Posted by: astanowski | January 27, 2012

Healthcare Fellows Abroad

ARAMARK Healthcare Fellow, Deborah Daniel, a Canadian, leads discussion with Irish healthcare CEOs at the Guinness Storehouse facility in Dublin.

We started the ARAMARK Healthcare Fellowship in 2009 and boy have we seen some great success to date!  Our fellows come from some of the finest CAHME-accredited graduate programs in North America.  Upon completion of the program, nearly all of our fellows have been placed in top-notch healthcare facilities.  It’s great to see and know that the core facets of the program which include traditional hospital project work, academic based translational research, and experiential learning really provide the foundation for a rewarding career in the healthcare industry. Earlier this month our current class of ARAMARK Healthcare Fellows took a trip to Ireland to encounter firsthand what their health care system.  From what I hear, we may be offering the fellowship in the Emerald Isle in 2013.

I’ve asked our fellows to be guest bloggers, to give you their impressions.  Today’s posting is by Deborah Daniel, an MHA graduate from the University of Toronto, who is serving as the ARAMARK Healthcare fellow at Vancouver Coastal Health, British Columbia, Canada. Read More…

I saw this quote from one of my favorite former college football coaches, Lou Holtz.  It reminded me of when I had just gotten married and I decided to build a deck.  How hard could it be, I thought.  The lumber yard dumped the pile of wood on our front lawn.  My friend and I started to carry the lumber to the back.  Well, we slipped in the mud, dropped the lumber and basically took a long time to carry just a portion of the delivery.  My father-in-law, a retired carpenter, eventually arrived. He had a good laugh and then showed us how to carry the wood balancing it in each hand, many pieces at a time.  There is an easy way to do things; it’s the people who are experts at something that really know how to succeed.   Malcolm Gladwell in Outliers (200) talked about 10,000 hours as how long it takes for someone to become an expert. Read More…

Posted by: astanowski | October 14, 2011

Protecting Against Infection

There’s a new movie out with a host of Hollywood A-Listers that is surely poised to have audiences grabbing for their Purell anti-bacterial hand gel.  “Contagion” tells the story of a woman (played by Gwyneth Paltrow) who returns from a business trip in Hong Kong and dies soon after from an unknown infection.  Her young son dies a few days later.  And thus begins a worldwide epidemic.

As Kate Winslet’s character explains, the average person touches their face three to five times every waking minute.  In between, they’re touching doorknobs, ATM machines, handrails, water fountains, and each other.  All this contact means you could go from Patient Zero to a billion in 30 steps, or 120 days.  The point is that infection is easily spread. Read More…

Posted by: astanowski | September 23, 2011

It All Comes Out in the Wash …

One of my favorite things to do this time of year is watch football, and this past Sunday the Eagles played the Falcons in Atlanta which was positioned by the media as a morality play featuring Michael Vick.

As I was watching the pregame show, studio analyst Tony Dungy gave his overview of the game.  Dungy is a retired NFL head coach who won the Super Bowl in 2007 with the Indianapolis Colts.  All told, he spent 12 years as a head coach in the NFL, making the playoffs a record ten times in a row.  He’s known best for his quiet demeanor and a coaching philosophy that encourages teaching and supporting his players, rather than screaming at or belittling them.  He is known as a “good guy,” but it was his part of this past Sunday’s mortality play that the casual fan didn’t appreciate.

You see, he had a leading role in the rehabilitation of Michael Vick when he was released from prison.   Watching him reminded me of what he was credited with saying to Vick:  “Integrity is what you do when no one is watching; it’s doing the right thing all the time.”

Now some could never forgive Vick, and I’m not going to get into that now.   But I think that there is a lesson in Tony Dungy’s approach to life.  The real person you are is revealed in the moments when no one is watching and you’re not attempting to impress anyone.  Your true nature comes out when you’re just being yourself and doing the right thing.  I’ve stressed to my kids that in moments when no one is watching is how you conduct yourself with integrity.

This same idea is ingrained in a lot of our people at ARAMARK.  I’m always impressed by the stories I hear about the great things ARAMARK employees are doing every day – often when no one is looking.  Sometimes it’s just a small gesture on a random day that only affects one person – but makes a huge difference.

At the San Martin campus of St. Rose Dominican Hospital in Henderson, NV, Environmental Services (EVS) Director Robert Stewart took it upon himself to help a patient who most people might not give a second thought.  As a result, Robert was honored as the hospital’s Star Performer for August, which is a monthly employee recognition that is voted on by San Martin’s case managers.  Even more impressive, according Hospital President Rod Davis, this behavior is pretty typical from Robert. 

Joni Kurata, a Licensed Social Worker at San Martin, told us about a homeless patient who came in with chest pain.  Obviously, he wasn’t in the best condition, and his clothes – the only clothes he owned – were extremely dirty.  Robert overheard several individuals discussing the patient during the daily bed placement meeting. 

Just to provide some background, ARAMARK’s EVS directors handle a number of tasks, including managing the cleaning and housekeeping services, maintenance, and waste disposal, all while using environmentally conscious processes and equipment.  While the work our EVS group handles does affect patient safety, comfort, and confidence, they aren’t directly responsible for patient well-being.

Well, except in this case.

