Quality

A PAL for Preemies: Musical Pacifier Helps Babies Learn to Eat

Posted on Jul 24, 2019 in California Pacific Medical Center, NICU, Pediatric Care, Quality, Scroll Images

SAN FRANCISCO — Born a month and a half early at just 34 weeks, tiny baby Olive O’Neill was so premature that she was unable to feed orally. But by sucking on a pacifier that plays a lullaby sung by her parents, baby Olive quickly learned how to feed and has successfully gone home to her family.

Baby Olive using the PAL

The innovative device is called a PAL, short for Pacifier-Activated Lullaby. The PAL works by motivating babies to suck on a specially designed pacifier to help strengthen their sucking reflex.

At birth, premature infants often lack a developed sucking reflex. The inability to feed on their own is a common reason they remain hospitalized after birth. To help these newborns develop the sucking reflex more quickly so they can go home sooner, California Pacific Medical Center (CPMC) Van Ness Campus hospital in San Francisco, part of Sutter Health’s integrated not-for-profit network of care, is now using the PAL in its Neonatal Intensive Care Unit (NICU).

Research backs the PAL

According to music therapist Elisha Madsen, MME, MT-BC, who works with parents in CPMC’s NICU to train their infants with the special pacifier, studies show that premature infants who receive PAL therapy develop an increased ability to eat on their own more quickly, gain weight and have a reduced length of NICU hospitalization.

Studies have determined that average NICU hospital stays were 20 percent shorter (nine days on average) for babies who received PAL treatment versus babies who did not. Studies also have shown that babies increased their sucking rates up to 2.5 times more than infants who did not receive PAL. Increased sucking translates to improved oral feeding skills, which can directly affect a baby’s ability to go home from the NICU sooner.

How PAL works

The PAL is attached to a sensor that measures the strength of the baby’s sucking. When the PAL detects that the baby has sucked on the pacifier to a predetermined strength, the baby earns a reward – a lullaby recorded by the baby’s mom or dad. Music therapist Madsen explains that hearing their parent singing a lullaby motivates babies to continue sucking on the pacifier, which in turn improves the sucking reflex.

Charles and Alissa O’Neill, who recorded the traditional lullaby “London Bridge is Falling Down” for their daughter Olive, credit the PAL with helping her develop the ability to feed.

“Having the PAL is great because you could see instantly that she had a really good response to both her mom’s voice and my voice – which helped her develop her sucking,” says Olive’s dad, Charles.

“The last couple of weeks of our stay at CPMC were focused around feeding and helping Olive [learn to] feed on her own,” adds mom Alissa. “After we used the PAL, we also sang to Olive to help encourage her to feed.”

Madsen says that, within a couple of minutes, most babies learn they will have to suck on the pacifier to receive their music reward. “Parents light up when they see their baby is responding to their singing voices and is learning the skills needed to eat and go home,” Madsen says. “It is just precious to see this reaction.”

CPMC’s Level III NICU: Life-saving Technologies and Compassionate Support

CPMC’s Van Ness Campus hospital NICU is a designated level III NICU capable of caring for very small or very sick newborn babies that may need continuous life support and comprehensive care. Level III NICUs also offer a full range of pediatric medical subspecialists capable of providing critical medical and surgical care and to address problems that premature and critically ill newborns may have.

Studies have shown better outcomes for very low birth weight infants and premature infants who are born at level III centers, leading to recommendations that women at risk be transported to these centers to give birth. Through Sutter Health’s integrated network of care, women with high-risk pregnancies, and babies born prematurely or with complications, can be transported to a higher level of NICU with seamless coordination of medical care and support. This seamless care can reduce complication, reduce hospital readmissions and reduce the overall cost of care.

 

 

Federal Grant to Expand Physician Residency Program to Rural County

Posted on Jul 23, 2019 in Community Benefit, Expanding Access, Quality, Scroll Images, Sutter Amador Hospital, Sutter Medical Center, Sacramento, Transformation

HRSA Rural Residency Program Addresses Growing Shortage of Family Medicine Physicians in Gold Country Communities

Sutter Amador Hospital

JACKSON, Calif.Sutter Health was awarded a $750,000 grant from the Health Resources and Services Administration (HRSA) to expand its Sacramento-based physician residency program to Amador County as part of the federal agency’s efforts to provide better access to quality medical care in rural areas.

