October 2, 2018

Texas Children’s Hospital The Woodlands has marked another significant milestone with the recent Level III designation of its 14-bed Neonatal Intensive Care Unit.

The designation by the Texas Department of State Health Services (DSHS) comes as a result of legislation passed in 2013 requiring Texas to establish and implement neonatal and maternal level of care designations by March 1, with the intent of ensuring that neonatal intensive care units have the resources and expertise to provide high-quality patient care that leads to the best outcomes for newborn patients and their families.

Texas is one of the first states requiring NICUs to undergo a site visit by the American Academy of Pediatrics’ NICU Verification Program to verify the level of care provided to patients meets the Neonatal Levels of Care classifications as defined in the Texas Administrative Code. Completing the designation process is a requirement to receive Medicaid reimbursement for neonatal services.

Texas Children’s Hospital The Woodlands underwent its first site visit in April. The Level III NICU designation was announced this month.

“This is an impressive accomplishment in our 17 months of operations and validates our commitment to providing world-class pediatric care to The Woodlands community and beyond,” said Ketrese White, director of Patient Care Services in The Woodlands. “The surveyors emphasized how impressed they were with our accomplishments to date and how well our team performed during this rigorous process.”

A level III NICU designation must provide care for mothers and comprehensive care of their infants of all gestational ages with mild to critical illnesses or requiring sustained life support, provide for consultation to a full range of pediatric medical subspecialists and pediatric surgical specialists, have the capability to perform major pediatric surgery on-site or at another appropriate designated facility, among many other criteria. View the full list of level III Neonatal Levels of Care classifications here.

“Babies born prematurely and those who are critically ill require highly-specialized resources and 24/7 multidisciplinary care in order to have the most optimal outcome,” said Dr. Lisa Owens, medical director of The Woodlands NICU. “This designation helps ensure neonates are treated in the right level of NICU and thereby receive high-quality care.”

Susan Romero, assistant clinical director of the NICU in The Woodlands, said receiving the designation was a true team effort that involved team members from across the hospital.

“It’s a tremendous honor to be associated with such a wide-range of expert care,” she said. “Such an accomplishment shows a tremendous amount of work and planning.”

To learn more about Texas Children’s Newborn Center, please visit www.texaschildrens.org/newborn.

Julia Sigren, July – September 2018 Leader

Your name, title and department. How long have you worked here?
Julia Sigren, BSN, RN, CPN; Patient Care Manager in Cardiology Patient Care Unit (CPCU). I have been at Texas Children’s Hospital for six years.

Tell us how you found out you won a super star award.
I was returning to the unit after a walkthrough in Legacy Tower to meet other members from my team for a monthly meeting. I stepped into our Conference Room to find that they had orchestrated a surprise party to celebrate the announcement. I was in complete shock! Our staff and leaders from the Heart Center were present. They had even managed to have my husband come for the surprise. It was a wonderful event.

What does it mean to be recognized for the hard work you do? How has the organization helped you achieve your personal and professional goals?
It is an incredible feeling and a tremendous honor to be recognized by those who you admire and respect every day. I work with an amazing team not just in CPCU, but also in the Heart Center. Everyone has incredible passion and resilience; it is joy and privilege to get to lead here at Texas Children’s each day.

Ever since I stepped foot at Texas Children’s as a nursing student I knew that the organization was and always will be committed to growth, development and excellence. The abundance of opportunities here, such as Shared Governance and Nursing Professional Development, inspired me to take on committee positions and unit roles. This preparation (and inspirational leaders) eventually led me to apply as a patient care manager. With Texas Children’s always being a vanguard to innovation and to superior patient care, I am able to help with amazing initiatives such as being a liaison for Legacy Tower.

What do you think makes someone at Texas Children’s a super star?
A Texas Children’s Super Star leads with unwavering compassion and resilience. They see the greatest qualities in their teams and work to build them up to their strongest capabilities. A Super Star takes every opportunity to provide help and guidance, all the while acknowledging the greatness in others. They live by the Texas Children’s core values and inspire others to achieve dedicated patient care.

