August / September 2013 “Now there are varieties of gifts, but the same Spirit; and there are varieties of service, but the same Lord; and there are varieties of working, but it is the same God who inspires them all in every one. To each is given the manifestation of the Spirit for the common good.” 1 CORINTHIANS 12:4-7 The Spirit of Providence is designed exclusively for our associates and friends: Ascension Health Health Professional Affiliates Medical Staff/Retired Physicians Providence Health Center Board of Trustees Providence Foundation Board of Trustees Founders Society Providence Forum Providence Healthcare Network Advisory Board Ethics Committee Providence Volunteer Services Providence Health Alliance Board of Directors Providence Nursing School Alumni Family Practice Residency Staff SHARING THE PASSION WITH FRIENDS AND ASSOCIATES OF PROVIDENCE HEALTHCARE NETWORK 2 A Letter from the President 3 Providence Foundation Celebrates 20 Years 3 Providence Foundation Spring Grant Awards 4 Mark Your Calendars! 4 Notes from Sister C: The Joy of Vatican II 4 Central Texas Cancer Network Breast Cancer Program 5 Providence Park Celebrates 10 Years 5 Compliance Corner: Fraud and Abuse 6 Chaplain’s Corner 6 Wellness Corner: Meditation Motivation 8 Palliative Care Corner: Complete Continuum of Care 8 Foundation Hosts High Tea 8 Forum Summer Party 9 2013 Associate Picnic 10 Help Prevent Future Phishing Attacks 11 Picture This! I N S I D E Providence Hospice Announces Opening of Providence Hospice Place at Providence Park’s St. Catherine Center P rovidence Hospice and Providence Healthcare Network have a long history of partnering together to provide quality compassionate care in Waco. Over the years, many Providence Hospice healthcare providers have compassionately cared for terminally ill patients at Providence Health Center and in-home settings as well. Many terminally ill patients would prefer to spend their last days at home, but their medical condition requires that they remain in the hospital in order to receive continuous medical care. Providence Hospice has announced plans to open Waco’s first inpatient hospice unit, Providence Hospice Place, which will allow for terminally ill patients to receive round-the-clock medical care in the comfort of a home-like setting. Renovations are underway to transform 6,000 square feet of St. Catherine Center’s second floor into eight patient suites, designed with both the patient and their loved ones in mind. Having family members by their side is an important part of a patient’s care during the final stages of life. The Providence Foundation granted the funds to purchase 24 fold-out sleeper sofa beds so that family members can comfortably stay with their loved one day and night. The unit will also be staffed with a team of specialized hospice nurses, social workers, chaplains and volunteers, experienced in caring for terminally ill patients and their families. “St. Catherine Center has worked closely with Providence Hospice for many years to provide superior end-of-life care,” said Michael Olmstead, Providence Healthcare Network’s Vice President of Long-term Care. “This is a logical progression in that relationship. Providence Hospice Place will simply be the next step forward.” Providence Hospice Place is scheduled to open fall 2013, and will immediately fulfill a community need by providing the best quality care and comfort possible for the end-of-life patient. Partnering to Provide Compassionate End of Life Care H ospitals across the nation rely on their governing boards to help make decisions that not only demonstrate strong leadership, financial stewardship and direction, but also exhibit a vested interest in the quality of healthcare being delivered. Of the many core competencies Ascension Health looks for in its board leaders, one that perfectly describes past board chair, Sister Marie Therese Sedgwick states: “possesses courage to lead with care, candor and decisiveness.” Sister Marie Therese was appointed by Ascension Health as board chair July 1, 2009 and in her four-year tenure, her ability to “provide team-oriented leadership in support of the organization’s Mission, Vision & Values” has led us through exciting growth at Providence. From the opening of the F.M. and Gloria Young Tower, the Breast Health Center, to the completion of the Women and Newborns Center, Providence has expanded to meet the healthcare needs of our community. But perhaps what Sister Marie Therese is most passionate about is the work our Providence team is doing to continually improve our quality of care. Evaluating quality and safety improvement efforts is important to see where we stand, benchmarked against other healthcare providers across the nation. By becoming a High Reliability Organization, and implementing initiatives such as daily huddles and rounding, we can help ensure that “excellence with compassion is experienced by all persons [we serve].” “When patients step through our doors, they are at their most vulnerable. It is our role to put their minds at ease, treat them with respect and provide the best possible care for healing. That is why we are here,” Sister Marie Therese said. “Sitting in a board room isn’t worth much unless you are making decisions that ensure patients receive quality compassionate care.” Sister Marie Therese will continue to serve as a board member here at Providence and her commitment to great leadership expands past her role here at Providence. She has also simultaneously served as the Board Chair of Daughters of Charity Services San Antonio (DCSSA) and Daughters of Charity Services New Orleans (DCSNO), is the Texas Healthcare Trustees (THT) treasurer and serves on various board committees. Thank you Sister Marie Therese for your courage; candor; decisiveness; thank you for your team-oriented leadership; support of our Mission, Vision & Values; thank you for serving as our Board Chair. Join us in welcoming our new Board Chair, Hal Whitaker. Honoring Past Board Chair Sister Marie Therese by Erin Rogers, Marketing and Communications Specialist by Erin Rogers, Marketing and Communications Specialist
Transcript
A u g u s t / S e p t e m b e r 2 0 1 3
“Now there are varieties
of gifts, but the same
Spirit; and there are
varieties of service, but
the same Lord; and there
are varieties of working,
but it is the same God
who inspires them all
in every one. To each is
given the manifestation
of the Spirit for the
common good.”
