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Common Ground: transformational leadership, welcome new providers
June 29, 2014
MagnetMagnet® and Transformational Leadership
  • Salem Hospital applying for Magnet "re-designation."  
  • Key goal: educate everyone about the importance of this journey. 
  • Transformational Leadership is a pillar of Magnet®.

by Cheryl Nester Wolfe, RN, MSN  

Chief Operating Officer at Salem Health 


One of the key pillars of the Magnet® designation is the concept of "transformational leadership." The term refers to the inclusion of nursing staff representation at the highest levels of organizational leadership and that those nursing leaders are accessible and visible.


The transformational leader isn't an autocrat who makes all the decisions, but a facilitator who helps every member of the group succeed. Such leaders listen to employees to determine what is working and what needs improvement, identify a solution based on employee input, and inspire the team to make changes. When we empower each other, magic happens - negativity vanishes and we see employees do their best.


At Salem Hospital, transformational leadership goes deep - engaging and empowering employees of all kinds. For example, nursing staff saw that parents of pediatric patients would not leave their children's bedside to get food. They knew that serving the parents of these patients would improve the patient and family experience. Today, Salem Hospital serves meals to both the patient and the parent. Through transformational leadership, front-line staff can influence change in the organization.


Several qualities distinguish the transformational leader. According to John C. Maxwell, author of The 21 Irrefutable Laws of Leadership: Follow Them and People Will Follow You, those qualities are:

  • Commitment to excellence
  • Passion about their work
  • Clear vision and strategic focus
  • Trustworthiness
  • Respectfulness
  • Accessibility
  • Empathy and caring
  • Commitment to coaching and developing staff

When you find a leader like that, you want to follow.


Thank you for your support during our Magnet® journey. 


CEOBreakfast with the CEO
Read the latest give and take with Salem Health CEO Norm Gruber. Topics include affiliation,  the Public Employees Benefit Board insurance offerings, pharmacy access and psychiatric care.

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SurveySurvey to explore hospital's safety culture

Sandra Shore, a Master's in Nursing program student, is conducting a survey of surgical staff at Salem Hospital. Her goal is to identify opportunities for improvement. Read her introductory letter.
For more information, contact Sandra Shore, (503) 561-5451.

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Positive intent is essential


By Ian Lowen-Thomas, MD 

Compact Implementation Committee Chair


The practice of medicine has always been changing - even more so, in recent years.

With change comes a huge opportunity: To practice philosophies of our Common Ground Compact.


One is especially important: Learn the truth before making negative assumptions.  


From the Compact: "We assume our colleagues bring positive intent toward this work and are committed to collaboration. When others' behavior causes us to doubt, we will inquire to understand before ascribing negative intentions."


I believe strongly in our strengths, to seek out the truth first, and manage our differences with good will. I am excited to be a part of such a positive endeavor as the Compact, and encourage others to join me.


Ultimately, this improves the care we provide to our patients - and the health of our entire community.


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Here's where you will find changes to Epic order sets, best practice advisories and reports from the Physician Leadership Council.

EDMSWe were listening: Electronic document management features


Two of the workflow improvements coming with the Electronic Document Management System (EDMS):

  • Documents will appear seamlessly in the Media tab, rather than requiring an extra login to Document Imaging.
  • You will be able to sign paper-based deficiencies (like wound photos) in Epic instead of physically signing them in HIM.
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autoPLC Problem List goes digital 


New enhancements through automation are coming to the Physician Leadership Council (PLC) Problem List:

  • Monthly automated email updates on the status of your item on the problem list
  • Automated email when your problem list item is resolved/closed
  • A Problem List Dashboard showing categories and status  
  • Automated email reminders to assigned leaders

Try out the new system, to start in June, by submitting your issues, concerns and questions to Kelli Fussell or contact one of your Medical Staff leaders with any items you would like to discuss.


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passwordPassword Policy Enforcement to educate and improve compliance
Salem Health's Password Policy Enforcement project will bring changes across the organization.

The project seeks to institute practices that
  • Protect patient information.
  • Comply with HIPAA requirements.
  • Raise awareness across the organization about the importance of information security.
  • Provide users what they need to create and maintain secure passwords.
The project is now in a pilot phase at West Valley Hospital and will go live across the organization in early August. Read more

For more information, contact  Dr. Michael Hanslits or  Dr. Kendall Graven.

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vasoChange coming to titratable vasopressor infusion orders

Starting Tuesday, July 1, all orders for titratable vasopressor infusions (norepinepheine, phenylephrine, epinephrine and dopamine) will require the ordering provider to choose a titration target (for example: SBP of 95, MAP of greater than 65, or other).


This change will ensure that nurses have the information they need to treat patients safely and stay within their scope of practice.


If you have any questions, please contact Matt Tanner, Pharmacy Clinical Coordinator, at 503- 814-2048.  


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MRSANew MRSA testing protocol will guide therapy decisions

Several studies have shown that if MRSA is not present in the nares, it is very unlikely to be the cause of a pneumonia.  


When a physician orders vancomycin or linezolid for pneumonia or an unclear diagnosis, pharmacists will be allowed to order a MRSA screen of the nares (by PCR). Because they will often have results on the same day, pharmacists and providers can quickly determine the need for ongoing anti-MRSA therapy.  


Patients will be isolated only if the nares screen is positive, rather than isolated at the time the test is ordered.    


