The department newsletter is in beta mode. We would love to hear your feedback. Please send us suggestions or content ideas
here
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LET US KNOW WHAT YOU'RE INTERESTED IN
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Please take a moment to let us know what you're most interested in reading about in our monthly newsletter.
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DEPARTMENT CHAIR'S SUGGESTION BOX
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Dr. Giardino wants to hear from you!
If you have any ideas or concerns you'd like to share with Dr. Giardino, please submit your comments to his suggestion box. The link can be found on the department intranet home page or by clicking the box below.
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Suggestion Box Updates
Comment received:
"I just wanted to say that I love how the Division Chiefs photos are rotating on the Intranet Portal page; it's been fun to see them. This was a great idea!"
Response:
Thank you for recognizing the work of our Information Services team! We're glad you like the new look of our intranet.
Suggestion received:
"Can we please encourage an 'idle-free zone' in the parking terrace at the Eccles Outpatient Services building? I see many folks idling in their vehicles, and we don't need the exhaust fumes trapped in the parking area for both staff and patients to inhale. Perhaps signs to remind/encourage staff/patients to be idle-free for the health of both our patients and our providers would be appropriated."
Response:
Because the Eccles building is owned and operated by Intermountain Healthcare, we have reached out to the Primary Children's Workplace Operations Director to discuss this issue and see what can be done in terms of signage and messaging.
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Tiffany Glasgow, MD
has accepted the role of division chief for Pediatric Inpatient Medicine. Dr. Glasgow completed her medical school and residency training
at University of California San Francisco and began her career at University of Utah in 2001. Dr. Glasgow’s breadth of experience in and genuine joy related to caring for hospitalized children makes her the ideal choice to lead this large division of highly regarded academic pediatric hospitalists. Over her nearly two decades at the U, Dr. Glasgow has served in numerous administrative roles, regularly leads quality improvement initiatives, and remains actively engaged in medical student and resident education. She currently serves as President of the Medical Staff at Primary Children’s Hospital, and she is on the Primary Children’s Board of Directors as well as the Ronald McDonald House Charities Board of Trustees. She is an advisor for Education in Pediatrics Across the Continuum (EPAC), which is a multi-center educational innovation project supported by the Association of American Medical Centers (AAMC), and served as course director for the Clinical Methods and Medical Decision-Making longitudinal curriculum encompassing all four years of medical school. Recently, Dr. Glasgow has been working with Dr. Joan Sheetz and Dr. David Sandweiss to promote wellness and resilience among our faculty and helped design the Thriving in Pediatrics (TIP) initiative. Please join us in congratulating Dr. Glasgow on her new position.
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Antonio Cabrera, MD
is the new division chief for Pediatric Cardiology. He also replaced Lloyd Tani, MD as co-chair of the
Pediatric Heart Center at Primary Children’s Hospital. Dr. Cabrera graduated in the top 10th percentile of his medical school class from Universidad Francisco Marroquin Facultad de Medicina Gautemala and completed his residency at University of Illinois at Chicago. He went on to complete a pediatric cardiology fellowship at Case Western Reserve University and a pediatric cardiac critical care fellowship at University of Arkansas for Medical Sciences. Dr. Cabrera comes to the U from
Baylor College of Medicine, where he served in several leadership roles, including
Director of the Pediatric Cardiology Fellowship and Director of the
Global
Pediatric Cardiology Fellowship. These roles attest to his extensive experience mentoring and teaching, and he has received awards for his educational skills. An active clinician, he was also the founder and co-medical director of the Heart Failure ICU and associate director of the Cardiovascular Intensive Care Unit at Texas Children’s Hospital Heart Center. Dr. Cabrera has been primary investigator or coinvestigator on clinical trials of drugs and devices and other clinical studies related to the critical care of children with heart disease. Join us in extending a warm welcome to Dr. Cabrera.
