Archive for August, 2008

Tuesdays with the Family

Posted on August 30th, 2008 | No Comments »

The Tuesday conferences keep us in praticing strong family medicine
The clinic is closed on Tuesday afternoons.  Contrary to public expectation, nobody is golfing.  Except maybe Chris.  We have a “dedicated” didactic block for the residents to attend lectures on pertinent topics in family medicine.  For me, being on medicine service for the past month, ”dedicated” means make it when you can.  For everyone else, Tuesday afternoons are a great time to catch up with all the residents.
I caught up this past week in August.  The meeting was at the Community Rehab and Sports Medicine center across from CHE.  We got to see for ourselves where our patients go and what they experience when we send them for PT/OT.  Coming from training as an Osteopathic Physician, my philosophy on health is that the body is an integrated whole with an inherent ability for self healing. We are taught appreciation for the body’s interrelation of structure and function.  I’ve used musculoskeletal manipulation of various forms to optimize the physiology of my patients.  At the rehab center this approach to healthcare happens daily.
The clinicians at Community were dedicated and impressive.  The treatment plans are very well thought out, and outcomes of each encounter are measured to improve overall care and to show objective results. The training facility is first rate. The talented people there complement our work in the clinics and give patients the consistency many chronic problems require.  Thanks for lunch and the impressive tour, your work is vital.
No one slept during lecture though we were all prepared
Next, we returned to CHE for an interactive lecture on sleep apnea.  We were introduced to the various CPAP masks and machines.  It was a real eye opener (and nostril opener).
The day ended with an earfull of information from  Dr. Matthew O’Malley a neurotologist who recently joined the Midwest Ear Institute and specializes in ear, hearing, and balance disorders. He honored us with his expertise in this area and we are all grateful.  Welcome to Indianapolis.
It felt good to meet up with everyone again, (there are actually eight of us interns!) I enjoy these Tuesday afternoons – they are a breath of fresh air.

Recycle your electronics at Community Hospital North this Friday!

Posted on August 27th, 2008 | No Comments »

Community Hospital North is hosting a “eCycling” event this Friday. The public is encouraged to attend and recycle any used electronics.
Here is a quote from the press release, the full release is here.

“This drive-through event provides a great opportunity for residents to dispose of old personal computers and other electronics that can harm the environment if not recycled properly,” said Ed Koschka, network vice president of information technology and chief information officer for Community Health Network.   “This is a major project for our employees to show their commitment to being green—and just one step we can take as a health care leader in the community to play our part in protecting the environment.”

This is a great chance to clear your house of old computers or cell phones, and help the environment.
More Information:
At the event, our partners Computer Experts Inc., Keep Indianapolis Beautiful, Virtual Scavengers and 1-800-GOT-JUNK will help us protect the environment by properly and securely disposing of the hazardous materials that electronic devices contain and by recycling and reusing old PCs, printers and monitors to help low-income families with low-cost technology and training.
  • Before bringing a computer equipped with a hard drive (your computer’s internal Storage) use hard drive erasing software to safely remove your personal information. 
A free program called DBAN is available at ComputerExpertsIndy.com. If you have 
questions, call 317-833-3000 or e-mail info@ComputerExpertsIndy.com.
  • Virtual Scavengers destroys any data on the hard drives of computers recycled.
  • Only donate your personal equipment. If you have equipment issued by Community Health Network that needs to be recycled, contact your IT site director.
  • During this event we will accept almost anything with a cord (e.g. telephones, 
computers, printers, etc.) for free. A $5 processing fee will be assessed for televisions.
To share your ideas on how to go green or if you have a question, please e-mail us 
at gogreen@eCommunity.com or call 317-355-9600.

Age Stereotypes and The Internet

Posted on August 25th, 2008 | No Comments »

I just read a great post over at the Greystone blog that uses some of the statistics I frequently quote but mixes them with others I don’t know to come to an interesting conclusion.  The quote that Neal discusses in his entry and one I hear a lot also is that “My patients don’t use social media“.

I like how he proves that the common stereotype that old people don’t use the Internet just isn’t true anymore.

Twelve Essential Characteristics of a Personal Health Record

Posted on August 20th, 2008 | No Comments »

From the reading I’ve been doing lately about personal health records I have collated/synthesized twelve characteristics that a personal health record (PHR) should have.

