A Level II Trauma Designation to Better Take Care of You

On Monday, Chippenham Hospital received our official notice that we are now a Level II HELO_01Trauma Center as designated by the State Health Commissioner from the Commonwealth of Virginia Department of Health. This makes Chippenham Hospital the only Level II trauma center serving central Virginia.

There are over 2.2 million lives served by the Old Dominion EMS Area, of which our HELO_03
community is a part. Did you know trauma is the 5th leading cause of death for all ages and the leading cause of death for people under 44? Last year alone, Chippenham Hospital’s Emergency Department saw over 97,000 patients, 30,000 of them children (0-18) – more than anybody else in South Central Virginia. That’s why it’s so critical to ensure our region has the necessary trauma resources.

Chippenham’s Level II designation is an essential step towards ensuring our patients get the help they need as quickly as possible during the Golden Hour of trauma. This Golden Hour is the first 60 minutes after an initial injury and can often mean the DCIM100MEDIAdifference between life and death for trauma victims. With few exceptions, we can now care for all trauma patients at Chippenham Hospital. With our newly opened second helipad, renovated trauma bays, and clinical specialists added to our medical staff, we demonstrate our commitment to providing the best care for these patients during this critical time – and any time – during their continuum of care.

I would be remiss if I didn’t thank all of the partners that supported us on our quest to achieve our Level II trauma center designation. EMS, police, fire & rescue, community leaders, medical staff (in particular Dr. Raymond Makhoul and Dr. Scott Hickey who continue to lead our trauma teams), emergency department employees, Nancy Malhotra and our Trauma Services team, and so many more were pivotal to our success. Thank you for your ongoing support.

Setting the Stage for 2015

It is the beginning of a new year and, as always, there are lots of lists out there suggesting what we could do to better our lives. Most of them sound great when you read them but are often hard to apply to everyday life with any consistency. If you are like me, you are pretty good about it for a month or two but then slip into old habits and comfort zones. With that in mind, I was recently forwarded an interesting article by Paul C. Brunson from www.paulcbrunson.com titled 20 Successful Habits I Learned Working for Two Billionaires. Reading his list of habits struck a chord with me, so I thought I would share a few that have applicability to both the the work we do at Chippenham & Johnston-Willis Hospitals and in life. Paul’s perspective comes from working with billionaires Oprah Winfrey and Enver Yucel. Here are some of his tips with a few added comments which are largely self-explanatory but if practiced well would benefit us all:

  • Invest in yourself: It is critical to keep growing
  • Be curious…about everything: This curiosity will lead you to solve many problem
  •  Surround yourself with “better” people: Who you chose for your inner circle says a lot about you and keeps you both grounded and stretches you to do more
  • Never eat alone
  • Take responsibility for your losses
  • Take no days off completely
  • Focus on experiences vs. material possessions
  • Take enormous risks
  • Don’t go at it alone:Success isn’t a solo act.
  • Recognize the value of simple ideas
  • Be patiently impatient
  • Be gritty
  • Connect with people outside your community
  • Over-communicate your message
  • Learn to laugh at yourself
  • Be great at one thing, first

What ideas resonate with you for 2015?

Holiday Spirit

It’s hard to believe that the holidays are upon us this week. My kids tell me every day exactly how many days they have to wait until they can start opening their presents. The FeedMore 3truth is we all know there is a lot more significance to the season, regardless of what faith you might be. Our nursing leadership team took this opportunity to give back in a unique way. They recognize that giving back to the community that we serve is very important and that is exactly why they wanted to volunteer to support FeedMore.

FeedMore2FeedMore is Central Virginia’s hunger-relief leader made up of the Food Bank, Meals on Wheels, and the Community Kitchen. With the help of over 250 volunteers per day, they are able to keep these incredibly important programs running. Their outreach extends to local children who need nutritional support at home, struggling families that are unsure where their next meal will come from, and also senior citizens who are home bound and need meals delivered to them in order to preserve their independence. photo 4

By contributing their time, the Directors were able to extend their care and service outside the walls of CJW and also had an opportunity to spend meaningful time with one another during the holiday season.

“No one is more cherished in this world than someone who lightens the burden of another.” – Author Unknown

Thank you CJW Nursing Directors for making a difference.