What is your motivation for going above and beyond every day at work?
My biggest motivation for going above and beyond is by far the patients and families of Texas Children’s Hospital. Their incredible journeys and awe-inspiring strength are at the center of my inspiration every day. If I can just make one difference in their lives, no matter how big or small, I consider it to be an unbelievable achievement.

What is the best thing about working at Texas Children’s?
The culture and vision of Texas Children’s is just outstanding. It is admirable how clinical excellence is held to an upmost standard all the while holding the patient experience at heart. Also, as exemplified one year ago during Harvey, the comradery that all the employees have here is magnificent. The staff and leadership team I have the pleasure to work with are absolutely remarkable! But, first and foremost, the patients we get to serve every day are what makes working at Texas Children’s Hospital spectacular.

What does it mean to you that everyone at Texas Children’s is considered a leader? What is your leadership definition?
Everyone has the ability to be an influence to the great work that is achieved at Texas Children’s Hospital. There is great respect for every role and anyone can be an advocate.

I believe being a leader is the ability to be a catalyst for the change you want to see in the world while concurrently empowering others to achieve their aspirations and attain positive results.

Anything else you want to share?
Thank you to my CPCU family and to Texas Children’s Hospital for this great recognition. You all are the best!

Texas Children’s Hospital Hygiene Work Group for the Central Line Acquired Bloodstream Infection, Hospital Acquired Conditions (CLABSI HAC) recently spearheaded a poster competition on the five moments of hand hygiene.

“Performing proper hand hygiene is our first line of defense in preventing hospital acquired infections,” said Mona Clark, assistant clinical director of Nursing (General Medicine and operational lead for the Hygiene Work Group. “Our organizational goal for hand hygiene is equal to or greater than 95 percent. Through collaboration with our infection control department and nursing, all ancillary care providers received education and training on the five moments of hand hygiene.”

To further engage and capitalize on the momentum of awareness and compliance for hand hygiene, the system-wide poster competition was created. Across the system there was a total of 28 outstanding posters submitted from Texas Children’s Medical Center Campus, Texas Children’s Hospital West Campus and Texas Children’s Hospital The Woodlands. Posters were placed at entrances to the units and clinical areas to be viewed by both staff and visitors.

Senior executive leaders from all campuses graciously participated as judges for the competition – Mark Mullarkey, Mary Jo Andre, Jackie Ward, Bert Gumeringer, Dr. Judith Campbell, Dr. Paul Sirbaugh and Dr. Jeffrey Shilt.

A first place winner was selected at each campus:

Medical Center Campus – 12WT General Medicine Transplant Unit poster “Now Showing the 5 Moments of Hand Hygiene
West Campus – Emergency Center “Hand Hygiene Challenge
The Woodlands Campus – Emergency Center “Be Incredible – They wash their hands

“This fun competition further engaged our teams in working together to ensure we all perform proper hand hygiene for the safety of our patients and families,” Clark said. “Thank you all for participating. Our hand hygiene scores clearly reflect your dedication and hard work.”

September 10, 2018

Texas Children’s Physical Medicine and Rehabilitation Electrodiagnostic Laboratory has received Laboratory Accreditation with Exemplary status from the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM). Dr. Suzanne Woodbury is the laboratory’s medical director and said she is very excited to receive AANEM Laboratory Accreditation status.

The AANEM established laboratory accreditation criteria for electrodiagnostic (EDX) laboratories to ensure patients receive quality medical care in a safe environment. Laboratory accreditation provides patients, referral sources, and payers with a credible measure to differentiate the laboratory’s quality of care. The accreditation standards evaluate the diagnostic services and clinical operations essential to providing quality patient care, which include:

  • Clinical staff qualifications and continuing education
  • Physical facilities
  • EDX equipment
  • Protocols for performing EDX studies
  • Patient reports
  • Policies for ensuring the health and safety of every patient

Exemplary Status is the highest level of accreditation an EDX laboratory can achieve under the AANEM Accreditation Program. To be awarded Accreditation with Exemplary Status, physicians performing studies in the laboratory must:

  • Have completed a neurology or physical medicine and rehabilitation residency program; and
  • Have completed a minimum of three months of training in EDX medicine as part of a residency or fellowship program; and
  • Be certified by the American Board of Electrodiagnostic Medicine (ABEM), or by the American Board of Psychiatry and Neurology (ABPN) in clinical neurophysiology, or by the ABPN/American Board of Physical Medicine and Rehabilitation in neuromuscular disease.

