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UCHC Newsletter
UCHC Newsletter UNIVERSITY CORRECTIONAL FALL/WINTER EDITION HEALTH CARE 8th Annual Statewide Quality Improvement Fair CONTENTS: UCHC held its 8th Annual Statewide Quality Improvement Fair on November 12, 2013 at the Harris Auditorium in Trenton. Featured speakers included Gary Lanigan, Commissioner of the New Jersey Department of Corrections and Kevin M. Brown, Executive Director of the New Jersey Juvenile Justice Commission. Tony Tamburello, MD, Associate Director of Psychiatry, the keynote presenter, addressed the topic Performance Improvement: Going the Distance, in which he discussed projects and teams that continue to work to improve outcomes. Mechele Morris, PhD, Director of Training, served as master of ceremonies. 8th Annual Statewide QI Fair & Photo Gallery 1-3 NJLN 2013 Corporate Recognition Award 3 UCHC Year in Review 4 Community Hope: 5 Aftercare Program for Inmates Who Are Military Veterans Shadow Program 7 Shula Minsky’s QI At Lunch 8 Shout Outs 9 Ask Mechele 10 Technology Corner 11 General Info & Reminders 12 Central Office Phone Directory 13 Central Office Contact Info 14 EAP Contact Information 14 ITEMS: 3.9 4.0 4.1 4.0 3.6 3.8 3.9 3.9 4.0 4.1 4.1 4.1 3.8 4.0 3.8 4.0 4.0 4.0 4.1 4.0 3.9 4.0 3.9 4.0 4.2 4.3 4.4 4.3 4.3 4.3 4.1 4.3 Attachments: -Service Excellence Award Nomination Form -Continuing Education Log Mental Health Winners: First Place: “The Jig Is Up!” Albert C. Wagner Youth Correctional Facility, Wanda Edwards, Nicholas, Armenti, Deon Bullard, John Cunningham, Lauren Cuomo, Heather Griffiths, Lt. Sean Ascione, Major Sheree Culvert, Jeffrey Mattes, Marina Moshkovich and Elaine Scilingo Second Place: “Recipe for Recidivism” Northern State Prison Harold Goldstein, Andrea Buonaugurio, Jonathan Lam, Laura Totten and Erin Williams Third Place (tie): “AIMS to Improve” Statewide Anthony Tamburello, Laure Duval, Jordan Lieberman, Erica Musser, Donald Reeves, and Anasuya Salem “In Transit” Garden State Youth Correctional Facility Kerri Edelman, Virginia Fineran, Paul Molnar, Alice O’Shea, Beverly Sweeney and Kenneth Vaughan The overall mean score was 4.3 where 4=very good and 5=excellent. This year’s fair received high scores Physical Health Winners: with “Quality of the PI Projects” receiving the top rating of 4.4. First Place: “Improving the Delivery of Timely Care for Patients with Dental Infection” Southern State Correctional Facility Jennifer Hobbs, Kimberly Sheppard, Tiffany Warfle and Andrew Youngblood 2010 (N=89) 2011 (N=78) 2012 (N=97) 2013 (N=107) Overall Mean Score 6 Venue and Refreshments JNPARR Publication Response Awards Presentations Ceremony 6 PI Fair Program/Handouts Nurse.com GEM Award Finalist Announcement Two hundred sixty-two (262) staff participated in the preparation of Performance Improvement Projects. The finished result was the registration of 40 projects. Each received certificates of participation. Of the 131 staff attending the PI Fair , 107 completed and returned surveys for an 82% completion rate. Presented in an interesting/easy to understand way 6 Quality of the PI Projects National Patient Safety Goals Applicability to my work environment 5 How would you rate today' fair Brain Exercise: Word Search OCT 2013—MAR 2014 Item response range was 1 to 5: 1=Not Good, 2=Fair, 3=Good, 4=Very Good and 5=Excellent Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Second Place: “Improving the Discharge Planning Process” Central Reception & Assignment Facility Laurie Flynn, Kathleen Dano, Denise Hart, Tyshica McClain and Shannon McComber Third Place (tie): “Follow the Nurse Call Pathway” Mountainview Youth Correctional Facility Barbara Barath, Alice Casey, Tracey Johnson and Paula Priessnitz “Gone with the Wind” Juvenile Justice Commission – Juvenile Medium Secure Facility Lolita Brown, Ernestina Archer, Cheryle Braswell, Martin Brooke, Nancy Castro, Nkuri James, Beverly Kiefer, Tanya Klemick, Lt. Eric Spierer, Alicia Sample, Shiela Schmidt, SCO Anthony Kubala, Galcha Stephens-Tchonko and Elisha Washington Page 1 8th Annual Statewide Quality Improvement Fair Gallery Mental Health Winners Physical Health Winners First Place: “The Jig Is Up!” Albert C. Wagner Youth Correctional Facility (L to R) Major Sheree Culvert, Wanda Edwards, John Cunningham, Marina Moshkovich, Nicholas Armenti, Elaine Scilingo, Samarra Brodbeck, Lauren Cuomo Not Pictured: Deon Bullard, Heather Griffiths, Lt. Sean Ascione, Jeffrey Mattes First Place: “Improving the Delivery of Timely Care for Patients with Dental Infection” Southern State Correctional Facility (L to R) Tiffany Warfle, Andrew Youngblood, Jennifer Hobbs Not Pictured: Kimberly Sheppard Second Place: “Recipe for Recidivism” Northern State Prison (L to R) Jonathan Lam, Laura Totten, Erin Williams, Andrea Buonaugurio Not Pictured: Harold Goldstein Third Place (tie): “AIMS to Improve” Statewide (L to R) Rusty Reeves, Tony Tamburello, Jordan Lieberman Not Pictured: Laure Duval, Erica Musser, Anasuya Salem Second Place: “Improving the Discharge Planning Process” Central Reception & Assignment Facility (L to R) Jeff Dickert, Denise Hart, Laurie Flynn, Melinda Haley Not Pictured: Kathleen Dano, Denise Hart, Tyshica McClain, Shannon McComber Third Place (tie): “Follow the Nurse Call Pathway” Mountainview Youth Correctional Facility (L to R) Kevin M. Brown, Jeff Dickert, Melinda Haley, Chris Kosseff, Georgia Smith Not Pictured: Barbara Barath, Alice Casey, Tracey Johnson, Paula Priessnitz Third Place (tie): “In Transit” Garden State Youth Correctional Facility (L to R) Kenneth Vaughan, Kerri Edelman, Paul Molnar Not Pictured: Virginia Fineran, Alice O’Shea, Beverly Sweeney Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Third Place (tie): “Gone with the Wind” NJJJC Juvenile Medium Secure Facility (L to R) Jeff Dickert, Nkuri James, SCO Anthony Kubala, Kevin Brown, Alicia Sample, Lt. Eric Spierer, Chris Kosseff Not Pictured: Ernestina Archer, Cheryle Braswell, Martin Brooke, Lolita Brown, Nancy Castro, Beverly Kiefer, Tanya Klemick, Shiela Schmidt, Galacha StephensTchonko, Elisha Washington Page 2 8th Annual Statewide Quality Improvement Fair Gallery (continued) Registration (L to R) Pat Golden, Sharry Berzins, Maj.or Sheree Culvert (NJDOC/ACW) Hesham Soliman, MD, Central Region Medical Director (L to R) Ellen Shelley, , Lisa Menza, Monique McCollough,, Brad Young, Tony Tamburello, MD, Assoc. Director of Psychiatry Christopher Kosseff President & CEO, UBHC/UCHC Awards Presentation (L to R) Kevin Brown (NJJJC), Melinda Haley (NJDOC), Christopher Kosseff, Lisa DeBilio, Lolita Brown, Jeff Dickert (L to R) Andrew Youngblood, Jennifer Hobbs Gary M. Lanigan, Commissioner, NJ Department of Corrections Kevin M. Brown, Executive Director, NJ Juvenile Justice Commission East Jersey State Prison & Adult Diagnostic