Dr. Rodney Smith, Chairman of the Board, Shares Parting Words

Dr. Rodney Smith

Dr. Rodney Smith

Today was Dr. Rodney Smith’s final meeting as Chairman of Chippenham & Johnston-Willis Hospitals’ Board of Trustees. He has been on the Board for decades and served as Chairman for a number of those years. He is an inspirational leader who always found the best in people and this organization. He leaves behind a lasting imprint through the work he did both as a pulmonologist and as Board Chairman. I am personally thankful to have served under his leadership. During his last Board meeting he shared some poignant words that I asked him to share for all to read. Here is what he said:

“On this occasion of my last meeting as a CJW Board Member, I would like to let you, my colleagues, know how honored and privileged I feel to have served on and with this Board. I’m not sure exactly how long my tenure has been, but I believe that Tommy Johns was the Chair and Wyke Lyne was the Administrator when I was first asked to serve, probably in the 80’s. I could bore you with the musings of an old man as I look back over all those years, but I won’t. Some of you have to go to work. But I would like to say a couple of things.

First, let me say that, although I haven’t served on many Boards, I can’t believe that I would find any with more committed and engaged members. I marvel at your insights and diverse perspectives which continue to allow this body to maintain its relevance and importance to CJW and HCA. Thank you for what you bring to this table where hope is restored, healing offered, and comfort dispensed.

Second, it has been interesting to witness the evolution of the business of medicine over the past few years. And from what I can see, keep your seatbelts on, for as Confucius would say, we are just starting to live in interesting times. We live quarter to quarter with our investors. We live one to five to ten years out as we strategically plan for the future, endeavoring to assure our financial viability and trying to anticipate what needs our community will have as we age and change and get sick in new and challenging ways and, dare I say, how we might react to our competitors’ strategies. We live day to day, operationally. Do we have enough medicines, blankets, bread, heat, nurses, etc? The business of medicine is complex and critically important, but we, and now you, as a Board must always remember that our primary and only useful function is to provide a platform upon which, and an environment in which, the practice and profession of medicine can take place. It’s about people and their families and their hurts and their illnesses and their fears and their struggles at the most vulnerable times of their lives. And they come to us. And we gather at the bedside, and sometimes we cure and sometimes we heal and sometimes we can’t, but we can always comfort. People come to us assuming competence and quality of care. It is up to us, all of us around this table, to, not only confirm that faith in our competency, but to pursue and assure and deliver excellence of care in each of those encounters. What we do is difficult but what we do matters, more so than anything else we could do in this life that does not involve eternal destiny. Serious business, but aren’t we blessed to be a part of this all? Thank you for the part that each of you plays in this noble endeavor.

So just when that last metric or guideline or spreadsheet threatens to suck the last drop of life out of you, retreat to the bedside and observe what’s happening and who is there and what you are a part of, and perhaps the Joy that is such a part of this season of the year will touch you and lift you and sustain you.”

I welcome you to share any thoughts you have about Dr. Smith’s impact on CJW as a reply on the blog.

Are You Ready?

In recent years it feels like holiday shopping has gotten a little easier, not because there is a reduced interest in presents from my children (ages 7, 9, and 11), but because of the ease of online shopping. There is always something about the season that really brings out the best in people. I see more glimpses of people letting their guard down and allowing their full personality show through.

Brandon, Lynn, & Tim

Brandon, Lynn, & Tim

20141212 blog 2

I have the distinct advantage of having patient letters mailed directly to me to tell me about the positive impact of the care teams at Chippenham & Johnston-Willis Hospitals. The letters convey a true connection between the patient who is often here during a medical crisis and one of our associates who does their job every day with compassion for those they serve.

With that compassion in mind we tried to give back a little bit with our annual holiday meal for our employees, volunteers, and physicians. The leadership team signed up to serve meals and, more importantly, say thank you to each of you who go above and beyond to improve the lives of our patients during their brief time in our hospitals.

Thank you for all that you do. You are truly difference makers and it is so appreciated. I hope you are able to take time off to spend with your family and friends over the season. That time is incredibly important to refocus on the priorities of family. We know you spend so much of your waking hours in our four walls and it is important you know how fortunate we are that you chose CJW. Have a great holiday and be safe.

Recognizing Thanksgiving

This week our country celebrates Thanksgiving, which is a great time to just pause, reflect and appreciate what we have in our lives. It is easy to get caught up in our challenges and stressors and forget how fortunate we are in our personal lives, in our community and at Chippenham and Johnston-Willis Hospitals (CJW).

A quick fact check on Wikipedia showed that the first Thanksgiving feast was celebrated by the Pilgrims after their first harvest in the New World in 1621.  It was officially recognized as a Federal Holiday by President Abraham Lincoln in 1863.  A lot has changed since those times, but the fundamental tenet of recognizing the importance of being thankful hasn’t. So, I asked the Executive team at CJW to briefly share their thoughts on what they are thankful for this year.


