Celebrating Recovery and Addiction Research by Dr. Jeremy Boal

Last week was exciting and busy for our colleagues who treat patients with substance abuse disorders.

On Tuesday, we shared with many of you that our addiction services programs, including Stuyvesant Square (aka Stuy Square) and our opioid treatment programs, will now be known as the Addiction Institute of Mount Sinai (AIMS). We will continue to offer the services we currently provide. We will also collaborate with other leading research programs across Mount Sinai Health System. The programs are already be partnering with AIMS through trials and studies that will ultimately benefit our patients.

It was wonderful to see so many of our addiction services teams connect on Tuesday. You will begin to see some changes in our signage and the way we promote the program in the community.

September is also National Recovery Month. Our opioid treatment program employees found surprising and engaging ways to help our patients express their feelings about recovery. On Wednesday, we held a special event where patients at each of our locations shared skits, music, poetry, artwork, and other expressions to celebrate the recovery process. Cheryl Marius, OTP clinic director, said the overwhelming theme was positivity. Our counselors work with patients to turn a difficult challenge into inspiring change. Recovery Month is a national celebration, and one of our patients won second place in the Recovery Month art contest.

I’m thankful that we can lift these patients up and celebrate their recovery journey.

Phillips School of Nursing Earns National League of Nursing Award

The Phillips School of Nursing at Mount Sinai Beth Israel has earned the National League of Nursing’s prestigious designation as a “Center of Excellence in Nursing Education™ for the years 2018-2022.  This is the School’s second consecutive designation as a Center of Excellence in the category of “Enhancing Student Learning and Professional Development.”  Phillips School of Nursing was one of just 12 schools selected nationwide to receive the honor in that category this year.

Under the leadership of Dr. Todd F. Ambrosia, Dean, a series of new initiatives have been developed that enhance student learning in critical thinking and evidence-based practice.

The New York City-based National League of Nursing invites schools to apply for Center of Excellence status based on their demonstrated sustained excellence in faculty development, nursing education research, or student learning and professional development. Schools must also have a proven commitment to continuous quality improvement. The designation is designed to acknowledge those schools of nursing and health care organizations that have achieved a level of excellence in a specific area.  Through public recognition and distinction, the program acknowledges the outstanding innovations, commitment, and sustainability of excellence these organizations convey.

“We are honored to receive this recognition from the NLN,” said Dr. Todd F. Ambrosia, Dean.  “I’m extremely proud of the faculty, staff and students as we continue the legacy of excellence this educational institution established over 114 years ago.”

Students from the Phillips School of Nursing at Mount Sinai Beth Israel pose during their white coat ceremony. The school offers an Accelerated Associate in Applied Science Degree in Nursing, an Accelerated Bachelors of Science in Nursing, a RN to BSN completion program.

We Win the Gold Again by Dr. Jeremy Boal

I am delighted to report that, once again, Mount Sinai Beth Israel has won a host of awards for stroke, heart attack, and heart failure care. Here are our awards for 2017:

  • Mission: Lifeline® Gold Receiving Quality Achievement Award in STEMI
  • American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke Gold Plus Quality Achievement Award and Target: Stroke Elite Plus
  • American Heart Association/American Stroke Association’s Get With The Guidelines®-Heart Failure Gold Plus Quality Achievement Award and Target: Heart Failure Honor Roll

What impresses me most is the exceptional interdisciplinary teamwork that leads to these outcomes.

In the community, Emergency Medical Technicians and Medics do an incredible job of providing initial assessment and care and getting patients to us quickly and safely.

All of the employees in the Emergency Department play a key role in triaging and treating patients while notifying the teams for our Cardiac Catheterization Lab, Cardiology, Telemetry, and others that patients are coming their way.

 

These units then provide quick and specialized care for these patients and help see them through to recovery frequently in partnership with our inpatient teams.

The care does not stop there. The patients leave the hospital with a plan that includes follow-up appointments and phone calls, and other guidelines so they can continue their recovery.

I’d also like to give thanks to Monique Bell who helps us track every patient who comes through our doors and ensures that the American Heart Association gets our data.

Through this journey, our patients remain safe, and this is because of the dedication of so many of you.

Monique Bell, coordinator for these programs

New York City’s Hugging Dog Kicks off the Nursing Engagement Survey


Rose Otero, RN-BC, Nurse Education Manager, with Louboutina

We invite all nurses at Mount Sinai Beth Israel, Mount Sinai Union Square, The Blavatnik Family—Chelsea Medical Center of Mount Sinai, and our many Opioid Treatment Programs and Doctors locations to take the 2018 Mount Sinai Press Ganey Nursing Engagement Survey between Monday, May 14 and Tuesday, June 05, 2018. The survey will measure seven nursing satisfaction categories that will inform leaders on our progress in creating ideal practice environments for our nurses:

  • Autonomy
  • Professional Development
  • Leadership Access and Responsiveness
  • Inter-Professional Relationships
  • Fundamentals of Quality Nursing Care
  • Adequacy of Resources and Staffing
  • RN-to-RN Teamwork and Collaboration

Please look for a link in your Mount Sinai e-mail to complete the survey. Your response is confidential.


