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Zonta supplies birthing kits to women in Third World countries

By Traci Turner

The Zonta Club of Batavia is making birthing kits to send to Third World countries in an effort to reduce the risk of infection in pregnant women and their babies. 

On Saturday, 20 Zonta Club members and Batavia High School Z Club members spent four hours putting together 1,085 birthing kits. The kits are composed of a square meter of plastic sheet, two umbilical cord clamps, five pieces of gauze, a pair of vinyl gloves, a small bar of soap and a razor blade. All of the contents are packed into a quart-size sandwich bag and sent to a holding facility in Pittsburgh.

(Photo of Lee Cummings)

"We were talking and, here, everyone wants to get the birthing suite at the hospital and that's our biggest concern," said Lee Cummings, chairperson of the Birthing Kit Committee and Zonta Board member. "There, women literally get a plastic bag with six items in it to give birth and reduce the rate of infection in these countries."

The kits are shipped to clinics in impoverished countries to help women who don't have access to medical facilities. The kits have been sent to rural areas in Kenya, South America and there are now recent requests from Nepal. Women walk for miles to reach clinics where the kits are given out. Due to limited resources, hospitals and clinics have also started to use the kits in their facilities.

Zonta is an international organization for the advancement and empowerment of women. The Birthing Kit Project was developed by Zonta's international governor six years ago.

The Batavia club started the district project five years ago. Over the years, the local club has assembled and sent three large shipments totaling 3,700 birthing kits. Every spring, the club collects items for the kits and assembles them. They also make a smaller amount of kits every autumn as well.

"Our goal started out years ago as 500 kits, and then it was 750, and now it's 1,000," Cummings said. "We try to do a 1,000 a year."

The project is a community-wide effort. The club gets most of the supplies for the kit from United Memorial Medical Center. The hospital donated umbilical cord clamps, gauze, vinyl gloves and razor blades. Local hotels also donated bars of soap. In past years, local doctor offices have sent checks to help with the cost of shipping.

Shipping costs to send the kits to those who need them most is a significant expense for the club, approximately $400 to $500, according to Cummings. The club is also pays for the plastic sheeting, which costs hundreds of dollars as well.

By 2016, the group plans to make 1,000 more kits to fulfill their two-year goal of 2,000 kits. The club is in the process of planning a date to use the rest of the supplies they have collected and make more kits. They plan to put together another 400 kits for Fall 2016.

Dr. Victor Desa dies at age 72

By Howard B. Owens

Dr. Victor Desa, a renowned surgeon who contributed his expertise and his time to the local community, has died at the age of 72.

Desa died in Rochester this morning, reports WBTA.

Funeral arrangements are pending.

Among Dr. Desa's service to the community was time spent on the boards of United Memorial Medical Center and HomeCare & Hospice.

He was also always open to sharing with local residents his knowledge of the healthcare system, making frequent public appearances to speak on the topic.

Previously:

Dan Ireland, the local kid who stayed home, rose to the top, with the help of local mentors

By Howard B. Owens
Dan Ireland riding the shuttle from St. Jerome's to UMMC on a recent morning.
Jeremy Cosimeno and Dan Ireland share a cup of coffee and a laugh in the UMMC cafeteria before starting a recent workday.

From early in his career, there were people who saw something in Dan Ireland and encouraged him along his path from orderly to president of his hometown hospital.

While perhaps not a tale ripped from the pages of Horatio Alger, Ireland does stand out in an era when young people are indoctrinated to believe they must escape their smalltown roots to make something of themselves.

Ireland was born in Batavia, attended Batavia High School and started his collegiate career at Genesee Community College. While still in college, he landed a job at St. Jerome's Hospital, and outside of a brief stint with a hospital in Rochester, he has spent his entire career with St. Jerome's, Genesee Memorial or UMMC, rising from entry-level to top executive over the course of 26 years.

The climb to the pinnacle is something Dave Shaffer saw coming. He told Ireland where he was going, but Ireland didn't buy it.

Ireland said the two good friends laugh about it to this day.

"He said to me one day, 'You're going to run this hospital someday,' " Ireland said. "I said, 'No, I don't think that's ever going to happen.' He reminded me about it when I was appointed, but I never had that vision."

Ireland started out in college with the intention of going into information technology, but as a volunteer with Town of Batavia Fire Department, he was exposed to patient care. 

"Those were the days when paramedics were just coming into departments," Ireland said. "You got them in the ambulance and raced to the hospital as quickly as possible and we actually did very little out in the field for patients. As I saw more of that developing, it piqued my interest -- how do I care for patients?"

Ireland decided to become a nurse, switched majors at GCC and took a job at St. Jerome's, transferring a year later to Genesee Memorial.

Back when Batavia had a skating rink, Skate 98, Dan Ireland was a champion rollerskate performer.

"I think he's a lot like me," Shaffer said. "He's easy going. He treats people like he wants to be treated. I don't have a problem with people like that.

"I never had a doubt my prediction wouldn't come true," Shaffer added.

In those early days, Gloria Stevens also saw something in Ireland that set him apart.

She met him while working at St. Jerome's and he was working on an ambulance.

"He was always smiling, always friendly," Stevens recalled. "He always seemed to be in a good mood every time I'd see him and he just seemed like a really nice young man."

Her daughter, Amy, had also taken note of Ireland and mentioned him to her mother.

