnson, Namchi Le,
Christopher Lutman, Travis Perry, and Mancho Salim.
Our wound team coordinated with our quality department and other staff
members to better our publicly-reported status of surgical wound outcomes,
improving seven percent in 2014.
Fidelity Health Care Awarded
Top 100 by HomeCare Elite
Fidelity Health Care has been recognized as one of HomeCare’s Elite Top 100 for
2014. Outcomes Concept Systems, a Seattle-based company, completes an annual
assessment and identifies outstanding agencies across the country through this
award. In the nine years the award has been given, Fidelity has been recognized
eight times. More than 10,000 agencies across the country met minimum criteria
for the evaluation. This is Fidelity’s first year being recognized as a Top 100 Home
Health Agency.
The award is based on publicly-reported CMS measures, including quality of care,
quality improvement, patient experience, and financial management. The quality
of care ranking placed Fidelity in the 97th percentile. The quality improvement
ranking is calculated from the seven publicly-reported outcome measures
comparing year to year; Fidelity achieved the 92nd percentile. There is a continued
focus on providing high quality care and remaining cost-effective. Fidelity’s
financial performance received the maximum percentile ranking.
Only 143 agencies in Ohio were placed in the top 25 percent. Of these agencies,
24 were in the top 500 and five were in the top 100. Fidelity was the only agency
in the Dayton area to receive a Top 100 ranking and one of two agencies in the
Cincinnati region, which is a great accomplishment for the entire team at Fidelity
Health Care.
A t r i u m M e d i ca l C e n t e r – Mar q u i t a T u rn e r , C N O
Hands and Feet – Atrium Gives Back
Atrium Medical Center’s mission reflects that of Premier Health: to build healthier
communities. While patients generally go to the hospital for care, in May 2014,
AMC nursing leadership decided to go to the community to provide service hours
to enhance the lives of others.
Marquita Turner, CNO
Atrium Medical
Center
For the past 10 years, Berachah Church has organized a Hands and Feet event.
The events have ranged from providing a complete make-over of a single family
dwelling to performing minor repair, painting, and landscaping on 50 houses that
are owned by the elderly, disabled individuals, or those who are in special-need
situations. The required work is completed within one weekend. Nominations
of “citizens in need” are made by local police, fire, and city employees, as well
as friends and neighbors. Once the nominations are reviewed and the project is
selected, the fun begins!
Last spring, a team of 30 volunteers arrived at the project site, which was a vacant
home that had originally been built by Habitat for Humanity. The home had
been unoccupied for some time and was in need of a new roof, siding, windows,
and plumbing. In addition, the kitchen required restoration, and insulation was
needed in the crawl space. Painting and flooring was also made new. A team of
“shoppers” also purchased items, such as linens, TVs, and appliances, in order to
furnish the home. It’s truly a turn-key operation.
Volunteers experienced a sense of fulfillment. Linda Duplechian, director of
med-surg, commented, “What a wonderful experience! Working with a team
like ours and doing a project of this magnitude was so fulfilling. I learned so
much! We are so blessed, and it is great to give back!” Christie Gray, director of
nursing operations, shared that “as nurses, we have the unique honor of giving
ourselves to our patients during their time of need. Hands and Feet has allowed us
to do what we do best...give. The experience was so rewarding, and provided the
leadership team an opportunity to work together for the good of the community.”
We hung siding, insulation, and kitchen cabinets, fences were painted, and shrubs
were planted. While AMC nursing professionals exercise great skill within a health
care setting, we traded our stethoscopes for paint brushes and our scissors for
staple guns, and discovered many new skills.
A house was restored for a family to make a home.
1 0 • P r em i e r H ea l th
Lakota Interns Gain Health Industry Insight
By Christie Gray, MS, CNS, RN, NEA-BC
“What do you want to be when you grow up?” It is the question we begin asking
our children when they are very young. Quite frequently, this is a question that
even 11th and 12th graders have trouble answering.
In fall 2014, AMC and Lakota School District came together to give students a
better framework for career choices through an internship program that supports
the future success of students and the local health care industry.
The program was designed to allow 24 students to experience the different roles
available throughout the health care industry. Students applied for one of the two
tracks being offered — biomedical or hospital business operations. There were six
rotations in each area, and the students were assigned four-hour job shadowing
and observational shifts. While on the job, they learned what each job entailed,
including educational requirements. Students interacted with a professional and
learned about their journey to reach their career.
These two tracks provide students with the ability to see how direct patient care
providers and non-direct care providers impact patient care. The biomedical
internship focused on the future of health care and the movement toward
outpatient care in areas such as cardiac rehabilitation and the infusion center.
The students enjoyed having direct patient contact and said they found the
staff engaging and willing to answer their questions. The staff of the infusion
center said, “Being able to have the student spend time with nurses, pharmacists,
physicians, and the social worker made for a great rounded experience.”
Providing internship opportunities is beneficial for students, the local schools, and
employers. By allowing these students a window into the health care industry,
they are able to fine-tune their career choices, establish relationships that may
lead to job opportunities, or find volunteer work. For AMC, it builds relationships
with our future work force.
N u r s i n g A nn u a l Repo r t 2 0 1 4 • 1 1
Goo d Sa m ar i t an H o s p i t a l – Mar y Gar m an , C O O / C N O
Emergency Department Optimization –
GSH ED Lean Business Model Event
Mary Garman,
COO/CNO
Good Samaritan
Hospital
Emergency care in the United States is in critical condition. According to the Institute of Medicine,
ambulance diversions, long waits, hours-to-days to be admitted, and a lack of specialists contribute to
the problem. In the emergency department (ED) at Good Samaritan Hospital , long wait times, patients
who leave without being seen or treated, sketchy patient satisfaction, inconsistent performance, and a
perception of poor-quality care contribute to the problem. To help improve outcomes, a “Lean“ business
model event was held.
Lean is a methodology that focuses on improving workflow, eliminating waste, and delivering value.
According to Lean, effective change requires engaging frontline staff with management support in
pursuing quality to improve patient/staff satisfaction and contain costs. These ideas were the basis for
the GSH ED Lean event held May 12-15.
Edward Fieg, DO, vice chair and assistant medical director, and Jason Merritt, MSN, director of emergency
services, sponsored the Lean event with Frank Sawyer, vice president of operations. Barbara Harris, ED
CNS, and Ryan Muhlenkamp, ED ANM, served as nursing co-leaders for the event. Dr. Fieg, who learned
Lean processes while in the United States Air Force, led the event. Dayle Pugh, a Team Health Lean
expert, provided mentorship.
The focus was on frontline staff analyzing current processes and creating solutions. To ensure success,
participants from the following groups were included:
•
•
•
•
frontline emergency department staff
executive management team engagement
emergency department leadership
high level of physician involvement
• ED/inpatient nursing unit involvement
• stakeholders from all ancillary departments
intersecting with the ED
•Lean expert mentor
The program was initiated July 2, 2014, with new processes for direct bedding, turning rooms over when
patients leave, obtaining urine specimens, reading EKGs, and several new Epic orders being the first
wave of changes. The ED to inpatient transport project began as a pilot before this date, and has been a
huge patient and staff satisfier – getting patients to their rooms more quickly is a win-win for everyone.
Continuous improvement has become the mantra of the ED. Staff now routinely says “that is good
– how can we make it better?” According to Rick Reed, WIKA Instruments director of continuous
improvement and quality, “When it comes to continuous improvement, you are always closer to the
beginning of the journey than to the end.”
Nursing and leadership throughout GSH are working together to provide the best care for all patients.
Patient safety, satisfaction, and quality are top priorities at Good Samaritan. Our nursing peers lead the
way, and we are looking forward to more improvements in 2015.