1 CORINTHIANS 12:4-7
The Spirit of Providence is designed exclusively for our associates and friends:
Ascension Health
Health Professional Affiliates
Medical Staff/Retired Physicians
Providence Health Center Board of Trustees
Providence Foundation Board of Trustees Founders Society Providence Forum
SHARING THE PASSION WITH FR IENDS AND ASSOCIATES OF PROVIDENCE HEALTHCARE NETWORK
2 A Letter from the President3 Providence Foundation Celebrates 20 Years3 Providence Foundation Spring Grant Awards4 Mark Your Calendars!4 Notes from Sister C: The Joy of Vatican II4 Central Texas Cancer Network Breast Cancer Program5 Providence Park Celebrates 10 Years5 Compliance Corner: Fraud and Abuse6 Chaplain’s Corner6 Wellness Corner: Meditation Motivation8 Palliative Care Corner: Complete Continuum of Care8 Foundation Hosts High Tea8 Forum Summer Party9 2013 Associate Picnic10 Help Prevent Future Phishing Attacks11 Picture This!
I N S I D E
Providence Hospice Announces Opening of Providence Hospice Place at Providence Park’s St. Catherine Center
Providence Hospice and Providence Healthcare Network have a long history of partnering together to provide quality compassionate care in Waco. Over the years, many Providence Hospice healthcare providers have compassionately
cared for terminally ill patients at Providence Health Center and in-home settings as well. Many terminally ill patients would prefer to spend their last days at home, but their medical condition requires that they remain in the hospital in order to receive continuous medical care. Providence Hospice has announced plans to open Waco’s first inpatient hospice unit, Providence Hospice Place, which will allow for terminally ill patients to receive round-the-clock medical care in the comfort of a home-like setting.
Renovations are underway to transform 6,000 square feet of St. Catherine Center’s second floor into eight patient suites, designed with both the patient and their loved ones in mind. Having family members by their side is an important part of a patient’s care during the final stages of life. The Providence Foundation granted the funds to purchase 24 fold-out sleeper sofa beds so that family members can comfortably stay with their loved one day and night. The unit will also be staffed with a team of specialized hospice nurses, social workers, chaplains and volunteers, experienced in caring for terminally ill patients and their families.
“St. Catherine Center has worked closely with Providence Hospice for many years to provide superior end-of-life care,” said Michael Olmstead, Providence Healthcare Network’s Vice President of Long-term Care. “This is a logical progression in that relationship. Providence Hospice Place will simply be the next step forward.”
Providence Hospice Place is scheduled to open fall 2013, and will immediately fulfill a community need by providing the best quality care and comfort possible for the end-of-life patient.
Partnering to Provide Compassionate End of Life Care
Hospitals across the nation rely on their governing boards to help make decisions that not only demonstrate strong leadership, financial stewardship and direction, but also exhibit a vested interest in the quality of healthcare being delivered. Of the many core competencies Ascension Health looks for in its board leaders,
one that perfectly describes past board chair, Sister Marie Therese Sedgwick states: “possesses courage to lead with care, candor and decisiveness.”
Sister Marie Therese was appointed by Ascension Health as board chair July 1, 2009 and in her four-year tenure, her ability to “provide team-oriented leadership in support of the organization’s Mission, Vision & Values” has led us through exciting growth at Providence. From the opening of the F.M. and Gloria Young Tower, the Breast Health Center, to the completion of the Women and Newborns Center, Providence has expanded to meet the healthcare needs of our community. But perhaps what Sister Marie Therese is most passionate about is the work our Providence team is doing to continually improve our quality of care. Evaluating quality and safety improvement efforts is important to see where we stand, benchmarked against other healthcare providers across the nation. By becoming a High Reliability Organization, and implementing initiatives such as daily huddles and rounding, we can help ensure that “excellence with compassion is experienced by all persons [we serve].”
“When patients step through our doors, they are at their most vulnerable. It is our role to put their minds at ease, treat them with respect and provide the best possible care for healing. That is why we are here,” Sister Marie Therese said. “Sitting in a board room isn’t worth much unless you are making decisions that ensure patients receive quality compassionate care.”
Sister Marie Therese will continue to serve as a board member here at Providence and her commitment to great leadership expands past her role here at Providence. She has also simultaneously served as the Board Chair of Daughters of Charity Services San Antonio (DCSSA) and Daughters of Charity Services New Orleans (DCSNO), is the Texas Healthcare Trustees (THT) treasurer and serves on various board committees.
Thank you Sister Marie Therese for your courage; candor; decisiveness; thank you for your team-oriented leadership; support of our Mission, Vision & Values; thank you for serving as our Board Chair.
Join us in welcoming our new Board Chair, Hal Whitaker.
Honoring Past Board Chair Sister Marie Therese
by Erin Rogers, Marketing and Communications Specialist
by Erin Rogers, Marketing and Communications Specialist
2 • The Spirit of Providence
The Year of Change
Letter from thePresident
Brett Esrock,President and CEO
We’ve all been through a lot this past fiscal year. The deployment of Symphony created more change in a shorter period of time than I’m sure most of us may have ever experienced. After 29 years, we experienced a change in our organization’s leadership. Along with the other Health Ministries of Ascension Health, we experienced restructuring of our organization in order to proactively address a challenging healthcare environment. These are big changes for any organization to face, but the reality is that growth cannot occur without change, and Providence’s commitment to growth has primed us for a strong future in the evolution of healthcare.
In addition to these changes, it’s important to note that healthcare delivery is changing as well. While Providence is seeing more patients than ever before, they are coming to us in different ways. While inpatient care will always be an essential part of our continuum of care, we are seeing a statistically significant shift in the increased utilization of outpatient services. Because of our commitment to growth, we are embracing more efficient and sustainable ways of serving our patients and their changing healthcare needs, including adopting new technology, building a larger foundation of primary care and adapting toward this rapid trend of greater outpatient care needs.
Many of the changes in the past year represent positive growth. We added new service lines that have enabled Central Texans to seek the latest advancements in care, close to home. These service lines include a revolutionary severe asthma treatment, Bronchial Thermoplasty, which helps improve asthma control and asthma-related quality of life for adults who suffer from severe asthma. In addition, the Providence Robotic Surgery Institute has the only da Vinci® Si™ robotic surgery system in Central Texas, and provides a minimally-invasive surgery option for patients seeking potentially shorter recovery times. Since performing the first da Vinci® Si™ robotic surgery on January 14, 2013, da Vinci-trained surgeons have performed over 175 robotic surgeries at Providence. The Providence Sleep Center, a sleep study lab focused on convenience and comfort, opened on March 11, 2013 and is already expanding from four rooms to six in order to meet demand.
