Read Now - Sentara
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Read Now - Sentara
Martha Jefferson magazıne S P R I N G 2 015 Creature Comforts Complementary Therapies Benefit Patients, Visitors and Staff PLUS: New Approach to Hip Replacement Provides Quicker Recovery 3-D Mammography: Is it for You? | Meet Martha Jefferson’s New President { PRESIDENT’S LETTER } Martha Jefferson Magazine, established February 2006, is a publication of Martha Jefferson Hospital, a member of Sentara. Questions or comments regarding any material in this publication should be directed to the Office of Public Relations, 500 Martha Jefferson Drive, Charlottesville, VA 22911. MARTHA JEFFERSON HOSPITAL PRESIDENT Jonathan Davis, FACHE Editors Michael Cordell Jenn Downs Contributors Diane DiCarlo Karen Doss Bowman Looking Forward to the Journey Ahead N ow that I am officially just over one month into my time as president of Martha Jefferson Hospital, I want to start by saying thank you. To those of you I have met, and to the greater community, I truly appreciate your making my family and me feel immediately welcomed to Charlottesville and to the Martha Jefferson family. I am excited for this next chapter! I have been spending the past several weeks meeting employees, donors and community members, and I have very much enjoyed listening to and learning from those who have helped make Martha Jefferson the wonderful community hospital it is today. It’s clear to me that Martha Jefferson is a true community gem and is treasured by many. Like many of you, I was personally drawn to Martha Jefferson because of the Caring Tradition, and its cultural values have been front and center in every interaction I’ve had. The idea of the Photography Caring Tradition resonates with both my personal and professional values and beliefs, and with the Luca DiCecco Andrew Shurtleff idea that what’s most important on any given day is taking care of our patients the best we can and Design Picante Creative ensuring their safety while under our watch. Martha Jefferson has a rich history, and many things of which to be proud. Moving forward, though, in this ever-changing healthcare industry, we have many exciting opportunities and challenges ahead. While we already have wonderful outcomes and provide top-notch care, I believe If you do not wish to receive further fundraising communications from Martha Jefferson, you may opt out of receiving these materials by contacting the Foundation by phone at (434) 654-8258 or (800) 633-6353; by email at [email protected]; or by writing to the Martha Jefferson Hospital Foundation, 500 Martha Jefferson Drive, Charlottesville, VA 22911. w If you wish to opt out and then later wish to opt back in to receiving fundraising communications, please contact us at the phone, email or address above. we would be remiss if we didn’t keep a sharp focus on how we can continue to improve. I look forward to finding ways to continue to take our services to the next level, and provide extraordinary care and outcomes. Additionally, I believe that growth is in our future. I look forward to expanding our scope of services to be able to care for more people in the greater Charlottesville area and surrounding communities. And finally, as health needs change, I firmly believe we must continue to enhance our offerings, making sure we are meeting the needs of the community. In closing, I look forward to meeting many of you in the weeks and months to come. Thank you for your loyalty to Martha Jefferson—I cherish your commitment and hope you remain connected and engaged with your hospital. Additionally, thank you for holding Martha Jefferson to such a high standard of excellence. It’s my goal to stay the course and remain best in class in providing the greater Charlottesville community with the care it deserves. And last, but certainly not least, should we cross paths, please feel free to introduce yourself and help me continue to get acquainted with the community. I’m thrilled to be here, and I look forward to all that is to come. r inne of Jonathan Davis, FACHE President, Martha Jefferson Hospital CONTENTS s p r i n g 2 0 15 39 features 13 Creature Comforts Complementary Therapies Benefit Patients, Visitors and Staff 30 A New ‘Approach’ to Hip Replacement Muscle-Sparing Technique Offers Patients Outstanding Outcomes 34 3-D Technology Gives Doctors a New View Tomosynthesis Provides Additional Option for Annual Mammograms 32 Calendar Pull-Out spring 2015 | www.marthajefferson.org | Martha Jefferson | 1 CONTENTS s p r i n g 2 0 15 10 departments { PRESIDENT’S LETTER } Inside Cover { THE BEST MEDICINE } Best Care Anywhere { PRAISEWORTHY } 3 4 5 { CAREGIVERS } 6 { NEW FACES } Jonathan Davis Embraces New Role as President { THE CARING TRADITION } The Rose Lady { CLINICAL EXCELLENCE } 10 18 Light at the End of the Tunnel { HEALTH & WELLNESS } 21 Fact or Fiction? Health Myths and the Truth About What to Believe { EAT WELL, LIVE WELL } 24 18 21 Moving Away From Meat { COMMUNITY } 27 New Peterson Health Center Improves Access to Primary Care { PHILANTHROPY } 40 Philanthropy’s Goal: To Support the Caring Tradition { BOARD PERSPECTIVE } 64 27 Of Mammas, Curves and More 2 | Martha Jefferson | www.marthajefferson.org | spring 2015 40 { THE BEST MEDICINE } I Best Care Anywhere BY MICHAEL CORDELL ’m always a little suspicious when I walk into a business with a “We Care” sign posted somewhere. The sign is often a large piece of paper that is torn in a couple of places and haphazardly taped or thumbtacked to a wall. And it may be smudged. And oftentimes it’s not even level. I’m skeptical because I figure if a business has to put a sign up that tells me they care, they’re likely doing so because they’re not confident I’ll be able to tell from the service I receive. Spoiler alert: I’m not going to think you care because I read your sign—I’ll think you care if, while doing business with you, I can tell you care. Or if you give me cookies. Some businesses may feel they need to put up the sign to remind their employees: “Don’t forget … you care!” But I don’t think caring works in quite the same way as reminding employees to wash their hands after using the restroom. You don’t care because a sign tells you to—you care because you care. Although I do hope the restroom sign works. If only life were as easy as proper signage. I would put up a sign in my office that says, “I’m productive!” so that when my boss stops by, he’ll be reassured that I’m actually doing something. I’d put a bumper sticker on my car that says, “I don’t speed,” to help ensure I never get a traffic ticket. Obviously there could also be significant downsides to this as well: for example, when I’m out with my wife and she wears her “I’m With Stupid” T-shirt. The topic of caring is important because the foundation of Martha Jefferson Hospital is its Caring Tradition. It’s at the core of everything we do. But you won’t see signs in our hospital saying, “We Care.” Instead, you will see our commitment to caring in the things we do. Included in this issue of Martha Jefferson magazine are just a few examples of our Caring Tradition: warm touches like therapy dogs making the rounds at Martha Jefferson, musicians playing the piano or the harp to comfort patients, and a cancer survivor delivering roses for patients undergoing chemotherapy. The Caring Tradition also shines through in efforts like those of the experienced physician helping patients by alleviating the pain associated with carpal tunnel syndrome, and in Martha Jefferson’s commitment to developing top-notch caregivers through the Institute for Nursing Excellence. The examples of true caring at the hospital go on and on. Martha Jefferson’s Caring Tradition is well known, but sometimes people narrowly define it as the way in which patients and family members are treated by our hospital’s staff. The community knows they’ll receive warmth and compassion from the people with whom they interact here, and while that is obviously an integral way in which we care, it’s just a part of the picture. Our Caring Tradition doesn’t just mean treating everyone as individuals and with respect. It also means having a medical staff trained at some of the country’s leading medical schools. It means state-of-the-art technology to ensure the most comprehensive and current treatment resources available anywhere. It’s an obsession with safety and outcomes. It’s providing private patient rooms and a setting designed for your comfort and well-being. Above all, the Caring Tradition is about ensuring that you receive the best medical care possible. Not just the friendliest, or the warmest, or the most compassionate—the best medical care possible. Jim Haden, Martha Jefferson Hospital’s recently retired president, did a great job of helping to ensure that the Caring Tradition remained at the core of everything we do. He helped make it a part of our DNA. And the first thing Martha Jefferson’s new president, Jonathan Davis, said when he spoke to our leadership team was that it was our Caring Tradition that attracted him to this job. It’s also obvious that Jonathan understands that caring involves not just treating people like we’d want our family members to be treated, but also includes attributes such as top-in-their-field physicians, cutting-edge technology, and an unparalleled commitment to safety and quality outcomes. It’s not a small thing. It’s not a simple thing. And it’s definitely not a sign. It’s who we are.. spring 2015 | www.marthajefferson.org | Martha Jefferson | 3 { PRAISEWORTHY } Letters W e are proud to print the following excerpts of letters received from patients regarding recent healthcare experiences at Martha Jefferson Hospital. These letters remain anonymous, as Martha Jefferson takes great strides to protect the privacy of community members. It is with great pride and pleasure that I write this letter. Having recently been seen at Martha Jefferson Hospital for both diagnostic and treatment procedures, I wish to share my thoughts and experiences. From the moment my “driver” met us at our car with my wheeled “chariot,” the caring began. Smiling volunteers greeted me at the information desk as stunning mountain views radiated through the lobby windows. Soft music, impressive artwork and soothing colors completed the scene. Following preliminary testing in both the imaging and X-ray departments, it was determined that I had pseudogout, which had decided to settle most uncomfortably in my hip joint. Dr. Hall, my orthopedic surgeon, consequently told my husband it was only the second such case he had seen in his 12 years of practice. Following an aspiration procedure and a review of the lab results, Dr. Hall’s original diagnosis was confirmed. I was scheduled for a steroid injection a few days later. Because of the superior care I had received during the aspiration procedure, I requested (if possible) the same team to do the steroid injection. Their professionalism and efficiency through both procedures was top-notch. It is with pride in our community hospital and its many caring professionals and staff that we say a sincere “thank you!” If I were to design a logo for the hospital, it would be a pair of open hands holding the letters “MJH.” Underneath would be the words “We Care,” because you obviously do, and it feels terrific! — December 2014 If you have ever wondered whether the recent investments in the construction of the new hospital and supporting medical complexes have been in vain, allow me to dissuade you of that notion. It is one thing to build a beautiful piece of architecture, but it is another to fill it with functional competence in the manner that has occurred on your hilltop. I entered the hospital outpatient surgery unit for a cholecystectomy in the care of Dr. John Carl. At the end of the day, I was not able to leave the hospital because of a complication and was admitted overnight. This was an unexpected turn of events and could have been extremely anxiety-provoking, were it not for the smooth competence of my surgeon and especially the nurses of the outpatient surgery unit. In relatively short order, I was admitted and found that the same atmosphere of competence, courtesy and professionalism continued through the nursing staff of the inpatient unit. As a registered nurse (retired), I had been having the bad feeling that the professions of caring for patients had been deteriorating to a very impersonal level, governed by cost-benefit thinking and protocols. My faith in the healing professions of medicine, surgery and nursing has been greatly restored by this experience and several other interactions with your wonderful practitioners on earlier occasions in other departments. — November 2014 The labor and delivery team and our entire experience at Martha Jefferson Hospital was wonderful. A+ to the floor and everyone we encountered in the hospital. Great, great hospital! The building is very nice, but it was the people that made it so wonderful. — November 2014 @ 4 Facebook Feedback Much appreciation to all the ladies and Dr. John Jones for volunteering their time today for women’s breast health screenings, as well as everyone at the front desk; reception in radiology; Joyce in registration; Ms. Napier the nurse practitioner; Heidi; Mary Beth; and everyone giving out gowns, bags and food. Thank you all so very much. I can certainly vouch for how blessed we are to have the skilled doctors and nursing staff at Martha Jefferson Hospital in our community. After being in the hospital since Saturday, today I had surgery performed by Dr. Edwards in orthopedics. My hospitalist on the cardiac unit, Will Knight, was simply incredible! I am 60, and six months out from hip replacement surgery. I’m a new guy. The Martha Jefferson replacement unit was fantastic. Dr. Schildwachter is a very skilled surgeon. Thanks. Only wish I could have done this years ago. “LIKE” MARTHA JEFFERSON ON FACEBOOK and get updates and insights on the latest health news, treatments and technologies at our new hospital. Have an experience at Martha Jefferson you would like to share? Email your thoughts to [email protected]. | Martha Jefferson | www.marthajefferson.org | spring 2015 { NEW FACES } Awards Martha Jefferson is pleased to welcome the following new providers to the hospital community. Elizabeth Casner, M.D. Emergency Medicine Piedmont Emergency Consultants Dr. John Ligush Recognized With Quality Award Congratulations to Dr. John Ligush, recipient of the 2014 Arthur Bender Quality Award. The recognition is given annually to a physician on the medical staff of Martha Jefferson Hospital who has given outstanding service to our community by improving the quality of care we provide to our patients. Dr. Ligush, thank you for all your hard work! Martha Jefferson Shares a Caring Embrace with 1,000 People Medical School: University of Colorado Health Sciences (Aurora, Colorado) Residency: Carolinas Medical Center (Charlotte, North Carolina) Allegra Deucher, M.D. Obstetrics & Gynecology OBGYN Associates The Caring Embrace Knitting Circle at Martha Jefferson Hospital has reached a milestone, with the distribution of 1,000 shawls to patients in need of a little extra comfort. Started in 2010, the knitting circle brings together volunteers, staff members and community members to knit shawls that are distributed to people in need of extra support. Inpatients who need a special caring touch, family members struggling with worry, and cancer patients have all been recipients of this special symbol of our Caring Tradition. The group meets once a week, and knitters of all ability levels are encouraged to attend. Since its beginning, more than 100 knitters have contributed their time and talents to making shawls through Caring Embrace. For information on getting involved with the program, please contact Marsha Taylor at 434-654-8401. Medical School: University of Virginia (Charlottesville, Virginia) Residency: Beth Israel Deaconess Medical Center (Boston, Massachusetts) Natalie Kretzer, P.A. Inpatient Medicine Martha Jefferson Inpatient Services P.A. School: Duke University (Durham, North Carolina) Evan Pryse, N.P. Emergency Medicine Piedmont Emergency Consultants Master of Nursing Degree: University of Hawaii (Honolulu, Hawaii) To get connected with one of our providers, or for more information on any caregiver at Martha Jefferson, please call Health Connection at 434-654-7009 or 1-888-652-6663. spring 2015 | www.marthajefferson.org | Martha Jefferson | 5 { CAREGIVERS } Jonathan Davis 6 | Martha Jefferson | www.marthajefferson.org | spring 2015 Welcome to Martha Jefferson! Jonathan Davis Embraces New Role as Hospital President T here’s a new face taking the lead at Martha Jefferson. In January, the hospital welcomed its new president, Jonathan Davis, who is taking over the helm following the retirement of longtime president Jim Haden. Excited to be part of the team, Davis believes he’s at the beginning of a wonderful journey. But what exactly drew him to Charlottesville? And why Martha Jefferson? The following will hopefully allow you to start to get to know Davis a little better, and also learn about his plans for Martha Jefferson in the months and years to come. Why Martha Jefferson? As Davis has been going through orientation and begun meeting Martha Jefferson staff and community members, one of the more frequent questions he has received is: “Why Martha Jefferson?” For Davis, the answer is easy: Delivering compassionate care is his spring 2015 | www.marthajefferson.org | Martha Jefferson | 7 { CAREGIVERS } number-one priority, and Martha Jefferson is a place where patient-centered care is front and center. When he began his healthcare career, Davis made a pact with himself that he would only work for faith-based institutions—typically known for their warm, comforting care. When he heard about the opportunity at Martha Jefferson and began to learn about the Caring Tradition, however, his interest was piqued. “The Caring Tradition culture that runs through the entire Martha Jefferson organization is something that can’t be matched or mimicked at any other institution,” says Davis. “As I felt the spirit of the Caring Tradition throughout the hospital, I realized there was a personal connection, and that’s really at the root of what drew me to Martha Jefferson. The belief that each and every patient should be treated as an individual, and that compassionate care is who we are and what we do day in and day out, is such a powerful message and something I wanted to be part of.” Another draw to Martha Jefferson for Davis was the fact that the hospital is part of Sentara, a 12-hospital, not-for-profit healthcare system. “When you combine the great culture that currently exists at Martha Jefferson with the knowledge and best practices surrounding clinical quality and outcomes that a larger system can provide, you truly have a winning combination,” notes Davis. “Sentara is a recognized leader across the country when it comes to patient safety and quality, and as we continue to integrate as a system, I look forward to working as one to further improve upon the excellent care we already deliver.” Planning for a Bright Future Looking ahead to the future of Martha Jefferson, Davis is excited about the opportunity to engage with employees, members of the medical staff and the Charlottesville community in a journey to define and deliver best-in-class care to each and every patient who walks through the hospital’s doors. Following the strategic plans the organization has defined, Davis says growth will be an area of focus right away. “We’re going to be looking at how we can extend our footprint in the greater Charlottesville area to make sure there are access points for people in need of care,” explains Davis. “Being there for our patients is most important, and we want to make sure we are providing excellent service and best-inclass outcomes, and truly meeting the needs of the community.” 