"I think she thought he was cute," Stevens said.

One evening Stevens asked Ireland if he was dating anybody.

He wasn't.

So Gloria took it upon herself to ask him on a date on behalf of her daughter, to a family wedding.

Amy and Dan have been married 22 years and have three children, Rebekah, 18, Brian, 15, and Kelly, 12.

Ireland's made a great son-in-law and father to her grandchildren, Stevens said.

"It's probably one of the best decisions I ever made," Stevens said.

Dan and Amy quickly became a team, pushing each other through their studies and making sure they got better at their jobs.

The hospital bosses noticed.

It wasn't long after Ireland became a nurse that he became a supervisor in the emergency room.

Ireland began to develop mentors who helped guide his career. Dr. Diane London was one who always made time for him, he said. She would answer any question and provide guidance on patient care.

"She was a fantastic person," Ireland said. "You could walk into ER any time and sit next to her and ask her question. That was learning clinically, that was building my knowledge -- 'What happened? What happened with this patient?' She would make time for you no matter what."

By 1997, computers were starting to work their way into patient care and suddenly Ireland's duel experience in IT and nursing opened a new opportunity for him.

The idea of using computers to help improve patient care captured Ireland's imagination and the hospital needed somebody with both a medical background and IT training.

"All of the sudden, this new idea of helping people with computers and, wow, we're going into this new era of documentation and clinical results and getting things to bedside quicker, and I sat back and realized, 'I can do the best of both worlds,' " Ireland said. " 'I can make this happen. I can teach nurses how to do it and still be a nurse and still use that clinical experience.' "

Not that bringing the nursing staff into the Digital Era was always a smooth transition.

Ireland recalled one nurse who was very upset with him.

"She was livid," he said. "She said, 'You've taken my time with patients from here to here and I'm spending all this time on the computer. It's a horrible thing.' "

About three months later, Ireland said, she was upset for a different reason. The system went off-line for maintenance.

"I got a phone call from her and she said, 'Why did you take my computer system away from me? It's been perfect,' " Ireland recalled.

He added, "It was a validation that the transition of technology really made a difference."

In 2001, Ireland took a position with the University of Rochester that he thought would advance his IT background, but within six months, Charlie Kenney, then CEO of the Batavia hospital, wanted him back.

The hospital needed somebody to do some high-level analytics, tracking population trends, and after a couple of meetings, Ireland realized this was a good job for him.

In 2003, he was promoted to director of Quality Management and created a case management program.

At this point, Karen Peters became one of his mentors.

When she passed in 2005, then CEO Mark Schoell appointed him to her former job, VP of Clinical Services.

Ireland lost two mentors, London and Peters, and gained a new one in Schoell.

"I was quite happy working for her (Peters) as director of Quality Management and suddenly she was gone," Ireland said. "She was a key part of my development. When you lose mentors, you miss them, but then you've got to find your own way."

Under Schoell, Ireland began to move up the executive ladder, taking on bigger titles and the greater responsibilities that went with them. He was VP of Support Services and then COO.  

He oversaw multiple departments and services, and supervised remodeling the Jerome Center and addition of the new surgical wing, including securing financing.

Schoell was a great mentor, Ireland said, giving him a job, even a big job, and letting him do it with minimal interference, but always there for guidence and to answer questions.

While Schoell may have been grooming an eventual successor, that wasn't necessarily Ireland's ambition.

"The ambition was doing a project and doing it successfully," Ireland said. "It was getting a project and saying 'How do I get it done? What do I need to know about that?' So that's where the ambition kicked in. I have this desire to do the right things and to get them done. Sometimes that's a lot of extra work you put in to make that happen. I think that's where the ambition was, but not for the position."

As Ireland moved into higher-profile roles, he became more interested in learning about leadership. He has his favorite books on leadership, his favorite speakers, he's attended seminars and workshops, and he's also found serving on community boards a great way to observe and learn about leaders.

The Bergen resident is on the Gillam-Grant Community Center Board and the Byron-Bergen Central School District Board of Education. He's also been through Leadership Genesee.

"Sitting on boards has helped educate myself," Ireland said. "Sitting on the school board, especially, you learn a lot about the different ways people lead. (Byron-Bergen schools Superintendent) Casey Kosiorek is a phenomenal leader. I've learned a lot just by watching him, how he interacts with his staff. I've transferred some that in how I do things."

From all appearances, Dan Ireland, the guy who rose through the ranks and was mentored by so many people in his home community, has been embraced as a leader by the UMMC staff. 

Ireland makes it a point to be accessible to as many of the hospitals more than 700 employees as possible. He often rides the shuttle from the St. Jerome's parking lot -- where employees are encouraged to park -- and frequently takes his meals in the cafeteria. He also regularly visits all of the departments of the hospital. It's impossible for him to know everybody's name, but Colleen Flynn, director of public relations for UMMC, offered during an interview in his office that to those who have worked with Ireland, his presidency seems like a natural fit. 

"I think we all saw leadership potential in him," Flynn said. "I don't think there is a single employee, manager, director in the organization who was surprised when Dan was named president. It was a natural progression."

Now that he's the leader, the mentor himself, and the guy from his own community leading one of the most important institutions in that community, Ireland takes seriously the responsibility to ensure UMMC delivers quality care.

He's also well aware that isn't the reputation UMMC necessarily enjoys locally.

Sitting in his president's office, when asked about the issue, he talked about it at length.

