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Welcome to eFocus. Our goal is to provide you with timely, informative and useful short summaries and links about UM UCH related news, issues, or events. Feel free to contact us if you have news to share, story ideas or any other feedback. As always, your comments are welcome.

eFocus, July 2018 topics include:  


We have much to celebrate as we closed out our fiscal year with 28 hospital acquired infections--an incredible accomplishment and a monumental step to zero harm. Everyone remembers when CLABSIs were a focus and it was said that it was impossible to get them to zero. Now, it is considered a never event. CAUTIs were once considered the same and we closed the year out with only two! Our Cdiff rates continue to drop with improved hand hygiene, technology (like our PCR testing through BioFire), and our antibiotic stewardship program. We did see our MRSA bacteremia tick up and that will be a major focus for FY 19 with improved CHG bathing compliance for our patients. This reduction of HAIs is a complete hospital effort and we could not be more proud of the results. Our patients can enter this hospital knowing that their safety is of our utmost concern and priority.

As we start FY 19, we will see some innovations begin to start like our Tele-ICU and Tele-Pulmonary programs. Drs. Birnbaum and Jokhadar, Heather Beauchamp, and their team will be implementing these programs so that UM HMH can continue to provide high quality Pulmonary and Critical Care. We have seen success and were able to maintain quality with Tele-Infectious Disease at UM HMH last year (see data table below). Telemedicine will continue to grow in our system to expand our ability to care for patients with the limited resources we have.

Lastly, the  UCMC ICU team needs to take a bow with its recent ICU Beacon Gold Award. The team was honored with a wonderful celebration that took place on July 30th. UCMC is only the third hospital in the state to achieve this honor. This adds to the recent Maryland Patient Safety Center awards and Minogue award wins of the past year. Be proud as UM UCH continues to innovate and lead to improve patient safety and quality.

Fermin Barrueto, Jr., M.D., M.B.A.
Senior Vice President/CMO
Medical Staff Affairs 

Safety Updates

HAI Counter

 The current number of healthcare acquired infections (HAI) at UM UCH is two.

The Results Are In...Thank You!

Quality and Patient and Team Member Safety are top of mind for us in all that we do. As the Fiscal Year 2018 ends, we want to take the opportunity to share with you our Healthcare Associated Infection (HAI) data. As you can see from the graph below, we finished the year with 28 HAIs which is much lower than last year when we had 48 HAIs.   

Thank you for your role in preventing the spread of infections in our hospitals. Performing good hand hygiene, assuring proper equipment and room disinfection, and taking good care of catheters are just a few of the many things you do to keep our patients safe. Your hard work shows in our improved results this past year. 

Be proud of this accomplishment and let’s continue the momentum for this new year as we continue on our journey to Zero Harm. This is a time to celebrate our performance improvement and each other, because it takes all of us to make it happen, Every Person, Every Encounter, Every Day.

Lyle E. Sheldon, FACHE


Empathy Update

Please congratulate our physicians on their increasing performance on patient communication. Their focus on Language of Caring and use of the AIDET tool are drivers behind this improvement.

 UM UCMC ICU Receives Gold Beacon Award for Excellence

The American Association of Critical-Care Nurses (AACN) recently presented a gold-level Beacon Award for Excellence to the Intensive Care Unit at University of Maryland Upper Chesapeake Medical Center (UM UCMC). The Beacon Award for Excellence — a significant milestone on the path to exceptional patient care and healthy work environments — recognizes unit caregivers who successfully improve patient outcomes and align practices with AACN’s six Healthy Work Environment Standards.

Units that achieve this three-year, three-level award with gold, silver or bronze designations meet national criteria consistent with Magnet Recognition, the Malcolm Baldrige National Quality Award and the National Quality Healthcare Award. The gold-level Beacon Award for Excellence earned by the Intensive Care Unit at UM UCMC signifies excellent and sustained unit performance and patient outcomes. The Intensive Care Unit at UM UCMC earned a gold award by meeting the following evidence-based Beacon Award for Excellence criteria:
  • Leadership structures and systems
  • Appropriate staffing and staff engagement
  • Effective communication, knowledge management, learning and development
  • Evidence-based practice and processes
  • Outcome measurement

SAFE Program at UM Harford Memorial Hospital

After a sexual assault, it's hard for the victim to know what to do, how to feel, or what his/her options are. The only one of its kind in Harford County, the SAFE (Sexual Assault Forensic Examination) Program at UM Harford Memorial Hospital is a free, confidential service available 24/7 to care for victims of sexual assault from ages 13 and older.

Individuals who have been assaulted can go directly to the Emergency Department at UM HMH to undergo the SAFE exam--a confidential way to have their injuries documented and evidence of sexual assault collected by our certified sexual assault nurse examiners.

Practitioners can view common questions and answers on the SAFE intranet site or may call 443-843-5500 for more information.

Please share this booklet with your colleagues, friends and family members. You never know who it may help.

*If you're reading this, how long does an individual who experiences sexual assault have to receive a SAFE exam? (Hint: the answer is in the booklet).The first five people to email the answer to will be entered to win a gift card to Miller's Ale House.*

SAFE Program certified sexual assault nurse examiners

Clinical Informatics Update

This month's topics from your Provider Documentation team include:

Please contact the Clinical Informatics line at x2763 with questions. 

MEC and P&T Summaries

The following items were approved during the MEC meeting held on July 11th.

Upcoming Meetings and Events


Mark your calendars for important standing meetings and special events. 

Special Events

Physicians & Advanced Practice Clinicians: Networking, Ironbirds and Fireworks!

You and a guest {or two} are invited to our annual networking event with a twist. We will be on the entry level of the stadium directly behind home plate, with unlimited food and beverage. Menu and more detailed information HERE. Great baseball and fireworks to follow. 

Thursday, August 9 - Gates open at 6 p.m. 

You must RSVP to Stephanie Paradise-Brown to reserve your tickets. Text or call 410-382-7747 or email

Standing Meetings

  • Pediatric Grand Rounds: Held the first Wednesday of every quarter (Jan., Apr., July, Oct.) from 7 - 8 p.m. Guest lecturers present different topics in pediatric medicine, including common dermatologic conditions, effects and management of obesity in children, pediatric head injuries, and more.  
  • Multidisciplinary Thoracic and General Conferences: 12 Noon, Alternates Every Thursday (e.g., Thoracic is 11/3, General is 11/10)
    UM UCMC, KCC Streett Conference Room
  • Multidisciplinary Breast Conference: 8 a.m., Every Tuesday
    Radiology/Oncology Conference Room
  • Pharmacy &Therapeutics (P & T) Committee: 7:30 a.m., Third Wednesday of each month
    UM UCMC Maryland Room 
  • Credentials Committee 7:30 - 9 a.m., Third Friday of each month
  • Medical Staff Leadership  8 - 9 a.m., Fourth Thursday of each month
    UM UCMC, Fallston Room/UM HMH, MSCR
  • Metabolic Bariatric Surgery Committee: 5 p.m., Quarterly, Wednesdays
    HMH MSCR and UCMC Fallston Rm
    Upcoming dates: March 15, June 21, Sept 20, Dec 20

  • Allied Health Practitioner Committee:8 – 9 a.m., Third Tuesday of each month