Summary Outcomes
Door to Doctor
42.8% Improvement Total ED Length of Stay (LOS)
14.0% Improvement Left Without Being Seen (LWOT) 47.6% Improvement
Good Samaritan Hospital Achieves Highest Nursing Credential
with Prestigious Magnet® Recognition…Again
Recognition reinforces commitment to providing nursing excellence
On March 19, 2014, Good Samaritan
Hospital (GSH) again achieved
Magnet® status for nursing
excellence. Only 6.9 percent of all
registered hospitals in the United
States have achieved ANCC Magnet
Recognition®— the highest honor
an organization can receive for
professional nursing. GSH earned its
first Magnet Recognition from the
ANCC in 2009 and currently is one of
only 26 hospitals in Ohio and one of
401 hospitals worldwide to earn this
distinction.
“We are proud and very honored
to have once again earned Magnet
recognition. It’s the nursing staff,
physicians, and clinical teams that make
this possible,” said Mary Garman, chief
operating and chief nursing officer.
“Their overwhelming commitment to
provide exemplary patient care every
day with every patient is what makes
great things like this happen at Good
Samaritan Hospital.”
A Magnet designation recognizes
a nursing staff for high standards
of patient care, nursing excellence,
and innovations in professional
nursing practice. Additionally,
hospitals applying for this recognition
must provide an environment that
empowers nurses, values their
contributions, and supports nursing
leadership.
Health Ministries parish program,
perinatal area outreach program, and
Healthcare 411, a program that offers
high school students the opportunity
for a hands-on educational experience
in the CNE and ED.
“While this is a nursing honor, it
is reflective of the organization’s
commitment to excellence and can
only be achieved by extraordinary
teamwork,” explained Eloise Broner,
GSH president and chief executive
officer. “Congratulations to the entire
team of nurses, physicians, and
hospital staff! This is a tremendous
achievement.”
GSH shows its dedication to excellence
with high energy and engagement
with the community through the
Homeless Clinic, nurse-led Heart
and Vascular Wellness Center,
The Magnet Commission also
recognized the GSH team for its ability
to come together and best serve the
community and patients during times
of patient census influx. We live our
faith-based mission in every aspect
of care that our patients receive.
Our nurses are active participants in
shared governance and unit councils;
nurses are instrumental in driving
many process improvement activities.
Nursing practice is evidence-based
and our research committee is
actively involved in meaningful work
to advance nursing practice and the
profession.
MI A MI V A LLEY H o s p i t a l – J o l y n A n g u s , C N O
Neonatal Intensive Care Unit
Jolyn Angus, CNO
Miami Valley
Hospital
The neonatal intensive care unit (NICU) has implemented an innovative diapercare protocol in response to the problem of diaper dermatitis in their high-risk
patient population. Causes of diaper dermatitis are multifactorial, and certain
diagnoses or treatments can increase the probability of NICU patients developing
this condition. The practice issue was undertaken as an academic capstone project
by Ellen Jordan, BSN, RN. The first step in the development of the protocol was to
gain a baseline assessment of current diaper-care practices of the NICU staff:
• qualitative discussions with NICU nurses
• director observation of diaper-care practices
• online survey completed by NICU RNs
The practice assessment revealed that diaper care practices were inconsistent.
A protocol was developed based on the principles of evidenced-based nursing,
which is defined by Sigma Theta Tau as “an integration of the best evidence
available, nursing expertise, and the values and preferences of the individuals,
families and communities who are served” (Chitty & Black, 2011, p. 260). Nurses
recommended products that they found to be effective and which were in keeping
with other initiatives to utilize chemical-free skin care products for all infants at
MVH. The remainder of the protocol was based on recommendations recorded in
the current literature – wash, rinse, air or pat dry, ointment — and was identified
by the acronym WRAPO. The protocol was implemented in September, 2014, and
as a result, a significant improvement in the incidence of diaper dermatitis has
been observed by the project coordinator, NICU RNs, and physicians. The project
coordinator is collaborating with Premier Health system nurse researcher Dr. Pat
O’Malley on potential publication of this quality-improvement project.
Reducing Falls in the Emergency Trauma Center (ETC):
Awareness is Key
By Sherry Edwards, RN
In early 2013, the Premier Health Miami Valley
Hospital (MVH) ETC began looking at how to
decrease falls in our department, a major task
for a Level I Trauma Center that sees more than
90,000 patients, their families, and visitors
annually. We know that by keeping our patients
from falling, we are keeping them safer while
reducing length of stays and injuries.
Key issues that emerged were a need to increase
ETC team awareness of how often falls occurred,
and to determine the most common reasons
for falling. Fall reporting communications were
redesigned, which allowed the team to gather
information more quickly and provided weekly
staff communications. Our team produced
creative, fun emails which resulted in the staff
regularly reading the necessary information.
Poems, songs, and pictures have helped change
the perspective. The creative communication
inspired and motivated the team. Staff members
have been included in some of the pictures,
which has given them a vested interest in what
we are doing.
One email read:
Decreasing our number of falls
Throughout every one of our halls
Takes perseverance and dedication
(Not to mention patient education)!
We give them slippers and yellow bands
Sometimes we even hold their hands –
To make them aware that we really do care
And keep them from hurting their derriere!!
In addition to awareness, we have implemented
several care process changes, including:
• bed alarm packs mounted on the wall in each
room and bed alarm pads in each bedside cart.
This makes the items within arms reach when
necessary.
• battery boxes added to each medication room
so bed alarm batteries can be changed quickly
with minimal interruption to bedside care.
We faced some major challenges in 2014 with
the re-construction and remodeling of our
entire ETC. We often faced new walls every day
– sometimes even hourly. As the walls moved all
around us, it was hard to keep track of the best
route to ambulate patients in order to facilitate
their care. This newly designed environment
provided a challenge, but ultimately promoted
privacy and a quieter environment for our
patients and families. It also resulted in workflow
changes for our team so we were better able to
see the patients. Despite all of these difficulties,
our number of patient falls continues to decline
as a result of our new interventions. By the end of
December 2014, we demonstrated a 33 percent
reduction in falls.
Instituting short-term goals and stretch goals
have also helped create enthusiasm. As we
reach each milestone, we celebrate with pizza,
ice cream or even a “happy dance” to encourage
one another. Prior to our focused awareness, we
were unable to attain a goal of seven consecutive
fall-free days. In the new environment, we often
go weeks without a fall, and have had a stretch
of 64 fall-free days. As we celebrate these small
wins, we know that it is best for our patients, and
makes us proud to be a part of such an amazing
group of people.
Upp e r V A LLEY M e d i ca l C e n t e r – T e rr y F r y , C N O
TeleStroke Services
Terry Fry, CNO
Upper Valley
Medical Center
TeleStroke services were implemented at Upper Valley Medical Center in October
2013. Patients arriving in the emergency department (ED) with stroke-like
symptoms receive immediate consultation with a stroke expert via a live feed on
an audio-visual screen, much like Skype or FaceTime. Immediately, there was an
improvement in stroke benchmarks. Through the efforts of the Premier Health
Stroke Network, on-site leaders, and an engaged staff, UVMC was able to achieve
promising results in just the first few months of the program. In April 2014, UVMC
went live with stroke alerts throughout the hospital. This too, has shown benefit
with excellent outcomes for patients.
As the program has grown, we have identified ways to continually improve
patient outcomes. In August 2014, we empowered emergency medical services
(EMS) to activate a stroke alert, which allows expedited care from entry into the
ED to CT scan to contact with the neurologist. This expedited testing provides for
quicker administration of the clot-busting drug (Activase) which can reverse some
of the effects of ischemic stroke. EMS providers have been supportive of this new
process aimed at providing better patient care.