8 | Martha Jefferson | www.marthajefferson.org A Healthcare History While Jonathan Davis may be a new face at Martha Jefferson, he’s no stranger to health care. Davis earned a Bachelor of Science degree in physiology from Arkansas State University, a master’s in physiology from Northern Arizona University and a master’s in public healthcare administration from Tulane University. Additionally, he is a fellow of the American College of Healthcare Executives. Davis began his career in patient care in the early ’90s and progressed through middle management to three different president and CEO appointments at hospitals ranging in size from 25 beds to 300 beds, with revenues up to $260 million. Two of the hospitals Davis worked at are part of two of the largest faith-based health systems in the United States (Ascension Health and Catholic Health Initiatives). Most recently, before coming to Martha Jefferson, Davis served as president of Methodist Charlton Medical Center in Dallas, Texas, working with a team at Methodist Health System that doubled net revenue to $1.2 billion over seven years. During Davis’ five-year tenure, the hospital served five city rescue squads, treated 87,000 emergency room patients, grew to provide robotic surgery and cardiothoracic surgery, opened a new 128-bed tower, and added a 69-bed long-term care unit. And the Answer Is … ? Jonathan and his wife, Janet, along with their son, Andrew, and daughter, Sydney. Davis also notes that he plans to identify current services at Martha Jefferson that can be enhanced, as well as new services to enable the hospital to keep up with the community’s needs in the decades to come. In order to get to know Jonathan Davis a bit better and get a snapshot of his life outside of work, we asked him to answer the following questions. During the Off-Hours Q: What’s your favorite movie? A: “The Shawshank Redemption” Although Davis has been busy getting acquainted with Martha Jefferson, getting his family settled has been a major priority for him as well. Jonathan and his wife, Janet, along with their two children, Andrew (7) and Sydney (5), couldn’t be more thankful for the warm welcome they have received from the Charlottesville community. “Charlottesville is already presenting itself as a wonderful place to raise our children,” notes Davis. “We are happy with the schools here, and also all of the history and culture the Central Virginia area has to offer.” The Davis family has already made several trips to Wintergreen to go snow tubing and spend some time on the slopes, and they look forward to exploring the area more as spring arrives. When he’s not spending time with his family, Davis enjoys trail running and the great outdoors. Although he mostly runs for relaxation and enjoyment now, he has completed four Iron Man competitions, as well as a 100-mile mountain bike race in the mountains of Colorado. Q: If you could only eat one meal for the rest of your life, what would it be? A: Great pizza at local restaurants Q: What’s your favorite color? A: Blue Q: What’s your dream vacation? A: Going to the beach with immediate and extended family Q: Whom would you choose to play you in a movie about your life? A: Jimmy Fallon Q: What’s your favorite sport? A: Anything outdoors Q: How would your friends describe you? A: Athletic and hardworking Q: Describe your perfect day. A: Being with my family for an active day outdoors Sundaes to Celebrate! As a way to welcome Jonathan Davis to Martha Jefferson and allow staff the opportunity to meet him in person, an ice cream social was held in his honor, with all staff invited to attend. Hundreds of employees came out to show their support for Davis and enjoy a sweet treat. 9 { THE CARING TRADITION } The ROSE Lady Cancer Survivor Says it With Flowers A s a cancer survivor, Annie Dodd understands firsthand the physical and mental challenges of fighting the disease. In order to help others facing the same battle, and in gratitude for the kindness shown to her by doctors, nurses and other staff members during treatment at Martha Jefferson’s Phillips Cancer Center, Dodd established Floral Blessings. Through this program, Dodd delivers roses one day each month for nurses and staff to give to patients undergoing chemotherapy or radiation treatments. 10 | Martha Jefferson | www.marthajefferson.org | spring 2015 Sharing Medical Equipment, Helping Those in Need D “I believe 100 percent that flowers are a special gift to give,” says Dodd, a former floral designer. “They brighten a person’s day—no matter what kind of day they’re having. I wanted to share something that would help people smile when they’re going through challenging times. And in my heart, I believe that flowers will make someone smile, even on their worst days.” Dodd knows how difficult it can be to muster a smile during the hard times. Her diagnosis of colorectal cancer came in July 2013, just two months after her mother’s death. On the day of her first radiation treatment, Dodd was determined to keep a positive attitude. She asked a radiation technician to take a “thumbs-up” picture of herself to send to her uncle in California, just to let him know she’d be okay. The next day, when she realized she still had the camera in her purse, Dodd asked another technician to take her picture again. She ended up having a picture taken on each of her 25 days of treatment and later compiled the collection into a memory book. “It was something to take my mind off the treatments when I walked through the door,” explains Dodd. “It was something to pull my focus away. And when you get your picture taken, you spring 2015 uring the final years of her life, Peggy Shorter Woodson suffered the devastating effects of post-polio syndrome. After Woodson’s death in spring 2013, her daughter and son-in-law, Annie and Douglas Dodd, were overwhelmed by the task of trying to figure out what to do with the medical supplies and equipment that were left. The couple quickly learned that although some smaller items were easy to get rid of, larger equipment such as power chairs, patient lifts and hospital beds were difficult to find homes for or to donate to senior communities or donation centers because of limited storage space. The Dodds also knew that there were many people in the community who could use such items but would be unable to attain them on their own because of financial difficulties, insurance limitations or lack of awareness. “As an occupational therapist, I know how important the right medical equipment can be to improving an individual’s safety and well-being,” says Annie, a cancer survivor. “After much research, I found there is a tremendous need for used medical equipment in our community, but there isn’t an organized way of matching individuals in need with donors.” To help meet that need, the Dodds established Recycled Blessings, a program of their nonprofit organization, All Blessings Flow. The program collects, recycles and distributes donated, used medical equipment by partnering with local churches, senior organizations, social workers, neighbors and friends. While the Recycled Blessings program currently operates out of a storage unit, the Dodds hope eventually to have a location and regular operating hours, to make it more convenient for people to drop off or pick up equipment. “We’ve been truly blessed ourselves,” Annie says. “For those who are struggling, this program can be such a blessing. If I can just find the equipment out there that’s not being used and recycle it to someone in need, then everyone will be blessed.” | www.marthajefferson.org | Martha Jefferson | 11 A volunteer in the Cancer Center delivers a rose to a patient undergoing treatment. have to smile. My thought is that you’ve got to smile through the difficult times to get through them.” Before each bunch of Floral Blessings roses is delivered, Dodd prays over them, asking “for God’s blessings to flow to all who touch each flower,” she says. She also wrote a short poem of encouragement (see sidebar), which has been printed onto bookmarks and is presented to each person who receives a rose. In addition to radiation treatments and chemotherapy, Dodd underwent three surgeries during her battle with cancer. She is grateful to Martha Jefferson’s doctors, nurses and other staff members, who were compassionate and responsive to her needs. “The experience at Martha Jefferson was fantastic,” says Dodd, an occupational therapist working on an as-needed basis. “Everyone was extremely loving and caring. Radiation was quite painful for me, but I could call the nurses anytime. They were there to talk to me and were helpful with everything.” The first time Dodd sent flowers to the Phillips Cancer Center, she meant to do it just that one time. But she began getting thank-you notes from grateful patients after the delivery and felt that God was calling her to continue the gesture. One patient addressed a thank-you note to her as “Dear Rose Lady,” expressing how receiving the flower gave her comfort and reminded her that she was not alone in her cancer journey. “This person referred to a ‘society of sisters’ and how comforted she was to know that other people were praying for her,” Dodd says. “I thought that was extremely touching. That note convinced me that I needed to keep doing this.” 12 | Martha Jefferson | www.marthajefferson.org | spring 2015 Annie’s Prayer for Cancer Survivors The following blessing is printed on a bookmark and presented along with a single long-stemmed rose to patients undergoing radiation treatments and chemotherapy: I said a prayer today for a blessing On this beautiful flower That it may bring you a reminder Of God’s grace and His wonderful power To feel His love and His presence In every minute and every hour As you fight this battle, you are not alone … May you feel the love that is given Through this precious flower With Love and a Prayer, From a friend and fellow warrior In the fight against cancer Creature COMFORTS Martha Jefferson Provides Complementary Therapies to Benefit Patients, Visitors and Staff spring 2015 | www.marthajefferson.org | Martha Jefferson | 13 F or many of us, there is something undeniably comforting about coming home after a long day and being greeted enthusiastically by a furry, four-legged friend. For others, music—classical, jazz, pop or any other genre—feeds the soul and distracts from everyday worries. “To see that expression and know that you can bring some joy to these people, it’s just amazing.” 14 | Martha Jefferson | www.marthajefferson.org | spring 2015 Dante Walker In fact, there are many ways to help alleviate stress at home—but what about when you’re away from home? What about when, for example, you’re in the hospital? Few places cause more anxiety than a hospital—any hospital. Just hearing the word makes many people nervous, causing them to think of tests or surgery they may require, or perhaps reminding them of the last time they visited an ailing loved one. Yet, a hospital is meant to be a place of healing, and at Martha Jefferson Hospital caregivers want patients to feel comforted and cared for, both in body and mind. The hospital itself, of course, has been designed to provide a more soothing environment for healing, but to further supplement the quality medical care provided by doctors and staff, Martha Jefferson also offers a number of complementary therapies. As you walk the halls and enjoy art displays designed to comfort, you will often hear live music coming from the piano in the hospital lobby, or from the roving harp players. You may also get a glimpse of Dusty, Triscuit or Bagel, three of the therapy dogs who come in to soothe our patients and provide our staff with a welcome break from the hustle and bustle of their daily responsibilities. “At Martha Jefferson, we offer many complementary therapies to help reduce patients’ and visitors’ anxiety while they are here,” notes Martha Hunter, director of patient relations. “For some, the art provides something to focus on while they are waiting. Seated massage helps oth- ers relax while they are going through chemotherapy. The list goes on, but the goal is the same: to help people feel better.” Comfort From Furry Friends It’s no secret that many people love their pets like family. And in fact, research has demonstrated that pets can have enormous health benefits for people. Some studies have shown that pets can lower a person’s blood pressure and improve recovery from heart disease. Another study demonstrated that patients who spent a short amount of time with a dog before an upcoming procedure experienced a 37 percent reduction in anxiety levels. The real evidence comes, however, from firsthand experience. “I’ve seen patients who were not able to communicate at all suddenly start to smile when they had one of the dogs next to them,” says Carol Easter, a volunteer who brings her dogs Triscuit and Bagel to visit patients at least once a week. “To see that expression and know that you can bring some joy to these people, it’s just amazing.” Various generous volunteers and their dogs make the rounds nearly every day at Martha Jefferson, visiting the infusion center, radiation oncology, the intensive care unit and patient rooms. spring 2015 | www.marthajefferson.org | Martha Jefferson | 15 “Music is such a part of people’s everyday lives; it just makes sense that it would make them feel better here.” Music to Soothe the Soul Calling All Art Aficionados Docent-led art tours are available at Martha Jefferson Hospital twice a week: Tuesdays, 10-11 a.m., and Thursdays, 1:30-2:30 p.m. Tour groups meet at the Concierge Desk in the main lobby of Martha Jefferson Hospital. Please call 434-654-7009 for a reservation. 