"We can't expect the people of Genesee County to just look at the hospital and say 'That's the hospital,' " Ireland said. "We have to work to earn the trust of every member of the community because that's what they expect. They expect us to continuously improve, so we have to continue to improve.

"There have been people who have had less than a desirable experience with the hospital. They've come here and sometimes it's been bad for people. You have to understand the human form. People don't forget easily and some people forgive and forget easier, and others don't. We will always run into people who say, 'I'll never go back to that hospital because this happened to me.' What I ask people is 'Are we different today than we were yesterday?' We have the ability to change. If we've done something wrong, and they tell us, we'll work to create change to make it better. We're in a human world, so we will not always do exactly what we want to do."

Yes, staff members have bad days, but personal bad days shouldn't translate into bad experiences for patients and their families, said Ireland, who reads every patient experience report and when he comes across a negative review, he doesn't see it as just a rant. 

"We don't see it as an angry or dissatisfied patient," Ireland said. "We see it as an opportunity for us to make a change and hopefully keep that from happening again and to make it better."

It's not just an issue of UMMC looking good or making more money. Quality customer care and a solid reputation with the local community are about providing advantageous health care.

"I don't just want to see the numbers get better," Ireland said. "When sombody sayd they don't want to go to United Memorial, that usually means they have to travel further for health care in a lot of cases and that's not good for them. That's not healthy, especially if they're ill. That's not a good experience. Either way, it's about their health. It's not necessarily about us having good scores up on the wall. It's about the fact that when patients have a good experience here, they're getting good health care and hopefully improving health."

The Ireland Family (photo submitted by Dan Ireland). Dan Ireland might be one of the only hospital presidents in the nation who rises early in the morning to feed the family's goats (22 of them, along with three sheep and a half dozen chickens and rabbits). The family farm started four or five years ago when his son said he wanted a horse. "I said, 'Horses are a lot of responsibility' and I said, 'Tell you what, I'll get you a goat. If you raise that goat all by yourself for a year, I'll get you a horse.' " The Irelands still don't have a horse, but their livestock has become a hobby for the whole family and led to involvement in 4-H.

Sponsored Post: Healthy Solutions. Enroll today!

By Lisa Ace

You and your family will receive:
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Take advantage of the YMCA while you are enrolled in the Get Fit Program. Health and Wellness Center, fun fitness classes, swimming, etc... 
Give us a call today 585-344-5420 OR visit our Web site: www.getfitwny.org 
 
Sponsored by: Batavia Rotary Club, UMMC, United Way of Genesee County, YMCA, Batavia City Schools, Genesee County Health Department, City of Batavia Youth Bureau.

Summit Street entrance of UMMC closed starting Monday

By Howard B. Owens

Press release:

The Summit Street Entrance at United Memorial Medical Center will close on Monday, April 6, as construction begins for the new comprehensive cancer center. Fencing will be placed around the wedge-shaped parking area and there will no longer be an entrance to the facility off of Summit Street.

Visitors and patients should use the Main Entrance of the Hospital off of North Street or the Emergency Department Entrance at the rear of the building. Required employee parking at the Bank Street Campus was recently expanded to increase the number of available parking spaces for patients and visitors to the Hospital.

Previously closed on weekends, the Main Entrance will be open from 8 a.m. to 5 p.m. on Saturday and Sunday. United Memorial will assess the need for transport services, additional wheelchairs and alternate weekend hours to best serve patients.

A sidewalk will be installed on the east side of Summit Street leading to the Main Entrance, along the side of the Hospital so that pedestrians can more easily access the front entrance.

Beginning on April 6th, visitors and patients should expect to see greater activity at the North Street facility as the construction begins. Cranes, earth-moving equipment and other construction vehicles will be brought on site. Every effort has been made to create and maintain a safe environment for our neighbors, employees, patients and visitors.

The new cancer center is a $6.5-million project, which will bring comprehensive cancer services to the Genesee County region and provide a new high-tech, fully integrated and comfortable home for life-saving oncology services.

These include: a state-of-the-art linear accelerator to deliver radiation therapy; the ability to use the hospital’s existing technology to plan customized radiation therapy treatment plans; chemotherapy infusion services; medical oncology for diagnosis, treatment planning and monitoring; navigator services to guide patients through their individualized treatment process; and surgical oncology.

Architectural services are provided by Clark Patterson Lee and construction management is being provided by Manning Squires Hennig.

UMMC hospitalist designated as Fellow by the Society of Hospital Medicine

By Billie Owens

Press release:

We are pleased to congratulate Arnold Facklam III, NP, FHM, a hospitalist at United Memorial Medical Center, on his designation as Fellow in Hospital Medicine (FHM) from the Society of Hospital Medicine.

To earn the FHM designation, a candidate must meet a set of diverse criteria including: working as a hospitalist for five years, demonstration of dedication to quality and process improvement, illustrating commitment to organizational teamwork and leadership, and active engagement in lifelong learning and education.

Facklam is one of 167 FHM to be in the elite class of 2015, which will be inducted on March 31, 2015 at HM15 in National Harbor, Md. The FHM designation gives hospitalists the opportunity to be recognized for their work and commitment to the practice of hospital medicine and the patients they serve.

Hospitalists are healthcare providers that specialize in the treatment of patients in the acute care (hospital) setting.

