December - In the Know with the CEO

In the Know with the CEO

Corpus Christi Medical Center
December 2021

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Mission Statement

HCA’s Mission Statement:
Above all else, we are
committed to the care and
improvement of human life.

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

CEO Update

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Welcome!

Eric Evans Colleagues,
Chief Executive Officer I am excited to release our most recent edition of our “In
the Know with the CEO newsletter.” This edition continues
to detail all of the great things that are happening at
Corpus Christi Medical Center (CCMC). Please take some
time to review all of the exciting things happening at our
hospital.
This newsletter will highlight the upcoming projects, and
our upcoming uniform transition. I would like to thank
each of you for your hard work and dedication over this
past year. As we reflect on all of the things that have
taken place, let us all enjoy the time that we have with
our families and remember that above all else, we are
committed to the care and improvement of human life.

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Chief Operating Officer Update

Mark Roberts, COO

5 © 2021. CONFIDENTIAL – Contains proprietary information.
Not intended for external distribution.

Our New COO, Mark Roberts

Mark started on Dec. 1, and will be responsible for the management of hospital Mark Roberts
operations, strategic planning and facility expansions. “We have aggressive Chief Operating Officer
plans for Corpus Christi Medical Center in the coming years, including an
increased focus on surgical services, emergency room capacity and other
facility expansions. Roberts’ business and operational expertise will be a
tremendous asset to our senior leadership team and the organization.”

He has over 17 years of healthcare leadership experience, ten of which has
been with HCA Healthcare in the Texas and Georgia markets. In the San
Antonio area, he previously served as AVP of operations and surgical services for
Methodist Specialty and Transplant Hospital. Most recently, Roberts served as
chief operating officer of Memorial Satilla Health in Waycross, Georgia.

Raised in Kansas City, Missouri, Roberts earned his Bachelor of Science degree in
Management and Human Relations from Mid America Nazarene University in
Olathe, Kansas and his MHA from Wester University in St. Louis, Missouri. He is a
member of the American College of Healthcare Executives and the Institute of
Certified Professional Managers. He and his wife, Arlene, are looking forward to
moving to Corpus Christi to spend time with their three children and five
grandchildren in Texas.

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Patient Experience
Connect to purpose

Dr. Cory Taylor, DNP
BAMC ACNO

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

DAISY Award Winner – Carlos Valerio

• Patient Story

o In the beginning of days for my husbands hospital stay he was in a coma.
For the first 15 days out of the total 52, I was all alone and scared and
Carlos was there. In that first week, I would ask the same questions over
and over and he would without any judgment answer them over and
over. I would apologize for asking the same things repeatedly and he
always said “no need to apologize, I will answer them over and over until
you no longer have any questions.” He would fight with his all to insure
my husband was taken care of to the best of his abilities. See my
husband had traumatic head trauma and his ICP had to be watched
closely. There were ups and downs of the pressure and his temperature
continually running slightly with fever. In that current condition it was
life threatening. Carlos kept filling the ice packs and packing them on as
well as applying the cooling blanket that would have to be on and off for
the first 2 weeks. The whole entire ICU team was amazing, but Carlos
was a one on one that helped me to be reassured things were going to
be ok.

8 © 2021. CONFIDENTIAL – Contains proprietary information.
Not intended for external distribution.

DAISY Award Winner –
Desiree Sierra & Lisette Chavez

• Patient Story

o Desiree Sierra and Lizette Chavez - both of these nurses were amazing!
They notified me of what medications I was being given what they do and
why I’m taking them. This is very important to me and it shows a kind of
respect that I admire! Both notified me of my care plan and how they plan
to help me accomplish my goals! Lizette Chavez took the time to go over
each discharge goal with me and helped me understand everything I needed
to do after going home. Both nurses were incredibly busy but still took the
time to make sure I understood everything about my plan of care! This
means so much to me and I can’t tell you how very important this is. I’ve
never received this kind of wholistic care before and been this informed! It
really made the recovery process so much less strenuous and scary knowing
what all was going on and why.

Thank you all for making my recovery so easy and comfortable!!!

9 © 2021. CONFIDENTIAL – Contains proprietary information.
Not intended for external distribution.