While the patient was receiving tests, Robert went and personally found the patient’s clothing, pretreated the stains, and ran them through the washing machine and dryer, having them back to the patient within a couple hours.  The patient was extremely grateful and the entire staff appreciated his unsolicited effort.  “I could tell he (Robert) was really busy that day, but he still went out of his way to help,” said Joni.  “I am so impressed by ARAMARK’s staff and their willingness to help, no matter what the circumstance.”

“What can I say other than Robert does a fantastic job?” mused GM Lee Timothy.  “He always takes ownership, steps in, takes initiative, and makes things happen.”

He makes things happen.  Even going so far as to tackle what clearly wasn’t an enjoyable task, when no one was watching.  Robert went out of his way to ensure that this patient’s stay would be as pleasant and comfortable as possible.  Employees like Robert Stewart are our unsung heroes, and they are who make us successful.

Posted by: astanowski | September 20, 2011

What Makes Value?

This past summer we replaced and expanded our cedar deck with Trex.  Over the 12 years of the life of the deck, carpenter bees have done their damage, and some boards just rotted through.  My wife and I talked about replacing it with another wooden deck, which would have cost less and would have allowed for the enjoyment of the beauty of natural wood.  However, we looked at the total cost of ownership – the yearly cleaning of the wood, labor and cost of sealing, repairing insect damage, and my labor hours – and opted to pay more now, but save more along the way.  Frankly, we’ll have more time enjoying the deck; less time working on it!

The need to evaluate expenditures in terms of value – and how to define that value – is more important in the business of healthcare.  I’m very proud of ARAMARK Healthcare’s sponsorship of the HFMA Value Project which found that hospitals and health systems are recognizing the shift to a value-based healthcare system and are preparing for changes in the payment system. Read More…

Posted by: astanowski | September 14, 2011

Looking for Five Future Healthcare Executives

I get very excited this time of year as we begin to ramp up the recruiting process for the ARAMARK Healthcare Administration Fellowship for Clinical Support Services program. The level of students that apply for this one year fellowship seems to get better and better every year. Read More…

Posted by: astanowski | September 7, 2011

Top 10 Clinical Technology Myths

I love good stories and some of the best stories are based on myths.   From Superman to Star Wars, myths arise to help guide behavior and are a function of the times.  They enable people to guide how to behave when they lack the knowledge to choose how to behave. Sometimes myths are good … when they provide positive role models.   Sometimes myths serve a bad purpose, like when they cause people to behave in ways that can actually be harmful.  For example, along the East Coast we’ve recently had a hurricane – Hurricane Irene.  It’s amazing the number of myths that arose about being prepared for a hurricane…including some people saying they were not going to evacuate their homes in flood zones because they’ve seen high winds before and their home can take it. Read More…

Posted by: astanowski | August 30, 2011

Managing Infrastructure adds Value

Mike Sherman, VP of Asset Solutions and a good friend at ARAMARK Healthcare was recently  in a story for the September/October issue of ACHE’s Healthcare Executive.  Entitled “Managing Infrastructure Expenses,”  the story examines the ability to maximize a hospital’s investment in their infrastructure through a comprehensive long-term infrastructure plan that is coordinated with a hospital’s strategic plan. With 73 percent of hospital construction projects being renovations, it is important to plan for infrastructure requests to prioritize projects and mitigate risks.

The article details the approach CHRISTUS Santa Rosa (San Antonio, TX) used to develop a five year implementation plan for improvement activities and system replacement initiatives.

Posted by: astanowski | August 24, 2011

Sometimes, Beauty Is More Than Skin-Deep ….

Recently, Soliant Health named its 20 Most Beautiful Hospitals for 2011.  Over 70,000 votes were tallied in the third-annual poll, up from about 10,000 last year.  What’s great about this competition is that everyday people – patients, employees, and the general public – do the voting. 

So with all of the cost constraints on hospitals, some may question about why we should care about what a hospital looks like?  Read More…

Posted by: astanowski | July 26, 2011

From Cowboys to Pit Crews

ARAMARK Healthcare sponsored Dr. Atul Gawande at last weeks AHA Leadership Summit, and he spoke to a packed house after being introduced by our own Dr. Brian Poplin. We were very proud to have been able to sponsor someone who has had such an impact on healthcare. What was most insightful was his comparison of the shift that is needed from COWBOYS to PIT CREWS.  He really was highlighting how the current environment needs to shift from specific skills to systems or said another way, from individuals to highly coordinated teams. He even gave us strategies to do that, namely:

  1. The ability to recognize failure and success for patients. That means the ability to use data—collecting it, refining it, and most importantly understanding.
  2. Devise solutions. He spent some time talking about checklists in Healthcare, for instance.
  3. Scaling solutions so that everyone functions together seamlessly like a pit crew.

As I think about the work ARAMARK Healthcare team members do, it is a lot like that of a pit crew. You could liken the hospital to the race car itself, and the race car drivers may be the docs, nurses, and members of the care team. Support service workers at hospitals are the ones making sure that they can perform to the best of their ability—that’s what support is all about. 

The parallels continue even with the strategy of devising solutions and using checklists to do that. At ARAMARK Healthcare, we have an entire system of standards and processes for each of our services. And we even have what looks like a checklist for each operation to make sure that we are reducing operational variation and maximizing efficiencies for our services. 

There’s no question that the environment is changing rapidly—whether its healthcare reform, medicine itself, technology—you name it. With things moving faster and faster, the analogy of the Pit Crew is spot on.

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