Medical/Surgical/Telemetry Focus on Patient Satisfaction
and Collaboration with New Hospice Inpatient Unit
The Hospice of Miami County inpatient unit
at Upper Valley Medical Center opened its doors
in November. The seven-bed, self-contained
unit located on the second floor of the hospital
provides important continuity of care and shortterm symptom management, while creating
a comfortable, supportive end-of-life care
environment.
“Our bedside leaders have really worked very
well together to provide excellent care,” echoes
Tammy Lewis-Nolasco, RN, manager of the UVMC
telemetry unit.
The hospice unit is operated and staffed by
Heather Bolton, executive director of Hospice
of Miami County, says “We frequently hear
from those whom we serve about how grateful
they are to have end-of-life inpatient care in a
‘home-like’ setting, available in Miami County.
Hospice of Miami County’s interdisciplinary team.
UVMC nursing professionals have worked with
the hospice team in a spirit of collaboration that
puts hospice patient and family needs first.
The inpatient unit’s location within the hospital
provides ideal adjacencies, and the UVMC
nursing team works extremely well together with
our staff to help make for seamless transition.”
“The UVMC nurses in med/surg/telemetry work
closely with the hospice staff to create a smooth
and seamless transition from acute care to
hospice care,” says Jill Demmitt, RN, palliative
care coordinator for UVMC and manager of the
inpatient unit of Miami County Hospice.
A family member whose loved one was
transitioned into the hospice unit says, “We
experienced a sense of calm and peace... everyone
was so wonderful. We really appreciated that.
I will encourage others to take advantage of the
program, if they are in a similar situation with
their loved one.”
Premier Health Certified RNs
There are 695 certified RNs in the Premier Health system:
• Atrium Medical Center – 101
•Good Samaritan Hospital – 129
• Fidelity Health Care – 25
Atrium Medical Center
Abdullah, Erin
Arthur, Rebecca
Arthur, Becky
Augsburger, Donna
Ballard, Barbara
Batten, Marjorie
Becker, Linda
Beiser, Krista
Bird, Emilee
Blatter, Wanda
Bouchair, Melissa
Bowman, Mary
Brock, Ann
Brown, Katherine
Bubemyre, Michelle
Channell, Cathie
Churchey, Lauren
Clay, Jeanie
Cole, Marty
Conn, Judith
Cook, Stacey
Coyle, Melissa
Cramer, Shelli
Curtis, Debra L.
Daniels, Cristin
Davis, Debbi
Dellaposta, Tammy
Deserisy-Davis, Rebeca
Deskins, Melissa
Dobrozsi, Nora
Faulkner, Tricia
Gibson, Deborah
Gilbert, Elizabeth
Gragg, Christina
Gray, Christie
Gregory, Tina
Griffith, Samantha
Hall, Sonia
Hamilton, Joan
Hamilton, Elizabeth
Hardy, Sharon
Harrison, Carolyn
Harvey, Lettie
Hawley, Sheila
Hickman, Lori
Hiler, Jodi
Hill, Lisa
Horn, Valerie
Howard, Lee
Jeffers, Rhea
Johnson, Janice
Johnson, Rosanta
Johnson, Sheila
Karle, Heidi
King, Sabra
Lahman, Christina
Lowman, Beth
McCall, Sharon
McGuire, Teresa
McIntosh, Susan
Meadows, Shandi
Miller, Emily
Mitchell, Wendy
Monce, Vicki
Moore, Dorene
Mossman, Amy
Neace, Tamatha
Nichols, Stephanie
Noffsinger, Jonelle
O’banion, Sherri
Payne, Becki
Pickering, Elizabeth
Pittenger, Jackie
Ponder, Rebecca
Porter, Mary
Pyrak, Sherry
Resler, Linda
Riner, Katherine
Roberson, Sarah
Robinson, Karen
Shoemaker, Cari
Shortt, Kristeen
Stall, Rachel
Talkers, Alex
Thompson, Jessica
Tibong, Stanley
Turner, Marquita
Turner, Trischa
Tyson, Sarah
Waites, Melissa
Wallace, Lindsay
Weiss, Toni
Wiederhold, Leslie
Williams, Laura
Wilson, Kathleen
Wilson, Teresa
Winterhalter, Joelle
Wozniak, Beth
Wright, Vicki
Wyckoff, Keriann
Young, Sheree
Fidelity
Addis, Geri
Albert, Jamie
Ayers, Amy
Bailey, Geralyn
Bailey, Melanie
Bent, Teresa
•Miami Valley Hospital – 357
• Premier Health System Support – 18
•Upper Valley Medical Center – 65
Boggess, Angela
Brinley, Ashley
Brown, Jennifer
Chenault, Rebecca
Click, Lee Ann
Dietz, Joanne
Eilerman, Stephanie
Getter, Denise
Haerr, Donna
Halfpap, Deb
Henry, Pam
Jones, Kristin
Kossoudji, Lisa
Ross, Diana
Ross, Donald
Rowlett, Jayne
Thacker, Julie
Walters, Mary
Yankasky, Dawne
Good Samaritan Hospital/
Good Samaritan North
Ables, Krista
Adams, Amanda
Albers, Joyce
Anderson, Erin
Anderson, Moneta
Anderson, Penny
Antrim, Alisha
Ashworth, Susan
Barga, Marcia
Barr, Heather
Bash, Susan
Beavers, Carrie
Becker, Jodi
Beckett, Bobbie
Blizzard, Ann
Boggs, Catherine
Braswell, Lauren
Brower, Barbara
Brunner, Kim
Bueno, Dino
Burkey, Heather
Burkhart, Ashlee
Buskohl, Rebekah
Calhoun, Marcia
Coleman, Cheryl
Combs, Lisa
Crabtree, Diane
D’Autremont, Janet
Denlinger, Dixie
Denmark, Linda
Dunham, Nicole
Ehresman, Megan
Evers, Sandra
Felfoldi, Rebecca
Felter, Deborah
Ferree, Josefina
Fisher, Roland
Flynn, Eileen
Gaya, Ayesha
Gillon, Melinda
Greene, Erin
Grim, John
Hall, Nancy
Halm, Lynnette
Harris, Barbara
Harrold, Rebecca
Hatala, Caroline
Heaton, Mandy
Hegyi, Mindy
Hirsch, Glenda
Hodges, Melissa
Holthaus, Angela
Hoskins, Sandra
Hufford, Jacklyn
James, Eujenee
Jones, Mary
Kirchner, Linda
Knoop, Whitney