1. Provide patient education
Along with storing a patient’s health records, a personal health record should provide education about a patient’s conditions, surgeries, medications, etc.

2. Lifelong and comprehensive
The information in a personal health record needs to consist of the entire health history of a patient and include all health care providers the patient has seen.

3. Accessible from any place at any time
The personal health record needs to be accessible by the patient and the health care provider whenever and wherever it is required.

4. Provide health management tools
Features need to include tools that allow the patient to record their data and compare it to what it should be so that the patient can improve their health.

5. Private and secure
Obviously, this characteristic is very important.  The patient information, both entered by the patient and what comes from the Electronic Medical Record (EMR), needs to be kept private and appropriate (or even more than necessary) security measures need to be used to keep the data secured.

6. Capture self reported values
A personal health record must allow a patient to enter their own information if the data is missing or incomplete in what exists.

7. Patient controls what data is entered into their PHR
The patient is able to add items to their personal health record and is able to control what data is put into their PHR, like data from their electronic medical record.

8. Access to the patient’s EMR data
To increase patient adoption, a personal health record must have the ability to interact with a patient’s electronic medical record.  Information should flow to the PHR from the EMR and the patient should be able to send data to the EMR (which can be accepted or rejected by the physician as needed).

9. Secure patient-provider communications
Not only should a personal health record provide health management tools, but a PHR should provide patients a method to communicate with their physician(s) to ask questions, report health measurements, etc.

10. Patient controls who has access to their information in the PHR
A patient should be able to share data in their personal health record to whomever they feel is appropriate.  The patient should be able to control this at the level of each individual item in the personal health record, like a single condition, medication.

11. Transparent
An audit trail needs to be available to the patient to see where the data items came from that are in their personal health record, who entered it, who has viewed each item and when.

12. Interoperability
The information in a personal health needs to be in a format that can be exported or shared between personal health records, electronic medical records, etc.

See how Community Health Network’s Personal Health Record stands up against these criteria.

Network diversity

Posted on August 19th, 2008 | No Comments »

I just finished diversity training last week – a requirement of my employment at Community Health Network – and it got me thinking about our health network’s diversity initiatives.

Diversity training is admittedly not how I would have chosen to spend a full afternoon. I’ve lived lots of places, experienced many cultures, and engaged in similar training at former jobs–what would one more afternoon talking about it accomplish? But on reflection it was truly worthwhile. Community has created an engaging opportunity for employees to gather for a multi-disciplinary dialogue. Our instructor kept the energy level high and was willing to show her vulnerabilities to pave the way for others to participate. And who doesn’t need reminding that not everyone shares your cultural values and ideas of proper behavior?

I don’t have much interaction with patients, so I especially enjoyed learning about some of the tools available to clinicians when communicating with patients from diverse backgrounds. In addition to having Spanish language interpreters on staff, language differences can be overcome with the use of our language line phone service. These specially-designed telephones have two receivers that connect the clinician and patient with an interpreter who can facilitate the conversation. Additionally, Community recently implemented CultureVision technology, a web-based reference to help clinicians understand cultural preferences as they relate to health care. The best part is that it’s accessible from any of our network computers.

In addition to meeting the needs of our increasingly diverse patient population, Community also fosters diversity in the workplace. On one hand, that’s obvious–how could a workforce of over 10,000 employees not be diverse? But on the other, it is a choice that the network has made. An example is the recognition that Community Hospital North will receive at Noble of Indiana’s 2008 Annual Celebration. Community will receive the Employment Award for hiring persons with developmental disabilities and furthering their job growth.

While I have provided just a few of the many examples of Community’s commitment to diversity, you can read more on our Web site. It’s an evolving initiative that will continue to focus on creating exceptional experiences for our patients, families, physicians and employees.

Even More New Video – Maternal Fetal Medicine

Posted on August 15th, 2008 | No Comments »

We seem to be getting a lot of new videos posted lately. Here is an overview video of our Maternal Fetal Medicine program, featuring Lauren Dungy-Poythress, M.D and Deborah Skannal, M.D.

This was a great project to work on, and features our labor and deliver and neo-natal intensive care unit at Community Hospital North as well as the great staff at Maternal Fetal Medicine, the practice.

