JAX AIR NEWS, NASJACKSONVILLE, Thursday, October 22, 2009 15 Safety, patient-centered care highlight symposium From NH lax Public Affairs More than 300 mili- tary and commu- nity medical pro- viders and hospital staff attended a one-day patient safety and care sympo- sium Oct. 5 at the Hyatt Regency Riverfront Hotel in Jacksonville. The "Leading from the Front: Tools to Enhance Patient Safety" sympo- sium, sponsored by Naval Hospital Jacksonville (NH Jax), featured key lead- ers from the Department of Defense (DoD), Navy Medicine and a variety of other professionals who focused on the importance of patient safety, the neces- sity of making the patient and families the center of medical care and the well- being of the medical team. "A high degree of coopera- tion and collaboration exists within Navy Medicine and the Jacksonville medi- cal community on the important topic of patient safety," said Capt. Bruce Gillingham, commanding officer, NH Jax, as he wel- comed guests to the sympo- sium. "Our goal at Naval Hospital Jacksonville con- tinues to be to fostering even greater collaboration throughout the Department of Defense, the Navy and with our colleagues in the Jacksonville region on these critically important topics." Surgeon General of the Navy Vice Adm. Adam Robinson, Jr., echoed Gillingham's beliefs and said it is crucial to have a trained and focused team that has the patient at the center of the process. Delivering safe and effec- tive patient care is a process that involves more than just seeing a doctor according to Robinson. "We all have to lead and never take the back seat when it comes to patient care and safety," said Robinson. He explained that doing so involves building a culture of care that is "col- laborative, cooperative and collegial." The primary mission of Navy Medicine is a "fit and ready force," keeping active duty service members physically, emotionally and spiritually ready to deploy and carry out their mission, according to Robinson. It also involves caring for mili- tary families and retirees. Accomplishing this involves a "multi-disciplinary round table" bringing together all elements of the family cen- tered healthcare team, to deal with all aspects of the patient's well being. "We also have to embrace change. A key element is going from a culture that was physician-centric to one that is patient-centric, because there is no one more important than the patient and their family," he said. Internationally renowned author and keynote speak- er John Nance, the author of "Why Hospitals Should Fly," talked about how more people in the medical community are embracing patient safety based upon a philosophy called "Crew Resource Management" or CRM. Keys to ensuring patient safety include "stan- dardization" and "minimiza- tion of variables," according to Nance. His concepts also include challenging perceptions and assumptions, fostering more Photos by HM3 Jermaine Derrick Author of the book Why Hospitals Should Fly and keynote speaker John Nance told the symposium audience, "We no longer have the luxury of working in a doctor-centered world. Everyone is responsible for providing care for the patient no matter your rank." effective communication and facilitating change. "A main element of affect- ing changes in patient safety is shifting doctors from being omnipotent com- manders to being leaders as teachers," said Nance. He also said that empow- ering each person on the team to speak up when they believe something is not right -a concept of CRM - can really save lives. As a former U.S. Air Force C-141 Starlifter pilot, Nance told a new crew- member before a flight to speak up if he saw a prob- lem during the mission. He was surprised when early in the flight he heard over his headset the crewman telling him he might be climbing to the wrong altitude. Fully expecting the crew- man to be wrong, the copilot confirmed the discrepancy and Nance quickly aborted the climb that would have taken his aircraft directly into a commercial airliner's belly killing hundreds of people. Just like an aircrew, Nance believes everyone on the medical team must have a voice when it comes to the safety of patients. Gillingham, an orthope- dic surgeon, also shared an