To expand our primary care footprint, six new Physicians and Nurse Practitioners, representing a 30% increase in our primary care base, will join Providence in the next three months. Please join me in welcoming them to the Providence team.
Embracing and adapting to change requires effective teamwork. Not only is this a time of change and growth for Providence, but it is a time of change and growth for us all. Ultimately, I am proud of our ability as an organization to accept and adapt to both difficult and positive changes. Moving forward, we have to continue to work together to embrace change, understanding that the way we think about and address challenges will require new ideas and methods. Thank you for continuing to exemplify our Core Values of integrity, wisdom, creativity and dedication as we evolve to meet the challenges and opportunities of the future.
Friday, October 11, 2013 • Cottonwood Creek Golf Course • 8 a.m. and 1:30 p.m. Tee Times
Tee Time! Join the Providence Foundation for a great day of golf on the beautiful rolling hills of Cottonwood Creek Golf Course. Golfers will play to support the Providence Healthcare Network —all while enjoying fantastic
food, beverages, exciting contests, prizes, raffles and a memorable Golf Gift Bag!
Sponsorships Available Now! For unique sponsorship opportunities or to register your 4 person team for the morning or afternoon flight, call the Providence
Kent Keahey, created the Providence Development Office: 1985
John Hawkins, Development Office Director: 1985-1991
John Sheehy, first president of the Founders Society: 1986
John Benage, Executive Director: 1991-1998
Cindy Michaelis, first Development Officer: 1996-2000
Joe Dan Reed, Executive Director: 1998-2001
Dave Guyer, Development Officer: 2000-2001
Dave Guyer, Executive Director: 2001- Present
Chuck Sivess, Development Officer: 2002-2005
Stacy Maness, Development Officer: 2005-2009
Heather Beck, Development Officer: 2009-2012
Jenny Peel, Development Officer: 2012-Present
Margaret Smith, Administrative Assistant: 1993-Present
Thank you to the following who have been instrumental leaders in the ministry of the Providence Foundation.
Providence Foundation Celebrates 20 Years
This year, as the Providence Foundation celebrates its 20th year, we also celebrate 20 years of philanthropic support from the community. Such philanthropy has allowed the Providence Foundation to remain committed to the Daughters of Charity’s tradition of healing for the sick, poor and vulnerable.
Rewind 30 years….to the mid 1980’s: In 1984, Kent Keahey had been named as Providence’s first lay CEO, and the successful capital campaign for Providence’s relocation to Highway 6 was complete by 1989. In the midst of economic downturn, several members of the Board of Trustees, together with John Sheehy, Terry Stevens and Kent Keahey, discussed the future need for vital medical equipment. Board member Terry Stevens recalls a defining moment: Terry commented,
“Wouldn’t it have been nice had someone started a foundation 20 years ago so that we would not have to worry about a capital spending hold caused by the ebb and flow of the current economy?”
John [Sheehy] leaned forward and said, “Terry! Let’s be sure that people don’t say that about us 20 years from now!”
From that moment, an 18 month process began to secure the 501(c)3 nonprofit charter. And in 1993, the Providence Foundation was established. Due to the commitment of the initial Foundation Board, the faithfulness of our generous donors, and above all, the favor and grace of our Lord, the Providence Foundation has experienced tremendous success.
To date, the Foundation has granted a total of over $20 million, and funds major capital projects including the establishment of the Providence Park endowment fund, the renovation of our two heart cath labs, the Geriatric Unit at DePaul, the Providence Joint Camp, the Providence Breast Health Center, the F.M. and Gloria Young Tower, and most recently, the Bill and Patricia Watson Women and Newborns Center—all debt free construction projects made possible by capital reserves and generous donations from our community. Furthermore, the Foundation has granted over $6 million to our ministry to support the medical services provided by our dedicated physicians, nurses and healthcare professionals. (See the most recent grants awarded below)
“It is fun to accomplish things together, for the benefit of the patients we serve. We have been blessed with success. All the success that we are enjoying now stems from Terry, John and Kent. We are standing on their shoulders,” Dave Guyer, Vice President of Development and Executive Director of the Providence Foundation, said.
Fast forward 30 years… What does current Chairman of the Providence Foundation Board Scott Felton see for the future?
“I want us to continue to be forward-thinkers. We were on the cutting edge 20 years ago and I want us to never get behind. In the midst of an ever-changing financial landscape, we will continue to position ourselves to help Providence meet the needs of our patients, and continue to provide quality care that people trust,” Scott said.
During the spring grant ceremony held in May, the Providence Foundation presented 11 “big” checks to various Providence departments totaling $282,783. This is the most checks the
Foundation has presented in any one grant funding cycle, and this is the most money the Foundation has ever granted out in any one grant funding cycle.
Foundation Awards Eleven Grants During the Spring Ceremony
Our state of the art da Vinci Robot uses a single site surgical procedure with a tiny incision placed inside the patient’s belly button. During robotic surgery, our surgeons sit at a console and operate small hand-controlled devises to manipulate robotic arms controlling the surgical instruments and 3D, high def. camera. Benefits to the patient include minimal pain, low blood loss, short hospital stay and high patient satisfaction. The Providence Foundation is pleased to present Judy Taylor, Director of Surgical Services and Bob Buck with a check for $76,785 for the purchase of two Intuitive da Vinci SI 8.5 Endoscopes.
The Hug-U-Vac Positioner has a unique, pliable design that enables it to inflate and deflate evenly and to fit any patient’s body shape or size. This will ensure proper patient positioning during surgeries using the da Vinci Robot. The Providence Foundation is pleased to present Judy Taylor and Bob Buck with a check for $7,593 for the purchase of an Allen Medical Hug-U-Vac Positioner.