Treatment Center Medical Staff (L to R) EJSP: Sonia Heyward, Veronica Jones, Rhoda Ayiloge, Bridgett Harper ADTC: Adeline Varriale, Debranne Severino, Jacqueline Bundley, Glorymar Cornier-Torres, Nicole Glover, Rosalind Gratts UCHC Nurses Receive NJLN 2013 Corporate Recognition Award Cynthia Williams (EMCF), Janet Vecchiarelli University Correctional Health Care (UCHC) residential homes, balancing (BSP) nurses were honored as recipients of the care with the corrections New Jersey League for Nursing (NJLN) mission of safety and security. UCHC’s award nomination was submitted 2013 Corporate Recognition Award. by Lorraine Steefel, DNP, RN, CTN-A, Nurse endeavor to strive for excellence in care and Educator/Clinical Coordinator and On Friday, November 1, 2013, more than participate in performance Margaret Conrad, DNP, MPA, RN, CTN-A, 400 nurses gathered at The Pines Manor in improvement projects and Nurse Administrator, on behalf of UCHC Edison for the 2013 Nurse Recognition patient education including the Nurses. Awards Gala. In addition to Dr. Jeff Stanford Chronic Disease SelfDickert, Chief Operating Officer, UCHC, and NJLN recognized UCHC nurses who, as Management Program aimed at Dr. Arthur Brewer, Medical Director, correctional nurses, work in a little known improving patient health care. nurses in attendance representing UCHC, or understood nursing specialty, as they documented improved clinical outcomes were: treat the full range of patient problems of inmate/patients. Eileen Agbottah, Darneth Amantine, (GSYCF) from emergency to chronic care, across Christiana Ayeni (CRAF), Paula Azara (Central the lifespan from adolescents through the The evening was a fitting tribute to an outstanding group of nurses for the many Office); Rae Bennett (EJSP), Lolita Brown, geriatric population, and do so in an Nancy Castro, Maryse Ciccio (SWSP), Dr. contributions they bring to nursing and unbiased and nonjudgmental manner in Magie Conrad (Central Office), Maria healthcare. For more information on the a very challenging setting. Delgado (NSP), Christie DiJiamaro, Cheryl New Jersey League for Nursing, the 2013 Esposito (AWYCF), Dolores Guida(ADTC/EJSP), NJLN congratulated UCHC nurses for their: Nurse Recognition Awards Gala, or the Jennifer Hall (GSYCF), Catherine Ijola, Joy Lynn provision of cost-effective physical and other award recipients, visit http:// Kwap (SWSP), Christina Prestien-LaPenta mental health round-the-clock care in www.njln.org/NJLNRecognition.html. (Central Office), Mary Lee Lang (NJSP), the distinctive environments including Francine Pasch (GSYCF), Dr. Lorraine Steefel Lorraine Steefel, DNP, RN, CTN-A prisons, correctional facilities, and (Central Office), Cathy Trillo, Donna Tumma, Nurse Educator/Clinical Coordinator, UCHC Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Page 3 UCHC Year in Review - 2013 Recipient of 2013 New Jersey Hospital Association Excellence in Improved On-Time Performance Within NJDOC settings, 92% of the time UCHC achieved the 97% Quality Improvement Award & New Jersey League of Nurses threshold for 35 medical, mental health and dental objective Corporate Award recognizing UCHC for efforts in making quality improvement everyone’s business, the annual PI fair, and the provision of effective and efficient health care. Implemented Stanford’s Chronic Disease Self-Management Program in all Prisons with funding from the Department of Health and Senior Services, initiated the Stanford University Chronic Disease Self-Management Program in all prisons with over 500 participants. Evaluation finds significant desirable reduction in LDL and increases in HDL. Telemedicine Reducing Off Site Transports performance indicators. Within JJC Secure Care Facilities, 99.4% of the time UCHC achieved the thresholds for 21 indicators. In Residential Community Homes, 96.9% of the time JJC achieved thresholds for 13 indicators. Annual Performance Improvement Fair 40 Performance Improvement (PI) Projects demonstrated site specific PI activities to improve services using the Plan/Design, Measure, Assess, Improve, and Methodology model. Dental Services For inmates placed on antibiotics to treat dental infections, the dental team at Southern State Correctional Facility demonstrated an improvement of nearly 34% in eliminating the source of dental infection clinics: Nephrology, Infectious Disease, General Surgery, Cardiology, Gastroenterology, Endocrinology, Urology, Orthopedics, Hematology- within 14 days from a baseline of 65% to 98.5%. This team took First Place at the Annual PI Fair. The lessons learned are now being applied to Oncology, and Neurology. all sites. 25% of specialist appointments now happen via telemedicine. Expanded the telemedicine program to include the following medical Improved Clinical Outcomes 88% of inmates with Hypertension were below the 140/90 threshold For Diabetic care, exceeded the NJDOC requirement to achieve an average Hemoglobin A1C of ≤7 by over 18%. In 2013 achieved an average of 54% less In 2013, 70% of the 2,500 inmates with Hyperlipidemia achieved LDL less than 130, compared to 66% in 2010 For HIV infected inmates, 85% of patients receiving treatment for at least six (6) months are obtaining undetectable viral loads For inmates with mental illness, as a result of treatment 77% reported reduction in symptoms, 2% report remaining the same & 21% report worsening symptoms while in prison Mortality in the past two years dropped from five (5) per month to approximately four (4) per month (20%) Suicides in the past three years dropped from an average of four (4) per year to (2) per year, with only one (1) suicide in 2013 In JJC, use of chair restraints dropped from eight (8) in 2011, to three (3) in 2012 and none over the first nine (9) months of 2013 Psychiatric hospitalization of JJC residents continues to be a rare event, with one (1) individual hospitalized in 2013 compared to three (3) in 2011. Hospital Census, ER Trips, and Average Length of Stays Average daily hospital census in the past two years dropped from approximately 12.5 to an annual average of 10.5 (16%) Average monthly emergency room trips in the past year remained Reduction in Health Care Complaints/Remedies Complaints about health care dropped 25% after UCHC assumed responsibility for this care. In subsequent years, it continued to drop by an average of 5%. Aging Population The NJDOC population is continuing to age. Almost 14% are over 50 years of age, resulting in an increase in the size of three Chronic Care Clinics. Litigations Litigations are distracting and often a stressful part of work for our clinicians. Fortunately, the number of litigations dropped 35% (122 to 79) when comparing the most recent 4.5 year period with the prior 4.5 year period at the end of the previous vendor’s contract. There have been no payouts to date