UMMC planning new cancer center on Summit Street

By Howard B. Owens

A proposed new cancer center at UMMC will help the hospital treat more patients in Genesee County and provide those patients with a comprehensive, one-stop location, according to spokeswoman Colleen Flynn.

New new $6.5 million addition to the hospital will be fitted in the triangle area on the west side of the hospital known as the Summit Street entrance.

The wing will handle chemotherapy, radiology, infusion and include a linear accelerator. The staff will include a board-certified oncologist and a radiation oncologist.

"This has been in planning for a long time," Flynn said. "It will help save some patients that 45-minute drive each way to Rochester. One of our goals was to keep care in Genesee County for those who are our most vulnerable."

The proposed expansion will be reviewed this week by the Genesee County Planning Board and the City of Batavia Planning Board.

The new building will be 9,850 square feet and while it is currently planned as a one-story addition, the construction engineering will allow for a second floor to be added if needed, Flynn said.

UMMC, already expanded to 800 employees since the affiliation with Rochester General, will add more employees as a result of the addition, Flynn said.

Plans for the cancer center were started many months ago, before the affiliation with Rochester General was finalized, but the affiliation is helping the process along.

A license is required for a linear accelerator and Rochester General happened to have obtained a license it had no immediate plans to use. The NYS Department of Health has approved the transfer of the license to the UMMC location.

Among the issues planners will consider with the addition is the loss of parking outside the Summit Street entrance.

There are currently 15 spaces. The expansion will require 20 spaces, creating a deficit of 35 spaces. 

Officials plan to draw on the 71 spaces in the existing parking lot on the west side of Summit Street, which is shared with 207 Summit St. and 215 Summit St.

Employees will park at St. Jerome's on Bank Street, which currently has 50 to 60 extra spaces available and is already served by a shuttle for hospital employees.

The shared parking lot will have signs and markings to ensure the spaces closest to the cancer center are reserved for cancer center patients.

Officials hope to break ground on the new facility in the Spring with completion and opening for patient treatment in January.

The County Planning Board meets at 7:30 p.m., Thursday.

Also on the agenda is a plan by Darien Lake Theme Park to add a new ride called the Turbo Twister. The slide, which covers an area that is 191 feet by 76 feet, features an 80-degree drop angle to start, an inclosed tube, and it propels people at an average speed of 35 feet per second.

Plus, the agenda includes plans by East Pembroke Fire District for a new, voter-approved fire hall.

UMMC's affiliation with Rochester General completed

By Howard B. Owens

Press release:

United Memorial Medical Center in Batavia has joined Rochester Regional Health System, becoming a full affiliate effective January 1, 2015. Rochester Regional is the newly formed health system that combined Rochester General and Unity Health Systems in July 2014.

The Genesee County hospital announced its intention to join Rochester Regional in February 2014. While United Memorial is very strong financially, hospital leaders recognized that changes in health care threatened the long-term outlook for independent rural health care providers. Joining the large regional system will enable continued and even enhanced local services for Batavia-area patients. United Memorial will maintain its name and a local board, and will continue its longstanding tradition of providing a wide range of medical and acute care services in Batavia.

“The full affiliation of United Memorial is another example of how Rochester Regional is creating a model health care system that helps communities get healthy and stay healthy,” said Eric J. Bieber, MD, President & CEO, Rochester Regional Health System. “Our model will maintain access and control cost by keeping care within the local community with seamless access to the highest quality specialty acute care for patients throughout the region, no matter where you live or through which system-wide door you enter.”

The partnership mirrors a trend among successful hospitals and health care systems nationwide. These system affiliations address the economic realities that community hospitals face with health care reform, enabling them to continue to offer a full range of primary and secondary services locally, while providing a gateway to the best clinical care available when more highly specialized care and technology – like cardiac surgery, stroke services, neurosurgery, and other complex services – are required.

“Joining Rochester Regional Health System secures our ability to provide quality health care to our community for the long-term,” said Dan Ireland, President, United Memorial Medical Center.

“Though most patients won’t notice any difference at the hospital, they will benefit from greater access to specialized services and technology available through the Rochester Regional network.”
The two health care institutions are no strangers to each other, having collaborated in the areas of Cardiology, Pathology, Surgery, Urology and Gastroenterology since 2008, and most recently partnered to open a Cancer & Infusion Center at United Memorial.

In making its decision to affiliate with Rochester Regional in early 2014, the United Memorial board cited the system’s longstanding focus on high-quality patient care and safety, its expertise in clinical integration, its comprehensive medical and surgical specialties that will enhance existing services available in the Batavia community, and its successful track record of collaboration with smaller acute care hospitals and physicians. 

UMMC announces first newborn of 2015

By Howard B. Owens

Press release:

United Memorial Medical Center is pleased to welcome the Genesee County New Year’s Baby for 2015. Kynlee Lynne Holland, a baby girl, was born to Jonathon and Danielle Holland of Pavilion, NY on Thursday, January 1st at 1:25 a.m. at United Memorial Medical Center in Batavia. She was delivered by certified midwife, Kim Danser, CNM. Baby Kynlee weighed 7 pounds, 6 ounces and was 19-inches long. She is the second daughter for the new parents. She has a sister, Makenna, age 6, waiting anxiously for her at home.

Both parents work in shipping and receiving. Mrs. Holland is employed at Walmart in Batavia, NY and Mr. Holland works for Quaker Muller Dairy in Batavia, NY.