Our Providence pharmacy uses the Talyest Carousel, a highly automated machine that uses barcode scanning, to dispense medications to our patients. A new version of the software will enhance its capability to improve patient safety by reducing medication errors. The Providence Foundation is pleased to present a check to Kurt Kurtz, Director of the Pharmacy and Bob Buck, Vice President of Clinical and Support Services with a check for $50,000 for the purchase of the software upgrade for the Talyst Carousel.
2013 Foundation Grants, continued on page 7...
by Erin Rogers, Marketing and Communications Specialist
4 • The Spirit of Providence The Joy of Vatican II
The other day I was reading the news about our new pope, Francis. People were comparing him to John XXIII, the pope who called the Vatican Council in 1959! Oh, well do I remember it! It was
a great time, exciting—full of hope and promise, as we were invited to open the windows of the Church and let the fresh air in.
Now just us “old folks” experienced the excitement of realizing that “the Church was ours!”
Since so many of you are too young to remember, I think there is some of this anticipation in the air from the minute Francis came out without “the red shoes” and then took the bus back to his hotel! He’s just like us.
In the Vatican, the popes live in a quiet and elegant apartment—away from everyone—they have special rooms, special everything. Instead, Francis moved to Santa Marta which is a hotel for visitors, run by the Daughters of Charity. (You’ve heard of them, right?!)
So, since his daily Mass is open to anyone who comes around, many of his homilies (comments on scripture) are on the internet.
I’ll share two comments that I think apply to us: He said we should avoid being lax (loosey goosey) Christians, but more so—don’t be rigid Christians, worrying about how everyone else is keeping the rules. Instead, he said, a good Christian is not rigid prune-faced, but rather one who is smiling, happy to know that we are loved by God!
And our ministry calls us to this, each and every day. When we think about our privilege to serve God in the sick and to find Him in the poor, we can’t help but smile.
So let’s join Francis in showing all who come to us for care at Providence that we are people who know we are loved by God and bring that love to them. “Ad Multos Annos”, Francis “Ad Multos Annos” to all of us!
See you around,
Sister CP.S. Call me @ ext. 4763 if you know what “ad multos annos” means—oh, and feel free to call me even if you don’t!
by Jennifer Furrer, Breast Health Center Coordinator
In a time when cancer centers are popping up all over the nation, we feel it is important to let our community know that we as a team offer a
comprehensive approach to patient care through an extensive network of treatment providers and support services. Because of this, Providence has teamed up with other trusted names in healthcare to further develop our network of breast cancer care from diagnosis into survivorship. Our goals are to provide education about breast cancer, detect it at the earliest possible stage, and provide the highest quality, most comprehensive and coordinated care and support to patients and their families that are diagnosed with breast cancer. We want patients to know that they can receive high-quality care right here at home with the support of their family and friends. From diagnosis and surgical treatment, to adjuvant chemotherapy and radiation therapy, we offer state-of-the-art equipment coupled with standard-of-care procedures. Whether you need more information on hereditary risk assessment or are undergoing chemotherapy and need a wig, we’ve got you covered! See below for all of the treatment and support providers in our network!
ProvidenceHealthcare Network
6901 Medical ParkwayWaco, TX 76712
254-751-4000providence.net
Texas Oncology1700 W. Hwy 6
Waco, TX 76712254-399-0741
6520 Horizon CircleWaco, TX 76712
254-755-4460texasoncology.com
Waco Surgical Group6600 Fish Pond Road
Suite 101Waco, TX 76710
254-776-3188wacosurgicalgroup.com
Central Texas Cancer Network–Breast Cancer Program
Feast DayFriday, September 27Providence Health Center, Providence Park & DePaul Center
Annual Associate Health FairThursday, October 3 and Friday, October 4Providence Pavilion Auditorium
American Heart Association’s Heart WalkSaturday, September 28 Baylor University Getterman Softball Complex
19th Annual James W. Jolliff Memorial Seminar Saturday, October 26Region 12 Service Center
Christmas StrollTuesday, December 10Providence Health Center
Blood DrivesAugust 14 • October 9December 11All drives are held from 11 a.m. - 5 p.m. in the classrooms across from the InProv Cafe
Mark Your Calendars!
With summer coming to an end, fall and winter are just around the corner! That means it’s time to get your flu vaccine! And if you have to get a shot, why not have a little fun at the same time? During our annual associate health fair, October 3 and 4, vendors will be in our Pavilion Auditorium from 7 a.m. – 5 p.m. Thursday and 7 a.m. - noon on Friday. The flu vaccine will be offered 7 a.m. – 5 p.m. on both days.
Thank you to our donors who donated blood at the June blood drive. Your donations help save the lives of the patients we care for. 30 donors registered, and among the 30 registered donors, 5 were first-time registered donors! Carter collected 15 units…each donation can help save the lives of 3 adults….that means your donations helped 45 people! Thank you to each of our registered donors. Every donation counts!
Blood Drive Results
Stay Healthy this FluSeason...Get Your Flu Vaccine!
Central Texas Cancer Network Breast Cancer Program, continued on page 6 sidebar...
Working together for your complete cancer care!
Connectwith us on socialmedia!
The Spirit of Providence • 5Providence Park Celebrates 10 YearsThis past May, Providence Park celebrated 10 years of excellent, compassionate care with two anniversary celebrations. Over 320 St. Elizabeth Place, The Village and St. Catherine Center residents, their families and Providence Park caregivers gathered for food, music and dancing on May 17 and May 30. Both events featured musical guest, The Morticians, and a special blessing. A special thanks was offered to the residents who have called Providence Park “home” since its start in 2003. Waco City Councilman John Kinnaird read proclamations declaring May “Providence Park Month” in the city of Waco in acknowledgement of the excellent care Providence Park has provided to the seniors of Central Texas.