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SPOTLIGHT:
THE HEART CENTER AT PRIMARY CHILDREN'S HOSPITAL
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Introduction:
Primary Children’s Heart Center offers comprehensive care for children with congenital heart disease. The Center is not a physical location, but rather a virtual environment of caregivers providing care to this specific population and oversight to these care pathways. The components of the Heart Center include, but are not limited to: data management/quality improvement; outpatient services provided by our Clinical Enterprise and PCH’s cardiac testing teams; electrophysiology/cath; cardiac anesthesia; inpatient operations, including the cardiac intensive care unit (CICU), newborn intensive care unit (NICU), and children’s surgical unit (CSU); CT surgical services; and research. The center has more than 40 University of Utah School of Medicine physicians, supported by a multidisciplinary team of more than 300 other clinicians and administrators. On average, we see more than 13,000 outpatient visits and perform 500 surgical cases each year. Our outreach efforts extend to 13 different locations (and growing).
Governance:
The Heart Center is led by a multi-disciplinary team of three medically-trained co-chairs and an administrative director:
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Co-Chair
S. Adil Husain, MD
Chief, Pediatric Cardiothoracic Surgery
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Co-Chair
Antonio Cabrera, MD
Chief, Pediatric Cardiology
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Co-Chair
Madolin Witte, MD
Medical Director, PCH CICU
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Administrative Director
Bethany Marullo
Primary Children's Hospital
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Additionally, there are several subcommittees within the Heart Center governance structure:
- Steering Committee
- Data/QI Committee (Chairs: Michael Puchalski, MD and Rusty Eckhauser, MD, MSCI)
- Inpatient Operations (Chairs: Eric Griffiths, MD and Adam Ware, MD)
- Outpatient Operations (Chairs: Collin Cowley, MD and Emilee Glenn, NP)
- Research (Chairs: Luann Minich, MD and Venu Amula, MD)
- Network Development (Chairs: Susan Etheridge, MD and McKay Bateman, MD)
Initiatives:
Over the past year, the Heart Center committed to three overarching goals:
- Recognize the value of an inclusive culture within the Heart Center and ensure our caregivers are engaged and feel their roles and skills are valued and respected and our patients and families are engaged and feel their participation in care is valued and respected.
- Develop and promote initiatives and competencies that demonstrate our ability to provide high quality, accessible, and timely care in the Heart Center’s outpatient and inpatient operations.
- Create a comprehensive QI structure and approach across the Heart Center, supported by a sound data management model that is both accurate and accessible.
Significant accomplishments have been made to date for all initiatives. Most notably, the Heart Center has made efforts to broaden its communication and synchronization across all role groups through town halls and regular email updates. In an effort to be transparent and open across all components of the Heart Center, we have established regular meetings for dissemination of outcomes data to our stakeholders. Within outpatient operations, we have made significant improvements to scheduling, facilitating easier access for patients and families. Through a new position called the Nurse Navigator, the center hopes to extend its engagement and outreach to referring providers and out-of-state patients and families. Lastly, there was a significant focus in reducing the number of CLABSIs (central line-associated bloodstream infections)
within the Heart Center, and with a multidisciplinary team across all components of the center, we’ve seen incredible outcomes–only 2 CLABSIs this year to date. We continue to grow as a center, delivering on our goals and collaborating to provide excellent care.
Recognition:
The Heart Center acknowledges its greatest strength–the caregivers. We pride ourselves on having top performing team members who truly put patient care at the forefront in decision making. Furthermore, as we navigate the complexities of such a large organization, their flexibility and adaptability are what make them so special. We thank them for their dedication to our team and to Heart Center patients and families!