Brandon Haushalter, CEO Johnston Willis:

I am thankful to have been blessed with such a wonderful wife and two beautiful little boys.  As they continue to grow and develop I am continually amazed with the true joy of being a father.  I am also thankful to have the opportunity professionally to work with great people first at Chippenham and now at Johnston-Willis.  This has been a big year of transition, but I have thoroughly enjoyed all of the new relationships I have developed and very thankful for the opportunity.


Chad Christianson, Chief Operating Officer – Chippenham Hospital

I have an incredible amount to be thankful for this Thanksgiving season.  I am thankful that my wife’s pregnancy has been a happy and healthy one as we look forward to welcoming our 3rd son in December.  I am thankful for my two little boys Caden (6) and Chance (3) who continue to grow and each day, I could not be more proud of them both and they bring Ansley and I so much happiness.  This year has been one of great change and I am very thankful to the Chippenham teams for making my family and I feel so welcome.  I am very fortunate to be part of such a caring organization that has a great history of providing high quality compassionate care to the Richmond community.


Dr. Michael Menen, Chief Medical Officer

Every evening, my family tries to have dinner together. Before we eat we always tell each other what we are most grateful for in our day. Taking this moment opens our eyes to the multitude of blessings that continually surround us. I am so thankful for this moment with my family.

MINTON, Trula_pp

Trula Minton, Chief Nursing Officer – Chippenham Hospital

I have so many blessings for which I am grateful. First of all, I am thankful for my health and that of my family and friends. I am thankful for the many opportunities offered to me each day to be a productive human being who is able to contribute to the collective good of the world. I am thankful for being able to have another year of being a colleague of the people at CJW who provide comfort and healing each day. I am grateful that I had the opportunity to “cuddle” a NICU baby and make him smile and sleep.


Sandy Aderholt, Chief Nursing Officer – Johnston-Willis Hospital

As we approach the Thanksgiving holiday, I want to express my gratitude for the opportunity I have been given to lead nursing at Johnston-Willis Hospital.  This has truly been a rewarding experience and one that I am truly grateful for, as I am so excited to be working with our phenomenal nursing team every day.   Personally, I am so blessed to have such a supportive husband that supports my career and finally, I am truly thankful for my most rewarding role ever….. to have raised three loving sons that make me smile and laugh on a daily basis!

STRADER, Lynn_pp

Lynn Strader, Chief Financial Officer

What a wonderful year this has been and there is so much to be thankful for.  I am truly thankful for my husband and 2 wonderful sons, both of whom will be home from college to celebrate Thanksgiving with our family.  I am thankful for health and happiness and wish that for everyone. What else is there!

BLAIR,Betsy Ann

Betsy Blair, Chief Operating Officer – Tucker Pavilion

Upon awakening, I recite the mantra/prayer, “I thank you, God, for most this amazing, most this amazing day”. This recital helps to commit my focus and realization that each day is a gift, full of offerings and choices.  It reminds me to live responsibly in my freedom, show gratitude for all things present, and abide in my true self.  I wish all a Happy Thanksgiving and hope the holiday can offer you restoration and peace.


Tim McManus, Chief Executive Officer – Chippenham and Johnston-Willis Hospitals

When I reflect on this last year a couple of thoughts immediately come to mind for things I am thankful for in my life. I am incredibly blessed and fortunate to have a wife and three children that make my day, every day. The time I get to spend with them is a gift. In many ways I wish I could just freeze this point in my life because I come home from work and get the warmest embraces from my children as if I  had been away for months.

I am thankful for a great year of health.  My whole life I have heard people be thankful for good health and it wasn’t until I got sick 5 years ago that I realized what that really meant. This year for the first time I publicly shared my personal medical journey with Cardiac Sarcoidosis.  I have had my best health year yet!

I am thankful for what I get to see and hear from employees and patients at CJW every day.  When I am feeling challenged by issues at work, I take a break and round through the hospital. It is a great reminder that this is a lot more than just a job.  The work done in our hospitals is truly life changing and I get to see it first-hand.

What are you thankful for this year?