As the New Year’s baby, Kynlee and her parents received a $200 gift card to Target, an engraved feeding spoon, books and a touchless thermometer from United Memorial Medical Center.

In 2014, there were 646 babies delivered at United Memorial.

Flu outbreak prompts new visitation rules at UMMC

By Howard B. Owens

Press release:

With the continued increase in the number of influenza cases at the Hospital and in the community, United Memorial Medical Center will be strictly following established visitor guidelines and implementing restrictions in order to safeguard the health of our patients.

• Effective immediately, patients in our facility will be allowed only two (2) visitors at one time between the hours of 9 a.m. and 9 p.m., except where more specific hours are posted for the care unit.

• No visitors under the age of 14 years will be allowed.

• Maternity patients may have visits from their spouse/birthing partner, grandparents of the baby, and others with no more than two visitors at a time. Siblings of the infant, under the age of 14 will not be allowed to visit.

• Individuals with a sore throat, runny nose, fever, or other influenza-type symptoms should NOT visit patients.

• A visitor, who is coughing persistently or showing signs of infectious disease such as influenza, will be given a mask and asked to leave the facility.

As an organization we understand the importance of loved ones and friends in the healing process. Exceptions to the visitor policy must be approved by the unit manager or nursing supervisor prior to the visitor’s arrival at the hospital. These restrictions have been put into place to protect those with weakened or fragile immune systems, and those who care for them, from harm during the influenza outbreak.

Everyone should remember to use appropriate hand hygiene and respiratory etiquette to prevent the spread of influenza. Symptoms may include fever, muscle aches, sore throat, cough or nasal congestion. Individuals with fever over 100˚F and any of the symptoms listed are urged to stay home, seek medical advice as necessary and limit the number of people exposed. Individuals with influenza are contagious for 24 hours prior to exhibiting symptoms.

Flooding at UMMC closes lab, which leads to emergency room shutdown

By Howard B. Owens

A basement flooding issue has forced UMMC to close its emergency room this morning, which requires any emergency patients to be diverted to the next closest hospital.

The flooding took out equipment in the lab, according to Colleen Flynn, spokeswoman for UMMC.

Most other departments remain operational, though surgery is delayed two hours.

The flooding was caused by a water line break.

There's no estimated time when the ER might reopen.

Some of the equipment that is off-line will need to be reinspected by manufacturer reps before it can be operational again.

An operational lab is essential to keep the ER open, Flynn said.

UPDATE 11:43 a.m.: UMMC's emergency room is no longer closed. It is open, fully operational and has resumed normal patient care capabilities.

UMMC honors longtime employees at annual dinner

By Howard B. Owens

Press release:

United Memorial Medical Center honored the years of service of more than 70 employees at its annual recognition dinner on Oct. 1st at Terry Hills Restaurant in Batavia. Employees were recognized for their years of employment at five-year milestones.

Shirlene Edwards CNA, 2nd Floor Medical/Telemetry Unit; Anna Green RNFA, Surgery; and Patricia Young, Medical Records achieved the 45-year milestone. Patricia Cable RN, Health Educator with Healthy Living was honored for 40 years of dedicated service. Celebrating 35 years were Christine Hall RN, Pre/Post Surgery; Gwendolyn Seweryniak RN, Surgery; Joann Matla and Harold Mitchell of the Laboratory Department.

Honored for 30 years of service included Thomas Finn, RN Quality Assurance; Kathleen Heywood RN, 2nd Floor Medical/Telemetry Unit; Kathleen Porter RN, Pre/Post Surgery; and Deborah Taylor RN, Emergency Department.

Achieving 25 years were Darcia Barone CNA, and Stacy Culver Pre/Post Surgery; Rosanna Butler RN, 3rd Floor Medical/Surgical Unit; Laurel Carney and Darla Dawson-Decker of Radiology; Mary Ells, Switchboard; Sheri Ferris and Renee Long from Food Service, Jean Hutchinson, Medical Records; and Marylou Townsend RN, Hope Haven.

Those celebrating 20 years of service include Patricia Brunner, Food Service; Sonja Gonyea, Human Resources; Michelle Maniace NP, Corporate Health; Lori Schultz, Patient Accounting; Kathlyn Williams, Hope Haven; Charyl Wood, Radiology; and Diane Ziemba RN, 2nd Floor Medical/Telemetry Unit.

There were 50 employees who received recognition for five, 10 and 15 years of service. Each employee received dinner for themselves and a guest, flowers and a gift certificate. Employees with 25 years or more of service were honored individually by their manager and senior leader with a presentation highlighting their contributions.

United Memorial is the largest private employer in Genesee County with approximately 800 employees and an annual payroll and benefit expenditure that exceeded $43.5 million in 2013.

UMMC, county officials preparing for Ebola, even if local outbreak seems unlikely

By Howard B. Owens

It's been less than 10 days since new protocols related to Ebola were put in place at United Memorial Medical Center, but emergency room staff have already passed one key preparedness test.

In an unannounced drill, a man showed up claiming a fever and suffering from weakness and a headache, a staff member asked a newly implemented set of questions that included whether he had traveled recently from Western Africa.

He uttered, "yes," and within 60 seconds he was in an infectious disease isolation room.

"I was very encouraged by the outcome," said Dan Ireland, president of UMMC. "Any time we do an exercise, do a drill, we like to hear the positive feedback that things are working as they should be."