Krafka, Patricia
Krisher, Juanita
Lairson, Nisa
Lassalle, Alida
Lauterbach, Carrie
Ledford, Jessica
Lensch, Ann
Macleod, Melinda
Martin, Barbara
Mateer, Karen
Mathews, Kyung
McKamey, Christina
Mendenhall, Michelle
Merriweather, Cheryl
Metcalf, Lisa
Michael, Bernice
Miller, Linda
Miller, Cindy
Morgan, Kelly
Morman, Angela
Morrow, Helen
Mosser, Kathy
Musser, Prudence
Newman, Sharon
Pabst, Jill
Pearson, Diana
Peterangelo, Melissa
Pettengill, Lindsey
Peyton, Lilly
Porter, Mary
Quick, Andrea
Ralston, Julia
Ray, Emily
Reese, Wendy
Riley, Melanie
Rodrigues, Brittani
Rose, Monica
Ross, Sheila
Ruxer, Deborah
Sacksteder, Susan
Sadlier, Kim
Sarver, Lucinda
Schumann, Debra
Selby, Dawn
Shellabarger, Ruth
Smith, Lindsey
Smith, Nicole
Smith, Wendy
Sodders, Kelly
Standifer, Barbara
Stiffler, Susan
Stockman, Amy
Summers, Lawana
Sutter, Monica
Thomas, Fe
Thomas, Jane
Tooke, Marilyn
Townsend, Emily
Vawter, Trudy
Voelker, Jenna
Walker, Jeanne
Walker, Tari
Wannemacher, Jason
Warman, Libby
Waterfall, Lee
Weissbrod, Laurie
White, Cynthia
Williams, Fontaine
Wyckoff, Denise
Yawn, Marsha
Miami Valley Hospital/
Miami Valley South/
Jamestown
Abraham, Beka
Anderson, Megan
Anousheh, Sarah
Armstrong, Veronica
Astorga, Jessica
Back, Linda
Baggett, Rachel
Bailey, Brenda
Ballman-Parks, Kathleen
Balser, Jessica
Baltzell, Kimberly
Barnes, Margaret
Barnett, Melissa
Barnett, Melissa
Bartlett, Pamela
Batcher, Diane
Bates, Brian
Bauer, Jessica
Bauer, Meghan
Baylor, Sheila
Bell, Victoria
Bellan, Lorraine
Bellnoski, Carrie
Bennett, Kathy
Bertke, Sara
Bettag, Megan
Bevely, Carlye
Bevins, Colleen
Bias, Beverly
Bittner, Ramona
Blair, Brenda
Blake, Theresa
Blanton, Terri
Bliss, Robin
Bova, Donna
Bower, Steven
Bowers, Eric
Braunlin, Jeri Lynn
Broughton, Christina
Brown, Heather
Brown, Kelley
Bruggeman, Susan
Brumfield, Nathan
Brunett-Wolpert, Patricia
Bunch, Sarah
Callahan, Christina
Campbell, Barbara
Capps, Melissa
Carolan-Katz, Lisa
Carrion, Ana
Carter, Karen
Castelitz, Tiffany
Cato, Ellen
Caughenbaugh, Delena
Chambers, Patricia
Chima, Assumpta
Christy, Tanya
Clayton, Amy
Clouse, Jossie
Coldiron, Theresa
Collier, Suzanne
Combs, Carlisa
Combs, Karen
Common, Clare
Connett, Deborah
Corporal, Staci
Cotterman, Michelle
Coutinho, Rose Mary
Cox, Ryan
Coy, Natalie
Credit, Cheryl
Crego-Lee, Kelly
Crouch, Jill
Crowe, Amy
Crowe, Kathleen
Crump, Gail
DaGrossa, Catherine
Damron, Ashley
Daum, Brandon
Davis, Matthew
Deere, Angela
Deis, Suzanne
Delgado, Maria
DeNise, Andra
Denniston, Pamela
Dillinger, Johnnie
Dinkledine, Michele
Doan, Denise
Donaldson, Cathy
Dorsey, Terri
Doyle, Michelle
Driscoll, Gretchen
D’souza, Anne
Duff, Kristen
Dugan, Anastasia
Elizabeth, Larsen
Elizabeth, Morris
Erbes, Rhonda
Erwin, Heather
Esterline, Jacob
Fagan, Debbie
Fecher, Pamela
Fecke, Jennifer
Fetzer, Christy
Fisher, Donna
Fitchpatrick, Stephanie
Francisco, RJ
Fritz, Sue
Fuller, Sarah
Gardner, Lorraine
Gay, Patricia
Gaytko, Mary
Geiman, Amber
George, Helen
Gilles, Michael
Gillum, Debbie
Ginter, Roberta
Goode, Lisa
Gordon, Janice
Gragg, Michelle
Green, Kelly
Greene, Maria
Greenwell, Tracy
Griffin, Connie
Griffith, Karen
Grilliot, Anthony
Grimberg, Jane
Gross, Debbie
Grubb, Jessie
Gundolf, Melissa
Gustin, Tammy
Gyorgyfi, Paul
Hall, Catherine
Hall, Sheri
Hampton-Jones, Nancy
Hankins, Jan
Harner, Kristy
Harris, Brooke
Hart, Nastoshia
Hatton, Diana
Hayes, Amy
Hayes, Emily
Haywood, Peggie
Heaton, Martha
Heitbrink, Ashley
Heunen, Jeffery
Heyd, Jeanie
Hoehn, Bethany
Hof, Marina
Holfinger, Brian
Holley, Vanessa
Holmes, Christine
Homan, Jennifer
Honeyman, Samantha
Householder, Cheryl
Howard, Patricia
Huffman, Marilyn
Hughes, Lisa
Ibe, Jane
Jabola, Jefferleif
Jeffery, Gail
Jennings, Cynthia
Johnson, Deana
Johnson, Lisa
Johnson, Mandy
Johnson, Melissa
Jones, Gwen
Josefczyk, Jordan
Josey, Ladonna
Kacho, Amy
Kerns, Melissa
Kessinger, Nancy
Kessler, Lori
King, Katie
King, Tammy
Kinnaird, Melissa
Kirkland, Sharen
Knipper, Marilou
Knisley-Houser, Anna
Koesters, Cara
Kohn, Barbara
Kreill, Kara
Kristine, Reynolds
Kronauge, Sally
Kruse, Dede
Lamb, Paula
Larva, Nicole
Lauren, Hunter
Lawrence, Angela
Leach, Donetta
Lechner, Deb
Lee, Thelma
Lehmann, Melissa
Leopold, Kelly
Leptak, Robin
Lewis, Gina
Liston, Janet
Lunsford, Sandra
Luster-George, Natasha
Martin, Holly
Masekar, Mary
Matosky, Deborah
Matthew, Leeba
McCappin, Susan
McCoy, Merandia
McIntosh, James
McKinney, Cheryl
McMorrine, Robyn
Melko, Deborah
Mercuri, Julie
Meyer, Judy
Mikalauskas, Elena
Miller, Adrian
Miller, Pamela
Miller, Sarah
Miller, Toni
Mills, Gloria
Mohr, Cary
Mohr, Ralf
Mokas, Dina
Moore, Sheila
Morris, Cherry
Moyer, Michael
Muha, Kim
Naas, Teresa
Nagel, Stacy
Nave, Jillian
Nichols, Lori (Lorene)
Nickell, Molly
Nicodemus, Patti
Norris, Kristine
Ohl, Shannon
Orozco, Sharon
Pankey, Theresa
Pant, Sara
Parry, Stefanie
Patton, Anita
Payne, Tracy
Pelc, Kyle
Persigner, Karen
Petrosino, Theresa
Phelps, Jennifer
Phipps, Melanie
Pombo, Melissa
Ponziani, Jeanne
Post, Benjamin
Ramsey-Alsip, Ashleigh
Ream, Angela
Reineke, Alyse