DAISY Award Winner – Chris Ebert

• Patient Story

o My husband and I were so excited to welcome our first baby into the world and had spent my entire pregnancy planning and
dreaming of how our birth experience would go. We took classes read lots of books and articles and researched many different items
to include in our birth plan to anticipate the birth we desired. When we were admitted to the L&D unit I was anxious hurting and so
uncertain of my ability to continue with my birth plan as written. Enter Chris who I’m convinced is more an angel walking on earth
than a nurse. She came into my room immediately recognized my anxiety and downright fear and sat on my bed with me held my
hand and calmly explained her role in my labor process and asked to explain all my medical options respecting my birth plan but
desiring to give me choices. More times than I can count or was aware of Chris was in my room that night checking on both my
husband and I and ensuring our needs were met and questions were answered Not only was Chris compassionate and kind to me she
offered support and compassion to my husband who was the only person allowed in to labor with me due to COVID restrictions. Not
having my own mother there Chris filled in that gap of comforting strong reassuring presence. At one point in the night we found
out that there was the possibility of her getting to go home early which anyone would jump at the chance for especially on night 4 of
4. However we also found out that Chris requested to stay with us because she felt like we needed her. This simple and

unnecessary act of kindness speaks volumes of the person that she is and the heart of gold that she has.

10 © 2021. CONFIDENTIAL – Contains proprietary information.
Not intended for external distribution.

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Clinical Education

Terri Thomas MSN CVRN-BC, CHSE
Market Director of Clinical Professional Development
Corpus Christi

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

American Red Cross

Check off Dates January 2022

• DRMC – Classroom 500 (MOB beside DRMC)
January 28 & 31
Heart Hospital Conference Room
January 19

TIME
7:30am – 3:30pm

Closed for Lunch 12:00 – 1:00pm

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

TNCC & ENPC Upcoming Classes

• TNCC
February 22 & 23

• ENPC To Register contact Pete Maldonado
January 26 & 27 [email protected]
361-232-2865

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Code Blue Clinic

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Preceptor Classes

Interested in becoming a Preceptor in 2022? Make sure you have
completed the HCA Preceptor Certification Training. See attachment to
enroll by scanning the QR Code! First Live Class of 2022 coming January 20
from 0900-1100.

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Patient Quality

Corpus Christi Medical Center

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

CCMC QUALITY
AWARDS

Bay Area Doctor’s Regional
Medical Center Medical Center

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

What is ESR?

A proven, research-based process to improve the patient’s experience and outcomes including a quicker and safer recovery after surgery.

What are the Benefits to Multimodal Pain Management?

Allows patients to be more comfortable post-procedure, allowing for earlier eating and earlier mobilization.

Reduced the need for opioids and decreased side effects related to opioids that have been known to slow the recovery phase including:

 Nausea/Vomiting  Breathing difficulties  Drowsiness  Constipation  Risk of ongoing dependence

What can I do to Help My Patient Recover Safely?

Encourage patients to request pain treatment early (3-4 scale) to maintain a tolerable pain level.

Ensure patient have scheduled non-opioid pain management to reduce need for opioids. Discuss with physician possible pain
management options.

Here is a list of non-opioid pain
management options to assist in
recovery after surgery

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Palliative Care MYTHS ABOUT
PALLIATIVE CARE

#1: Palliative Care hastens death.

Palliative care does not hasten death,
but provides comfort and the best
quality of life based on diagnosis and
stage of illness.

Who can Benefit from Palliative Care #2: Palliative care is only for
people dying of cancer.
 Patients with serious, long-lasting disease or with a life-threatening illness
are good candidates for palliative care (e.g., cancer, heart disease, AIDS, Palliative care can benefit patients
dementia, ALS, Parkinson’s, kidney failure) with life limiting illnesses.

What can Palliative Care Offer the Patient #3: Pain is part of dying.

 Palliative care is performed alongside the patient’s current providers, Pain is not always a part of dying and
providing an additional layer of support (e.g., symptom relief, counseling, there are many ways it can be
spiritual comfort, pain relief) alleviated.

 Palliative care benefits and supports the patient as well as the
family/caregiver.