Following CDC guidelines, UMMC, the whole county's health and emergency response leadership, really, have been implementing Ebola protocols, even if it seems like a far-off, distant problem that may never reach Genesee County.

"We do a lot of things based on a long shot," Ireland said. "We prepare for the rare circumstances because those are the ones that can be really significant. Hopefully, it never happens, but we want to be prepared. I was here during the SARS era. We never had a SARS case in this facility, even while it was in Toronto, but we were ready. We have to be ready for those things or you're not doing the public the service that they need."

Ebola is a virus transmitted among mammals through contact with bodily fluid. Symptoms start with fever, sore throat, muscle pain and headaches, much like the flu. Death occurs in about 50 percent of the patients who contract it.  

The first known outbreak was in 1976 in South Sudan and there have been periodic outbreaks since. The latest outbreak started in March and currently about 10,000 people are believed to have the disease. But some scientists believe exponential growth (the number of people with the disease during an outbreak doubles about every 20 days) could mean as many as 500,000 in West Africa could be ill from Ebola (perhaps more than a million, if there is under reporting).

There is currently no Ebola-specific treatment or vaccine, though scientists are fast-tracking research.  

That's way isolation and quarantine are essential to controlling the disease.

Ireland said hospital officials are continuously communicating with staff about Ebola and CDC-recommended protocols.

It's a rapidly evolving situation, Ireland said, and directives and procedures sometimes change with little notice.

For example, today's identification protocol involves questions about travel. If the outbreak grows, that protocol could change.

"It could be very different story for you tomorrow," Ireland said. "That's health care and that's medicine. As new information comes out, health care evolves."

To help with the communication process, so essential to control of the disease should it ever reach Genesee County, the hospital hosted a meeting today of officials from UMMC, Genesee County Emergency Services and the County Health Department.

The word on how to deal with Ebola needs to get out to doctors and nurses throughout the local health community, including health workers at clinics and on ambulances, both paid and volunteer, as well as local law enforcement and fire chiefs.

Anybody who might come into first contact with an Ebola patient needs to know how to respond to the situation, since isolation and quarantine are so critical its control.

Tim Yaeger, emergency management coordinator for the county, said communication is already starting with the agencies his department deals with, and Ebola will be on the agenda of upcoming fire chief and fire service meetings.

"Our job is to maintain awareness and communication," Yaeger said. "We discuss it with our 9-1-1 center, emergency responders and law enforcement officers need to be aware and not make assumptions about how to protect themselves from people who might be infected. The common theme every day is that we're getting new information regarding Ebola and we need to coordinate that with emergency responders."

The county health department hasn't fielded any calls from concerned citizens about Ebola (there's been more calls about enterovirus, which has been reported in Rochester and Buffalo, but not Genesee County), but that doesn't mean county health officials aren't staying on top of the latest information, said Director Paul Pettit. 

The first person to contract Ebola in the U.S. is a Dallas nurse. She appears have been infected while treating a Dallas resident who contracted the disease in Africa.

Another health care worker in Spain contracted the disease after caring for a patient in that country.

In the case in Spain, it's been determined that the health care worker likely did not follow proper protocol for removing protective gear.

It's still speculation, but that may also have been the situation in Dallas.

Typically, health care workers are covered from head to toe in protective garb while interacting with Ebola patients (only those who have actually become sick can transmit the disease).  

The probable cause of health care workers in Spain and Dallas getting sick certainly has local nurses paying close attention to the proper procedures, said Mary Beth Bowen, vice president of nursing for UMMC.

"For the nursing staff, we practice infection protection every day," Bowen said. "It's now part of our training to practice for Ebola. We've put in a buddy system to monitor each other; video so they visually learn the procedures for putting on and removing protective gear. We're doing everything according to proscribed protocol. It's important to this organization that we minimize the risk of transmission."

There's even a place for chocolate syrup in the training.  

You see, if there's chocolate syrup on your protective gear and then you take it off and find chocolate syrup on your skin, you've done something wrong.

One reason Ireland wanted to talk about this issue, and bring these local experts together, is that he doesn't want anybody in the community to panic about Ebola.

He's concerned there's a lot of hysteria and misinformation in the media about the disease, and if panic sets in, it may lead to somebody avoiding medical treatment for other conditions, a decision that could be even more dangerous.   

If people understand more about the disease and what the hospital is doing to minimize any risk of transmission, he hopes it will eliminate any such panic in the community.

"We want to avoid any misinformation in the community," Ireland said. "We are doing everything by what the CDC advises."

Photo: Gathered at an office in UMMC to discuss Ebola are Tim Yaeger and Jim Bouton, Office of Emergency Management, Mary Beth Bown, VP of nursing, Paul Pettit, county director of health, and Dan Ireland, president of UMMC.

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Free health screening offered to men and women in Genesee County

By Billie Owens

Press release:

United Memorial Medical Center and the Cancer Services Partnership will provide free health screenings to Genesee County residents who meet specific age criteria residents of Genesee County -- women between the ages of 40-64 and men aged 50-64 with no insurance or high deductibles.

The screening will be available from 4 to 8 p.m. on Wednesday, Oct.29, at the Jerome Center, 16 Bank St., Batavia. Appointments are necessary for some of the screenings.

For women age 40-64, nurse midwife Cecilia Stearns, MSN, will perform women’s health screenings, including pap smears, pelvic exams and clinical breast exams.