16 “The only place we’re not allowed to visit is the cafeteria,” notes John Williams, another volunteer who brings his 11-year-old golden retriever, Dusty, to visit the hospital at least once a week. “But we will visit everywhere in the hospital we can.” Patients and visitors have responded well to these visits. “Some people burst into tears of joy,” remarks Easter. “Even some cat people will come in for a pat,” adds Williams. Many staff members also make a point of stopping for a visit with the therapy dogs as they pass by, or during a break. “The staff has been wonderful to us and to our dogs,” says Easter. “They seem genuinely happy to see us, and the dogs get lots of love from all of them. Sometimes they even have biscuits for them.” Williams agrees, adding: “You really need staff support for something like this, and we have had really nice response from them.” In addition, as Martha Jefferson now offers only private rooms, if patients have been in the hospital for a few days, they can request to have their own pet come in for a visit from home. “Pets are family members to so many people, and our patients who are here for an extended period of time tend to miss their four-legged friends,” says Hunter. “It’s wonderful to be able to let them spend time with their furry companions—it really raises their spirits.” | Martha Jefferson | www.marthajefferson.org | spring 2015 The simple act of listening to music has for centuries been known to be able to influence one’s mood. Slow, quiet music can be very relaxing and meditative. Fasterpaced music can be uplifting. Most music, in fact, can be helpful as a stress-management tool—a welcome distraction from other cares and even pain, helping to ease emotional and physical distress. Since its donation in 2001 to Martha Jefferson by a grateful family, a baby grand piano has been sitting in the hospital’s main lobby. Throughout the course of a typical week at Martha Jefferson, a number of volunteers will come through to play the piano for the enjoyment of patients, visitors and staff. Among those volunteers is 11-year-old Dante Walker, who comes in every Wednesday afternoon to play a variety of music, from classical to jazz to rock. “I get requests for Beethoven and Mozart or Stevie Wonder and John Lennon,” Walker says. “I like sharing with other people and making them feel something.” Walker has been playing the piano since he was five, according to his mother, Nikuyah, who says Dante has been well received by patients, visitors and employees of the hospital. “The doctors and nurses come by and tell him how great he’s doing, and that he’s making their shift easier,” she says. “If he misses a day, they’ll ask where he was. Volunteers come and bring their spouses. It’s gratifying.” John Garland, a math teacher at Albemarle High School and a local wedding disc jockey, also comes to share the gift of piano music with Martha Jefferson’s visitors. “I was born and raised here in Charlottesville,” says Garland, “and I’ve always been a big believer in giving back to the community where I was raised. My three daughters were born at Martha Jefferson, and it’s a real gift to me to be able to do something for the hospital where my daughters were born.” When visitors listen to Garland play, they won’t hear classical music, but they will hear the classics. “I play at a more lively pace—Jerry Lee Lewis, Billy Joel. I like to keep things more upbeat,” he adds. “It’s funny; I get the best reaction from little kids, because we’re near the maternity unit. They often ask for Disney tunes. But all kinds of people will stop and listen.” Garland agrees that staff members are some of the biggest fans of his music. “It is a great honor to have doctors and nurses spend their well-earned breaks listening to me play,” he says. “I am just so glad I get to have a place to come Paws for a Pat While patients and visitors are the primary recipients of Martha Jefferson’s complementary therapies, the hospital staff often benefits from them as well. Staff members can request a small gift for their colleagues and often spend their breaks enjoying the music in the halls or stopping for a quick pat with one of the hospital’s therapy dogs. “We noticed that employees were enjoying seeing the therapy dogs as much as the patients were,” says Suzanne Smith, chaplain. “Whenever a pet comes in to visit with patients, the staff tries to find time for a pat because it brightens their day, so we decided we would offer time with the therapy dogs especially for staff.” From this idea was born “Paws for a Pat,” an event during which staff members could take a moment to enjoy the dogs’ company. Volunteers and their therapy dogs came for the event one day in December 2014 around lunchtime, and mats were set up on the floor so participants could sit with a dog in their lap, if they so desired. “We had a steady stream of employees coming by, and they were just overjoyed,” recalls Smith. “They were so appreciative that this special gift of the volunteers’ time was just for them. We know that therapy dogs lower stress levels in hospitals, and it really did make the staff who came by smile and feel good.” The response was so overwhelmingly positive that, Smith says, the Martha Jefferson plans on holding the event every other month in the future. play, give back to my community and just have a blast!” Music can be heard in patient areas of the hospital as well, thanks to volunteers who come in to play the harp in the cancer center or in patient rooms, as requested. “It is beautiful, soothing music that helps people relax during chemo treatments and brings joy to patients recovering in their rooms,” says Hunter. “Music is such a part of people’s everyday lives; it just makes sense that it would make them feel better here.” The Art of Caregiving For many years, first at the outpatient care center and later in the hospital itself, Martha Jefferson has included art as a part of the healing process and in the design of its facilities—and for good reason. Carefully considered art programs in healthcare environments have been shown to result in shorter hospital stays, fewer needed medications and lower readmission rates for patients. At Martha Jefferson, Hunter has worked with an art consultant to develop a collection of original artworks and to place each piece in the location where it would have the greatest impact. “In a waiting room, you will see a piece that is a bit more thoughtful and abstract, so that your mind can ponder the art rather than worry about the procedure you are waiting on,” notes Hunter. “On the other hand, in a treatment area the art is more straightforward. In the birthing rooms, for example, we chose images of local gardens.” Healing Through the Comforts of Home The overall impact of all of these complementary therapies is a more comforting experience during one’s hospital stay. And to reinforce these efforts, Hunter notes that the hospital provides some little, homey touches. “Through the efforts of the Patient Experience Council and the generous support of our community, we recently started providing homemade banana bread for our inpatients,” she says, “and our staff can send a card or small gift to patients who don’t have family, or to other staff members who may need a little pick-me-up.” It’s all a part of the Caring Tradition Martha Jefferson is known for, she adds. And while there is no place like home, the hospital staff wants you to feel as comfortable as possible while you’re visiting. “It’s a part of our healing environment,” says Hunter. “We want to be able to offer things to reduce anxiety—to make our patients’ experience as homelike as it can be.” www.marthajefferson.org | Martha Jefferson | 17 { CLINICAL EXCELLENCE } Light at the End of theTUNNEL Effective Treatments Now Available for Sufferers of Carpal Tunnel Syndrome N umbness or tingling in your hand and wrist. Sharp, piercing pain shooting up from your wrist to your arm. Muscle weakening in the base of your thumb. 18 | Martha Jefferson | www.marthajefferson.org | spring 2015 These are some of the most common symptoms of carpal tunnel syndrome (CTS). It’s uncomfortable, often painful, but absolutely treatable, according to Steve Hoover, M.D., hand and wrist surgeon at Martha Jefferson Orthopaedics. What is Carpal Tunnel Syndrome? “Carpal tunnel syndrome occurs as a result of a compression or irritation of the median nerve as it runs through the carpal tunnel in the wrist,” explains Dr. Hoover.“The carpal tunnel is an anatomic area with bones on three sides and a ligament forming the roof.The nerve and the flexor tendons to the fingers run through it, and the area can become compressed.” Symptoms usually begin gradually, sometimes with a burning, tingling or itching numbness in the palm of the hand or the fingers. “There is a wide spectrum in terms of which symptoms are most prominent in different patients,” adds Dr. Hoover. Symptoms often appear during the night, although as the condition worsens, people with CTS may begin to feel symptoms during the day as well. Grip strength may decline, making it difficult to form a fist or grasp small objects. As to what causes CTS, in the past researchers focused a good deal on repetitive and forceful movements of the hand and wrist, such as typing or working on an assembly line, but there has been little clinical data to prove that hypothesis. So what does cause CTS? “Some medical conditions predispose people to having carpal tunnel syndrome,” says Dr. Hoover. “There is a probable genetic component, and age is also a factor.That said, certain tasks also exacerbate the problem, so we might try to reduce or eliminate those as part of treatment.” Clearing the Tunnel “People experiencing symptoms several times a week—for example, if their fingers are going numb or tingly, or if they are waking up in the middle of the night feeling like their hands are ‘falling asleep’—should see a physician,” says Dr. Hoover. In fact, since prolonged compression or irritation can lead to permanent muscle atrophy, diagnosis and treatment for CTS by a primary care physician or an orthopedic surgeon should begin as early as possible after the onset of symptoms.The doctor likely will begin by taking a patient history and conductSteven Hoover, M.D. ing a physical exam, and in some cases will recommend a nerve conduction or electromyogram study to help confirm the diagnosis. To treat CTS, a number of options are available to patients. “Bracing and injections are two of the mainstays of nonoperative treatment for CTS,” says Dr. Hoover.“Sometimes ergonomics or activity modification may be helpful as well.” Dr. Hoover adds that although CTS can often be treated without surgery, the decision to treat operatively is based on the severity of the patient’s condition. “For many people we start with nonoperative treatments first, but there are some patients we take straight to surgery because they are losing function so quickly,” he notes.“In general, when the patient presents, if the disease has already progressed so far that there is severe weakness or atrophy, I will recommend that we go ahead into surgery. However, at least half, if not the majority, of my patients aren’t so advanced that we have to abandon nonoperative treatment.” spring 2015 | www.marthajefferson.org | Martha Jefferson | 19 { CLINICAL EXCELLENCE } If surgery is required, the procedure is fairly straightforward. After making a small incision in the palm, the surgeon makes an incision across the width of the carpal tunnel ligament (the roof of the tunnel), releasing pressure on the median nerve. “That simple procedure can solve the problem,” says Dr. Hoover.“With a solid diagnosis of CTS, the patient’s chances of good, long-term relief are 85-95 percent.There are some very severe cases in which such recovery may not be possible; however, these extreme cases are really in the minority. In general, we are able to do a good job of helping people get back to being symptom-free.” Is Carpal Tunnel Syndrome Preventable? Since it is not completely clear what causes carpal tunnel syndrome, there are no proven strategies to prevent it. However, you can help reduce the stress on your hands and wrists by doing the following: 20 • Relax your grip. Most of us exert more force than necessary to perform many manual tasks. Try to hit the keys on your keyboard more gently, for example, and for prolonged writing, use a big pen with an oversized grip adapter so you don’t have to grip the pen as tightly. • Take frequent breaks. Gently stretch and bend your hands and wrists periodically, and alternate tasks whenever you can. • Sit up straight. Poor posture causes your shoulders to roll forward, shortening your neck and shoulder muscles and compressing the nerves in your neck. These nerves run all the way down to your wrists, fingers and hands, so slumping in your seat could be hurting more than just your back. • Don’t bend to the extremes. You should not be bending your wrists all the way up or down for prolonged periods. Take a relaxed middle position instead. That means, if you use a keyboard, keep it at elbow height or slightly lower. • Keep your hands warm. Your hands are more likely to become stiff and painful if you work in a cold environment. Adjust your thermostat or wear fingerless gloves to keep your hands and wrists warm. | Martha Jefferson | www.marthajefferson.org | spring 2015 { HEALTH & WELLNESS } Fact or Fiction? Health Myths and the Truth About What to Believe W e all want to be as healthy as possible, and there’s no shortage of advice available about how to do so. Conventional wisdom, passed down from one generation to another, is full of ideas that presume to stand in for “doctor’s orders,” including recommendations to eat more carrots for better eyesight; starve a cold, feed a fever; and drink a glass of wine each day to improve heart health. But is there any truth to these popular proverbs, or are they just old wives’ tales? We sat down with family physicians Margo Gill, M.D., and Tiffani Dennis, M.D., to learn the facts behind some of these common adages. Do carrots really improve eyesight? While carrots do not actually improve eyesight, they are high in the nutrient beta carotene, which is good for the components of the eyes that support vision and overall eye health. Additionally, carrots and other orange and yellow foods contain high concentrations of the compounds lutein and zeaxanthin, powerful antioxidants that can reduce damage to tissues such as those of the eye. “A diet rich in these compounds has been shown to reduce the risk of macular degeneration—a major cause of age-related blindness—and cataract formation,” says Dr. Dennis. “So while carrots will not improve vision, including them in your diet can be helpful in preventing damage to the eye, as well as other tissues.” { HEALTH & WELLNESS } Fact or Fiction? Research indicates that dark chocolate (cocoa) is high in antioxidants, which help combat potentially harmful “free radicals” in the blood and throughout the body. • Is it good advice to starve a cold and feed a fever? • Is chocolate really healthy? Research indicates that dark chocolate (cocoa) is high in antioxidants, which help combat potentially harmful “free radicals” in the blood and throughout the body, and which may offer some protection against vascular disease and cancer. However, according to Dr. Gill, “there is no actual trial to tell us how much chocolate to consume. It is best to think about everything in moderation and to eat a variety of foods generally high in antioxidants, including tomatoes, blueberries and broccoli.” • Does red wine help the heart? Studies have suggested that consuming 4-6 ounces of red wine, five to seven days a week, offers protective benefits to the heart. Red wine contains antioxidants and a substance called resveratrol, which may help reduce incidences of heart disease. “This does not mean that a glass of red wine is going to prevent heart disease among people who have untreated high cholesterol, never exercise and lead a generally unhealthy lifestyle,” comments Dr. Gill. In fact, adds Dr. Dennis, “heavier alcohol consumption and binge drinking actually increase cardiovascular risks.” 22 | Martha Jefferson | www.marthajefferson.org | spring 2015 This one has an easy answer: no. “When people are ill, they should eat what their body tells them will be good,” says Dr. Gill. “The real key when not feeling well is to stay hydrated and make sure you are urinating normally—particularly in the case of children. And if you don’t eat for three days, you’ll almost certainly make up the lost calories when you’re back to feeling better.” • Is high-fructose corn syrup more harmful than sugar? The body has difficulty breaking down high-fructose corn syrup, according to Dr. Gill, causing concern that it may contribute to obesity and thus heighten the risk for developing Type 2 diabetes mellitus. “When patients check their blood sugar after eating carbohydrates, the levels can vary,” explains Dr. Gill. “but there is thought to be a notable spike in blood sugar that lasts longer with high-fructose corn syrup than with other carbohydrates or sugars.” Dr. Dennis adds that high-fructose corn syrup often is used to sweeten drinks such as sodas, which add calories to the diet. “Consumption of such drinks does not usually coincide with decreased food calorie intake, so this fact may help explain the increased risks for obesity, metabolic syndrome and diabetes associated with consumption of such beverages.” Fact or Fiction? Red wine contains antioxidants and a substance called resveratrol, which may help reduce incidences of heart disease. Fact or Fiction? Low-fat or fat-free dairy products—such as cottage cheese, reduced-fat cheese, low-fat milk, and plain or Greek yogurt—offer the benefits of protein and calcium without adding too much sugar to your diet. • Is organic food healthier than regular food? • Are low-fat foods better for you than full-fat foods? Some fat is necessary in your diet, says Dr. Dennis, who points out that, according to the Centers for Disease Control, less than 10 percent of our daily caloric intake should come from saturated fat. Americans tend to eat more foods that are labeled as low-fat, but the lower fat content often is compensated for with higher amounts of sugar. “Don’t avoid fat altogether at the expense of added sugar,” advises Dr. Dennis. There are many good low-fat options that are healthy, however, adds Dr. Gill. Low-fat or fat-free dairy products—such as cottage cheese, reduced-fat cheese, low-fat milk, and plain or Greek yogurt— offer the benefits of protein and calcium without adding too much sugar to your diet. Some organic foods can provide potential health benefits, says Dr. Gill. Organic whole milk, for example, contains higher levels of the omega-3 fatty acid DHA and other fats that support good brain health. Choosing organically grown fruits—particularly apples— also may offer benefits. “Pesticides used by nonorganic growers tend to stay in the flesh of the apple itself, so there’s a potential to consume more pesticide than expected,” notes Dr. Gill. “I recommend that people check