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To see the new faculty and staff who joined us during the last month, click
here
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Genesis Arko
– Transferred from Clinical Research Coordinator to Regulatory Coordinator with Hematology/Oncology
Carrie Cetina
– Transferred from the Scheduling Team to the Template Team within Clinical Enterprise
Christopher Currie
– Transferred from the Template Team to the Clinical Data Analysis and Implementation Team as a Business Data Analyst
Annette Webb
– Promoted from Administrative Assistant to Administrative Program Coordinator with Emergency Medicine
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2019 Utah Public Health Champion
Susana Keeshin, MD
(Infectious Diseases) was named a 2019 Utah Public Health Champion by the Utah Department of Health for the free Pre-Exposure Prophylaxis (PrEP) clinic for HIV prevention that she co-founded with Adam Spivak. They are always looking for volunteers–
contact Dr. Keeshin if you are interested in working wit these high-risk young people.
New Pediatric Infectious Diseases Society Board Member
Adam Hersh, MD
(Infectious Diseases) was elected to the Board of Directors of the Pediatric Infectious Diseases Society. Dr. Hersh will serve a three-year term.
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NEW ENDOWED CHAIR HOLDERS
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L. George Veasy Endowed Chair
Holder: Antonio Cabrera, MD
The L. George Veasy endowed chair was established in 1996 to be awarded to an individual with research prominence or clinical research expertise related to pediatric cardiovascular disease. Dr. Cabrera has been primary investigator or co-investigator on clinical trials of drugs and devices and on clinical studies related to the critical care of children with heart disease. He has had 55 peer-reviewed journal articles published at a sustained rate, particularly over the last three years. In 2018 alone, he was the lead author on one cardiology clinical outcome study and co-author on seven cardiology-related studies.
Edward B. Clark Endowed Chair I
Holder: Aimee Hersh, MD
The first Edward B. Clark endowed chair was established in 2013 to commend and support an outstanding faculty member in the Department of Pediatrics. Dr. Hersh’s investigative efforts have advanced clinical practice for patients with childhood rheumatic disease. She works to address the issue of poor health outcomes that many adolescents with chronic conditions experience as they age out of pediatric care and transition to adult care systems. She has maintained consistent extramural funding, and her research efforts have resulted in 31 peer-reviewed journal articles, of which she is first author on six, in prominent journals in the field of rheumatology.
Edward B. Clark Endowed Chair III
Holder: Russell Butterfield, MD, PhD
This chair was established in 2015 to commend and support an outstanding faculty member in the Department of Pediatrics. Dr. Butterfield provides important expertise in pediatric neuromuscular disorders and is one of few physicians nationally with this training and expertise. He is director of the University of Utah Muscular Dystrophy Association Clinic which is the only center of its kind in the intermountain west and is a national referral site. At this clinic, Dr. Butterfield runs clinical trials with national and international studies, participation in which has led to new FDA approvals for drugs to treat two diseases, Spinal Muscular Atrophy and Duchenne Muscular Dystrophy. Dr. Butterfield has also published clinical guidelines and recommendations for neuromuscular disorders including collaborating with national insurance companies to develop a plan for the expensive new treatment for Spinal Muscular Atrophy, Nusinersen.
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Halloween Costume Guidelines
Employees are encouraged to dress up if they wish and should adhere to the following costume guidelines:
- No scary or gory costumes
- No controversial costumes
- No make-up bruises and/or blood
- No clowns
- No masks or full-face paint
- No deceased or undead people such as vampires, zombies, or angels
- No provocative costumes (the dress code still applies)
- Please show your respect for all cultural backgrounds by not wearing a costume based on a stereotype of a culture other than your own
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Have a fun and safe Halloween!
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Food Drive for the Utah Food Bank
In collaboration with the Utah Food Bank, we will be hosting our annual food drive from
November 11 to December 20
. There will be drop-off barrells for unexpired goods and non-perishables at these locations:
- Eccles Outpatient Services Building 4th Floor
- Williams Building Lobby
- 419 Wakara Suite 107
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Staff Grand Rounds
Join us at the next Department of Pediatrics Staff Grand Rounds!
- Date: Wednesday, November 13
- Time: 3:30-4:30 p.m.