AANEM is a nonprofit membership association dedicated to the advancement of neuromuscular, musculoskeletal, and electrodiagnostic medicine. For more information about AANEM, or to learn more about laboratory accreditation, visit www.aanem.org.

September 4, 2018

Dr. Michael Blaine Zelisko and Brian M. Davis recently received the Best of the West award. Dr. Zelisko is recognized for his work as Clinical Director of Anesthesia and Assistant Professor of Anesthesia, and Davis for his work as Technical Supervisor of the Blood Bank.

The award recognizes employees each quarter who have exceled at demonstrating Texas Children’s values – leading tirelessly, living compassionately, amplifying unity and embracing freedom. Zelisko and Davis both exemplify the many qualities of Best of the West; they constantly find opportunities to demonstrate the values of the organization.

Some of Zelisko’s colleagues and patient families have said the following about him:

  • “He has done a great job taking over as clinical lead for the campus.”
  • “He is a clinical superstar with strong skills in the regional anesthesia program at West Campus.”
  • “He is engaging and thoughtful with significant system growth in radiology surgery.”
  • “He leads his staff with integrity and empathy, making every effort to make each day a smooth operation.”
  • “He gives his all to his work, his patients, and his staff.”
  • “He is always open to new ideas and supports changes that improve our system.”
  • “He is an exceptional provider and is often requested by families.”

Some of Davis’ colleagues and patient families have said the following about him:

  • “Brian has improved workflow for the staff and easily accessible guides to accomplish their jobs.
  • “Brian created a Massive Transfusion Protocol (MTP) lab testing form and MTP guides for staff, and trained the staff of the new protocol.”
  • “Brian monitors Blood Bank activity closely and responds to issues by reaching out to stakeholders to both understand the issue and then to develop a resolution to the issue.”
  • “He is very responsive not only to Pathology staff but also to the nursing staff and their leaders.”
  • “Brian is very dedicated and provides the best quality services.”
  • “His attention to detail and passion for his work is evident in the processes that he has developed and the effectiveness of the Blood Bank processes.”

Please join West Campus in congratulating and thanking Zelisko and Davis for showing us what it takes to be the best of the west.

August 27, 2018

Texas Children’s Pavilion for Women and two of its surgeons recently received superior patient care designations from the Surgical Review Corporation, which develops and administers best-in-class accreditation programs for surgeons, hospitals and freestanding outpatient facilities throughout the world.

After a rigorous review process, the SRC accredited the Pavilion for Women as a Center of Excellence for Minimally Invasive Gynecology and two of its surgeons – Dr. David Zepeda and Dr. Xiaoming Guan – as Surgeons of Excellence in Minimally Invasive Gynecology.

The Pavilion for Women is now one of three hospitals in Houston and one of five in Texas with the Center of Excellence designation.

“Earning this accreditation signifies our ability to consistently deliver the safest, high-quality care to our patients,” said Nakeisha Archer, director of perioperative services for the Pavilion for Women. “Our program fosters quality improvement in surgery, and commitment to this process has focused our team on exceeding clinical benchmarks and guidelines. Most importantly, our commitment to excellence will improve the health and well-being of our patients. We are so proud to be leaders in quality care for women.”

Minimally invasive gynecologic surgery includes hysteroscopic, laparoscopic and/or vaginal procedures such as hysterectomies, fibroid removals and myomectomy excisions. Surgeons at the Pavilion for Women did almost 500 minimally invasive surgeries in 2017 and are on track to do more this year.

Karen Rosser recently had a minimally invasive procedure done with Zepeda and said her experience with the surgeon and the Pavilion for Women was incredible.

“I felt comfortable every step of the way,” said Rosser, who suffered chronic pain for years due to adenomyosis. “I never flinched at moving forward with surgery and am confident I received the best care.”

Zepeda said he is proud of the designations and believes they distinguish the Pavilion for Women as a leader in minimally invasive surgery.

“SRC’s accreditation program recognizes surgeons and facilities that demonstrate an unparalleled commitment and ability to consistently deliver safe, effective, evidence-based care,” he said. “This has always been our focus at the Pavilion for Women and always will be.”