“I can still vividly recall the groundbreaking for Providence Park in 2001. At the groundbreaking ceremony our first Administrator, Mike Sims, pointed out that Providence Park would have something that no other senior living community in Waco would have—the heritage and the legacy of two great organizations. CHRISTUS The Regis/St. Elizabeth provided senior living and care in downtown Waco for 40 years, from 1963 to 2003. The Providence Healthcare Network has served Waco for more than 100 years. So when Providence Park began we were blessed by God with a foundation, a legacy, of nearly 140 combined years of caring in Catholic healthcare. I could not be more proud, that together, we have added another 10 years of caring service to that legacy. And I could not be more proud of my association with Providence Park, and all the men and women who serve out their calling here, and the men and women who call Providence Park home. This month we celebrate 10 great years, and with God’s blessing, we look forward to many great years to come.”
From the desk of Michael Olmstead, Vice President of Long Term Care Services:
Medicare fraud and abuse is a serious problem requiring your attention. Although there is no precise measure of health care fraud and the majority of health care providers are honest and well-intentioned, a minority of providers who are intent on abusing the system can cost taxpayers billions of dollars and put beneficiaries’ health and welfare at risk. The impact of these losses and risks is magnified by the growing number of people served by Medicare and the increased strain on Federal and state budgets.
You play a vital role in protecting the integrity of the Medicare Program. To combat fraud and abuse, you need to know what to watch for to protect our organization from potential abusive practices, civil liability, and perhaps criminal activity. This fact sheet gives you some of the tools you need to protect the Medicare Program, including the definitions of Medicare fraud and abuse, laws used to address fraud and abuse, overviews of partnerships among government agencies engaged in fighting fraud and abuse, and resources on how you can report suspected fraud and abuse.
What Is Medicare Fraud?
In general, fraud is defined as making false statements or representations of material facts to obtain some benefit or payment for which no entitlement would otherwise exist. These acts may be committed either for the person’s own benefit or for the benefit of some other party. In other words, fraud includes the obtaining of something of value through misrepresentation or concealment of material facts.
Fraud schemes range from solo to broad-based operations by an institution or group. Anyone can commit health care fraud. You may even know someone who has committed fraud. Organized crime also is infiltrating the Medicare Program and masquerading as Medicare providers and suppliers. Examples of Medicare fraud may include:
Knowingly billing for services that were not furnished and/or supplies not provided, including billing Medicare for appointments that the patient failed to keep; and
Knowingly altering claims forms and/or receipts to receive a higher payment amount.
It is a crime to defraud the Federal Government and its programs. Punishment may involve imprisonment, significant fines, or both. Criminal penalties for health care fraud reflect the serious harms associated with health care fraud and the need for aggressive and appropriate fraud prevention. In some states, providers and health care organizations may lose their licenses. Convictions also may result in exclusion from Medicare participation for a specified length of time. Medicare fraud may also result in civil liability.
Fraud and AbusePrevention, Detection, Reporting
Fraud and Abuse, continued on page 10...
From the OIG Website
6 • The Spirit of Providence
__Therefore put on the full armor of God… Stand firm then, with the belt of truth, the breastplate of righteousness, and with your feet fitted with the readiness that comes from the gospel of peace, the shield of faith, the helmet of salvation and the sword of the Spirit, which is the word of God. —Eph 6:13-17
This passage comes from a story about men who were rebuilding a wall and they were under constant threat of attack. This scripture says that they kept their weapons with them even when they were doing something as mundane as going to get water. This really made me
think, at the times in my life that I have felt overwhelmed, I don’t think I have always been prepared in that way. Many of us do not walk around with physical weapons. None of us that work at the hospital really come to work with swords and shields...but we are able to build up our protection in a spiritual sense. To make ourselves more prepared for when the attacks come in our lives.
There is a list of the spiritual armor of God in Ephesians 6; belt of truth, breastplate of righteousness, readiness from the gospel of peace, shield of faith, helmet of salvation, sword of the spirit (the Bible). At the end of this list the passage says “With this in mind, be alert and keep praying...” The times may come when you feel like everything that you have is being broken down. The foundation of the things that you know will be shaken. If you are not prepared for that, if you do not have your weapons with you when you go for water, you may succumb to the pressures. Great warriors do not ready themselves for a battle mid-fight. They hone their skills for years. They practice their skills repeatedly. They study long hours together, and they also practice alone and in secret. They get up early and stay up late, to be sure that they are the best at what they do.
God isn’t going to ask all of us to rebuild great walls. He’s not even going to ask all of us to carry literal swords and shields and fight real physical battles. Sometimes he is going to ask the person next to you to build a wall, and they might need your shield or your belt and wouldn’t it be great if you had it ready to give? There is so much to be said for being prepared.
“Neither I nor my brothers nor my men nor the guards with me took off our clothes; each had his weapon, even when he went for water.” (Nehemiah 4:23)
by Chaplain Shannon Eckley
Most of us experience some form of stress in each and every day. Whether it is related to work, family or extra-curricular activities, stress can creep into our lives in many different ways. Sometimes
we aren’t even aware of the amount of stress we carry, which can be overwhelming. Research has scientifically proven that meditation is a safe and simple way to balance your physical, emotional, and mental state and its countless values have been known and practiced for thousands of years.
Some of the benefits of meditation include:
w Reduces anxiety attacks as it lowers the levels of blood lactate
w Builds self-confidence
w Increases serotonin which influences moods and behavior: Low levels of serotonin are associated with depression, headaches, and insomnia
w Enhances energy, strength and vigor
w Helps keep blood pressure normal
w Reduces stress and tension
w Creates a state of deep relaxation and general feeling of well-being
w Helps with P.M.T.
w Increases concentration and strengthens the mind
w Helps reduce heart disease
w Helps with weight loss
When practiced regularly, meditation can lead you to a deeper level of relaxation and contemplation. If you want to be free of constant worry, pressure and stress, meditation can help guide you on a path that is calm, peaceful, happy and relaxed. Even just ten minutes of meditationa day can help!