the Internet for guidance on which foods tend to be lighter and heavier in pesticides, based on how they grow and are consumed.” • Will cracking your knuckles cause arthritis? While cracking your knuckles may be a habit that others find annoying, the good news is that it apparently does not cause arthritis. In fact, says Dr. Dennis, “there is no evidence that it is good or bad for your joints”. The cracking noise may be caused by tendons snapping over tissues, or by nitrogen gas that is pulled into the joint space temporarily by negative pressure. spring 2015 | www.marthajefferson.org | Martha Jefferson | 23 { EAT WELL, LIVE WELL } By RITA P. SMITH, MS, RD, CDE Moving Away From Meat Easing Into a Vegetarian Diet can Make for a Smoother Transition M aking a move toward more vegetarian meals could be just the thing your health needs. Many studies show that a meatless diet can reduce the risk for cardiovascular disease; lower body weight, blood pressure and cholesterol; and keep cancer cell promotion at bay. It may be a hard sell to the family to jump into going completely vegetarian, but inching in that direction at a leisurely pace could be a good health game plan. 24 | Martha Jefferson | www.marthajefferson.org | spring 2015 Vegetarian Protein Shopping List 3 Dried beans and peas: black, cannellini, chick, Great Northern, kidney, lentil, navy, pinto and white beans So, what exactly is a vegetarian diet? One type (vegan) includes no animal products at all, while the other (vegetarian) could include dairy products and eggs but no fish, poultry, beef, pork, lamb, veal or game. If you do decide to move toward a vegetarian lifestyle, forgoing animal protein, each meal still needs to be balanced with protein, starch, and vegetables and/or fruit. The following are a few tips that can help you alter your diet. It all starts by simply eating fewer animal proteins than you are typically accustomed to. 3 Soy products: cheeses, milk, yogurt, tempeh and tofu 3 Veggie or soy bacon, burgers, sausage and “ground beef” crumbles 3 Nuts and nut butters: almonds, cashews, peanuts, pecans, pistachios, soy and walnuts 3 Green edamame soybeans 3 Quinoa 1.Breakfast Tip: Have eggs and breakfast meats such as bacon and sausage less frequently. Step 1: Have them just on the weekends. Step 2: Replace with soy bacon or sausage. Menu Ideas: 2. Lunch Tip: Begin to alternate meat-filled sandwiches with vegetarian fillings such as nut butters, hummus or veggie burgers. Add layers of raw vegetables such as spinach or lettuce leaves, tomato slices, mushrooms, and roasted bell pepper strips. Tip: Replace meat in hearty soups, stews and salads with beans like kidney and white beans or chick peas, nuts and soy milk cheeses. • Whole-grain cereal with soy or almond milk and seasonal fruit • Peanut butter and banana slices on wholegrain toast • Veggie sausage patty on a toasted English muffin and half a grapefruit spring 2015 | www.marthajefferson.org | Martha Jefferson | 25 Menu Ideas: • Hummus and chopped raw veggies in a tortilla roll-up • Navy bean soup and a side salad • Large veggie salad with pecans, chick peas and dressing • Grilled soy cheese sandwich on wholegrain bread and a cup of vegetable soup • Sweet potato and apple stew with a whole-grain biscuit Two-Bean Soup With Kale 3. Dinner Ingredients Tip: Begin by having one vegetarian meal per week, then increase the frequency. Tip: Reduce the amount of animal protein in stews, chili, spaghetti sauce and stir-frys, but add more beans and vegetables. Menu Ideas: 3 tablespoons vegetable or olive oil 1 cup chopped yellow onion ½ cup chopped carrot ½ cup chopped celery ½ teaspoon salt, divided (optional) • Multigrain pasta with marinara sauce and soy veggie crumbles, and a side salad 2 garlic cloves, minced • Marinated, stir-fried tofu cubes with assorted vegetables over wild rice 4 cups salt-free vegetable broth, divided 7 cups stemmed, chopped kale (about 1 bunch) 2 (15-ounce) cans no-salt-added cannellini beans, rinsed, drained and divided 1 (15-ounce) can no-salt-added black beans, rinsed and drained ½ teaspoon freshly ground black pepper • Stuffed baked potato with broccoli and grated soy cheese • Vegetarian meatloaf made with cooked lentils • Veggie burger on a potato bun with seasonal vegetables 1 tablespoon red wine vinegar • Burritos filled with brown rice, black beans, corn, soy cheese and salsa 1 teaspoon chopped fresh rosemary Directions 1. Heat a large Dutch oven over medium-high heat. Add oil to pan; swirl to coat. Add onion, carrot and celery and sauté 6 minutes or until tender. Stir in ¼ teaspoon salt and garlic; cook 1 minute. Stir in 3 cups vegetable broth and kale. Bring to a boil; cover, reduce heat, and simmer 3 minutes or until kale is crisp-tender. 2. Place half of cannellini beans and remaining 1 cup vegetable broth in a blender or food processor; process until smooth. 3. Add pureed bean mixture, remaining cannellini beans, black beans and pepper to soup. Bring to a boil; reduce heat and simmer 5 minutes. Stir in remaining ¼ teaspoon salt, vinegar and rosemary. 26 | Martha Jefferson | www.marthajefferson.org | spring 2015 Follow Rita Smith, Registered Dietitian, Online! { COMMUNITY } Centered Around Community Needs O New Peterson Health Center Improves Access to Primary Care n any given day, most of us know that if we need to, without much effort we can make an appointment to see a primary care doctor, either for a wellness visit or to address a health issue. For some people in our community, however, due to various financial, practical and personal factors, this seemingly simple task is truly not so simple. To respond to this gap in available healthcare services, Region Ten Community Services Board and Martha Jefferson Hospital have partnered together to offer a blending of behavioral health and primary care services in the newly renovated Peterson building in downtown Charlottesville. Having opened to the public on Feb. 2, 2015, the Peterson Health Center emphasizes comprehensive, coordinated care, bringing primary care services to consumers already benefiting from Region Ten’s behavioral health services, as well as providing a much-needed additional primary care clinic for the entire community. “The idea for this center has been germinating for a few years,” says Robert Johnson, executive director for Region Ten. “We had been meeting with local physicians but hadn’t been able to make it work. Then a little more than a year ago, I started talking with the team at Martha Jefferson about our desire to have a clinic that Martha Jefferson providers who will see patients combines behavioral health and primary care, and it grew from there.” at the Peterson Health Center. spring 2015 | www.marthajefferson.org | Martha Jefferson | 27 { COMMUNITY } The new center also fits in well with the community-centered priorities of Sentara Healthcare. “Sentara was looking to do something that incorporated the behavioral health aspect of caregiving, so when we got the request from Region Ten, it was a great fit,” notes Judy Tobin, executive director of Martha Jefferson Medical Group. “We are both providing what we do best; Martha Jefferson knows health care and how to get people the appropriate medical care in the appropriate setting, and Region Ten knows behavioral health care really well. Together, we have created something that is much stronger as a partnership.” Overcoming BarrierS AND Coordinating Care Primary care services are critical in treating community members with mental health issues. “For years mental health caregivers have understood that many people with mental illness also have significant physical illnesses,” says David Moody, M.D., medical director for Region Ten. “A number of barriers make it challenging for our patients to access good care, and it has been shown that the average lifespan for people with serious mental illness is up to 25 years shorter than for Primary Care at the Peterson Health Center The Martha Jefferson Peterson Health Clinic is committed to providing you and your entire family the affordable, high-quality healthcare services you need. The clinic specializes in all aspects of family medicine, including: • Preventive care, including vaccines, physicals and screenings • Treatment for acute illnesses • Chronic illness management, including diabetes, high blood pressure and asthma • Pediatric and newborn care • Women’s health services • Geriatric medicine people in the general population.” Among the health risk factors for mental health patients are modifiable factors such as smoking, obesity and inactivity, as well as social isolation, unemployment and poverty, and a lack of access to care. The Peterson Health Center aims to help alleviate many such factors by removing the many barriers to primary health care that behavioral health patients often face. “These patients frequently are dealing with financial factors, insurance issues, motivational issues and transportation issues,” explains Moody. “In the past, some patients have experienced difficulties navigating a new bus line and making it to a new clinic—and even for patients who were able to get to that clinic, they still faced the challenge of communicating and coordinating with the Region Ten team.” With the opening of the Peterson Health Center, however, patients can—on the same day—come for their appointments with their Region Ten case manager and a primary care physician. Case managers may even go to the primary care appointment with the patient, to help ensure that the patient fully understands what they need to do for the benefit of both their physical and mental health. “Our goal is to make health care more easily accessible for the people we serve,” says Dr. Moody. “By bringing primary care services into the same location, we will be able to have closer collaboration among healthcare providers and mental health providers.” Such collaboration among caregivers can have a major impact on the overall health of patients. “Comprehensive care of any patient is extremely important,” says Bruce Clemons, M.D., medical director for both Martha Jefferson Medical Group and Peterson Health Center. “It’s always important to take a patient’s behavioral health into account when looking at his or her overall health. Eating habits, smoking, lack of exercise, depression and anxiety can all keep people from taking care of chronic issues like diabetes and high cholesterol. When a patient has additional problems, such as a mental health disorder, ensuring his or her overall well-being is even more complicated.” Strengthening Services for the Community With Region Ten’s behavioral health team now on site at the Peterson Health Center with a primary care team from Martha Jefferson, patients have convenient access to a wide variety of health services. “We have a provider available from 8 a.m. to 5 p.m. every weekday,” says Judy Tobin, director of Martha Jefferson Medical Group. “While there are a couple of primary care clinics in downtown Charlottesville, there still weren’t enough physicians available to serve the community’s population. The new center features a full-service primary care clinic, with a physician and two nurse practitioners taking care of all patients who need care.” For the caregivers, the center represents a meaningful way to give back to the local community. Providing caregivers with a venue to deliver important health services and address the needs of an underserved population, the Peterson Health Center is truly a blessing for health professionals and community members alike. “To have Region Ten and Martha Jefferson come together is a major positive for the community and for the people who will benefit from the center,” adds Johnson. “I think citizens will soon be seeing the great things that will come from this partnership.” Responding to Pressing Community Needs Starr Hill Health Center Addresses Health Issues In January 2013, the Martha Jefferson Hospital Board of Directors accepted and adopted the Thomas Jefferson Health District’s community health needs assessment and improvement plan, known as Mobilizing for Action Through Planning and Partnerships (MAPP2Health). The hospital then developed an implementation strategy to address the four priority health concerns identified in the assessment. Following are just some of the efforts undertaken by Martha Jefferson in 2014 toward implementing MAPP2Health. COMMUNITY HEALTH ISSUE #1: An Increasing Rate of Obesity Opened in 2013, the Martha Jefferson Starr Hill Health Center is a free community wellness center with a nurse practitioner on staff to help community members set and reach goals for weight control and overall wellness. In 2014, the Starr Hill Center saw: • 66 new patients • 651 follow-up appointments • 525 pounds lost* • 71 percent of patients reach a goal • Five patients who have decreased dosage of or eliminated a medication * Includes all patients seen in 2014 COMMUNITY HEALTH ISSUE #2: Insufficient Access to Mental Health and Substance Abuse Services To address the lack of access to mental health services, in 2014 Martha Jefferson: • Provided a financial and in-kind donation of a satellite office to the Women’s Initiative, which offers mental health counseling, support groups and social support to women • Planned development of an integrated health primary care practice to be co-located in Region Ten (see article, page 27) • Was represented on the Mental Health and Wellness Coalition, which sponsored a mental health navigator to link people to services and track and coordinate mental health drug use COMMUNITY HEALTH ISSUE #3: Late and Insufficient Prenatal Care, and Racial Disparities in Pregnancy Outcomes One of Martha Jefferson’s primary efforts to aid in providing prenatal care for parents in vulnerable populations was introducing the Baby Basics Moms Club. The hospital launched a club in February 2014, and since that time 35 moms-to-be have joined. Among the results of the postdelivery interviews: • 100 percent were influenced to put babies on their back to sleep • 75 percent were influenced to breastfeed • 75 percent were influenced to eat healthier COMMUNITY HEALTH ISSUE #4: Tobacco Use Above the Healthy People 2020 Goal Martha Jefferson representatives served on the Tobacco-Free Community Coalition, which: • Conducted a workplace tobacco use assessment • Partnered with community agencies to help address gaps in tobacco-free policies and/or smoke-free environments • Completed a tobacco readiness-to-quit survey • Helped sponsor “Quit Smoking Charlottesville,” a smoking cessation program 29 A New ‘Approach’ to Hip Replacement Muscle-Sparing Technique Offers Patients Outstanding Outcomes F or nearly seven years, Filofteia Paraski endured excruciating pain in her right hip, including the time she spent caring for her ailing husband. While medications were effective in suppressing the pain for some of that time, Paraski’s pain became unbearable following her husband’s death more than a year ago. She even began to have difficulty walking. Knowing the moment had come to address the problem, in November 2014 Paraski chose orthopedic surgeon Megan Swanson, M.D., to perform her hip replacement procedure. Paraski was one of the first patients at Martha Jefferson Hospital to undergo direct anterior approach hip replacement surgery, a muscle-sparing technique Dr. Swanson first performed at the hospital earlier that month. “I was confident in Dr. Swanson,” says Paraski, 69, of Troy. “She was meant to be a surgeon. She has a good bedside manner and explained everything to me. She has a heart for her patients and is very good at her job.” What is the Anterior Approach? Filofteia Paraski was one of the first patients to have a direct anterior hip replacement at Martha Jefferson Hospital. 30 | Martha Jefferson | www.marthajefferson.org | spring 2015 The anterior approach hip replacement procedure involves accessing the hip through the front of the upper thigh. The surgeon then works between the muscles and tissue, leaving them attached to the bones. This technique differs from the traditional posterior approach, which involves accessing the hip through the back upper thigh and splitting the gluteus maximus (buttocks) and hip muscles, which are sewn back together at the end of the procedure. “Research is developing in this area, but many studies are suggesting that with the anterior approach, there’s less pain, less risk of dislocation and fewer restrictions after surgery,” says Dr. Swanson, who joined Martha Jefferson in January 2014. “I’m always an advocate of avoiding the cutting of muscles and tendons, whenever possible. I believe that less cutting opens the door for faster healing.” Within an hour after her surgery was completed, Paraski was up walking, and the next evening she was able to go home. A week after her surgery, Paraski was able to walk around her home and do light housework. By Christmas, she had graduated from a walker to a cane and had hopes of donning her flat-heeled pair of red shoes to celebrate the holiday. “I was amazed,” says Paraski, who works part time in Central Supply at Martha Jefferson. “Of course there’s always some pain right after surgery because the body is trying to heal, but the pain I felt after surgery was nothing compared to what I had experienced for years before.” Megan Swanson, M.D. spring 2015 | www.marthajefferson.org | Martha Jefferson | 31 Paraski returned to work at Martha Jefferson Hospital after surgery and feels great. Surgery for Healthy Patients Martha Jefferson Hospital approaches all joint replacement surgeries from a wellness perspective. These patients aren’t sick when they come in for a knee or hip replacement, so they aren’t treated as such. The Martha Jefferson program emphasizes wellness, promoting recovery by educating patients, encouraging movement soon after surgery and sending patients home as soon as possible. There are no drafty hospital gowns here—patients can put on their Tshirts and shorts for a more relaxed environment. Additionally, attending a “discharge brunch” before leaving Martha Jefferson ensures that patients and their family members learn everything they need to know about care once the patient returns home. “You came into the hospital and you were well—you were wearing your clothes, working and living an active lifestyle,” says orthopedic surgeon Megan Swanson, M.D. “Our wellness approach is an empowering concept. Our patients don’t feel sick, and there’s something magical about being able to take a shower. It’s good to go home as quickly as possible and get a good night’s sleep in your own bed.