Guan agreed and said he hopes patients looking for quality care can now be even more assured that the Pavilion for Women is the place to be knowing we have met rigorous standards for delivering high-quality perioperative and long-term follow-up care.

More about the surgeons

Dr. David Zepeda was born and raised in Houston and attended The University of Texas at Austin. Zepeda received his medical degree at the University of Texas at San Antonio Health Science Center in 1974. He completed obstetrics and gynecology residency at Baylor College of Medicine in Houston in 1978. Zepeda maintains an academic appointment as clinical associate professor at Baylor College of Medicine, where he is involved in residency and medical student education. He’s recognized in the Texas Medical Center for his expertise in gynecologic surgery, including pelvic reconstruction, DaVinci Robotic Surgery and advanced laparoscopic and hysteroscopic procedures. He is board-certified by the American College of Obstetrics and Gynecology and has voluntarily recertified numerous times. He has been awarded the Distinguished Surgeon of the Year in Houston and has been voted among the Best Doctors of America. In addition to teaching, Zepeda has been involved with National Scientific Meetings in Ob/Gyn and has published on laparoscopic surgery. He is actively involved in continuing medical education through the medical center and national meetings in the specialty as well as numerous professional societies.

Dr. Xiaoming Guan
Dr. Xiaoming Guan is the Section Chief and Fellowship Director of Minimally Invasive Gynecologic Surgery at Texas Children’s and is an associate professor in the Department of Obstetrics and Gynecology at Baylor College of Medicine. Dr. Guan earned his medical degree at Fujian Medical College, Fuzhou in Fujian, China. He completed his Obstetrics and Gynecology residency at St. Joseph’s Hospital, a Mount Sinai School of Medicine affiliated hospital, in Paterson, NJ, followed by a fellowship in Minimally Invasive Gynecologic Surgery at Baylor College of Medicine in Houston. Dr. Guan brings extensive experience in treating complex and challenging cases of endometriosis, uterine fibroids, and pelvic masses. He is a leader in minimally invasive gynecologic surgery and a pioneer in the use of state-of-the-art robotic single-site technology and traditional single site and transvaginal Natural Orifice Endoscopy Surgery (NOTES) for advanced pelvic surgery. He also applies single-site or NOTES surgical technique in treatments of cervical incompetence with abdominal cerclage, urinary incontinence with sling, and pelvic organ prolapse with sacrocolpopexy. He serves on the editorial boards of the Journal of Minimally Invasive Gynecology and he is the author of numerous more than 40 publications.

More about SRC
Established in 2003, SRC is an internationally recognized patient safety organization dedicated to recognizing and refining surgical care. SRC is the leading administrator of quality improvement and accreditation programs for surgeons and hospitals worldwide. SRC’s proven methodology, known as the “Cycle of Excellence,” results in quantifiable and unparalleled improvement in the outcomes, patient safety and costs across surgical specialties. To measure improvement and develop best practices, SRC offers a multispecialty outcomes database that is the world’s largest repository of clinical patient data for minimally invasive gynecologic and bariatric surgery.

Texas Diversity Magazine recently announced its inaugural Houston Power 50 award recipients, and Texas Children’s Executive Vice President Michelle Riley-Brown and Vice President and Associate Chief Nursing Officer Jackie Ward were among those honored.

On the cusp of Women’s History Month, the goal of the award program is to honor women in the C-Suite from top companies who are making an effort to do great work within their companies, departments and communities in the city of Houston.

Selection for this distinction was based on each individual’s contributions to business growth and strategic direction, proven record of innovation and accomplishments in their area of expertise, and their ability to serve as an active role model by mentoring the next generation of professionals in their industry. Each awardee was recognized for standing atop their field in several industries such as technology, health care, oil & gas, financial services, government and retail.

“The Inaugural 2018 Power 50 award honors a diverse range of executive leaders of the highest caliber,” said Dennis Kennedy, founder and chairman of the National Diversity Council. “Our team takes great pride in honoring this group of accomplished women that continue to push innovation in business and beyond.”

Click here to read the full article on the Texas Diversity Magazine website.