Meditation Motivation
...continued from page 4
Central Texas Cancer Network– Breast Cancer ProgramOncologists
Robert L. Anderson, MDCarl G. Chakmakjian, DOCarlos A. Encarnacion, MD, FACPThomas J. Harris, MDNathan E. Hilton, MDLarry J. Mundy, MDOfobuike N. Okani, MDMichael G. Teneriello, MD, FACOG
1700 W. Hwy 6Waco, TX 76712254-399-07416520 Horizon CircleWaco, TX 76712254-755-4460
Centers and Labs
Providence Breast Health CenterBreast Imaging and NavigationServices6600 Fish Pond Road, Suite 104Waco, TX 76710254-235-3535providencebhc.com
Central Texas Pathology LaboratorySix West Medical Center601 W. Hwy 6, Suite 111Waco, TX 76710254-752-9621
General Surgeons
John J. Bawduniak, MDKaren L. Burnett, MDTodd A. Cumbie, MDDavid G. Hoffman, MD, FACSElizabeth M. Kiraly, MD, FACSSherrie L. Parker, MDGayland L. Sims, MD, FACSWilliam H. Turney, MD, FACS6600 Fish Pond Road, Suite 101Waco, TX 76710254-776-3188
Todd A. Moffatt, MD1000 W. Hwy 6, Suite 410Waco, TX 76712254-230-1234
Webster S. Lowder, MD3400 Hillcrest DriveWaco, TX 76708254-752-2587
Plastic Surgeons
Eric F. O’Neill, MD1000 W. Hwy 6. Suite 500Waco, TX 76712254-741-6832
Valerie K. Wright, MDRobert M. Wright Jr., MD FACS7003 Woodway Drive, Suite 303Waco, TX 76712254-741-1711
RESOURCESBreast Cancer AccessoriesProvidence Boutique at Fish Pond6600 Fish Pond Road, Suite 104Waco, TX 76710254-537-1701Providence Medical Equipment540 Meadowlake CenterWaco, Tx 76712254-741-2495
Spriritual ServicesProvidence Healthcare Network
Spiritual Service—Chaplains6901 Medical ParkwayWaco, TX 76712254-751-4166
Central Texas Cancer Network Breast Cancer Program, continued on page 8 sidebar...
The Spirit of Providence • 7
Most of the stretchers in our Emergency Department are not safe for morbidly obese patients. The Providence Foundation is pleased to present Bob Buck with a check for $13,678.36 for the purchase of two new stretchers which are safe for patients who weigh up to 700 pounds.
The Previ Color Gram Stainer automates the gram stain process which quickly recognizes and identifies bacteria specimens, allowing physicians to make informed diagnostic and therapeutic decisions for patients in their care. The Providence Foundation is pleased to present Linda Erlanson, Director of the Laboratory and Bob Buck with a check for $12,134 for the purchase of a Previ Color Gram Stainer.
St. Catherine Center Rehabilitative Services at Providence Park is dedicated to helping more than 800 patients a year regain independent mobility. That includes being able to step over a curb, walking up a ramp, or walking across any number of uneven surfaces such as grass, sand or gravel. The Providence Foundation is pleased to present Amanda Sonnier, Assistant Administrator of Providence Park with a check for $17,100 for the construction of an outdoor mobility courtyard at Providence Park.
Many of the approximately 200 residents at Providence Park’s St. Catherine Center require a great deal of care as they recover from illness or injury. Others need comforting during their final stage of life. The Providence Foundation is pleased to present Tiffany Tighshoo, Director of Providence Park’s St. Catherine Sub Acute Unit and Amanda Sonnier with a check for $46,920 for the purchase 24 fold out sleeper sofas so that family members and other non-Providence caregivers may stay with their loved ones.
Traditional wheelchairs are not comfortable or safe for patients who are obese. The Providence Foundation is pleased to present a check for $7,583 to Donna Parker, Nurse Manager of the CHF Clinic, Debbie Kucera, Director of Cardiology and Bob Buck for the purchase of a PEV 2000 Power Bariatric Wheelchair to ensure comfort and safety for obese CHF patients when transported throughout the hospital.
Patients who suffer from, or are at risk for, cardiac arrhythmia are closely watched by our nurses with the aid of a cardiac telemetry monitor. By upgrading our telemetry monitoring system, nurses can review the history of our patients’ arrhythmias so that they can provide our cardiologists with additional information to administer appropriate arrhythmia treatment. The Providence Foundation is pleased to present a check for $5,712 to Donna Parker, Debbie Kucera and Bob Buck for the purchase of an upgrade to our current GE Medical Cardiac Telemetry Monitory System.
Sleep studies can help in diagnosing and treating disorders such as narcolepsy, restless leg syndrome, depression, ADHD/ADD, enlarged tonsils and complications from stroke or congestive heart failure. Our new Providence Sleep Center opened with four bedrooms, with two additional rooms available to expand into. Demand has been almost overwhelming and there is a need to immediately open the other two bedrooms. The Providence Foundation is pleased to present a check for $31,772 to Kim Shaw, Providence Sleep Center Manager, Bob Buck and Dr. Alan Little, Providence Sleep Center Medical Director, for the purchase of two Cadwell Easy III Sleep Study Systems.
Dash monitors allow our pediatric nurses to monitor our little patients’ real-time oxygen saturations, heart rates and blood pressures. Real-time monitoring of pediatric patients is critical because their health conditions can deteriorate more quickly than other patients. The Providence Foundation is pleased to present a check for $40,688 to Alicia Urbanovsky, Nurse Manager of Providence Health Center’s 3 South Floor, and Bob Buck for the purchase of four Dash monitors.
Foundation Awards Eleven Grants During the Spring Ceremony2013 Foundation Grants, continued from page 3...
8 • The Spirit of Providence
by Jenny Peel, Providence Foundation Development Officer
Providence Foundation Hosts High Teas
Providence Foundation Hosts Forum Summer Party
Providence Foundation hosted its annual High Teas on Thursday, June 13. As the special guest speaker, Jackie Spragins, RHU, LTCP, with Higginbotham Insurance, discussed “The Changing Landscape of Health Insurance—A Look at Healthcare Reform, Medicare and Long Term Care.”