“ 32 | Martha Jefferson | www.marthajefferson.org | spring 2015 Anterior approach hip surgery is available to a wide range of patients, depending on the individual’s anatomy and on any previous surgeries performed on the hip. Moreover, this particular technique may be beneficial for patients who live alone and who would have difficulty following postsurgical restrictions, such as refraining from bending over, of the traditional posterior approach. “Usually your surgeon can talk to you about your medical history and your X-rays and discuss the risks and benefits for the various surgical approaches,” says Dr. Swanson. “We can help a patient determine which type of surgery will be best for them.” Dr. Swanson talks to her patients about their health goals and then provides options. She always recommends trying nonsurgical treatments first, including physical therapy, pain medications or injections. “We think about joint replacement after the nonsurgical options have been tried and stop working,” Dr. Swanson adds. “When a patient can no longer do the things he or she wants to do, then it’s time to consider surgery. And that varies for everyone, so it’s important to have a good conversation with a surgeon and work closely with your primary care physician.” “I was amazed. Of course there’s always some pain right after surgery because the body is trying to heal, but the pain I felt after surgery was nothing ” compared to what I had experienced for years before. Compassionate Care for Joint Pain Paraski’s results following surgery have been outstanding, and she’s pleased to no longer be in constant pain. “I hope that people living with hip pain will put away their fear of having hip surgery,” she says. “Martha Jefferson’s doctors and nurses do a great job taking care of everyone, and oh, my goodness—it’s so wonderful not to be in pain anymore.” Martha Jefferson surgeons like Dr. Swanson are committed to answering patients’ questions, helping them make decisions about treatments and guiding them through the healthcare process. Dr. Swanson credits the hospital’s full team for successful patient outcomes—from the staff who deliver meals and keep the facilities clean to the hospitalists, anesthesiologists and nurses. She notes that most of her joint replacement patients go home the day after surgery, as long as they are “medically ready and physically safe.” “One thing that defines the Martha Jefferson experience is compassionate care,” comments Dr. Swanson. “I tell patients it should feel like I’m holding your hand through the whole process, from talking about your options preoperatively until you’re back to doing what you love to do postoperatively. We really try to make the whole process as seamless as possible for the patient.” Joint Camp: Learn More About Joint Replacement If you’re considering a hip or knee replacement surgery, check out Martha Jefferson’s classes and seminars on joint replacement. You’ll learn about how the procedure is performed, what the risks and benefits are, and how to care for yourself at home after the surgery. Learn more or register for a seminar today by calling Health Connection at 434-654-7009. spring 2015 | www.marthajefferson.org | Martha Jefferson | 33 3-D Technology GIVES DOCTORS A NEW VIEW Tomosynthesis Provides Additional Option For Annual Mammograms A n annual mammogram, by and large, isn’t exactly something most women look forward to with great anticipation. And while some women may approach a screening with a bit of trepidation, the exam is a great way for doctors to be proactive in detecting any breast health issues that might be present. The process of acquiring imagery through tomosynthesis isn’t much different from that of a traditional mammogram. However, an additional set of images is provided to radiologists with 3-D technology that provides added views. 2-D Mammography 3-D Mammography Over the years, mammogram technology has been greatly enhanced, yielding more useful data for caregivers to consider in making diagnoses. First came the conversion from film to digital mammography, and now, thanks to new advances, an imaging process known as tomosynthesis enables doctors to examine breast health in three dimensions, more efficiently and in greater detail than ever before—providing major benefits to both patients and caregivers. any significant changes from what they are traditionally accustomed to as part of a mammogram. “While the breast is in compression during a scan, the X-ray tube moves swiftly in an arc over the breast, and multiple images are obtained,” says Dr. Pease. “A computer then produces a movie-like picture of the breast that incorporates the 3-D data. Is 3-D Mammography For You? A More Complete Picture The process of acquiring imagery through tomosynthesis isn’t much different from that of a traditional mammogram, except that an additional set of multiple, lower-dose radiation images is taken of each view of the breast. According to Scott Pease, M.D., a breast fellowship-trained radiologist at Martha Jefferson, while each compression will be a few seconds longer with tomosynthesis, women shouldn’t notice If you are interested in 3-D mammography, the best first step is to talk with your physician about whether the technology is right for you. Your doctor can help you decide the best course of action to take moving forward. If you are in need of a physician, our referral line can help! Call Health Connection at (434) 654-7009 to get connected with a physician near you. spring 2015 | www.marthajefferson.org | Martha Jefferson | 35 Dr. Scott Pease is a breast fellowship-trained radiologist at Martha Jefferson Hospital. The Women’s Committee of Martha Jefferson Hospital Supports Tomosynthesis Through Generous Donation Martha Jefferson Hospital was able to accelerate plans to provide tomosynthesis (3-D breast imaging) capabilities following a generous commitment from The Women’s Committee of Martha Jefferson Hospital. In turn, The Women’s Committee thanks the community for its tremendous support as sponsors, participants and donors toward the committee’s three annual events: Martha’s Market, the In The Pink Tennis Tournament and the Squash Cancer Tournament. A total of $595,000 from event proceeds will be directed toward funding tomosynthesis at Martha Jefferson between now and 2017 as part of this multiyear funding commitment. Candice Kurtz, who serves as a board member on The Women’s Committee, received an early diagnosis of breast cancer last year, thanks to tomosynthesis. “I’m so proud that The Women’s Committee, through our successful fundraisers, has been able to provide funding toward the purchase of tomosynthesis mammography technology,” says Kurtz. “Tomosynthesis is truly lifesaving, and The Women’s Committee’s goal is make this technology available as routine, standard care to all women in our community, truly advancing the Caring Tradition for which Martha Jefferson Hospital has become known.” “The support of The Women’s Committee truly makes a difference,” comments Sue Hunt, director of medical imaging at Martha Jefferson Hospital. “The committee’s efforts were a major factor in enabling Martha Jefferson to make this move to upgrade our current technology and provide 3-D mammography to our community.” 36 | Martha Jefferson | www.marthajefferson.org | spring 2015 The additional images provided in a tomosynthesis exam can offer radiologists a different perspective on tissues that normally overlap.” All mammograms are X-ray exams that image soft tissues, with cancers often appearing as white spots on a scan. However, the tissues that give the breast its shape and function can sometimes also appear very white on a mammogram—especially in the case of women with more dense breast tissue—potentially masking early signs of breast cancer. Thanks to the many extra images captured by tomosynthesis, the technology provides physicians with a more complete picture of the breast, even in women with dense breasts. Fewer Callbacks, Less Anxiety Apart from the capabilities of 3-D mammography as a state-of-the-art tool for detecting cancer, radiologists believe one of the technology’s greatest benefits is in reducing the number of patients called back in for follow-up diagnostic testing. “Having this new technology really allows us to reduce the number of ‘false alarms,’” says Dr. Pease. “While that may not seem like a huge deal, reducing the need for follow-up tests makes the whole process easier on patients. Having to go back in for additional testing, and not knowing if you may or may not have breast cancer, causes a great deal of stress and anxiety for women—and even for other family members. Employing 3-D mammography allows us to see things on the first scan.” Dr. Pease adds that reducing the need for a second look also helps to keep expenses down—both in terms of the patient’s time and the costs associated with screening. “Anything we can do to minimize the impact on patients, while not losing our sensitivity for detecting cancer, is a wonderful thing,” notes Dr. Pease. ANYTHING WE CAN DO TO MINIMIZE THE IMPACT ON PATIENTS, WHILE NOT LOSING OUR SENSITIVITY FOR DETECTING CANCER, IS A WONDERFUL THING. The Next Chapter in Mammography An exciting new technology with multiple benefits to patients and caregivers, tomosynthesis likely signals a shift in how all mammography will be conducted in the future, according to Dr. Pease. “In recent years, research has begun to show that with this new technology we can improve our sensitivity to detecting cancer,” notes Dr. Pease. “As a spring 2015 | www.marthajefferson.org | Martha Jefferson | 37 radiologist, that is my goal and number-one focus, so anything that can aid me in that is beneficial.” Although it is impossible to predict yet who will benefit most from 3-D mammography, Dr. Pease notes that there is likely no downside risk. The overall radiation dose for a tomosynthesis exam is below FDA requirements for screening mammography and compares to doses used a decade ago in 2-D screenfilm technologies. Very low X-ray energy is utilized, and no studies have demonstrated risk from such lowdose radiation in adults of screening age. Even when considering the potential for any such risks, Dr. Pease believes the benefits of early breast cancer detection far outweigh any drawbacks. “3-D mammography is now an established technology, and its use will continue to increase in coming years,” adds Dr. Pease. “The longer we study the technique’s outcomes, the better the chance we will continue to upgrade and improve our ability as caregivers to detect breast cancer as early as possible.” 38 | Martha Jefferson | www.marthajefferson.org | Worried About the Cost of a Mammogram? Let us Help! Free Breast Health Screening April 18 9 a.m. - 2 p.m. Appointments are required. Call Health Connection at (434) 654-7009 to see if you qualify. You may qualify for this service if you don’t have insurance that covers mammograms; you are 40 or older; and it’s been more than a year since your last mammogram, or you’ve never had a mammogram. The free screening is made possible thanks to the philanthropic support of The Women’s Committee of Martha Jefferson Hospital. spring 2015 Grateful Breast Cancer Patients Give Back Ponies Provide a Welcome Distraction at the Infusion Center R ecently patients at the Martha Jefferson Infusion Center were surprised with the pleasant distraction of ponies, in plain view through the facility’s windows, to enjoy while undergoing chemotherapy. Christy Collins and Janet Arsenault, both breast cancer patients who were diagnosed and treated at Martha Jefferson, came up with the idea as a way to show their appreciation for the hospital’s staff, as well as to brighten the days of others who are currently going through treatment. “It can be a long day sitting there in the infusion center, but also it has to be stressful to work there,” says Arsenault. “We thought it would be neat to share some love with the staff and those who are currently undergoing treatment.” Arsenault and Collins met each other in a Look Good, Feel Better class, a free service offered to cancer patients at Martha Jefferson Hospital. After realizing they had the same diagnosis and same stage of breast cancer, the two immediately bonded. “Janet and Christy met in class that I was teaching, and it was apparent these two ladies had a connection,” recalls Pat Mitchell, RN, senior clinical research nurse at the Phillips Cancer Center. “It brings my heart joy to see how something terrible like a cancer diagnosis can turn two complete strangers into lifetime friends.” Along their journeys, both of the women quickly realized the importance of support during treatment, as well as the added benefits complementary healing efforts can have on the patient experience (see story, page 13). Out of their appreciation for the added touches they received, Arsenault and Collins devised the plan to bring ponies to Martha Jefferson. “When I was diagnosed with stage 2 triple negative breast cancer, I was desperately looking for someone with this type of breast cancer to talk to,” says Collins. “As fate would have it, I sat down at a class right next to Janet Arsenault, and since that time we have supported one another. Having gone through the cancer process, we appreciate all of the therapies Martha Jefferson Hospital has to offer. But Janet felt like the hospital was missing one—thus the ponies!” “For many patients undergoing infusion treatment, it’s a long six to eight hours in the chair,” notes Mitchell. “These two women truly brightened the days of many—both patients and staff.” Janet Arsenault Christy Collins and Janet Arsenault { PHILANTHROPY } Philanthropy’s Goal: To Support and Enhance Martha Jefferson’s Caring Tradition W Jonathan Davis and concierge desk volunteers Janice and Page Mann e have come to recognize that the only constant in our cyclonic world is change. As much as we kick and scream, change—particularly in health care—is all around us. It occurs locally in Charlottesville, with changes in facilities, partnerships and leadership at Martha Jefferson, just to name a few. Additionally, it happens more broadly with changes in health plans, government and private programs, and societal “safety nets.” For caregivers, practices and procedures are changed daily based on research, evidence and new findings regarding best practices. And finally, change takes place in ways we may not even recognize—“life-changing” discoveries in science that add years to patients’ lives and literally save us from disease that would have been fatal just a short time ago. At Martha Jefferson Hospital, in the face of constant change, we often ask the question: “What makes ‘us’ remain ‘us’?” Our Caring Tradition is often cited as the “glue” that binds us together and forms the core of the services we provide. Today, the vital support of community philanthropy continues and is centered on protecting, maintaining and enhancing Martha Jefferson’s Caring Tradition, however and wherever one encounters it. We frequently receive letters describing the wonderful care and service our patients receive, often ending with the phrase: “The Caring Tradition is alive and well.” Whether it’s being greeted at the door by our valet parking staff; a physician with not only expertise, but time for a personal touch; a nurse who embraces patients and their family members during difficult times; the comfort of a lovingly knitted shawl for a patient needing comfort; or a palliative care chaplain and nurse being present for a family meeting, the extra touches do make a difference. Daily, they create a more pleasant experience and a positive atmosphere for healing. They help to make Martha Jefferson what it is. Having been successful in keeping the Caring Tradition as a key priority for our hospital, this hallmark of excellence at 40 | Martha Jefferson | www.mjhfoundation.org | spring 2015 Martha Jefferson now seems poised to expand further throughout our larger Sentara Healthcare organization. In fact, Sentara is now seeking to share the core elements of the Martha Jefferson culture with our colleagues at the other hospitals in our network—a meaningful testament to the fruits of our efforts over the decades and a sign of even better things to come. With that in mind, the Martha Jefferson Hospital Foundation’s goals for 2015 are clear and straightforward. Stated simply, we will work to enhance the Caring Tradition of Martha Jefferson Hospital. Our specific focus will remain on meeting the operational and endowment objectives of the Haden Institute for Nursing Excellence and Innovation (more on page 42) and