related to health care delivery within NJDOC. NJDOC Health Care Costs below 2008 Level UCHC was recognized in a report by The Pew Charitable Trust, “Managing Prison Health Care Spending” for improving clinical outcomes while controlling costs. In 2001, the New Jersey Department of Corrections’ (NJDOC) health care expenditure were $124.8 Million. In 2008 they rose to $147.6 Million. In 2013, health care expenditures dropped $2.7 Million to $144.9 Million. Growth in health care expenditures in FY 2013 compared to FY 2012 resulted from expanded treatment for patients with Hepatitis C, increases in the State’s fringe benefit rate, salary and non-salary increases. stable at 57, but dropped in the recent five (5) months to an average of 50 per month Average length of stay dropped by 19% when comparing the 1st five (5) months of FY14 to FY09. Juvenile Justice Commission’s (JJC) Secure Care Facilities also saw a reduction in use of Emergency Rooms which dropped from 140 in CY 2010 to between 57 and 83 since UCHC started providing health care. Community Supervision for Life (CSL) Sex Offender Services Smoking Ban Joining Rutgers CSL has expanded with four (4) additional service programs including: ADTC Aftercare Program, Reintegration Program, Federal Probation Program, and supervising the JumpStart Program for juveniles. Having served over 2,000 individuals its inception in 2007, the Community Supervision for Life program has had only 38 parolees violated due to committing another sex offense. Smoking ban implemented at end of CY 2012 resulted in a 12% July 1, 2013 University Correctional Health Care, a unit within University reduction in Pulmonary Chronic Care Clinics from 2,010 in FY12 to 1,765 Behavioral Health Care, became a part of Rutgers, The State University in FY13. of New Jersey. 2013 has seen continued improvements in the delivery of physical, mental, dental health and sex offender treatment services while controlling costs for the State of New Jersey. Thank you for your contributions toward the ongoing success of University Correctional Health Care. Jeff Dickert, PhD, Chief Operating Officer, UCHC Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Page 4 Community Hope: Aftercare Programs for Inmates who are Veterans and being Released from Prison Community Hope has three veterans’ programs. Inmates who are veterans and being released from prison may qualify. The programs are: Hope for Veterans (HVP) Alfred J. Thomas House (AJT) Supportive Services for Veteran Families (SSVF) 6. Residing anywhere in the U.S. To make a referral to either program call the Hope for Veterans’ Admissions Planner at (908) 647-5717 ext. 325. Supportive Services for Veteran Families (SSVF) is a rapid rehousing and homelessness prevention program for single veterans or veterans with families. Family is defined by the veteran and can be anyone with whom the veteran wishes to live. The goal of SSVF is to permanently house veterans and/or their families in their own apartments or houses in the community. The Hope for Veterans Program (HVP) is a 95 bed transitional housing program for single male and female homeless veterans recovering from mental illness and/or substance abuse. HVP is located in Somerset County, NJ. Hope for Veterans offers homeless veterans a safe and supportive environment where they can start rebuilding their lives. SSVF Services Include: Case Management Housing Counseling/Housing Search Mediation with property owners, managers, or landlords Linkage to financial and social service entitlements (Food stamps, employment, counseling, VA benefits, etc…) Temporary Financial Assistance (security deposits, rent, rental arrears, transportation, child care costs, moving and storage, utilities) Alfred J. Thomas House (AJT) is the same type of program as HVP, but with 8 beds, located in Bergen County, NJ. The Alfred J. Thomas House also accepts veterans who are disabled physically, but might not have an Axis I (mental illness and/or substance abuse disorder). HVP and AJT Services include: Transitional Housing for up to two years Case Management & Supportive Counseling Employment Assistance & Training Onsite Computer Lab and Computer Skills Training Linkage to community resources Access to benefits and budget counseling to enhance financial self-sufficiency Specialized discharge planning services and linkage to affordable housing Eligibility Criteria for SSVF: 1. Homeless or at imminent risk of becoming homeless (eviction notice, removal warrant, etc…) 2. Discharge from the military (anything other than Dishonorable). 3. DD-214 or Statement of Service (we can assist someone in obtaining these documents) 4. Earning a household area median income of 50% or less for their county 5. Currently residing in or willing to move to: Bergen, Essex, Hudson, Hunterdon, Passaic, Morris, Somerset, Warren, Sussex, Middlesex, or Union counties Eligibility Criteria for Hope for Veterans: 1. Discharge from the military (anything other than Dishonorable) 2. DD-214 or Statement of Service 3. Homeless To make a referral to SSVF call our 24 hour referral hotline through 4. Axis I - Mental illness &/or substance abuse diagnosis 5. Some Megan’s Law registrants admitted on a case by case basis. NJ 211 at 1-855-483-8466. 6. Residing anywhere in the U.S. Eligibility Criteria for Alfred J. Thomas House: 1. Discharge from the military (anything other than Dishonorable) 2. DD-214 or Statement of Service 3. Homeless 4. Disabled (either Axis I (Mental illness or substance abuse and/or physical disability) 5. Cannot be Megan’s Law Registrant Brain Exercise: Word Search AMBITION CHALLENGE COMMITMENT CONFIDENCE COURAGE FOCUS DEDICATION DETERMINATION DIVERSITY EXCELLENCE HONESTY LEADERSHIP MOTIVATION PERSEVERANCE POTENTIAL QUALITY SUCCESS TEAMWORK VISION WISDOM T L P T O W N W S Y Y S J E L M O F O E T T Z A U A P A M B I T I O N V P D U E I L T L H D S M C E R T S T A J E C U D Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 A R R L E U N D C X C H J S A S Q A I E H N O I A H J U E C M S T N F N C I J O A V R W E O X E E P B T J Z E S O Q P B P N I E R C T R S R F S J O T X Q Y E M A Y K U N I E C N E D I F N O C W T N E M T I M M O C C M A B L G B Z O K I O E O V B L J V D A Z S U S D I V E R S I T Y I R S S T X N U N T Q D V A P I O P C H A L L E N G E W M O E H M R L Y P E R Page 5 National Patient Safety Goals The purpose of National Patient Safety Goals is to improve patient safety. The goals focus on problems in health care safety and how to solve them. reviewed with patients within 30 days. Currently, 85% of inmates with HIV after six (6) months of treatment achieving undetectable viral load. Before a procedure, label medications that are The UCHC leadership team has reviewed these not labeled. For example, medications in goals and are moving toward implementation syringes, cups