Urologist William Guthinger, MD, will provide prostate screenings to men age 50-64. Additional services available at the event include mammography, total cholesterol and take-home colorectal cancer screening kits.

All screenings will be provided at no charge. Funds are available for follow-up care, if necessary.

Please call United Memorial’s Healthy Living Department to schedule an appointment at (585)344-5331. Light refreshments, health information and free giveaways will also be available.

Emergency workers practice decontamination process at UMMC

By Howard B. Owens

This morning at UMMC there were men in funny looking suits and teens getting sprayed with water, but that doesn't mean it wasn't serious business.

Local firefighters who comprise the county's hazmat team and hospital workers came together for a decontamination drill aimed at both practicing roles should some serious chemical ever get spilled in the county, but also served as a chance for evaluators to grade and critique how emergency responders handled their roles.

Typically -- we would expect -- if there was an event that required a number of people to be decontaminated it would happen somewhere out in the county, not in the hospital's parking lot, but for drill purposes the first decontamination tent (this stage is called "gross decontamination") was set up not far from UMMC's emergency room.

Patients were brought in either standing or on gurneys and sprayed down. 

The purpose is to remove as much of whatever is on them before transport in an ambulance.

Once they arrive at the hospital, hospital staff begins find decontamination -- scrubbing down each patient.  

From there, they pass into ER where a triage team determines what treatment is needed and who gets treated first based on the severity of their medical condition.

A good description for how it went would be managed chaos.  

There were some unexpected glitches -- such as gurneys not going through one of the side doors without volunteer firefighters to lift them because of a step -- but also everybody seemed to have a clear idea of their roles and patients were moved through the chain of treatment quickly.

The Byron-Bergen students who volunteered to be patients seemed to have fun. Several of them completed the decontamination process and then went back through it again.

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Don't panic if you see people in decontamination suits at UMMC tomorrow morning

By Howard B. Owens

Press release:

United Memorial will host a multi-agency decontamination drill on the morning of Saturday, September 27th. Visitors to the hospital at 127 North Street, Batavia during this time should expect to see several emergency vehicles, first responders, increased activity and people wearing hazmat suits and hoods. This drill will test communication skills during a crisis across several agencies and caregivers; the effectiveness of the decontamination process; and our skill with specialized equipment. Additional staff will be brought in for the exercise and patient care will not be impacted.

The Hospital frequently performs drills to test and maintain skills needed to safely address true, large-scale emergencies. The patience and understanding of our visitors is greatly appreciated. Please contact the Community Relations office at United Memorial at (585)344-5415 or by email to contactus@ummc.org with any questions or concerns.

Hospital CEO announces upcoming change in leadership

By Billie Owens

Press release:

Mark C. Schoell, CEO of United Memorial Medical Center in Batavia, today announced that he plans to step down from his role as the organization’s highest administrator on Dec. 31. This is the expected completion date for the affiliation process between United Memorial and Rochester Regional Health System (RRHS). He has been with United Memorial for 10 years; serving as the president and CEO for the majority of his tenure.

Betty Lapp, chair of the United Memorial Medical Center Board of Directors said “Mark’s expertise in finance and extensive knowledge of the healthcare environment has led United Memorial to a position of strength.

“His strategic vision has allowed us to continue to provide quality, locally delivered healthcare for the residents of Genesee County. On behalf of the Board, I can say that we deeply appreciate and respect all that he has accomplished.”

Last December, Daniel P. Ireland assumed the role of president of United Memorial as part of a long-term succession planning initiative. He will continue as president and become the highest ranking administrator at United Memorial. The responsibilities of the CEO will be maintained by the Rochester Regional Health System following the merger with RRHS. Beginning in January, Schoell will continue to contribute to the long-term viability of United Memorial by assisting with system integration and strategic planning at the discretion of the Hospital president.

“Mark Schoell is a transformative leader and as a result of his vision and guidance, United Memorial will join the Rochester Regional Healthcare System from a position of strength, becoming what we see as the Western hub of our system.” said Mark Clement, CEO of RRHS. “I look forward to collaborating with him on system integration. And knowing the strong and capable team Mark has built, I am confident that the transition will be smooth and effective as we work together to expand access and build a continuum of the highest quality care throughout this entire region.”

Schoell is a Fellow of the Healthcare Financial Management Association (FHFMA) and a graduate of Canisius College (Buffalo) with a bachelor of science degree in Accounting and earned his master of science degree in Business Administration from St. Bonaventure University (Olean). He has more than 35 years of experience in healthcare administration and finance. He has been the chair of the Western New York Healthcare Association and Genesee County Chamber of Commerce and served on the board of directors for Lake Plains Community Care Network, Healthcare Professionals Insurance Company, and Mercy Flight of Western New York. He is a member of Batavia Rotary and resides with his wife, Peg, in Orchard Park.

United Memorial’s accomplishments under Schoell’s leadership are innumerable. They began with the creation of a stable financial position where revenues have grown by more than 70 percent -- from $46 million in 2004 to approximately $80 million in 2013; and funds available for reinvestment into the organization after expenses have remained positive, allowing the investment of more than $75 million into local capital improvements.