strengthening our commitment to a sustainable Palliative Care Program through funding assurances, including engaging additional professional staff positions and providing an endowment for the program’s future needs. Finally, the Foundation Board has directed that a special fund be established in support of the Caring Tradition as part of its annual recommended apportionment of unrestricted gifts. Your generous support makes all the difference. Gifts from our community remain here to support our community and strengthen our Caring Tradition, and for that we deeply and sincerely thank you. Martha Jefferson has given more than 1,000 shawls to patients in need of an additional Caring Embrace. Ray Mishler, Vice President Larry Martin, Chair Martha Jefferson Hospital Foundation Martha Jefferson Hospital Foundation spring 2015 | www.mjhfoundation.org | Martha Jefferson | 41 { PHILANTHROPY } The Haden Institute for Nursing Excellence and Innovation I Securing the Future of Outstanding Nursing Care at Martha Jefferson f you have been following this magazine for the past few years, besides articles on program innovations, stories from our patients and friends, and (of course) some humorous essays, a constant theme has been the focus on nursing at Martha Jefferson as a key priority in ensuring that we continue to provide great care and top-notch patient and family experiences. We have highlighted the importance of advancing nursing education, in keeping with the research that ties higher education achievement to better patient outcomes. And we have 42 | Martha Jefferson | www.mjhfoundation.org | spring 2015 Philanthropy Supporting Nursing presented nursing research as a core component of our efforts to find and implement evidence-based practices at Martha Jefferson, within the Sentara system and across the country. Our nurses are represented at the most influential nursing conferences and symposiums, sharing their knowledge to advance nursing practice industrywide. As evidenced by our efforts, nursing is clearly a major focus of the care we provide at Martha Jefferson. In September 2013, the Martha Jefferson Hospital Board approved a concept that is the first of its kind for a community hospital, establishing the Institute for Nursing Excellence and Innovation at Martha Jefferson Hospital. And in fall 2014, the board moved to rename the institute in the name of retiring Martha Jefferson President Jim Haden, in honor of his career, service and legacy of championing great nursing. While Martha Jefferson’s nursing program is already recognized and highly regarded with Magnet® designation and redesignation, the Haden Institute for Nursing Excellence and Innovation will further facilitate the advancement of educational goals for nurses, improve evidence-based nursing practice, and refine clinical outcomes and nurse/patient satisfaction. This multimillion-dollar initiative fosters nursing excellence through financial support for formal education and professional certification, funding for nursing research and evidence-based practice fellowships and practice innovations, support for a clinical simulation learning lab, funding for expansion of advanced practice nursing roles, and capital support for implementation of best practices and innovative care delivery models. “Without the structure of the Haden Institute and the support of our generous and caring community, we would be challenged to achieve the margin of excellence we strive to maintain in our nursing outcomes,” says Amy Black, chief nursing executive at Martha Jefferson. The Haden Institute has several immediate priorities, including the aforementioned educational advancement and research support, as well as leadership development, innovations in care at the bedside, capital support for new technologies and practicing competencies, and new skill development through our unique clinical skills lab. New roles for nurses, such as our nurse practitioner-guided palliative care service, will be modeled, along with other advance practice roles in our physician practices. Our goal is to raise $20 million to accomplish these objectives: $14 million to be utilized between now and 2020, and a $6 million endowment of reserved funds to continue these important objectives after that time. To date, $10.2 million has been raised and committed to these ends. The Haden Institute is an investment by Martha Jefferson and our supportive community in arguably the single most important aspect of great care and outstanding outcomes—the expertise and compassion of the nurses who serve our patients. As Jim Haden helped to define the hospital’s expectations for great nursing during his tenure, going forward the Haden Institute will continue to drive and mold those expectations for the future good of our community. spring 2015 Resolution to Rename the Institute for Nursing Excellence and Innovation in Honor of Jim Haden WHEREAS, great nursing has been a hallmark of Martha Jefferson Hospital’s Caring Tradition for decades; and WHEREAS, Martha Jefferson has been designated and redesignated as a Magnet hospital in recognition of nursing excellence; and WHEREAS, Jim Haden during his tenure as president and CEO of the hospital held nursing as one of its highest strategic priorities; and WHEREAS, the Martha Jefferson Hospital Board approved the establishment of the Institute for Nursing Excellence and Innovation at the hospital in 2013; therefore be it: RESOLVED that the Martha Jefferson Hospital Board dedicate the naming of the institute in honor of Jim Haden, and henceforth it will be referred to as the Haden Institute for Nursing Excellence and Innovation at Martha Jefferson Hospital; and further RESOLVED that Jim Haden serve as a voluntary advisor for the institute to help guide and ensure the implementation of its objectives and commitment to its donors. Authorized this day, November 10, 2014 Peter C. Brooks, Chair Martha Jefferson Hospital Board of Directors | www.mjhfoundation.org | Martha Jefferson | 43 Boosting Compassionate Caregiving Through Support of Nursing W hen Earnie Edwards and his wife, Lottie, moved to Charlottesville after his retirement from aluminum producer Alcoa in 1999, one of the first to welcome them to their new neighborhood was Martha Jefferson Hospital president Jim Haden, who retired in 2014. The Hadens and Edwardses quickly became friends, and it wasn’t long before Earnie was invited to contribute his financial savvy to the hospital’s Finance Committee. 44 | Martha Jefferson | www.mjhfoundation.org | spring 2015 “I have always loved to stay busy, so after checking around and meeting some of the people involved with Martha Jefferson, I agreed to serve,” says Edwards, who retired from Alcoa as senior vice president and controller. “It was a new experience for me working with the medical community, but Jim Haden’s unbelievable personal influence was also a factor. He is a really exciting and fun person to be with.” Serving on the hospital’s board of directors for nine years, Edwards gained new insights into managing a medical community and came to appreciate the role that nurses play in providing superb care. The Edwardses also experienced such care firsthand; Lottie, who endured severe rheumatoid arthritis for many years, received compassionate care from Martha Jefferson’s nurses during an extended illness before her death in September 2013. As an expression of his gratitude for the care Lottie received, Edwards recently made a generous contribution to the Haden Institute for Nursing Excellence and Innovation, a program to support nursing education, professional growth and research. Edwards’ gift also is a nod to Jim Haden’s leadership and support for the hospital’s nursing program. “I wanted to support the Haden Institute because it was the right thing to do,” says Edwards. “Martha Jefferson’s nursing program, under the leadership of Amy Black, has been just superb in my years of association with the hospital. The Magnet® designation confirms that, and my wife and I had personal experience with their outstanding care. They do a great job and are deeply rooted in the Caring Tradition. Nurses are the workers in close contact with the patients and can often make the difference between a positive and negative hospital experience, despite the good work of the doctors.” Edwards has served on many boards during his career and in retirement, and he considers Martha Jefferson’s organization to be one of the most efficient and effective he has worked with, attributing those qualities to a strong staff and committed board members. He credits Haden’s vision, integrity and deep understanding about hospital administration and the medical community for making Martha Jefferson Hospital a leading medical center for the region. “Serving on the board for Martha Jefferson has been a great learning experience about health care, and it’s the most complex business I’ve encountered compared to the business entities, education communities and civic organizations I’ve had experience with,” Edwards notes. “The Caring Tradition is an excellent guidepost for Martha Jefferson, and it fits well into the direction that I think health care is heading.” Edwards hopes that Martha Jefferson will continue to grow in size and maintain excellent performance to become a leading community hospital in the United States. Even so, he hopes the hospital preserves its tradition of personalized, compassionate care by strengthening the nursing program. “As Martha Jefferson grows, I hope leaders keep the Caring Tradition and become a lighthouse for healthcare effectiveness in the Sentara system and throughout the nation—thus finishing what Jim Haden led us to put on course,” adds Edwards. “This should result in a long life of excellent health service to the greater Charlottesville community and beyond.” A Five-Decade Relationship With the Caring Tradition W spring 2015 hen Don and Jane Danilek moved back to Charlottesville in 1998, they were well acquainted with Martha Jefferson’s Caring Tradition, since the births of their first two children at the hospital nearly 40 years earlier. Don has been actively involved with Martha Jefferson over the past few years playing piano in the lobby as a regular music therapy volunteer. The Danileks also were neighbors and friends of Jim and Sue Haden and annually supported the hospital’s mission philanthropically. With Jane’s unfortunate illness and untimely death in spring 2014, Don and Jane once again came to experience the expertise, care and compassion of the Martha Jefferson team in the hospital’s oncology practice and infusion center. Following Jane’s passing, Don and the couple’s four children, in a desire to create a lasting and significant memorial and to perpetuate what Jane stood for and meant to them, established the Jane Till Danilek Nursing Scholarship Fund as part of the Haden Institute for Nursing Excellence and Innovation. The interfaith chapel on the hospital’s second floor also has been dedicated in Jane’s memory. As a result of the Danileks’ generosity, Jane’s legacy will endure, and the Caring Tradition will be enhanced and strengthened for decades to come. | www.mjhfoundation.org | Martha Jefferson | 45 Tangible Benefits of the Nursing Institute for Emergency Department Nurses An Interview With Karen Gates, Director of Emergency Services, Nursing Education and Research Q: Could you tell us about the nursing education facet of the Haden Institute for Nursing Excellence and Innovation—particularly the nurse residency program and “onboarding” of new nurses? A: Working together with the department nurse educators, the Haden Institute for Nursing Excellence and Innovation is providing an increased level of support for our newest nurses during their orientation period. Recent nursing school graduates are finding that Martha Jefferson Hospital offers a unique opportunity to advance their knowledge and skills through our nurse residency program. This program, funded through the Haden Institute, demonstrates Martha Jefferson’s commitment to developing a safe, highly qualified nursing staff. Q: Has this mentoring program been used in the Emergency Department? If so, how? A: For approximately seven years, a nurse residency program (previously known as a “new graduate program”) has been utilized in the Emergency Department (ED) at Martha Jefferson Hospital for recent nursing school graduates wishing to begin their nursing careers in the ED. Many emergency departments do not accept new graduates, but Martha Jefferson has taken a different approach to this valuable subset of nurses. This innovative program allows for a blended environment of classroom, simulation and in situ (“in place”) learning. Each week has a focus (for example: cardiology, respiratory or gastrointestinal)—the nurses work through learning modules, hear a content expert speak and complete simulation experiences with their nurse residency coordinator. Then, as the nurses spend shifts with their on-the-unit preceptors, they continue to build their knowledge about the studied topics, which increase in complexity as the new nurses gain 46 | Martha Jefferson | www.mjhfoundation.org | experience over the course of the program. This model builds a strong foundation of knowledge, both didactic and practical. Q: Are these nurses then employees at Martha Jefferson, or is this an education program where they go out and find jobs elsewhere? A: The nurses taking part in the nurse residency program at Martha Jefferson are employees of the hospital—financially supported by the program, rather than the individual departments. As they complete the residency program, they are transitioned into vacant roles in their respective departments. Q: What is the value of the simulation lab in nursing education for Martha Jefferson’s nurses? A: Simulation is an innovative approach to learning that allows nurses to practice skills in a safe, controlled environment and be involved in low-frequency, high-impact procedures they may otherwise not experience. These simulated experiences offer nurses a venue to analyze their own spring 2015 actions, reflect on their skills and clinical reasoning, and critique the decisions of others without jeopardizing patient safety. We are privileged to have such a state-of-the-art simulation learning lab at Martha Jefferson. Q: How does Martha Jefferson use research to improve patient care? A: At Martha Jefferson we synthesize research and place it into practice at the bedside to improve patient outcomes, an approach known as evidencebased practice, which has helped us improve the quality of patient care. In the ED, for example, we have implemented a fall-prevention program, based on a compiled body of evidence, that has impacted our patients in a positive manner. Detecting patients at risk for falling early in their course of treatment has greatly reduced the number of patient falls at Martha Jefferson. Moreover, many of our nurses have participated at national and international conferences to share the findings of our research, on this topic and others. Q: What is the value of having these components housed in the Institute? A: Including the components as part of the institute reinforces Martha Jefferson’s commitment to expert, quality patient care. Providing nurses with valuable resources to continue their education impacts the overall quality and safety of patient care and allows us to retain well-trained, knowledgeable nurses who are focused on patients and their families. Q: How does the Institute’s support for excel- lence in nursing translate into better care for patients, and how does Martha Jefferson’s Caring Tradition tie into all of this? A: Nursing is a complex, ever-changing profession. Through the Haden Institute, dedication to excellence in nursing is evidenced by ethics, standards and best practices. Nursing remains a balance of science and art, and at Martha Jefferson our dedication to patient care is an important part of the framework of the Caring Tradition. spring 2015 | www.mjhfoundation.org | Martha Jefferson | 47 { PHILANTHROPY } A Community of Philanthropists I Making a Difference for Those Facing Health Challenges nspired philanthropy from individual donors, organizations, and volunteers hosting community events and fundraisers helps Martha Jefferson Hospital provide exceptional, compassionate care to each and every patient who walks through its doors. Whether providing funds toward state-of-the-art technology for the early detection and treatment of cancer, or toward comfort services like complimentary massage, yoga and exercise classes or complimentary wigs and head covers from Marianne’s Room, philanthropy supports programs that enhance patient care during challenging times. Community volunteers led an array of events and initiatives throughout 2014, including fundraising efforts to provide yarn for the Caring Embrace program; a civic group’s donation of toys for children visiting the Emergency Department; the Martha Jefferson golf tournament; the annual MJ5K Run, Walk and Kids’ Dash; the In The Pink Tennis Tournament; the Squash Cancer Tournament; and the highly successful Martha’s Market. Cumulatively, these events and initiatives involve thousands of volunteers, participants and supporters and raise more than a half-million dollars annually in philanthropic support for Martha Jefferson Hospital. Our community shares a core value of generosity, and through these generous gifts Martha Jefferson is able to provide personalized care and the best possible outcomes to help our patients truly feel better. 