- Location: King's Peak Conference Room, Eccles Outpatient Building, 1st Floor
November is National Gratitude Month! Get an extra raffle ticket for every non-perishable food item you bring to Staff Grand Rounds for the Utah Food Bank food drive.
Video
recordings of previous Staff Grand Rounds can be viewed
here
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Opioid Prescriber Education Course
University of Utah faculty across multiple departments developed an online opioid training course that satisfies the Utah Division of Occupational and Professional Licensing (DOPL) education mandate for opioid prescribers. The 2019-2020 course content has been updated and provides a broad scope of education, including opioids' effects on women and children.
Contact Dr. Camille Fung with questions: 801-585-6287 or
email
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Division of Pediatric Endocrinology Updates
Community Outreach
- Services are now being provided in Logan at the Budge Pediatrics facility.
- Kathleen Timme will join Mary Murray in providing clinical services in St. George.
New Services
- A Disorders of Sex Development (DSD) clinic will open at Eccles Outpatient Services in January 2020.
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Recognize a Colleague for a Job Well Done!
The department has a new online tool you can use to show appreciation for other members of Pediatrics and recognize them for exemplifying the PROMISE behavior standards: People Centered, Respect, Ownership, Making a Difference, Innovation, Safety, and Excellence.
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- On the intranet home page, you will see a "Recognize an Employee" link in the Human Resources box.
- Clicking the link will take you to a form where you will enter the person's name, the PROMISE standard you want to recognize them for, your comment, and your name.
- When you click "Submit," your comment is sent to a shared email maintained by the newsletter committee.
- Comments will be published in the upcoming issue of the newsletter. Please note: if a submitter's name is not given, we will not publish the comment. However, the submitter's name will remain anonymous in the newsletter.
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This Month's Recognition
Samantha Bright - Developmental Assessment Center (UDAC)
Recognized for Making a Difference
"Sam is the clinical supervisor of the UDAC. She has been with us for just over one year and has become a quick expert in our complicated clinical schedules and clinic needs. Sam is 100% pleasant to work with all the time. She is patient and listens to the staff/providers and parents. We are very lucky Sam chooses to work with us!"
Leigh Fredericks - Administration
Recognized for People Centered
"Leigh is always helpful and willing to do whatever it takes to make the customer service experience (with other staff, faculty, etc.) an excellent one and people centered. I appreciate her and her team for all they do and for their amazing positive attitudes!"
Ashley Crompton - Education Enterprise
Recognized for Ownership
"Ashley goes above and beyond in her work. She identifies opportunities to help out however needed to make the office run smoothly."
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From the Clinical Revenue Integrity Team
In order for an encounter to be billed at the appropriate level, certain details must be included in the History of Present Illness (HPI). For the second half of what to include in the HPI,
read more here
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Financial Advocate Patient Information
The Prior Authorization Team often receives calls and messages asking how much something is going to cost (testing, office visits, procedures, medications, etc). The team is unable to determine out-of-pocket costs; the only way to get a price is for a claim to be filed by billing. However, for prescription medications, they are able to look up what the preferred drug is for a diagnosis and what insurance tier the drug is covered under.
For price estimates and other financial questions, families can call U of U Financial Counseling (801-581-2957) or Intermountain Pre-Service Price Quote (801-442-8601).
Click here
f
or an informational flyer on assistance from U of U Health's financial advocates. This flyer is appropriate to share with patients.
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Grants
Doug Nelson, MD and Mike Johnson, MD (Emergency Medicine) successfully renewed their grant, "Pediatric Research in Injuries and Medical Emergencies," through HRSA's Pediatric Emergency Care Applied Research Network (PECARN).
Publications
A framework for evaluation of the higher-risk infant after a brief resolved unexplained event
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Merritt JL, Quinonez RA,
Bonkowsky JL
, Franklin WH, Gremse DA,
Herman BE
, Jenny C, Katz ES, Krilov LR,
Norlin C
, Sapien RE, Tieder JS.