Attendees came in festive hats and dined on a variety of sandwiches, dipped strawberries, petit fours and scones and were also treated to assorted English teas, champagne and flavored coffees.
by Dave Guyer, CFRE, Vice President, Development; Executive Director, Providence Foundation
Like Providence Health Center, most palliative care programs offer consultative services in the hospital setting. In order to offer chronically or terminally ill patients a complete continuum of
care, programs are starting to expand into assisted living facilities, skilled nursing facilities, and in-home settings. With the collaborative efforts of Providence Palliative Care program and Pathways program we have been successful in providing palliative care services in all of these settings. The Palliative Care program is now part of the case management team and works closely with them to ensure that patients have the resources they need when discharged. Patients with chronic or life-limiting illness need a continuum of care with resources available to help navigate “roadblocks” that may arise after discharge. This is where Pathways, a social work based program, can help fill the gap. The Pathways facilitator and Palliative Care coordinator meet once a week to discuss any issues that might arise for these patients and their families. They can also provide home visits, support, resources and encouragement to help keep patients accountable and on track to accomplish the goals that they have set for themselves before discharged. Accomplishing even the smallest of goals is extremely rewarding to the patient…and to us as care providers as well. For more information, contact Michelle Myers, Palliative Care coordinator at 751-4361.
by Michelle Myers, Palliative Care Coordinator
Complete Continuum of Care for the Palliative Patient
Palliative Care Corner
The Providence Foundation’s Forum Summer Party was held on Friday, June 28th at the home of Lisa & Brett Esrock.
Over 60 guests attended the soiree, including a record number of Forum members and several Providence administrators and their spouses. Guests enjoyed delicious food, refreshing drinks, and great company! The Forum is comprised of young professionals who support the efforts of the Providence Foundation in a variety of ways. The summer party is one way that the Foundation can show its appreciation of the Forum and say “Thank You!” for all they do for Providence.
...continued from page 6
Central Texas Cancer Network– Breast Cancer Program
Individual and Family Counseling
Lake Shore Center for Behavioral Health4555 Lake Shore DriveWaco, TX 76710254-776-0400
Financial Counseling
Providence Healthcare NetworkFinancial Counseling—Business Office6901 Medical ParkwayWaco, TX 76712254-751-4062
General Cancer Resources
American Cancer Society—Central Texas Chapter1700 Lake Success DriveWaco, TX 76710254-753-0807American Cancer Society1-800-227-2345cancer.orgNational Cancer Institute1-800-4-CANCERcancer.govCentral Texas Affiliate of Susan G. Komen3000 Herring Avenue, 4EWaco, TX 76708254-753-3037komencentraltexas.org
Nutritional Counseling
Providence Healthcare NetworkNutritional Counseling —Nutritional Services6901 Medical ParkwayWaco, TX 76712254-751-4160
Rehabilitation and Therapy Programs
Exercise Programs—LIVESTRONG at the YMCA6800 Harvey DriveWaco, TX 76710254-776-6612www.ymcaofcentraltexas.org
Massage Therapy—Providence Breast Health Center6600 Fish Pond Road, Suite 104Waco, TX 76710254-235-3535
Physical Therapy/LymphedemaManagement—Providence OutpatientRehabilitative Services6901 Medical ParkwayWaco, TX 76712254-751-4133
Support Groups
Cancer Survivors Support Group—Texas Oncology1700 W. Hwy 6Waco, TX 76712254-399-0741
Dream Angels Support Group1700 Lake Success DriveWaco, TX 76710254-753-0807
Abuse describes practices that, either directly or indirectly, result in unnecessary costs to the Medicare Program. Abuse includes any practice that is not consistent with the goals of providing patients with services that are medically necessary, meet professionally recognized standards, and are fairly priced.
Examples of Medicare abuse may include: Misusing codes on a claim, Charging excessively for services or supplies, and Billing for services that were not medically necessary. Both fraud and abuse can expose providers to criminal and civil liability.
False Claims Act (FCA)
The FCA (31 United States Code [U.S.C.] Sections 3729-3733) protects the Government from being overcharged or sold substandard goods or services. The FCA imposes civil liability on any person who knowingly submits, or causes to be submitted, a false or fraudulent claim to the Federal Government. The “knowing” standard includes acting in deliberate ignorance or reckless disregard of the truth related to the claim. An example may be a physician who submits claims to Medicare for medical services he or she knows were not provided. Civil penalties for violating the FCA may include fines and up to 3 times the amount of damages sustained by the Government as a result of the false claims. There also is a criminal FCA (18 U.S.C. Section 287). Criminal penalties for submitting false claims may include fines, imprisonment, or both. For more information on fraud, visit https://oig.hhs.gov/fraud on the Internet.
If you know or suspect fraud and/or abuse, please report it. You can remain anonymous. You may report it using one of these options:
• Notify your supervisor or a member of your management team • Contact Human Resources • Call Karen Richardson, Corporate Responsibility officer or Diana Holub at 751-4771. • Call the Values Line 800-707.2198 or www.ascensionhealthvaluesline.org
Email “phishing” is on the rise, and Ascension’s IT systems and data are at risk. Would you know how to tell the difference between a phishing email and a message from a legitimate sender? Review the following information on phishing to best understand how you can keep your email box and our environment safe.
What is Phishing?
Phishing is an attempt by an individual or group to solicit personal or business information from unsuspecting users. Phishing attempts often have the following characteristics:
• Emails appear to be sent from a legitimate organization or known individual.
• Messages entice users to click on a link to a fraudulent website or to respond to the email.
• Messages request personal information such as account usernames, passwords, first/ last name, date of birth and credit card numbers.
• Links provided often install malicious software on the user’s device compromising the email account.
See examples of phishing attacks at the end of this article.
How can my Account be Affected?