Developing a master facilities plan in 2005, United Memorial made many advances in improving the physical plant. At the hospital, patient rooms were updated, both wings of the fourth floor Maternity Unit and the Pharmacy Department were completely renovated. Heating, electrical and air-handling systems were upgraded and to improve patient access; employee parking was moved off campus. From 2007-2009, the underutilized former St. Jerome Hospital campus was transformed into a vibrant outpatient healthcare center that includes affordable senior housing, occupational medicine, and urgent care services. One of the largest and most impactful projects included the 44,000-square-foot, $20 million surgical expansion project completed at the hospital in 2010. Unusual for a small community hospital, United Memorial has some of the most modern and up-to-date surgical suites in Western New York.

United Memorial’s strategic planning process guided the creation of several new services and recruitment of primary care providers and physician specialists to our region. New services include the Hospitalist program, Urgent Care, Wound Care and Hyperbaric Oxygen Therapy, The Sleep and Wellness Center, Pain Management, Joint Replacement Center of Excellence, Community Pharmacy, Stroke Center and the Cancer and Infusion Center.  Women’s Care was extended into Orleans County and many new physician specialists have joined the Medical Staff; which has nearly doubled in the past ten years. In 2013, United Memorial became a teaching facility offering a Residency Program in Family Medicine and serves as a rural clinical rotation site for students completing their medical degrees.

As he was building, renovating and recruiting, Schoell kept a strong focus on improving quality of care through diligent quality measurement and patient outcomes by implementing best practices. United Memorial has been recognized for surgical care improvement measures, laboratory testing, communication with primary care physicians, our work with the Safe Haven program, and infant immunization, testing and breastfeeding. To maintain this momentum of quality improvement, Schoell fostered collaborative initiatives in stroke care, pathology, cardiology, urology, and oncology with larger recognized institutions. And, as national healthcare reform became a reality, he and the Board of Directors had the vision to investigate partnership opportunities with healthcare systems in order to protect local services.

United Memorial Medical Center has experienced a metamorphosis under the leadership of Mark Schoell, and “Quality care right at home,” has become our organization’s promise to the community.

Baby Cafe offers place for support and encouragement for breastfeeding mothers

By Howard B. Owens

The Baby Cafe is a place of encouragement and support for breastfeeding mothers. UMMC opened the room at Cary Hall recently and held an open house yesterday.

Expectant mothers, breastfeeding mothers and mothers experienced with breast feeding are invited to the room every Tuesday from 11 a.m. to 1 p.m.

The Baby Cafe is supported by a national, nonprofit organization dedicated to helping mothers who are breastfeeding.

Cary Hall is located at 211 E. Main St., Batavia.

UMMC and Rochester General announce finalized alliance agreement

By Howard B. Owens

Press release:

Definitive agreements have been finalized by Rochester Regional Health System (RRHS) for previously announced alliances with two hospitals in the greater Rochester and Finger Lakes region. United Memorial Medical Center (UMMC) in Batavia, Genesee County, and Clifton Springs Hospital & Clinic (CSHC) in Ontario County are both expected to join RRHS by the end of 2014.

The formal binding agreement with each hospital, which lays out the terms and conditions for the hospitals becoming a part of Rochester Regional Health System, was developed by the leadership of Rochester General Health System (RGHS) prior to joining with Unity Health System to form RRHS and the leadership of each hospital. The agreements were unanimously approved by the boards of RGHS, CHSC and UMMC late last month, and then assigned and accepted by the newly formed Rochester Regional Health System at its inaugural board meeting in July.

RRHS was officially formed on July 1 as a union of Rochester General and Unity health systems, with a mission to provide a 14-county region with seamless, highly coordinated care. By joining Rochester Regional Health System, the two hospitals will ensure that the patients in their communities will have the same high quality care they are accustomed to as well as improved access to an integrated network of nationally recognized specialty services when required. 

“As health care reform continues to cause the most sweeping changes to the hospital industry in more than a century, rural hospitals in particular are struggling throughout the U.S.,” said Mark Clement, co-CEO of Rochester Regional Health System, “Through these alliances, the forward-thinking leaders of United Memorial and Clifton Springs will enable the residents of Genesee and Ontario counties to continue to have access to and receive world-class care, right at home in their communities.”

Warren Hern, former CEO of Unity Health System and now co-CEO of the new system agreed, noting that this growing regional footprint was among the many factors that caused the Unity Board to decide nearly 18 months ago to join forces with Rochester General.

For a number of years Rochester General Health System had maintained clinical collaborations in key service lines with United Memorial and CSHC as well as other area hospitals, to help those providers better meet their communities’ needs.

“This is the logical progression of a longstanding relationship between United Memorial and Rochester General, which has enhanced our hospital services and benefited our community,” said Mark Schoell, CEO of United Memorial Medical Center. “With this permanent, comprehensive alliance, United Memorial will become the western hub of an emerging leader in integrated health services.”

“We’re excited to finalize our plans to officially join Rochester Regional Health System,” said Lewis Zulick, MD, acting CEO of Clifton Springs Hospital & Clinic. “In order for us to sustain the highest standards of community health, our patients must have access to the complete continuum of high-quality care. Working closely with Newark-Wayne Community Hospital, we look forward to serving the Finger Lakes region as the leading provider of comprehensive care.”

“We’re very pleased to be moving forward with formal plans to join forces with these respected organizations,” said Robert Dobies, board chair of Rochester Regional Health System, “and extend our footprint of extraordinary quality, patient satisfaction and value to the west and east.”

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