48 | Martha Jefferson | www.mjhfoundation.org | spring 2015 MARTHA JEFFERSON CHAMPION’S CUP The Martha Jefferson Champion’s Cup golf tournament has become a signature event for Martha Jefferson Hospital. Over the course of the tournament’s history, more than $1,000,000 has been raised to support programs and services at the hospital. Eight Champions lead a flight of three teams, “championing” a cause that is a philanthropic priority of the hospital. In 2014, the flight winner of the President’s Cup (low gross score on the orange ball) and the flight winner of Champion’s Cup (best two net scores) split the proceeds from the event between their two causes, cardiology and cancer care. Save the Date David Rathburn (center), with his flight, winners of the 2014 President’s Cup. Martha Jefferson Champion’s Cup Monday, May 18 Glenmore Country Club MJ5K Run, Walk & Kids’ Dash Refreshed for 2015 Join us on Saturday, May 2, for the new and improved MJ5K Run, Walk & Kids’ Dash. This family-oriented 5K will meander through the Martha Jefferson Hospital campus and Peter Jefferson Place, with scenic mountain views at every turn. The course is designed to accommodate runners and walkers of all ages and fitness levels. Kids 12 and under can enjoy the Kids’ Dash on the Lorenzoni Run loop around the amphitheater on the hospital front lawn. Proceeds from the race will support hospital programs and services that enhance the Caring Tradition. The 2015 MJ5K will take place on the grounds of Martha Jefferson Hospital. spring 2015 | www.mjhfoundation.org | Martha Jefferson | 49 Lions Club Donates Toys to Emergency Department This past fall, the Thomas Jefferson Lions Club collected toys and then donated them to the Martha Jefferson Emergency Department, to be given to children to help make their experience a bit more pleasant. Bob Nedby, with the Thomas Jefferson Lions Club, presents donated toys for children to Catherine Boucher, Martha Jefferson Hospital administrative director If you or your community-minded group/business is interested in supporting Martha Jefferson Hospital and making a difference in the lives of your family, friends and neighbors, please contact Lauri Wilson at [email protected] or 434-654-8173. In The Pink Becomes Personal W 50 hen Amy Newman Nolasco of Crozet joined The Women’s Committee of Martha Jefferson Hospital in 2011, she had no idea her volunteer efforts eventually would hit so close to home. An avid tennis player, Nolasco simply thought of the commitment as an opportunity to use her passion to support a good cause—raising money for cancer patients through the committee’s In The Pink Tennis Tournament. After her mother, Pam Newman, was diagnosed with breast cancer in January 2014, however, Nolasco realized the full impact of fundraising efforts by The Women’s Committee. Newman, who underwent a double mastectomy in April and chemotherapy over the summer, benefitted from the services of Marianne’s Room, which is part of Martha Jefferson’s Cancer Resource Center. There she was able to select a wig, scarves and soft prosthetics—all items paid for by proceeds from In The Pink. “It makes me feel great to see all the good that In The Pink provides and to have experienced that firsthand,” says Nolasco. “I’m happy to play tennis any day of the week, so when I signed up for In The Pink the first time, it was a no-brainer. But now, after seeing everything my mother has experienced, I can honestly say that the $30,000 we raise specifically for Marianne’s Room impacts people in ways that nothing else can. It makes a huge difference. Breast cancer—from diagnosis and doctor visits to wait times and decision-making, all the way through treatment and post-treatment—just really sucks. The little | Martha Jefferson | www.mjhfoundation.org | spring 2015 Amy Nolasco and her mom, Pam Newman part we are able to provide through In The Pink is really a bright spot of hope that makes women feel so much better about themselves and gives them confidence that they can get through it.” “Marianne’s Room provides everything you need to make the process as comfortable as possible,” adds Newman, who also lives in Crozet and enjoys spending time with Amy’s daughters, Grace and Molly. “You don’t have to go out and find these things on your own, and that’s so helpful. Everything they do is meant to make you look good and feel good. You just don’t feel alone.” Nolasco learned about The Women’s Committee, which also hosts the iconic Martha’s Market and newly added Squash Cancer Tournament, from fellow tennis enthusiast Jean Momorella, a Women’s Committee member at the time who invited Nolasco to join the group. The three annual events raise more than $440,000 per year in support of women’s health programs at Martha Jefferson. Nolasco, who moved to the area from Northern Virginia five years ago, is beginning a three-year term as co-chair of In The Pink alongside Bonnie Hagerman. Despite the uncertainty and concern that goes along with a battle against breast cancer, Newman has had a positive experience at Martha Jefferson. She has felt confident in her doctors—including surgeon John Jones, M.D.; medical oncologist Erika Struble, M.D.; and radiation oncologist Sylvia Hendrix, M.D.—and appreciated their willingness to let her make final decisions about her treatment plan. She was impressed with the teamwork demonstrated Marianne’s Room is a special resource room in the Martha Jefferson Hospital Cancer Resource Center for women diagnosed with cancer, providing wigs, scarves and special “Chemo Caps,” as well as soft postoperative prostheses and camisoles for breast cancer patients after a mastectomy. Proceeds from the In the Pink Tennis Tournament are the primary source of funding for Marianne’s Room. $4 Million Raised for Women’s Health, Thanks to The Women’s Committee Since 1993, The Women’s Committee of Martha Jefferson Hospital has been proud to support many facets of women’s health care, with the primary emphasis on breast health. Over the past 21 years, through the tremendous success of Martha’s Market, the In The Pink Tennis Tournament, and the Squash Cancer Tournament, The Women’s Committee has raised more than $4 million in support of areas such as breast health, technology, women’s midlife health, heart disease and outreach to underserved populations. Women’s Committee volunteers preparing for opening day of the 2014 Martha’s Market. Seated on the bench (left to right) are Addie Miller, 2015 Martha’s Market Chair, and Katy Kreienbaum, 2015-2016 The Women’s Committee Chair. spring 2015 | www.mjhfoundation.org | Martha Jefferson | 51 2015 In the Pink co-chairs Bonnie Hagerman and Amy Nolasco by doctors, nurses and other medical professionals. “All of my doctors have taken time to talk with me and have given me honest feedback to make the best decisions,” says Newman, whose mother also had breast cancer. “They’ve been so generous with their time. I can’t say enough good about Martha Jefferson.” During her relatively short time living in this community, Nolasco has grown to love the area’s picturesque setting and caring people. She’s grateful for the way local residents have rallied around cancer patients and survivors through their support of activities sponsored by The Women’s Committee. “This kind of thing epitomizes the spirit of generosity in Charlottesville,” says Nolasco. “It’s important for the community to get behind this effort. In the last two years, besides my mom, I’ve known several other women who have been diagnosed with breast cancer. People need to be aware that the chances are that they or one of their loved ones will be impacted by breast cancer at some point in their lives. Men and women alike should want these types of services in their community.” SAVE THE DATE FOR THE WOMEN’S COMMITTEE FUNDRAISERS! In The Pink Tennis Tournament Saturday, Sept. 26 Squash Cancer Tournament Martha’s Market October 2015 November 2015 For information regarding sponsorship of any of these events, contact Lauri Wilson at [email protected] or 434-654-8173. 52 | Martha Jefferson | www.mjhfoundation.org | spring 2015 Philanthropy Supporting the Arts Connecting Art and Medicine Joanne Coleman of Earlysville sees many parallels between her career as a nurse practitioner and her avocation as an artist: Both are grounded in compassion and awareness. “Ebb and Flow,” a gift by artist Joanne Coleman to Martha Jefferson Hospital for addition to the hospital’s collection of original works of art “My career and my artwork have heavily influenced each other, and it has a lot to do with intuition, insight and compassion—these all build on each other,” says Coleman, a certified family nurse practitioner at UVa Medical Center’s Division of Pulmonary Medicine, where she diagnoses, treats and manages patients with pulmonary spring 2015 | www.mjhfoundation.org | Martha Jefferson | 53 Joanne Coleman in her home studio 54 diseases, sleep apnea and other sleep disorders. An artist since childhood, Coleman’s passion is creating pieces that convey movement and energy. She recently donated a painting entitled “Ebb and Flow” to Martha Jefferson Hospital, a piece rendered in duochrome acrylic paint that appears to change colors when viewed from different angles. In the painting, Coleman conveys a sense of energy flow and movement—a theme that runs through | Martha Jefferson | www.mjhfoundation.org | spring 2015 much of her artwork. “This type of paint I used, which changes colors as you move around it, makes the piece seem to take on a life of its own,” notes Coleman, who often uses paints that incorporate earthy, organic material such as bark, dirt, grass and leaves. “That sense of energy and movement in my artwork represents how I interact with my patients when I’m doing a total, head-to-toe assessment. I’m not just looking for a only through excellent healthcare, but also by surrounding patients, visitors and staff with the beauty of artwork. “It’s the perfect blend of that compassion and warmth and security and comfort that a hospital should provide,” says Coleman. “Art in a healthcare setting gives that feeling of peacefulness and serenity to the person who is visiting a loved one in the hospital, or someone who’s coming in for a procedure. Art provides a way for a person to center their own body’s energy, as well as to help focus the energy that surrounds all of us. Most important, art can offer a different view of life beyond the physical human experience to a higher level of being able to feel as if you’re part of a larger picture. It brings some focus into the situation a person is dealing with.” Coleman hopes her painting can contribute to the sense of comfort and peacefulness patients, visitors and staff may feel in the hospital and in all Martha Jefferson facilities. “I hope anyone at Martha Jefferson who is viewing my painting can find that sense of compassion that conveys the feeling that they’re not alone dealing with the illness of a loved one,” Coleman adds. “I hope they feel that sense of warmth and care and of being able to be part of that painting, even if for just a moment. It can help them get outside a difficult situation for a moment and feel that they have a reprieve.” sleep disorder, but thinking about the patient’s individual body energy and unique issues. It’s rewarding to work with patients and to help them meet their goals for their most optimum level of health.” Coleman, who has studied art on the East Coast and in Europe, donated the painting after learning of Martha Jefferson’s extensive art collection and openness to receiving new pieces of original artwork. She was inspired by Martha Jefferson’s commitment to offering compassion not spring 2015 How to Make a Gift of/for Art at Martha Jefferson Hospital To learn how, through your personal philanthropy, you can help support the arts-in-healthcare program or enhance the healing environment of care at Martha Jefferson Hospital, contact the Foundation Office at 434-654-8258. For inquiries regarding gifts of art, contact Cathy Link Sedwick at [email protected]. | www.mjhfoundation.org | Martha Jefferson | 55 { PHILANTHROPY } 2014 GIFTS of GRATITUDE T here are times when a special friend, beloved family member or compassionate caregiver inspires in us a desire to acknowledge and pay tribute to that individual and relationship in a distinctive and meaningful manner. One such meaningful expression is a charitable gift made in honor or memory of a special friend or family member that can be directed to support Hospital programs or services that were significant in the life of that individual. Often, a patient or family member, grateful for the care and caring provided at Martha Jefferson, has a desire to do something tangible to say thank you and to acknowledge the difference that a special caregiver or team of caregivers have made during an especially vulnerable time. These philanthropic gifts help support vital programs and services at Martha Jefferson that benefit patients, families and caregivers alike. In addition to the letter to the individual(s) making the gift, the Martha Jefferson Hospital Foundation will send a personalized note (gift amount is not disclosed) to the individual or family of those recognized and unless otherwise requested, the donor is listed in Hospital and Foundation publications. The following list features memorial and tribute gifts received from January 1, 2014 through December 31, 2014. This list is arranged by and features the name of those honored and includes the names of those willing to be recognized for their gifts. * Deceased Commemorative Tree 56 I n Memory Marjorie Alegretti The Family of Marjorie Allegretti Doris G. Ashby Kitty and George Eudailey Doris and Len Gardner Jim and Sue Haden Mrs. Melinda Harris Mr. and Mrs. William A. Leftwich, Jr. Piedmont Emergency Consultants Daniel L. Seale, M.D. and Rita R. Seale Mr. and Mrs. William B. Sutler David and Jane McLaughlin Harry and Kari Miller Louis and Susan Morris George Noyes Marilyn and Don Schultz Tom and Annette Selinger Nancy Sperling Jan R. and Deborah Squires Robert and Eleanor Strietman Mr. and Mrs. George Swansburg Mary Whalen Andrea Wiggers Anonymous Friends of Ginny Bowman Shirley Barnett Gloria and Donald Fletcher William S. Bradshaw Kitty and George Eudailey Doris M. Benzinger Janice S. Creasy Elizabeth C. Bishop Jim Haden Richard Kirven Brantley Anna F. Brantley The Anna and Kirven Brantley Charitable Fund Howard L. Bishop Jim Haden Judy W. Brown George Brown Christopher Blake Mr. and Mrs. Jerald E. Pinto Kenneth P. Bucci Anonymous Margarete Boehme Diana and Helmut Boehme Jim Burns Rosemary Burns Ernie ”Santa” Boggs Amy McNabb Richard Burton Irene Allen Burton Leon M. Bowen Charlotte M. Bowen Susan Hawkins Cain Hugh and Debbie Hawkins Virginia S. Bowman Tom Bowman Mr. and Mrs. John F. Caswell, Jr. Ms. Margaret J. Clarity Chuck and Peggy Cusic Carol and Bill Deets Pat Fatzinger Mr. Eric A. Fatzinger Joseph and Elaine Ferrara Mr. Richard B. Fontaine and Mrs. Barbara J. Fontaine Jim and Sue Haden Richard J. Camirand Cindy Camirand William Lee Anderson Don and Marian Spano Our Parents Duncan W. and Susan Campbell Carmen and Jose, Marion and Francis Mr. and Mrs. Robert F. Buzzard Carol Cavendish Ms. Anita Abner Regina Bilko spring 2015 JohnAllen, Brittany, Holly and Sharon Cavendish Ms. Jennifer L. Deem Mt. Pleasant United Methodist Church Caring Committee Mr. and Mrs. William D. Smith Connie and Bob Williams John Grayson Chestnutt Mr. and Mrs. Frank F. Fountain Mr. and Mrs. Donald E. Koonce David, Cara and Ella McDaniel Robert L. Conley Bill and Joanne Bickley The Blackwood Family Mrs. Amy Haycock The MacNamara Family of Edgewater Annapolis, MD Ms. Elizabeth Powers Ms. Tracy Redmond Fred and Judy Rhodes Anonymous D. Broward Craig Joyce P. Craig The Joyce and Broward Craig Charitable Fund Dallas R. Crowe Ethel M. Crowe Jane T. Danilek Frederica Bacher David and Catherine Boardman Joan M. Brakman and Family Anne Brown Rosemary Burns Jeanette and Clif Buys Ms. Elizabeth J. Callan Mr. and Mrs. Harold Culver Danilek Family Trust Mary S. and Frank A. Dodge Mrs. Judith Dutterer Nancy J. Fisher and Ledford Carpenter, Jr. Jean and Edmund Fording Cal and Ann Fowler | www.mjhfoundation.org | Martha Jefferson | 57 { PHILANTHROPY } Mrs. Marilyn Gilbert Jim and Sue Haden John and Ilse Hendrix Mrs. Helen Holweger Bo and Lizbet Hopkins Dolores Johansen Ann Kostick David and Robin Mellen Louise and Mike Monticello Ms. Jimmie Lou Richardson Joanne B. Robinson Patsy Stegall C. Bruce and Lois S. Till Dr. Clara Belle Wheeler Marie Groh Louise and Mike Monticello Ellen MacCall Bruce L. MacCall The Hon. Jesse B. Grove, Jr. Lt. Col. Robert Kirkwood Spencer Paxson C. MacDonald Jim and Sue Haden Gregory MacDonald Mrs. Barbara Nelson Barbara A. Dixon Gene Dixon, Jr. Marcia Hastay Kelly Gil and Mary Jane Medeiros Douglas W. Dobbins Anonymous Carolyn P. Knicely Mr. and Mrs. Bill Martin Augusta County Commissioner of Revenue Office Philip and Wilma Balsley Mr. and Mrs. James E. Waitier Thomas C. Dobbins Anonymous Janice A. Faulconer Nina Y. Brunell Ms. Judith P. Chaplin Pat Dabney Meg Gilmer Sandra and David Goldberg Jim Haden Marijo Lecker Martha Jefferson Hospital Pharmacy Staff John and Theresa Metz Mr. William K. Miller, Jr. Mrs. Philip F. Murray Gudrun and Todd Reeder Leslie N. Richard Cathy Link Sedwick Amy Skinner Pam Wolf Gloria G. Fennell Anonymous Ernest Al Flynn Wendy Waldner Flynn Elisabeth Greenbaum Priscilla Long Whitlock Thomas Grimes Mr. and Mrs. Harold F. Grimes, Jr. 58 Larry L. Hastings T. J. and Lauri Wilson Pat Inglis Mr. and Mrs. Edward O’Dwyer Bob Jennings Betty Jennings William G. Keller Mrs. Lois M. Keller Dr. Jim Knight Mr. and Mrs. William E. Doyle, Jr. Dr. and Mrs. David L. Morris Andrew F. Krieger Enid B. Krieger Mary Jo Larew Patricia A. Fulton Mr. Michael J. McGirr Donald G. Lederman Mary Antil Lederman Donald George Lederman Family Jo Locher Mr. and Mrs. Miles Porath Mr. and Mrs. Stanley Reid Ralph D. Long Ms. Maxine T. Butcher Bettye G. Dickinson Betty R. Hiter Monica Laws Linda C. Leake Jane W. Meyer Edith Longenbach Candace M. Abel | Martha Jefferson | www.mjhfoundation.org | spring 2015 Dr. Cary N. Moon, Jr. Mary D. Moon Preston E. Morris Susan B. Morris Dr. Anthony J. Murgo Mary S. and Frank A. Dodge Evlynn A. Murphy Janice S. Creasy Dr. Latham B. Murray Dr. and Mrs. W. S. Jennings, Jr. Dr. and Mrs. David L. Morris Jacqueline M. Oblinger Jim Haden Mr. and Mrs. Eugene S. McVey Mrs. Elizabeth Payne Annie L. Powell Rhonda I. Page Jean Printz Jim and Sue Haden Sarah A. Marshall Teresa B. Quick Erin and Brant Nesbitt, Lisa and Brian McGill, and Jerry Quick Sandra K. Reusing Bill and Janet Reusing Jerrold Robinson Joanne B. Robinson Wilmer Rogers J. Sue Brown Josephine Scarlata Ginnie and Peter Gillen Ilse Schneider Nancy L. Fischer Edward W. Shiflett Janice S. Creasy Irvine “Lee” Shiflett Kimbly P. and Thomas A. Redman Dr. John C. Shilan Tom and Karen Vaughan Royal and Louise Swing Janice S. Creasy Elizabeth Tebell Edith S. Ballard Mr. and Mrs. Laurence H. Gardner II Sally Goodrich Karen and Charlie McFall Mr. Kenneth C. Miller III and Ms. Terri L. Perkins Andy Sorrell, Chair Rural Planning Caucus of Virginia Ms. Sylvia G. Whitt Allan Wimbish and Nancy Crayton Doloris Collins Thomas Mr.