Repasy, Sara
Rike, Anita
Rizzo, Cheryl
Roche, Margaret
Rodgers, Erin
Roemer, Marcia
Roock, Lindsay
Ross, Sheryl
Rotzell, Suzanne
Round, Jane
Rudd, Kristina
Sanchez, Greg
Sappe, April
Sargent, Kimberly
Saul-Creager, Lisa
Saunders, Christina
Schairbaum, Patti
Schneider, Cynthia
Schueler, Jennifer
Scott, Diana
Seabold, Carol
Sebald, Angela
Seidenschmidt, Theresa
Seyfang, Margo
Shadley, Pam
Shaw, Mary
Shiverdecker, Donna
Shoemaker, Katie
Shumaker, Leslie
Simpson, Jacqueline
Sizemore, Kathleen
Skaggs, Julie
Slivinski, Andrea
Smith, Angela
Smith, Cynthia
Snow, Esther Kaye
Snure, Kamie
Soppe, Elena
Sortman, Megan
Southerland, Keara
Sowders, Lynn
Spahr, Krissy
Spalding, Jennifer
Sparkman, Patricia
Staroska, Justina
Stegman, Sandra
Stewart, Denise
Strickland, Linda
Strickland, Sara
Sundermeyer, Danielle
Tayloe, Allison
Taylor, Deloris
Terry, Allen
Tester, Sandra
Thoma, Nancy
Thompson, Jennifer
Thurston, Rebekah
Trapani, Karen
Trefz, Lisa
Trick, Valerie
Trimm, Melissa
Triplett, Stephanie
Turner, Jennifer
Tyree, Connie
Vacha, Deanna
Vallandingham,
Catherine
Van Diver, Amanda
Vandegrift, Diana
VandenBos, Amber
Venturini, Stephanie
Via, Amanda
Vocke, Heather
Von Dohre, Jane
Vuckovich, Susan
Wagner, Mary Ann
Wagner, Vikki
Walker, Gale
Walker, Maureen
Wallace, Michelle
Warniment, Deborah
Warren, Michelle
Weber, Jill
Weisenberger, Kimberly
Wells, Robert
Weneck, Ronald
Wenning, Lori
Werline, Sue
Westbeld, Angela
Whaley, Joy
White, Susan
Whitlatch, Amelia
Wiley, Audra
Wilson, Susan
Wolfe, Amanda
Womack, Chris
Worley, Judith
Wozniak, Jessica
Yockey, Rachel
Young, Kim
Zemmer, Amanda
Zimmerman, Elisabeth
Premier System Support
Blanton, Teri
Boudroua, Beth
DiSalvo, Roxanne
Drake, Annette
Fender, April
Gibson, Carla
Gmeiner, Jayne
Landis-Kinner, Rebecca
Paden, Kimbra
Phelps, Pamela
Rector, Sharon
Rieger, Bonnie
Rose, Duana
Short, Deanne
Sorg, Laura
Swanson, Sandra
Trepanier, Syl
Wood, Brenda
Upper Valley
Medical Center
Anderson, Judy
Baker, Diane
Bergman, Ann
Bergman, Greatchen
Bohman, Elaine
Brown, Darla
Brown, Lisa
Brumbaugh, Nancy
Bubeck, Sarah
Carter, Cheryl
Clayton, Cheri
Colbert, Kathy
Cordonnier, Tracy
Dearth, Cecilie
Deloye, Pamela
Denius, Melissa
Diamond, Kandi
Dietz, Jenny
Dodge, Shannon
Elleman, Angie
Gammell, Amanda
Gerhard, Helen
Gwendolyn
Geuy, Jenna
Goettemoeller, Diana
Goettemoeller, Joanna
Greaker, Judith
Gulker, Teresa (Teri)
Heath, Jean
Holfinger, Jacquelyn
Homan, Pam
Humphreys, Melissa
Jacobs, Shannon
Jones, Sarah
Kaiser, Stephanie
Kathleen, Tobe
Kiser, Terri
Kitchen, Barbara
Lair, Lyndsay
Langenkamp, Stacy
Linn, Lisa
Martz, Mary
McMillan, Tamara
Miramontes, Raychel
Nickles, Carolyn
O’Dell , Laura
O’Neal, Cynthia
Perkins, Beth
Phillips, Trena
Phlipot, Jennifer
Poling, Rachel
Schaefer, Carol
Schellenberg, Michelle
Schulze, Victoria
Shay, Mary
Speltz, Rhona
Stern, Anita
Strawser, Linda
Stump, Kimberly
Thoman, Ivy
Timmerman, Ann
Walker, Erma
Williams, Robin
Winner, Janis
Premier Health Clinical Ladder Participants
Arnold, Shonda
Asher, Krista
Back, Darlene
Ballard, Barbara
Back, Darlene
Blatter, Wanda I
Bowman, Mary
Brunamonti, Kimberly
Channell, Cathie
Combs, Sierra
Cook, Stacey
Cramer, Shelli
Croucher, Jamie
Daniels, Cristin
Davis, Debbie
Debord, Gayle
Deserisy-Davis, Rebecca
Deskins, Melissa
Dobrozsi, Nora
Doyle, Toni
Duley, Ashley
Faulkner, Tricia
Fields, Kimberly
Fitzgerald, Brianne
Fox, Stefanie
Gragg, Christina
Hall, Sonia
Hardy, Sharon
Hiler, Jodi
Hoffman, Robyn
Hollihan, Pamela
Jeffers, Rhea
Karle, Heidi
Lalich, Amanda
Lowman, Beth
McGuire, Brandie
Miller, Emily
Miller, Kala
Mitchell, Misty
Monce, Vicki
Muhire, Marie
Newton, Charissa
Noffsinger, Jonelle
Owens, Karen
Pappachan, Susamma
Pyrak, Sharon
Rader, Amy
Resler, Linda
Riner, Katherine
Roberson, Sarah
Robinson, Karen
Robinson, Theresa
Russell, Caitlyn M
Sherry, Jo
Shoemaker, Cari
Siefker, Lindsey
Stewart, Meghan
Thompson, Jessica
Tipple, Meredith
Treta, Monica
Tyson, Julie
Wallace, Lindsay
Webb, Teresa
Weiss, Toni
Williams, Laura
Wilson, Kathleen
Good Samaritan Hospital/
Good Samaritan North
Aban Naguit, Julie
Anderson, Moneta
Anderson, Penny
Barga, Marcia
Barnhart, Deeanna
Baum, Zachary
Benjamin, Mary
Berton-Dox, Lori
Boakye, Dorcas
Boggs, Catherine
Brower, Barbara
Brown-Goolsby, Elveria
Brunner, Kim
Burkey, Heather
Butler, Deborah
Campbell, Janet
Cloud, Nancy
Cole, Robin
Combs, Heather
Copeland, Brenda
Cordell, Christopher
Crowe, Sarah
Deeter, Natasha
Deisher, Debra
Denlinger, Dixie
Dodson, Karen
Dunham, Nicole
Evans, Robin
Fairchild, Julie
Farley, Amanda
Ferree, Josefina
Fisher, Roland
Fondriest, Raeanne
Franklin, Angela
Garner, Stephanie
Gaya, Ayesha
Gillon, Melinda
Gilmore, Reanna
Glass, Annette
Goma, Amanda
Good, Lindsey
Grabeman, Sherry
Haley, Linda
Harris, Germaine
Hawk, Kathy
Hoffacker, Lori
Holthaus, Angela
Johnson, Sheila
Jones, Maria Cristina
Jordan-Fletcher, Trish
Keeton, Angela
Kirchner, Linda
Krey, Heather
Krisher, Juanita
Lassalle, Alida
Lawson, Christine
Liebherr, Sharon
Linsenbigler, Lauren
Macleod, Melinda