Once a user has become a victim of a phishing attack:
• Theattackercanuseinformationinthecompromisedemail accounttobuildfakeemailswithrealnames,titlesand departments,makingthefakeemailextremelyrealisticanddifficulttofiltereitherbya computer system or by the recipient.
• Giventheattackernowhasfullaccesstothecompromisedemailaccount,thedatain the account could also be compromised.
How can I identify if email requests are legitimate? • Ascension Health Information Services (AHIS) does NOT solicit ID or password information via email. IfyoureceiveanemailrequestingIDorpasswordinformation,it isaphishingattack,andyoushouldnotrespondtothemessage.
• Ifyoureceiveanemailfromanunknownsource—donotclickonlinksinside the message.
Help Prevent Future Phishing Attacks, continued from page 12...
During a retirement reception hosted on June 27, friends, family and coworkers gathered to celebrate Annette Ayers, Senior Vice President and Chief Nursing Officer, and her 24 year career at Providence. When Annettebegan her nursing career as a staff nurse on 3 South in January 1990, Providence was a smaller organization with a vision of delivering a continuum of care thatwould transform us in the future. With a passion for safe, effective, compassionate care, Annette has helped build a strong foundation that has contributed to Providence’s growth and success over the past two decades.
Annette has progressed through many roles at Providence, including: staff nurse in the Emergency Department, head nurse and trauma coordinator of the Emergency Department, nurse recruiter in Human Resources, nurse administration director, nurse director and, since November 2003, Senior Vice President and Chief Nursing Officer. Annette has been involved with numerous projects including the implementation of the hospital’s EMR, new call light system, the Radianse patient and asset tracking system and multiple patient safety initiatives.
Annette is excited to spend more time with her two daughters, Abigail and Madeline, and husband of 18 years,Mark, as well as other activities such as traveling, running, biking and swimming. Thank you for your commitment and dedication for the past 24 years!
Providence Foundation Founders Society Oktoberfest
1:00 p.m. to 4:00 p.m.Saturday, October 26
It will be held on the grounds of Historic Waco Foundation’s East Terrace House located on
Martin Luther King Boulevard.
Please call 751-4762 for more information.
The Spirit of Providence • 11
Partners in Education: Providence Recognizes Perfect Attendance
Not missing a single day of school is quite an accomplishment, and this year, over 40
Brook Avenue Elementary students achieved perfect attendance. From that list, Principal Campbell awarded six students with a brand new bicycle—perfect timing for summer fun! Thanks to Sister Cecile Matushek, this year’s donation was for $300, enough to purchase
three of the six bikes awarded.Congratulations to all of the Brook Avenue
students on a great school year.
Congratulations Sylvia Ferrill on your Recent Retirement!During a retirement reception held on July 10, many gathered to wish Sylvia Ferrill a “happy retirement.” Sylvia began her tenure at Providence in 1977 as a nursing student while enrolled in the MCC RN program. Over the years she has held positions across the network, including the emergency department, the 5th floor, the 4th floor, St. Catherine Center and Providence DePaul Center. Sylvia is passionate about her work as a caregiver and also passionate about her work with the Ukraine Medical Exchange with Providence and John Wood Ministries.
During a special luncheon hosted in the Providence auditorium, Providence volunteers gathered for the annual officer installation. Pictured with President
and CEO Brett Esrock, from left: Jane Dossey, President; Bobby Jetelina, First VP; Fran Kroll, Second VP; April Cobb, Recording Secretary; Pat Hutyra,
Corresponding Secretary; Pat Johnson, Parliamentarian and Patty Hawk, Director of Volunteer Services.
58 junior volunteers joined the Providence family during the summer, offering support to 17 departments across the network. Together, they provided
over1,160 hours of volunteer service to our ministry.
Volunteer Services News!
Lupe Perez, Providence Park Business Office, transitioned from part-time from full-time. On Saturday June 29 at 10:00 a.m., a retirement mass was held in her honor at St. Francis Catholic Church in Waco. Family and friends were invited to help Lupe celebrate more than 40 years of work. Father Cyril from Providence and Father Roman conducted the mass.
Save the Date for the 19th Annual James W.
Jolliff Memorial Seminarto be held on October
26th in Waco!Watch your mailbox for a registration
brochure for this free educational seminar! Limited seating is available!
12 • The Spirit of Providence
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The Spirit of Providence is published bimonthly for associates and friends of
Providence Healthcare Network.
For address changes or corrections, write or call Providence Marketing and Public Policy,
6901 Medical Parkway, Waco, Texas 76712, (254) 751-4070.
Jana WhitakerExecutive Editor
Jana Whitaker, Jonathan Ford, Erin Rogers, Mandy Sharp
• Doesitactuallylinktotheorganizationtheypurporttobe,orisitacounterfeit? Tocheck,rolloverthelinkwithyourmouse,andthewebsiteaddresswhereyou will be directed will pop up.
Another way to easily identify a suspicious email is to review it for misspellings or missing images.
What do I do if I Receive a Suspicious Email?
• If you feel an email is not legitimate, please forward it to spam@ascensionhealth. org and delete it from your email inbox.
• If you shared a user ID or password through email, and suspect your account has been compromised, immediately change your password(s) and contact the Service Desk at 888.372.7700.
Want More Info.?
• Review more information on Phishing from the United States Computer Emergency Readiness Team (US-CERT) on Recognizing and Avoiding Email Scams.
• If you have information security questions, please email the Ascension Health Security Service Line Training and Awareness Workgroup.
• Review the sample phishing emails in the green box to the right:
Help Prevent Future Phishing AttacksPhishing Example 1:
Dear User,You are required to verify your details to resolve access issues which we have noticed with your email account. CLICK HERE TO UPDATEFailure to do so within 24 hours may lead to temporary account deactivation. Thank you for your understanding
IT-Service,You have exceeded the limit of your mailbox set by your IT-service, and you will be having problems in sending and receiving new mails. To prevent this, please provide the below information:(EmailAddress) (username) (Password)
Note: All details should be sent to the below email address:[email protected] to do this will result in limited accessto your mailbox.