Pediatrics
2019;144(2). doi:10.1542/peds.2018-4101
The Division of Pediatric Infectious Diseases has published 14 papers since January 2019, including two guidelines from the Infectious Diseases Society of America:
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WellU Program
REMINDER:
Participate in the WellU program to receive a discount of up to $40 per month on your cost of enrollment in the university’s Employee Health Care Plan.
Click here
to learn about WellU program requirements.
Physical Activity Basics
There is clear evidence that physical activity may reduce chronic disease risk, help you feel better, function at a higher level, and sleep better. Short bouts of activity are considered to be beneficial as well.
Click here
to learn more about the Physical Activity Guidelines for Americans published by the CDC.
Laughter is the Best Medicine
Did you know laughter can actually improve your health? Laughter strengthens your immune system, boosts mood, diminishes pain, and protects you from the damaging effects of stress.
Read on.
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U of U Neurobehavior HOME Program
On average, the distance between an autism resource and those who need it can stretch to more than 50 miles for those in rural states like Wyoming and Nevada, or even 100 miles in Alaska. The need to travel significant distances to get a diagnosis or access an array of support services for autism is clearly problematic for families already stressed by concern for their child’s development. But at least one autism center has a solution in mind. The University of Utah collaborates with Medicaid on a program that coordinates several categories of services for those who have been diagnosed with autism and other developmental challenges. It’s called the Neurobehavior Healthy Outcomes Medical Excellence, or
HOME
for short. “The goal of HOME is to provide family-centered and coordinated ongoing care for children and adults with developmental disabilities, especially those with co-occurring behavioral and psychiatric conditions,” explained Paul Carbone, a University of Utah pediatrician who works within the HOME program.
Read more
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PROMISE STANDARD OF THE MONTH
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In order to advance our goal of being recognized as a world-class institution, University of Utah Health has developed behavior standards for employees to use to guide their actions and measure their performance. The behaviors that exemplify each of the standards directly relate to U of U Health's core values of compassion, trust, collaboration, responsibility, diversity, integrity, and quality. We highlight a standard each month to remind us of our individual responsibility to meet and uphold these benchmarks.
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Respect is a key requirement for a healthy work environment. It promotes teamwork and increases productivity and efficiencies in the workplace. The principle of respect should be applied to the way we treat our patients, our coworkers at all levels within the department, our business partners, and anyone we come into contact with while at work. Here are a few simple ways to show respect for the people you work with:
- Respond in a timely manner to phone calls and emails
- Reliably follow through on your commitments and responsibilities
- Don’t monopolize others’ time, especially with gossip or idle chit chat
- Say thank you, and do it with sincerity
- Keep your workspace clean and tidy, and clean up after yourself in shared areas, such as the breakroom and conference rooms
- Avoid interrupting and give others your full attention in meetings as well as one-on-one conversations
- Say something if you see disrespectful behavior that undermines the work environment
Check out these resources:
This short video by U of U Health discusses day-to-day behaviors that demonstrate this PROMISE standard, some of which we may not associate with showing respect, such as being reliable, giving credit for good work, and keeping our workspaces clean and tidy.
University Hospital Human Resources has developed a set of questions for each of the PROMISE standards intended to help individuals or groups generate new patterns of thinking and behaving. The reflexive questions can be used by teams to facilitate open conversation, by individuals to identify and explore their own beliefs and motivations, and by hiring managers to gain insight into the suitability of potential candidates.
Huntsman Cancer Institute posts interactive activities for several of the PROMISE standards that team leaders can use to emphasize desired behaviors and generate team discussions about a particular standard.
Joe Mull, MEd, describes the psychology of workplace drama, including the brain’s biases that influence the judgments we make about people, and pinpoints two core behaviors we can commit to in order to reduce unhealthy conflict, both at the office and in our personal life.
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Many thanks to the Pediatrics Flyer editors.
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For past issues of the Pediatrics Flyer,
click here
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