Mangas, Sara
Mapes, Amanda
Marquette, Jennifer
Martin, Amanda
Mayo, Kimberly
Melas, Ricky
Metcalf, Lisa
Michael, Bernice
Miller, Cindy
Miller, Linda
Miniard, Sarah
Mokrycki, Danielle
Moore, Katherine
Morgan, Kristin
Morrow, Helen
Mosser, Kathy
Musser, Prudence
Newman, Sharon
Orrill, Kendra
Radominski, Erin
Ralston, Julia
Ratliff, Sarah
Reed, Alissa
Richardson, Tara
Rose, Monica
Sacksteder, Susan
Schumann, Debra
Seipel, Barbara
Selby, Monica
Shope, Kimberly
Smith, Ann
Spragg, Marilyn
Sprague, Shirley
Stetter, Norma
Sutter, Monica
Vandervort, Tammi
Vawter, Trudy
Warman, Elizabeth
Webb, Valerie
Weller, Sarah
White, Shelly
Wilburn, Sheretta
Wilson, Elizabeth
Withers, May
Wyckoff, Denise
Miami Valley Hospital/
Miami Valley South/
Jamestown
Adams, Mary
Agee, Bryan
Ajai, Linu
Akerele, Esther
Alderman, Angela
Allard, Brenda
Alsept, Terry
Andersen, Karen
Anderson, Megan
Applegate, Sarah
Armstrong, Veronica
Arstingstall, Tina
Avery, Libby
Bach, Ashley
Baggett, Rachel
Bailey, Brenda
Baldwin, Michelle
Bales, Deborah
Baranyi, Amanda
Barnett, Melissa
Bartlett, Helen
Bartlett, Pamela
Bateman, Audrey
Bauer, Jessica
Bellan, Lorraine
Bellnoski, Carrie
Bennett, Christine
Bentley, Penney
Berger, Susan
Bergman, Melissa
Berner, Andrea
Bertke, Sara
Besaw, Zingela
Bettag, Megan
Bevins, Colleen
Bilinski, Christi
Bingham, Lynne
Birdsall, Janelle
Bishop, Wendy
Bittner, Ramona
Blackwell, Donna
Blair, Nina
Blake, Theresa
Blevins, Lisa
Bliss, Robin
Boehmer, Tara
Boes, Rachel
Bolton, Lisa
Brant, Shelley
Briley, Sophia
Briones, Noel
Brown, Colleen
Brunicardi, Jamie
Bulcher, Amy
Bumgarner, Alicia
Burke, Rachel
Callicoat, Sheila
Campbell, Barbara
Campbell, Meghan
Cantrell, Charlotte
Carr, Anna
Carr, Anne
Carter, Karen
Cash, Balinda
Castillo, Daniella
Caughenbaugh, Delena
Chambers, Patricia
Chima, Assumpta
Cho, Melissa
Christy, Tanya
Clark, Linda
Clark, Lisa
Cochran, Angela
Collier, Suzanne
Collins, Barbara
Colvin, Emily
Colwell, Jennifer
Combs, Carlisa
Combs, Karen
Conley, Amber
Conley, Tamela
Connett, Deborah
Cook, Kathleen
Cooper, Crystal
Cornwell, Carole
Cox, Jacquelyn
Cox, Ryan
Crabtree, Sara
Craycraft, Nancy
Credit, Cheryl
Curran, Jessica
Cydrus, Ruthanna
Dahle, Elizabeth
Damron, Kimberly
Dano, Kimberly
Davis, Beverly
Dean, Victoria
Dehus, Amy
Deister, Brooke
Delgado, Maria
Dempsey, Diane
Denniston, Pamela
Dill, Kimberly
Dipaolo, Michelle
Dixon, Holly
Dixon, Vanessa
Domer, Ginger
Dsouza, Annie
Duff, Kristen
Dugan, Anastasia
Dunn, Lisa
Dunn, Rhyane
Eaton, Delinda
Ellerbrock, Frances
Enix, Keith
Erbes, Rhonda
Evans, Jennifer
Eversole, Stephanie
Fecher, Pamela
Fetzer, Christine
Fiora, Holly
Fiora, Jonathan
Fish, Deborah
Fisher, Donna
Fisher, Garrett
Fliehman, Stephanie
Florence, Glenna
Floyd, Joe
Flucas, Denise
Foster, Angela
Friesinger, Jennifer
Frisch, Teresa
Fugate, Donna
Garner, Melanie
Gay, Patricia
Gaytko, Mary
Geiman, Amber
George, Lindsay
George, Shiny
Geraghty, Mary
Gibson, Valerie
Gilbert, Michelle
Gilley, Kimberly
Gillum, Deborah
Gimmison, Matthew
Golden, Nancy
Gordon, Janice
Gough, Anna
Green, Janell
Green, Kelly
Greene, Maria
Greenwell, Tracy
Griffith, Karen
Grigsby, Jenna
Gross, Debbie
Grubb, Jessie
Gundolf, Melissa
Gyorgyfi, Paul
Hall, Sheri
Halsey, Kimberley
Hamilton, Cheryl
Hanenkrat, Bethany
Haney, Amy
Hankins, Jan
Harbaugh, Linda
Harding, Cheree
Hardrick, Erika
Harker, Emily
Harnish, Megan
Harris, Brooke
Hartman, Dawn
Hathaway, Vicki
Hatton, Diana
Hayden, Cynthia
Hayes, Amy
Hayes, Lisa
Heaton, Martha
Heitzman, Renee
Hendricks, Jayne
Hentrick, Kim
Hess, Christian
Hess, Heather
Hetman, Stacey
Highley, Lindsey
Hisle, Michele
Hoff, Susan
Holley, Vanessa
Hollo, Vickie
Honeyman, Samantha
Hook, Andrea
Hoover, Stacy
Hopkins, Chaunda
Hous, Jessica
Householder, Cheryl
Howard, Patricia
Howell, Alisha
Huber, Ashley
Hudson, Monica
Huffman, Marilyn
Inskeep, Aamie
Inturi, Madhavi
Jabola, Jefferleif
Jeffery, Gail
Jenkins, Deborah
Johnson, Deana
Johnson, Lisa
Johnson, Mandy
Johnson, Melissa
Johnston, Heidi
Jones, Gwen
Jones, Lindsey
Kacho, Amy
Kash, Debra
Keechle, Sarah
Kelley, Patricia
Kerr, Amy
Kessler, Lori
King, Emily
King, John
King, Katie
King, Patricia
Klein, Erin
Knight, Brenda
Knisley-Houser, Anna
Knorr, Michelle
Koesters, Cara
Kohn, Barbara
Krusemark, Ashley
Kulow, Melissa
Lawrence, Angela
Layton, Julie
Leach, Donetta
Lechner, Deborah
Lee, Thelma
Lehmann, Melissa
Leighninger, Laura
Lemaster, Michelle
Leopold, Kelly
Levell, Katina
Leyrer, Paulette
Liston, Janet
Litfin, Susan
Little, Judy
Lokai, Melissa
Long, Jamie
Long, Jennifer
Long, Sandee
Loper, Katherine
Lotridge, Rebecca
Louallen, Brian
Lunsford, Sandra
Lutz, Lisa
Mackey, Jennifer
Macpherson, Mary
Magnuson, Eva
Mannix, Michele
Marker, Sara
Marshall, Sharon
Masekar, Mary
Matheny, Stephanie
Mathes, Angela
Matthew, Leeba
Mcallister, Kathy
Mcatee, Mary
Mccoart, Colleen
Mccoy, Kimberly
Mccrabb, Tammy
Mcginnis, Valerie
Mchone, Donald
Mckeever, Beth
Mclaughlin, Shane
Mcmorrine, Robyn
Mcnamee, Peggy
Mcnicholl, Katherine
Meadows, Brooke
Melzoni, E. T.