 Assists in establishing and matching treatment and care goals through illness.

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

SAFETY ALERT: Lessons Learned

ICU – Potassium Issue

Situation

S On 10/13/2021 3 patients in DRMC ICU required potassium replacement. The pharmacy sent 2
vials of IV K+ ( 20 Meqs) each. There should never be vials of potassium on the nursing floors. The
doses must be drawn up in oral syringes in the pharmacy before sending to the unit.

Background

B Due to an Effer-K shortage, an ICU practitioner ordered IV formulations of potassium chloride
and potassium acetate to be given via NG or feeding tube.

Assessment
Night nurse felt this order may not be correct and went to Charge RN about his concerns.

A Charge RN reviewed the order and noted this could potentially be a medication error ( if the
medication was given IV). Together both nurses “ stopped the line” and the medication was not
given.

Recommendation

R It is an ISMP and HCA Best Practice to send all oral medications that are not commercially
available in unit dosed packaging to the floor in an oral syringe. Oral syringes are not compliant
with IV lines, helping to prevent such mix-ups.

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Infection Prevention

Corpus Christi Medical Center
December 2021

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Happy National Hand
Hygiene Week!

December 6-12

Make every day
Hand Hygiene
Day!!

Don’t forget to clean:
• Palms
• Back of hands
• Between fingers
• Fingernails
• Thumbs
• Fingertips

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Where has Omicron been detected in the United States?

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Don’t Forget About Flu MYTHS ABOUT
FLU VACCINATION
Annual Flu Vaccination is Still Recommended
#1: The flu shot can give me the flu.
 Recommended for those ≥6 months of age, excluding those with
contraindications No. Flu vaccines are made with
inactivated (killed) virus and cannot
 Ideally administered by end of October but any time during the flu season is cause illness
beneficial
#2: The “stomach flu” is caused by
 Can be administered at the same time as the COVID-19 vaccine but should the influenza virus.
be given in different sites
No. Influenza is a respiratory illness and
 Flu vaccination is recommended for pregnant women not a stomach or intestinal illness.
 CCMC offers the preservative free vaccine
#3: Healthy people don’t need to
Ask your supervisor be vaccinated.
about getting a flu
vaccine or contact No. Although it is very important for
high risk groups to be vaccinated,
our Employee healthy people also benefit from
Health Nurse, Cherie vaccination.

Smith-Causey

(361.761.1922)

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

New Providers

Debbie Martin-Gonzales
Medical Staff Services

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

January 2022 Leticia Aleman-Listenbee, FNP Michael Aydalla, AGNP-AC Kira Dillard, MD
NEW PROVIDERS Nurse Practitioner Nurse Practitioner Neurology
CC Hospitalists
Envision Emergency Dr. Berkvens Real Time Neuromonitoring
Dr. Ramirez

Shailesh Gupta, MD Monica Hartman, FNP Andrea Hartquist, FNP Lindsey Jones, FNP Ravi Jhaveri, MD
Radiation Oncology Nurse Practitioner Nurse Practitioner Nurse Practitioner Radiology
A Better Weigh
HealthTrust Envision Emergency Dr. Stegemann Comprehensive Kidney Partners Radiology Partners
Dr. Ramirez Dr. Kaldas

Eric Kim, MD Monica Hartman, FNP Lisa Messick, FNP
Neurology Nurse Practitioner Nurse Practitioner
Real Time Neurology CC Hospitalists Envision Emergency
Dr. Berkvens
Dr. Ramirez

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

January 2022 Brian Monks, MD Neil Vyas, MD
NEW PROVIDERS OB/GYN Gastroenterology
Mednax
HealthTrust

Stefani Watson, FNP Gerhard Wittich, MD
Nurse Practitioner Radiology

Kidney Specialists of S TX Radiology Partners
Dr. Nooruddin

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

HR Update

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Scrub Roll-Out

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

90-Day Anniversary:
• All employees will receive the $25 90-day gift

• Within one month of the 90-day anniversary, the scrub-wearing employee will receive
additional points to the $25 that add up to the total voucher allotment (see right).

• Non-scrub wearing employees will receive the care point deposit of $25 in the form of
the 90-day gift.