This measure will also ensure that Salem Hospital and its physicians provide good stewardship of often overused antibiotics.    


If you have any questions, please contact Matt Tanner, Pharmacy Clinical Coordinator, at 503- 814-2048.     


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ACLSDecision made regarding ACLS certification
After an analysis of Code Blue events outside the Operating Room and Emergency Department, Salem Hospital has determined that there is no need to impose a requirement for Advanced Cardiovascular Life Support certification for all physicians with privileges. 

A 2012 protocol for Code Blue responses established that two physicians respond to a Code Blue, one ACLS certified intensivist and an attending.

For more information, contact Dr. Michael Hanslits or Dr. Kendall Graven.

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BretM. Bret Abbott, MD - Diagnostic Radiology Salem Radiology Consultants

Medical Education:


University of Cincinnati College of Medicine - Cincinnati, OH

July 1995 to June 2002


Internal Medicine


The Christ Hospital - Cincinnati, OH      

July 2002 to June 2003


Diagnostic Radiology

University of Arizona College of Medicine - Tucson, AZ        

July 2003 to June 2007


Abdominal Imaging


Duke University - Durham, NC      

July 2007 to June 2008

Board Certification:

American Board of Radiology/Diagnostic Radiology

footScott L. Berg, DPM - Podiatry

Salem Foot and Ankle Clinic

Medical Education:

Scholl College of Podiatric Medicine

North Chicago, IL

August 2007 to June 2011



Franciscan Health Saint Francis Hospital - Federal Way, WA      

July 2011  to June 2014  

brennan Meghan E. Brennan, NP - Family Nurse Practitioner

NWHS West Salem Clinic

Medical Education:

Yale School of Nursing - New Haven, CT

August 2008 to May 2011

Board Certification: 

American Nurses Credentialing Center 

ClearyAndrew J. Cleary, MD - General Surgery

SH-Trauma Services

Medical Education:

Creighton University School of Medicine - Omaha, NE

August 2004 to May 2008


General Surgery

Easton Hospital - Easton, PA

July 2008 to June 2009


Easton Hospital - Easton, PA

July 2009 to June 2013


Surgical Critical Care

Oregon Health & Science University School of Medicine - Portland, OR          

July 2013 to July 2014

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LissmanThomas L. Lissman, MD - Psychiatry

SH-Psychiatry Unit

Medical Education:

Oregon Health & Science University School of Medicine - Portland, OR

Sept.1994 to June 1998




Oregon Health & Science University School of Medicine - Portland, OR          

June 1998 to July 2002

Board Certification:

American Board of Psychiatry and Neurology  

prakash2Bharat V. Prakash, MD - Pulmonary Medicine

 Salem Pulmonary Associates - no photo available 


Internal Medicine

Mercy Hospital of Pittsburgh - Pittsburgh, PA        

June 2008 to June 2009


Internal Medicine

Mercy Hospital of Pittsburgh - Pittsburgh, PA        

July 2009 to June 2011


Pulmonary Medicine

Wake Forest University Baptist Medical Center - Winston-Salem, NC        

July 2011 to June 2014

Board Certification:

American Board of Internal Medicine

American Board of IM/Pulmonary Disease

socialMedical Staff Summer Social: Fun for the whole family!
  • Indoor movie theater, outdoor games and prizes for the kids!
  • Good food, entertainment, drink and relaxation.
  • RSVP by July 3.

WHEN:  Friday, July 11, 2014, 5:30 to 7:30 p.m.
WHERE:  Pringle Park and Hall (located directly behind Salem Hospital)
RSVP:  Mary Maberry by July 3, 503-561-3778 


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CHECFor your patients, Community Health Education Center
  • Adult Weight Management Program

Information session and health screening about new six-month pilot program.

Led by experienced dietitians and exercise specialists through the CHEC.

Tuesday, Aug. 5

6:30 to 7:30 p.m. Free.

Read more 

  • Brain Agility

Combines education on brain health with mental exercises to enhance your brain's ability to remember, stay focused, be aware and alert.

Thursdays, July 11 to Aug. 22

10 to 11 a.m.  $35 for seven-week series.

Read more    

  • Know Your Numbers Health Screenings and education 

Includes cholesterol and blood sugar levels, blood pressure, body mass index (BMI), and education. No food or beverages (except water) for 12 hours before screening is recommended.

Friday, July 11

7:30 to 9 a.m.  $10.

Read more 

  • A Mindful Approach to Eating

Learn healthy ways to nourish yourself and rediscover the natural joy of eating.

Wednesdays, July 9 to 30.

6:30 to 8:30 p.m.  $20 for four-week series.

Read more 

  • Infertility Peer Support Group

Led by a Certified Resolve National Infertility Association Facilitator

Third Thursday of each month

6 to 7 p.m. Free.

Read more 


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Council to review blocked demolition of Howard Hall
The Statesman Journal provides ongoing coverage of Salem Health's plan to demolish Howard Hall and build a therapeutic playground for children with disabilities. Read more

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After the ACA: Salem Health experiences good and bad
The Statesman Journal's Saerom Yoo interviewed Salem Health controller Jeremiah Dodrill about how the Affordable Care Act has affected the hospital's payer mix. Read more

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Common Ground Newsletter Editorial Board 
Email us anytime with feedback, suggestions, or something for the next issue!  Dr. Ian Loewen-Thomas, Chair, Compact Implementation Committee

Salem Health