and basins. Do this in the area within our system. where medications and supplies are set up. Take extra care with patients who take Jeff Dickert, PhD, medications to thin their blood. Chief Operating Officer, UCHC For inmates on Coumadin assess for fall risk. Identify Patients Correctly Record and pass along correct information Use at least two ways to identify patients. For about patient medications. First find out what example, use the patient’s name and date of medications the patient is taking. Compare birth. This is done to make sure that each these to new medications given to the patient. patient gets the correct medicine and Make sure the patient knows which treatment. medications to take when they are on Keep-on UCHC Nursing leadership assessed this to be Person (KOP) Medications. Tell the patient it is the practice with the exception of a few important to bring their up-to-date list of Closed Custody Units. In collaboration with medications every time they visit a doctor. NJDOC central administration, a process was As only primary care medical providers and established where nurses have access to the psychiatrists can write orders within NJDOC, identification/face sheet of all Closed Custody and as UCHC uses an HER, medications are Unit inmates including pictures, if inmates do reconciled by UCHC primary care providers. not have ID on their person. These are kept Prevent Infection with the tier officer. Use the hand washing guidelines from the Use Medications Safely Centers for Disease Control and Prevention or Get important test results to the right staff the World Health Organization. Set goals for person on time. improving hand washing. Achieve > 90% threshold for results reviewed Use Best Practices guidelines to prevent by providers within 72 hours on episodic Ventilator acquired infections. audits done by the Health Services Unit Guidelines and checklists developed; Checklist (HSU). being used at SWSP. Achieve > 90% threshold for HIV lab results Use Best Practices guidelines to prevent 2014 Philadelphia/Tri-State Nurse.com Nursing Excellence GEM Award Regional Finalist Margaret Conrad, DNP, MPA, RN, CTN-A, Nurse Administrator, has been chosen as a 2014 Philadelphia/TriState Nurse.com nursing excellence GEM Award regional finalist in the Patient and Staff Management category. This is one of six (6) categories of Advancing and Leading the Profession; Clinical Nursing, Inpatient; Education and Mentorship; Home, Community and Ambulatory Care; Patient and Staff Management; and Volunteerism and Service. Magie is among 30 regional finalists (5 from each category) from the Philadelphia/Tri-State region who will be honored at the Nurse.com nursing excellence GEM Awards program Tuesday, May 13, 2014. At the event one finalist in each category will be named a regional winner, and those six (6) winners will move on to the national program representing this region. The national winners, selected from among all regional winners from coast to coast, will be announced in the fall. infection of the blood from central lines. Guidelines and checklists developed; Checklist being used at SWSP. Use proven guidelines to monitor for surgical site infections after surgery. Quality indicator within the monthly client report. Levels at an acceptable, low rate. Use best practices guidelines to prevent infections of the urinary tract that are caused by catheters. Guidelines and checklists developed; Checklist being used at SWSP Prevent Patient Safety Risks Find out which patients are most likely to attempt suicide In conjunction with the NJDOC Suicide Reduction Taskforce, it was recommended to double cell inmates in detention and increase the number of double cells in administrative segregation The EMR was modified to place suicide risk on the problem list and identify past suicide attempts in the flow sheet. Providers were educated on using this data in their assessments Enhanced suicide screening by nursing Formalized a process to order no KOP Medications for inmates at risk for overdose Developed training for nurses and custody on detecting "cheeking" of medications In past three (3) years, suicide rate dropped from an average of four (4) per year, consistent with the National rate, to 1-2 per year. Phillippine Nurses Association of America, Inc. Journal of Nursing Practice Applications & Reviews of Research In a regular feature section of NJPARR titled “CLOSE-UP”, the question, “What collaborative initiatives are you working on locally, nationally, or globally? What are their benefits and anticipated outcomes in terms of impacting nursing and/or health care?”, was posed to readers. The following response submitted by Lorraine Steefel was included in the January 2014 publication: At University Correctional Health Care where I work, nurses collaborate with the Medical and Classification Departments and Custody Staff within the 13 state prisons, halfway houses, and Juvenile Justice Commission (JJC) facilities to improve care using quality improvement (QI) projects. For example, one newly formed QI team at the JJC’s Bordentown location identified the need for improved discharge and transfer information about juveniles. To enhance communication, team members suggested the establishment of weekly, departmental emails that would include the most up-to-date, designation specific release information to ensure timely delivery of patient care. Lorraine Steefel, DNP, RN, CTN-A Nurse Educator/Clinical Coordinator, UCHC Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Margaret Conrad, DNP, MPA, RN, CTN-A Nurse Administrator, UCHC Page 6 Shadow Program in South Jersey Prison Helps Inmates with Cognitive Impairments “Inmates participating in the Shadow Program receive assistance from trained inmate peers called Assisted Living Coordinators (ALCs). The ALC position is an institutionally assigned, paid inmate work detail.” References 1. Martin E, Weiss K. Aging in Prison: A Problem on the Rise. Presented as a poster at the AAPL 41st Annual Meeting, Tuscon, AZ. 2010. 2. Prisoners in 2001. U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Accessed at: http://bjs.ojp.usdoj.gov/content/pub/pdf/p01.pdf. Accessed on: February 7, 2013. 3. Prisoners in 2011. U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Accessed at: http://bjs.ojp.usdoj.gov/content/pub/pdf/p11.pdf. Accessed on: February 7, 2013. 4. Williams BA, Goodwin JS, Baillargeon J, Ahalt C, Walter L. Addressing the Aging Crisis in U.S. Criminal Justice Health Care. Journal of the American Geriatrics Society. 60:1150-1156. 2012. 5. Thivierge-Rikard RV, Thompson MS. The Association Between Aging Inmate Housing Management Models and Non-Geriatric Health Services in State Correctional Institutions. Journal of Aging & Social Policy. Vol. 19(4)39-56. 2007. 