CJW’s March of Dimes Nurse of the Year Winners

The March of Dimes annually awards Nurse of the Year in seventeen key disciplines to recognize exceptional nurses. These awards are derived from a highly competitive process that requires nurses to go through a comprehensive state-wide nominating and selection process.  Chippenham & Johnston-Willis was fortunate to have 3 of the 17 winners come from our hospitals. I asked the leaders of our winning nurses to share more about these exceptional women. Here is what they wrote:

Critical Care Nurse of the Year: Emily Mochan, RN

Emily Mochan

Emily Mochan

Emily is the Director of Cardiovascular ICU, Cardiovascular Step Down, and Interventional Cardiology Care Unit. Emily has been an employee at Chippenham Hospital for 4 years and has served in various roles: Central Resource Pool RN, Left Ventricular Assist Device (LVAD) Educator, Clinical Coordinator, and her current role of Nurse Director. In all roles, Emily consistently looks for innovative ways to transform the care of bedside clinical practice. Emily was instrumental in creating Chippenham’s LVAD program by forming a multidisciplinary team and numerous evidenced-based clinical guidelines to care for that high risk patient population. In Emily’s current role as the Director, she helped improve the outcomes of cardiac surgery patients by focusing on earlier extubation and a more collaborative coordination of care with nursing, respiratory therapy, pharmacy, and the Cardiac surgeons. Through this achievement, Chippenham has been recognized by the Society of Thoracic Surgery as a Top Performer in ventilator outcomes. In addition, Emily was recognized just recently by the HCA Division Office for partnering with Henrico Doctors’ to drive this performance improvement across the market. Emily is a member of the American Association of Critical Care Nurses (AACN) and the American Organization for Nurse Executives (AONE). Emily’s compassion and innovative approach to patient care makes her an invaluable member of our team.

Behavioral Health Nurse of the Year: Kim Wilson, RN

Kim Wilson

Kim Wilson

Kim is the Director of Clinical Services, Tucker Intake with extensive clinical and managerial experience in the field of Behavioral Health. Kim’s advocacy for the patients, families, employees and community is second to none. Kim serves on the Chesterfield Crises Intervention Training subcommittee team and serves as host site at Chippenham Hospital. Kim offers partnership to National Alliance for Mentally Ill (NAMI) Virginia which facilitates impactful programs at Tucker. Kim is also active with Family Advocacy Creative Education and Services (FACES), a local non- profit family support and education advocacy network. Kim sits on the Virginia Hospital & Health Association Behavioral Health’s state subcommittee for the 2014 Bed Registry and the Local Inpatient Purchase of Services task force. Kim’s leadership was instrumental in the implementation of the Crises Triage Center which opened in October 2013 at Chippenham’s Emergency Room. In this implementation, Kim partnered with Chesterfield Community Services Board , Richmond Behavioral Health Authority, local magistrates, police, and dignitaries to open the first multijurisdictional triage center in the Commonwealth. As a result of this work, Kim was awarded the Chesterfield Community Services Board service partnership award in 2013, along with Betsy Blair and Rich Shelton who also provided leadership for CTC implementation. Kim achieved certification in Mental Health First Aid in 2013. Above all competencies and expertise, the distinguishing quality that sets Kim apart is her absolute compassion for people who are impacted by mental disorders, whether that is the patient, their families, the physician, community advocacy groups, or her employees. Kim stops at nothing to get people connected to the services they need whether that is due to a crisis or a life- long chronic recovery journey.

Pediatric Nurse of the Year, Lori Stump, RN

Lori Stump

Lori Stump

Lori Stump has been an active member of Chippenham Hospital’s Pediatric Department since 1995. Lori has a passion for her patients and their families, staff education, and evidence-based process improvements.  Lori’s dedication to the PICU and Pediatric floor is evident in her projects; Lori leads the annual Pediatric Skills Fair, chairs the Pediatric Nurse Practice Council, and is an active member of the hospital-based Shared Governance Professional Practice Council for the greater Richmond area. Lori’s desire to advance practice at the bedside inspires many; she has been recognized the last two years as a nominee for March of Dimes Nurse of the Year, winning the title this year. Lori makes it a point to do the right thing for the patients and encourages others to do the same. Lori works with colleagues to provide education to families, Pediatric staff, and the community and evidence-based practice in our Pediatric policies. Lori has provided several lectures on pediatric critical care to pediatric ED staff, EMS providers, and even traveled to Hampton Roads to speak at the Tidewater Emergency Medical System Conference. It is Lori’s goal to continue to work at the bedside and care for pediatric patients and their families; she will continue to be an informal leader on the Pediatric Intensive Care Unit and Pediatric floors as a Clinician 5 (the highest level) as she helps us strive for excellence.

Congratulations, Emily, Lori and Kim. We are all very proud of your accomplishment and more importantly proud to have you on our exceptional clinical team.