Merrell, Haley
Meyer, Judith
Mielke, Susan
Miller, Theresa
Minge, Tonya
Mirrow, Monica
Mitchell, Tinesha
Moore, Holly
Moorman, Linda
Morrison, Tracy
Mousa, Carol
Moyer, Jennifer
Moyer, Michael
Muehlfeld, Whitney
Murphy, Melissa
Murray, Jennifer
Myers, Tammy
Nagel, Stacy
Neal, Emily
Newport, Latisha
Nickell, Molly
Nicodemus, Patricia
Nisonger, Stacey
Nissen, Michelle
Njie, Cecilia
O’Bryant, Roberta
O’Fiam, Dewana
O’Leary, Terri
Ortiz, Connie
Palazotto-Crisler, Jane
Palmer, Audrey
Pant, Sara
Parrish, Alyssa
Parry, Stefanie
Patton, Heidi
Pearson, Karen
Pennington, Timothy
Peterson, Gayle
Petrosino, Theresa
Phelps, Ginger
Phelps, Jennifer
Phelps, Tara
Phillips, Stacey
Phipps, Melanie
Piper, Wanda
Pittman, Tiffany
Plummer, Cynthia
Pombo, Melissa
Porter, Edith
Porter, Kimberly
Prichard, Lindsay
Prichard, Mary
Qasem, Rhonda
Ramey, Rachel
Raterman, Linda
Reed, Elissa
Reichman, Jon
Reineke, Alyse
Reyes, Elizabeth
Reynolds, Kristine
Rich, Teresa
Rike, Elizabeth
Rillo, Bridgette
Roberts, Leslie
Roberts, Rachel
Robinson, Kellie
Roche, Margaret
Rodewald, Sarah
Roemer, Marcia
Rogers, Beth
Roller, Kimberly
Roock, Lindsay
Ross, Lyndsey
Ruckrigl, Annette
Rudd, Kristina
Russell, Karis
Ryan, Victoria
Salyer, Amy
Sanford, Colleen
Sappe, April
Saul-Creager, Lisa
Saunders, Tara
Schaeffer, Debra
Schairbaum, Patricia
Schieltz, Meredith
Schmit, Emily
Schneider, Cynthia
Schneider, Tatja
Schommer, Amy
Schueler, Jennifer
Scites, Christine
Scott, Diana
Scott, Kristin
Seagraves, Emily
Sebald, Angela
Serna, Amber
Setty, Bethany
Shaffer, Nancy
Shapiro, Marti
Sharp, Tammy
Sheline, Angela
Shoemaker, Katie
Shoopman, Karen
Short, Gregory
Siefke, Teresa
Simms, Ruthann
Simpson, Jacqueline
Siple, Susanna
Skaggs, Julie
Skowronski, Lynn
Slusher, Luann
Smith, Crystal
Smith, Dana
Smith, Erin
Smith, Holly
Smith, Katherine
Smith, Katie
Snapp, Anessa
Snell, Nicole
Snow, Esther
South, Kelly
Sowders, Barbara
Sowders, Lynn
Spalding, Jennifer
Speck, Sandra
Spice, Karen
Stacy, Stephanie
Stamm, Mary
Staton, Ayren
Stegman, Sandra
Stephens, Tristin
Stewart, Denise
Stireman, Shannon
Strickland, Sara
Stroble, Ashleigh
Strutton, Amanda
Stull, Debra
Stumpf, Karen
Suddith, Barbara
Sundermeyer, Danielle
Surant, Jacquelyn
Tabisz, Kathleen
Tate, Beverly
Tayloe, Allison
Taylor, Jonathan
Temple, Tammy
Thompson, Jason
Thompson, Jennifer
Thompson, Michelle
Thompson, Virginia
Thoreson, Jamie
Threnhauser, Jessica
Thurmond, Sheena
Thurston, Rebekah
Toman, Dusti
Townsend, Sondra
Tracy, Emily
Trapani, Karen
Trick, Cheryl
Trimborn, Carrie
Turner, April
Tyree, Connie
Vallandingham, Catherine
Vandagriff, Mary
Vandenbos, Amber
Vandiver, Amanda
Venturini, Stephanie
Viers, Stacey
Von De Linde, Kristen
Von Dohre, Jane
Waggoner, Rebecca
Wagner, Stephanie
Wagner, Vikki
Walker, Gale
Warner, Erika
Warniment, Deborah
Warren, Lynn
Warren, Tiffany
Webb, Dana
Webb, Shannon
Weber, Kim
Weigand, Brendan
Weisenberger, Kimberly
Welch, Jessica
Weller, Mary
Wells, Kelli
Wells, Robert
Wells, Teresa
Werling, Angela
Westbeld, Angela
Whitaker, Crystal
White, Karen
White, Susan
Whited, Amy
Whitis, Julie
Wickline, Judy
Wilder, Rebecca
Wilhelm, Nicole
Willey, Audra
Williams, Angela
Williams, Dawn
Williams, Desiree
Williams, Vickie
Williford, Vicki
Wilson, Susan
Winship, Kelly
Winterquist, Melissa
Wofford, Heather
Worley, Judith
Wright, Cecilia
Wright, Katherine
Young, Lisa
Zehring, Kellye
Zimmerman, Elisabeth
Upper Valley Medical
Center
Adkins, Tara
Baker, Diane
Bell, Jean
Bergman, Ann
Bohman, Elaine
Brown, Janice
Brown, Lisa
Brumbaugh, Nancy
Brush, Ana
Bubeck, Sarah
Carter, Cheryl
Clayton, Cheri
Colby, Sherri
Cordonnier, Tracy
Covault, Dawn
Delwiche, Cynthia
Denius, Melissa
Diamond, Kandi
Dietz, Jenny
Dowling, Kerry
Furrow, Amber
Goettemoeller, Joanna
Greaker, Judith
Hall, Heather
Hensley, Mary
Hicks, Melanie
Hicks, Melissa
Huelskamp, Deborah
Humphreys, Melissa
Katzfey, Karen
Kettering, Jenna
Kiser, Terri
Lair, Lyndsay
Levorchick, Susan
Linn, Lisa
Manuel, Misty
Mccormick, Sandra
Mcmillan, Tamara
Mescher, Amy
Minnich, Deanna
Nash, Jennifer
Newnam, Haley
Owens, Bambi
Perkins, Beth
Purdy, Michelle
Rank, Stephanie
Reish, Tara
Rowley, Theresa
Rutschilling, Linda
Schaefer, Carol
Schellenberg, Michelle
Schneider, Tracy
Schutz, Danielle
Sehlhorst, Benjamin
Shafer, Melissa
Speltz, Rhona
Sturwold, Kathy
Timmerman, Ann
Tobe, Kathleen
Walker, Erma
Wilt, Virginia
Wolfe, Stephanie
2014 Presentations
January 30, 2014: Ethics & EBP in Nursing Public Health Dayton & Montgomery County,
P. O’Malley, Dayton, Ohio
February 2014: Population Health and The Role of the Chief Nursing Officer, Podium
presentation offered at the VHA Nursing Leadership Institute (Chief Nursing Officer
Council) Trepanier, S., Indianapolis, Indiana
March 2014: Impact of a Standardized Discharge Huddle on Average Length of Stay in A Health Care System. Poster presentation offered at the American Organization of Nurse
Executive 47th Annual Meeting and Exposition, Trepanier, S., Kimbrough, W., Grillo-Peck,
A.M., & Jenkins, C., Orlando, Florida
March 20, 2014: Wright State Miami Valley College of Nursing Gala Holiday Inn, Fairborn,
Ohio
March 20, 2014 The Science of Nursing, P O’Malley, Wright State Miami Valley College of
Nursing 40th Anniversary Gala. Holiday Inn, Fairborn, Ohio.
April 5, 2014: Reclaiming What’s Lost in Nursing: The Evidence Base for Comfort Care
Outreach, Ohio ONS, P. O’Malley, Columbus, Ohio
April 11, 2014: Journey to Green: A Quest for Chemical Free Products TriHealth Nursing
Excellence Symposium, L. Trefz, A.Brower, Cincinnati, Ohio
May 3-8, 2014: Bioflo PICC Catheter & DVT Infusion Nursing Society Annual Convention, J. Jenkins, A. Patton, Phoenix, AZ
May 23, 2014: Neonatal ECMO International ELSO ECMO Meeting, T. Morrison, Paris, France
June 20, 2014: Traumatic Brain Injury MVH Trauma Symposium, D. Matosky, Springfield
Regional Hospital
July, 2014: Advancing Your System-Wide Strategy: A Case Study: Cross Continuum Care Plans
and Virtual Care, Trepanier, S., The Advisory Board System Chief Nursing Officer Roundtable,
Washington, DC.
September 2014: Innovation: Simple, Clear, and Actionable, Podium presentation offered at
Nursing Leadership Institute, Trepanier, S., Indianapolis, Indiana
September 2014: Creating Value: Accountability and Peer Team Performance, Podium
presentation offered at CNO Solutions, Rich, V., Trepanier, S., Dallas, Texas
2014 Premier Health Nursing Publications
Smith, E. (2014). Analysis of Policy &
Preoperative Patient Instructions on
Removing Body Piercings. (Unpublished
Master’s thesis). Urbana University,
Urbana, Ohio.