6. Townsend EA. Enabling Occupation: An Occupational Therapy Perspective. Canadian Association of Occupational Therapists. 2002. 7. Allen CK, Earhart CA, Blue T. Occupational Therapy Treatment Goals for the Physically and Cognitively Disabled. American Occupational Therapy Association. 1992. 8. Allen CK, Austin SL, David SK, Earhart CA, McCraith DB, Riska-Williams L. Manual for the Allen Cognitive Level Screen-5 (ACLS-5) and Large Allen Cognitive Level Screen-5 (LACS-5). ACLS and LACLS Committee. Camarilo, CA. 2007. Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Page 7 Starting up - How to Create (and Manage) an Effective PI Team: So, What is Quality Improvement? Quality improvement is… …a systematic approach to assess current performance and design, test and monitor interventions that bridge the gap between “what is”, and what “could/should be.” A QI project… …involves identifying a specific problem that affects your work environment, and looking for ways to fix it. A second part involves showing that the intervention did (or not…) work by using appropriate measures to assess its effectiveness. 1. Select/recruit between 5 and 8 members (fewer than five members is perhaps not enough, more than eight members may be too cumbersome to manage). 2. Include staff close to the actual process you want to impact. 3. Include people with decision-making authority. 4. Invite people with special knowledge as needed, when needed. 5. Select a facilitator and a minute taker; distribute minutes as soon as possible following each meeting. 6. Decide on a schedule that fits a majority of the group members, and keep it religiously. A good QI project…. … should be a part of your daily work life, based on your assessment of what can, and must, be improved in your specific work environment. Shula Minsky, EdD, Director Quality Improvement, UBHC Barriers to Engaging in a QI Project 1. A “QI project” is just a name, and should not be scary… what we are looking for is for you to identify a problem or an process in your work environment, which is not working as well as you think it should 2. Work with your peers who have the same issue to fix the problem… 3. Your QI project should be simple, focused, relevant to your work, and discretionary 4. Remember: a QI project is NOT a research study, nor is it a program evaluation. (see table below) 5. When NCCHC comes to visit, a good QI program, including site QI projects, makes a big difference in general performance rating. Shula Minsky, EdD, Director Quality Improvement, UBHC PI Project Is a response to a perceived problem or a nonoptimal process in a service setting. Requires a team of persons involved in the activity or process that needs improvement as well as those having decision making responsibility. Is focused on immediate application to real-life situations in a limited, specialized service context. Self-contained and self-funded: Participants do not usually seek external funding through grant applications nor do they seek, as a primary aim, to publish findings in professional journals. Research Study (in Behavioral Science) Involves a more open-ended search for knowledge or general principles that transcends particular settings or actors. Can be done by an individual or a team of researchers, sometimes spanning several sites or even countries. No need to be an actor in the process in order to study it. Is focused on increasing the knowledge in a particular domain within a specified field of study. Real-life applications may not be generated for several years or decades, if at all. The publication of results in professional journals is a major goal. External funding is often sought depending on the cost of the individual project(s). Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Shula Minsky, EdD, Director Quality Improvement, UBHC Starting up: How to Choose/Validate a Topic for Your QI Project Identify a problem or a process in your program that is missing or is not working as well as it should. Possible sources include: 1. Data from the performance measures system (e.g., B24, chart reviews, no show rates, unusual incidents, staff survey) 2. Joint Commission/Medicaid/ State/other funding-licensing site review results or standards 3. Management initiatives 4. Staff initiatives Methods of selecting a topic: 1. Group process (discussion/ brainstorming/multiple voting) 2. Persuasion by someone who is close to the process in need of improvement 3. Mandate from management Shula Minsky, EdD, Director Quality Improvement, UBHC Page 8 Sharon Decker, LCSW was voted New Jersey State Prison Civilian Employee of the Month for February. Sharon is a valuable member of the Inpatient Mental Health Treatment Team carrying responsibilities on both the SU and RTU/ TCU and an active member of the Joint Inpatient/Outpatient PI Project Team. Her professionalism and finely honed skills are evident in her direct contact with patients and their families, her ability to secure information/records from outside entities and during her interactions with coworkers, custody and the DOC. Great job Sharon! Susanne Pitak Davis, Art Therapist extraordinaire at New Jersey State Prison (NJSP) once again captured an award for her work, "Angel Approaching la Sacrada Familia," February 19, 2014 at the Rutgers National Art Program (photo attached). Suzanne was awarded Best In Show. Twana Melody Wood-Schultz recently completed her dissertation and doctoral program. The following is an abstract of her dissertation: Variability in personal characteristics among professional staff providing suicide prevention responses in correctional settings by Wood-Schultz, Twana Melody, PhD, CAPELLA UNIVERSITY, 2012, 124 pages; 3548898 “Research has shown that prison suicides are the third leading cause of death in correctional institutions. This study examined personal attitudes and their association with suicide prevention responses among correctional officers, mental health staff, and medical personnel. Participants were drawn from the American Correctional Association membership list. Participants completed questionnaires designed to measure their attitudes and suicide prevention responses. Multiple regression was used to determine if the professionals' attitudes regarding suicide, attitudes towards death and attitudes toward prisoners were statistically significant predictors of the quality of their suicide prevention responses. Overall results found that attitudes toward prisoners were a significant positive predictor of the participants' suicide prevention responses, indicating that the quality of the participants' suicide prevention responses increased with increasing positive attitudes toward prisoners. In all groups, attitudes toward death and attitudes toward suicide were not significant predictors of the participants' suicide prevention responses. As a group, the mental health professionals