example from his personal experiences while serv- ing as the commander of a Surgical Shock Trauma Platoon at Taqaddum, Iraq, during Operation Iraqi Freedom in 2005. In this case, a hospital corpsman spoke up and helped solve a problem that had dogged the platoon's leadership for some time, one that directly impacted patient care how to keep wounded patients warm during helicopter evacuation to advanced medical care facilities. After several potential solutions failed, including one using duct tape to keep blankets in place, the corps- man suggested using modi- fied body bags to serve as a cocoon for patients during the flight. "Initially, it seemed like an inappropriate and easily misunderstood use of body bags, but its use made a real and positive impact for patients," said Gillingham. Outfitted with openings for the patient's face and assorted life support equip- ment it was emblazoned with bright red crosses. These "hot pockets," as they became known, ensured patients arrived at their destination warm and with- out the clotting problems associated with being cold - to improve patients' chances Access e* Mortgage Eric Rocereta 904-230-1972 ERocereta@AccessEMortgage.com Call or email me today with your mortgage questions Get pre-qualified for a new home purchase Refinance your existing mortgage to a lower rate and/or take cash out I search dozens of lenders to get you the best rote I 9 I U TrF Fr.I of recovery. This kind of out-of-the- box thinking would not have gone far in the old days of Navy Medicine when the doctor was "all-knowing" and others usually did not have a real say in patient treatment or safety, stated Gillingham. When Gillingham assumed command at NH Jax last year, he embraced the philosophy and concepts of CRM and charged his leadership team and staff to put the patient at the center of the medical experience and make safety the num- ber one priority in every encounter. One way being used at the hospital to help ensure patient safety is through a CRM-like process called TeamSTEPPSTM. It is a methodology to enhance family centered care and patient safety where it matters the most at the point of patient care. TeamSTEPPSTM is cur- rently being used in the hospital's operating and emergency departments and will become standard proce- dure in other departments as more providers and staff receive training. TeamSTEPPSTM empow- ers everyone on the team, regardless of rank or posi- tion, to speak up and call "time outs" if necessary for patient safety. "The free flow of ideas and working together as a team fosters innovative ideas, and anybody on the team can sound the alert and even stop the action when something seems amiss in high-risk proce- dures," said Gillingham. "Whether treating wounded warriors on the battlefield or an ill child in pediatrics, we all have a moral obliga- tion to keep the patient's best interests in the fore- front as we deliver safe and high quality care to America's patriots and their families." Other speakers included Heidi King, acting Director, DoD Patient Safety Program and Director, DoD Healthcare Team Coordination Program, Office of the Assistant Secretary of Defense (Health Affairs); Rear Admiral David Keiser, commander, Navy Medicine East; Dr. Marty Scott, who oversees patient safety and quality initiatives at University Medical Center; Registered Nurse Susan Scott, with University of Missouri Healthcare; and Orthopedic Surgeon and Healthcare Consultant Dr. John Webster, who led an interactive discussion on the topic of patient safety chal- lenges. 5541 ROOSEVELT BLVD. 5443 SAN JUAN AVE. 1179 PARKAVE. 