Dr. Dungy-Poythress and Dr. Skannal provide high quality patient care to high risk pregnancies using some pretty state of the art medical care technology such as 4-D ultrasounds.
Be sure to watch the great patient testimonials as well, showcasing why our maternal fetal medicine program helps make Community one of the best hospitals in Indianapolis.

Aromas for Healing with Pam Conrad

Posted on August 14th, 2008 | No Comments »

This post is a bit overdue, but since I am on a roll, I will feature some content that was recently uploaded to our YouTube channel.

A few months ago (more than I care to admit) we did a video shoot as a pilot with Pam Conrad, from Wellspring Pharmacy, featuring clinical aromatherapy. We will be starting on some new episodes soon, so I thought I would share this playlist. Expect an iTunes link in the future, as we bring this online as a video podcast.
If you prefer a higher quality viewing experience, or have YouTube blocked by your office, you can view the videos here as well:


If you are not familiar with Wellspring Pharmacy, they have locations at Community Hospital North, East, and South, and have some great amenities, like delivery, and online refils via our mobile site.

Jan Bingle, Cheif Nursing Officer, Honored with Jack Heiney Award for Philanthropy

Posted on August 13th, 2008 | No Comments »

Another quick post featured a recently produced video from our New Media Lab. One week ago, Jan Bingle, Community Health Network’s Cheif Nursing Officer, was honored by the Community Health Network Foundation with the Jack Heiney Award.

The Jack Heiney award is an annual award for philanthropic leadership. I’ve worked with Jan on numerous projects in the past 5 years, and I am happy to see her honored.

“The Community Health Network Foundation Board of Directors has awarded Jan Bingle, M.S., R.N. and Community Health Network Chief Nursing Officer, the Jack Heiney Award for philanthropic leadership. For more than 25 years, Jan has generously given her time, talent and treasures to make an impact in the lives of our nurses, patients and families. Many of her colleagues, family and friends gathered at an award dinner to pay tribute to her exemplary philanthropic leadership and dedication to advancing the nursing practice at Community Health Network and central Indiana.

Jack Heiney, retired president and CEO of the Indiana Gas Company, has been a philanthropic leader in the Community Health Network for nearly 40 years. This award was created to honor his ability to inspire a culture of philanthropy and to salute other philanthropic leaders.”

myCommunity Press and new Overview Video

Posted on August 12th, 2008 | No Comments »

This post is overdue by a week, but better late than never.

Daniel Rench, Vice Preseident of e-Business here at Community Health Network, had the opportunity to present our myCommunity membership program to some local media last Wednesday.

Take a look a the overview video we produced for the event, as well as some of the coverage by the Indianapolis Star.

Tasty hospital food

Posted on August 8th, 2008 | No Comments »

Community Hospital North was the title sponsor at the Flavor of Fishers on August 2, and in addition to hosting a medical tent at the event, the hospital’s Bamboo Cafe was one of the featured food vendors. At my exercise class earlier this week, one of the ladies mentioned how much she enjoyed the vegetable salad that was offered. I asked Chef Diana, food service supervisor at Community Health Network, if she would be willing to share the recipe, and she gladly obliged:

Summer vegetable rainbow salad
Makes about six 1-cup servings

3 cups shredded green cabbage
1 cup diced plum tomatoes
1 1/2 cups broccoli florets
1 medium zucchini, gut julienne
1 medium green pepper, cut julienne
1 medium red pepper, cut julienne
1/2 cup shredded carrots
1 1/2 tsp kosher salt

Directions: Combine all ingredients. Toss to combine. Add dressing and toss to coat. Cover. Chill. Best if made 2-3 hours ahead of time.

Dressing
2 T fresh squeezed lime juice
3 T red wine vinegar
1/2 tsp lemon pepper blend
1/4 tsp black pepper
1/4 tsp kosher salt
1/4 tsp minced garlic
4 1/2 T olive oil

Directions: Combine all ingredients. Whisk until well blended.

Click here for a video demonstration of the salad preparation, where Chef Diana provides some extra tips and variations on the recipe.

Flavor of Fishers was a one-day event, but you don’t have to wait until next year to enjoy Chef Diana’s creations. The cafes at Community Health Network’s hospitals offer flavorful and healthy food options year round.