showed higher negative attitudes towards suicide. Nevertheless, this pattern did not interfere with their ability to make appropriate suicide prevention responses. Correctional professionals' attitudes toward prisoners were a positive predictor of their suicide prevention responses. Coefficients revealed that none of the independent variables were significant predictors of the medical professionals' suicide prevention responses. ANOVA failed to reveal a significant difference between the three professional groups.” Congratulations Dr. Wood-Schultz! In addition she was recently highlighted in an article entitled, “Bringing Art to Inmates” in the winter issue of Radius Magazine which covers Bucks, Hunterdon & Northampton Counties. The article chronicles Suzanne's work with the inmates of NJSP and she shares the importance of her work in an atmosphere that can become dehumanizing;..."art is a way to reconnect...they (inmates) get to draw their memories, aspirations and hopes. They get to see the life that is inside of them." Bravo Suzanne! “I love it when a plan comes together!” This quotation from A-Team leader Hannibal of the popular 80’s TV show is exactly what happened during the recent transfer of Bayside State Prison (BSP) inmates to Southern State Correctional Facility (SSCF) after winter storms wreaked havoc on the underground pipes. We want to recognize the hard working teams at both institutions who pulled off this complex maneuver at a moment’s notice. Well done!!! In other recent moves, Mountain View Youth Correctional Facility (MYCF) and Northern State Prison (NSP) were the lucky recipients of significant numbers of Administration Segregation inmates from Albert C. Wagner Youth Correctional Facility (ACWYCF) after recent inclement weather wreaked havoc on their heating system. Special recognition goes to Cheryl Esposito, Department Nurse Manager and her medical crew, as well as Dr. Wanda Edwards and her MH crew for the outstanding job their teams did in coordinating these moves in such an emergent manner. Toot your horn! Brag about your staff!! Congratulate a co-worker!!! Send your shout outs to Mechele Morris, morrisme@ ubhc.rutgers.edu Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Page 9 We survived another season full of presents and cheer And celebrated one more Happy New Year As soon as we dig out of the snowy elements ‘Ask Mechele’ will be back to solve your work predicaments The letter below, reprinted from a previous “Ask Mechele,” is an unfortunate situation that arises from time to time. Dear Mechele, I recently overheard a private conversation between two officers at my site. They were discussing a member of our staff and their suspicions that some of her activities were questionable. The problem is that I know this staff member and pretty much agree with their view of her behavior. She’s pretty quiet and low key but lately she’s been spending more and more time on a unit where I also work and she’s always talking to the same inmate. The officers commented on the fact that when she started working here they thought she was pretty “plain,” even for a woman working in prison. They suspected when she began to dress up she had hooked up with one of the officers. One CO confirmed that she was seeing a particular officer but their relationship had fizzled out; so when she began dressing up even more, they just figured it was to impress a new boyfriend. They now believe she’s caught feelings for an inmate…the same one I see her talking with. During orientation we heard about things like this happening in prison, but so far I never came face to face with it and don’t really know how I should handle it. I don’t really know her that well so it wouldn’t be right for me to approach her with my concerns. I do know the two officers pretty well, but to speak to them on the matter would confirm that I was eavesdropping on their conversation. I need some advice before things get out of hand. Between a Rock & a Hard Place encounter every day. Recognize that they are correctional professionals and seek them out for their expertise. And know that such relationships also work to our advantage as the officers will then come to us for our knowledge in mental health and medical matters. Once these bonds are formed, it’s much easier to communicate when problems arise. Word Dear Between a Rock & gets around when custody and health care a Hard Place, staff work cooperatively and this really I’m pleased that this comes in handy when we disagree (and situation caused you to we disagree a lot) because when there’s reflect back on some of mutual respect, everyone’s job is easier. the things I address in our New Employee Now back to your dilemma; if you’re not Orientation. While it’s comfortable being forthright, drop your not a common occurrence, we have lost supervisor an anonymous note, call EAP employees as a result of inappropriate for advice, or you could bring up the topic relationships with inmates. Since I’m in a treatment team meeting saying that optimistic by nature, I see your dilemma you overheard the conversation but didn’t more as an opportunity than a hear the name of the staff member in problem. Having had a good relationship question. If the staff member is at the with several officers when I was at NJSP team meeting, hearing the officer’s full-time, I often sought out the advice of a perceptions might be the catalyst that trusted, level headed CO when I had a brings them to their senses. If not, at least problem and they always led me in the you’ve opened up the door to begin a right direction. You said you know these dialogue where sticky issues like this can officers pretty well, so why not admit that be openly discussed and hopefully you overheard their conversation and avoided in the future. encourage them to express their concerns to the staff member in question or a UCHC I’m glad you chose to use Ask Mechele to supervisor. voice your concern. Since everyone gets this newsletter you may have not only One of the things I highlight in orientation saved somebody’s job, but spared them is the importance of developing a working becoming a potential resident of the relationship with the officers we NJDOC. Have a dilemma? Send your question or concern to [email protected] or fax anonymously to (609) 341-9380, attention “Ask Mechele” Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Page 10 Technology Corner… By Leo Agrillo All emails should have a signature. There are no standard formats required for email signatures but the signature should, at the minimum, have the following information: Name Title Department/Division/Center (i.e., University Correctional Healthcare) Building Name, Room or Suite Number (i.e., New Jersey State Prison Medical, Garden State Youth Correctional Facility, etc.) Phone: 000-000-0000 ext. xxxx Mobile: 