* and Mrs. Alvin R. Clements Susan W. Cox Cecil and Shirley Day Ross Drury Kitty and George Eudailey Jim and Susan Frankowski Jim and Sue Haden Mrs. Lila Kay Lennard Cheryl Norman Ross and Sylvia Payne Frank and Carolyn Rose Larry and Carole Saunders Cathy Link Sedwick Jim Thomas In Honor Janet Arsenault Frank Squillace and Jane DeSimone Dittmar Dr. Joshua Fischer Jim Haden Nancy Fisher Jo Ann and James Farrell Ann L. Atwell Mr. and Mrs. Miles Porath Mina S. Ford Anonymous Amy Black Erika and Robert Viccellio Todd French Richard L. French Brenda Braxton Mr. and Mrs. Miles Porath Dr. Lindsay Friesen Mr. and Mrs. William E. Doyle, Jr. Peter Brooks Jim Haden Betty Gaines Jim Haden J. Michael Burris Gary and Aileen Selmeczi Rebeccah T. Getz Carol Chandross Susan Cabell Mains Erika and Robert Viccellio Amy and Jason Chestnutt Mr. and Mrs. Donald E. Koonce David, Cara and Ella McDaniel Leah Gropen Mr. and Mrs.* Fred Brenner Marie Haden Darren and Stephanie Haden Dr. Bruce Clemons Les Disharoon Pat Haden Jim Haden Joyce P. Craig Anonymous Sue Haden Michael and Dianne Burris Alan N. Culbertson Dr. Joe and Sally Gieck Dr. Joe and Sally Gieck Fund Nancy S. Hagen Mr. and Mrs. George C. Pierides John B. Thomas Jim and Doloris* Thomas Don and Jane* Danilek Jim and Sue Haden In Memory Of Mrs. Vallani Candace M. Abel Dr. Sylvia Hendrix Mrs. Susan T. Webb Anonymous Debbie Desmond Gary and Aileen Selmeczi Mrs. Peter A. Wallenborn, Sr. Dr. and Mrs. White McKenzie Wallenborn Jim Haden Mary Jo Hill Mr. and Mrs. James F. Adams Sarajane Dickey Robert W. Jackson Lucia Kaestner Carol Chandross Dr. Greg Doull Doug and Sterling Hudson Mary P. Warren Bertram L. Warren, Jr., M.D. Dr. Rebecca Kenner Anonymous Lydia S. Driscoe Charlie and Rosemary Cona Martha J. Whitworth, M.D. Anne Baldwin Mrs. Estelle W. Echols Mr. and Mrs. John A. Stillwell Candice Kurtz Dr. and Mrs. Scott Kasen Dr. Joseph Evans Anonymous Dr. Daniel Landes Lynne and Doug Miller Joan Fadden Jim Haden Marijo Lecker Erika and Robert Viccellio spring 2015 | www.mjhfoundation.org | Martha Jefferson | 59 { PHILANTHROPY } Dr. Lee Litvinas Anonymous Dr. Alexander Schult Virginia and Harold Hallock Dr. Kevin McConnell Anonymous Carol Scott Carol Chandross Ray Mishler Erika and Robert Viccellio Cathy Sedwick Suzanne Hilton Smith MJH Infusion Nursing Staff Rosemary Burns Paul and Cynthia Pearce Dr. John R. Shrum Elizabeth Cole MJH Operating Room Nurses Anonymous MJH Medical Oncology, Breast Surgery and Radiation Oncology Teams Mrs. Susan T. Webb Dr. Linda Sommers Mrs. Susan T. Webb Dr. Baidaa Mohammed Anonymous Dr. Cynthia Spaulding Lynne and Doug Miller Dr. David L. Morris Mrs. Luther Y. Gore Anonymous Dr. Joy and Dr. Burkard Spiekermann Jim and Sue Haden Dr. Gordon L. Morris Mrs. Luther Y. Gore Anonymous Reverend Terrence Staples Louise and Mike Monticello Elaine Muntner Larry and Linda Offenberg E. Ray and Thelma Murphy Jim and Sue Haden Dr. Bindu and Dr. Mohit Nanda Jim and Sue Haden A. Veralee Stewart Jim and Sue Haden Dr. Erika P. Struble Mr. and Mrs. Miles Porath Mr. and Mrs. G. McNeir Tilman Mr. and Mrs. Billy W. Kingery Michelle Parkin Benjamin Speckhart William and Dorothy Tompkins 50th Wedding Anniversary Jim and Sue Haden Shelley Payne Ginnie and Peter Gillen Jeff Turner Benjamin Speckhart It is important to us that we Dr. Mark Prichard Derry Miller Mrs. Susan T. Webb Kat West Nancy McKenzie West support in accordance with your Dr. Robert Pritchard Lynne and Doug Miller Paul and Cynthia Pearce 60 Suzanne H. Smith Greenbaum Family Charitable Fund Mr. and Mrs. Miles Porath Dr. Douglas Willson and Ms. Diane Willson Beth White Mr. and Mrs. F. C. Abell Dr. Christopher Willms Virginia and Harold Hallock recognize your generous wishes. If your name does not appear as you prefer, please accept our sincere apology and inform us of the correction by Alana Geneve Romanella Dr. Alan Romanella Lauri Wilson Jim and Sue Haden calling or emailing the Founda- Faye Satterly Suzanne Hilton Smith Dr. Cynthia Yoshida The Farkas Family Foundation [email protected]. | Martha Jefferson | www.mjhfoundation.org | spring 2015 tion Office at (434) 654-8258 or Thank you. In Honor of Jim Haden 1993 James E. Haden president & ceo 2014 The following donors made gifts in honor of Jim Haden during 2014 in recognition of his tenure and service to Martha Jefferson Hospital and the communities it serves. Bill and Carolyn Achenbach Rob and Nancy Adams ♥ Mr. and Mrs. Richard M. Ader Dr. Jeff and Mrs. Paula Alberts Elizabeth Smith Alford Thea Alterman ♥ Michael and Marilyn Ashby ♥ Janet and Ron Baellow Rod and Liz Beckwith Mr. and Mrs. Earle Betts The Betts Family Charitable Fund Michael and Lillian BeVier Amy and Richard Black ♥ Jimmy and Jean Blankenship ♥ Catherine Boucher ♥ Kathleen and Daniel Bowman Tom and Ginny* Bowman Joan M. Brakman and Family Mr. and Mrs. Peter C. Brooks Dr. Lincoln Brower Bobbie and Bob Bruner Michael and Dianne Burris ♥ Maxine and Henry Burton Susan Cabell Mains ♥ Chris and Jim Camblos ♥ David and Carolyn Cameron John and Laurie Carpenter Jeanne and John Chamales Vincent C. Cibbarelli Charles and Marianne Cole ♥ Kevin and Tracy Combs Dr. Greg and Erica Conner ♥ Joyce P. Craig The Joyce and Broward Craig Charitable Fund Jim and Becky Craig spring 2015 Michael L. and Jan Cubbage Alan and Sharon Culbertson and Family The Culbertson Foundation Jane* and Don Danilek The Danilek Family Trust Anna M. Day Foundation Debbie and John Desmond ♥ Les Disharoon Dr. Gregory H. Doull Jenn and Brodie Downs ♥ Mr. and Mrs. William E. Doyle, Jr. Mr. and Mrs. Andrew J. Dracopoli Mr. and Mrs. James C. Dunstan Dunstan Fund Earnest Edwards Mr. Joseph Erdman and Mrs. Rosemary Hill-Erdman | www.mjhfoundation.org | Martha Jefferson | 61 { PHILANTHROPY } Joe and Robyn Evans ♥ Jane Fellows ♥ Ronald and Nancy Fischer David and Elizabeth Boger Foreman ♥ Daniel W. Fort Mr. and Mrs. Keith A. Frazee The Keith & Carole Frazee Family Fund Martha S. Fruehauf The Fruehauf Foundation Maureen Garmey ♥ The Genan Foundation Bunny and Joel Gibbons Carrie S. Camp Foundation, Inc. Mark Giles Ginnie and Peter Gillen Richard and Leslie Gilliam The Richard and Leslie Gilliam Foundation Greg and Ginger Graham Bentley and Jim Grigg David and Carolyn Grow Dr. and Mrs. Stephen B. Gunther ♥ Sue Haden, Brian Haden, Kelsey Haden and John Haden Carol and Jim Hallett Will Hammond ♥ Hantzmon Wiebel, LLP Marilyn and Bob Harman Roy and Lynda Harrill Dana and Peter Harris Mr. and Mrs. Andrew D. Hart, Jr. Mr. and Mrs. Bruce E. Hathaway Brenda and Curtis Hathaway Sarah P. Hendley Angela Herstek-Zongilla ♥ Ed and Angie Honeycutt ♥ Terry and Susan Hunt ♥ Martha F. Hunter ♥ Carol and Blake Hurt Mr. and Mrs. Anthony R. Ignaczak Ignaczak Family Fund Tammy Carter James ♥ Dr. and Mrs. John A. Jane, Sr. Sue Jarrell ♥ * Deceased Commemorative Tree ♥ Martha Jefferson Hospital Employee 62 Pam and Rob Jiranek Janet Stone Jones Foundation Jennifer Smiley Kean ♥ Mr. and Mrs. Thomas J. Kelly Brian H. and Barbara T. Kennedy Howard Kern Charitable Gift Fund Mr. Howard P. Kern Patricia Ketchel and Roderick Dew ♥ Lawrence D. Keyes, Jr. ♥ Mr. and Mrs. Donald A. King, Jr. Janemarie and Don King Fund Dale and Rita Knauf ♥ Mr. and Mrs. Elliot H. Kuida ♥ Mr. and Mrs. Donald Laing III Tom and Delia Laux Ione Lee ♥ James (Jeb) and Jill Livingood ♥ Mark and Anne Logan Ms. Laura M. Lowrance Mary Ann and Bill Lucia ♥ Janice Lugar ♥ Len and Grace Mailloux Nancy F. Maloy ♥ Brian and Jean Mandeville Bobby and Judy Marks ♥ | Martha Jefferson | www.mjhfoundation.org | spring 2015 Jackie Martin ♥ Lynn W. and Lawrence J. Martin Alex and Sandy McAlister ♥ Lisa McDermott, M.D. ♥ Regina and John McGovern ♥ Ray R. Mishler and Patricia L. Smith ♥ Mitford Children’s Foundation Janice M. Karon MJH Administrative Executive Committee Mike Ashby, Catherine Boucher, Ron Cottrell, Amy Black, Ray Mishler, Marijo Lecker, Deb Thexton, Judy Tobin, Mike Burris, Anna Buchanan, Elliot Kuida, Deb Desmond ♥ Daisy and David Moga Mary D. Moon Bob and Lisa Moorefield Ms. Karen Moran and Mr. B. Wistar Morris III Morris Family Foundation Dr. and Mrs. Gordon L. Morris Dr. and Mrs. David L. Morris Richard and Patricia Muller ♥ Mary A. Mullins ♥ E. Ray and Thelma G. Murphy Lang and Latham Murray Charitable Fund A Donor Advised Fund of Renaissance Charitable Foundation Drs. Mohit and Vandana Nanda Cindy F. Napier ♥ Rob and Paula Newcomb The Rev. William W. and Ann Canter Nickels Mr. and Mrs. Richard L. Nunley Michael and Barbara Oblinger Linda and Dennis Odinov Charlotte and Jack* W. Owen Robert Wood Johnson Foundation Sandra C. Palumbo F. Troost and Kathryn B. Parker Kathryn B. and F. Troost Parker Fund Mrs. Virginia S. Payne Paula and Jim Pippin ♥ Mr. and Mrs. Joseph W. Richmond, Jr. Dennis and Ann Rooker Mr. and Mrs. Charles Rotgin, Jr. Daniel and Sheila Saklad Family Foundation Tim and DeAun Sanders Mr. and Mrs. James D. Satira Nunley-Satira Family Fund in CACF Faye Satterly ♥ Dr. Alexander A. Schult ♥ Kevin and Carolyn Schuyler Daniel L. Seale, M.D. and Rita R. Seale Cathy Link Sedwick ♥ Gary and Aileen Selmeczi Sentara Healthcare Mr. Dennis B. Sigloh and Rev. Jane E. Sigloh Jane E. and Dennis Sigloh Fund in CACF Sallie and Ward Sims Rita and Brian Smith Mrs. H. Gordon Smyth Linda and Jeff Sobel Jefferson S. Strider Cynthia and Jim Stultz Stultz Foundation Mrs. Richard D. Sullivan Dr. and Mrs. Paul J. Tesoriere ♥ Debbie Thomas ♥ spring 2015 Mr. and Mrs. G. McNeir Tilman Tilman Family Fund Dr. William F. Tompkins III and Dr. Dorothy Tompkins William and Dorothy Tompkins Charitable Fund ♥ Cynthia Traver Bob and Terry Valiga Allen F. Voshell, Jr. Dr. and Mrs. White McKenzie Wallenborn Jan Dorman and Elliott Weiss R. Ted and Sheila Weschler Ms. Leanna West ♥ Peggy and Page Williams Lauri and T.J. Wilson ♥ Susan and Leonard F. Winslow III ♥ Dr. and Mrs. Tom Wolanski Mr. and Mrs. David J. Wood, Jr. Mrs. Joseph M. Wood II The Whitney and Anne Stone Foundation Margaret J. Wyllie Anonymous (9) ♥ | www.mjhfoundation.org | Martha Jefferson | 63 { BOARD PERSPECTIVE } Of Mammas, Curves and More I BY BILL ACHENBACH n 1976 a little-known country music singer named Ed and was recently adopted by the American Hospital AssociaBruce first recorded a song called “Mammas Don’t Let tion as the mantra for the new world of healthcare delivery. Your Babies Grow Up to Be Cowboys,” which chronicled According to Morrison’s thinking, a company in the the tough life of the cowboy, urging mammas to “let ’em first-curve phase rides traditional business methods to be doctors and lawyers and such.” success, often plateauing at a point where those leading the After serving on numerous committees and boards at organization begin to worry about what will come next. In Martha Jefferson over the past 20-plus years, I have witnessed the healthcare context, the first curve has been characterized the stunning changes that have taken place in healthcare by volume-based care delivery, with reimbursement based on delivery. Change isn’t always easy, and with that in mind fee-for-service and an inpatient focus, and rewards based on I have on more than one occasion opined to Jim Haden the quantity—rather than quality—of procedures. that the lyrics of that song today could more appropriately We now know with certainty that the first curve in be: “Mammas don’t let your babies grow up to be hospital health care is not a sustainable model. Costs are accelerating, administrators/Let ’em be cowboys and lawyers and such.” yet hospitals face relentless pressure from payors (insurance Happily Jim’s mamma didn’t take that advice, and he has plans, employers, Medicare) to reduce costs and share risks. spent his career making a difference in the complex world In response to those pressures, we are currently in the early of healthcare delivery. The last 21 of those years have been stages of a massive transition to health care’s second curve, spent here with us in Charlottesville, and for us that has made characterized by value-based delivery systems, with reimburseall the difference. Under his leadership we have grown from ment based on outcomes, coordinated patient care, and popuan approximately 225-physician hospital to one currently lation health management. Driven by technology and a more employing or affiliated with close to 500 doctors. We enjoy holistic view of wellness, the second curve will be centered state and national recognition for patient satisfaction and on the person, rather than the patient. Hospitals like Martha clinical excellence. We are financially sound, with a healthy Jefferson will still treat the sick and injured, but we will shift operating margin. In 2011 we moved into an award-winning our focus somewhat to providing healthcare products and new hospital supported by one of the most successful services for all states of health—while, importantly, working philanthropic campaigns ever conducted in Charlottesville. out how to be compensated appropriately for those services. That same year we joined forces with Sentara Healthcare We’re already well under way with the second-curve to become part of their nationally recognized system. And transition at Martha Jefferson, chiefly through our partnerthrough it all, we have stayed true to the ship with Sentara and its many second-curve Caring Tradition that defines Martha Jefferson initiatives. This transition is sure to be at its core. challenging, will often be frustrating and Jim quietly, but firmly and adeptly, very well may be expensive, and we are very steered the ship through those years of pleased to have a strong partner in Sentara as change. He has earned the affection and we embark on the journey. respect of those around him, while setting That journey will be led by our new CEO, the stage for Martha Jefferson to embark on Jonathan Davis, who joined Martha Jefferson its “second curve” journey. in January. We wholeheartedly welcome The second curve concept was first Jonathan and look forward to the leadership formulated by futurist Ian Morrison in his he will bring to our cherished enterprise. 1996 book The Second Curve: Managing Likewise, we bid a fond farewell to the Velocity of Change. Speaking to the need our friend Jim Haden as he embarks upon a for recognizing and managing fundamental well-deserved retirement, with our thanks Bill Achenbach change in the affairs of healthy institutions, and gratitude for a job superbly done—and, Martha Jefferson Hospital Board of Directors and the idea has been employed by major compafrankly, just for being Jim Haden. We’re ever Sentara Board of Directors nies such as Walmart, Starbucks and Apple, thankful that your mamma sent you to us. 64 | Martha Jefferson | www.marthajefferson.org | spring 2015 Life doesn’t always run smoothly, but the Martha Jefferson Emergency Department at Proffit Rd. does. Our expert doctors and staff provide high quality, comprehensive care 24/7. And with our convenient location north of Charlottesville, and imaging and lab services available on-site, you can get answers quickly and get back to life sooner. 24/7 emergency care at Rt. 29 and Proffit Road Martha Jefferson Hospital. Delivering more tomorrows. MarthaJefferson.org Non-Profit Org. U.S. Postage PAID Martha Jefferson Hospital 500 Martha Jefferson Drive, Charlottesville, VA 22911 WHEN SMALL ORTHOPAEDIC PROBLEMS GROW INTO BIG ORTHOPAEDIC PROBLEMS... Martha Jefferson Orthopaedics and Spine can help. Whether it’s chronic shoulder arthritis, a recent sports injury or that nagging back or wrist pain that just won’t go away, our 10 specialists are ready to tackle any orthopaedic problem. From innovative technologies and diagnostic assessments to surgical and non-surgical treatments and rehabilitation therapies, we provide highly individualized care tailored to your specific needs. And with free parking available at the doors of both of our convenient Charlottesville locations, access to that care is hassle-free. Call to schedule your appointment and get back on the path to a pain-free life today. 434.654.5575 | MJHortho.org