The HRSA Rural Residency Planning and Development grant will help not-for-profit Sutter Health expand its successful Family Medicine Residency Program located in Sacramento and Davis to the Sutter Amador Hospital campus.

“The health challenges in rural America are clear: Rural communities face a greater risk of poor health outcomes than their urban counterparts,” said HRSA Administrator George Sigounas, MS, Ph.D. “Programs like the Rural Residency Planning and Development grants take aim at one of the most persistent disparities: access to high-quality healthcare providers. HRSA is committed to increasing the number of providers serving rural communities and improving health in rural America.”

This grant is part of a larger $20 million multi-year initiative by HRSA to expand the physician workforce in rural areas by developing new, sustainable residency programs in family medicine, internal medicine and psychiatry.

The goal of the Sutter Health project is to develop a sustainable, accredited rural training track in the Mother Lode and to ultimately expand the area’s rural primary care workforce. In Amador County, there is an evident high need for primary-care physicians (PCPs)in the area as the ratio of the population to one PCP is 1,760-to-1; the ratio throughout the state of California is 1,280 residents to one PCP, according to the County Health Rankings and Roadmaps website.

“Because of the strength of its integrated network, Sutter has created multiple residency and fellowship programs in primary care and specialty areas over the last two decades,” said Ash Gokli, M.D., chief medical officer for the Sutter Health Valley Area. “By expanding our residency program into Amador County, we can help address the shortage of family medicine providers that is being felt disproportionately in rural areas. We are working to strengthen the physician pipeline throughout our integrated network so our patients receive the same high-quality care no matter what community they live in.”

The Sutter Health Family Medicine Residency Program is based at Sutter Medical Center, Sacramento. It is a community-based program where residents in family medicine complete core inpatient training in Sacramento during the first year, with their next two years in Sacramento or Davis. Currently there are 21 residents in the program, and the Amador County program will expand the program to 27 residents. Since its inception in 1995, the Sutter Family Medicine Residency Program has graduated 139 physicians, all of whom passed their Board Certification assessments on the first effort. For more on the program, go to www.suttermd.com/education/residency/family-medicine.

HRSA, an agency of the U.S. Department of Health and Human Services, is the primary federal agency for improving health care to people who are geographically isolated, economically or medically vulnerable. HRSA programs help those in need of high quality primary health care, people living with HIV/AIDS, pregnant women, and mothers. HRSA also supports the training of health professionals, the distribution of providers to areas where they are needed most and improvements in health care delivery. For more on HRSA, go to www.hrsa.gov.

A new gold star for cancer care at CPMC: Accreditation by the American College of Surgeons National Accreditation Program for Rectal Cancer

Posted on Jul 19, 2019 in California Pacific Medical Center, Expanding Access, Innovation, People, Quality, Research, Scroll Images

SAN FRANCISCO – Calif. More than 40,000 people in the United States develop rectal cancer each year and it is the second most common cause of cancer deaths. Fortunately, research has made inroads for colorectal cancer—including the development of targeted therapies that more precisely treat the disease.

Cancer patients treated at Sutter’s California Pacific Medical Center (CPMC) benefit from leading-edge research, compassionate care, and the opportunity to enroll in clinical trials of the latest therapies for cancers at all stages of the illness.

Read More

Blankets Warm Bodies and Hearts at Sutter Roseville Infusion Center

Posted on Jul 10, 2019 in People, Quality, Scroll Images, Sutter Roseville Medical Center

Thirteen-year-old leukemia survivor Emma Geiselman delivered blankets to grateful patients at Sutter Roseville’s infusion center.

ROSEVILLE, Calif. — Cancer patients who receive infusion services often get quite cold while receiving treatments, which can last for hours, says Sutter Roseville Medical Center Infusion Services Manager Lynnette Messex. Blankets are needed to keep them comfortable while receiving their life-saving care.

Subaru of America, Inc., partnered with the Leukemia & Lymphoma Society to send hope, love and warmth to patients fighting cancer. On Tuesday, July 9, 80 blankets donated by Roseville Subaru were delivered to Sutter Roseville Medical Center Infusion Services inside the Sutter Cancer Center. In addition, they delivered 30 arts & crafts kits for children who are accompanying a loved one for treatment.

Leukemia survivor Emma Geiselman, 13, a Leukemia & Lymphoma Society “Honored Hero” passed out blankets to patients, and The Sacramento Bee was there to see the gratefulness of these patients battling life-threatening diseases. You can check out The Bee’s story and video here.