000-000-0000 (optional) Fax: 000-000-0000 (optional) email: [email protected] Placing a signature in the email gives the person receiving the email the means to contact you, the sender, without the delay of having to look up a phone number or figure out who sent the message if all that is shown is the email address. For example receiving an email where the only information is the address i.e., [email protected], this does not give a recipient any information about the sender. By comparison my signature as shown below gives my title and how to contact me. Leo J. Agrillo Information Services Technical Manager University Correctional Health Care c/o NJ Department of Corrections Bates Building Room 201 PO BOX 863 STUYVESANT AVE & WHITTLESEY RD TRENTON, NJ 08625-0863 Phone: +1 609 292 4036 x5215 Mobile: +1 609 413 6944 e-mail: [email protected] Your signature is set in options on both Sun Convergence and Outlook web access. Note: I have not found a method for using a logo in these mail interfaces. Members of the Rutgers Community: The Emergency Notification System (ENS) at Rutgers University is used to send emergency text messages to subscribed users' cell phones during emergency situations. Messages are geographically distributed so subscribers receive only those messages appropriate for the campus(es) with which they are affiliated. Effective December 6, 2013, the legacy UMDNJ emergency notification system called RAVE was permanently decommissioned. Active RAVE accounts affiliated with a Rutgers or legacy UMDNJ faculty member, staff member, or student have been migrated into the Rutgers ENS. Existing ENS subscribers and former RAVE users are encouraged to log in to the ENS system at ens.rutgers.edu to ensure their personal information is accurate. During the week of December 2, 2013, the University’s Office of Emergency Management conducted its biannual test of the ENS. If you have not already subscribed and would like to receive text messages notifying you of an emergency or other serious condition that affects your campus, please visit ens.rutgers.edu. For additional information and to view the university’s emergency action plans, visit emergency.rutgers.edu. Computer System Problems?!?! Who Do I Contact? NJDOC computer system (Novell, Logician/Centricity, ITAG/LIVE Inmate Mgmt) or equipment issues, contact: NJDOC help desk: (609) 984-8288, [email protected] JJC Computer system or equipment issues, contact: JJC help desk: (609) 341-3102, [email protected] Exchange and Sun Convergence email, MyPortal.Rutgers.edu password reset, contact: Rutgers IST Service Center: (732) 743-3200, [email protected] For all other issues contact the UBHC help desk: Phone (732) 235-4715, [email protected] Telemedicine or other unresolved issues (NOT passwords or logins), contact: Leo Agrillo, office (609) 292-4036 x5215, mobile (609) 413-6944, [email protected] Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Page 11 To Resolve Payroll Issues... Educational Assistance Program 1. Contact your payroll timekeeper. In most departments this is your support staff. If unsure, ask your supervisor. The Educational Assistance Program application must be submitted to Campus Human Resources Benefits Services Office after the course is completed. Course pre-approval forms are no longer required. 2. If your payroll timekeeper is unable to assist you, contact your department supervisor, or in their absence, the regional supervisor. 3. If neither your payroll timekeeper nor supervisor are able to assist you, please contact Melody Massa at Central Office, phone (609) 292-4036 x5210 or email [email protected] Mileage — 1/1/13—12/31/13 the mileage reimbursement rate was 56.5 cents per mile. Effective January 1, 2014 the mileage reimbursement rate decreased to 56 cents per mile. Problems with UCHC Pagers/Cell Phones Report all problems to Jenn VanEmburgh, UCHC Central Office, (609) 292-4036 x5620 or email [email protected]. The application and required documentation for reimbursement for college courses, non-college courses and seminars must be received in the Campus HR Benefits Services Office within 90 business days after the completion of the course(s), seminar(s) or conference(s). Applications submitted without the required documents will not be accepted. See application for list of required documentation. Eligibility Criteria: Prior to the start of any course, academic credit by exam, seminar or conference and the submission of an application for educational assistance, staff members must meet all of the following requirements: 1. Must have completed at least one year of continuous regular service in a position working twenty (20) or more hours a week; 2. Must be in an active pay status (i.e. eligible to receive a paycheck); Remember to check your pager on a routine basis. 3. Current performance evaluation must be satisfactory or better. POLICY#30-01-40-50:00 Educational Assistance Application: http://uhr.rutgers.edu//sites/default/files/form_applications/ EducationalAssistanceProgramApplication_0.pdf If you relocate, change your residence, go walkabout, move on up to the east side, or simply decide to live in a different location; you must notify Central Office as well as make the change online at myportal.rutgers.edu. Note: Notifying one does not update the other. I’ve Been Served!? What should I do? Tuition Assistance Policy 60.9.46: http://policies.rutgers.edu/view-policies/human-resources-hr-%E2%80% 93-section-60 Educational Assistance Program information: http://uhr.rutgers.edu/benefits/non-state-benefits-legacy-umdnjpositions/educational-assistance-ea-program Litigation, unfortunately, is commonplace in prisons. Most litigation against staff comes to naught, however, all requires attention. lawsuit or other legal action immediately do the following: In such matters you would be directly served a summons or complaint. Supervisors, peers and support staff are not authorized to accept service/sign off on an Affidavit of Service on behalf of another employee. However, supervisors should assist to arrange a meeting with the individual being served a summons or complaint. Fax the legal papers, along with the letter template requesting legal representation, to the attention of Jeff Dickert at (609) 341-9380. If you are asked to sign a litigation or claim for the name “University Correctional HealthCare” and no specific staff name is assigned – DO NOT SIGN or ACCEPT. This type of claim/litigation must be served upon the Office of the Secretary to the Board of Governors as follows: Call the assigned lawyer, explain the case and make sure you understand what you are directed to do. Denial or nonchalance will not serve you well in such a situation. Educate yourself about the case. Do not assume the attorney knows the case as you do and don’t be afraid to suggest strategy