Giffen, J. (2014). Leader Rounding: An
Educational Program. (Unpublished
Urbana, Ohio.
O’Malley P. (2014). Technology
Management in Complex Care Settings
and Providing Pediatric Palliative Care in
a Regional Children’s Medical Center In
Foundations of Clinical Nurse Specialist
Practice. Editors, J. Fulton, B. Lyon & K.
Goudreau. 2nd Edition. New York: Springer
Publishing, pp. 331-344 & 417-420.
Heyse, B. (2014). Healthcare Providers’
Attitudes Towards Family Presence During
Resuscitation. (Unpublished Master’s
thesis). Urbana University, Urbana, Ohio.
O’Malley P. (2014). Ketamine - A Returning
Option for Procedural Sedation and
Analgesia in Adults. Clinical Nurse Specialist,
28(1), 15-16.
Ledford, J. (2014). Pain Management Policy
Recommendations for Older Adult Patients
(Unpublished Master’s thesis). Urbana
University, Urbana, Ohio.
O’Malley P. (2014). New oral
anticoagulants: living in the chasm of
significant risk and substantial benefit.
Clinical Nurse Specialist, May-Jun;
28(3),141-3.
Boicourt, J. (2014). Frequent Intervention
Needs of Patients Assessed for Low Risk
for Readmission. (Unpublished Master’s
Lokai, M. (2014). Engagement.
(Unpublished Master’s thesis). Urbana
University, Urbana, Ohio.
Sutter, M. (2014). Identifying Barriers to
Effective Delegation Between Licensed &
Unlicensed Staff. (Unpublished Master’s
Trepanier, S., Gooch, P. (2014). Personal
Branding & Nurse Leader Professional
Image. Nurse Leader, 12(3), 51-57.
Trepanier, S., Hilsenbeck, J. (2014).
A Hospital System Approach at Decreasing
Falls with Injuries and Cost. Nursing
Economic$: The Journal for Health Care
Leaders, 32(3), 135-141.
Scanlan, J. (2014). Are Nurse Managers at
Risk for Compassion Fatigue? (Unpublished
Urbana, Ohio.
2014 Premier Health Poster Presentations
Arends. R., Belcastro. M., Blair, P., Bliss, R.,
Catrine, K., Clayton, A., Fisher, D., Gregory,
D. Pryor, E., Morrison, T., Samiec, T.,
Scanlan, J., Smith, S., Wannemacher, J.,
Wise. M., (2014). Using Qualitative Data to
Improve the Rate of Direct Breastfeeding
in the NICU. Poster Session at the Wright
State University - Miami Valley College
of Nursing and Health 40th and 30th
Anniversary Celebration, Dayton, Ohio.
Barnes, B., Martin, A., O’Malley, P., Thomas,
M. (2014). Nurturing Resilience in the
First Year of Practice. Poster Session at the
Wright State University- Miami Valley
College of Nursing and Health 40th and
30th Anniversary Celebration, Dayton,
Ohio.
Brower, A., Trefz, L. (2014). Journey
to Green: A Quest for Chemical Free
Products. Poster Session at the Wright
Larsen, B., Dwenger, B., O’Malley, P.,
Gmeiner, J., Wale, A., Rawe, C., Temple, K.,
Smith, C., Denlinger, L., Connelly, C. (2014).
End Tidal Carbon Dioxide Monitoring for
Over- sedation Outside the ICU Uncovers
Unanticipated Respiratory Pathology. Poster
Session at the Wright State University
- Miami Valley College of Nursing and
Health 40th and 30th Anniversary
Celebration, Dayton, Ohio.
Trepanier, S., Kimbrough, W., GrilloPeck, A.M., & Jenkins, C. (2014). Impact
of a Standardized Discharge Huddle on
Average Length of Stay in A Health Care
System. Poster presentation offered at the
American Organization of Nurse Executive
47th Annual Meeting and Exposition,
Orlando, Florida
Griffith, C., Bledsoe, R., Brennan, L.,
Gmeiner, J., Hedrick, K., Heyd, J., Jenkins,
T., Kershner, T., Koesters, C., O’Malley, P.,
South, K., Weisenberger, K., Zink, K. (2014).
Family Presence during CPR: Evidence from
the Bedside. Poster Session at the Wright
Trepanier, S., Kimbrough, W., Grillo-Peck,
A., Wilkins, P., Jenkins, C. (2014). Impact
of a Standardized Discharge Huddle on
Average Length of Stay in a Health Care
System. Poster Session at the Wright
2014 Nurse Recognition Honorees
Nursing Recognition Award
Clinical Practice
Lisa Brown
Heather Pfenning
Education
Donna Chupka
Sally Dixon
Edith Porter
Heather Combs
Miami Valley Hospital
Julie Elzey
Jenifer Schondelmyer
Deb Connett
Performance Improvement
Brenda Bodenmiller
Zeoffry Galloway
Sara Schulze
Laura Stueve
Tim Hall
Norma Stetter
Sarah Kahlig
Linda Strawser
Upper Valley Medical Center
Christine Lawson
Good Samaritan Hospital
Miranda Liming
Anne McClure
Kathy Monnin
Beverly Tate
Nicole Wilhelm
Janet Wilson
Elisabeth Zimmerman
Andrea Moreno
System Support
Lori Conner
Leadership
Elizabeth Hamilton
Taulinah Knox
Heidi Karle
Rookie of the Year
Seth Brinkman
Jessica Ledford
LaToya Masterson
Michelle Seacatt
Emily Townsend
Nursing Research
Leadership
Pat O’Malley
Kali DuChemin
Annelise Schultz
Amanda Siebert
Keriann Wyckoff
Cameos of Caring Award
Partners in Practice Award
Kim Butana
Stephanie Rank
Richard Arends
Jim Held
Christa Duff
May Withers
Mike Barhorst
Julie Koogler
Lester Cunningham
Lauren Nolasco
Amanda Drake
Hannah Sparks
Kyle Grogan
April Thompson
Teresa O’Connell
Lifetime Achievement Award
Janie Cullis
System Support
2222 Philadelphia Drive
Dayton, Ohio 45406
(937) 734-2612
goodsamdayton.org
PIQUA
Hospital
TROY
Emergency Center
HYATT CENTER
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Coming 2015
ENGLEWOOD
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One Wyoming Street
Dayton, Ohio 45409
(937) 208-8000
miamivalleyhospital.org
One Medical Center Drive
Middletown, OH 45005
(513) 424-2111
atriummedcenter.org
3130 N. County Road 25A
Troy, OH 45373
(937) 440-4000
uvmc.com
Miami Valley Hospital South
2400 Miami Valley Drive
Centerville, OH 45459
(937) 438-2400
miamivalleyhospital.org
GOOD SAMARITAN NORTH
HEALTH CENTER
GOOD SAMARITAN HEALTH
CENTER – HUBER HEIGHTS
4
127
DAYTON
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JAMESTOWN
675
75
42
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CENTERVILLE
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ATRIUM HEALTH CENTER
TRENTON
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MIDDLETOWN
48
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Premier Health Mission Statement
To build healthier communities with others who share our commitment to
provide high-quality, cost-competitive health care services.
The Magnet Recognition Program® of the American Nurses Credentialing Center (ANCC) recognizes
health care organizations that demonstrate excellence in nursing practice and adherence to national
standards for the organization and delivery of nursing services. Research shows that Magnet
hospitals consistently outperform other facilities in recruiting and retaining quality nurses.
premierhealth.com
P-C-COM50787

Nursing Annual Report 2014

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