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Corpus Christi Medical Center - RN ONLY

Vital Voices Engagement Results

BY THE NUMBERS PARTICIPATION DRIVER SCORES 80 1 SCORES BELOW BENCHMARK*

ENGAGEMENT 38 11 SCORES ABOVE BENCHMARK* Industry Benchmark*

80 ▲2% vs. May 2021 85 78 78 79 78 73
COMMENTS 80
0% vs. May 2021 75
RESPONSES 363 70
65
293 60
55

50 78 83 82 81

45
Support
STRENGTHS AND OPPORTUNITIES Growth
Safety

Belonging
eSat

Communication
Involvement
Recognition
Resources

Conversations

DRIVER V. COMPANY IMPACT v. Oct ▲2 ▲5 ▲8 ▲8 ▲7 ▲4 ▲6 ▲6 ▲9
2020
Relative Strengths
DEPARTMENT RANKING

Growth +9 Very High Department Engagement Participation Department Engagement Participation
Index Rate Index Rate
Recognition +7 Very High Intake – Bayview Adolescent Unit - Bayview
Surgery DRMC 97 83% 2 South DR 92 53%
Involvement +7 Very High 95 47% 91 60%
CVICU HRT 95 51% Rockport FSED 89 50%
Relative Opportunities Gero Psych Unit Neo Natal BAMC
94 71% CCU ICU DRMC 88 19%
Safety -1 Very High OP Infusion 2 West Observation
Radiation Therapy BAMC 93 88% 88 39%
Conversations +6 Very High
92 86% 87 92%
Support +6 Very High

© 2020. CO* NGFIlDinEtN’sTIAHLe–aCltohnctaainrsepIrnodpuriestatrryy iBnfeonrmcahtmiona.rNkoitsincteonmdepdrisfoer dexotefrncalilednisttriabnutdionh.ealthcare panel data
** No benchmark available for Action Taking or Patient Focus Drivers

Corpus Christi Medical Center - ALL COLLEAGUES

Vital Voices Engagement Results

BY THE NUMBERS PARTICIPATION DRIVER SCORES 80 0 SCORES BELOW BENCHMARK*

ENGAGEMENT 44 11 SCORES ABOVE BENCHMARK* Industry Benchmark*

80 ▲1% vs. May 2021 85 77 77 78 78 72
COMMENTS 80
0% vs. May 2021 75
RESPONSES 814 70
65
672 60
55

50 77 83 80 80

45
Support
STRENGTHS AND OPPORTUNITIES Safety

Belonging
eSat

Growth
Communication

Involvement
Recognition

Resources
Conversations

DRIVER V. COMPANY IMPACT v. Oct ▲4 ▲6 ▲5 ▲2 ▲4 ▲3 ▲3 ▲5 ▲6
2020
Relative Strengths Engagement
Growth Index DEPARTMENT RANKING
97
+6 Very High 95 Participation Engagement Participation
95 Rate Index Rate
Resources +6 Very High Department 94 Department
94 83% 93 42%
Recognition +6 Very High Intake – Bayview 93 47% Sitters 92 86%
Surgery DRMC 51% Radiation Therapy BAMC 92 53%
Relative Opportunities 0 Very High Adolescent Unit - Bayview
Safety CVICU HRT 67% 91 60%
Administration CCMC 2 South DR
Conversations +5 Very High 71% Quality Management 90 67%
Gero Psych Unit
Support +5 Very High OP Infusion 88% Rockport FSED 89 50%

© 2020. CO* NGFIlDinEtN’sTIAHLe–aCltohnctaainrsepIrnodpuriestatrryy iBnfeonrmcahtmiona.rNkoitsincteonmdepdrisfoer dexotefrncalilednisttriabnutdionh.ealthcare panel data
** No benchmark available for Action Taking or Patient Focus Drivers

Holiday Party Pictures

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Holiday Party Pictures

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Mingle all the Way

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Mingle All the Way

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

Turkey Giveaway

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Member Perks Program

Perks offered by HCA
Human Resources

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

© 2020. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.

© 2019. CONFIDENTIAL – Contains proprietary information. Not intended for external distribution.