New York City’s Hugging Dog, Louboutina

On Monday, May 14, Louboutina, the celebrity “hugging” dog visited the 2 Dazian Rotunda to kick off the 2018 Mount Sinai Press Ganey Nursing Engagement Survey. “Loubie” came engaged and dressed for matrimony. Follow @Louboutinanyc and her owner, Mount Sinai Beth Israel language and interpreter services coordinator, Cesar Fernandez-Chavez, on Instagram.

Rose Otero, RN-BC, Nurse Education Manager, and Cesar Fernandez-Chavez, Language and Interpreter Coordinator with his dog, Louboutina.

 

Rose Otero, RN-BC, Nurse Education Manager, with Louboutina

Social Work Month by Dr. Jeremy Boal

March is Social Work Month, and our social workers are some of the hardest working people I know.

MSBI has over 80 social workers that form a tight-knit system throughout our inpatient units, ambulatory practices, opioid treatment programs, cancer centers, and other practice environments.

We know our social workers are counselors and advocates for our patients who are most in need. They also serve as compassionate investigators and connectors and technical experts. These are just a few of the many ways they go above and beyond for their patients.

Recently, our Petrie social workers came across a mentally ill woman who couldn’t remember her own name. She was truly lost. They convinced her to allow her picture to be taken and then shared the picture with their community networks, connected the patient with her former caseworker, and got her home. In other instances, our social workers have used social media, blogs, and other online resources to connect patients with their loved ones after they had been staying in the hospital alone.

Our outpatient social workers also go above and beyond. Recently, a pregnant patient came in to see her obstetrician and was devastated that a flood had ruined many items including a baby swing she purchased to prepare for her newborn. The OB social worker connected her with a community-based program that helps provide families with needed resources, and the patient recovered $1200 worth of provisions to replace those that were ruined by the flood.

Next week, we will gather our incredible social workers for a lunch to celebrate and honor their amazing contributions our MSBI community. Thank you to all of our social workers this month, and always.

We are at your Service by Dr. Jeremy Boal

By Dr. Jeremy Boal, President of Mount Sinai Downtown

I don’t have to tell you that working our way through the MSBI transformation is very complicated and dynamic. You are living it every day.  We’ve learned that this much change, on top of an already demanding healthcare environment, requires a much more aggressive approach to identifying and solving the problems that get in the way of you and your colleagues doing your best work. In light of this, over the past year, we’ve taken a more proactive approach to solving problems that I want to tell you about.

Each morning at 9:00 am, my immediate team and I meet as a group to work on and solve current and ongoing issues that have been brought to our attention one way or another. We meet in the same room every day where we have a giant tracking board that we use to make sure that no issue, regardless of how big or how small, is ignored or forgotten. Here are some examples of things we’ve been working on recently…

  • Transport team staffing enhancements
  • Implementation of the hospital-wide security assessment recommendations
  • Nor-Easter preparations
  • A surgeon’s request for additional mid-level provider support in his practice
  • A staff member report of broken equipment on a behavioral health unit
  • Difficulty in obtaining Pyxis access for nurses floating to units
  • Resident difficult in accessing an elevator during a rapid response event
  • A request for a staff lounge for our CPEP unit

You get the idea. No issue is too small for us to take seriously. Everything that is reported to us matters. We keep a daily, weekly, and monthly grid of these topics – some things we can solve instantly and others are more complicated and take time to resolve. But we never give up.

Then, every day at 9:30 am, we join another 30 or so directors, managers, and department leads for our safety huddle. Our chief medical officer, Dr. Barbara Barnett, asks every hospital and ambulatory department to report on patient, staff, safety, and operational issues from the last 24 hours and for the next 24 hours. This meeting is all about connecting the right people and tackling daily challenges as quickly and collaboratively as possible. I’m often amazed at how rapidly our security, engineering, social work, environmental services, hospitalists, and so many other teams come to the rescue after this 9:30   am huddle. We truly have remarkable people taking care of us and our patients.

We want everyone in the organization to feel safe and comfortable bringing problems and ideas forward. In particular, we do not stand on ceremony with regard to traditional chains of command. We emphatically do not believe that rigid adherence to the traditional hierarchy (staff member to manager to director to vice president etc.) is healthy or required when things are as dynamic as they are here. The main thing is for you to feel comfortable bringing your problems and solutions to anyone you think will get the issue addressed.  Many of our wonderful managers and supervisors can help you with your concerns. But, there is no wrong way to escalate any issue you are having. As we grow and change together, I hope you will reach out and let me know how we can help. You can e-mail me at any time. I would be so grateful to hear from you. Jeremy.Boal@mssm.edu.


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