During Subaru’s Loves to Care month in June, messages of hope for cancer patients were written by visitors, and those messages will also be delivered. Those who wrote a message of hope at a Subaru retailer also received a reusable tote bag to help spread awareness of LLS and the automaker’s goal to provide hope and care, one gesture at a time.

Sutter Roseville Receives 2019 Emergency Nurses Association Lantern Award

Posted on Jul 10, 2019 in Affiliates, Expanding Access, People, Quality, Scroll Images, Sutter Roseville Medical Center, We're Awesome

Sutter Roseville Medical Center recognized with annual award for exceptional and innovative nursing performance


 
ROSEVILLE, Calif. – Sutter Roseville Medical Center’s Emergency Department has been selected as a recipient of the Emergency Nurses Association’s 2019 Lantern Award for demonstrating exceptional and innovative performance in leadership, practice, education, advocacy and research. It is the top award an Emergency Department’s nursing staff can receive, and Sutter Roseville is one of just 28 hospitals nationwide and the only one in Northern California to be honored this year.

The Lantern Award showcases the Sutter Roseville Emergency Department’s accomplishments in incorporating evidence-based practice and innovation into emergency care. EDs are encouraged to share stories that highlight a commitment to care of patients, as well as the well-being of nursing staff. The award serves as a visible symbol of the hospital’s commitment to quality, safety and a healthy work environment.

“We are tremendously proud to receive national recognition of the care we provide to our community, and are grateful for the skilled team that provides that care,” said Gary Gates, R.N., administrative director of Emergency Services, Trauma ICU, and ICU.

Sutter Roseville’s Emergency Department strives to provide an excellent environment for both patients and employees. Highlights of their achievements include a staff-driven redesign of the Stroke Alert; the design and implementation of Code Critical, an overhead activation similar to Trauma and Stroke Alerts for other critically ill patients; a robust Emergency Preparedness program that works closely with local and federal agencies, which included the “Black Hawk Down” preparedness event in June; and incentives for nursing certification that have resulted in a record number of registered nurses obtaining a BCEN (Board of Certification for Emergency Nursing) advanced emergency nursing certification.

Sutter Roseville Medical Center is the premier Level II Trauma Center for the seven-county region, meaning that it features the highly specialized skills and equipment necessary to handle more complicated, critically ill and injured emergency cases. In total, the Sutter Roseville Emergency Department cares for more than 83,000 emergency and trauma patients each year. Because of the community need, Sutter Roseville is currently in the midst of an expansion project that will double the size of the current Emergency Department. This expansion is expected to be completed in April 2020.

“Sutter Roseville Medical Center delivers complex and advanced medical care in an environment that promotes healthier outcomes, and we do it in an area that’s growing and changing very quickly,” said Sutter Roseville CEO Brian Alexander. “That’s a commitment that calls for highly trained physicians, nurses and care teams, modern facilities, advanced technology, and dedication to patient- and family-centered care — all of which were huge drivers behind this expansion.”

Sutter Roseville Medical Center’s Lantern Award will be on display in the Emergency Department. As a recipient, Sutter Roseville Medical Center will be recognized in upcoming ENA publications, on the ENA website and at Emergency Nursing 2019, the association’s annual conference, in Austin, Texas.

The Emergency Nurses Association (ENA) is the premier professional nursing association dedicated to defining the future of emergency nursing through advocacy, education, research, innovation, and leadership. Founded in 1970, ENA has proven to be an indispensable resource to the global emergency nursing community. With more than 44,000 members worldwide, ENA advocates for patient safety, develops industry-leading practice standards and guidelines, and guides emergency health care public policy. ENA members have expertise in triage, patient care, disaster preparedness, and all aspects of emergency care. Additional information is available at www.ena.org.

Research at Sutter Health Brings New Hope to People With ALS

Posted on Jul 10, 2019 in Alta Bates Summit Medical Center, California Pacific Medical Center, Innovation, Mills-Peninsula Health Services, People, Quality, Research, Scroll Images, Sutter East Bay Medical Foundation

SAN FRANCISCO, Calif. — Stephen Hawking—one of the world’s most accomplished physicists— lived most of his life with amyotrophic lateral sclerosis (ALS). His lifetime of accomplishments and worldwide renown cast an international spotlight on the debilitating disease. Read More