7628 103RD ST. 6842 WILSON BLVD 6008 LAKE COVE AVE. 1734 KINGSLEY AVE. 206 PARK AVE. 1313 BLANDING/KNIGHT BOXX 341 PARK AVE. 1952 PARK AVE. 4603 BLENDING BLVD. 6510 NORMANDY BLVD. 6409 SAN JUAN AVE 6970 103rd ST 11 BLENDING BLVD 620 CHAFFEE RD CECIL FIELD 5391 COLLINS RD. 6260 103RD ST. 7900 103RD ST. 1670 WELLS RD. 5480 COLLINS RD 511 BULLS BAY HWY 10980 NEW KINGS RD(US 1) 4511 SAN JUAN AVE 7023 103rd ST 640 STOCKTON ST 277 BLENDING BLVD 500-60 HWY 17 & CR 220 4420 WABASH AVE. 4441 WESCONNETT BLVD. 7254 103RD ST. CECIL FIELD 182 BLENDING BLVD. 1441 DUNN AVE 821 BLENDING BLVD 7313 LEM TURNER RD 132 BLENDING BLVD 1548 PARK AVE 634 BLENDING BLVD 1585-B ISLAND LANE ' Photo by HM 1 Michael Morgan HM2 Fallon Moore (right) pays CS2 Sarah Hatley for her hot lunch Oct. 16 at Naval Hospital Jacksonville's Child Street Cafe which now offers an "a la carte" menu that is, a menu offering individual dishes with separate prices. Hospital's Child Street Cafe goes 'a la carte' By CS1(SW) Mark St. Hilaire NH Jax Galley he Naval Hospital Jacksonville "Child Street Caf6" dining facility introduced its new 'a la carte' menu Oct. 1. Each item is individually priced, so the customer only pays for the items they select. The menu features new sandwiches, fruit and desserts that are pre-portioned and wrapped for convenient 'grab and go' take-out dining. It offers favorite items from the previous menu, plus, more 'healthy choice' options. "I think the speed line will be very popular," said CS2 Walter McGlohn. "It's filled with some great diner-style food. Burgers, grilled chicken breast sandwiches, grilled cheese sandwiches, hot dogs, chili dogs, tuna or chicken salad sandwiches, French fries and onion rings will be served every day." Depending on the day, you can get anything from pulled pork sandwiches on Mondays to pizza on Thursdays or a Philly cheese steak on F,-ii.L%- "I like the fact that if I just want a bagel and coffee, that's all I'm going to pay for," said Kathy St. Hilaire, one of the first customers to come through the line. "There were many months of planning and numer- ous hours invested to meet our Oct. 1 deadline," said Combined Food Operations Department Head Lt. Cmdr. Donna Sporrer. "The menu is designed to support the Surgeon General's health initiatives with many low-fat options available every meal." "We invite your comments," Sporrer continued, "We will conduct monthly menu review boards to gauge customer response and incorporate new ideas. There is also a food service officer suggestion box." The caf6 is open to military and civilian personnel. NO E UITY? UPSIDE DOWN/ Phone For Reservations & Rates Mon Fri 10am 4pm|| .117 Miles of Beautiful Beaches, Camping, Fishing & Hiking 117 Miles of Beautiful Beaches, Camping, Fishing &Hkn News LOCATION ABC LIQUORS AMERICAN LEGION BONOS BBQ BONUS DOLLAR BP CECIL PINES ADULT COMMUNITY CHAMBER OF COMMERCE CHEVRON GAS STATION CITGO COMFORT INN ECKERD DRUGS FAMILY DOLLAR FCE BP FCE SHELL FCE SHELL FCE SHELL FCE SHELL(DAILY'S) FIDDLERS GREEN GOLF COURSE FLEET RESERVE FOOD LION FOOD LION FOOD LION GATE GATE GATE GATE GATE GATE GATE GATE VYSTAR CREDIT UNION VYSTAR CREDIT UNION VYSTAR CREDIT UNION VYSTAR CREDIT UNION VYSTAR CREDIT UNION JIFFY LUBE JIFFY LUBE JIFFY LUBE JIFFY LUBE JIFFY LUBE JIFFY LUBE JIFFY LUBE I NoATinNJ AnnDCCR JIFFY LUBE JIFFY LUBE JOHNSON FAMILY FLEA MARKET KANGAROO KANGAROO KANGAROO KANGAROO KANGAROO KANGAROO KANGAROO KRYSTALS LIBRARY LIL CHAMP LIL CHAMP LIL CHAMP LIL CHAMP LIL CHAMP LIL CHAMP LIL CHAMP MOVIE STOP MURRAYSTAVERN POST OFFICE RAE'S DINER ROWE'S SAFECO SAMS ST. JOHNS SEAFOOD SPRINT SPRINT SPRINT SPRINT SPRINT SPRINT SPRINT SPRINT SPRINT SPRINT SPRINT STAR FOOD VFW WESCONNETT LIBRARY WINN DIXIE WOODY'S BBQ YELLOW WATER HOUSING Updated: FEBRUARY 1,2007 2692 BLENDING BLVD MDG 1445 S 6th ST MACCL 5800 RAMONA BLVD JAX 2688 OLD MIDDLEBURG JAX 7603 103rd ST./RICKER JAX 3137 SR 220/RUSSELL MDG 2584 SR220 & COLLEGE MDG 5105 SR218W/MALLARD MDG 2816 BLANDING/PEPPERGRASS MDG 4305 HWY 17 & RAGGEDY PT OP 208 BLENDING BLVD. OP KINGSLEY AVE. OP 9763 103rd ST./CONNIE JEAN JAX 636 McDUFF AVE. S. NEAR 1-10 JAX 770 N McDUFF NEAR BEAVER JAX 102 SUZANNE OP 2468 BLENDING & SCENIC MDG 338 COLLEGE & OLD JENNINGS OP 1312 BLANDING/OAK OP 8635 BLENDING BLVD JAX 4527 120TH ST. JAX 1335 KINGSLEY AVE. OP CECIL FIELD JAX 5435 BLENDING BLVD JAX 6407 103RD ST. JAX 1464 PARK AVE. OP 10401 NORMANDY BLVD. JAX 4152 OLD MIDDLEBURG JAX 8181 103rd ST. JAX 4856 PARK ST./CASSAT JAX 3895 OLD JENNINGS/LONGBAY MDG 2682 BLANDING/218 MDG 4486 MIMOSA/218 MDG 804 BLANDING/CAMP JOHNSON OP 2816 HENLEY RD LKASBURY GCS 3075 HWY 17/MAHAMA GCS 6935 HWY 17/HIBERNIA GCS 756 PARK AVE. OP 187 ARORA BLVD. OP 103RD ST./ HARLOW JAX 5647 ROOSEVELT BLVD. JAX 4291 ROOSEVELT BLVD. JAX CECIL FIELD JAX I ICKU YU JXAIR EWSAT ANYO HSOATINS4232 OFF-BASE PICKUP LOCATIONS ADDRESS LUURI IUM Auuncoa WIT