to the attorney. Rutgers, The State University of New Jersey, Office Secretary of the University 7 College Ave, Room 111 New Brunswick, 08901-1280 If you receive notice you are named in a Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 The UCHC Central Office will forward the complaint to Risk & Claims and the Rutgers Legal Department. They will contact you to inform you which attorney will represent you. If you have questions or wish to speak about ongoing litigation, you may contact Jeff Dickert by phone (609) 292-4036 x5228 or e-mail ([email protected]). Jeff Dickert, PhD, Unit Chief Operating Officer, Page 12 UCHC Central Office Phone Numbers/Extensions MAIN NUMBER: 609-292-4036 FAX NUMBERS: 609-341-9380, 609-943-5449, 609-341-3399 Office Executive Administration Staff: Jeff Dickert: Arthur Brewer Rusty Reeves Rich Cevasco Yasser Soliman Magie Conrad Melody Massa Shirley Lee x5242 x5224 973-465-0068 x4241 x5241 x5235 x5229 x5210 x5228 Central Administration Staff: (alpha order) 1st Floor— (Vacant across from Chris B.) x5240 3rd Floor, Overflow Office x5238 Telemedicine (Stokes Building) x5503 Agrillo, Leo x5215 Bartolomei, Christine x5219 Berzins, Sharry x5239 Chaszar, Lisa x5211 Crapella, Debra x5220 Deduro, Sherlito (“KC”) x5213 Ford, Patti x5218 Golden, (Mary) Pat x5233 LaPenta (Prestien), Christina x5230 Lore, Roni (Veronica) x5223 McCollough, (Tamika) Monique x5226 McMichael, Joanne x5214 Morris, Mechele x5217 Reed, Pat x5232 Riggins, Cassandra x5212 Romano, Cindy x5236 Shelley, Ellen x5216 Steefel, Lorraine x5221 Topol, Elizabeth x5227 VanEmburgh, Jennifer x5620 Youngblood, Andrew x5231 Cell 732-580-1055 609-313-4185 973-632-3194 201-407-3114 609-313-1980 908-930-4025 201-407-3144 Pager 732-396-6768 609-413-6944 201-407-3119 609-668-0892 973-281-3467 609-828-5706 609-218-0697 Email (@ubhc.rutgers.edu) dickerje brewerar reevesdo cevascrp solimays conradmm massamk leesm agrillle bartolch berzinsh lac393 crapelda dedurosd fordpa mg1132 presticm vsl20 mccolltm jm1754 morrisme reedp1 rigginca romanoci shelleee steefelo topolel storicjd youngbam Regional Medical Providers Hesham Soliman William Briglia Sharmalie Perera x5237 856-459-7000 x7221 732-574-2250 x8305 609-238-0513 856-701-6362 609-238-0993 856-223-2262 856-223-2320 609-229-0675 solimahe brigliwj pererash Mental Health Clinician Administrators Mitch Abrams Harry Green Marci MacKenzie Ellen Zupkus (JJC) 973-465-0068 x4242 856-459-7224 x5222 609-324-6296 917-887-5206 732-512-8846 201-407-3097 201-407-3117 732-396-6920 609-229-0688 732-396-6767 abramsmi greenha mackenma zupkusel Associate Director of Psychiatry Anthony Tamburello 856-459-7000 x8239 609-410-0266 609-324-3215 tamburac Regional Dental Administration Harold Mapes 908-735-7111 x3430 mapeshe Regional Schedulers Rebecca Cozzens Samantha Pezzella Jose Torres 856-459-8034 856-459-8753 732-499-5010 x2867 cozzenra pezzelss torresj9 Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Page 13 Don’t be shy! If you have ideas for future publications, a one time article or are interested in becoming a regular contributor to the UCHC Newsletter, please let us know! University Correctional Health Care c/o NJ Department of Corrections Bates Building, 2nd Floor Please email Shirley Lee at [email protected] or Jennifer VanEmburgh at [email protected]. We’d love to hear from you! Whittlesey Road & Stuyvesant Avenue P.O. Box 863 Trenton, NJ 08625 Phone: (609) 292-4036 Fax: (609) 341-9380 Employee Assistance Program 1-866-EAP-UBHC (1-866-327-8242) University Behavioral Health Care 242 Old New Brunswick Rd, Suite 330 Piscataway, NJ 08854 EAP is just a phone call away... Pg. 9 Word Search Solution T L P T O W N W S Y Y S J E L M O F O E T T Z A U A P A M B I T I O N V P D U E I L T L H D S M C E R T S T A J E C U D A R R L E U N D C X C H J S A S Q A I E H N O I A H J U E C M S T N F N C I J O A V R W E O X E E P B T J Z E S O Q P B P N I E R C T R S R F S J O T X Q Y E M A Y K U N I E C N E D I F N O C W T N E M T I M M O C C M A B L G B Z O K I O E O V B L J V D A Z S U S D I V E R S I T Y I R S S T X N U N T Q D V A P I O P C H A L L E N G E W M O E H M R L Y P E R Did you know that anyone in your household is eligible to use the EAP? All services are provided by your employer and free to you and the members of your household. All services are confidential. No information is shared with anyone without a written release from you. Individuals and couples are seen for a variety of reasons such as: personal difficulties, relationship concerns, anxiety, depression, grief, stress and substance abuse. We can help with family issues such as: parenting, single parenting, blended families and elder care. Whatever your concerns, we are here for you. Please submit articles by April 15th for the Spring Newsletter Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Page 14 UCHC Excellence Award Nomination Form Guidelines: 1. A University Correctional HealthCare (UCHC) employee may nominate any other employee. (Administration Staff are not eligible for this award). Individual nominees must have at least met their probationary requirements. 2. Nominations should reflect the values stated in the UCHC mission, demonstrate exceptional customer service (to clients, staff and vendors), volunteering to do things above and beyond job duties, and/or making positive contributions to the overall success of the UCHC team. 3. Six staff will be selected annually for this award (3 every 6 months) and one staff from a supervisory position or higher will be selected annually. Name of employee being nominated: Title: ________________________ Facility/Unit: __________________ (Required) Excellence in Direct Care Excellence in support service Explain in detail why you are making this nomination: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Note: If additional space is needed, please use the back of this form or send an attachment via e-mail. Signature of nominator: _________________________ Please print your name: Date: ____/____/____ _________________________ Please send this form to: Quality Improvement, UCHC Central Office Or fax to (609) 341-9380 Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Page 15 Ongoing UCHC Continuing Education Log Jan-Dec 2013 & Jan-Mar 2014 Name: _____________________________ Site: _____________________ Position: ___________________________ *** PLEASE PRINT CLEARLY*** Date Training Activity Description Hours Once you complete this form submit a copy to your site Data Control Clerk/Secretary for entry into the UCHC Database. Keep a copy (along with attendance verification for each activity) for your personal records. Note: Staff meetings can be included as continuing education activities provided a signed attendance log is maintained. Rutgers, The State University of New Jersey—UCHC Newsletter: Oct 2013—Mar 2014 Page 16